Podcasts about Dell Medical School

James R. Korndorffer Jr., M.D., MHPE, FACS, joined the University of Texas Austin, Dell Medical School in January of 2025 and leads the continuum of medical education to train the next generation of physicians and health care professionals. In addition, he leads efforts across The University of Texas at Austin and The University of Texas System to support interprofessional education, curricular innovation, research and other learning activities.Korndorffer graduated cum laude from Tulane University with an undergraduate degree in biomedical engineering. He received his medical degree from the University of South Florida College of Medicine. He completed his general surgery internship and residency at the Carolinas Medical Center in Charlotte, North Carolina, where he received the award for best resident teacher.With a strong interest in teaching, Korndorffer left a successful private practice after eight years and joined the faculty at Tulane University School of Medicine He became an associate professor of surgery in 2005 and professor in 2010. He served in numerous leadership roles at Tulane, including vice chair of the surgery department from 2012 to 2017, program director for the surgical residency from 2006 to 2017, assistant dean for graduate medical education and founding medical director for the Tulane Center for Advance Medical Simulation. Continuing his passion for education, Korndorffer completed his Master of Health Professions Education at the University of Illinois Chicago while working full time at Tulane.Korndorffer joined Stanford School of Medicine's Department of Surgery as the inaugural vice chair for education in 2017. He assumed additional leadership responsibilities within the department, including director of the Goodman Surgical Simulation Center and the surgical education fellowship program.He was one of the early adopters of the use of simulation for surgical training and has been actively involved in surgical education research since 2003. Some of the early work using proficiency-based training instead of time base training for skill acquisition. This has now become the norm. He is now actively involved investigating the role simulation education has in patient quality and healthcare system safety.Korndorffer has published over 100 papers in peer-reviewed journals as well as 10 book chapters, and he has held over 150 presentations at national and international meetings.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Despite advances in epilepsy management, disparities and lack of inclusion of many people with epilepsy are associated with increased morbidity and mortality. Improving awareness and promoting diversity in research participation can advance treatment for underserved populations and improve trust. In this episode, Teshamae Monteith, MD, PhD, FAAN speaks Dave F. Clarke, MBBS, FAES, author of the article “Diversity and Underserved Patient Populations in Epilepsy,” in the Continuum® February 2025 Epilepsy issue. Dr. Monteith is a Continuum® Audio interviewer and an associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Clarke is the Kozmetsky Family Foundation Endowed Chair of Pediatric Epilepsy and Chief or Comprehensive Pediatric Epilepsy Center, Dell Medical School at the University of Texas at Austin in Austin, Texas. Additional Resources Read the article: Diversity and Underserved Patient Populations in Epilepsy Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @HeadacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the February 2025 Continuum issue on epilepsy. So why don't you introduce yourself to our audience? Dr Clarke: Sure. My name is Dr Dave Clarke, as alluded to. I'm presently at the University of Texas in Austin, originating from much farther south. I'm from Antigua, but have been here for quite a while working within the field in epilepsy surgery, but more and more getting involved in outreach, access to care, and equity of healthcare in epilepsy. Dr Monteith: And how did you get involved in this kind of work? Dr Clarke: That's an amazing question. You know, I did it in a bit of a inside out fashion. I initially started working in the field and trying to get access to persons in the Caribbean that didn't have any neurological care or investigative studies, but very quickly realized that persons around the corner here in Texas and wherever I've worked have had the exact same problems, getting access via fiscal or otherwise epilepsy care, or geographically getting access, with so few having neurologists close at hand. Therefore, I started working both on a regional, national, and it transcended to a global scale. Dr Monteith: Wow, so you're just everywhere. Dr Clarke: Well, building bridges. I've found building bridges and helping with knowledge and garnering knowledge, you can expand your reach without actually moving, which is quite helpful. Dr Monteith: Yeah. So why don't you tell us why you think this work is so important in issues of diversity, underserved populations, and of course, access to epilepsy care? Dr Clarke: Sure, not a problem. And I think every vested person in this can give you a different spiel as to why they think it's important. So, I'll add in a few facts pertaining to access, but also tell you about why I think personally that it's not only important, but it will improve care for all and improve what you believe you could do for a patient. Because the sad thing is to have a good outcome in the United States presently, we have over three hundred epilepsy centers, but they have about eight or nine states that don't have any epilepsy centers at all. And even within states themselves, people have to travel up to eight hours, i.e., in Texas, to get adequate epilepsy care. So that's one layer. Even if you have a epilepsy center around the corner, independent of just long wait times, if you have a particular race or ethnicity, we've found out that wait may be even longer or you may be referred to a general practitioner moreso than being referred to an epilepsy center. Then you add in layers of insurance or lack thereof, which is a big concern regardless of who you are; poverty, which is a big concern; and the layers just keep adding more. Culture, etcetera, etcetera. If you could just break down some of those barriers, it has been shown quite a few years ago that once you get to an epilepsy center, you can negate some of those factors. You can actually reduce time to access and you can improve care. So, that's why I'm so passionate about this, because something could potentially be done about it. Dr Monteith: That's cool. So, it sounds like you have some strategies, some strategies for us. Dr Clarke: Indeed. And you know, this is a growth and this is a learning curve for me and will be for others. But I think on a very local, one-to-one scale, the initial strategy I would suggest is you have to be a good listener. Because we don't know how, when, where or why people are coming to us for their concerns. And in order to judge someone, if they may not have had a follow-up visit or they may not have gotten to us after five medications, the onus may not have been on that person. In other words, as we learned when we were in medical school, history is extremely important, but social history, cultural history, that's also just as important when we're trying to create bridges. The second major thing that we have to learn is we can't do this alone. So, without others collaborating with us outside of even our fields, the social worker who will engage, the community worker who will discuss the translator for language; unless you treat those persons with respect and engage with those persons to help you to mitigate problems, you'll not get very far. And then we'll talk about more, but the last thing I'll say now is they have so many organizations out there, the Institute of Medicine or the International League Against Epilepsy or members of the American Epilepsy Society, that have ways, ideas, papers, and articles that can help guide you as to how better mitigate many of these problems. Dr Monteith: Great. So, you already mentioned a lot of things. What are some things that you feel absolutely the reader should take away in reading your article? You mentioned already listening skills, the importance of interdisciplinary work, including social work, and that there are strategies that we can use to help reduce some of this access issues. But give me some of the essential points and then we'll dive in. Dr Clarke: OK. I think first and foremost we have to lay the foundation in my mind and realize what exactly is happening. If you are Native American, of African descent, Hispanic, Latinx, geographically not in a region where care can be delivered, choosing one time to epilepsy surgery may be delayed twice, three, four times that of someone of white descent. If you are within certain regions in the US where they may have eight, nine, ten, fourteen epilepsy centers, you may get to that center within two to three years. But if you're in an area where they have no centers at all, or you live in the Dakotas, it may be very difficult to get to an individual that could provide that care for you. That's very, very basic. But a few things have happened a few years ago and even more recently that can help. COVID created this groundswell of ambulatory engagement and ambulatory care. I think that can help to mitigate time to get into that person and improving access. In saying that, there are many obstacles to that, but that's what we have to work towards: that virtual engagement and virtual care. That would suggest in some instances to some persons that it will take away the one-to-one care that you may get with persons coming to you. But I guarantee that you will not lose patients because of this, because there's too big a vacuum. Only 22% of persons that should actually get to epilepsy centers actually get to epilepsy centers. So, I think we can start with that foundation, and you can go to the article and learn a lot more about what the problems are. Because if you don't know what the problems are, you can't come up with solutions. Dr Monteith: Just give us a few of the most persistent inequities and epilepsy care? Dr Clarke: Time to seeing a patient, very persistent. And that's both a disparity, a deficiency, and an inequity. And if you allow me, I'll just explain the slight but subtle difference. So, we know that time to surgery in epilepsy in persons that need epilepsy surgery can be as long as seventeen years. That's for everyone, so that's a deficiency in care. I just mentioned that some sociodemographic populations may not get the same care as someone else, and that's a disparity between one versus the other. Health equity, whether it be from NIH or any other definition, suggests that you should get equitable care between one person and the other. And that brings in not only medical, medicolegal or potential bias, that we may have one person versus the other. So, there's a breakdown as to those different layers that may occur. And in that I'm telling you what some of the potential differences are. Dr Monteith: And so, you mentioned, it comes up, race and ethnicity being a major issue as well as some of the geographic factors. How does that impact diagnosis and really trying to care for our patients? Dr Clarke: So again, I'm going to this article or going to, even. prior articles. It has been shown by many, and most recently in New Jersey, that if you're black, Hispanic, Latin- Latinx, it takes you greater than two times the time to surgery. Reduced time to surgery significantly increases morbidity. It potentially increases mortality, as has been shown by a colleague of mine presently in Calgary. And independent of that, we don't look at the other things, the other socially related things. Driving, inability to work, inability to be adequately educated, the stigma related to that in various cultures, various countries. So, that deficit not only increased the probability of having seizures, but we have to look at the umbrella as to what it does. It significantly impacts quality of life of that individual and, actually, the individuals around them. Dr Monteith: So, what are some of these drivers, and how can we address them, or at least identify them, in our clinic? Dr Clarke: That's a question that's rather difficult to answer. And not because there aren't ideas about it, but there's actually mitigating those ideas or changing those ideas we're just presently trying to do. Although outlines have been given. So, in about 2013, the federal government suggested outlines to improve access and to reduce these inequities. And I'll just give you a few of them. One of those suggestions was related to language and having more improved and readily available translators. Something simple, and that could actually foster discussions and time to better management. Another suggestion was try to train more persons from underserved populations, persons of color. Reason being, it has been shown in the social sciences and it is known in the medical sciences that, if you speak to a person of similar culture, you tend to have a better rapport, you tend to be more compliant, and that track would move forward, and it reduces bias. Now we don't have that presently, and I'm not sure if we'll have that in the near future, although we're trying. So then, within your centers, if you have trainings on cultural sensitivity, or if you have engagements and lectures about how you can engage persons from different populations, those are just some very simple pearls that can improve care. This has been updated several times with the then-Institute of Medicine in 2012, 2013, they came out with, in my mind, a pretty amazing article---but I'm very biased---in which they outline a number of strategic initiatives that could be taken to improve research, improve clinical care, improve health equity through health services research, to move the field forward, and to improve overall care. They updated this in 2020, and it's a part of the 2030 federal initiative not only for epilepsy, but to improve overarching care. All of this is written in bits and pieces and referenced in the article. To add icing on top, the World Health Organization, through advocacy of neurological groups as well as the International League Against Epilepsy and the AES, came out with the Intersectoral Action Plan on Epilepsy and Other Neurological Diseases, which advocates for parallel improvement in overall global care. And the United States have signed on to it, and that have lit a fire to our member organizations like the American Epilepsy Society, American Academy of Neurology, and others, trying to create initiatives to address this here. I started off by saying this was difficult because, you know, we have debated epilepsy care through 1909 when the International League against Epilepsy was founded, and we have continually come up with ways to try and advance care. But this have been the most difficult and critical because there's social dynamics and social history and societal concerns that have negated us moving forward in this direction. But fortunately, I think we're moving in that direction presently. That's my hope. And the main thing we have to do is try to sustain that. Dr Monteith: So, you talked about the importance of these global initiatives, which is huge, and other sectors outside of neurology. Like for example, technology, you spoke about telemedicine. I think you were referring to telemedicine with COVID. What other technologies that are more specific to the field of epilepsy, some of these monitorings that maybe can be done? Dr Clarke: I was just going to just going to jump on that. Thank you so much for asking. Dr Monteith: I have no disclosures in this field. I think it's important and exciting to think how can we increase access and even access to monitoring some of these technologies. That might be expensive, which is another issue, but…. Dr Clarke: So, the main things in epilepsy diagnosis and management: you want to hear from the patient history, you want to see what the seizures look like, and then you want to find ways in which to monitor those seizures. Hearing from the patient, they have these questionnaires that have been out there, and this is local, regional, global, many of them standardized in English and Spanish. Our colleagues in Boston actually created quite a neat one in English and Spanish that some people are using. Ecuador has one. We have created someone- something analogous. And those questionnaires can be sent out virtually and you can retrieve them. But sometimes seeing is believing. So, video uploads of seizures, especially the cell phone, I think has been management-changing for the field of epilepsy. The thing you have to do however, is do that in a HIPAA-compliant way. And several studies are ongoing. In my mind, one of the better studies here was done on the East Coast, but another similar study, to be unnamed, but again, written out in the articles. When you go into these apps, you can actually type in a history and upload a video, but the feed is not only going to you, it may be going to the primary care physician. So, it not only helps in one way in you educating the patient, but you educate that primary care physician and they become extenders and providers. I must add here my colleagues, because we can't do without them. Arguably in some instances, some of the most important persons to refer patients, that's the APPs, the PAs and the nurse practitioners out there, that help to refer patients and share patients with us. So, that's the video uploads they're seeing. But then the other really cool part that we're doing now is the ambulatory world of EEGs. Ceribell, Zeto, to name of few, in which you could potentially put the EEG leads on persons with or without the EEG technologist wirelessly and utilize the clouds to review the EEGs. It's not perfect just yet, but that person that has to travel eight hours away from me, if I could do that and negate that travel when they don't have money to pay for travel or they have some potential legal issues or insurance-related issues and I could read the EEG, discuss with them via telemedicine their care, it actually improves access significantly. I'm going to throw in one small twist that, again, it's not perfect. We're now trying to monitor via autonomic features, heart rate movement and others, for seizures and alert family members, parents, because although about 100,000 people may be affected with epilepsy, we're talking about 500,000 people who are also affected that are caregivers, affiliates, husbands, wives, etcetera. Just picture it: you have a child, let's say three, four years old and every time they have a seizure- or not every time, but 80% of times when they have a seizure, it alerts you via your watch or it alerts you in your room. It actually gives that child a sense of a bit more freedom. It empowers you to do something about it because you can understand here. It potentially negates significant morbidity. I won't stretch it to say SUDEP, but hopefully the time will come when actually it can prevent not only morbidity, but may prevent death. And I think that's the direction we are going in, to use technology to our benefit, but in a HIPAA-compliant way and in a judicious way in order to make sure that we not only don't overtreat, but at the end of the day, we have the patient as number one, meaning everything is vested towards that patient and do no harm. Dr Monteith: Great. One thing you had mentioned earlier was that there are even some simple approaches, efficiency approaches that we can use to try and optimize care for all in our clinics. Give me what I need to know, or do. Give me what I need to do. Dr Clarke: Yeah, I'll get personal as to what we're trying to do here, if you don't mind. The initial thing we did, we actually audited care and time to care delivery. And then we tried to figure out what we could do to improve that access and time to care, triaging, etcetera. A very, very simple thing that can be done, but you have to look at costs, is to have somebody that actually coordinates getting persons in and out of your center. If you are a neurologist that works in private practice, that could potentially be a nurse being associated directly one-and-one with one of the major centers, a third- or fourth-level center. That coordination is key. Educate your nurses about epilepsy care and what the urgent situations are because it will take away a lot of your headache and your midnight calls because they'll be able to know what to do during the day. Video uploads, as I suggested, regardless of the EMR that you have, figure out a way that a family could potentially send a video to you, because that has significantly helped in reducing investigative studies. Triaging appropriately for us to know what patients we can and cannot see. Extenders has helped me significantly, and that's where I'll end. So, as stated, they had many neurologists and epileptologists, and utilizing appropriately trained nurse practitioners or residents, engaging with them equally, and/or social workers and coordinators, are very helpful. So hopefully that's just some low-hanging fruit that can be done to improve that care. Dr Monteith: So why don't you give us some of your major takeaways to how we can improve epilepsy care for all people? Dr Clarke: I've alluded to some already, but I like counts of threes and fives. So, I think one major thing, which in my mind is a major takeaway, is cultural sensitivity. I don't think that can go too far in improving care of persons with epilepsy. The second thing is, if you see a patient that have tried to adequately use medications and they're still having seizures, please triage them. Please send them to a third- or fourth-level epilepsy center and demand that that third- or fourth-level epilepsy center communicate with you, because that patient will eventually come back and see you. The third thing---I said three---: listen to your patients. Because those patients will actually help and tell you what is needed. And I'm not only talking about listening to them medication-wise. I know we have time constraints, but if you can somehow address some of those social needs of the patients, that will also not only improve care, but negate the multiple calls that you may get from a patient. Dr Monteith: You mentioned a lot already. This is really wonderful. But what I really want to know is what you're most hopeful about. Dr Clarke: I have grandiose hopes, I'll tell you. I'll tell you that from the beginning. My hope is when we look at this in ten years and studies are done to look at equitable care, at least when it comes to race, ethnicity, insurance, we'll be able to minimize, if not end, inequitable care. Very similar to the intersectoral action plan in epilepsy by 2030. I'll tell you something that suggests, and I think it's global and definitely regional, the plan suggests that 90% of persons with epilepsy should know about their epilepsy, 80% of persons with epilepsy should be able to receive appropriate care, and 70% of persons with epilepsy should have adequately controlled epilepsy. 90, 80, 70. If we can get close to that, that would be a significant achievement in my mind. So, when I'm chilling out in my home country on a fishing boat, reading EEGs in ten years, if I can read that, that would have been an achievement that not necessarily I would have achieved, but at least hopefully I would have played a very small part in helping to achieve. That's what I think. Dr Monteith: Awesome. Dr Clarke: I appreciate you asking me that, because I've never said it like that before. In my own mind, it actually helped with clarity. Dr Monteith: I ask great questions. Dr Clarke: There you go. Dr Monteith: Thank you so much. I really- I really appreciate your passion for this area. And the work that you do it's really important, as you mentioned, on a regional, national, and certainly on a global level, important to our patients and even some very simple concepts that we may not always think about on a day-to-day basis. Dr Clarke: Oh, I appreciate it. And you know, I'm always open to ideas. So, if others, including listeners, have ideas, please don't hesitate in reaching out. Dr Monteith: I'm sure you're going to get some messages now. Dr Clarke: Awesome. Thank you so much. Dr Monteith: Thank you. I've been interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Join us for this episode as we talk with Dr. Ammar Ahmed, residency director of the University of Texas at Austin Dell Medical School Dermatology Program. We discuss his journey to becoming a dermatologist and academic leader, the key features of the Dell Medical program, and his insights on how medical students can successfully navigate the residency application process. Program website: https://dellmed.utexas.edu/education/academics/graduate-medical-education/dermatology-residency.  Program Instagram page: @DellMedDermRes Dr.Ahmed's contact information: ammar@austin.utexas.edu --- DIGA Instagram: @derminterest Host: Shan Francis --- For questions, comments, or future episode suggestions, please reach out to us via email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠derminterestpod@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --- Music: District Four by Kevin MacLeod Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://incompetech.filmmusic.io/song/3662-district-four⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ License: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://filmmusic.io/standard-license

