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In this episode, we review the high-yield topic of Brain Death Diagnosis from the Neurology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
1. In this first deep dive, Bassetti discusses the changing landscape of antimicrobial resistance in hospitals and ICUs, the challenges of multidrug-resistant Gram-negative bacteria, and the vulnerability of patients who are critically ill and immunocompromised. He explores how diagnosis, empiric therapy, and therapeutic monitoring influence outcomes and resistance. Timestamps: 01:09 – Antimicrobial resistance trends 04:06 – Tackling sepsis 06:39 – Gram-negative threat 08:15 – Vulnerable populations 10:00 – Diagnosis and empiric therapy 12:14 – Dosing and pharmacokinetics 14:32 – Antibiotic allergies
To question a diagnosis today is to trigger a moral reaction.In contemporary psychiatry, diagnostic categories no longer function merely as clinical tools. They increasingly operate as moral identities, conferring legitimacy, status, and exemption from blame. When criteria are questioned, the response is often not clinical disagreement but moral accusation. Upgrade and join us this Saturday the 14th of March at 3 pm Eastern for the next Live Clinical Case Session on psychiatric medicationsIn this video, I trace how bipolar disorder transformed from a rare and unmistakable illness into a broad diagnostic spectrum, and how that transformation reshaped psychiatric practice itself. From Kraepelin's manic-depressive insanity, through DSM standardization, to the rise of the bipolar spectrum and the invention of the “bipolar child,” this is an account of how diagnostic boundaries eroded under cultural, institutional, and professional pressure.00:00 Diagnosis as Moral Status03:00 How Bipolar Became a Checklist04:50 The Spectrum Explosion09:50 The Bipolar Child14:50 The Cost of Inclusion This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe
In this meeting of The Late Diagnosis Club, Dr Angela Kingdon welcomes Amy Kriewaldt, a late-diagnosed Autistic, ADHD, and PDA mother of three neurodivergent children.Amy grew up a hyperlexic piano prodigy, praised for talent and performance while quietly navigating sensory overwhelm, situational mutism, perfectionism, and crushing internal expectations. It wasn't until her children began receiving diagnoses that she started to recognise herself in their traits, and ultimately heard the words that changed everything: “Oh, I think you're Autistic.”Together, Angela and Amy explore hyperlexia, auditory processing differences, late self-recognition, self-compassion, memoir writing as a reframing, ADHD medication, self-medication through alcohol and caffeine, and the shift from compliance-based education to connection-centred learning.This is a conversation about reframing failure, advocating fiercely, rewriting your past, and building systems that support autistic people across the lifespan.
Occlusion cases stall when dentists focus only on how the teeth fit, instead of why the bite doesn't fit in the first place. In this episode, Kirk Behrendt brings back Dr. Jim McKee to explain the #1 thing dentists get wrong about occlusion—and why it's not the teeth. You'll learn how to redefine occlusion beyond tooth contacts, how disc displacement changes the bite, why many “malocclusions” should be considered joint-driven until proven otherwise, and how better diagnosis can create a restorative diagnostic practice model that attracts the right patients. listen to Episode 1017 of The Best Practices Show!Main TakeawaysOcclusion must be defined as both how the teeth fit together and how the joints fit together, because joint position drives tooth position.Many cases that stall in treatment planning stall because the dentist doesn't know how to manage occlusion and TMD variables.Clicking and popping joints are most often ligament tears that create a disc displacement, not “stretching” that resolves on its own.Instead of asking how to remove a posterior interference, the better question is why the interference exists in the first place.Class II malocclusions are often related to joint conditions, and the disc-condyle relationship can explain why the mandible isn't forward enough.If you wait for TMJ pain to appear, you are often late, because many adult TMD presentations started during growth years.Diagnosis requires appropriate imaging, and evaluating only hard tissue can miss the disc-condyle interface that drives growth and occlusal change.Snippets:00:00 Podcast Welcome01:10 Meet Dr Jim McKee02:25 Young Dentist Challenges04:17 Why Occlusion Stalls Cases07:02 Redefining Occlusion08:26 Class Two Joint Clues11:34 Disc Displacement Basics13:25 Injury Causes Clicking14:47 Gasket Analogy Explained17:39 Posterior Interference Rethink21:00 Reading Patient Red Flags22:53 Growth Airway MRI Debate26:16 Supporting Orthodontists Better27:21 Malocclusion Is Joint Driven28:02 Prevalence And Planting Seeds30:29 Diagnostic Records Practice Model31:50 Fees And Low Stress Workflow33:15 Rethinking Orofacial Pain36:40 Bruxism And Sympathetic Drive38:50 Patients Are Not Crazy40:01 Imaging Before Appliances41:37 TMD As Practice Growth Engine43:19 Referrals And Study Clubs44:33 Chicago Study Club And Courses47:52 Wrap Up And ResourcesGuest Bio/Guest Resource:Dr. Jim McKee is a restorative dentist and educator focused on occlusion, TMD, and restorative diagnosis. He is a member of the Spear Resident Faculty. He has maintained a private practice since 1984 in Downers Grove, Illinois, where he treats a wide variety of cases with a focus on predictable restorative dentistry. He is a member of the American Academy of Restorative Dentistry and former president of the American Equilibration Society. He has lectured both nationally and internationally for over 25 years and directs several study clubs. Dr. McKee graduated from the University of Notre Dame in 1980 and earned his dental degree from the University of Illinois College of Dentistry in 1984. More Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
Patients are saying "I'll think about it" more than ever — not because they don't want care, but because they can't see how to afford it. In this episode, Dr. Len Tau and Nancy Coy break down how dental practices can rebuild trust, improve the money conversation, and create a clear path from diagnosis to a confident "yes." Dr. Len Tau sits down with Nancy Coy of FinanceRx to talk about what really causes case acceptance breakdowns. They discuss why affordability is the #1 barrier for patients, how practices should structure lending options beyond just one provider, and why the money conversation must start earlier in the patient journey — even before the patient walks in. Nancy also shares compliance risks practices often overlook, and Dr. Len explains how offering the right financing at the right time can turn patients into lifelong raving fans. What You'll Learn Why affordability is the biggest reason patients delay treatment How to respond when teams resist financing because of "fees" The difference between revolving credit vs installment loans When and how the money conversation should happen in the patient journey Why having multiple lenders (by credit tier and case size) matters The compliance pitfalls that can hurt your reputation and revenue How trust and transparency can dramatically increase case acceptance Key Takeaways 00:44 Welcome and Sponsors 03:20 Nancy's Career Journey 05:40 Affordability Blocks Treatment 10:56 Diagnosis to Decision Gap 13:20 Building Patient Trust 18:10 Presenting Without Selling 22:10 Credit and Compliance 23:47 Smarter Lending Strategy 29:56 Avoiding Regulatory Risk 34:51 Inside FinanceRx 36:24 Lightning Round 39:20 Final Takeaways — Connect with Nancy
What Stability Really Requires: Breana Grayson on Bipolar Disorder, Stigma, and Support at WorkAmy Pons hosts Women Making Moves and interviews writer Breana Grayson about living with bipolar disorder, what “stability really requires,” and the stigma and misunderstandings that still surround bipolar (“one of the ‘scary ones'”). Breana explains that medication is essential for her but not sufficient; stability also involves therapy, psychiatric care, consistent sleep, exercise, diet, and enjoyable practices like writing, guitar, and “therapy based kind of yoga,” and she defines stability as moving through life without derailing relationships or work. They discuss how menstrual cycles can affect symptoms, Breana's use of cycle tracking and astrology to document patterns, and her diagnosis process at 25 through an intensive outpatient program after work and relationship difficulties. Brianna argues remote and flexible work are not favors but protect productivity, and she advocates proactive workplace support, education, and community so people don't handle bipolar alone.00:00 Welcome and Guest Intro00:47 Stability and Root Chakra01:22 Bipolar Stability Routine02:22 Redefining Normal03:46 Yoga and Creative Coping04:33 Bipolar Stigma Myths05:46 Cycles Hormones Astrology08:51 Sharing Her Story at 2609:23 Diagnosis at 2510:32 Screening and Medication Risks11:58 Childhood Signs and School Support14:58 Remote Work as Accommodation17:51 Workplace Support Strategies20:37 Mental Health Across Generations25:21 Advice Find Community27:04 Where to Follow and Closing
Pancreatic cancer is often called a 'silent' disease because its early signs are so easy to miss. This episode provides a comprehensive look at the diagnosis—from the complex Whipple procedure to hospice care—to help families move from fear toward understanding. https://bit.ly/4birjzsIn this episode, you will learn: What the pancreas actually does (enzymes, insulin, and glucagon).The difference between modifiable and non-modifiable risk factors. What a "pancreaticoduodenectomy" (Whipple procedure) involves and a brief history of the procedure. How hospice provides wraparound support to manage metastasis, ascites, and pain, ensuring comfort and dignity in the final stages Timestamps: 00:00 - Intro: Roasted Jalapeño Dip, and Mel Brooks Documentary03:14 - Jim Henson's Legacy - It's Not Easy Bein' Green06:33 - Pancreatic Cancer Statistics & The Pancreas Defined06:33 - Cancer Risk Factors: Genetics vs. Lifestyle 09:42 - The Whipple Procedure Explained 16:42 - Late-Stage Realities & Hospice Support29:19 - A Poem Honoring Alex Pretti by National Youth Poet Laureate Amanda Gorman 30:56 - OutroRelated Episodes Mentioned:S5E45: Why Does Cancer Exist?S4E26: How Pain Medications for Cancer Improve Quality of LifeS2E29: How to Decide When It is Time for HospiceS4E43: The Carters – Living Their Best Life to the End #PancreaticCancer #CancerAwareness #HospiceCare #WhippleProcedure #EndOfLife #EveryoneDiesPodcast #JimHensonSupport the showConnect with Us: Email our Host: mail@every1dies.org Website: https://every1dies.org: Find show notes, links and expanded resources Follow Us: Facebook | Instagram | YouTube
