Podcasts about Epidemiology

A Chicago violence prevention program is pairing cognitive behavioral therapy with intensive mentoring and wraparound support to help high-risk teens avoid incarceration.Guests:Nour Abdul-Razzak, Research Associate, University of Chicago Harris School of Public Policy; Research Director, University of Chicago Inclusive Economy LabCharles Branas, Professor and Chair, Department of Epidemiology, Columbia University Mailman School of Public HealthToni Copeland, Director of Student Supports and Violence Prevention Programs, Chicago Public SchoolsJennifer Doleac, Executive Vice President of Criminal Justice, Arnold VenturesJasper Guilbault, Therapist, BrightpointGary Ivory, President and CEO, Youth Advocate ProgramsJulie Noobler, Director of Mental Health and Wellness, BrightpointT-ManLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

Swinging, spinning, and jumping can be incredible tools for regulation but they can also lead to overstimulation if we're not careful. In this episode, we're breaking down how to safely use vestibular input (aka movement) to support sensory regulation without causing meltdowns or motion sickness.In this episode, you'll learn:What the vestibular system is and why it's so importantThe difference between seekers, avoiders, and under-respondersSigns of vestibular overload and what to look forHow to safely build up tolerance to spinning, swinging, and movementTips for balancing vestibular input with proprioception for regulationThanks for listening

Preparing for pregnancy starts long before a positive test — and today, pediatrician Dr. Gator (Dr. Joel Warsh) reveals why the preconception period may be the most important window for your baby's future health.In this powerful conversation, we explore how nutrition, toxins, lifestyle, stress, and resilience shape fertility, conception, and the long-term well-being of your future child. Whether you're trying to conceive, struggling with fertility, or planning ahead, this episode will give you practical steps you can begin using today.This conversation was also featured from the summit I hosted last year. Since this conversation is powerful and a must-listen, I am now featuring it here on Egg Meets Sperm! Joel Warsh, aka Dr. Joel Gator of the popular parenting Instagram, is a Board-Certified Pediatrician in Los Angeles, California, who specializes in Parenting, Wellness, and Integrative Medicine. He grew up in Toronto, Canada, and completed degrees in Kinesiology, Psychology, Epidemiology, and Community Health before earning his medical degree from Thomas Jefferson Medical College. He completed his Pediatric Medicine training at Children's Hospital of Los Angeles (CHLA) and worked in private practice in Beverly Hills before founding his current practice, Integrative Pediatrics and Medicine Studio City, in 2018.Dr. Gator has published research in peer-reviewed journals on topics including childhood injuries, obesity, and physical activity. He has been featured in numerous documentaries, films, summits, podcasts, and articles, including CBS, Fox, LA Parent, MindBodyGreen, and many others. He is also the founder of the Parenting Masterclass Series, Raising Amazing, which can be found at RaisingAmazingPlus.com✨ Topics we cover:00:00 – Opening excerpt00:18 – Why children's health begins before conception02:10 – How parental health influences fertility & baby's future wellness04:40 – Why small lifestyle changes can dramatically increase conception rates06:30 – What “healthy eating” really means (beyond dieting)08:05 – How toxins impact fertility & how to reduce exposure11:25 – Air, water & household products: where to start14:10 – Stress, hormones & conception — what the research suggests17:40 – Building resilience in kids: what it actually means20:15 – Dr. Gator's top preconception tips for future parents23:00 – Encouragement for parents who feel “it's too late”24:50 – Final thoughts from a pediatrician's perspective

Welcome back to PreventConnect's 20th anniversary year and our ongoing reflection on Billie Weiss's influence on public health and prevention. If you haven't listened to Billie's excerpts from a not-yet-released conversation with VALOR's Leah Aldridge and David S. Lee, check out “Prevention Then and Now: Reflections from Long-Time Practitioners with Billie Weiss.”In this follow-up episode, Ashleigh Kleigh-Jimenez sits down with David S. Lee to discuss Billie's influence on preventing violence, working with communities, and a public health approach to prevention. David and Ashleigh also imagine the future of prevention, and its connection to both science and art. 

Welcome to the 20th Anniversary of PreventConnect!Today's episode is an excerpt from a not-yet-released conversation between VALOR's Leah Aldridge and David S. Lee, and one of their mentors, Billie Weiss. Billie's research, inclusion of community, and connecting violence prevention to public health are foundational parts of modern prevention practices.In these excerpts, Billie, Leah, and David discuss the emergence of epidemiology and Billie's start in public health and prevention. 