This is the introduction to our journal club series. The next 14 episodes after this will discuss important and relevant topics in biostatistics, helping you understand and critically evaluate scholarly activity. To create these episodes we partnered with our good friends at University of Texas at Austin, Dell Medical School. This introductory episode is just me talking so there's no CME attached to it. Our apologies for that. We hope you enjoy.

KGMI's Dianna Hawryluk talks to Dr. Jewel Mullen from the Dell Medical School about falling vaccination rates among children in the U.S.

In this episode, Michael Wiggins, Clinical Assistant Professor of Pediatrics at Dell Medical School, UT Austin, and Healthcare Leadership faculty at Texas Tech, shares his 30 years of healthcare expertise. Michael discusses pressing industry challenges, from workforce shortages to economic pressures, and offers a visionary perspective on leadership, collaboration, and community health. Discover his advice for early-career leaders and insights into shaping the future of healthcare.

In this fourth episode of the series, we are joined by José del R. Millán. Dr. Millán is a professor at the University of Texas at Austin, where he runs the Clinical Neuroprosthetics and Brain Interaction Lab and holds the Linda Steen Norris & Lee Norris Endowed Chair in Neuroengineering in the Chandra Family Department of Electrical and Computer Engineering. He is also a professor in the Department of Neurology at Dell Medical School, co-director of the UT CARE Initiative and associate director of Texas Robotics. Dr. Millán has made several seminal contributions to the field of brain-machine interfaces (BMI), especially non invasive EEG-based BCIs. Many of his achievements revolve around the design of brain-controlled robots. While his work prioritizes the translation of BMI to people who live with motor and cognitive disabilities, he is also designing BMI technology to offer new interaction modalities for able-bodied people that augment their abilities. In this episode, we discuss various elements of Dr. Millán's work, including neuroplasticity and brain signaling as a skill, noninvasive EEG-based mobile robots, VR-based neurorehabilitation, BCI-controlled wheelchairs and exoskeletons, telerobotic surgery, enhancing human driving capabilities with BCI technology, the importance of 'shared control' between human and machine, integrating AI and machine learning with brain-computer interfaces, and the evolution of non-invasive BCIs towards sleeker, more user-friendly designs.

Dr. Sandra Hassink is joined by Dr. Kimberly Avila Edwards, Associate Chair of Advocacy in the Department of Pediatrics at Dell Medical School. Together they discuss the new, free module series "Building a Foundation for Healthy Active Living." Related Resources: • Building a Foundation for Healthy Active Living Modules (tinyurl.com/bdd5tsu6) • Healthy Active Living From Birth to Age 2, Resource Portal (https://tinyurl.com/4e7zvfnd) • The Role of the Pediatrician in the Promotion of Healthy, Active Living (https://tinyurl.com/5n8xv2du)

We concluded season 2 of American Compassion by looking at the legacy of The Great Society and asked, " If we accept the fact that there's enough money in the US to solve poverty—just accept that—then we can start asking, how?" So, in season 3, that is where we begin.  In our first panel discussion, hosted in collaboration with the LBJ School of Public Affairs, we examine the modern safety net from a broad perspective—how did we get here, what's broken, and what are the biggest challenges for Americans who need help? Filmed in front of an audience at the LBJ School's Bass Lecture Hall, American Compassion host Rebecca McInroy was joined in conversation by Dr. Pritesh Gandhi, Maninder “Mini” Kahlon, Ph.D., Isha Desselle, and Erine Gray. Episode 2, “What Happens Now?” will be recorded on Nov. 13 after the upcoming presidential election. Grab your free ticket today!

