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This week on Health Matters, we're joined by Dr. Brenna Farmer of NewYork-Presbyterian and Weill Cornell Medicine to talk through what you need to do to be prepared for emergencies. From the supplies you need in case of summer storms and power outages to the simple safety tips to prevent trips to the emergency room during summer fun, Dr. Farmer offers listeners the basics of emergency preparedness.___Brenna Farmer, MD is the chief of emergency medicine at NewYork-Presbyterian Brooklyn Methodist Hospital and vice chair for the Department of Emergency Medicine at Weill Cornell Medicine. She is also an associate professor of clinical emergency medicine at Weill Cornell Medicine. Dr. Farmer has previously served as an assistant residency program director for NewYork-Presbyterian Hospital's Emergency Medicine Residency program. Dr. Farmer is board certified in both emergency medicine and toxicology. She is active nationally in several organizations and is a fellow of the American College of Emergency Physicians, American Academy of Emergency Medicine, and the American College of Medical Toxicology. Her primary areas of focus are quality improvement, patient safety, and medication safety.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
In this conversation, Dr. Ryan Keay discusses the Zero Point Survey, a framework for improving pre-hospital care by emphasizing self-check, team dynamics, and environmental awareness before patient assessment. The discussion highlights the importance of mental readiness, effective communication, and emotional resilience in emergency medical services (EMS). Dr. Keay shares practical insights on how to implement these concepts in real-world scenarios, aiming to enhance the quality of care provided to patients.
We are sharing this popular episode from last fall with Dr. Martin Huecker. Discover thetransformative power of stress in this enlightening episode featuring Dr.Martin Huecker from the University of Louisville's Department of EmergencyMedicine. As a full professor, Wellness Director, and board-certified expert inIntegrative Health Medicine, Dr. Huecker delves into the often-misunderstoodconcept of stress, highlighting how it can be a force for growth andresilience. Learn how to reframe stress for a healthier life, why rest iscrucial for both body and mind, and actionable ways to embrace "goodstress" in your daily routine. Tune in for insights that could reshapeyour approach to wellness! Do you havecomments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We lookforward to hearing from you.
What if the reset you've been craving doesn't come from a new planner or perfectly aligned schedule… but from a plane ticket? In this episode, I'm joined by Dr. Courtney Downes, a full-time ER doc and the founder of Prescription to Travel MD. We talk about something a little different than our usual programming—travel, especially solo travel. If you're a high-achieving woman who's been putting off rest or waiting for the “right time” to go on that dream trip, this conversation is for you. We're diving into what holds so many of us back from traveling (hint: it's not just logistics), and how creating intentional pauses in your life can be one of the most powerful things you do—not just for yourself, but for everyone around you. Dr. Courtney Downes is an Emergency Medicine physician, avid traveler, and the founder of Prescription to Travel MD. Through her podcast, platform, and personalized strategy sessions, she helps physicians and busy professionals—maximize rewards, prevent burnout, and make meaningful travel more accessible. When she's not working in the ER or traveling with her family, she's teaching others how to stop leaving points on the table and start booking luxury travel without the luxury price tag. Resources: Get full show notes and more information here: https://www.burnstressloseweight.com/171 Dr. Courtney Downes's Links: Website: https://prescriptiontotravelmd.com/ Instagram: https://www.instagram.com/prescriptiontotravelmd/ Join us at The Unstoppable Retreat: https://www.burnstressloseweight.com/retreat Learn more: https://www.burnstressloseweight.com/group
July is the most exciting time of the year in the hospital - especially in the Emergency Department, when all of the new interns show up! Get 12 pieces of advice for interns reporting for their first shifts, courtesy of EMRA*Cast host Blythe Fiscella, MD, and guests Andrew Toron, MD (chief resident), Brielle Grote, DO, and Emerson Trimble, DO.
Rhodesia, now Zimbabwe since 1980, is a landlocked country in Southeast Africa. From 1978-1980, Rhodesia experienced one of the largest anthrax epidemics in recorded history. This led to the deaths of hundreds and caused significant economic devastation. The epidemic happened during the Rhodesian Bush War. To this day, the origins of this devastating outbreak remain highly controversial- was it the result of an endemic outbreak or a case of biological warfare? Today I'm going to look at the history of the epidemic and the possible causes with Matthew Turner, MD. Dr Turner is with the Department of Emergency Medicine at Penn State Health Milton S. Hershey Medical Center in Hershey Pennsylvania. He is also the author of an article on the topic published in the Cureus Journal of Medical Science. The Rhodesian Anthrax Epidemic: A Case of Biological Warfare?
