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What if your symptoms weren't “in your head”—but the medical system made you believe they were? In this raw and revealing conversation, Dr. Amie Hornaman, host of The Thyroid Fixer podcast, opens up about being misdiagnosed six times, dismissed by doctors, and told she was “fine” while her health was falling apart. From a shocking uterine cancer scare to relentless thyroid struggles, she shares how she refused to be gaslit and started trusting her intuition instead. We dive into the functional testing, unconventional therapies, and emotional resilience it takes to heal when the system fails you—and why every woman needs to be her own advocate. WE TALK ABOUT: 08:30 – “I was misdiagnosed six different times”—the red flags Dr. Amie finally refused to ignore 14:00 - Persevering to finding out the truth after all the misdiagnoses 19:00 - The four most important words a medical practitioner should ask you 24:00 – PCOS panic, fertility fears, and breaking free from health labels 28:50 – Dr. Amie's uterine cancer diagnosis 34:00 – How to not let your diagnosis define you 40:00 – The importance of testing how your body metabolizes your hormones (DUTCH Test, DNA Test) 47:00 – The cheap cures nobody profits from (Kineon code: BIOHACKINGBRITTANY) 54:00 – Hope, help, and tagging a friend when you're too exhausted to advocate alone SPONSORS: Pique's Sun Goddess Matcha and BT Fountain Electrolytes deliver clean, science-backed support— use my link to get 20% off plus a free frother and beaker. RESOURCES: Trying to conceive? Join my Baby Steps Course to optimize your fertility with biohacking. Free gift: Download my hormone-balancing, fertility-boosting chocolate recipe. Explore my luxury retreats and wellness events for women. Shop my faves: Check out my Amazon storefront for wellness essentials. Dr. Amie Hornaman's website and Instagram LET'S CONNECT: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music
Anyone who has or knows someone with ME, chronic syndrome fatigue or long covid knows that being believed is one of the toughest parts of having the condition.
Autoimmune Rehab: Autoimmune Healing, Support for Autoimmune Disorders, Autoimmune Pain Relief
In this solo episode, I'm opening up about what life looks like after receiving an autoimmune diagnosis. Whether you've just been diagnosed or have been living with chronic illness for years, this conversation is for you. I'll walk you through the emotional rollercoaster that comes after the doctor's visit—grief, confusion, fear—and how I found a path toward empowerment, healing, and hope. I'll also share practical strategies that helped me shift from survival mode to truly thriving, including: ✨ Redefining your identity beyond your diagnosis ✨ Setting boundaries and learning to say no without guilt ✨ Embracing holistic wellness practices that actually help ✨ Finding community and support when you feel alone Your diagnosis doesn't define you—it's just one chapter in your story. Tune in for encouragement, real talk, and a gentle reminder that healing is possible. Website for this podcast: http://autoimmunerehab.com Youtube channel: https://youtube.com/c/annalaurabrownhealthcoach Follow me on instagram: https://instagram.com/annalaurabrownwellness
Episode 194: Acute low back pain. Future Dr. Ibrahim presents a clinical case to explain the essential points in the evaluation of back pain. Future Dr. Redden adds information about differentiating between a back strain and more serious diseases such as cancer, and Dr. Arreaza shares information about returning to work after back strain.Written by Michael Ibrahim, MSIV. Editing and comments by Jordan Redden, MSIV, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza:Welcome back, everyone. Today's topic is one that every primary care provider, emergency doctor, and even specialist sees routinely: low back pain. It's so common that studies estimate up to 80% of adults will experience it at some point in their lives. But despite how frequent it is, the challenge is to identify which cases are benign and which demand urgent attention.Jordan:Exactly. Low back pain is usually self-limiting and mechanical in nature, but we always need to keep an eye out for the rare but serious causes: things like infection, malignancy, or neurological compromise. That's why a good history and physical exam are our best tools right out of the gate.Michael:And to ground this in a real example, let me introduce a patient we saw recently. John is a 45-year-old warehouse worker who came in with two weeks of lower back pain that started after lifting a 50-lb box. He describes it as a dull, aching pain that radiates from his lower back down the posterior left thigh into the calf. He says it gets worse with bending or coughing, but he feels better when lying flat. He also mentioned some numbness in his left foot, but he denies any bowel or bladder issues. His vitals are completely normal. On exam, he had lumbar paraspinal tenderness, a positive straight leg-raise at 40 degrees on the left and decreased sensation in the L5 dermatome, though reflexes were still intact.Dr. Arreaza:That's a great case. Let's take a minute and talk about the straight leg raise test. This is a bedside tool we use to assess for lumbar nerve root irritation often caused by a herniated disc. ***Here's how it works: the patient lies supine, and you slowly raise their straight leg. If pain radiates below the knee between 30° and 70°, that suggests radiculopathy, especially involving the L5 or S1 nerve roots. Pain at higher angles is more likely due to hamstring tightness or mechanical strain.Michael:Right. So, stepping back: what do we mean by "low back pain"? Broadly, it's any pain localized to the lumbar spine, but it's often classified by type or cause:Mechanical (like muscle strain or degenerative disc disease), Radicular (nerve root involvement), Referred pain (like from pelvic or abdominal organs), Inflammatory (AS), and Systemic or serious causes like infection or malignancy. Jordan:In John's case, we're thinking radicular pain, most likely from a herniated disc compressing the L5 nerve root. That's supported by the dermatomal numbness, the leg pain, and that positive straight leg test.Dr. Arreaza:Good reasoning. Now, anytime we see back pain, our brains should run a checklist for red flags. These help us pick up more serious causes that require urgent attention. Let's run through the red flags.Michael:Sure. For fracture, we think about major trauma or even minor trauma in the elderly, especially those with osteoporosis or on chronic steroids. Also, anyone over 70 years old.Jordan:Then we have infections, which could include things like discitis, vertebral osteomyelitis, or epidural abscess. Red flags include fever, IV drug use, recent surgery, or immunosuppression.Michael:Malignancy is another critical one, especially if there's a history of breast, prostate, lung, kidney, or thyroid cancer. Clues include unexplained weight loss, night pain, or constant pain not relieved by rest.Jordan:And don't forget about inflammatory back pain, like ankylosing spondylitis, which is often seen in younger patients with morning stiffness that lasts more than 30 minutes and improves with activity.Dr. Arreaza:And of course, we always rule out cauda equina syndrome: a surgical emergency. That's urinary retention or incontinence, saddle anesthesia, bilateral leg weakness, or fecal incontinence. Missing this diagnosis can be catastrophic.Michael:Thankfully, in John's case, we don't see any red flags. His presentation is classic for uncomplicated lumbar radiculopathy. But we must stay vigilant, because sometimes patients don't offer up key symptoms unless we ask directly.Jordan:And that's where associated symptoms help guide us. For example:Radicular symptoms like numbness or weakness follow dermatomal patterns. Constitutional symptoms like fever or weight loss raise red flags. Bladder/bowel changes or saddle