Getting an MS diagnosis is not always the quick, straightforward process we'd like it to be. For some people, the process can drag on for years. But getting that diagnosis only happens when you and your primary care physician recognize that something's going on. It might be a sudden vision issue. Maybe it's unexplained tingling in an arm or leg. Or maybe it's something more acute that gets your attention. A wide variety of signs could point to MS, but they could also point to other health conditions.  Dr. Leorah Freeman, Director of the Multiple Sclerosis and Neuroimmunology Center at Dell Medical School at the University of Texas at Austin, joins me this week to help us better understand the signs and symptoms of multiple sclerosis. Just as COVID-19 viral activity is increasing across the United States, we're sharing the results of a study that should put your mind at ease and motivate you to get that COVID-19 booster vaccination when it becomes available next month. We'll tell you about a Phase 1 clinical trial that's getting underway for a novel cell therapy that may be effective in stopping MS. You'll hear about a grant from the National Institutes of Health that will fund a study on the fear of falling among people with MS. The 16th annual Burgers to Beat MS fundraising event is taking place on August 22nd at A&W locations across Canada. We'll give you the details on how you can participate -- whether you happen to be in Canada or not! We have a lot to talk about! Are you ready for RealTalk MS??! This Week: Understanding the signs and symptoms of MS  :22 Study results show no increase in the risk of an MS relapse after COVID-19 vaccination booster  1:43 Phase 1 clinical trial of a novel cell-based therapy for MS is underway  4:12 NIH grant to investigate the fear of falling among people with MS  7:13 Burgers to Beat MS is happening at A&W locations across Canada on August 22nd!  9:28 Dr. Leorah Freeman discusses the sometimes confusing signs and symptoms of MS  11:09 Share this episode  28:36 Have you downloaded the free RealTalk MS app?  28:56 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/364 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com STUDY: Risk of Relapse After COVID-19 Vaccination Among Patients with Multiple Sclerosis in France https://www.neurology.org/doi/10.1212/WNL.0000000000209662 Burgers to Beat MS https://burgerstobeatms.ca Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 364 Guest: Dr. Leorah Freeman Privacy Policy

In this episode, Dr. Mistry and Donna Lee chat with one of their favorite guests, Dr. Declan Fleming!  Since 2017, Dr. Fleming has been the Chief of the Division of Surgical Oncology of Dell Medical School at The University of Texas.  As Dr. Fleming says "Our job is to wake up every morning, hate cancer, and do everything we can to get rid of some of it."  Warrior!  Dr. Fleming also explains more positive benefits to GLP1 medications like Ozempic (semaglutide) and Mounjaro (tirzepitide).  There's a new study in JAMA that explains these medications and others like them are proving to be beneficial for 10 of 13 types of cancers associated with obesity.  Listen in while Dr. Mistry, Dr. Fleming and Donna Lee chat about this new, fascinating study!  If you're interested in meeting Dr. Fleming, you can reach him at (512) 495-5717 at UT Health Austin and the website link is https://uthealthaustin.org/directory/richard-declan-fleming. Share this with your friends and follow us wherever you listen to podcasts!  Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpotDr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode.Phone: (512) 238-0762Email: armormenshealth@gmail.comWebsite: armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Kristi Henderson is a healthcare leader, digital health pioneer, and clinician who advanced from a practicing nurse practitioner to CEO and is recognized as an industry thought leader for technology-forward healthcare companies. She has a proven track record of optimizing and executing profitable growth strategies, driving strong business operations, and leading differentiated clinical products and services. She is a cultivator of high-performing teams with a keen understanding of drivers of growth, profitability, and equity value creation, who also fosters a civic-minded culture resulting in a high level of collaboration and commitment. She is experienced in leading and scaling high-growth companies and owning & driving P&L results in geographically dispersed, multi-state, multi-site businesses. She boasts health leadership experience in academic and national nonprofit health systems as well as big tech and public pay/provider organizations, including two Fortune 5 companies.  She is the CEO of Confluent Health, a national value-based musculoskeletal health company, where she is responsible for expanding their nationwide services through the growth of community-based physical therapy clinics, workplace services, and virtual/digital solutions using the highest skilled therapists and innovative clinical pathways that optimize the latest in personalization and technology. ​ She was most recently the CEO of MedExpress and Optum Virtual Medical Group at United Health Group with former leadership roles at Amazon, Ascension Health, and the University of Mississippi Medical Center. She has a proven track record of delivering successful programs at scale that improve health and save money. She is known for her ability to execute and sustain these models in advance of them becoming an industry standard as evidenced by her first launch of a telehealth program in 2003 which is recognized as one of only two of HRSA's Centers of Excellence. She is the immediate past chair for the American Telemedicine Association. She is a Fellow in the American Academy of Nursing and remains active in healthcare education providing guest presentations and serving as an adjunct faculty member. She is an honorary Dean at the University of Washington School of Nursing and an adjunct faculty member in Population Health at the Dell Medical School at the University of Texas-Austin.She has testified before multiple U.S. Senate committees and given numerous presentations across the country, including a TEDx talk, to advance telehealth policy and share innovative new models of care. A few of her other leadership roles include service as an executive board member for the Association of American Medical Colleges Telehealth Committee, advisor for the National Quality Forum's telehealth committee and co-chair of the Telehealth Committee for the American Nurses Association. Henderson received her Doctor of Nursing Practice degree from the University of Alabama at Birmingham where she was recognized as the 2019 Distinguished Alumna from the School of Nursing. She maintains national certification as a family and acute care nurse practitioner.

No one wants to be exposed to air pollution. No one wants to raise their kids breathing in polluted air in their own neighborhoods.But in Austin, Texas, people of color are disproportionately forced to do both.Dr. Sarah Chambliss, a research associate in the Department of Population Health at Dell Medical School at the University of Texas at Austin, led a team that ran a study of who is being affected by air pollution in Austin, neighborhood by neighborhood.They found that while Austin has relatively little of the heavy industry traditionally linked with air pollution, it's got plenty of polluted air. And the people living in the worst affected neighborhoods were far more likely to be Black or Latino(a) than White, they report in the American Journal of Respiratory and Critical Care Medicine.It's not just unpleasant. People living in polluted areas are much more likely to end up in emergency rooms for asthma attacks. That's expensive for everyone because in the United States hospitals must treat people coming to emergency rooms in distress and those costs are passed along to taxpayers as well as to health insurers – who pass along those expenses to customers.Aside from hurting people of color more than others, air pollution is costing everyone –in this case, residents of Austin– a lot of money, Chambliss tells One World, One Health host Maggie Fox. Listen as Chambliss explains what else she and her team found, and what can be done to address the problem.

When it comes to living your best life when you're living with MS, the first step is to make smart lifestyle choices. Maintaining a healthy lifestyle doesn't require pills, injections, or infusions. And making smart lifestyle choices can make a real, measurable difference in your quality of life. Joining me to talk about the benefits of maintaining a healthy lifestyle and share some tips and strategies for living your best life when you're living with MS is Dr. Lisa Doggett, a family and lifestyle medicine physician at the MS and Neuroimmunology Center at Dell Medical School at the University of Texas at Austin. Dr. Doggett was diagnosed with MS in 2009, and she's the author of the memoir, ‘Up the Down Escalator: Medicine, Motherhood, and Multiple Sclerosis'. We'll also tell you about a research team that's looking to improve the way that stem cells are transplanted -- and why that's a good thing for people with MS. We'll share the details behind the European Union's approval of a new Ocrevus formulation that makes the DMT much more patient-friendly. You'll hear about the blood test for measuring a biomarker that can predict future MS disease worsening that has just gained approval in the European Union. And we'll tell you where to find the video replay of Mobility Challenges in Progressive MS, the most recent webcast hosted by the International Progressive MS Alliance. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: Lifestyle changes that will improve your quality of life  :22 Researchers receive a grant to develop a better way to transplant stem cells  1:30 Subcutaneous Ocrevus has been approved in the European Union  3:50 Blood test to measure a biomarker that can predict future MS disease worsening receives approval in the European Union 5:35 Catch the video replay of the latest Progressive MS Alliance webcast  7:13 Dr. Lisa Doggett offers strategies for making lifestyle choices that will make a difference in your quality of life  8:20 Share this episode  26:50 Next Week: Dr. Jaime Imitola introduces us to VISIBL-MS  27:10 Have you downloaded the free RealTalk MS app?  27:39 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/357 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com VIDEO REPLAY of the International Progressive MS Alliance Global Webcast: Mobility Challenges in Progressive MS https://youtube.com/watch?v=YGA-2k9JCLg&t=14s Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 357 Guests: Dr. Lisa Doggett Privacy Policy  

Podcasting has exploded in the last 5 years, with every celebrity, brand, and influencer investing in audio. It's estimated that 144MM people in the U.S. listen to a podcast monthly. With scale and an ability to build audience connections, podcasts have become effective at communicating complex information in a digestible way–making them perfect for sharing science-based stories. Many have heard the term "gene therapy," but how many know what it means? How do you explain the science behind artificial intelligence or designing the Mars Rover? Audio allows us to do this, while enhancing the impact of science communications. Join the Pfizer Podcast team, NASA, UT Austin, and Wonder Media Network as they share their audio expertise and accessible approach to scientific storytelling.Featured experts:Shira Atkins, CRO & Co-Founder, Wonder Media NetworkEllen Gerstein, Head Of Digital Communications, Pfizer Inc.Katie Konans, Audio Storytelling Lead, NASAKristen Wynn, Program Manager, The University of Texas at Austin, Dell Medical School, Livestrong Cancer InstitutesThis episode was recorded live in Austin, TX on Monday March 11 as part of Pfizer's takeover of the South by Southwest podcasting lounge. 

 In this episode, Dr. Mistry and Donna Lee are joined by Dr. Karen Stierman, a surgeon and otolaryngologist with ENT & Allergy Center of Austin. ENTs treat diseases of the head and neck, specializing in those of the ear, nose, and throat. Today, Dr. Stierman shares some of the most common conditions she sees, from deviated septum and sleep apnea to allergies and hearing loss. In addition to her ENT practice, Dr. Stierman is an affiliate faculty member at Dell Medical School and a consultant in the field of biomedical technology development. She is also the co-founder of Blur Med Spa, where she uses her expertise in facial anatomy and surgical techniques to offer patients a truly holistic, wellness-focused approach to aesthetics and skin care. If you or someone you love struggles with symptoms of post-nasal drainage, sinus pain, and/or difficulty sleeping, hearing, or breathing, call ENT & Allergy Center of Austin at (512) 328-7722 or go online to schedule your consultation today! For more information on Dr. Stierman's approach to aesthetics and wellness, visit Blur Med Spa online or call (512) 522-5769. Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpotDr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode.Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Dr. Charles Nemeroff is Chair of the Department of Psychiatry and Behavioral Sciences at the University of Texas-Austin's Dell Medical School. He is also co-director of the Center for Psychedelic Research and Therapy, and director of the Institute for Early Life Adversity Research. His research is focused on the pathophysiology of mood and anxiety disorders with a focus on the role of child abuse and neglect as a major risk factor.00:00 Introduction00:52 Dr. Nemeroff's Research Journey01:55 Childhood Maltreatment as Risk Factor04:53 Advances and Challenges in Precision Psychiatry07:33 Psychedelic Medicine (incl. blinding issues and potential adverse events)20:50 How Psychedelics Disrupt the "Circle of Hell"30:00 Psilocybin as Potential Treatment for Anorexia Nervosa38:32 Screening for Childhood Maltreatment41:30 Transcranial Magnetic Stimulation (TMS)44:14 Focused Ultrasound46:32 Prescribing MAOIs49:34 ConclusionVisit our website for more insights on psychiatry.Podcast producer: Jon Earle

In this episode, Dr. Nick Christian sits down with host, Zach, for a second time and talks about his experiences making music and touring with a country music band and how music fits into his life as an addiction medicine provider. He talks about moving to Austin, Texas, for his residency, where he knew he would be surrounded by other musicians. There, he connected with a band called Fertility House and released an album, Dust. Dr. Christian discusses his involvement with Humans of ATX, promoting humanism through patient encounters using art, and his thoughts on that experience through the lens of being a practitioner. He shares about Community First Village, where he previously lived and helped start a music collective, and how meaningful it is to connect with others through music. He believes that “art allows us to transcend the suffering of human experience” and is therapeutic for both the individual and the relationship that is built through creating art together.    Dr. Christian shares his thoughts on the importance of self-care and what that means for him. He talks about Health as a Human Right and his belief that addiction is currently the greatest threat to human health in the US. Reflecting back, Dr. Christian offers advice to his younger self and others upcoming in the medical community. Finally, Dr. Christian talks about R2R Productions, his new podcast venture with co-host Brandon Sands, and their first series, Sonic Buzz, in which they use a particular song to guide each episode's discussion about substance use and addiction. Dr. Nicholaus “Nick” Christian is board certified in internal medicine and addiction medicine and serves as a Staff Clinician with the Office of the Clinical Director, NIDA IRP. He received his medical degree and Master of Business Administration from Wright State University Boonshoft School of Medicine and completed residency training at Dell Medical School at the University of Texas at Austin, where he served as chief resident. He subsequently completed his addiction medicine fellowship at the Yale Program in Addiction Medicine as well as postdoctoral research training through the Veterans Affairs Health Services Research and Development program. Nick brings extensive experience providing inpatient and outpatient addiction care and conducting community-based participatory research with people with addiction who have experienced homelessness. His research interests include engaging marginalized populations in scientific research and improving care for people living with addiction.   Links: Sonic Buzz by R2R Productions Dust, album by Fertility House Community First! Village - Mobile Loaves & Fishes (mlf.org) Pure Goodness Music Collective, Vol. 1 Health as a Human Right: A Position Paper From the American College of Physicians | Annals of Internal Medicine (acpjournals.org)   If you or someone you know is struggling with addiction, you are not alone. Treatment is available and recovery is possible. Visit ASAM's Patient Resources page for more information.   The information shared in this podcast episode is for educational purposes only and should not be taken as medical advice.