Today with us on the Incite Change Podcast, Coach Mauro sits down with Dr. Anne Aspler. Dr. Aspler is an emergency physician, professor, and mother, and her mission is to inspire others to reclaim their voice and spark the movement to end private violence. She is also a sought-after speaker and has recently started recording her talks, which you can subscribe to on YouTube. Her commentary has been featured in The Huffington Post and The Globe and Mail, and she has authored over 20 peer-reviewed articles, with work featured in prestigious journals such as the British Medical Journal, Canadian Journal of Emergency Medicine, and Canadian Journal of Public Health. But of all these accolades, the hardest thing was finding a path forward after complex grief from intergenerational family violence. She's written a book that interweaves her personal story with experiences treating patients in the ER, with the hope of breaking the silence around complex family dynamics, private violence, and recovery. She shares with us her fitness journey and why fitness is important to your physical and mental health. Episode Timestamps ● [01:27] Dr. Anne Aspler ● [04:36] Health Care ● [11:02] Be Your Own Change ● [20:24] Physical Movement ● [28:08] GLP-1 ● [34:02] Rise After Silence ● [45:34] Self Care ● [55:08] Change is Awkward but Good Resources Mentioned ● Dr. Anne Aspler ● Instagram: @dr.anneaspler ● Facebook: Anne Aspler ● YouTube: Anne Aspler ● Subscribe Now! Rise After Silence ● OUTLIVE The Science & Art of Longevity by Peter Attia, MD ● The Body Keeps the Score by Bessel van der Kolk M.D. Quotes [Dr. Anne] “You don't come into this life with shit, but shit happens to everyone.” [Mauro] “You are the captain of your ship.” Thanks so much for tuning in. Join us again next week for another episode! Contact us! If you would like to get in touch, leave us a comment! Visit our website - www.healthyincite.com Follow us on Instagram - https://www.instagram.com/incitecoaching/?hl=en Like us on Facebook - https://www.facebook.com/incitecoaching/
After a brief hiatus, during which the team from Failure - the Podcast/Innovation Blab/5-Minute Update contemplated their umbilici (think, M.C. Escher), we found ourselves at the Yale University School of Medicine to continue our exploration of the health care system. Our intent was to learn about urban health care from an emergency room perspective, and we had an outstanding guide: Dr. Arjun Venkatesh. He is the Chair of the Department of Emergency Medicine at Yale and a practitioner, as well.Mark and Jeff, avid fans of HBO Max's “The Pitt,” quickly lost the journalist's sense and overwhelmed the good doctor with questions: What is the most realistic TV medical drama? (Yes, The Pitt). Why is actor Noah Wyle an honorary MD? (He isn't, he just plays one on TV). Is The Pitt filmed before a studio audience? (Surprisingly, no). Did Grey's Anatomy use real patients? (Are you kidding?)Finally back on track, the team had a serious discussion with Dr. Venkatesh about health care delivery. “We're not failing like we did in the 1970s,” he said. “But we're not getting what we pay for.” Still, he had a hopeful prognosis of the American healthcare system, albeit one requiring longer-term thinking, centralized coordination, and political will.From Dr. Venkatesh's perspective, the current system is overwhelmed by well-intentioned but disjointed efforts. At his own emergency department, for example, 47 separate quality improvement initiatives were active on a single day—each addressing a different problem, but few seeing completion.One of Dr. Venkatesh's most provocative proposals was a shift from annual insurance cycles to 10- or 30-year health plans. “Right now, insurers only care about your health for three to five years,” he said. “If they had to manage your care for a decade, they'd invest in prevention and long-term outcomes.” He also saw promise in Germany's hybrid model: centralized financing with decentralized delivery.Though Mark and Jeff remained a bit distracted — hoping to get Dr. Venkatesh to offer a second opinion on the diagnosis central to season #1, episode 7 of The Pitt — the good doctor returned to a central theme of our discussion: healthcare is a political decision. From Medicaid expansion to vaccine access, he argued that the system reflects the values and priorities of policymakers. “We made a political choice last week to reduce Medicaid coverage,” he said. “That's not a technical failure. That's a choice.”Join the team from Failure - the Podcast/Innovation Blab/5-Minute Update as we resuscitate ourselves with the kind assistance of a top ER doctor. Listen to the full episode and you'll be ready for this listener challenge: is excreting “blue pee” ever a good thing?
Date: July 9, 2025 Guest Skeptics: Dr. Cindy Bitter is an Associate Professor in the Division of Emergency Medicine at Saint Louis University. She has a Master's in Bioethics, and she is passionate about EM capacity building and physician resilience, especially improving wellness through time in nature. Dr. Amy Bi is a graduate from […] The post SGEM Xtra: Career Advice from Buffy the Vampire Slayer first appeared on The Skeptics Guide to Emergency Medicine.
I speak with with Jackie Cummings Koski and Bill Yount from the "Catching Up to FI" podcast to explore why starting your financial independence journey later in life might actually be your secret weapon. The "Catching Up to FI" podcast recently hit 1 million downloads across 150+ episodes. Their audience represents the "silent majority" of FI seekers: 72% aged 41-60 and 76% women. The conversation explores how trauma and loss often catalyze financial awakening, and why the cognitive dissonance between knowing you need financial security while believing it's impossible creates toxic stress. The guests share insights on overcoming the "too late" mindset and leveraging the unique advantages that come with starting later. Jackie Cummings Koski, MSPFP, CFP, AFC, is a personal finance educator and consultant who reached F.I.R.E. (Financial Independence Retire Early) in her 40s after growing her wealth to over $1 million. Her personal finance tips have been featured on media platforms like CNBC, Forbes, and Market Watch. She is author of Money Letters 2 My Daughter and F.I.R.E. for Dummies. Bill Yount MD is an Emergency Medicine physician who discovered FI at 50 despite living paycheck-to-paycheck for years. His mission is helping other late starters begin their financial independence journey. This episode reframes the narrative around late-starter financial independence, showing how age and experience can accelerate your path to financial freedom. Jackie and Bill provide practical, actionable advice while intentionally building community. If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a