This inaugural episode of the CardioNerds Pulmonary Embolism (PE) Series explores the evolution of acute PE care. Dr. Ibrahim Zahid, Dr. Dinu Balanescu, and Dr. Billy Joe Mullinax join guest expert Dr. Kenneth Rosenfield to discuss the shifting landscape of PE management. Pulmonary embolism (PE) remains a leading cause of cardiovascular mortality and a frequent diagnostic challenge, often masquerading as myocardial infarction or a benign illness. Over the past decade, PE care has evolved from anticoagulation-only strategies to nuanced, risk-stratified, multidisciplinary management. Modern approaches integrate hemodynamics, biomarkers, and advanced imaging to guide therapy, including catheter-directed interventions and large-bore thrombectomy. The Pulmonary Embolism Response Team (PERT) model addresses historical gaps by coordinating rapid, multispecialty decision-making and standardizing care pathways. The PERT Consortium further advances PE care through education, research, and the world's largest PE registry, while fostering leadership and research opportunities for trainees. Despite advances, long-term outcomes and post-PE syndromes remain important areas for future investigation. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls PE is a “master masquerader”—maintain suspicion for atypical presentations like myocardial infarction, heart failure, flu, or anxiety. Multidisciplinary management mediated through pulmonary embolism response teams improves outcomes and standardizes care. Risk stratification integrates hemodynamics, biomarkers, and imaging. Advanced therapies have expanded beyond anticoagulation. Long‑term follow‑up and post‑PE syndrome need more research. Notes Notes: Notes drafted by Dr. Ibrahim Zahid. 1. How has the clinical approach to PE changed over the past decade? PE is the third leading cause of cardiovascular death and historically under‑recognized. Symptoms mimic MI, HF, asthma, syncope, and more.PE is a silent killer, and it should be recognized more as a cause of spontaneous cardiac arrest. Where life threatening disease like stroke which is owned by neurological specialists and MI is primarily managed by cardiac specialists, PE is an entity without a professional home. The PERT Consortium brings the specialties together for PE care. 2. Ten years ago, a 58-year-old patient with a large bilateral PE, RV dilation, and positive biomarkers might have been managed with anticoagulation and close observation alone. Today, with evolving—but still uneven—data on advanced therapies, PE care feels far more nuanced and highly dependent on where you practice. What are the major gaps in traditional PE management that clinicians should recognize, and what care pathways should they be aware of across different hospital systems? Care has shifted from anticoagulation‑only to multidisciplinary approaches like catheter directed thrombectomy. Risk‑based pathways and the use of CT angiogram has improved early recognition. Risk stratification tools must be used as tools for early recognition of intermediate risk PE. Untreated PE leads to chronic complications like chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, which requires long term clinic follow up. 3. What is the role of risk stratification tools such as PeSI, sPeSI scores, cardiac biomarkers, and imaging findings in PE, and how do they guide treatment decisions in real world practice? Integrate vitals (blood pressure and heart rate), biomarkers (troponin, pro-BNP), RV/LV ratio assessment, acid‑base status, and scores. Tools include PESI, sPESI, BOVA, HESTIA, FAST, Geneva, NEWS, shock index. Vitals, lactate, acid-base status, and tools like NEWS or shock index track clinical evolution. PESI/sPESI estimate 30-day mortality and help identify low-risk patients who may be candidates for early discharge or outpatient therapy. Clinical judgment matters—scores don't fully capture clot burden, trajectory, or bleeding risk. 4. How was the pulmonary embolism response team created, and since its creation, what evidence or outcome data became available to support the PERT model? Originated after a sentinel case at MGH: A young, pregnant woman in her 30s, who collapsed at home, underwent thrombectomy, and had to be on ECMO for a few days. The case brought cardiology, cardiac surgeons and critical care physicians together for planning and improvement in her health, which was rewarding. Thereby, it was decided to bring specialties involved in PE care together to create a response team. The name of the team, Pulmonary Embolism Response Team (PERT), was coined by Richard Channick in the first meeting. Posters were set up all over the hospital to call a centralized line when an acute PE is recognized A meeting was held to present the concept of putting together a consortium, with development of action items and a PERT database. Enabled rapid multidisciplinary input using early teleconferencing tools. 5. Given concerns about having too many ‘cooks in the kitchen' during the initial PE call—especially with rotating teams—how can institutions reconcile workflow complexity with standardized pathways in a way that meaningfully supports and justifies the added burden on frontline clinicians? Every hospital's PERT is different, catering to their needs and workflow At least two disciplines are needed to make a PERTData is currently being collected to guide further on how the workflow can be standardized Most importantly, the team brings in resources that were not available prior to PERT formation. 6. What are the main goals of the PERT consortium, and how does it support clinicians and institutions involved? To improve care and improve outcomes for patients with PE Expand education, refine algorithms, standardize care with Centers of Excellence. Maintain the largest PE registry for research and outcomes improvement. 7. Beyond global networking, shared learning from successful systems, and the pathway toward Center of Excellence designation, what additional benefits can clinicians and health systems gain by participating in the PERT Consortium? The ability to learn from other systems, the ability to share experiences. Allow people to develop their professional careers like leadership experience, becoming a member of the trainee council Initiate projects and receive funding for your ideas 8. For trainees interested in pulmonary embolism care, how can a trainee be a champion at their institution? Does PERT provide assistance and how can they really contribute meaningfully even before becoming a fellow/attending? Medical students and residents interested in PE should reach out to the consortium and the consortium will hook you up with the correct mentors who can nurture you along. Listen to the podcasts. Participate with your local PERT team PERT wants involvement of people who are social media savvy to help spread the word on PE. Top three take-away points from this episode Acute PE care has advanced and multiple treatment modalities for acute PE including catheter directed therapy, large bore thrombectomy, are becoming standard of care. Multidisciplinary models like PERT improve coordination and outcomes. Trainees play a vital role in advancing PE care through involvement, research, and education References Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, Huisman MV, Humbert M, Jennings CS, Jiménez D, Kucher N, Lang IM, Lankeit M, Lorusso R, Mazzolai L, Meneveau N, Ní Áinle F, Prandoni P, Pruszczyk P, Righini M, Torbicki A, Van Belle E, Zamorano JL; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405. PMID: 31504429. https://pubmed.ncbi.nlm.nih.gov/31504429/ Rosovsky R, Zhao K, Sista A, Rivera-Lebron B, Kabrhel C. Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions. Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. PMID: 31294318; PMCID: PMC6611377. https://pmc.ncbi.nlm.nih.gov/articles/PMC6611377/ Rosenfield K, Bowers TR, Barnett CF, Davis GA, Giri J, Horowitz JM, Huisman MV, Hunt BJ, Keeling B, Kline JA, Klok FA, Konstantinides SV, Lanno MT, Lookstein R, Moriarty JM, Ní Áinle F, Reed JL, Rosovsky RP, Royce SM, Secemsky EA, Sharp ASP, Sista AK, Smith RE, Wells P, Yang J, Whatley EM; Pulmonary Embolism Research Collaborative (PERC) Attendees. Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative. Circulation. 2024 Oct;150(14):1140-1150. doi: 10.1161/CIRCULATIONAHA.124.067482. Epub 2024 Sep 12. PMID: 39263752; PMCID: PMC11698503. https://pubmed.ncbi.nlm.nih.gov/39263752/ Sharifi M, Awdisho A, Schroeder B, Jiménez J, Iyer P, Bay C. Retrospective comparison of ultrasound facilitated catheter-directed thrombolysis and systemically administered half-dose thrombolysis in treatment of pulmonary embolism. Vasc Med. 2019 Apr;24(2):103-109. doi: 10.1177/1358863X18824159. Epub 2019 Mar 5. PMID: 30834822. https://pubmed.ncbi.nlm.nih.gov/30834822/ Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A. Evolution of Pulmonary Embolism Response Teams in the United States: A Review of the Literature. J Clin Med. 2024 Jul 8;13(13):3984. doi: 10.3390/jcm13133984. PMID: 38999548; PMCID: PMC11242386. https://pubmed.ncbi.nlm.nih.gov/38999548/ Rivera-Lebron B., McDaniel M., Ahrar K., Alrifai A., Dudzinski D.M., Fanola C., Blais D., Janicke D., Melamed R., Mohrien K., et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clin. Appl. Thromb. Hemost. 2019;25:1076029619853037. doi: 10.1177/1076029619853037.https://pubmed.ncbi.nlm.nih.gov/31185730/
In the 1990s, Glenn Jarvis was living in London working for a very powerful American corporation called Enron. He was under a huge amount of stress at work, when his mental health began to spiral downwards.In the late 1990s Australian Glenn Jarvis won a job in London with Enron, a giant American energy and investment corporation. Life was exhilarating and he made lots of friends.But after a time Glenn began to notice some very odd transactions at Enron.Giant amounts of money were flooding in to the company that simply couldn't be accounted for.Glenn took it up with with his bosses, but they didn't want to know.In part because of the questions he was asking, Glenn's reputation at work began to change, and his mental health began to deteriorate.He had a psychotic episode, and spent the next 2 years in and out of mental health units in Australia and the UK.Eventually he found himself back in town of Queanbeyan where he grew up, with no job, no money, and few friends who understood what he'd been through.His family stuck by him, but things were difficult, and he ended up in supported accommodation.Across the road from where he was living was a local Bowling Club. He would go there and buy a single beer most nights, and eventually befriended some of the regulars.With the help of these elderly friends, and meaningful work, Glenn began a slow and painstaking climb back into an entirely different kind of life.