Welcome to the first episode of DNA Dialogues! Today is February 29th, 2024. It is a leap year, so today marks an extra special rare disease day.    Rare diseases can impact so many people - from patients themselves, to families, to broader communities. To celebrate rare disease day, we are going to dive into two recent articles from the Journal of Genetic Counseling that showcase the rare disease experience. The following interviews provide insight into the wider impact of rare disease, with a special focus on families.   Segment 1: “Understanding type and quality of relationships between individuals with chromosome 18 syndromes and their siblings”   Dr. Catherine Larson joins us in the first segment to talk about her recent article titled, “Understanding type and quality of relationships between individuals with chromosome 18 syndromes and their siblings”.    Dr. Catherine Larson is a Child and Adolescent Psychiatrist and a sibling to Elizabeth, who has a Chromosome 18 deletion. After earning her undergraduate degree, she worked as a research assistant at the Chromosome 18 Research Center, where she began her research on Sibling relationships. Dr. Larson earned her Medical Degree from the University of Texas School of Medicine at San Antonio. She then went on to complete a General Psychiatry Residency Program, followed by a Fellowship in Child and Adolescent Psychiatry at The University of Texas at Austin, Dell Medical School. As a practicing psychiatrist, she opened her private practice in Austin, Texas, and she also returned to join the research team at the Chromosome 18 Research Center.   Dr. Catherine Larson is double Board Certified by the American Board of Psychiatry and Neurology in General Psychiatry and Child and Adolescent Psychiatry. Dr. Larson earned her Medical Degree from the University of Texas School of Medicine at San Antonio. She then went on to complete a General Psychiatry Residency Program, followed by a Fellowship in Child and Adolescent Psychiatry at The University of Texas at Austin, Dell Medical School. In addition to her private practice, she is currently an Adjunct Assistant Professor at The University of Texas Health School of Medicine at San Antonio.  Segment 2 “Families' experiences accessing care after genomic sequencing in the pediatric cancer context: ‘It's just been a big juggle'”   Authors Sarah Scollon and Blake Vuocolo talk about their recent Journal of Genetic Counseling paper in the pediatric cancer space.    Sarah Scollon is an Assistant Professor in the Department of Pediatrics at Baylor College of Medicine and certified genetic counselor for the Texas Children's Hospital Cancer Genetics and Genomics Program. She has served in dual clinical and research roles across the course of her career. Her research interests engage the overarching themes of (1) adaptation of genetic counseling practice to implement evolving technologies (2) optimization of patient-provider communication and education and (3) equity and inclusion for diverse populations in genetic medicine and research. Ms. Scollon has had a longstanding dedication to the care of children and families affected by cancer. She is an advocate for including genetic counseling into pediatric cancer care. She works to educate others on the role genetics and genomics can play in the care of patients with pediatric cancer and their families both from a clinical and psychosocial standpoint.   Blake Vuocolo is a certified research genetic counselor in the Department of Molecular and Human Genetics at Baylor College of Medicine. She graduated from the Baylor College of Medicine Genetic Counseling Program in 2022, and her thesis work focused on access to follow-up hereditary cancer care in underserved pediatric populations through the KidsCanSeq study. Currently, her work focuses on exome and genome sequencing of medically underserved populations with undiagnosed diseases throughout Texas. Ms. Vuocolo is passionate about finding sustainable ways to improving genomic health equity worldwide. Her interests include exploring access barriers to receiving genomic care in different healthcare contexts and improving genetics education for non-genetics healthcare providers in under resourced regions of the country and beyond.   Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”.    For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others.    Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com.    DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. 

In this week's episode, Jeremi and Zachary are joined by Stephen Sonnenberg, MD, to discuss how collective trauma can affect people, groups and societies. Steve Sonnenberg, MD, is a psychiatrist, psychoanalyst, and medical humanities and ethics scholar. At The University of Texas at Austin's Dell Medical School he serves as professor in the department of psychiatry and behavioral sciences. He is also fellow in the Paul Woodruff Professorship for Excellence in Undergraduate Studies and chair of the faculty panel of the Bridging Disciplines Program “Patients, Practitioners, and Cultures of Care,” both in the University's Undergraduate College. The Bridging Disciplines Program is designed to prepare healthcare undergraduates with the tools they will need later, as providers, to create a healthcare system where health is a human right and structural disparities in care are eliminated.

How can you find reputable non-emergency healthcare services when you're traveling to a different country? Dana Le is the Founder & CEO of Wander Health, a medical concierge startup that connects travelers while abroad to vetted, English-speaking urgent care doctors. She previously was on the Founding Team and Head of Operations at KidsX, one of the world's leading digital health ecosystems focused on accelerating pediatric innovation. She built, designed, and managed the KidsX Accelerator, AWS Healthcare Accelerator, VaxUp Innovation Challenge with Los Angeles County Department of Public Health, Press Ganey KidsX Accelerator, and other prominent entrepreneurial programs. Prior to this role, she was building payment models at ECG Management Consultants and co-founded a community ventures program at Dell Medical School. She has a Master of Health Administration from Columbia University and a Bachelor of Business Administration in Finance from The University of Texas at Austin. Le is a Forbes 30 Under 30 lister, TEDx speaker, and LinkedIn Top Voice.

Lawrence W. Speck is Senior Design Principal for the large (1400 person) architectural firm, Page, with offices in eighteen cities across the U.S. He is also a well-known design educator having been a faculty member in schools of architecture at M.I.T, University of Western Australia and University of Texas at Austin for many years. He served as Dean of the School of Architecture at the University of Texas at Austin from 1992-2001.Speck has helped lead six major master planning projects for his home city, Austin, including master plans for a seven-mile stretch of the Colorado River as it moves through downtown, for a 40-block area around the Texas State Capital, and for the new Dell Medical School campus at UT Austin. He has also been the lead architect for two major park projects in downtown Houston—Discovery Green and Buffalo Bayou Park. In addition to designing many urban commercial buildings, Speck has been the lead designer for Austin Bergstrom International Airport Terminal (3 phases), Austin Convention Center (2 phases), and academic buildings on six university campuses.His work has been profiled in such popular publications as The Atlantic, The New York Times, and Business Week; in American architectural publications such as Architectural Record, Architecture, Architectural Digest, Architect, Interior Design, Contract, and Progressive Architecture; and in international architectural journals such as The Architectural Review (England), OFX (Italy), Design Community (China), Baumeister (Germany), Projeto (Brazil), Tasarim (Turkey), Ottagano (Italy), Nikkei Construction (Japan) and Architectural Design (England).In the last 25 years, Speck's design work has won over 120 design awards—30+ from the AIA. As an educator, he has received over 40 teaching and service awards including the AIA/ACSA Topaz Medallion. He is a Fellow in the American Institute of Architects and served as chair of the jury to select fellows in 2005. Hosted on Acast. See acast.com/privacy for more information.

Discover who gave Zac the advise to "shut up and listen!", why his curiosity helped him succeed, and what inspired him to help other leaders realize that it's ok to rest (14 minutes). CEO BLINDSPOTS® PODCAST GUEST: Zac Jiwa. Zac is an investor, entrepreneur, and thought leader in healthcare technology. His illustrious career has given him a wide range of leadership experience, and he is knowledgeable about the difficulties that the healthcare industry poses to both businesses and consumers. In addition, he is a man of faith and the founder of Kingdom Ventures. At Olive, the healthcare AI company, Zac oversaw M&A for its Clearinghouse business and led a team primarily concerned with healthcare fintech and payment automation. As CEO of The Karis Group (now Point Health), which had previously operated as a patient advocacy call center, Zac oversaw the company's transformation into a provider of technology-enabled services before joining Olive. He restructured the company, hired a new executive team, and raised capital to align the company for future success. Prior to taking on his most recent roles, Zac founded MI7, Inc., where he and his team spearheaded efforts to commoditize clinical data exchange while building disruptive cloud-based technology in the healthcare interoperability space. He has worked with digital health businesses like Medici (telehealth), Cureatr (telepharmacy), Texas Health Catalyst at Dell Medical School at the University of Texas at Austin, Pacific Crest Securities, Pristine (telehealth via Google Glass), Freebird Interactive in a strategic advisory capacity through his work with ZEEM Consulting. Zac was previously a member of the prestigious first class of Innovation Fellows at the US Department of Health and Human Services. There he worked on complex problems with the technical implementation of Healthcare.gov. Zac also served as the chief technology officer and IT coordinator for the Department of Health in Louisiana. He was in charge of federal and state efforts related to the HITECH Act (Health Information Technology for Economic and Clinical Health Act of 2009) and drove innovation initiatives for the department. Other positions included Head of Product for Connected Health at Microsoft's Health Solutions Group, Healthcare Product Manager for Motion Computing's C5 Mobile Clinical Assistant Tablet PC, and Chief Information Officer for Pediatric Subspecialists at Children's Hospital Austin. Zac holds a Bachelor's degree in Computer Science from Oklahoma State University and studied Marketing at the Kellogg School of Business at Northwestern University. For more information about Zac and his new investment, visit "Food, Wine, and God"; https://www.foodwineandgod.com/ CEO Blindspots® podcast host: Birgit Kamps. Birgit's professional experience includes starting and selling an “Inc. 500 Fastest Growing Private Company” and a “Best Company to Work for in Texas”, and serving as a Board Member with various companies. She is able to help investors and executives quickly discover blind spots holding their organization back, and accelerate leadership effectiveness. In addition, Birgit is the host of the CEO Blindspots® Podcast which was recognized by Spotify for having the “biggest listener growth” in the USA by 733%; ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.ceoblindspots.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To ask questions about this or one of the 200+ other CEO Blindspots® Podcast episodes, send an email to⁠ ⁠⁠⁠⁠birgit@ceoblindspots.com⁠

On October 19, 2023 we spoke with MacKenzie Howard on the genetics and neurophysiology of Dravet syndrome, a severe genetic and developmental form of epilepsy. We learned how the a single genetic mutation can lead to a cascade of physiological defects during development. Guest: MacKenzie Howard, Assistant Professor in the Departments of Neurology and Neuroscience and the Center for Learning and Memory at the Dell Medical School, University of Texas at Austin. Participating: Jenny Hsieh, Department of Neuroscience, Developmental and Regenerative Biology, UTSA Host: Charles Wilson, Department of Neuroscience, Developmental and Regenerative Biology, UTSA Thanks to Jim Tepper for original music