In this episode, Seth Mehr, MD joins to share his expertise on safety planning prior to a patient undergoing psilocybin therapy. After a 20 year career as an Emergency Medicine physician, Seth founded Cascade Psychedelic Medicine in 2021, treating clients with depression, anxiety and PTSD with psychedelic ketamine therapy. He also serves as the Health & Safety Director and a state licensed psilocybin facilitator at the Innertrek service center in Portland, Oregon. In this conversation, Dr. Mehr outlines key risk categories for psilocybin therapy: medical conditions, medication interactions, and mental health history. He emphasizes the importance of individualized safety planning over binary yes/no decisions. Dr. Mehr discusses specific considerations such as cardiovascular issues, diabetes, serotonergic medications, substance use disorders, suicidal ideation, and family history of psychosis. The conversation also covers strategies for mitigating risk, including delaying treatment, contingency plans, improving support systems, and ensuring informed consent. Throughout, Dr. Mehr stresses a collaborative, nuanced approach that balances potential benefits with careful preparation and personalized care. In this episode, you'll hear: Stories from Dr. Mehr's practice of helping patients with different conditions and histories ensure safe psilocybin experiences Interactions between GLP-1 agonists and psilocybin How Dr. Mehr works with patients who have family histories of psychosis Harm reduction practices which leverage other psychedelics or non-psychedelic interventions to help prepare a client for a psilocybin session Why insulin dependent diabetes can be a contraindication for psychedelic therapy What medication combinations can increase the risk of serotonin toxicity with psilocybin Supporting clients experiencing spiritual emergency following psilocybin therapy Safety considerations when working with clients who have a history of seizures The importance of having contingency plans if medical emergencies arise during psilocybin therapy The intricacies of providing fully informed consent for psychedelic therapy Quotes: “There is some evidence now that taking a single serotonergic agent—say, taking Lexapro—and no other medications that increase the risk of serotonin toxicity seems safe where I am not at this point recommending that people stop, skip, or taper a single SSRI in preparation for a psilocybin session due to safety.” [12:20] “One of the difficulties with making these decisions or speaking with some confidence or authority on the matter is that the clinical trials that have been done largely exclude people with lots of conditions—family history and specifically first degree relatives with history of psychosis and bipolar disorder… So we have anecdotal evidence, we have population based surveys to go by. And so when I talk to clients about this, I speak from a place of humility.” [27:30] “I always emphasize to clients that while we're talking about a specific safety issue like serotonin toxicity, we don't want to trade that for psychological instability and crisis and declare success because we've helped somebody taper off of a medication that seems less safe and now they aren't sleeping, they're agitated, they're depression is worse, their suicidality is worse. So we have to take a holistic approach to this and consider the totality of what's happening with that client.” [36:45] “There are so many different components to trying to set somebody up for success rather than a yes/no, black and white approach [to psilocybin therapy].” [48:44] Links: Cascade Psychedelic Medicine website InnerTrek website Managing Medical Risk In Patients Seeking Psilocybin Therapy CME/CE Course Psychedelic Medicine Association Porangui
We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn't it be great if it turned out that diltiazem was just as effective, if not more effective, as adenosine without the crappy feeling? Yeah, that'd be great, but what do we do with statistically insignificant results. Is there, perhaps, a way to save this “insignificant” paper? Fear not, Bayes is here! Yes, that's right, Dr. Jarvis is grabbing this new paper and diving straight back into that deep dark rabbit hole of Bayesian analysis. Citation:1. Lee CA, Morrissey B, Chao K, Healy J, Ku K, Khan M, Kinteh E, Shedd A, Garrett J, Chou EH: Adenosine Versus Fixed-Dose Intravenous Bolus Diltiazem on Reversing Supraventricular Tachycardia in The Emergency Department: A Multi-Center Cohort Study. The Journal of Emergency Medicine. 2025;August 1;75:55–64. FAST25 | May 19-21, 2025 | Lexington, KY
When it comes to safety on the farm, a little bit of preparation goes a long way. In this episode of The Dirt, we sit down with Dr. Thomas Bowden, a practicing ER doctor with firsthand insight into the health and safety risks faced by farmers every day. From the basics of first aid to the most life-saving measures on the farm, Dr. Bowden shares what every farmer should know about caring for yourself and others in the field. Discover what to do – and what not to do – during common farm incidents, why every farm needs a well-stocked first aid kit, how to respond to a broken bone, how to respond while waiting for EMS to arrive, what to do in the event of a snake bite, how to recognize and address heat stress and more on this exciting episode. Looking for the latest in crop nutrition research? Visit nutrien-ekonomics.com Subscribe to our YouTube channel: https://www.youtube.com/@NutrieneKonomics
If you're an ER doc, there's a lot happening behind the scenes in healthcare finance that could directly impact your day-to-day. A recent story caught our attention that ties into some of the broader trends we've discussed in the past — and it's worth unpacking. It involves ownership models, shifting priorities, and what it all means for the future of emergency medicine. Let's get into it.
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast Brit Long interviews Zachary Aust on a performing under pressure. To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Reference: Arnold CG, et al. Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. Jan 2025 Date: May 7, 2025 Guest Skeptic : Dr. Sandi Angus is a Paediatric and Adult Emergency Medicine Registrar in the Shrewsbury and Telford Hospital NHS Trust. She is passionate about […] The post SGEM #479: Light Em Up Up Up (CT) or Not for Pediatric Blunt Abdominal Trauma? first appeared on The Skeptics Guide to Emergency Medicine.
This is June 29th's exhortation in which Larson Hicks recognizes that true obedience requires immediate, complete, and joyful submission to instruction. Larson and his wife, Bethany, have 8 children. They were high school sweethearts in Texas and spent the first 10 years of their marriage in Moscow, ID, where Larson graduated from New St. Andrew's College and Bethany from Washington State University. Larson is the CEO of Sycamore Independent Physicians – a healthcare staffing company focused on Emergency Medicine. Trinity Reformed Church is a CREC church in Huntsville, AL seeking to extend and unite the Kingdom in the Huntsville area. Check out our website, Facebook or YouTube!