CiNease Freeman is a Richmond, Virginia-based colorectal cancer survivor and advocate, diagnosed with Stage 3 rectal cancer in June 2022 at the age of 28. She is active in raising awareness, particularly around the rise of young-onset colorectal cancer, and is featured in national campaigns.
Anthony Houghton, Chief Executive of Holland & Barrett, joins the Big Boss Interview as social media and online self-diagnosis reshape how consumers approach health and wellness.He describes a retail landscape where customers increasingly arrive in store — or online — having already decided what they need based on influencer content or digital health advice, not all of which is accurate or appropriate to their individual circumstances. In a £110 billion global health and wellness industry, the challenge for established retailers is navigating the gap between what customers believe products do and what they are legally permitted to claim.Holland & Barrett's response has been a major internal reset. Three years ago, the company invested in a dedicated science team to review its entire range. Of approximately 4,500 core products, 2,700 have since been reformulated or upgraded. More than 1,000 own-brand products have been completely overhauled in the past 18 months alone. Labelling presents particular complexity. Products marketed for perimenopause, for example, may feature the term prominently on packaging to help customers find relevant items. Yet detailed ingredient information states that vitamin B6 contributes to hormonal regulation and iron supports normal cognitive function — without referencing perimenopause directly. Strict Advertising Standards Authority rules limit what retailers can claim about specific conditions, creating a disconnect between searchable labels and regulated ingredient statements. Houghton acknowledges many customers may not understand this distinction.The transformation has coincided with strong financial performance. Holland & Barrett reported 11% sales growth — its third consecutive year of double-digit increases — with digital sales up 20% overall and accounting for 21% of total revenue. However, £300 million invested over three years in store refits, supply chain upgrades and internal capability building has weighed on profit margins. Houghton describes the investment as “fixing the foundations”, with efficiency gains expected to restore profitability as the transformation programme matures.Despite digital growth, physical retail remains central to the strategy. The company operates 809 stores across the UK and Ireland, opened nine new sites this year and has completed a major refit programme. Houghton rejects suggestions that the High Street is dead, arguing that physical and digital channels are complementary rather than competitive. Stores now offer personal consultations, experiential elements such as yoga studios in selected locations, and partnerships with diagnostic provider Randox to deliver health MOT blood testing in a growing number of sites.Cost pressures remain acute. Minimum wage increases affect the majority of staff across hundreds of stores. Holland & Barrett pays above the statutory National Living Wage and plans to announce another rise shortly. Rather than passing those costs directly to customers through price increases, the strategy focuses on driving operational efficiencies elsewhere. At the same time, the company has increased investment in colleague training — requiring staff to complete health and wellness training before advising customers — even as many retailers are cutting back.Presenter: Sean Farrington Producer: Olie D'Albertanson Editor: Henry Jones00:16 Will and Sean intro pod 01:40 Anthony Houghton joins BBI 02:00 The growth of H&B 03:30 Self-diagnosing via social media 05:17 Decision to invest in dedicated science team 05:56 2,700 products reformulated in last couple of years 08:42 Which? found supplement doses higher than recommended intake 12:31 Product & label concerns 18:40 Growth in magnesium, creatine and fibre. 23:40 Loyalty schemes 29:31 The High St isn't dead 34:00 Impact of National Living Wage 41:00 Retail as a career choice
In this week's podcast episode, Emily shares Part 1 of her son Oakley's unexpected NICU journey, a story marked by emergency decisions, a rare genetic diagnosis, and a powerful full-circle moment within her own family.After a healthy pregnancy, Emily delivered Oakley six weeks early via emergency C-section when she noticed decreased movement in the middle of the night. What began as low blood sugar and a short NICU stay in their small Colorado town quickly turned into a transfer to Children's Hospital, where Oakley was diagnosed with a rare genetic deletion on his X chromosome called UBE2A.In an emotional twist, Emily's family soon discovered that her older brother, who had been diagnosed with cerebral palsy his entire life, shares the exact same genetic deletion.In this conversation, Emily shares the moment she knew something wasn't right, the whirlwind of those early NICU days, and what it was like to receive an uncertain diagnosis. She also reflects on growing up alongside a medically complex sibling and how the strength her parents modeled now shapes the way she and her husband parent Oakley.Emily's story is one of resilience and unexpected hope in the middle of the unknown. We hope it reminds you that even in moments of uncertainty, you are capable, you are supported, and you are never walking this road alone.To get connected with DNM:Website | Private Facebook Group | InstagramSupport the show
A Parenting Resource for Children’s Behavior and Mental Health
Before another diagnosis or pill, pause and see what's really happening in your dysregulated child's brain. Meltdowns, anxiety, and focus struggles are signals—not flaws. Dr. Roseann Capanna-Hodge, founder of Regulation First Parenting™, guides parents to calm the brain first and create lasting change.Parenting a dysregulated child can feel like living in survival mode. You try consequences. You try therapy. Maybe even medication. And still… nothing sticks.Here's the truth: behavior is communication. When we understand what's really happening in your dysregulated child's brain, everything changes.Let's decode it together. In this episode, you'll learn how brain patterns drive emotional dysregulation—and why we must calm the brain first.Why does my child have frequent meltdowns even when I set clear boundaries?When a child's nervous system is stuck in fight or flight mode, logic doesn't land. Their autonomic nervous system is in sympathetic dominance, flooded with stress hormones.An overstimulated child's brain may show:Chronic stress activationExcessive high-frequency brain activityDifficulty shifting into the parasympathetic nervous systemPoor impulse control and intense emotional responsesSo those temper tantrums? That aggression? The explosive emotional reactions?It's not oppositional defiant disorder by default. It's a dysregulated nervous system.