Bedwetting is no joke when it impacts your child. In fact, my guest on this episode, considers it a “life spoiling issue.” It's not just your child wetting the bed, it's our reaction to it that is usually based in fear and leads us to shame or punish the child.Before you read any further, you must know that this is NOT.YOUR.CHILD'S.FAULT nor is it your fault! Let's end the shame and punishments around bedwetting here.My guest is Dr. Danielle Sweeney, of Austin, Texas who is a Pediatric Urologist and is a faculty member at Texas Children's Hospital. She wants every parent and caregiver to know that bed wetting isn't intentional, it doesn't mean there is anything wrong with the child and more children struggle with bedwetting than you know, even into the teen years.In this episode, Dr. Sweeney explains that bedwetting is tied to your child's development and how children develop at different speeds. She also discusses why it happens, what to do if your child starts wetting the bed, what issues might be going on and other medical issues that might get in the way. For Dr. Sweeney's handout, “Coping with Your Child's Bedwetting”, you can download it from the Parent Toolbox. www.parent-toolbox.comAbout Dr. Danielle Sweeney Dr. Danielle D. Sweeney is a is a board-certified Pediatric Urologist from Austin, Texas who is currently a member of the faculty of Texas Children's Hospital. She currently holds an adjunct faculty position with the University of Texas-Austin, Dell Medical School in the Department of Surgery and Perioperative Care. She did her undergraduate and medical school training at Tulane University in New Orleans, her Urologic Surgery Residency at the University of Pittsburgh, and her Pediatric Urology Fellowship at Children's Hospital of Pittsburgh. She also completed a Global Health Certificate Program at the Gillings School of Global Public Health at the University of North Carolina-Chapel Hill. Social Media:Web: www.vamiohealth.comFacebook: https://www.facebook.com/vamiohealthInstagram: https://www.instagram.com/vamiohealth/YouTube: https://www.youtube.com/@vamiohealthThanks for listening! For more on Robbin, her work and free resources, keep reading!FREE GUIDE FOR PARENTS OF STRONG-WILLED KIDS: “How to Turn a NO into Cooperation” go to www.strongwilledkids.comAbout RobbinRobbin's work focuses on building and strengthening the parent child relationship so that children grow up with resilience, confidence and strong emotional intelligence. She works with parents to help them understand their own emotions and frustrations in parenting, so they can help build their children's sense of self without losing themselves in the process! For more, go to www.parentingforconnection.com

In this live episode from the Texas Venture Crawl, I'm joined by Kaitlyn DeBernardo of Next Coast Ventures and Aaron Perman of S3 Ventures to delve into Austin's entrepreneurial landscape. We unpack the shifts in venture capital operating models, the essential role of community in innovation, as well as the forces that both fuel and challenge Austin's ongoing growth.Episode HighlightsNext Coast Ventures is an early-stage generalist venture firm in Austin with $500 million under management focused mainly on Series A, but will invest in Seed and Series B. S3 Ventures is an Austin-based venture capital firm with $900 million under management, investing in B2B software, consumer digital experiences, and healthcare tech at Seed, Series A, and Series B.The ubiquity of AI tools like Co-Pilots and ChatGPT allow companies to build faster than before making true technical innovation and product moats even more vital.The VC platform role has grown to provide hands-on support to portfolio companies beyond just capital, especially for early-stage firms. Support spans talent, marketing, operations, and expertise like finance.Venture capitalists are catalyzing long-term ecosystem growth by offering mentorship, making key introductions, and providing strategic advice to startups and founders, irrespective of their investment relationship. This broader engagement enriches the ecosystem creating a pipeline of future opportunities.What's next Austin?Aaron - “I think growth and scale…we're one of the few markets that hasn't seen a drop off. I really do feel like the gains Austin has made have been pretty well cemented, and it's almost given us a whole other foundation to go build on for the next decade.Kaitlyn - “I'm super excited about all things digital health right now—the addition of Dell Medical School, recent edition of new labs in town…the backdrop, the talent. I think there's going to be a real kind of step change in some digital health companies coming out of Austin.”Aaron Perman: LinkedIn, S3 Ventures: Website, LinkedIn, X/TwitterKaitlyn DeBernardo: LinkedIn, Next Coast Ventures: Website, LinkedIn, X/Twitter The Power of Platform: How VC Platform Teams Contribute to Outsized Fund Returns Austin Next Links: Website, X/Twitter, YouTube, LinkedIn

In this episode, Dr. Nick Christian shares his journey from musician to physician and how he has taken addiction care to the street to meet patients where they are. Dr. Christian talks about the importance of viewing each patient as “a human being above all else” and how he hopes to see a revolution in addiction treatment. Dr. Christian shares some meaningful and transformational moments in his journey treating patients with addiction; he also discusses the importance of ending addiction-related stigma and the power of relationships when treating addiction. Nicholaus “Nick” Christian is an internal medicine clinician-educator and current postdoctoral research fellow through the Veterans Affairs Health Services Research and Development program and provider for veterans experiencing homelessness at the Homeless Patient Aligned Care Team (H-PACT) clinic. He completed his addiction medicine fellowship in the Yale Program in Addiction Medicine following completion of internal medicine residency training at Dell Medical School at the University of Texas at Austin where he helped start the “B-Team,” a national model for expanding access to buprenorphine for hospitalized patients with opioid use disorder. Throughout residency he lived as a “missional” resident at Community First! Village, a master-planned community that provides affordable, permanent housing and a supportive community for people transitioning out of chronic homelessness where he has helped spearhead a community-based participatory research project to elevate the voice of his neighbors who use substances or are in recovery. His current clinical and research interests include improving care for people who use substances that are on the continuum of experiencing homelessness to being stably housed. He plans on joining the NIDA Intramural Research Program in Baltimore as a staff clinician in the fall of 2023. Thank you for listening.  In honor of National Addiction Treatment Week, ASAM is providing the choice of two engaging on-demand 2023 ASAM Annual Conference sessions for free until Dec. 31, 2023. Use code NATW2023 at checkout when you register for either Stimulant Treatment for ADHD: Not Exactly Opioids 2.0, But Close? or Delta What? An Update on Novel Cannabinoids including Delta-8 and 10 THC For more podcast episodes and resources, follow #TreatmentWeek and visit www.treataddictionsavelives.org. Subscribe to The ASAM Weekly, a source of timely, useful news briefings of top stories and current research in the field of addiction medicine. Delivered to your inbox every Tuesday.   Links: Dr. Nicholaus Christian: Finding the Path (asam.org) Support Hospital Opioid Use Disorder Treatment (SHOUT) - Be Well Texas NLC Cares | Allianceforliving Community First! Village - Mobile Loaves & Fishes (mlf.org) Homeless Patient Aligned Care Team (HPACT) Fact Sheet (va.gov) 8-BTeamOutcomes_Moriates-et-al.pdf (bewelltexas.org)

Wondering about the latest in vitiligo? We've got the expert. This week, we're joined by Dr. Ammar Ahmed as he discusses common patient questions, JAK inhibitors, and exciting new treatments for the skin condition. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com.   Ammar Ahmed, MD is an Associate Professor in the Department of Internal Medicine, Division of Dermatology, at Dell Medical School at the University of Texas at Austin. Dr. Ahmed's research interests center around vitiligo and medical education, and he also serves as the dermatology residency program director.   To learn more about Integrative Approaches to Vitiligo: The Post-Steroid Era, attend Dr. Ahmed's lecture at the 2023 Integrative Dermatology Symposium.

In this episode, Dr. Mistry and Donna Lee are joined by Dr. Rhett Long, an endocrine surgeon with UT Health Austin's Surgical Oncology Clinic. Dr. Long is one of the only Austin-area surgeons to specialize in the treatment of cancers and other diseases of the endocrine system, which regulates our bodies through hormones. This vital set of structures plays a major role in our overall health and wellbeing. While most surgical conditions of the endocrine system are non-cancerous and discovered by accident, they can still cause problems by compressing the vocal cords, esophagus, or other nearby structures. Compressive symptoms of thyroid disease may include a visible bulge in the neck, difficulty swallowing, and/or shortness of breath when lying down. Patients with such symptoms, or who struggle with unexplained fatigue, depression, or weight fluctuations should first consult an endocrinologist who can determine the cause and the course of treatment. Should you or someone you love need endocrine surgery, call Dr. Long at (512) 495-5717 or visit the Dell Medical School at UT Austin online today!Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpotDr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode.Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Description: In this episode, Dr. Meeks, Dr. Troung, and Dr. Charnsangavej discuss the residency accommodation system from multiple perspectives, the importance of team-wide support in GME to ensure access for doctors with disabilities, and the value disabled doctors bring to health care.  Bio: Uyen Truong, MD grew up in Minnesota but is currently finishing her chief year at UT Austin Dell Medical School Pediatric Residency Program. Following graduation, Uyen is going to work as a Complex Care Pediatrician back in Minnesota. Although the path has not been easy, she has always wanted to become a pediatrician and work with kids with medical complexity like herself. Through Uyen%E2%80%99s training and her own personal experiences, she has been able to help parents and children navigate the medical system. Uyen is very excited to continue working and advocating for children with disabilities and helping them achieve their goals. Nalinda Charnsangavej, MD is an associate professor of pediatrics at the Dell Medical School at the University of Texas at Austin. She serves as the pediatric residency program director and has an interest in promoting a healthy and supportive learning environment through supporting diversity, cultivating an inclusive climate, and promoting physician well-being and resilience. She has a specific interest in raising awareness of the benefits of inclusion of individuals with disabilities in the learning environment and patient care and has supported faculty and institution development in working with trainees with disabilities. In her role as a program director, she has individually mentored many trainees and also recognizes the need to support the establishment of strong mentorship relationships for trainees, particularly those from backgrounds underrepresented in medicine. She has led program-wide efforts to foster wellbeing and resiliency amongst trainees and participates in national work-groups such as the Pediatric Resident Burnout and Resilience Study Consortium. She is interested in helping develop best practices for GME programs to enhance access and inclusion of trainees with disabilities. Interviewees: Dr. Uyen Troung, and Dr. Nalinda Charnsangavej  Interviewer: Dr. Lisa Meeks Producer:  Gabe Abrams  Key words: medical education, physical disability, disability research, accommodations, wheelchair, SCI, medical technology, residency, pediatrics, program director, GME, GME Policy Transcript  

Clinical research manager within the department of oncology here at the Dell Medical School, Monae Carpenter, guides us through her career in research while also giving her perspective on how clinical research trials can better be understood and demystified.