Welcome to Episode 47 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! New CCME Courses: Mastering Emergency Imaging with Dr. Robert Tubbs and Dr. Adam Janicki https://courses.ccme.org/education/mastering-emergency-imaging American Academy of Radiology Appropriateness https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Appropriateness-Criteria Dr. David Schwartz: Emergency Radiology Textbook https://www.amazon.com/Emergency-Radiology-David-T-Schwartz/dp/0071409173 The Usual Links CCME www.ccme.org SGEM: www.thesgem.com The Proceduralist: www.theproceduralist.org Old Procedural Pause videos: https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx
It was the tweet heard far and wide: When the NRA claimed doctors "should stay in their lane," physicians took aim at firearm safety as a matter of public health, policy, advocacy, and patient care. EMRA*Cast host Lauren Rosenfeld, MD, dives into this issue with author and policy guru Cedric Dark, MD, MPH, FACEP.
In this episode, we welcome back Dr. John Rose as cohost for a conversation with Dr. Gary Tamkin—Emergency Physician and Vice President of Provider Development at US Acute Care Solutions. Together, they explore what it really takes to find happiness and fulfillment in the high-stakes world of emergency medicine. From the trap of the arrival fallacy to the pressure of always chasing the next milestone, Dr. Tamkin shares personal insights and practical strategies tailored to the unique challenges EM clinicians face. You'll come away with two actionable tools to help build more meaning, balance, and joy—both on shift and off. What are your tips for avoiding burnout and finding balance? Share them with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Medical Director at UC Davis Guest: Dr. Gary Tamkin, Emergency Physician and Vice President of Provider Development and US Acute Care Solutions Resources: Podcast: 10% Happier with Dan Harris Podcast: Hidden Brain with Shankar Vedantam Transitions by William Bridges, PhD with Susan Bridges The Happiness Advantage by Shawn Achor **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
In the May 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing protest injuries and xylazine overdose. As always, you'll also hear about the hot topics covered in the regular features, including a man with chest pain and irregular wide-complex tachycardia in The Critical ECG, a child with seizures and tachycardia in Clinical Pediatrics, occult radial head fracture in Orthopedics and Trauma, tracheal suctioning in The Critical Procedure, digital nerve blocks in The LLSA Literature Review, and a patient with abdominal pain and hematemesis in The Critical Image.
Reference: Solnick et al. Sex Disparities in Chlamydia and Gonorrhea Treatment in US Adult Emergency Departments: A Systematic Review and Meta-analysis. AEM June 2025 Date: June 24, 2025 Guest Skeptic: Dr. Suchismita Datta. She is an Assistant Professor and Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital […] The post SGEM#478: If I Were a Man: Sex-Based Disparities in the Treatment of STIs first appeared on The Skeptics Guide to Emergency Medicine.
Hypoglycemia can be subtle—or dangerously obvious—and knowing when and how to treat it is critical. In her first episode as our new Push Dose Pearls expert, Emergency Medicine Clinical Pharmacist, Haley Burhans, joins us to break it down. We discuss glucose thresholds by age, when to draw critical labs, and how to choose the right treatment—whether it's oral glucose, IV dextrose, or IM or intranasal glucagon. From neonates to older adults, Haley delivers practical, evidence-based pearls to help you manage low blood sugar safely and effectively in the ED. Was this episode helpful? What other medications would you like to learn more about? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis Resources: Gandhi K. Approach to hypoglycemia in infants and children. Transl Pediatr. 2017 Oct;6(4):408-420. doi: 10.21037/tp.2017.10.05. PMID: 29184821; PMCID: PMC5682370. Rickels MR, Ruedy KJ, Foster NC, Piché CA, Dulude H, Sherr JL, Tamborlane WV, Bethin KE, DiMeglio LA, Wadwa RP, Ahmann AJ, Haller MJ, Nathan BM, Marcovina SM, Rampakakis E, Meng L, Beck RW; T1D Exchange Intranasal Glucagon Investigators. Intranasal Glucagon for Treatment of Insulin-Induced Hypoglycemia in Adults With Type 1 Diabetes: A Randomized Crossover Noninferiority Study. Diabetes Care. 2016 Feb;39(2):264-70. doi: 10.2337/dc15-1498. Epub 2015 Dec 17. PMID: 26681725; PMCID: PMC4722945.. MD Calc GIR (Glucose Infusion Rate) Calculator **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
In this podcast, with Dr. Thom Mayer, Dr. Carolyn Snider and Dr. Howard Ovens, on leading from the inside out, we cover foundational principles, practical habits, and transformative insights that can make any member of an ED team a more effective, compassionate, and adaptive leader. Here, you'll find tools, philosophy, and stories that just might transform how you think about your role in the ED to make your work more satisfying, make your teams work together better and improve patient outcomes... Please consider a donation to EM Cases to help ensure we continue to provide high quality Free Open Access medical education into the future https://emergencymedicinecases.com/donation/
Social Security might be the most universally recognized piece of the retirement puzzle, but that doesn't make the decision around it any easier. Whether you're planning to claim early or wait it out for a bigger monthly check, the debate is louder than ever—especially for high-income ER docs who might not “need” the benefit right away. Is there a universal answer to taking SS early or late? We'll discuss that today.
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Dr. Fishe focused on implementation science in EMS care particularly with regards to asthma.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Thanks for listening!