anesthesia raise alarms for cauda equina. Pain that wakes patients up at night might point to malignancy. Dr. Arreaza:So when do we order labs or imaging?Michael:Not right away. For most patients with acute low back pain, imaging is not needed unless they have red flags. If infection is suspected, we'd get CBC, ESR, and CRP. For cancer, maybe PSA or serum protein electrophoresis. And if inflammatory back disease is suspected, HLA-B27 can be helpful.Jordan:Yes, imaging should be delayed for at least six weeks unless red flags or significant neurologic deficits are present. When we do image, MRI is our go-to especially for suspected radiculopathy or cauda equina. X-rays can help if we're thinking about fractures, but they won't show soft tissue or nerve root issues.Michael:In the example from our case, since the patient doesn't have red flags, we'd go with conservative management: start NSAIDs and recommend activity modification. As this is the acute setting, physical therapy would not be recommended.Jordan:For the acute phase, research shows no serious difference between those with PT and those without in the long term. However, physical therapy is really the cornerstone of management for chronic back pain. It's not just movement: it's education, body mechanics, and teaching patients how to move safely. And PT can actually reduce opioid use, imaging, and injections down the line for patient struggling with long term back pain.Dr. Arreaza:Yes, and PT is not one-size-fits-all. PT might include McKenzie exercises, manual therapy, postural retraining, or even neuromuscular re-education. The goal is always to build core stability, promote healthy movement patterns, and reduce fear of motion.Jordan:Let's take a minute to talk about the McKenzie Method, a physical therapy approach used to treat lumbar disc herniation by identifying a specific movement, (often spinal extension) that reduces or centralizes pain. A common exercise is the prone press-up, (cobra pose for yoga fans) where the patient lies face down and pushes the upper body upward while keeping the hips on the floor to relieve pressure on the disc. These exercises should be done carefully, ideally under professional guidance, and discontinued if symptoms worsen.Michael:For our case patient, our working diagnosis is mechanical low back pain with L5 radiculopathy. No imaging needed now, no red flags. We'll treat conservatively and educate him about proper lifting, staying active, and recovery expectations.Jordan:We also emphasized to him that bed rest isn't helpful. In fact, bed rest can make things worse. Keeping active while avoiding heavy lifting for now is key.Dr. Arreaza:Return-to-work recommendations should be individualized. For example, an office worker, positioning while working, or work hours may be able to return to work promptly. However, those with physically demanding jobs may need light duty or be off work.Ice: no evidence of benefit. Heat: may reduce pain and disability in pain of less than 3 months, although the benefit was small and short.And we should always teach safe lifting techniques: bend at the knees, keep the load close, avoid twisting. It's basic knowledge, but it is very effective in preventing recurrence.Jordan:Now, if a patient fails to improve after 6 weeks of conservative therapy, or if they develop new neurologic deficits, that's when we think about referral to spine specialists or surgical consultation.Michael:And as previously mentioned: in cases where back pain becomes chronic (lasting more than 12 weeks) a multidisciplinary approach works best. That can include:Physical therapy, Cognitive behavioral therapy (CBT) And sometimes pain management interventions. Jordan:We can't forget the psychological toll either. Chronic back pain is associated with depression, anxiety, and opioid dependence. Increased risk factors include obesity, smoking, sedentary lifestyle, and previous back injuries.Dr. Arreaza:Well said. So, let's summarize. Michael?Michael:Sure! Low back pain is common, and most cases are benign. But we have to know the red flags that point to serious pathology. A focused history and physical exam are more powerful than many people realize. And the first step in treatment is almost always conservative, with a strong emphasis on maintaining physical activity.Jordan:And don't underestimate the value of patient education. Helping patients understand their pain, set realistic expectations, and stay active is often just as important as the medications or therapies we offer.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006Deyo, R. A., Mirza, S. K., Turner, J. A., & Martin, B. I. (2009). Overtreating chronic back pain: Time to back off? Journal of the American Board of Family Medicine, 22(1), 62–68. https://doi.org/10.3122/jabfm.2009.01.080102National Institute for Health and Care Excellence. (2020). Low back pain and sciatica in over 16s: Assessment and management (NICE Guideline No. NG59). https://www.nice.org.uk/guidance/ng59Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367UpToDate. (n.d.). Evaluation and treatment of low back pain in adults. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
How Did i get to the point where I could Accept My Diagnosis Of Narcissistic Personality Disorder?Website- www.mentalhealness.netI'm Lee & I've been diagnosed with narcissistic personality disorder ( NPD ). I've been in therapy since 2017 & It has definitely changed my life because without it, I would have lost everything. My platform is dedicated to giving you the WHYs behind the things that Narcissists do. I'm not here to diagnose ANYONE or to tell you to leave your relationship. I'm just trying to give you the information to make your own informed decisions1 on 1's and all my links - https://beacons.page/mentalhealnessRemember, It's not your fault - https://a.co/d/2WNtdKJ Podcast Guest Form - https://tinyurl.com/Mental-Healness-Podcast-Form
Pediatric nurse and lactation consultant Angie Howell shares her profound journey of experiencing a medical miracle with her eighth child, Jade. Amidst personal turmoil and uncertainty, Angie recounts the miraculous healing of Jade through a prayer gathering led by her cousin Rich and his Christian biker group. The episode highlights Angie's initial struggle with faith, the transformative power of prayer, and the eventual realization that Jesus was with her throughout her trials. Angie also discusses her nursing career, the founding of her home health agency for children with disabilities, and hints at a potential film adaptation of her powerful story. The episode concludes with a heartfelt prayer. 00:00 A Miraculous Encounter with Jesus 00:52 Introducing Angie Howell 01:51 Angie's Life Before the Miracle 02:55 The Rollercoaster of Emotions 05:42 Jade's Diagnosis and Struggles 12:33 A Divine Intervention 14:45 The Prayer Meeting 20:11 The Miraculous MRI Results 23:19 A Miracle in the Midst of Struggle 24:01 The Journey of Jade's Progress 27:13 Faith and Personal Growth 33:26 Jade's Miraculous Encounter 37:25 Current Life and Future Plans 42:33 Conclusion and Final Thoughts Angie's new book: Jewel of Heaven: https://a.co/d/963MWLT Angie's website: https://www.angiehowell.com/
Join Jay Gunkelman, QEEGD (the man who has analyzed over 500,000 brain scans), Dr. Mari Swingle (author of i-Minds), and host Pete Jansons for another engaging NeuroNoodle Neurofeedback Podcast episode discussing neuroscience, psychology, mental health, and brain training.✅ Cerebral Folate Explained: Jay dives deep into cerebral folate deficiency, its connection to autism and epilepsy, how it's diagnosed, and how it can be treated.✅ SMR and Sleep: Learn the role of SMR (Sensorimotor Rhythm) in improving sleep onset, stabilizing sleep cycles, and how thalamic nuclei come into play.✅ Home EEG & Consumer Tech: We discuss accessible neurofeedback options for the general public including Muse, Sense.AI, and Divergence Neuro—plus the idea of neurofeedback as a preventative “brain tune-up.”
Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/middle-eastern-studies
Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine
In this insightful episode, we talk with Nicole Stewart, BCBA, about her personal and professional journey supporting gifted children with ADHD and Autism. Nicole shares how raising her own neurodivergent child shaped the innovative, non-traditional work she does today. We explore why traditional talk therapy often misses the mark, how she uses creative tools to build emotional regulation and working memory, and why giving families a shared language is so transformative. Nicole also explains how she weaves principles from ACT and ABA into her sessions—without sticking rigidly to either—and offers powerful advice for parents just starting out on this path. If you're looking for a fresh, honest perspective on supporting neurodivergent kids, this conversation is not to be missed.
Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices
Disorder and Diagnosis: Health and the Politics of Everyday Life in Modern Arabia (Stanford UP, 2024) offers a social and political history of medicine, disease, and public health in the Persian Gulf from the late nineteenth century until the 1973 oil boom. Foregrounding the everyday practices of Gulf residents--hospital patients, quarantined passengers, women migrant nurses, and others too often excluded from histories of this region--Laura Frances Goffman demonstrates how the Gulf and its Arabian hinterland served as a buffer zone between "diseased" India and white Europe, as a space of scientific translation, and, ultimately, as an object of development. In placing health at the center of political and social change, this book weaves the Gulf and Arabian Peninsula into global circulations of commodities and movements of people. As a collection of institutions and infrastructures, pursuits of health created shifting boundaries of rule between imperial officials, indigenous elites, and local populations. As a set of practices seeking to manipulate the natural world, health policies compelled scientists and administrators to categorize fluid populations and ambiguous territorialities. And, as a discourse, health facilitated notions of racial difference, opposing native uncleanliness to white purity and hygiene, and indigenous medicine to modern science. Disorder and Diagnosis examines how Gulf residents, through their engagements with health, fiercely contested and actively shaped state and societal interactions. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textThis conversation with Erin Trier was equal parts heart, healing, and hard truths. Erin is a mom of four, a health coach, and someone who knows the weight of navigating rare diagnoses and emotional overwhelm. She shares about her son Brendan's long, winding path to a diagnosis of Tuberous Sclerosis Complex—and what it's been like to mother through so much uncertainty, grief, and resilience.We talked about how it feels when your family life doesn't look the way you dreamed it would, and the importance of making space for all the feelings—especially the ones we don't usually say out loud.Erin brought her insight not only as a mom in the trenches, but also as a wellness coach and someone deeply passionate about supporting women in caring for themselves well—even when time and energy are limited. We also dug into sleep, therapy, the all-or-nothing trap, and how baby steps are actually the big deal.You're going to feel seen, validated, and maybe even challenged to believe that small things count.Get To Know Erin:Instagram: @erinktrierYouTube: @erinktrierFacebook: ektrierWebsite: erintrier.comPodcast: Empowered in Health by Erin TrierResources Mentioned: The Compound Effect by Darren HardyEpisode 76: Having Impermissible Thoughts About Your Special Needs ChildGet The Special Needs Mom Survival Pack HEREConnect with Kara, host of The Special Needs Mom Podcast:Instagram: https://www.instagram.com/thespecialneedsmompodcast/Website: https://www.kararyska.com/
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Podcast for 4 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/Sonal's 15th Season starts up and Episode 7 features a Newsworthy spotlight on June as Alzheimer's Awareness Month.Sonal's Trusty Tip and compliance recommendations focus on diagnosis coding based on a recent OIG audit.Spark inspires us all to reflect on hopes and aspirations based on the inspirational words of Christopher Reeve.Alzheimer's Awareness Month for June 2025:Website: https://www.alz.org/abam/overview.aspPaint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression. In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the 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. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension 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 Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics. Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri. It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
What happens when your recovery journey needs a reboot—not because you relapsed, but because you learned something life-changing about your brain? In this second part of my deep conversation with Stacie Fanelli, LCSW, we explore what eating disorder recovery looks like after a late diagnosis of autism and/or ADHD (AuDHD). We talk about the grief, relief, and radical reframing that can come when you realize your past recovery strategies weren't failures—they just weren't made for your neurotype. Together, we unpack the nuances of recovery that often get overlooked:
Prostate cancer screening isn't just clinical—it's personal. Especially when headlines make it political.In this episode Tracy breaks down the buzz around President Joe Biden's recent prostate cancer diagnosis—and uses the moment to teach, clarify, and contextualize what it really means to screen for prostate cancer in 2025.As a former Urology PA, Tracy brings her clinical experience and clear communication to an often-misunderstood topic. She walks through:What the prostate does and how PSA testing worksWhat elevates PSA levels (that isn't cancer)Why BPH complicates the pictureWhat Gleason scores tell us about cancer aggressivenessCurrent USPSTF and AUA guidelines for prostate cancer screeningHow shared decision-making, not headlines, should guide patient careThis episode is a reminder to return to nuance and individualize care—especially when the world is watching.