Today is the first time we are talking about cancer on the show. It's a topic that women going through menopause are concerned about, so I sought out an expert to help guide us in the world of nutrition for cancer. Dr. Krystle Zuniga is a clinician, educator, scientist, and science communicator in Austin, Texas with over 14 years of experience in nutrition and specifically nutrition for people who have cancer.   She completed her PhD in Nutritional Sciences and dietetic internship at the University of Illinois Urbana-Champaign. Then she did her postdoctoral training in the Department of Kinesiology and Community Health at the University of Illinois Urbana-Champaign.   After that she became an Assistant Professor of Nutrition and Foods at Texas State University where her laboratory examined the relationship between diet quality, physical activity, and cognitive function in young adults, breast cancer survivors, and older adults.   Dr. Zuniga then held a clinical role and faculty appointment at the Livestrong Cancer Institutes of the Dell Medical School at University of Texas at Austin. Through all her experiences Dr. Zuniga saw that there was a gap in nutrition support for cancer survivors both during and after cancer treatment. So as a board certified oncology dietitian and owner of the private practice and social media account Cancer Nutrition HQ, she decided to combat misinformation, share the latest research in nutrition and cancer, and translate the science into everyday actions cancer survivors can take to support their health and quality of life with nutrition. In addition to her private practice, she is an Assistant Professor of Instruction in the Department of Nutritional Sciences at the University of Texas at Austin and board member of Moving Beyond Cancer Collaborative, a non-profit that provides accessible integrative oncology health and wellness services. Contact Krystle Zuniga Nutrition coaching and programs – https://cancernutritionhq.com/services Instagram: http://instagram.com/cancernutritionhq Website: www.cancernutritionhq.com STUDIES CITED: Fasting mimicking diet as an adjunct to neoadjuvant chemotherapy for breast cancer - https://pubmed.ncbi.nlm.nih.gov/32576828/ Quality of life and illness perceptions in patients with breast cancer using a fasting mimicking diet - https://pubmed.ncbi.nlm.nih.gov/33179154/ Fasting-Mimicking Diet Is Safe and Reshapes Metabolism and Antitumor Immunity in Patients with Cancer - https://pubmed.ncbi.nlm.nih.gov/34789537/ Soy Foods & Breast Cancer Recurrence https://onlinelibrary.wiley.com/doi/10.1002/ijc.34321 Soy Foods & Breast Cancer Risk (there have been many studies but here are some recent meta-analyses) https://pubmed.ncbi.nlm.nih.gov/33271590/ https://pubmed.ncbi.nlm.nih.gov/36731160/ AICR Cancer Prevention Recommendations https://www.aicr.org/research/third-expert-report/ Artificial Sweeteners and Cancer Risk https://pubmed.ncbi.nlm.nih.gov/35324894/ Hormone Therapy and Cancer Risk https://pubmed.ncbi.nlm.nih.gov/32721007/ This paper discussed some of the challenges of targeting IGF-1R alone: https://jhoonline.biomedcentral.com/articles/10.1186/s13045-020-00904-3 Join the Hack My Age community on: Facebook Page : ⁠⁠http://facebook.com/hackmyage⁠⁠ Facebook Group: Biohacking Menopause https://www.facebook.com/groups/biohackingwomen50 Instagram: ⁠⁠http://instagram.com/hackmyage⁠⁠ Website: ⁠⁠http://www.hackmyage.com⁠⁠ Hack My Age VIP Group: ⁠⁠http://patreon.com/hackmyage⁠⁠ Email: zora@hackmyage.com Newsletter: ⁠⁠http://www.hackmyage.com/newsletter⁠⁠ This podcast is edited by ⁠⁠jonathanjk.com⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/hackmyage/message Support this podcast: https://podcasters.spotify.com/pod/show/hackmyage/support

So, your baby is having surgery. Whether it's acute, routine or planned, pediatric surgeon Dr. Tory Meyer, shares what parents can expect, what questions to ask and how to approach the procedure with the best possible information.   In this episode, we chat about: What led you to pursue a career in pediatric surgery? What are the most common surgeries you perform? For planned surgeries, parents have time to prepare their child for the procedure. What can a parent expect at the appointments leading up to the surgery? What kinds of questions should a parent be asking of the surgeon and the surgical team? In your opinion, what makes for a successful surgical experience for both the child and the parent? For emergency surgeries it can often feel overwhelming and chaotic for both the child and the parent. How can a parent make the best decision with limited time? What questions should they be asking? Sometimes there is a clear answer for a family when making a surgical decision and other times, it's not as easy. How do you help families decide the right course for their situation? What's the best part about being a pediatric surgeon? Most challenging? What's your best advice to a parent who has an upcoming surgery and feels scared and overwhelmed?   Tory Meyer is a Pediatric Surgeon at Austin Pediatric Surgery. He is the past Chief of Staff and past Chairman of the Pediatric Leadership Board at Dell Children's Medical Center and is Clinical Affiliate Faculty at the Dell Medical School. Dr. Meyer is co-founding member of Operation KidDocs, a surgical mission group, and the present Vice Chairman of Westcave Outdoor Discovery Center.   The NICU is hard. We're here to help.   Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook: https://www.facebook.com/handtohold Instagram: https://www.instagram.com/handtohold/   Twitter: https://www.twitter.com/NICUHandtoHold YouTube: https://www.youtube.com/HandtoHold    The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license   Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license  

Dana Le is a healthcare innovation expert and Founder at Wander Health. She was previously on the Founding Team and Head of Operations at KidsX, one of the worlds leading digital health ecosystems focused on accelerating pediatric innovation. She built, designed, and managed the programming for the nation's most prominent healthcare entrepreneurial programs. Prior to this role, she strategized innovative payment models at ECG Management Consultants and cofounded a community ventures program at Dell Medical School. Dana received her Master's of Health Administration from Columbia University and Bachelor's of Business Administration in Finance from The University of Texas at Austin. Dana was recently selected as a Forbes 30 Under 30 in Healthcare and a TEDx speaker. On this episode of Destination on the Left, I talk with Dana Le about how she came up with the idea for Wander Health and why talking to your customers is the best strategy for remaining relevant. We also discuss the intersection of healthcare and travel and the importance of having access to the right medical care when traveling. What You Will Learn in this Episode: Dana shares more about the evolution of her company and how she took Wander Health from idea to solution She steps us through how she did her research into what travelers need from a health care plan The problem with relying on a telehealth appointment with a US primary care physician or a credit card concierge The three services that Wander Health provides and how people access care when they're abroad How using Wander Health can enhance the experience for a travel agent or tour operators customers Dana discusses what a greenfield market is and shares her experience of innovating in the travel tech space Staying Healthy When Traveling In the latest episode of the #DOTL podcast, guest Dana Le sheds light on an issue that can be a huge concern for many travelers: the limitations of travel medical insurance. She shares her personal experiences, highlighting how she encountered this ongoing issue every time she went abroad. One of the key insights Dana discovered was the alarming statistic that 40% of people fall ill or sustain injuries while traveling. Considering that approximately 81 million Americans traveled abroad last year, a staggering 33 million individuals face health challenges during their trips. This disruption is significant, regardless of whether people are traveling for business or leisure, as it dampens the overall experience. How Wander Health Helps Dana shares the three essential solutions Wander Health offers to address the limitations of travel medical insurance. Their booking service enables travelers to schedule urgent care appointments while abroad. The upcoming chat feature connects users with local doctors via text or WhatsApp, providing guidance on healthcare issues and medication queries. Wander Health also allows travelers to search for and purchase over-the-counter medication equivalents, even offering delivery services. These comprehensive offerings ensure real-time care and support for individuals navigating healthcare needs while traveling. Innovating in the Travel Healthcare Space To foster innovation, it's essential to listen to customers and understand their needs. Stagnation can be seen in industries like travel and healthcare, where customer experiences often fall short. However, companies that prioritize the customer and adapt to their needs, like certain airlines, can create exceptional experiences and build strong reputations. By actively seeking to improve and innovate, travel healthcare providers can make a significant impact on patients' lives, even with small changes. Resources: Website: https://www.wander.health/ LinkedIn: https://www.linkedin.com/company/wanderhealth/ Facebook: https://www.facebook.com/wanderhealthco We value your thoughts and feedback and would love to hear from you. Leave us a review on your favorite streaming platform to let us know what you want to hear more of. Here is a quick tutorial on how to leave us a rating and review on iTunes!: https://breaktheicemedia.com/rating-review/

Join Russ Branzell and three special guests as they explore how healthcare providers can harness the power of technology to bridge the equity gap in patient care. Discover how technology, when used effectively, has the potential to close disparities and ensure equitable access to quality healthcare. Hear from industry experts, including Andrea Daugherty, CISSP, Head of Digital Health, SHI International Corp. (former CIO, Dell Medical School at the University of Texas in Austin), Oscar E. Perez, MBA, CIO & Chief Digital & Innovation Officer, Health Choice Networks, and Cherodeep Goswami, CHCIO, CDH-E, CIDO, University of Wisconsin Health System, share their perspectives on addressing the increasing obstacles in digital healthcare while ensuring a focus on equitable patient care solutions. Tune in now to take proactive steps in building a more equitable healthcare future for your communities.

Dr. Jane Edmond, pediatric neuro-ophthalmologist, AAO president elect, and founding Chair of the Department of Ophthalmology at Dell Medical School is an absolute powerhouse and full of wisdom. This episode can't be missed! Dr. Edmond shares her story of experiencing burnout and going back to fellowship training mid-career, a renaissance for her. We speak about how she became founder and Chair of her department, thriving in a dual physician household, and so much more.   Subscribe to the podcast:  https://MayoClinicOphthalmology.podbean.com  Follow and reach out to us on Twitter: @mayocliniceye 

Healthcare leaders from Blue Shield of California, CareSource, UT Health Austin and Vori Health discuss the importance of adopting a whole-person approach across the broader healthcare experience to maximize value, drive healthy behavior change and ensure more equitable care.    Learn how to develop an integrated whole-person solution framework and implement strategies to support members with chronic and high-risk conditions. Topics include: Adopting self-service digital tools and applications to engage members Providing access to resources, health coaches, medication, and mental/behavioral health support Leveraging medical and SDoH data to determine unique needs, tailor care, and sustain healthy behavior change   Panelists: Judith Davis, Vice President Clinical Operations, Ohio Market, CareSource, Angie Kalousek Ebrahimi, Senior Director, Lifestyle Medicine, Blue Shield of California, Karl Koenig, M.D., M.S., Executive Director, Musculoskeletal Institute; Division Chief of Orthopaedic Surgery, Associate Professor of Surgery and Perioperative Care, Dell Medical School, Ryan A. Grant, MD, MBA, FAANS, Founder and Chief Executive Officer, Vori Health Bios: https://www.brightspotsinhealthcare.com/events/reduce-total-cost-of-care-innovative-whole-person-models-for-high-cost-conditions/   Request discount code for our Payer & Provider Summit: https://www.brightspotsinhealthcare.com/summit-promo/ This episode is sponsored by Vori Health Vori Health is a specialty medical practice delivering a virtual-first musculoskeletal (MSK) solution to help members return to their lives faster. As the only nationwide MSK practice with doctor-led care teams, Vori Health is the most convenient way to access appropriate care for back, neck, and joint pain without bouncing around the healthcare system. Whether members need a diagnosis, non-opioid prescription, personalized physical therapy, or health coaching, they can turn to Vori Health for evidence-based care and effective end-to-end support. This holistic model reduces unnecessary surgeries, enables faster recoveries, and lowers MSK spending with up to a 4:1 ROI, for more information, visit www.vorihealth.com.

One of the oldest homes still standing in Austin was once known as The Chateau. Its residents hosted legendary parties that were often safe spaces for gay people in the 1960s and ‘70s. Today, the home is boarded up — but there's a new effort brewing to ensure it's preserved.