According to Eurostat figures, in 2024, the price level for alcohol and tobacco was 3 times higher in Ireland than in the likes of Bulgaria.And the price is actually over 200% above the EU average.So, we want to talk about Minimum Unit Pricing – something that was brought into Ireland three and a half years ago.Joining guest host Seán Defoe to discuss whether or not MUP should be scrapped is Dan O'Brien, Chief Economist with the Institute of International and European Affairs and Chris Luke, retired Consultant in Emergency Medicine and host of the Irish Medical Lives podcast.
Ever wonder why some people obsess over every financial detail while others just want someone to handle it all for them? Money isn't just about math — it's deeply tied to how we're wired. In this episode, we're diving into how your personality shapes your financial decisions — and why knowing yourself might be the key to getting (and staying) ahead. It's less about spreadsheets and more about self-awareness.
Train the Best. Change EMS.Howdy, y'all, I'm Dr Jeff Jarvis, and I'm the host of the EMS lighthouse project podcast, but I'm also the medical director for the new EMS system we're building in Fort Worth Texas. We are looking for an experienced critical care paramedic who is an effective and inspiring educator to lead the initial and continuing training and credentialing of a new team of Critical Care Paramedics who will be responding to our highest acuity calls. The salary is negotiable but starts between $65,000 and $80,000 a year for this office position. Whether y'all wear cowboy boots or Birkenstocks, Fort Worth can be a great place to live and work. So if you're ready to create a world-class EMS system and change the EMS world with us, give us a call at 817-953-3083, take care y'all.The next time you go to intubate a patient, should you give the sedation before the paralytic or the paralytic before the sedative? Does it matter? And what the hell does Bayes have to do with any of this? Dr Jarvis reviews a paper that uses Bayesian statistics to calculate the association between drug sequence and first attempt failure. Then he returns to Nerd Valley to talk about how to interpret 95% confidence intervals derived from frequentists statistics compared to 95% credible intervals that come from Bayesian statistics. Citations:1. Catoire P, Driver B, Prekker ME, Freund Y: Effect of administration sequence of induction agents on first‐attempt failure during emergency intubation: A Bayesian analysis of a prospective cohort. Academic Emergency Medicine. 2025;February;32(2):123–9. 2. Casey JD, Janz DR, Russell DW, Vonderhaar DJ, Joffe AM, Dischert KM, Brown RM, Zouk AN, Gulati S, Heideman BE, et al.: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. N Engl J Med. 2019;February 28;380(9):811–21.3. Greer A, Hewitt M, Khazaneh PT, Ergan B, Burry L, Semler MW, Rochwerg B, Sharif S: Ketamine Versus Etomidate for Rapid Sequence Intubation: A Systematic Review and Meta-Analysis of Randomized Trials. Critical Care Medicine. 2025;February;53(2):e374–83.
Reference: Ye et al. Preoxygenation strategies before intubation in patients with acute hypoxic respiratory failure: a network meta-analysis. Frontiers in Medicine. 2025 Feb Date: June 12, 2025 Guest Skeptic: Dr. Aine Yore is an Emergency Physician, practicing in the Seattle, Washington area for over twenty years. She is the former president of the Washington chapter […] The post SGEM#477: I Can Feel It Coming In the Air Tonight…But By Which Pre-Oxygenation Strategy first appeared on The Skeptics Guide to Emergency Medicine.
Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver shares medical issues men should be aware of. Some pertaining to heart health, prostate health and more. Then Dr. Silver answers listener questions.
When it comes to the airway, roc rocks and succ sucks, right? You've heard it more than once. But EMRA*Cast host Peter Lorenz, MD, presents a nuanced argument in defense of succinylcholine, with guests Mike Perza, PharmD, and Patricia Simmer, MD.
In the April 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute psychosis and lithium toxicity. As always, you'll also hear about the hot topics covered in the regular features, including pelvic inflammatory disease in a non–sexually active teen in Clinical Pediatrics, joint capsule foreign bodies in Critical Cases in Orthopedics and Trauma, male urethral catheterization in The Critical Procedure, high-dose nitroglycerin for SCAPE in The LLSA Literature Review, and a patient with recurrent chest pain in The Critical Image.In the April 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute psychosis and lithium toxicity. As always, you'll also hear about the hot topics covered in the regular features, including pelvic inflammatory disease in a non–sexually active teen in Clinical Pediatrics, joint capsule foreign bodies in Critical Cases in Orthopedics and Trauma, male urethral catheterization in The Critical Procedure, high-dose nitroglycerin for SCAPE in The LLSA Literature Review, and a patient with recurrent chest pain in The Critical Image.
Many kids are preparing to head off on a 6th year holiday once the Leaving Cert comes to an end. But, how can parents prepare their sons and daughters to ensure a happy and safe experience on, for what will be for many, their first experience of going abroad independently, while keeping their own anxiety levels at bay in the process?Joining Seán to discuss is Dr Chris Luke, retired Consultant in Emergency Medicine and host of the Irish Medical Lives podcast, who has been writing about this in the Journal…
Dr. Emily Smith, Assistant Professor in Emergency Medicine and Assistant Research Professor of Global Health at Duke University, explores the intersection of faith, science, and global health through the lens of the parable of the Good Samaritan. Dr. Smith reflects on her experience during the COVID-19 pandemic as the voice behind 'Friendly Neighbor Epidemiologist,' advocating for compassionate public health. Her presentation weaves data with a call to ethical action from a posture of solidarity and neighborly love rooted in both scientific and faith-based principles. This podcast aired in November, 2022.