Myofascial Pain Syndromes: Controversies and Suggestions for Improving Diagnosis and Treatment Cook CE, Degenhardt B, Aspinall S, et al. J Orthop Sports Phys Ther. 2025;55(4):231-234. doi:10.2519/jospt.2025.13072 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux
In this episode of the Autism Little Learners Podcast, I sit down with Alex Lamoreaux—a mom of three, including two autistic boys—to talk about her personal and powerful journey with autism. From receiving a late diagnosis herself to navigating complex medical advice, Alex shares how she shifted from fear to confidence in parenting. We dive into what it really means to trust your gut as a parent and honor the unique needs of each child. This heartfelt conversation explores the emotional ups and downs of advocating for autistic kids and highlights the power of intuition, self-advocacy, and community. You won't want to miss Alex's inspiring and relatable story. Bio Alex Lamoreaux is a late-diagnosed neurodivergent mom of three young boys and a Licensed Clinical Social Worker with a background in addiction recovery and trauma treatment. After two of her sons were diagnosed with autism, she dove into learning—and unlearning—what it really means to support autistic children. Now in the thick of parenting and advocacy, Alex shares practical, real-life insights with honesty and heart, hoping to spark connection and offer support to fellow parents on similar journeys. Alex's TikTok Account https://www.tiktok.com/@alex.lamx?_t=ZT-8xBXQBH46la&_r=1 Takeaways Late diagnosis can provide clarity and reduce shame over past differences. Parents often feel overwhelmed by the amount of information available. Shifting from panic to empowerment is crucial in parenting. Each autistic child is unique and requires different interventions. There is no one-size-fits-all approach to autism. Trusting parental instincts is essential for effective parenting. You do not have to fill your child's day with therapy. Trust your gut feelings about your child's needs. Parents often know their children best, despite professional opinions. Medical professionals may not always have the latest information on autism. Advocating for your child can be challenging, but it is essential. Bringing a list to meetings can help parents stay focused. Cognitive dissonance is common when navigating medical advice. Parents should feel empowered to change providers if necessary. Finding clarity amidst overwhelming information is crucial for parents. You may also be interested in these supports Visual Support Starter Set Visual Supports Facebook Group Autism Little Learners on Instagram Autism Little Learners on Facebook
Eric Dane sat down with Diane Sawyer to talk about his ALS diagnosis.
In this heartfelt episode of Our Forever Smiles, host Laura Arroyo talks with Colleen Bennett, a Washington State native and military spouse of 18 years. Colleen shares the emotional story of discovering her daughter's bilateral cleft lip and palate diagnosis while her husband was deployed, and the loneliness that followed in the early days of uncertainty. Determined to advocate for her daughter, Colleen began researching cleft care on her own and discovered just how much treatment plans can vary by hospital. She shares what she learned about the benefits of NAM (nasoalveolar molding), how it can support both families and surgeons, and why clear communication with siblings is so important. Her passion and perspective offer comfort, clarity, and strength to any parent navigating a new diagnosis. This episode is a moving reminder that while the cleft journey can begin in isolation, it often leads to powerful advocacy and deep connection. Links and Resources: Patreon Subscription Tiers for Exclusive Content Our Forever Smiles Merch Store NC Cleft Mom FB Group Our Forever Smiles FB Group ______________________________________________________________________________ Today's sponsor is sienna dawn media Integrated Marketing Agency sienna dawn media is more than just a marketing agency—they are your partners in progress. Their mission is simple — to alleviate marketing bandwidth, allowing creative business owners to focus on what they set out to do: create. sienna dawn media empowers creatives to thrive without the burden of managing their own social media and marketing campaigns. So, if you're ready to set sail toward new horizons, let sienna dawn media chart the course and steer your business toward success. Visit siennadawnmedia.com.
Tracy Gohrick Light. Hope and Healing is where we talk about why you have stress, anxiety, pain, illness, and how to heal it. Tracy is a Healing Coach, Energy Healer, Spiritual Mentor, Sign up to receive a free healing meditationhttps://tracygohrick.com/free-stuff-1 Podcast Websitehttps://lighthopeandhealing.buzzsprout.com/ Podcast Sponsor My husband my mom and I have been on these patches and in a short time have had amazing results. If you are interested click the link below or email me tracy@tracygohrick.com Lifewave x39 patches: Check out https://startx39.com/ Link to order Lifewave x39 Patcheshttps://lifewave.com/tracygohrick To check out Stargate Pyramids Click the link below. Stargate Pyramids is the Pyramids. https://www.stargatepyramids.com/?ref=0i46vst2 Enter the Coupon Code tracygohrick to receive 10% (note use all lower case) To check out Pyramid Surge Click on the link below to check out. Pyramid Surge is the accessories to the pyramid. https://www.pyramidsurge.com/?ref=kq1xhwp1 Enter the Coupon Code TRACYGOHRICK to receive 10% off (note use all UPPER case) This podcast is on all major podcast platforms https://lighthopeandhealing.buzzsprout.comRumblehttps://rumble.com/c/c-5901221 YouTube https://www.youtube.com/@tracygohrick Tracy is now on TikTok click below to see her short videos. https://www.tiktok.com/@tracygohrick?is_from_webapp=1&sender_device=pc There are a variety of ways to work with Tracy https://tracygohrick.com/work-with-tracy For more information check out her website. https://tracygohrick.com/ Email tracy@tracygohrick.com Link for all of Tracy's social media and contact information https://linktr.ee/tracygohrick .DISCLAIMER: The information on this site is not intended nor implied to be a substitute for professional medical advice, diagnosis, or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Please see a medical professional if you need help with depression, illness, or have any concerns whatsoever. WE DO NOT OFFER MEDICAL ADVICE, COURSE OF TREATMENT, DIAGNOSIS, OR ANY OTHER OPINION on your conditions or treatment options. SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEBSITE are for information purposes only and not offered as medical or psychological advice, guidance, or treatment.