Send a textIn this heartfelt episode, I sit down with Patty Laushman — coach, educator, and neurodiversity advocate — to talk about her journey as a mom navigating years of uncertainty before learning her son is autistic. She shares what those first 8½ years were like, the challenges her family faced, and how one doctor's words changed everything for the better.We also talk about her path through college, becoming a mom later in life, and how her personal experiences led her to support neurodivergent teens, adults, and their families today. Patty's BioPatty Laushman is an author, speaker, educator, and coach specializing in neurodiversity and the transition to adulthood for autistic and neurodivergent individuals. She is the creator of the SBN™ parenting framework, a practical approach that helps parents learn when to provide support, set boundaries, and give strategic nudges to activate intrinsic motivation so their emerging adults can build confidence and real-life skills.Patty is the author of Parenting for Independence: Overcoming Failure to Launch in Emerging Autistic Adults (November 2025) and the founder of Thrive Autism Coaching, where she leads the Parenting for Independence group coaching program for parents of autistic teens and adults. Her coaching is grounded in both lived experience—parenting and homeschooling a profoundly gifted, multi-exceptional, autistic teen—and professional expertise, having worked with hundreds of families across the United States and beyond.She is a Certified Autism Life Coach through the Association for Autism and Neurodiversity (AANE), whose LifeMAP program has supported more than 3,000 autistic teens and adults, and she also holds certification in employment services for people with disabilities through the Association of Community Rehabilitation Educators (ACRE). Patty's professional background includes founding, growing, and selling a technology services company, as well as nearly a decade as a self-employed sales development consultant.Connect with PattyFreebieBookCompany WebsitePersonal WebsiteProgramBlogFacebookInstagramLinkedInYouTubeStay in the loop with the new Different Ability® product I'll be launching!Sign Up Here!Shop new products here!Places you can reach me at:Website:https://kateyfortun.com/https://kateyfortun.com/podcastInstagram:https://www.instagram.com/kateyfortun/https://www.instagram.com/differentabilitypodcast/
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/TCC865. CME/MOC/AAPA/IPCE credit will be available until January 29, 2027.Rethinking Pulmonary Fibrosis: From Fine-Tuning Diagnosis to Illuminating Novel Pathways for Emerging Treatment Strategies In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/TCC865. CME/MOC/AAPA/IPCE credit will be available until January 29, 2027.Rethinking Pulmonary Fibrosis: From Fine-Tuning Diagnosis to Illuminating Novel Pathways for Emerging Treatment Strategies In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
Christina Applegate Reveals 'Touching' Moment With Jimmy Kimmel as Actress Appeared on Late Night Show With Cane Following MS DiagnosisAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
During an appearance on Jimmy Kimmel's show three years post-diagnosis, she appreciated his recognition of her struggles, stating, “this was my now, my normal.”In her memoir, Applegate opens up about how her significant weight loss affected her self-image.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/TCC865. CME/MOC/AAPA/IPCE credit will be available until January 29, 2027.Rethinking Pulmonary Fibrosis: From Fine-Tuning Diagnosis to Illuminating Novel Pathways for Emerging Treatment Strategies In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/TCC865. CME/MOC/AAPA/IPCE credit will be available until January 29, 2027.Rethinking Pulmonary Fibrosis: From Fine-Tuning Diagnosis to Illuminating Novel Pathways for Emerging Treatment Strategies In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
Patty Riddle Kirshner, a Nebraska pastor and evangelist, shares how her life changed when COVID swept through her church in August 2020. Patty spent 83 days in four hospitals, over four weeks in a coma, suffered paralysis from the neck down, and died briefly from cardiac arrest. During that moment, she describes being in heaven's "glory," overwhelmed by God's presence, seeing an unusual sky color and things that stunned her. God told her she could stay or return; she chose to come back because there was more work to do. After extensive rehabilitation, she recovered movement and a national news team welcomed her home. Tragically, she soon faced her husband Ronnie's glioblastoma diagnosis; he died in May 2021. Patty reflects on the anger, the grief, learning to live "in the moment," staying connected to community and church, starting the widows' group Embrace, and testifying that God remained faithful through suffering, loss, and renewed purpose. 00:00 A Glimpse of Glory 00:41 Meet Patty and Her Story 01:33 Life Before COVID 02:37 Symptoms and Denial 04:43 Hospitalization and Fear 07:20 Coma and Ventilator Fight 10:29 Heart Stops Heaven Visit 13:36 Choose to Stay or Go 14:48 Rehab Isolation and Fear 18:45 Recovery and Witnessing 20:41 Vision of Anointing 22:24 Husband's Fall and Diagnosis 24:17 Grief After Loss 25:58 Finding Hope Again 26:56 New Love And Calling 28:51 Hard Questions Anger 31:14 Staying In The Moment 33:22 Advice For Widows 36:20 Embrace Support Group 40:59 Knowing God Is Real 44:07 Haiti Prophetic Warning 45:20 Ministry Links And Prayer of blessing over listeners Patty's facebook page: https://www.facebook.com/p/Evangelist-Patty-Riddle-100081176667734/ Patty's Website: https://www.womenunitedministry.com/
TODAY ON THE ROBERT SCOTT BELL SHOW: Vaccine Hesitancy Labeled Mental Illness, Ty Bollinger, CENSORED: The Fight for the First Amendment, Apocynum Androsaemifolium, Whooping Cough Reality, Scott Schara, Is the Government Legally Killing Us? Natural Immunity Questions, and MORE! https://robertscottbell.com/vaccine-hesitancy-labeled-mental-illness-ty-bollinger-first-amendment-censorship-apocynum-androsaemifolium-whooping-cough-really-bad-scott-schara-medical-killing-natural-immunity-questions-a/ Purpose and Character The use of copyrighted material on the website is for non-commercial, educational purposes, and is intended to provide benefit to the public through information, critique, teaching, scholarship, or research. Nature of Copyrighted Material Weensure that the copyrighted material used is for supplementary and illustrative purposes and that it contributes significantly to the user's understanding of the content in a non-detrimental way to the commercial value of the original content. Amount and Substantiality Our website uses only the necessary amount of copyrighted material to achieve the intended purpose and does not substitute for the original market of the copyrighted works. Effect on Market Value The use of copyrighted material on our website does not in any way diminish or affect the market value of the original work. We believe that our use constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the U.S. Copyright Law. If you believe that any content on the website violates your copyright, please contact us providing the necessary information, and we will take appropriate action to address your concern.
In this episode Cath was joined by Dr Emma Offord. Cath and Emma talked about Emma's path to motherhood, childhood trauma, how Emma tends to and advocates for herself and her children and sensory needs and how these are so important to understand, particularly in the context of families/food/parenting. We talked about autism, ADHD, neurodivergence and trauma, late diagnosis, OCD and how Emma experiences OCD and Emma talked about unmasking and how she advocates for herself in order to tend to her needs.Dr Emma Offord is a clinical psychologist and founder of Divergent Life, a neuroaffirming practice supporting neurodivergent children, parents, and adults. Divergent Life offers diagnostic assessments for autism and ADHD, alongside therapy, coaching, and group programmes that centre the whole person rather than deficit-based models.Emma is passionate about challenging medicalised approaches to neurodivergence and naming the systemic harms that arise when difference is misunderstood. Her work helps people understand their nervous systems, developmental histories, and strengths in context, with a particular focus on breaking cycles of shame, survival, and self-blame in parenting and family life.She brings both clinical expertise and lived experience as a late-identified neurodivergent woman and parent, shaped by complex developmental trauma and a deep understanding of how these layers interact across generations.Emma hosts This Voice Is Mine: The Unquiet Podcast and offers group programmes including the Neurodivergent Identity Programme (NDIP), Nervous System Reset (NSR), and Empowered Parenting.Instagram: @divergentlivesWebsite: divergentlife.co.uk If you're enjoying this podcast. Please leave a review and rate the podcast, this really helps others to find it.To sign up for the journal prompts and Nurture.Heal.Grow (on Substack) please head to www.cathcounihan.com or @cathcounihan on Instagram. Follow Cath on social media here:Instagram: @cathcounihanSubstack: Nurture.Heal.GrowFacebook: Cath Counihan Hosted on Acast. See acast.com/privacy for more information.
In this episode of Our Forever Smiles, Laura speaks with Christina, a first-time mom from Serbia whose son was prenatally diagnosed with a cleft lip and palate at 26 weeks. Christina shares her experience navigating diagnosis, specialist care, and preparation for surgery within a different healthcare system. She opens up about feeding challenges, NAM therapy, finding community support, and learning to trust herself as a parent. This episode offers reassurance and perspective for families around the world facing a cleft diagnosis. Links: Buy Us a Coffee FB Support Group
Brain Talk | Being Patient for Alzheimer's & dementia patients & caregivers
This interview is brought to you in partnership with Eisai and is part of the Journey to Diagnosis series.Eisai: https://www.eisai.com/index.htmlJourney to Diagnosis: https://beingpatient.com/journey-to-diagnosis/Ben Draper was just 47 when he was diagnosed with early-onset Alzheimer's. In the years leading up to that diagnosis, he and his wife, Robin, began noticing changes. Ben struggled with everyday tasks that used to come easily, such as sending text messages, using a phone or computer, managing time, and doing simple math. While running his construction business, he realized he could no longer read a tape measure. Even following GPS while driving became difficult.Early testing revealed significant cognitive impairment, followed by an extensive medical workup that included an MRI and a spinal tap. The results showed amyloid plaque, and, with a strong family history of Alzheimer's, Ben later learned he also carries a genetic link to the disease.Today, Ben and Robin are focused on living each day to the fullest. They document their experiences on TikTok (@draperfamilylife) to help others feel less alone and to raise awareness about early-onset Alzheimer's.In this conversation with Being Patient's founder Deborah Kan, Ben and Robin describe the emotional whiplash of fearing a rapidly fatal diagnosis like Creutzfeldt-Jakob disease before receiving clarity, and the unexpected relief that can come with finally having the early-onset Alzheimer's diagnosis. They talk candidly about Ben's symptoms and how financial and care gaps can leave younger families scrambling for disability coverage, insurance, and support. Above all, they return to a guiding mindset, focus on what Ben can still do, lean on community, and make each day count.----Visit Being Patient for more Alzheimer's and brain health coverage: https://www.beingpatient.com/Follow Being PatientTwitter: https://twitter.com/Being_PatientInstagram: https://www.instagram.com/beingpatientvoices/Facebook: https://www.facebook.com/beingpatientalzheimersLinkedIn: https://www.linkedin.com/company/being-patientBeing Patient is an editorially independent journalism outlet covering brain health, cognitive science, and neurodegenerative diseases. Our Live Talk series features interviews with experts and people living with dementia.Watch more Live Talks: https://beingpatient.com/live-talks/