About this Episode Episode 46 of “The 2 View” – Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges Segment 1A – Music Therapy In the ED Edited by Chaphalkar A. Music therapy eases pain and anxiety in the ED. Medscape. May 2, 2025. https://www.medscape.com/viewarticle/music-therapy-eases-pain-and-anxiety-emergency-department-2025a1000apm Episode 1. The 2 View. 2view.fireside.fm. Published January 11, 202. https://2view.fireside.fm/1 Segment 1B – Heat Stroke Guidelines Barletta JF, Palimeri TL, Toomy SA, et al. Society of Critical Care Medicine Guidelines for the Treatment of Heat Stroke. Crit Care Med. 2025; 53(2):p e490-e500. https://journals.lww.com/ccmjournal/fulltext/2025/02000/societyofcriticalcaremedicineguidelinesfor.22.aspx Eifling KP, Gaudio FG, Dumke C, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update. Wildness Environ Med. 2024;35(1_suppl):112S-127S. https://journals.sagepub.com/doi/10.1177/10806032241227924 Hawkins SC, David F. An Evidence-Based Guide to Heat Stress. Image. Raw Medicine. https://rawmedicine.org/episodes/f/episode-6-heat-emergencies-with-tod-schimelpfenig-and-tim-durkin Published July 1, 2018. Segment 2A – Cephalosporins for Outpatient Treatment of Pyelonephritis Gupta K, Hooton TM, Naber, KG, et al. International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Inf Dis. 2011;52(5):e103-120. https://academic.oup.com/cid/article/52/5/e103/388285 Koehl J, Spolsdoff D, Negaard B, et al. Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025;85(3):240-248. https://www.annemergmed.com/article/S0196-0644(24)01140-5/abstract Segment 2B - Ouropouche Virus Clinical Overview of Oropouche Virus Disease. Centers for Disease Control and Prevention. May 8, 2025. https://www.cdc.gov/oropouche/hcp/clinical-overview/index.html Glatter RD, Sader Neves Ferreira J. Why Is Oropouche Spreading so Fast? Medscape. May 19, 2025. https://www.medscape.com/viewarticle/why-oropouche-spreading-so-fast-2025a1000cgb Segment 3 - Discharging Patients Safe Discharge From The Emergency Department. Ann Emerg Med. 2019;74(5):e95. https://www.annemergmed.com/article/S0196-0644(19)30622-5/abstract Ward, M. When And How Should Clinicians View Discharge Planning as Part of a Patient's Care Continuum? AMA J Ethics. 2023;25(12):e866-872. https://journalofethics.ama-assn.org/article/when-and-how-should-clinicians-view-discharge-planning-part-patients-care-continuum/2023-12 Some Points to Consider Before Discharging a Patient, from Mike and Martha: History / Physical • Abnormal vital signs – treated/explained • Timely repeat vital signs relative to discharge • Addressed all concerns raised in your history-taking and nursing notes • Pertinent history & exam positives/negatives Diagnostics / Decision-Making • Reviewed all diagnostics ordered • Documented abnormalities, explained their significance, & directed follow-up • Adequately considered differential diagnosis • Even in a non-acute setting, adequately ruled out life/limb/organ threats • Appropriately documented communication with staff, consultants, pt's family • Documented patient declining any diagnostics/treatment and their reasons • Documented any reasonable attempts at an alternative plan • Documented assessment of pt's capacity to make informed medical decisions General Documentation • Reviewed “smart phrases” word-for-word to ensure they apply to this pt • Documented use of language services in accordance with institution policies • Documented all appropriate diagnoses (including abnormal vital signs and abnormal diagnostics as appropriate) Discharge Plan • A discharge plan that make sense for this patient, including taking social determinants of health into consideration • Patient can reasonably attend follow-up visits • Follow-up timeframe is appropriate for patient • Patient can afford or obtain essential medications and treatments • Discharge instructions and return precautions, especially for high-risk issues (chest/abdo pain, wounds, infections, fx, splints/casts, controlleds)? Recurring Sources Center for Medical Education. http://ccme.org The Proceduralist. http://www.theproceduralist.org The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. http://www.thesgem.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.
What happens when you are a "general practitioner" but are passionate about Emergency Medicine or PEM. Listen to Dr. Allen Herman's story on practicing Emergency Medicine despite completing his training in Family Medicine.
Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean for this week's health update. This week, Dr. Silver talks about how your coffee intake influences aging. Then Dr. Silver answers listener questions.
Dean Richards, Dave Schwan, and Andy Masur start off this Tony Award Sunday by talking what Dean is looking forward to the most during the 78th Tony Awards. For today's Far Flung Forecast, Dave takes us to Clark, Missouri. Dr. Jeremy Silver, MD, Medical Director of Emergency Medicine at Northwestern Medicine Kishwaukee Hospital, joins Dean […]
Date: June 2, 2025 Guest Skeptic: Dr. Andrew (Andy) Tagg is an Emergency Physician with a special interest in education and lifelong learning. He is the co-founder and website lead of Don't Forget the Bubbles. This is another SGEM Xtra that talks about what we can learn about being physicians from certain pop culture (TV […] The post SGEM Xtra: Your Mission, Should You Choose to Accept It – To Be an EM Doc first appeared on The Skeptics Guide to Emergency Medicine.