Diet and nutrition are top priorities in helping your baby grow and thrive in the NICU. Registered dietitian Keli Hawthorne shares how you can play a pivotal role in your baby's daily nutrition.   In this episode, we chat about: Why did you choose to pursue a career in nutrition and dietetics, specifically neonatal/pediatric? What's the difference between a nutritionist and a dietitian? Where can parents go for assistance and help? What are some questions a parent should ask their child's nutritionist/dietitian? What are the pros/cons of milk fortification in micropreemies or babies smaller than 1600kg? You led the effort in getting FDA approval for intravenous omega-3 fatty acid lipid emulsions, but what does that mean for the average NICU baby? Keli Hawthorne, MS, RD is a Registered Dietitian and the Director for Clinical Research for the Department of Pediatrics at the Dell Medical School at the University of Texas at Austin. Prior to UT, Keli worked as a NICU dietitian and researcher for over 15 years. Her research background focuses on neonatal and pediatric nutrition including mineral absorption, intestinal failure, and human milk fortification for premature infants. Keli was a leader in the national efforts to obtain FDA approval for intravenous omega-3 fatty acid lipid emulsions for infants and children in the US with severe liver damage. She was honored with the Texas Distinguished Scientist Award from the Texas Academy of Nutrition and Dietetics and is a past recipient of the Emerging Dietetic Leader award and Recognized Young Dietitian of the Year. When Keli is not in Austin, she can be found at her nearby cattle ranch.   Connect with Keli: Instagram  |  Facebook  |  Website   The NICU is hard. We're here to help.   Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook  |  Instagram  |  Twitter  |  YouTube   The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license

A move to whole person health in America is going to take a shift of the entire health ecosystem. In this episode, Claudia chats with Dr. Mini Kahlon, the founding Vice Dean of Health Ecosystem at Dell Medical School, about health beyond the clinic, the role of “traditional medical care” and medical schools in moving towards whole person health, and why we need big, visionary goals for the health of people and communities. Relevant LinksDell Medicine “health beyond the clinic” website Results of loneliness study conducted by Factor HealthFor more on health impact of loneliness, see this reportAbout Our GuestDr. Maninder “Mini” Kahlon is a founding vice dean of Dell Medical School, where she develops innovations that advance health beyond the clinic. Kahlon is an associate professor in the Department of Population Health and the founder of Factor Health. The Factor Health laboratory develops programs that rapidly improve health in people's lives, testing them through community-based trials. Kahlon was previously the executive director and chief information officer at the University of California San Francisco's Clinical & Translational Science Institute. She is an award-winning technology leader with experience in industry and academic medicine, building consumer-facing and research-enabling tools. Kahlon is a behavioral and systems neuroscientist. She received her Ph.D. from UCSF and is a graduate of Bryn Mawr College in Pennsylvania.Connect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams or on LinkedIn.

Implementing value-based care can help providers improve patient health and reduce care costs, but it also presents the opportunity to explore new and emerging areas of research in breakthrough treatments that can revolutionize healthcare as we know it today. Embracing such a paradigm shift is for the mindful, who acknowledge that certain aspects of medicine are not working as intended.  If we are to truly attain better patient outcomes at a lower cost, we must consider emerging areas of research that can create new knowledge in the practice of medicine. On this week's podcast, you will learn about some of the research being done to further scientific rigor and expertise in the study of psychedelic therapy. In clinical research settings around the world, renewed investigations are taking place on the use of psychedelic substances for treating illnesses such as addiction, depression, anxiety and posttraumatic stress disorder. Psychedelics fell from medical grace nearly half a century ago, their reputation mired by associations with counterculture drug excesses and Cold War era enhanced interrogation, but now a new wave of research has returned to psychedelics as potential candidates to treat mental health disorders. We are joined this week by Charles B. Nemeroff, M.D., Ph.D the Co-Director of The Center for Psychedelic Research and Therapy at Dell Medical School at The University of Texas at Austin. Dr. Nemeroff is one of the nation's most influential psychiatrists and has published more than 1100 research studies, and his research is currently supported by grants by groups such as the Multidisciplinary Association of Psychedelic Studies (MAPS).  His research is focused on the pathophysiology of mood and anxiety disorders with a focus on the role of child abuse and neglect as a major risk factor. He has also conducted research on the role of mood disorders as a risk factor for major medical disorders including heart disease, diabetes and cancer. At the Center for Psychedelic Research and Therapy, he aims to advance the application of psychedelics for the treatment of mental health disorders through impactful clinical research.  Additionally, the center looks to improve the health of those suffering from severe depression, anxiety and PTSD through psychedelic-assisted psychotherapy and research focused heavily on military veterans and adults affected by early childhood trauma. Episode Bookmarks: 01:30 “If we are to truly attain better patient outcomes at a lower cost, we must consider emerging areas of research that can create new knowledge in the practice of medicine.” 02:45 Introduction to Charles B. Nemeroff, M.D., Ph.D the Co-Director of the Center for Psychedelic Research and Therapy at Dell Medical School at The University of Texas at Austin. 04:00 Support Race to  Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts! 05:00 The field of human-based research into psychedelic drugs has in the last ten years become a legitimate field of study, after decades of repression by governments around the world. 05:30 The renaissance of psychedelic research with renewed media and medical interest in LSD, psilocybin, MDMA, ayahuasca, DMT, and ketamine. 05:45 From the Woodstock generation to present day – Dr. Nemeroff provides an overview on this history of psychedelic research. 06:30 Early psychedelic research conducted by Timothy Leary and Ram Dass (formerly Richard Alpert) that created a spiritual awakening and captured a generation. 07:30 A research moratorium that persisted for decades until the Dr. Rick Strassmanundertook human research on N,N-dimethyltryptamine, also known as DMT. 08:00 Distinguishing recreational use for spiritual awakening vs. psychedelic-assisted treatment for serious psychiatric disorders. 08:30 How psychedelics can rip away defense mechanisms in the mind that prevent people from facin...

Episode 2 of Pharmanipulation invites Adewole S. Adamson MD, MPP, to discuss the relationship of sun exposure to melanoma, whether sunscreen actually prevents skin cancer, and the overdiagnosis of melanoma. Dr. Adamson is a board-certified dermatologist and an assistant professor in the department of Internal Medicine at Dell Medical School at the University of Texas at Austin where he studies skin cancer, evidence-based medicine, and health policy. He is also the Director of the Pigmented Lesion Clinic at the University of Texas at Austin, and he serves as an assistant editor at JAMA Dermatology. Pharmanipulation is produced by PharmedOut, a Georgetown University Medical Center rational prescribing project. For a transcript of this episode, please visit: https://georgetown.box.com/s/3bte8vynpulj33kv3qdtwdabamm2n9xx To learn more about Dr. Adamson, please visit his website: https://adeadamson.com/ Dr. Adamson's paper on Estimating Overdiagnosis of Melanoma Using Trends Among Black and White Patients in the U.S. is available here: https://jamanetwork.com/journals/jamadermatology/fullarticle/2789995 Dr. Adamson's paper on The Rapid Rise in Cutaneous Melanoma Diagnoses is available here: https://www.nejm.org/doi/10.1056/NEJMsb2019760?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed PharmedOut is supported primarily by individual donations. To make a donation please visit: https://sites.google/com/georgetown.edu/pharmedout/donate

In this continuation of Episode 28, UT Austin Grad Student Eugenio Sobrevilla and LCI's Kristen Wynn sit down with Mark Garza, Founder of the Flatwater Foundation, an organization based in Austin, Texas that exists to erase the financial burden of mental health care for those facing cancer, as well as their extended family.

In this Episode, UT Austin Grad Student Eugenio Sobrevilla and LCI's Kristen Wynn sit down with Mark Garza, Founder of the Flatwater Foundation, an organization based in Austin, Texas that exists to erase the financial burden of mental health care for those facing cancer, as well as their extended family.

Did you know that musculoskeletal care is one of the biggest challenges facing the value transformation of healthcare?  Musculoskeletal healthcare spending is rising at an unsustainable rate – having doubled in the last decade!  Many of these procedures (such as knee replacements and spinal fusions) contribute to overspending on care that is not even needed, as it has been estimated that only 50% of MSK procedures are evidence-based. The rising costs ofmusculoskeletal care is now a top cost driver for employers and health plans. Yet despite rising costs, MSK outcomes for members haven't gotten better over the last ten years. Studies have shown that, despite a dramatic increase in health care expenditures for patients with back and neck problems over the last decade, there has not been a corresponding improvement in patient clinical outcomes. In short, spending more money has not correlated with better outcomes.  We are in dire need of a value-based revolution in the provision of musculoskeletal care. The current system is clearly broken. Studies have demonstrated that common approaches to MSK care (surgery, imaging, injections, opioids) do not effectively resolve back and joint pain. And the challenges of escalating costs associated with such low value are too big to ignore. There is a better way, and this week on the Race to Value, we interview two of the leading innovators in orthopedic value-based care! In this special episode, we will begin with an interview with Dr. Kevin Bozic, the chair of surgery and perioperative care at the Dell Medical School at The University of Texas at Austin. He is an internationally recognized leader in orthopedic surgery and value-based health care payment and delivery models and currently serves on the Board of Directors for the American Academy of Orthopaedic Surgeons – a clear signal from the AAOS that the specialty is moving into the value-based care arena. Our second interview on the podcast is with Dr. Kian Raiszadeh, the CEO and Co-Founder of Livara and SpineZone, an orthopedic surgeon who has created an innovative orthopedic care management system for payors, providers, and health systems to unify the patient experience and transition to orthopedic value-based care. Episode Bookmarks: 01:30 Musculoskeletal healthcare spending is rising at an unsustainable rate – having doubled in the last decade! 01:45 It has been estimated that only 50% of MSK procedures are evidence-based. 02:00 Increased MSK spending in healthcare not associated with a corresponding improvement in patient clinical outcomes. 03:00 Introduction to Kevin Bozic, M.D., MBA and Kian Raiszadeh, M.D. 03:45 Upcoming conference in value-based orthopedics – OVBC on January 26th-28th 05:00 At the Musculoskeletal Institute at UT Health Austin, Dr. Bozic has created a MSK Integrated Practice Unit. 06:30 Dr. Bozic provides an overview of the Musculoskeletal Institute and how it functions as an Integrated Practice Unit. 07:30 “The vast majority of patients with musculoskeletal conditions do not require or benefit from surgery.” 08:00 The role of the primary care in treating MSK disease within a “musculoskeletal medical home”. 08:45 Comorbid conditions with chronic MSK disease (e.g. anxiety, depression, obesity) are rarely treated in a non-integrated model. 09:45 Holistic integration of primary care-based orthopedic physicians, APPs, physical therapists, dieticians, and social workers. 12:30 Dr. Bozic discusses the potential for condition-based bundled payments in the treatment of MSK disease. 13:45 The role of bundled payment care pathways in lowering overall costs with better clinical outcomes. 14:00 How reduction of inpatient post-acute care can result in lower episode spend with “no detrimental impact on patient outcomes.” 15:00 The big value opportunity -- addressing the continuum of care across the spectrum of disease (not just focusing on the surgery). 16:00 Redesigning MSK delivery for optimizing outcome...