Anthony is a third-year psychology major from the University of Chicago who openly shares his journey with bipolar 1 disorder, which was diagnosed after his freshman year. He shares his struggle through depressive and manic episodes, the importance of medication, and the impact of lifestyle changes such as regular exercise, nutrition, and maintaining sobriety. Both Anthony and Paris touch upon their personal experiences with medication, the significance of a robust support system, and the value of being open about their diagnoses. The conversation aims to inspire young people, especially men, living with bipolar to seek help, embrace their mental health journey and realize that they are not alone.You can connect with Anthony here!You can support the one you love that lives with bipolar here!00:00 Introduction and Guest Introduction00:21 Anthony's Diagnosis and Early Struggles01:52 Experiencing Mania and Psychosis05:51 Coping Mechanisms and Lifestyle Changes09:08 Importance of Medication and Sobriety22:17 Support Systems and Living Well with Bipolar27:34 Final Thoughts and Farewell
Is it ADHD… or something else entirely? This episode dives into one of the most debated topics in parenting and child psychology. Dr Justin Coulson answers a heartfelt question from a concerned parent: Should I pursue a formal ADHD diagnosis for my child — or are there better first steps to take? If you're feeling overwhelmed by symptoms, advice, and conflicting opinions, this conversation will help you slow down, zoom out, and see your child through a compassionate, research-informed lens. KEY POINTS: ADHD diagnosis rates are rising — but is it always the right label? Some children may be diagnosed for what is actually normal developmental variation or environmental mismatch. ADHD-like symptoms may be a child’s way of trying to meet three unmet psychological needs: Connection (relatedness) Capability (competence) Control (autonomy) Neuroinflammation is an emerging and overlooked factor in ADHD symptoms. Developmental readiness matters — an 8-year-old’s brain is still undergoing major executive function development. Rather than trying to eliminate stress, parents can help children build capacity to handle challenge (a growth mindset). Medication might help some, but it’s not the first (or only) answer. Diagnosis should be thoughtful, multi-faceted, and whole-child focused. QUOTE OF THE EPISODE: "Difference doesn't mean disorder. Development is not a race." – Dr Justin Coulson RESOURCES MENTIONED: The Parenting Revolution by Dr Justin Coulson Happy Families – for more articles, podcast episodes, and parenting resources Self-Determination Theory & Growth Mindset research Parenting ADHD [The Course] ACTION STEPS FOR PARENTS: Delay formal diagnosis (unless impairment is severe) and give time for development. Audit the environment for connection, competence, and autonomy — is it need-thwarting or need-supportive? Support physical health: Prioritise sleep, unprocessed foods, and movement. Explore reducing neuroinflammation through lifestyle. Teach a growth mindset: Use the word “yet”, encourage effort, and model learning through challenges. Reframe behaviours: Daydreaming may signal creativity, not dysfunction. Risk-taking may show courage and capability-seeking. Task resistance may be about autonomy, not defiance. If pursuing assessment, choose a clinician who understands development, context, and the whole child — not just a checklist. See omnystudio.com/listener for privacy information.
Aly Arenholz was a freshman in high school when she was diagnosed with Stage 2 Thyroid Cancer when she was 15 years old in 2021. After undergoing a very difficult battle during much of it, Aly just graduated from high school and will be attending the University of Kansas in the fall where she hopes her career path will focus on becoming a Child Life Specialist. Aly will also talk about her Non-Profit KICK CANCER LIKE A GIRL BOSS, which she started while in treatment and focuses on trying to bring a smile to the faces of Pediatric Cancer Patients.
In this episode, I'm talking about something I see all the time in my practice but that too many women still suffer through in silence: Genitourinary Syndrome of Menopause (GSM). This condition shows up in women as estrogen levels decline, most commonly during and after menopause.If you've been dealing with vaginal dryness, itching, pain with intercourse, or repeated urinary tract infections, you're not alone, and it may be GSM.I walk you through the updated guidelines from the American Urologic Association (AUA) and the American Urogynecologic Society (AUGS) for diagnosing and treating GSM. We talk about what symptoms to look for and the full range of treatment options, including hormonal and non-hormonal therapies, so you can make informed decisions that work for you.In this episode, I also cover:Why follow-up care is just as important as starting treatmentHow shared decision-making with your provider changes outcomesWhat research still needs to catch up when it comes to cost and accessIf you've ever wondered if your symptoms are "just aging" or felt unsure about what's normal after menopause, this episode is for you. My goal is to empower you with information and make sure you know you're not alone.For more information on this study: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopauseTimeline:00:30 Introduction to Genital Urinary Syndrome of Menopause 01:25 Understanding the Symptoms and Diagnosis 03:15 Guidelines for Treatment 06:09 Hormonal Treatments and Recommendations 07:43 Non-Hormonal Treatments and Considerations 08:49 Energy-Based Treatments and Their Efficacy 10:36 Cancer Concerns and Hormonal Treatments 13:14 Follow-Up and Long-Term Management 14:04 Conclusion and Future Research
Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
Comments or feedback? Send us a text! Digital media is changing the way young people experience—and express—mental health struggles, particularly depression. Child and adolescent psychiatrist, Dr. Meredith Gansner, joins us to discuss themes in her new book Teen Depression Gone Viral.
What happens when your eating disorder recovery path no longer fits—because you finally discover you're neurodivergent? In Part 1 of this rich and validating conversation, Dr. Marianne is joined by Stacie Fanelli, LCSW (@edadhd_therapist), a neurodiversity-affirming therapist who specializes in eating disorders, ADHD, and autism. Together, they unpack the layered emotional terrain of realizing you're neurodivergent after you've already done a round (or more) of eating disorder treatment. This episode explores why so many late-diagnosed AuDHD folks experience grief, betrayal, and burnout in recovery settings—and what it means to reclaim recovery on your own terms. Stacie shares her own story of late identification, how it reshaped her clinical lens, and why compliance-based care can feel like safety while quietly reinforcing masking. If you've ever wondered whether traditional recovery frameworks truly work for neurodivergent brains, this episode offers both clarity and comfort.
Send a one-way text message. Ask a Question or message me your feedback. Be sure to leave your name too if you'd like a shoutout on the Podcast.In this week's episode of The Healthy Celiac Podcast, I'm diving into a new breakthrough coming out of Australia that could completely change the way coeliac disease is diagnosed. Imagine a future where you don't have to eat gluten again just to get a diagnosis. That future might be closer than we think.I'm sharing all the latest on the new IL-2 blood test being developed, what it means for people who've already gone gluten free, and why it matters so much. Plus, I open up about my own experience with diagnosis (and my kids' testing journey too), and the frustrating realities many of us face just trying to be heard. This episode is packed—so if you've ever struggled with getting answers, you won't want to miss this one.