The Musk/Trump bromance imploded spectacularly yesterday. What started with Musk criticizing Trump‘s so-called “Big Beautiful Bill”devolved into Trump threatening to pull Musk's government contracts and Musk claiming Trump would not have won the election without him and making allegations that Trump is listed in the Epstein files and that's why they haven't been released. Musk called for Trump‘s impeachment! The public breakup played out in comments made in the Oval Office during a press conference with the leader of Germany, on Trump's Truth Social and on Musk's X. We will ask journalist Michael Shure about this ugly public feud and more with “This Week in Politics.” There are some changes when it comes to recommendations on who should get Covid vaccines and boosters. We'll check in with our doctor, Emergency Medicine specialist, Dr. Michael Daignault. Friday Fabulous Florida is upon us once again and it does not disappoint Culture Blaster Michael Snyder will join us to talk movies and streaming as summer break begins.
Summer travel is in full swing and, for physicians, that means more than just packing swimsuits and sunscreen. In this episode of EM Pulse, we sit down with wilderness medicine expert, Dr. Mary Bing, to unpack the real-world essentials of travel medical kits. From duct tape and whistles to epinephrine and steroids, you'll learn what to bring, how to tailor your supplies based on destination and group, and why your role as a physician—formal or not—comes with extra responsibilities. Whether you're headed to the Alps or the backyard, this episode is your go-to guide for staying medically prepared on the move. Don't just travel light—travel smart. What's in your first aid kit? Hit us op on on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Mary Bing, Professor of Emergency Medicine and Assistant EM Residency Program Director at UC Davis Resources: Surviving a Wilderness Emergency by Peter Kummerfeldt ACEP: First Aid Kit U.S. Customs and Border Protection: Traveling with medication *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
In this episode I speak with Cedric Dark MD MPH, an emergency medicine physician and healthcare policy expert, about gun violence in America. June is Gun Violence Awareness month. Our conversation focuses on prevention, advocacy, and content from his book Under the Gun: An ER Doctor's Cure for America's Gun Epidemic Cedric is an Associate Professor in the Henry J. N. Taub Department of Emergency Medicine at Baylor College of Medicine. He currently is on the Board of Trustees for Semester at Sea and is the Medical Editor-in-Chief for the monthly publication ACEP Now. From 2019 to 2024 he served on the Board of Directors for Doctors for America. Cedric argues that gun violence is a public health issue that healthcare workers are uniquely positioned to address. He explains how mental health factors into gun violence discussions and why access to firearms increases suicide risk. The conversation touches on how advocacy work can help healthcare workers deal with burnout and how organizations like Doctors for America approach health policy change. If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a
Contributor: Taylor Lynch, MD Educational Pearls: The KLM Flight Disaster, also known as the Tenerife Airport Disaster, occurred on 27 March 1977. It involved the collision of two Boeing 747 passenger jets from KLM and Pan Am Airlines, resulting in 583 fatalities. What fell through the cracks to cause this incident? The captain of the KLM flight believed he had received clearance from air traffic control to take off, when in fact he had not. This captain was one of the most senior pilots in the organization, and the culture often saw senior pilots as infallible and not to be questioned. The co-pilot, who noticed improper communication resulting from power dynamics, did not assertively speak up. What lessons can be taken from the tragedy and applied to healthcare? Aviation and healthcare are both high-stakes industries that require extensive communication for the safety of passengers and patients. Within medicine, an inherent hierarchy exists, and it is crucial not to let this hierarchy and perceived power imbalance prevent people from speaking up. In healthcare, providers such as nurses, paramedics, and technicians may spend more time with patients and thus may notice warning signs earlier. It is imperative to foster a culture where they can speak up freely and without hesitation if something concerning is caught in a patient. When might mistakes happen most often? Hanna et al. found that radiological interpretation errors were more likely to occur later in shifts, peaking around the 10-to-12-hour mark. Leviatan et al. found that medication prescription errors were more likely to occur by physicians working on 2nd and 3rd consecutive shifts. Hendey et al. found medication ordering errors were higher on overnight and post-call shifts. Gatz et al. found that surgical procedural complication rates are higher during the last 4 hours of a 12-hour shift. In Short, Ends of shifts are when mistakes are most likely to occur. Overall takeaway? In a healthcare team, it is critical to look after each other regardless of years of experience or post-nominal letters, and speak up for patient safety. Making a special note that we may need to do so more towards the end of shifts, where we might not be at our sharpest. References Gatz JD, Gingold DB, Lemkin DL, Wilkerson RG. Association of Resident Shift Length with Procedural Complications. Journal of Emergency Medicine. 2021 Aug 1;61(2):189–97. Hanna TN, Lamoureux C, Krupinski EA, Weber S, Johnson JO. Effect of Shift, Schedule, and Volume on Interpretive Accuracy: A Retrospective Analysis of 2.9 Million Radiologic Examinations. Radiology. 2018 Apr;287(1):205–12. Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005 Jul;12(7):629–34. Leviatan I, Oberman B, Zimlichman E, Stein GY. Associations of physicians' prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021 Jun 12;28(6):1074–80. Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast, we discuss Ebola.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Date: May 14, 2025 Guest Skeptic: Dr. Ross Prager is an Intensivist at the London Health Sciences Centre and an adjunct professor at Western University. His expertise in critical care medicine is complemented by his research interests in critical care ultrasound and evidence-based knowledge translation. This is an SGEM Xtra episode. The inspiration was a […] The post SGEM Xtra: Ten Lessons They Don't Teach in Medical School (But Should) first appeared on The Skeptics Guide to Emergency Medicine.