Autism is a spectrum with unique stories for every child. In this episode, Dr. Grace Gengoux, PhD, Clinical Professor, Director of the Autism Intervention Clinic, and Well-being Director at Stanford University, guides us through the latest science behind autism, from diagnosis to everyday care. Learn how clinicians explain autism in clear, evidence-based terms, how families can access essential services, and practical strategies to support both children and caregivers. We also explore genetics, DSM-5 updates, and how to navigate care pathways with confidence and compassion. Read Transcript: https://mcdn.podbean.com/mf/web/95yi3fcayn9zbk5v/medcast_episode116.docx CME Information: https://stanford.cloud-cme.com/medcastepisode116 Claim CE: https://stanford.cloud-cme.com/Form.aspx?FormID=3810
A diagnosis of HCM impacts mental as well as physical health. Hear from Lora Peppard, PhD, DNP, PMHNP-BC on interventions that nurses can use to support patients with HCM and lead to improved quality of life, adherence, and long-term health outcomes.Related resources:HCM & Mental Health: https://www.4hcm.org/hcm-and-mental-health American Psychiatric Nurses Association connection paradigmSpirituality wellness assessmentsMattering Science: Zach MercurioFlourishing Science: Christie BethelPCNA resources on HCM for providers and patientsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Your Parenting Mojo - Respectful, research-based parenting ideas to help kids thrive
When a doctor hands your child a diagnosis, it can be a relief - finally, an explanation for their behavior! But sociologist Dr. Allan Horwitz has spent decades studying how psychiatric diagnoses are made, and what he's found raises serious questions about how much weight that label should carry. In this episode, Dr. Horwitz walks through how the Diagnostic and Statistical Manual (DSM) - the manual that defines every mental health diagnosis - was built less on scientific research than on professional politics, institutional pressure, and the practical needs of insurance companies. He traces how depression went from a diagnosis given to a small fraction of the population to one of the most common diagnoses in the world, and explains exactly what happened to reliability when the DSM-5 was tested in real clinical conditions. He also looks at how the same behaviors get labeled very differently depending on a child's age, race, class, and cultural background - and why that matters for every parent trying to figure out whether a diagnosis is actually helping their child. This episode won't tell you to reject diagnosis outright. But it will give you the critical knowledge to ask better questions when a label is offered for your child. Questions This Episode Will Answer What is the DSM and why does it matter for my child? The DSM is the manual psychiatrists and psychologists use to diagnose every mental health condition. It determines what insurance will cover, what services your child can access, and what label follows them through school and into treatment. Who created the DSM and who controls it? The American Psychiatric Association publishes the DSM, but its diagnostic criteria were largely shaped by a small group of people - predominantly white men with ties to pharmaceutical companies - whose process looked more like sausage-making than science. Why is DSM-5 criticized by researchers? Field trials for DSM-5 showed reliability had actually declined from earlier editions. For some of the most common diagnoses, including major depression and generalized anxiety, agreement between clinicians was barely better than chance. Is a psychiatric diagnosis actually reliable? Reliability means two different clinicians would give the same patient the same diagnosis. Research on the DSM-5 shows this is far less consistent than most parents assume - and a reliable diagnosis still isn't necessarily a correct one. Are children being overdiagnosed with mental health conditions? Research shows that the youngest children in a classroom are significantly more likely to receive a psychiatric diagnosis than their older classmates, especially for ADHD - suggesting that what's being measured is developmental maturity, not a mental disorder. Does the DSM apply equally to children from different cultural backgrounds? The DSM was built on a Euro-centric framework, and critics argue it pathologizes behaviors that are normal or valued in many Global Majority cultures. This has real consequences for how children from different backgrounds get diagnosed and treated. Why do mental health diagnoses focus on the individual instead of their circumstances? The DSM is deliberately designed to identify disorders within a person rather than look at the conditions around them. It makes sense that a person going through a relationship breakup might feel sad, angry, and/or uncertain about the future. That doesn't mean they're ‘depressed.' Dr. Horwitz explains what that choice costs - and who pays the most. What You'll Learn in This Episode Why diagnosis serves the psychiatric profession and the insurance system in ways that don't always help the person being diagnosedHow the shift from psychoanalysis to the DSM-3 in 1980 dramatically expanded who could be diagnosed with depression - and why that shift was driven by professional rivalry, not new scienceWhat reliability and validity actually mean in psychiatric diagnosis, and why the numbers from DSM-5 field trials alarmed even people inside the systemHow the people who built the DSM criteria handled disagreements - and why the process Dr. Horwitz describes is so different from what most parents imagineWhy a child's birthdate relative to their classmates can predict their likelihood of receiving a psychiatric diagnosisHow socioeconomic status shapes not just whether a child gets diagnosed, but when they take their medication and whyWhat the removal of the bereavement exclusion in DSM-5 tells us about the direction the system is headingWhy the same behaviors that get a child diagnosed with ADHD in the US might get that child's family into therapy in the UK insteadWhat Dr. Horwitz thinks would actually make a difference for children's mental health - and why the most effective interventions are rarely the ones being offered Your Triggers Aren't a Diagnosis. But They're Worth Understanding. This episode makes the case that the mental health system focuses on only what's happening inside a person instead of looking at the broader circumstances around them - mostly to sell us more drugs. In reality, our struggles are a combination of the challenges we've experienced in the past (and how we've learned to handle them), and our situation today. We have to see both pieces to make sense of where we've been, and learn new tools for what's happening now. When your child's behavior sends you into a reaction you regret later, a diagnosis or prescription may not help as much as understanding what's underneath that reaction and where it came from. That's exactly what the Taming Your Triggers workshop is built to help you do. In 10 weeks, you'll learn why you react the way you do, how to meet your own needs so you have more capacity for your kids, and how to respond from your values instead of your history. Enrollment is only open for a couple more days, until midnight Pacific on Wednesday, March 4. Click the banner to learn more Jump to highlights: 02:14 Introduction to today's episode 03:44 Why do we diagnose mental illness, and whose interests does the diagnostic system serve? Dr. Allan Horwitz explains that diagnoses maintain psychiatry's legitimacy and prestige as a medical profession, regardless of the knowledge behind each diagnosis. 05:10 Patients now often expect specific diagnoses before treatment even begins. 14:27 People experiencing sadness from job loss or relationship endings can benefit from medication, but to get prescriptions, you need a diagnosis of a disorder, even when the response is completely expectable given the circumstances. 15:39 The DSM locates suffering within individuals rather than examining broader social circumstances. 19:00 Wrapping up. 21:25 An open invitation to join the Parenting Membership.
Chronic noninfectious diarrhea affects approximately 6% to 7% of adults in the US and significantly impairs quality of life. Author William Chey, MD, of the University of Michigan joins JAMA Deputy Editor Mary M. McDermott, MD, to discuss strategies for diagnosis and treatment of chronic, noninfectious diarrhea. Related Content: Chronic, Noninfectious Diarrhea
Multiple sclerosis resilience isn't about pretending everything is fine. It's about choosing strength when your body forces change.In this episode of Men Talking Mindfulness, Jim shares how a diagnosis of multiple sclerosis shattered his identity — and rebuilt it stronger. Multiple sclerosis resilience became the framework that helped him drop ego, reject victim mentality, and push his physical and mental limits in ways he never imagined.Instead of collapsing into “why me,” Jim chose discipline. Instead of clinging to status or past success, he chose growth. This conversation explores how multiple sclerosis resilience is forged through ownership, endurance training, and a refusal to let suffering define you.You'll hear:• How ego amplifies suffering• Why victim mentality quietly destroys potential• The difference between pain and identity• How endurance challenges reveal hidden strength• Why pushing limits develops clarity and purpose• How chronic illness can deepen self-understandingThis episode is for the man who feels knocked down — by illness, career, or circumstance — and wants to rebuild without self-pity.Learn more from Jim Perona:• Website: https://www.jimperona.com/ • LinkedIn: https://www.linkedin.com/in/jimperonaofficial/ • Instagram: https://www.instagram.com/jimperonaofficial/ • Facebook: https://www.facebook.com/jimperonaofficial/ • YouTube: https://www.youtube.com/@jimperonaofficial Subscribe to Your Thursday Three Things — practical focus tools connected to each week's episode.Free and deep-dive versions available:https://newsletter.focusnowtraining.comOr text MTM to 33777 and we'll send the link straight to you.Join the Men Talking Mindfulness team at the 2026 Spartan Race and take mindfulness into real-world challenge. This is about grit, presence, and brotherhood under pressure. Learn more and join the team here:https://mentalkingmindfulness.com/spartan-race-2026More episodes & resources:https://mentalkingmindfulness.comMental fitness & coaching with Will:https://willnotfear.comBook Jon to speak with your team:https://jonmacaskill.comIf this episode resonates, follow the show, leave a rating and review, and share it with one man who's trying to lead without losing himself.This episode was co-produced by Robert Lopez of www.cratesaudio.comHosted on Ausha. See ausha.co/privacy-policy for more information.