My guest today is Dinakar Singh. Dinakar is the founder and CEO of Axon, the family office successor to TPG-Axon, which was a successful global long-short hedge fund. We wanted to share his story on Father's Day to honor the person and the dad that Dinakar is. He shares one of the most extraordinary stories at the intersection of finance and medicine I've ever encountered. This conversation explores the highest-stakes investment themes—timing, concentrated conviction, exceptional team building, and deploying resources toward outcomes that matter most. I will let him tell you his story. Please enjoy my conversation with Dinakar Singh. For the full show notes, transcript, and links to mentioned content, check out the episode page here. ----- This episode is brought to you by Ramp. Ramp's mission is to help companies manage their spend in a way that reduces expenses and frees up time for teams to work on more valuable projects. Go to Ramp.com/invest to sign up for free and get a $250 welcome bonus. – This episode is brought to you by Ridgeline. Ridgeline has built a complete, real-time, modern operating system for investment managers. It handles trading, portfolio management, compliance, customer reporting, and much more through an all-in-one real-time cloud platform. Head to ridgelineapps.com to learn more about the platform. – This episode is brought to you by AlphaSense. AlphaSense has completely transformed the research process with cutting-edge AI technology and a vast collection of top-tier, reliable business content. Invest Like the Best listeners can get a free trial now at Alpha-Sense.com/Invest and experience firsthand how AlphaSense and Tegus help you make smarter decisions faster. ----- Editing and post-production work for this episode was provided by The Podcast Consultant (https://thepodcastconsultant.com). Show Notes: (00:00:00) Welcome to Invest Like the Best (00:06:17) The Diagnosis and Initial Reactions (00:07:29) Understanding SMA and the Scientific Challenge (00:09:15) The Drive to Fund Research and Find a Cure (00:14:10) Building a Virtual Company for Drug Development (00:19:02) Breakthroughs and the First Approved Drugs (00:24:16) Personal Reflections and the Impact of the Journey (00:40:25) Challenges in the Biotech Industry and Future Hopes (00:46:43) The Kindest Thing Anyone Has Ever Done For Dinakar
We dive deep into the real world impact of leg length discrepancy (LLD) with two athletes - one who corrected it, and one who's considering the journey.⚽ Sam, a former semi-pro soccer player, shares how a 2.3cm congenital tibial discrepancy affected his mobility and performance. After undergoing tibial lengthening surgery, he's now able to run, perform agility, do marathons and play with his son without pain and plans to compete in a soccer tournament this fall - he shares everything about the recovery, rehab, and mental shift that came with it.
Send us a textIn an obtuse world Mark & Jefe are here to keep you vertical.Jefe and I discuss all the current events from Israel vs Iran, LA ICE Riots and TRex Arms vs Lucas Botkin THANK YOU TO OUR SPONSOR XS SightsXS Sights - https://xssights.com/20% Discount with code LARPBooks We Recommend:Herbal Medic: https://amzn.to/3ArhUGXTriphasic Tactical Training Manual: https://a.co/d/0I1iYRuThe Merck Manual of Diagnosis and Therapy : https://a.co/d/6jU0EDWTarascon Pocket Pharmacopoeia: https://a.co/d/fZm4jqpFollow us on Instagram @livelaughlarp_podcastEmail us questions/topics at live.laugh.larp.podcast@gmail.comFind the Fit'n Fire YouTube Channel at https://www.youtube.com/fitnfireIntro/Outro Music: Elysium · Karl Casey
A Gluten Free Podcast Episode 184 In this episode of A Gluten Free Podcast, I'm joined by Dr. Andrew Williams, Principal Scientist at Westmead Children's Hospital in Sydney, Australia. Dr. Williams has spent decades researching coeliac disease and the complex immunological processes behind it. We explore how coeliac disease research has evolved, what still needs to change, and how early diagnosis in children could significantly improve health outcomes across Australia and globally.We dive into the inspiration behind Dr. Williams' career in immunological research, his earliest experiences working with children diagnosed with coeliac disease, and what initially drew his attention to this autoimmune condition. With so many people still undiagnosed, we talk about how Australia compares to other countries like Italy, where screening children for coeliac disease and Type 1 diabetes is already underway.We also discuss promising innovations like the Novoleukin blood test—a tool being developed to detect coeliac disease even in people who are already on a gluten-free diet. This episode offers a hopeful and practical look into how coeliac disease awareness, testing methods, and healthcare systems could shift for the better—if we focus our efforts in the right places.What We Cover:How Dr. Andrew Williams became involved in coeliac disease researchWhat we knew (and didn't know) about coeliac disease when he began his careerMajor milestones in coeliac disease research over the past few decadesReal-life stories from the clinic that shaped his perspectiveThe critical need for early diagnosis in children with coeliac diseaseWhy so many Australians remain undiagnosed and what needs to changeHow other countries like Italy are taking proactive steps to improve coeliac screeningThe future of coeliac disease testing, including the upcoming Novoleukin diagnostic toolWhat parents of children with coeliac disease need to knowHow one powerful conversation reminded him why this work matters
This week on the show I walk you through diagnosing a C2206 setting in the 4x4 module of a Jeep Liberty. The transfer case is stuck in 4 wheel drive and the shop has replaced several components in attempts to fix without results. This code pertains to a configuration error with one of the modules on the network, but a restore configuration, VIN check, & part number check all come up with no issues. How do we solve this? Website- https://autodiagpodcast.com/Facebook Group- https://www.facebook.com/groups/223994012068320/YouTube- https://www.youtube.com/@automotivediagnosticpodcas8832Email- STmobilediag@gmail.comPlease make sure to check out our sponsors!SJ Auto Solutions- https://sjautosolutions.com/Automotive Seminars- https://automotiveseminars.com/L1 Automotive Training- https://www.l1training.com/Autorescue tools- https://autorescuetools.com/
What's currently threatening the health of Iowa's trees and forests?
Eric Dane opened up about his ALS diagnosis, and Taylor Swift At A Hockey Game Learn more about your ad choices. Visit megaphone.fm/adchoices
HER STORYDr Wahls is the clinical professor of medicine at the University of Iowa Carver College of Medicine in Iowa City, Iowa, U.S.A., where she teaches internal medicine residents in their primary care clinics. She also does clinical research and has published over 60 peer-reviewed scientific abstracts, posters, and papers. In addition to being a doctor, she is also a patient with a chronic, progressive disease. She was diagnosed with relapsing-remitting multiple sclerosis in 2000; around the time she began working at the university. By 2003, she had transitioned to secondary progressive multiple sclerosis. She underwent chemotherapy to slow the disease and began using a tilt-recline wheelchair because of weakness in her back muscles.It was clear: Eventually she would become bedridden by the disease and wanted to forestall that fate as long as possible.FROM SURVIVING TO THRIVINGWhen diagnosed with multiple sclerosis, Dr. Terry Wahls had two choices for the example she could set for her children. She could model giving up, or she could model that even though life's not fair, you get up every day and you do the best that you can. She chose the latter. Now, Dr. Wahls has a new mission: to create an epidemic of health and help millions of people reclaim their lives.She is the author of The Wahls Protocol®: How I Beat Progressive MS Using Paleo Principles and Functional Medicine, The Wahls Protocol®: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles (paperback),and the cookbook The Wahls Protocol® Cooking for Life: The Revolutionary Modern Paleo Plan to Treat All Chronic Autoimmune Conditions AGENDA:Tell us your story about MS & what you learned through its course. Talk to us about the various types of brain cells and the role they play in turning MS on or off.What does the research say about your program and the various components.How widely applicable is this type of program? Yes for MS, but what about other autoimmune conditions? Toxic conditions? Alzheimer's/ Parkinson's, etc?How has your program evolved over the years and how does it continue to evolve?If you are a person listening to this right now with MS or these other conditions, what are the most accessible points of entry to make change, to potentially change the course of your disease?What are you excited about next in research & complex/ chronic disease development?