Visit ⁠⁠⁠https://longevitybuilders.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠to discover book and The Longevity Builder Health Lab.Episode SummaryFor decades, the standard medical advice for cancer patients was simple: "Rest. Take it easy. Avoid exertion." Today's guest has spent her career proving that advice is not just outdated—it is dangerous.In this episode, Shane Stubbs sits down with Dr. Kathryn Schmitz, the world's leading authority in Exercise Oncology. Dr. Schmitz is the scientist who literally wrote the book on moving through cancer. She spearheaded the "Exercise is Medicine" initiative and has led over $30 million in research funding to prove that exercise changes the biology of cancer.We dive deep into why building a resilient body is your best defense, the specific "Move, Lift, Eat, Sleep, Log" framework, and how resistance training impacts survivorship.PLUS: Stay tuned until the very end for a "Science Spotlight" Bonus Segment. Shane breaks down new research highlighted by Dr. Rhonda Patrick on "Shear Stress"—explaining the physics of how vigorous exercise can mechanically destroy circulating tumor cells and reverse heart aging by 20 years.The Paradigm Shift: Why the old advice to "rest" during cancer treatment is being replaced by a prescription for movement.The Science: Dr. Schmitz's $30M+ research journey and her role in writing the ACSM guidelines for cancer survivors.The Protocol: The "Move, Lift, Eat, Sleep, Log" framework for building a body that can withstand the "Big Four" (Cancer, Heart Disease, Metabolic Dysfunction, Neurodegeneration).Exercise as Medicine: How specific doses of activity can alleviate symptoms, improve chemotherapy tolerance, and boost survival rates.BONUS Segment: The physics of Shear Stress. We discuss Dr. Rhonda Patrick's breakdown of how high-intensity blood flow can kill Circulating Tumor Cells (CTCs) and scrub your arteries.Dr. Kathryn Schmitz is a Distinguished Professor of Public Health Sciences and a Professor of Physical Medicine and Rehabilitation. A trailblazer in the field of Exercise Oncology, she served as the President of the American College of Sports Medicine (ACSM) and founded the Moving Through Cancer initiative.With a PhD in Exercise Physiology, an MPH in Epidemiology, and over 300 peer-reviewed scientific papers, Dr. Schmitz is the foremost voice on the intersection of movement and malignancy. She is the author of the book Moving Through Cancer.Book: Moving Through Cancer by Dr. Kathryn SchmitzInitiative: Moving Through Cancer (ACSM)Research Spotlight: Dr. Rhonda Patrick on Shear Stress & Circulating Tumor CellsReady to put this science into practice? Don't just listen—execute.Join the Longevity Builder Health Lab to access the protocols, community, and tools you need to build a body that lasts.

In the second episode of the Prevention Intention mini-series, Katherine speaks with Wafaa El-Sadr, University Professor in Epidemiology at Columbia University and the director of ICAP. They discuss El-Sadr's formative experience treating AIDS patients in New York City in the early 1980s, as the global HIV epidemic began to emerge; her decision to found ICAP in order to bring HIV treatments to patients worldwide; and ICAP's contributions to HIV prevention research. They also cover the evolution of PEPFAR, the challenges and opportunities associated with current efforts to reform U.S. global health assistance, and El-Sadr's emphasis on ensuring people and their communities are at the heart of all health research and service delivery endeavors.