In part two of this series, Dr. Justin Abbatemarco, Dr. Marjo S. van der Knaap, and Romy J. van Voorst discuss the patient management card and how patients should use it. Show citation: and Clinical Management of Vanishing White Matter. Neurology. 2025;105(11):e214320. doi:10.1212/WNL.0000000000214320 Show transcript: Dr. Justin Abbatemarco: Hello and welcome back. This is Justin Abbatemarco here with Romy J. van Voorst and Dr. Marjo S. van der Knaap. After discussing her article, Published Neurology Consensus Base Expert Recommendation for Diagnosis and Clinical Management of Vanishing White Matter Disease. Romy, I really want to talk with you about the patient management card. What inspired you to create that in this publication, and how should patients use that? Romy J. van Voorst: So what the main motivation was of the study was actually a previous study that we did before. And in this study, we looked at the impact of any short matter on unaffected family members. And we found out that actually many family members encountered clinicians that were unfamiliar with its disease or disease-specific management. And during interviews, we saw that there was an urgent need for moral harmonization of care and also symptom management because families felt like they are left alone with just their child and no guidance on how to go further. And we wrote these recommendations to help families better understand the diagnostic and care process so they can also participate in informed decision-making. So they can understand what kind of preventive measures they can take and whether or not this interferes, for example, with quality of life goals. So there are a lot of different recommendations families can take home with. Dr. Justin Abbatemarco: Marjo, anything else you want to add there? Dr. Marjo S. van der Knaap: Yeah, I think the management card also helps because they have a physical card when they go to consultation or to emergency room that they can hand over. It's an official publication. It's developed by the Finishing WebMetter Expert Consortium in combination with other experts in combination with patient advocates and representatives. And so it's really a sort of a guidance that cannot be denied. So it has some authority to it. Dr. Justin Abbatemarco: But I think it's a theme that applies to many neurological diseases, and addressing that. You do it really practically. And I agree, giving something more tangible for patients to present, especially to non-neurologists to help them give some guidance. It's an idea that we need to think about in clinic all the time on how we're interacting and supporting caregivers and when they're interfacing with the medical community at large. So I love what you guys have done here and to make us think about this more broadly. Thanks again for all your time and your work on this topic. Dr. Marjo S. van der Knaap: Thank you for having us.
Brett Wetzel and Kevin Compass open the advanced Refrigeration podcast with complaints about constant travel and terrible hotels, including broken blinds, bad smells, and cockroaches, plus a rule for avoiding sketchy areas. Kevin recounts a brutal week on a jobsite with an electrical contractor who miswired coils, phases, and controls, causing repeated troubleshooting, power trips, and a major shutdown when rooftop unit drainage spilled into an electrical trough. He then describes training in Chino, California on a Hussmann CO₂ rack with redundant valves, a suspected stuck oil solenoid causing overheated oil lines and high bypass activity,and how correcting it reduced compressor speed. They debate ejectors and parallel compression control, flash tank instability, oil pressure issues, controller limitations, and note miswired electric defrost heaters and CO₂-to-CO₂ heat exchanger failures.
•Brett Wetzel and Kevin Compass open theadvanced Refrigeration podcast with complaints about constant travel and terrible hotels, including broken blinds, bad smells, and cockroaches, plus a rule for avoiding sketchy areas. Kevin recounts a brutal week on a jobsite with an electrical contractor who miswired coils, phases, and controls, causing repeated troubleshooting, power trips, and a major shutdown when rooftop unit drainage spilled into an electrical trough. He then describes training in Chino, California on a Hussmann CO₂ rack with redundant valves, a suspected stuck oil solenoid causing overheated oil lines and high bypass activity, and how correcting it reduced compressor speed. They debate ejectors and parallel compression control, flash tank instability, oil pressure issues, controller limitations, and note miswired electric defrost heaters and CO₂-to-CO₂ heat exchanger failures.
In this episode, host Alyssa Watson, DVM, welcomes Jane E. Sykes, BVSc(Hons), PhD, MPH, MBA, FNAP, DACVIM (SAIM), to discuss her recent Clinician's Brief article, “Diagnosis & Management of Dogs With Lyme Borreliosis.” While still highly regional, Lyme is occurring in more places because the range of Ixodes ticks is expanding. Dr. Sykes explains what we should—and shouldn't—do with a positive test including treatment, vaccination, and the severe circumstance of Lyme nephritis. This episode is brought to you by Zoetis. Resources: https://www.cliniciansbrief.com/article/canine-lyme-borreliosis-diagnosis-management https://www.simparicatriodvm.com Contact: podcast@instinct.vet Where To Find Us: Website: CliniciansBrief.com/Podcasts YouTube: Youtube.com/@clinicians_brief Facebook: Facebook.com/CliniciansBrief LinkedIn: LinkedIn.com/showcase/CliniciansBrief/ Instagram: @Clinicians.Brief X: @CliniciansBrief The Team: Alyssa Watson, DVM - Host Alexis Ussery - Producer & Multimedia Specialist
Joining us today is Dr. Seamara Rocha Cadman, Chief of the Division of Psychiatry at City of Hope—one of the largest cancer research and treatment centers in the United States.In this deeply moving and illuminating conversation, Dr. Rocha Cadman shares her personal and professional journey into psycho-oncology, shaped by her experiences as an immigrant physician, a psychiatrist, a caregiver, and a family member profoundly touched by cancer. From losing her sister to breast cancer to later supporting her husband through a bone marrow transplant, her work is rooted in lived experience as much as clinical expertise.Together, we explore the unique psychological impact of cancer—from diagnosis through treatment, survivorship, and end-of-life care. Dr. Rocha Cadman offers compassionate insight into topics often misunderstood or overlooked: adjustment versus psychiatric illness, chemo brain, menopause-related cognitive changes, fear of recurrence, caregiver distress, and the emotional crash that can follow “good news.”We also discuss resilience, mindfulness, movement as medicine, integrative oncology, peer support, and the concept of post-traumatic growth—how people are changed by cancer, and how healing doesn't always mean returning to who you were before.This episode is for patients, caregivers, clinicians, and anyone navigating serious illness—offering validation, clarity, and a reminder that you are not broken for feeling the way you feel.
In this episode, Dan Murphy, Executive Director and Founder of Decker's Blueprint, shares the deeply personal journey that began when his son Decker was diagnosed with Duchenne Muscular Dystrophy in 2024. Faced with a devastating prognosis, Dan refused to accept “wait and see” as an option. Instead, he applied a builder's mindset to the fight—launching Decker's Blueprint to fund promising scientific research, accelerate access to treatments, and challenge the traditional pace of progress.Dan opens up about the urgency behind his mission, why he believes time is muscle, and how families, researchers, and advocates can work together to turn a once-fatal diagnosis into a manageable disease. This powerful conversation is a testament to resilience, action, and the relentless pursuit of hope in the face of impossible odds.???? Connect with Dan Murphy: ✅ Website: https://www.deckersblueprint.org/ ✅ Facebook: https://www.facebook.com/deckers.blueprint/ ✅ Instagram: https://www.instagram.com/deckersblueprint/?hl=en ✅ LinkedIn: https://www.linkedin.com/company/decker-s-blueprint/ Thank you for watching Lancaster Connects! This is the show about small business and small charity success in Lancaster county - we showcase the battle on Main Street, big vs. small David vs Goliath, and bring you the best of what makes Lancaster so great. ???? Want to create live streams like this? Check out StreamYard: https://StreamYard.CastAhead.net ➡️ Get your FREE copy of Ben McClure and Jeff Giagnocavo's book - "Sleep Better" https://gardnersmattressandmore.com/sleep-betterLIVE SHOW PODCAST & REPLAYS: ???? Connect with Lancaster Connects:✅ Official: https://lancasterconnects.com/ ✅ YouTube: https://www.youtube.com/@LancasterConnects ✅ LinkedIn: https://www.linkedin.com/company/lancaster-connects✅ Facebook: https://www.facebook.com/LancasterConnectsLancaster Connects is produced by Chris Stone at Cast Ahead: https://CastAhead.net #LancasterCounty #LancasterPA #LancasterCountyPA #LancasterConnects #Community #RetailExperience
The March 2026 recall showcases four previously posted episodes focused on clinical issues relevant to hospital-based neurologists. The episode opens with Dr. Jennifer E. Fugate discussing PRES, focusing on clinical presentation, diagnostic criteria, neuroimaging findings, and management strategies. The episode continues with Dr. Ava Easton discussing the World Health Organization's technical brief on encephalitis. In the third episode, Dr. Matthew Ryan Woodward discusses the complexities of status epilepticus, from definition through refractory and super-refractory stages. The episode concludes with Dr. Adrian Budhram discussing common challenges neurologists face when interpreting CSF results. Podcast links: Evolving Insights into the Diagnosis, Management, and Outcomes of PRES WHO Launches Technical Brief for Encephalitis Super Refractory Status Epilepticus Diagnosis, Management, and Prognostication CSF Correction Factors for Traumatic Lumbar Puncture in Adults Article links: Posterior Reversible Encephalopathy Syndrome: Evolving Insights in Diagnosis, Management, and Outcomes WHO Launches Technical Brief for Encephalitis Super Refractory Status Epilepticus Diagnosis, Management, and Prognostication Clinical Utility of CSF Correction Factors for Traumatic Lumbar Puncture in Adults Disclosures can be found at Neurology.org.