The Gossip Pups recap their week and then it's time to spill the tea on...Pop Culture: Taylor Swift and Travis Kelce are a winning pair on date night at Game 4 of Stanley Cup Final, Prince William's billionaire pal Sunjay Kapur dead at 53 after swallowing bee during polo match, King Charles' Cancer Is Incurable, Bombshell Report Suggests, JoJo Siwa hits back at Miley Cyrus' ‘not very good' sexuality joke: ‘People judge no matter what' and Eric Dane fights back tears in emotional first interview since ‘crushing' ALS diagnosis.Pup Culture: 101 dogs found crammed into unsanitary spaces during rescue at unassuming n.c. home, Texas mail carrier rushes to be first in line to adopt surrendered dog from his former mail route .Gator Culture: Florida Dog was enjoying his backyard when all of a sudden an Alligator dragged him away.Follow Tinkerbelle and Belle! Instagram: @TinkerbellethedogTikTok: @TinkerbelleAdogFacebook: Tinkerbelle the DogYoutube: Tinkerbelle the dogTwitter: @TinkerbelleadogHave a question for us? Email us at GossipPups@gmail.com!SHOP: Tinkerbelle the Dog & Belle's 2025 CalendarSHOP: Tinkerbelle the dog & Belle Merch
Eric Dane talks ALS diagnosisSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Where can you find hope when a diagnosis is difficult to accept? How can you trust God when life's challenges feel insurmountable?For Alan Hester, finding out that he had ALS-a degenerative neurological disease-was devastating at first and yet, he now describes it as one of the best things that happened to him. Not because the suffering or the pain has been easy, but because of the depth and richness he has experienced in his relationship with Christ through it. Learning what it truly means to depend on God in the midst of his suffering, Alan has gained spiritual strength as his body has experienced more and more weakness. In this heartfelt conversation, guest host Amy Sylvestre and Alan talk about how suffering can connect us more and more to Jesus, why scripture is so important in our pain, and the importance of allowing community to walk alongside us when we can't stand on our own. If you or someone you love is facing a difficult diagnosis, this episode will encourage a steadfast strength to trust in the Lord in whatever you are facing. NO SOCIAL MEDIA OR WEBSITE AVAILABLE for Alan; Instagram: @amysylvestrecoaching Wondering where to get started on your journey towards healing? Join Davey on our next FREE, live Zoom call and find out how you can begin to take back your story and how Nothing is Wasted can help. Sign up today at: www.nothingiswasted.com/starthere Looking for help in navigating the valley of pain and trauma? Our Nothing is Wasted coaches can help: www.nothingiswasted.com/coaching Want a pathway through your pain? The Pain to Purpose Course can lead you through all you've been through: www.mypaintopurposeplan.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Toren and Serenity open up about life on the autism spectrum, sharing powerful stories of resilience, misunderstanding, and self-discovery. From sensory meltdowns to navigating school and food challenges, their honesty sheds light on the daily realities of neurodivergent families. This heartfelt conversation also explores Serenity's late diagnosis and the impact of sharing their journey online. A must-watch for anyone seeking deeper understanding, compassion, or connection. ✨ **THANK YOU TO OUR SPONSORS!**
We'd like to extend our sincere thanks to our episode sponsor, reStickity®. Their innovative, mess-free reusable sticker sets allow families to personalize hospital spaces with familiar photos and comforting images, helping bring a sense of home to the hospital. To learn more, visit their website and use code CLOC10 for an exclusive discount available to our listeners. In this inspiring episode, we meet Sarah Michelle Boes—nurse practitioner, entrepreneur, and mom to Meadow, who was diagnosed in utero with Tetralogy of Fallot and multiple congenital heart defects. Sarah brings a powerful trifecta of perspectives: as a medical provider, mental health advocate, and dedicated heart mom. We cover: ✅ Meadow's life-saving heart surgeries and long ICU stays ✅ How Sarah navigated new motherhood with OCD and anxiety ✅ The emotional toll of being both a medical provider and a parent ✅ Creating a connection through medical play to ease doctor visits ✅ How Sarah turned survival into purpose through national advocacy Whether you're a fellow medical parent, healthcare provider, or mental health professional, this episode will leave you with real insight into the raw challenges and unexpected joys of raising a child with complex medical needs. Key Topics & Highlights [00:00] – Meet Sarah Michelle Boes Nurse practitioner, entrepreneur, and heart mom Her daughter Meadow's surprise diagnosis of Tetralogy of Fallot at 36 weeks ⏱️ [03:00] – From Business Success to Medical Crisis Selling her business weeks before Meadow's diagnosis The shock of learning Meadow had four heart defects ⏱️ [05:00] – Learning to Navigate as a Medical Parent How Sarah's medical background helped (and complicated) her parenting Teaching her husband how to advocate medically alongside her ⏱️ [07:00] – Mother's Intuition & Switching OBs Sarah felt something was wrong during pregnancy but was dismissed A new ultrasound revealed her daughter's heart looked “weird” ⏱️ [10:00] – NICU Rollercoaster Begins Meadow intubated within hours of birth due to medication side effect Sarah and her husband find strength in teamwork ⏱️ [14:00] – Advice for New Heart Parents The overwhelm of tracking vitals and data post-discharge Feeling more like Meadow's nurse than her mom ⏱️ [17:00] – The Unexpected Second Surgery & Major Setbacks Meadow's patch failed, requiring emergency open-heart surgery Her chest remained open for a week due to complications ⏱️ [21:00] – A Brain Bleed Diagnosis & Mental Health Spiral Sarah shares how uncertainty triggered her OCD Emotional trauma of seeing Meadow cold, still, and open-chested ⏱️ [25:00] – Living in the ICU Full-Time How Sarah and her husband made the hospital their home The benefits of being physically present 24/7 ⏱️ [28:00] – Discharge Shock & OCD Diagnosis Meadow is stable—but Sarah's anxiety peaks post-discharge Diagnosed with OCD just 10 days after coming home ⏱️ [32:00] – Healing Through Gratitude & Giving Back Family vacation sparks the idea for a donation The heart institute is named in Meadow's honor with a mural ⏱️ [36:00] – Sarah's Ongoing CHD Advocacy Work Advocating for the Congenital Heart Futures Act Raising awareness for adult congenital cardiology and research needs ⏱️ [40:00] – The Power of Medical Play Meadow's echos improved after doing medical play at home Sarah incorporates play to help her daughter cope with appointments ⏱️ [43:00] – Reflections & Advice for Other Parents Learning how strong her partnership with her husband is Why having the right support person changes everything ⏱️ [45:00] – Where to Follow Sarah & Continue the Journey Website, LinkedIn, Instagram, and more Connect with Sarah Michelle Boes
I'm Still Here: Lessons from Life with Metastatic Breast Cancer with Heather Jose
Episode 237: Thriving Decades Beyond Diagnosis – Beth's Survivor Story (Replay from 2023)In this inspiring replay from 2023, Heather sits down with Beth, a metastatic breast cancer survivor who has been thriving for over 25 years. Beth shares the emotional and practical lessons she's learned across decades of living with stage IV cancer—offering powerful insight, encouragement, and hope for others on the same path.Whether you're newly diagnosed or years into your journey, Beth's story is a reminder that long-term survivorship is possible—and that life with cancer can still be full of meaning, joy, and strength.