We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a bit. Could pretreating these patients with calcium lower the risk of hypotension? Dr Jarvis puts on his nerd hat and uses Bayesian analysis to assess a new randomized, placebo-controlled study that looked at just this thing. Why is he going off on this Bayes thing? Because he's been reading a couple of book on it and wanted to take it for a spin. Tables: Charts: Bayesian Distributions: Citation: 1. Az A, Sogut O, Dogan Y, Akdemir T, Ergenc H, Umit TB, Celik AF, Armagan BN, Bilici E, Cakmak S: Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. The American Journal of Emergency Medicine. 2025;February;88:23–8.2. Fornage LB, O'Neil C, Dowker SR, Wanta ER, Lewis RS, Brown LH: Prehospital Intervention Improves Outcomes for Patients Presenting in Atrial Fibrillation with Rapid Ventricular Response. Prehospital Emergency Care. doi: 10.1080/10903127.2023.2283885 (Epub ahead of print).3. Kolkebeck T, Abbrescia K, Pfaff J, Glynn T, Ward JA: Calcium chloride before i.v. diltiazem in the management of atrial fibrillation. The Journal of Emergency Medicine. 2004;May 1;26(4):395–400.4. Chivers T: Everything Is Predictable: How Bayes' Remarkable Theorem Explains the World. Weidenfeld & Nicolson, 2024.5. McGrayne SB: The Theory That Would Not Die. how Bayes' Rule Cracked The Enigma Code, Hunted Down Russian Submarines & Emerged Triumphant From Two Centuries of Controversy. New Haven, CT, Yale University Press, 2011. FAST25 | May 19-21, 2025 | Lexington, KY
The Psychology of Self-Injury: Exploring Self-Harm & Mental Health
Just how prevalent is self-injury among older adults, specifically those ages 60 and over? Do the types and methods they use differ from those who self-injure at other ages? What about the reasons they give for self-injuring? In this episode, Dr. Lisa Van Hove from Vrije Universiteit Brussel (Brussels University) is the first to reveal the prevalence of self-injury and self-harm among older adults.To see Dr. Van Hove's publications, including those about self-injury among older adults, click here. Connect with Dr. Van Hove on LinkedIn here. Below is some of her research and that of others referenced in this episode:Van Hove, L., Baetens, I., Hamza, C., Dierckx, E., Haekens, A., Fieremans, L., & Vanderstichelen, S. (2023). NSSI in older adults. In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 572-592). Oxford University Press.Van Hove, L., Baetens, I., & Vanderstichelen, S. (2025). Psychogeriatric experts' experiences with risk factors of suicidal and non-suicidal self-injury in older adults: A qualitative study. Qualitative Research in Medicine and Healthcare, 8(1). Van Hove, L., Baetens, I., & Vanderstichelen, S. (2024). Conceptualizing self-harm through the experiences of psychogeriatric experts. Psychopathology, 57(4), 277-285.Van Hove, L., Nieuwenhuijs, B. M., Vanderstichelen, S., De Witte, N., Gorus, E., Stas, L., & Baetens, I. (2025). Biopsychosocial profile of community-dwelling older adults at risk for direct and indirect self-harm. Clinical Gerontologist, 1–12.Van Hove, L., Facon M., Baetens, I., Vanderstichelen, S., Dierckx, E., Van Alphen, S.P.J., Stas, L., & Rossi, G. (in press). Development of an at-risk personality profile for (in)direct self-harm engagement in older age. Journal of Personality Disorders.Murphy, E., Kapur, N., Webb, R., Purandare, N., Hawton, K., Bergen, H., Waters, K., & Cooper, J. (2012). Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. British Journal of Psychiatry, 200(5), 399-404.Martin, G., & Swannell, S. (2016). Non-suicidal self-injury in the over 40s: Results from a large national epidemiological survey. Epidemiology (Sunnyvale), 6(5), 266.Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2016). Nonsuicidal self-injury and suicide attempts among ED patients older than 50 years: comparison of risk factors and ED visit outcomes. The American Journal of Emergency Medicine, 34(6), 1016-1021.Ose, S. O., Tveit, T., & Mehlum, L. (2021). Non-suicidal self-injury (NSSI) in adult psychiatric outpatients – A nationwide study. Journal of Psychiatric Research, 133, 1-9.Wiktorsson, S., Strömsten, L., Renberg, E. S., Runeson, B., & Waern, M. (2022). Clinical characteristics in older, middle-aged and young adults who present with suicide attempts at psychiatric emergency departments: A multisite study. The American Journal of Geriatric Psychiatry, 30(3), 342-351.Gratz, K. L., & Tull, M. T. (2025). Acceptance-based emotion regulation therapy: A clinician's guide to treating emotion dysregulation & self-destructive behaviors using an evidence-based therapy drawn from ACT & DBT. Context Press.Want to have a bigger role on the podcast?:Should you or someone you know be interviewed on the podcast? We want to know! Please fill out this Google doc form, and we will be in touch with more details if it's a good fit.Want to hear your question and have it answered on the podcast? Please send an audio clip of your question (60 seconds or less) to @DocWesters on Instagram or Twitter/X, or email us at thepsychologyofselfinjury@gmail.comWant to be involved in research? Send us a message at thepsychologyofselfinjury@gmail.com and we will see if we can match you to an active study.Want to interact with us through comments and polls? You can on Spotify!Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."
What if addiction isn't about drugs, but about pain? Beneath compulsive behaviors often lie histories of trauma, anxiety, and unmet emotional needs, hidden behind layers of stigma and misunderstanding. In medicine, addiction is still often mischaracterized as a moral failing rather than a treatable illness with deep psychological roots. In this episode, we explore the personal and professional evolution of Dr. Casey Grover, an addiction medicine physician who reframed both his own struggles and the way he cares for patients. Finally, we uncover how shifting mindset and language can transform both clinical outcomes and clinician well-being.