Dr. Greg Fonzo Greg Fonzo, Ph.D., is an assistant professor in the Department of Psychiatry and Behavioral Sciences and co-director of the Center for Psychedelic Research and Therapy at Dell Medical School. Fonzo's research focuses broadly on understanding mechanisms of affective disorder psychopathology and treatment and leveraging this understanding to improve clinical care and patient outcomes. Fonzo's ultimate goal is to improve clinical care for individuals living with stress-related affective disorders by discovering how current treatments work, who is best suited to receive a particular treatment and why, and designing novel mechanism-focused interventions targeted to engage specific brain circuits of interest. His vision is for every individual to receive an effective, individually tailored, biologically informed evidence-based treatment.   Gaby Poler-Buzali Gaby Poler-Buzali joined The University of Texas at Austin in May 2020 as director of development, principal gifts, for the Mulva Clinic for the Neurosciences at Dell Medical School. She brings 14 years of successful development and nonprofit management experience, first as executive director of the Philharmonic Orchestra of the Americas and then as executive director of the Jose Limon Dance Foundation in New York City. Prior to joining Texas Development, she served as senior director of development at Texas State University, where her primary accomplishments included raising more than $20 million in 6 1/2 years in both major and planned gifts. She has a bachelor's degree from the Conservatory at Berklee and a master's degree from Columbia University. Originally from Caracas, Venezuela, she is thrilled to call Austin her new home alongside her husband, Aaron, and her two children.   Thought Roomies- I started a Telegram channel!!! Nearly 200 of  you have already joined this free community where you'll receive my daily musings, poetry, playlists, meditations, insights, live streams, and more! Want to get into my inner circle? Click here → https://t.me/hallie_rose ←    If You Enjoy The Thought Room Please Subscribe and Give Us a 5-Star Rating ★★★★★ and Review on Apple Podcasts or give us a shoutout on Instagram with your favorite moment from this episode for a chance to be re-shared. Find me on Instagram @hallie_rosebud and @thoughtroompodcast.  If the Thought Room means something to you, I want to know.  Your voice means the world, and YOU matter to me.  Please consider writing me a line or two, or share your excitement by tapping the link below.    ↓Quick link to leave some ♥ LOVE ♥  for The Thought Room: ↓    → https://kite.link/Review ←  As a thank you, download my free gift to you: 5 Minutes to Freedom Meditation  https://www.hallierose.com/meditation   To make a donation to the Center for Psychedelic Research and Therapy at Dell Medical School:  Please email —> gabriela.poler@austin.utexas.edu   This episode is sponsored by:   Alive Water  Click here —> alivewaters.com Use the coupon code “THOUGHTROOM” for 15% off!   Upgraded Formulas Click here —> upgradedformulas.com Use the coupon code “THOUGHTROOM” for 15% off your first purchase!   Goddess Code Facial Oil  Click here —> goddesscodeskincare.com Use the coupon code “THOUGHTROOM” for 10% off!   Botanic Tonics Feel Free  Click here —> Botanic Tonics Feel Free Wellness Tonic   Use the coupon code “ThoughtRoom-20” for 20% off!   3rd Eye Cacao:  Click here —> https://thirdeyecacao.com/thoughtroom Use the coupon code “THOUGHTROOM” for 15% off!   Why cacao? As an excellent alternative to coffee, cacao is rich in theobromine, a native relative to caffeine. Theobromine's heart-opening effects energize the body and elevate the mood.  Third Eye Cacao is organically grown, hand picked and sun-dried. Just boil water— Third Eye Cacao is easy enough for your morning ritual, and pure enough to be used for cacao ceremonies! (Check out Ep. 40 with Third Eye Founder, Neil Ryan Dumra).    Somatic Release Breathwork:  Click here —> Somatic Release Breathwork Training with Steven Jaggers Use the coupon code “THOUGHTROOM” for $200 off in-person or online training!   Ra Optics Click here —> RaOptics.com Use the coupon code “THOUGHTROOM” for 15% off your online purchase! Topics Explored:    7:54 - Exploring the potential benefits of psychedelics for veterans' and their families' mental health 14:09 - Major milestones for the Center for Psychedelic Research and Therapy at Dell Medical School 22:48 - How PTSD can impact the brain's response to positive stimuli and create emotional numbing  28:23 - Neuromodulation research to try to change brain function The potentiality of combining neuromodulation and psychedelics  Psychedelics as non-addictive substances 43:07 - The importance of integration after psychedelic use to sustain benefits 57:07 - The anti-inflammatory properties of psychedelics, and our gut-brain connection 1:05:07 - What sets the Center apart from other centers?  Dedication to research around early life adversity  Can we influence the way our genetic information is utilized by our bodies?  Resources:   Center for Psychedelic Research & Therapy Website | dellmed.utexas.edu/units/center-for-psychedelic-research-and-therapy Center for Psychedelic Research & Therapy Email | psychedelics@utexas.edu  Gaby's Email | gabriela.poler@austin.utexas.edu  Heroic Hearts Project Website | heroicheartsproject.org Find A Clinical Trial | clinicaltrials.gov Connect with Hallie Rose: Thought Room IG | https://www.instagram.com/thoughtroompodcast/  Hallie Rose IG | https://www.instagram.com/hallie_rosebud/ YouTube |http://bit.ly/ThoughtRoomYouTube  Website | www.thoughtroompodcast.com    WAYS TO SUPPORT THIS SHOW!    → SUBSCRIBE: Apple, Spotify, YouTube     → LEAVE A SHORT APPLE PODCASTS REVIEW: https://kite.link/Review  Would you please consider leaving a typed review on Apple Podcasts? It takes less than 60 seconds and even a line or two makes a really big difference in helping to land prominent guests and help others discover the show!    →  SHARE: Spread the word! Text a friend this episode!  Tag @hallie_rosebud @thoughtroompodcast on your IG story or feed

In this two part episode, we'll hear from the five 2022 recipients of the UT Austin American Cancer Society Institutional Research Grant, which was created to foster the careers of new cancer researchers. Although some of their work might be challenging to understand, listen closely for all of the different kinds of research and how it gets done.

In this week’s episode, our expert guest, John Howard, talks about his book, More Than Words: The Science of Deepening Love and Connection in Any Relationship, and shares what neuroscience is teaching us about emphasizing connection over communication. With tips for parents and couples, John’s insights help the listener refocus on connection for the benefit of ourselves, our marriages, families, and society. Join us for the conversation and learn how to create a deeper connection in your marriage today.  About: John is a Cuban-American who grew up in New York City speaking Spanish. He didn't live with his parents as a kid and eventually left home at 15. After years of traveling and studying native traditions, John discovered the science of relationships as a powerful way to heal his own attachment wounds. He has taught the neuroscience of couples therapy at leading conferences, has trained thousands of therapists, and led a relationship wellness program for Google, Inc. He is the Founder of the Ready Set Love® line of courses for couples, the Founder of Presence Wellness, and teaches at the Dell Medical School in Austin, TX. In 2022, John released his book, More than Words that is high grossing on BookTok and expands on the principles John has taught in his lectures and in therapy for the entirety of his career. Links:getmorethanwords.com – Order John’s book here to receive bonus content (free chapter on attachment) and connect with John personally. readysetlove.com John Howard’s Podcast about his book More than Words Insights: John reminds us to be intentional with our attention –putting away our devices and distractions and really focusing on our partners. He indicates that one of the best ways to do this is by “stepping in the shoes” of our partner and practicing humility. Byrefraining from making assumptions about our partner, John illustrates that couples will grow stronger bonds that are focused on simple forms of connection and affirmations that will make all the difference to one’s relational satisfaction. Invites:   •  Practice nonverbal, primitive connection with your partner        o    Sit with your partner and take turns holding each other in your lap without talking for 2 minutes.       o    Sit across from each other and look into each other’s eyes without speaking  •  Merge your marriage by taking the RELATE assessment with your partner. Have a discussion together after taking the assessment and learn how “to see it from your partner’s point of view.” Though how you view things, or do things, may be different, practice validating your partner’s point of view and discover a new way you can develop your relationship going forward.   •  Practice skills-based connection        o    Discuss with your partner what you view as “bad behavior” and why. Establish ways you can remedy this kind of behavior together.        o    Write in a journal entry what makes you compatible with your partner. What do you love about them? Also, highlight your differences. List five ways you can connect with your partner that illustrate your differences and will help you grow together.        o     Have a conversation with your partner about how to approach challenges in your relationship with greater intentionality and commitment. Develop strategies that will lead to conflict resolution and connection. For lots of great conflict resolution strategies and tools, take the ePREP course offered free to Utah residents by the Utah Marriage Commission or visit UMC’s Tiktok for quick conflict resolution tips. Visit our site for FREE relationship resources and regular giveaways: https://StrongerMarriage.org https://podcast.strongermarriage.org Facebook: https://facebook.com/StrongerMarriage Instagram: @strongermarriagelife Dr. Dave Schramm: https://drdaveschramm.com https://drdavespeaks.com Facebook: https://www.facebook.com/DrDaveUSU Facebook Marriage Group: https://www.facebook.com/groups/770019130329579 Facebook Parenting Group: https://www.facebook.com/groups/542067440314642 Dr. LizHale: http://www.drlizhale.com/   See omnystudio.com/listener for privacy information.

It's another session of CardioNerds Rounds! In these rounds, Dr. Priya Kothapalli (Interventional FIT at University of Texas at Auston, Dell Medical School) joins Dr. Deepak Bhatt (Dr. Valentin Fuster Professor of Medicine and Director of Mount Sinai Heart) to discuss the nuances of antithrombotic therapy. As one of the most prolific cardiovascular researchers, clinicians, and educators, CardioNerds is honored to have Dr. Bhatt on Rounds, especially given that Dr. Bhatt has led numerous breakthroughs in antithrombotic therapy. Come round with us today by listening to the episodes of #CardsRounds! Audio editing by CardioNerds Academy Intern, Dr. Christian Faaborg-Andersen. This episode is supported with unrestricted funding from Zoll LifeVest. A special thank you to Mitzy Applegate and Ivan Chevere for their production skills that help make CardioNerds Rounds such an amazing success. All CardioNerds content is planned, produced, and reviewed solely by CardioNerds. Case details are altered to protect patient health information. CardioNerds Rounds is co-chaired by Dr. Karan Desai and Dr. Natalie Stokes.  Speaker disclosures: None Challenging Cases - Atrial Fibrillation with Dr. Hugh Calkins CardioNerds Rounds PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Show notes - Antithrombotic Management with Dr. Deepak Bhatt Case #1 Synopsis: A woman in her early 70s with a history of hypertension, hyperlipidemia, and paroxysmal atrial fibrillation presented with sudden-onset chest pressure and diaphoresis while at rest and was found to have an acute thrombotic 99% mid-LAD occlusion. The patient received OCT-guided PCI with a single drug-eluting stent. We discussed what the appropriate antithrombotic strategy would be for a patient with recent acute coronary syndrome and atrial fibrillation. Case #1Takeaways According to the recent 2021 revascularization guidelines, in patients with atrial fibrillation undergoing PCI and taking oral anticoagulant therapy, it is recommended to discontinue aspirin after 1 to 4 weeks while maintaining P2Y12 inhibitors in addition to a non-vitamin K oral anticoagulant or warfarin.There are two recent trials – AUGUSTUS and the ENTRUST-AF PCI trial – that evaluated regimens of apixaban and edoxaban, respectively, that support earlier findings reporting lower bleeding rates in patients maintained on oral anticoagulant plus a P2Y12 inhibitor compared to triple therapy.Of note, none of these trials were specifically powered for ischemic endpoints, but when pooling data from these trials, rates of death, MI and stent thrombosis with dual therapy were similar to those seen in patients on triple therapy.Additionally, all of these patients enrolled in these trials were briefly treated with triple therapy after PCI before the aspirin was discontinued. In the 2021 guidelines, it is noted that analyses of stent thrombosis suggest that 80% of events occur within 30 days of PCI. Thus, it is reasonable to consider extending triply therapy to 1 month after PCI in high risk patients to reduce risk of stent thromboses.In AUGUSTUS, 90% of patients received clopidogrel as their P2Y12 inhibitor Case #2 Synopsis: A man in his mid-50s with a history of peripheral vascular disease with prior SFA stent for chronic limb ischemia, hyperlipidemia, tobacco use, diabetes, and chronic kidney disease presented with a two day history of “reflux” that was worse with exertion and that improved with rest and associated with diaphoresis. He was diagnosed with an NSTEMI. His LHC revealed 99% mid-RCA thrombotic occlusion with moderate disease in the LAD. He underwent thrombectomy and PCI with a single drug-eluting stent to the RCA. We discussed his short-term and long-term antithrombotic therapy Case #2 Takeaways

Since beef is something people often think they need to restrict or avoid, I asked special guest & nutrition expert Keli Hawthorne, MS, RD to share what the research says about beef, specifically for young kids!Keli Hawthorne is a Registered Dietitian and the Director for Clinical Research for the Department of Pediatrics at the Dell Medical School at the University of Texas at Austin. In this episode, I asked Keli about:the health benefits of beef and which cuts she recommends the differences between organic and grass-fed beefhow much beef is appropriate for babies and young children, and how to serve beef to your littlesView the research that supported Keli's answers here.This episode was sponsored by Beef Loving Texans, but all opinions expressed are our own! I love beeflovingtexans.com for family-friendly recipes, like this Baby Friendly Meatloaf,  Slow Cooker Beef Ragu and this Beefy Taco Casserole. Make picky eating and stressful feeding a thing of the past with Simple Steps to Picky Wins! Get it now!