If President Trump gets his way, Congress will pass a major spending bill that would make big changes to Medicaid. Governor Bob Ferguson estimates that nearly 200,000 people in WA would lose Medicaid coverage. We talk with Dr. Julian Perez about the potential impact of these cuts. He's a family physician with Sea Mar Community Health Centers. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.
Why is autoimmune disease in menopause becoming more prevalent? And why are college-age patients a growing autoimmune demographic? In your 60s, when the world is thinking of retirement, would you ever consider being a founder of a new business instead of spending days on the golf course or traveling? Answers to the increase in autoimmune disease in menopause and more in this special episode I think you may find both alarming and fascinating; both a shot of reality and hope. My Guest: Dr. Bonnie Feldman, 69, Co-founder and Chief Patient Officer of Rheumission, is an entrepreneur, health practitioner, researcher, financial analyst, digital health advisor and autoimmune patient and advocate. Since 2010, Dr. Feldman integrates digital tech, virtual-first care, and lifestyle interventions with conventional care to improve outcomes for autoimmune patients. She spent the past decade raising awareness of the underserved and growing autoimmune market opportunity for private investment. Her experience as an autoimmune patient have fueled Bonnie's passion for prevention, earlier diagnosis and improved care for all autoimmune patients. Questions We Answer in This Episode: [00:04:50] Tell me about your own journey - why become a startup founder at an age (now 69) that most people are already in retirement? [00:09:16] What are autoimmune diseases? [00:13:18] What do people not understand about autoimmune disease? [00:18:21] Why do you say that autoimmune disease is a women's health crisis? [00:22:39] What is fundamentally wrong and needs to change in the way autoimmune patients are treated and diagnosed? What are doing to change this? [00:24:42] What is biologics? What are the negative side effects of biologics? [00:33:04] What is the legacy you hope to leave (for your 10 grandchildren)? Know if You May Have Autoimmune Disease in Menopause What is Autoimmune Disease? Old Definition When the immune system attacks itself. 100 different kinds e.g. multiple sclerosis, rheumatoid arthritis, psoriatic arthritis, all sort of colitis and Crohn's New Definition Now includes the inflammatory spectrum and autism spectrum Autoimmune Disease Is a Women's Health Crisis 80% of autoimmune patients are women, around 40 million people Hormones influence during puberty, pregnancy, menopause Late-onset autoimmune diagnoses are on the rise. The biggest growth is in young adult women who are college age. Treatment for an Autoimmune Disease Patient Conventional Medicine The patient sees different kinds of specialized doctors that do not necessarily talk to each other (e.g. dermatologists, rheumatologists, etc.) Rheumission A Care Team is provided under one virtual roof with access to the patient digitally 24/7 if needed. This includes lifestyle medicine physician, an autoimmune psychologist, an autoimmune dietitian, an exercise program, and a care coordinator. Uses lifestyle medicine as the first lever of defense like diet, sleep, psychological, etc. Medicines are used in the lowest dose when needed. Connect with Dr. Bonnie: Dr. Sharon's Website - Rheumission Facebook - rheumission Instagram - @rheumissionhlth YouTube - @rheumission Other Episodes You Might Like: Previous Episode - Supplements I Take in Menopause Next Episode - What's Best Total Body or Split Routine in Menopause More Like This - How to Have and Still Thrive with Autoimmunity in Menopause Resources: GYROTONIC® Feldenkrais Gait Therapy Pelvic Floor Therapy Short & Easy Exercise videos in this 5 Day Flip Challenge. Don't know where to start? Book your Discovery Call with Debra.
In this episode of the Rachel Hollis podcast, Rach offers powerful advice on how to reassess and re-align your goals mid-year. Emphasizing the importance of root cause analysis versus treating symptoms, she discusses creating intentional goals, the significance of celebrating wins, and the necessity of clearing out what's draining you.Get your copy of Rachel's New Book Here: Audible, Amazon, Barnes & Noble, Books-A-Millon, Bookshop.org, or wherever books are sold!00:52 Welcome and Community Engagement01:52 Summer Fridays and Mid-Year Motivation02:38 Reflecting on the First Half of the Year07:10 Building a Game Plan for the Second Half10:57 Journal Prompts for Reflection13:41 Celebrating Wins and Setting Goals21:21 Clearing Out the Junk26:27 Setting Family Goals for 202527:24 Addressing My Daughter's School Struggles32:09 Diagnosis and Treatment Journey36:19 Reflecting on Limiting Beliefs39:09 Creating a Game Plan for the Next Six Months48:27 Balancing Productivity and JoySign up for Rachel's weekly email: https://msrachelhollis.com/insider/Call the podcast hotline and leave a voicemail! Call (737) 400-4626Watch the podcast on YouTube: https://www.youtube.com/c/RachelHollisMotivation/videosFollow along on Instagram: https://www.instagram.com/MsRachelHollisTo learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices.
Robach and Holmes cover the latest news headlines and entertainment updates and give perspective on current events in their daily “Morning Run.” See omnystudio.com/listener for privacy information.