In an obtuse world Mark & Jefe are here to keep you vertical. This time we chat with Matt with Wyoming Gun Project about Guntubers and if they can be trusted FIND Wyoming Gun Project HERE YouTube - https://www.youtube.com/@wyominggunproject THANK YOU TO OUR SPONSOR XS Sights XS Sights - https://xssights.com/ 20% Discount with code LARP Books We Recommend: Herbal Medic: https://amzn.to/3ArhUGX Triphasic Tactical Training Manual: https://a.co/d/0I1iYRu The Merck Manual of Diagnosis and Therapy : https://a.co/d/6jU0EDW Tarascon Pocket Pharmacopoeia: https://a.co/d/fZm4jqp Follow us on Instagram @livelaughlarp_podcast Email us questions/topics at live.laugh.larp.podcast@gmail.com Find the Fit'n Fire YouTube Channel at https://www.youtube.com/fitnfire Intro/Outro Music: Elysium · Karl Casey
What happens when grief, trauma, and misdiagnosis collide, and it turns out to be BPD?Shaharin shares her story of being sexually assaulted, losing her marriage, struggling with rejection sensitivity, and finally receiving a Borderline Personality Disorder (BPD) diagnosis after years of confusion.We talk about:• Being misdiagnosed with grief instead of BPD• Emotional abuse after a mental health diagnosis• Rejection sensitivity and losing long-term friendships• Dating again after divorce with BPD• DBT therapy and real recovery• Turning intense emotions into creativity and purposeIf you've ever felt “too much,” misunderstood, or ashamed of how deeply you feel, this episode is for you.BPD recovery is possible. And this conversation proves it.
Feeling unwell while your labs keep saying “normal”? We take a practical, empowering path: reading your hands as a living dashboard. By mapping each finger to organ systems and decoding nail clues—ridges, half-moons, shapes, and white spots—we connect everyday signals to gut health, liver load, circulation, adrenals, and immune balance. It's a grounded, actionable guide to asking better questions and choosing the right next step.We walk through the thumb-to-pinky organ map popularized by Roger Bezanis—thumb for gut, pointer for liver and gallbladder, middle for heart and lungs, ring for kidneys and adrenals, pinky for brain and immunity—and show how localized skin flares or joint tenderness can direct your focus. You'll learn why nail ridges often mean absorption issues, how missing half-moons may flag poor microcirculation, and why liquid minerals can outperform capsules when stomach acid is low. We also share a simple baking soda burp test to screen for hypochlorhydria and explain how digestive enzymes help both at meals and between meals to support nutrient breakdown, thin thick blood, and ease joint congestion.Along the way, we touch on white nail spots and potential dairy reactions, nail tips that flip up as a parasite clue—especially around full moons—and how unusual nail shapes may nudge you toward targeted cardiac or kidney checks. The goal isn't to self-diagnose; it's to sharpen your lens so you can pair smart self-observation with the right functional tests when needed. If you've struggled with chronic skin issues, fatigue, or “mystery” symptoms, this walk-through offers simple, at-home ways to tune into your body and make progress without guesswork.We share a simple way to spot root causes that labs often miss by reading signs in your fingers and nails. From gut and liver stress to circulation and low stomach acid, we show how to translate hand clues into practical next steps.• mapping each finger to organ systems• nails, ridges, and nutrient absorption• missing half moons and circulation• thick blood, enzymes, and movement• low stomach acid and the baking soda test• white spots, dairy reactions, and hormones• nail shapes, parasites, and timing cleanses• choosing minerals and when liquids help• targeting tests based on visible signsIf you found this helpful, follow the show, share it with someone who needs answers, and leave a review to help others discover it. Want personalized support? Tap the link in the show notes to book a 1:1 consultation and let's map your path to lasting health together.Connect with Dr. CarverJoin the 6-Week Gum Disease Course: https://reversegumdiseaseinsixweeks.info/optinpageBook Your Personalized Consultation: https://calendly.com/drcarver-1/health-coaching-consult?month=2025-10Disclaimer: This podcast is for educational purposes only. Information discussed is not intended for diagnosis, curing, or prevention of any disease and is not intended to replace advice given by a licensed healthcare practitioner. Before using any products mentioned or attempting methods discussed, please speak with a licensed healthcare provider. This podcast disclaims responsibility from any possible adverse reactions associated with products or methods discussed. Opinions from guests are their own, and this podcast does not condone or endorse opinions made by guests. We do not provide guarantees about the guests' qualifications or credibility. This podcast and its guests may have direct or indirect financial interests associated with products mentioned.
A new diagnosis can bring relief, fear, and uncertainty all at once. In this episode, Leila and Deb share advice from the AiArthritis community on what they wish they had known right after being diagnosed with an autoimmune or autoinflammatory arthritis disease. Leila and Deb explore the importance of trusting your body, especially when tests are inconclusive or symptoms are dismissed. This episode highlights how self advocacy, second opinions, and clear communication with your care team can shape your experience. Community members also reflect on the emotional side of diagnosis, including grief, patience, and the mindset shift that comes with learning to live with chronic illness. Whether you are newly diagnosed or supporting someone who is, this episode offers validation and practical guidance for navigating the early stages of the patient journey. Episode Highlights: Why trusting your body matters, even when tests are unclear How self advocacy and second opinions can change your care experience The emotional impact of diagnosis and the importance of grace and patience Practical tools like symptom tracking, rest, and shared decision making to support long term management Links & Resources Have questions about this episode or topics you want to hear us bring to the table? Email us at podcast@aiarthritis.org Donate to Support the Show: www.aiarthritis.org/donate Follow AiArthritis on all social media platforms @IFAiArthritis Sign up for our Monthly AiArthritis Voices 360 Talk Show newsletter! HERE Connect with our Co-Hosts: Leila is the Health Education Manager at the International Foundation for AiArthritis. She is a person living with Lupus and Sjögren's disease. She is passionate about inclusion and diversity in health education and meeting individuals where they are at in order to learn in a way that resonates with them. Connect with Leila: Tiktok: @Lupuslifestyle.lei Deb Constien is a medically retired Registered Dietitian and a Representative for the AiArthritis with Rheumatoid Arthritis. Deb is also on the Advisory Council for WREN- Wisconsin Research Education Network and a Patient Family Advisor- PFA on an International PCORI research study for ACP- Advanced Care Planning. Connect with Deb: Facebook: @deb.majcherconstien Instagram: @debconstien Twitter: @debconstien
Send a textIn an obtuse world Mark & Jefe are here to keep you vertical.This time we chat with Matt with Wyoming Gun Project about Guntubers and if they can be trustedFIND Wyoming Gun Project HEREYouTube - https://www.youtube.com/@wyominggunprojectTHANK 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
Today, Allie sits down with Shannon Bream, host of "Fox News Sunday" and Fox News Supreme Court correspondent, to discuss her new book, “Nothing Is Impossible with God," which explores biblical stories of overcoming challenges with faith. Bream shares her personal struggle with chronic eye pain and her journey to finding a specialist while clinging onto the Lord in the midst of suffering. She also shares the importance of maintaining objectivity in journalism and the significance of empathy in her work. Bream emphasizes key Supreme Court cases that will be making headlines soon, including redistricting, free speech issues, and transgender sports participation. Tune in for this engaging discussion! Share the Arrows 2026 is on October 10 in Dallas, Texas! Tickets are on sale now at: https://sharethearrows.com Buy Allie's book "Toxic Empathy: How Progressives Exploit Christian Compassion": https://www.toxicempathy.com — Timecodes: (00:00) Intro (04:30) Inspiration from Biblical Stories (14:45) God Uses Misfits (21:20) Chronic Eye Pain (27:00) Finding a Diagnosis and Therapy (38:25) Pain Comes with Purpose (47:40) The State of Journalism (51:40) Reporting on SCOTUS — Today's Sponsors: Good Ranchers | If you go to GoodRanchers.com and subscribe to any of their boxes of 100% American meat, you'll save up to $500 a year! Plus, if you use code ALLIE, you'll get an additional $25 off your first order. Alliance Defending Freedom | Go to JoinADF.com/Allie or text ALLIE to 83848 to encourage Gabby today. PreBorn | 100% of your donation will go toward saving babies. Will you help us? Just dial #250 and say the keyword BABY. Or donate securely at PreBorn.com/ALLIE. Geviti | Go to GoGeviti.com/Allie and use code ALLIE for 20% off. Taking care of yourself isn't selfish. It's stewardship. Patriot Mobile | Go to PatriotMobile.com/ALLIE or call 972-PATRIOT and use promo code ALLIE for a free month of service! — Related Episodes: Ep 314 | The Monumental Importance of the Supreme Court | Guest: Sen. Ted Cruz https://podcasts.apple.com/us/podcast/ep-314-the-monumental-importance-of-the-supreme/id1359249098?i=1000494960221 Ep 306 | Amy Coney Barrett & Trump's Battle for the Presidency https://podcasts.apple.com/us/podcast/ep-306-amy-coney-barrett-trumps-battle-for-the-presidency/id1359249098?i=1000492842228 Ep 587 | Biden's SCOTUS Pick: Soft on Child Abuse & Clueless on Biology | Guest: Steve Deace https://podcasts.apple.com/us/podcast/ep-587-bidens-scotus-pick-soft-on-child-abuse-clueless/id1359249098?i=1000555020884 — Buy Allie's book "You're Not Enough (and That's Okay): Escaping the Toxic Culture of Self-Love": https://www.alliebethstuckey.com Relatable merchandise: Use promo code ALLIE10 for a discount: https://shop.blazemedia.com/collections/allie-stuckey Learn more about your ad choices. Visit megaphone.fm/adchoices
Rebeccasode! Dr Kirk and Rebecca answer patron emails. February 27, 2026This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.Become a member: https://www.youtube.com/channel/UCOUZWV1DRtHtpP2H48S7iiw/joinBecome a patron: https://www.patreon.com/PsychologyInSeattleEmail: https://www.psychologyinseattle.com/contactWebsite: https://www.psychologyinseattle.comMerch: https://psychologyinseattle-shop.fourthwall.com/Instagram: https://www.instagram.com/psychologyinseattle/Facebook Official Page: https://www.facebook.com/PsychologyInSeattle/TikTok: https://www.tiktok.com/@kirk.hondaThe Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com(By The Daily Telegraph. Copyright holders of the image of Madeleine at three are Kate and Gerry McCann. The age-progressed image was commissioned by Scotland Yard from forensic artist Teri Blythe for release to the public. Both images have been widely disseminated by the copyright holders, and have been the subject of significant commentary., Fair use, https://en.wikipedia.org/w/index.php?curid=39861556)
Wellness entrepreneur and former Mr. America Dr. Chris Zaino joins me to unpack what happens when your body collapses—and how that crisis can become the catalyst for a completely different life.At 23, Chris had just won Mr. America. Magazine covers. A fitness career taking off. His identity was built on physical strength and appearance.Then he was diagnosed with ulcerative colitis. Autoimmune. Incurable. Terminal. Surgery scheduled. Colon removal likely. No guarantee of surviving the procedure. No guarantee of having children.Within months, he lost 60 pounds and hit public rock bottom.This episode does not sanitize that moment.Chris walks through the humiliation, the fear, the failed treatments, and the turning point when someone challenged the belief that he had “tried everything.” That crack in certainty forced him to confront something deeper: responsibility.We explore the difference between symptomatic intervention and root-cause ownership. We talk about inflammation, food sourcing, nervous system regulation, and why most people wait for a health crisis before changing behavior. We also unpack the psychology of momentum — how improvement doesn't start with positivity, but with small evidence that you're moving in the right direction.The conversation expands beyond illness.We discuss autonomy in modern life. Cooking from scratch. Learning mechanical skills. Understanding what your food eats. Recalibrating internal economics. Choosing long-term capacity over convenience.Chris introduces the idea of “survival value” — structuring your days around actions that increase your long-term strength rather than immediate comfort.This is a candid conversation about health, masculinity, identity, discipline, divorce, financial setbacks, and the reality that ownership is rarely convenient.The lesson isn't anti-medicine or motivational hype.It's this: your health is your first business. And without capacity, nothing else scales.TL;DRHealth crises expose identity fragility.Momentum matters more than positivity.Most people change only when pain forces them.You are what your food eats.Autonomy compounds into resilience.Convenience erodes capability.Survival value is a daily filter for better decisions.Memorable Lines“If you had tried everything, you'd have your health.”“I didn't need perfect — I just needed progress.”“You are what your food eats.”“Once you see it, you can't unsee it.”“Health is your greatest asset.”GuestDr. Chris Zaino — Wellness entrepreneur, speaker, and founder of one of the largest holistic health clinics in the world.Former Mr. America turned performance health authority focused on inflammation, corrective care, and personal responsibility.Instagram: @drzainoWhy This MattersExecutives obsess over revenue dashboards while ignoring their own biomarkers.Founders track burn rate but neglect the biological system carrying the company.In volatile environments, the ultimate edge isn't intensity — it's capacity.If your health collapses, so does your optionality.This episode reframes health not as a lifestyle aesthetic, but as strategic infrastructure.Because rebuilding after the hit isn't only financial.It's physiological. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.dougutberg.com
In this meeting of The Late Diagnosis Club, Dr Angela Kingdon welcomes Claire Samuels, a proud Autistic speech-language pathologist whose journey to self-recognition unfolded inside the very system she would later question.Claire began her career as a Registered Behaviour Technician (RBT) in the ABA industry, believing what she was told: that ABA was the gold standard for Autistic children. She loved the kids she worked with and believed she was making a positive impact. But as she read autistic voices, learned about interoception, and began recognising her own sensory and regulatory differences, cracks in the framework began to show.Together, Angela and Claire explore ABA, nuance, Autistic self-recognition, masking, sensory processing, burnout, and what it means to move from compliance-based therapy to connection-based communication.This episode is about shifting lenses, from behaviour to nervous systems, from control to connection, and from moral judgment to regulation.
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. David McCarty, a sleep physician based in Colorado and Chief Medical Officer for REBIS HEALTH, to discuss the unique challenges of diagnosing and treating central sleep apnea at high altitude. Living and practicing sleep medicine in Colorado has given Dr. McCarty extensive experience managing altitude-related central sleep apnea, a condition that affects many residents and visitors to elevated regions. The conversation begins with fundamental questions: Is central sleep apnea normal at altitude? What physiological mechanisms drive its development? Dr. McCarty explains the prevalence patterns across different elevations, from Denver's mile-high altitude to extreme elevations like 10,000 feet, and whether there's a threshold where everyone develops central events. Practical diagnostic considerations receive detailed attention: Should patients be tested at their home altitude? How are titration studies conducted in high-altitude settings? What testing equipment best identifies central apneas, and should central hypopneas be scored? Dr. McCarty discusses the high prevalence of treatment-emergent central sleep apnea (TECSA) at altitude and how many patients present with mixed obstructive and central patterns, complicating treatment decisions. The episode provides essential guidance for clinicians whose patients travel to high altitude destinations. What PAP adjustments should be made? How should EPR (expiratory pressure relief) settings be modified? Dr. McCarty walks through his decision-making framework for when to treat altitude-related central apnea, emphasizing the importance of patient education before ascension. Treatment options are systematically reviewed: pressure adjustments, the role of BPAP therapy, when to consider ASV, acetazolamide use, and supplemental oxygen. Dr. McCarty discusses whether pre-emptive treatment is appropriate for patients planning high-altitude travel and provides practical protocols for managing both residents who live at altitude and visitors experiencing acute exposure. The conversation emphasizes patient-centered approaches, considering not just the physiological aspects of altitude-related breathing disturbances but also the practical realities of treating patients in mountain communities and preparing lowland residents for high-altitude adventures. Whether you practice in elevated regions, have patients who travel to altitude destinations, or simply want to understand the physiology behind altitude-related central sleep apnea, this episode provides essential clinical guidance. Join us for this informative discussion about a condition that affects millions living at or traveling to high elevations.
For years people were told the body can only decline with age, but what if that isn't the full story? I sit down with Toni and Kerri to explore remarkable testimonies that left even their own doctors saying what they experienced should have been impossible, as their strength, mobility, and vitality returned in ways they never expected. When you hear what happened, it may challenge what you believe about how the body was designed and what is still possible for you. Podcast Episode 2039: Woman Faced With Scary Diagnosis Gets a Breakthrough They Said Couldn't Happen | don't miss this! Listen to more episodes of the Lance Wallnau Show at lancewallnau.com/podcast
Helping you diagnose a common cause of hypertension!Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vaidya (Brigham and Women's Hospital), we help reimagine the approach of clinicians in terms of hypertension and help them navigate common diagnostic dilemmas! @AnandVaidya17 (Bluesky) @AnandVaidya17 (X)Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Introduction and Personal Interests Advice and Wisdom in Medicine Case 1 Defining Primary Aldosteronism Screening for Primary Aldosteronism How common is Primary Aldosteronism Challenges in Diagnosis and Testing Medication Management and Testing Protocols Managing indeterminate cases Aldosterone Suppression Testing and its role Discussing treatment options with patients Case 2 Considering genetic causes of Primary Aldosteronism The need for AVS for lateralization Upcoming imaging modalities for Primary Aldosteronism Case 3 Medical Management of Primary Aldosteronism Future Directions in Treatment Credits Producer, Writer, Show Notes:Mobeen Ahmad MBBS Infographic:Kate Grant MBChB MRCGP Cover Art:Kate Grant MBChB MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Anand Vaidya MD, MMSc DisclosuresDr. Vaidya has disclosed the following: Financial Relationships: Astra Zeneca-Consulting Fee and Corcept-Consulting Fee, relationships have not ended. The Curbsiders report no relevant financial disclosures. Sponsor: The Sanford GuideCurbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.Sponsor: MedStudy PodcastCurbsiders listeners get 15% off with code CURB15 atmedstudy.comSponsor: Panacea Legal Visit Panacea.Legal and use code CURB20 for 20% off contract review services.Sponsor: DeleteMeGet 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promo code CURB at checkout.
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