In this episode, Sam Ashoo, MD and Tim Horeczko, MD discuss the November 2025 Pediatric Emergency Medicine Practice article, Emergency Department Management of Measles, Mumps, Rubella, and Varicella in Pediatric Patients00:00 Introduction to Emergency Medicine00:21 Welcome and Holiday Greetings01:16 Special Guest Introduction01:41 Discussion on Pediatric Emergency Medicine04:55 Epidemiology of Measles08:16 Challenges in Diagnosing Measles14:27 Mumps: Symptoms and Complications27:36 Rubella: Risks and Symptoms29:28 Varicella: Symptoms and Precautions33:12 Differential Diagnosis and Conclusion35:14 Using Inductive Reasoning in Medical Diagnosis35:40 Recognizing Purpuric Rash and Its Implications36:22 Guidance for EMS Colleagues on Handling Fever and Rash37:14 Importance of Communication and Relationships with EMS39:12 Decontamination and PPE Protocols for EMS42:34 Detailed Patient Assessment in the ED46:06 Diagnostic Testing and Clinical Diagnosis49:20 Reporting Responsibilities and Treatment Protocols01:01:19 Addressing Vaccine Controversies and Public Trust01:06:25 Conclusion and Additional ResourcesCheck out Dr Horeczko's podcast - Pediatric Emergency PlaybookEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Bipolar disorder is a mood disorder that is characterised by alternating periods of depressive symptoms and elevated mood, termed either hypomania or mania. We cover the different types of bipolar disorder, the criteria for diagnosis and treatment options. PDFs available here: https://rhesusmedicine.com/pages/psychiatryFree Practice Material: https://app.wisdolia.com/learning-journey/all-cards/rlEkoudd56tl7ILuiiVK?showListView=true&r=DnwHGyl95QQgP3ecVSPDHrFGE0E0qB&ref=rhesusmedicineConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Bipolar Disorder?0:33 Bipolar Disorder - Depression1:10 Bipolar Disorder - Mania vs Hypomania2:14 Bipolar Disorder Classification - (Bipolar Disorder 1 vs Bipolar Disorder 2 vs Cyclothymia) 3:15 Epidemiology and Risk Factors4:22 Bipolar Disorder Treatment LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesNational Alliance on Mental Illness (NAMI), 2025. Bipolar Disorder. [online] Available at: https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Bipolar-Disorder.Psycom Pro, 2025. Bipolar Disorder. [online] Available at: https://pro.psycom.net/assessment-diagnosis-adherence/bipolar-disorder.National Institute of Mental Health (NIMH), 2025. Bipolar Disorder. [online] Available at: https://www.nimh.nih.gov/health/publications/bipolar-disorder.Wikipedia, 2025. Bipolar disorder. [online] Available at: https://en.wikipedia.org/wiki/Bipolar_disorder.Verywell Mind, 2025. Will My Child Inherit My Bipolar Disorder?. [online] Available at: https://www.verywellmind.com/will-my-child-inherit-my-bipolar-disorder-380477.Disclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

Schizophrenia is a mental disorder characterised by impairments in the way reality is perceived with associated changes in behaviour. We cover the symptoms of Schizophrenia (with delusion types), including the DSM-5 criteria for diagnosis, as well as Schizophrenia treatment. PDFs available here: https://rhesusmedicine.com/pages/psychiatryConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Schizophrenia?0:28 Schizophrenia Symptoms - Positive Symptoms2:28 Schizophrenia Symptoms - Negative Symptoms2:58 Schizophrenia Symptoms - Cognitive Symptoms 3:49 Schizophrenia Diagnosis / Diagnostic DSM 5 Criteria 5:08 Schizophrenia Causes / Pathophysiology 5:53 Schizophrenia Risk Factors & Epidemiology 7:00 Schizophrenia Treatment LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesNational Institute of Mental Health (NIMH), 2025. Schizophrenia. [online] Available at: https://www.nimh.nih.gov/health/topics/schizophrenia.World Health Organization (WHO), 2025. Schizophrenia. [online] Available at: https://www.who.int/news-room/fact-sheets/detail/schizophrenia.National Alliance on Mental Illness (NAMI), 2025. Schizophrenia. [online] Available at: https://nami.org/About-Mental-Illness/Mental-Health-Conditions/Schizophrenia.Wikipedia, 2025. Schizophrenia. [online] Available at: https://en.wikipedia.org/wiki/Schizophrenia.Medscape, 2025. Schizophrenia: Symptoms, Causes & Treatment Options. [online] Available at: https://emedicine.medscape.com/article/288259-overview.Symptom Media, 2025. Schizophrenia Delusions: Definition, Types, and Treatments. [online] Available at: https://symptommedia.com/delusions-associated-with-schizophrenia-ce-course-preview/.Psycom, 2025. Schizophrenia: Symptoms, Causes, Diagnosis, Treatment. [online] Available at: https://www.psycom.net/schizophrenia.StatPearls, 2025. Schizophrenia. [online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK539864/.Disclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

In this exploration of the Tao Te Ching and other traditions, the conversation opens to introductions  of the five Panelists and an invocation of hope of others to investigate the Tao Te Ching. Bob, Brian, Rich, Henry and Joel share Verse 1 and questions arise: What is Reality? Is the Tao Reality? What is the Tao? What does the term Anti-foundational mean? Reversal Yin/ Yang in relation to Tao. Paradox and the Tao. Everyday consciousness is the pathway to the Tao. What is the relationship with Buddhism, Hinduism, Christianity and Tao? What does silence offer in relation to the Tao? The Beginningless Beginning? Is the Tao directly knowable? Tibetan Buddihsm and the Tao. Verse 17 and Verse 38 are explored. Wu Wei. How do we serve God? How do we serve Tao? Why did God create? Biographies of Panel: Dr. Bob Insull is an New York State Licensed Psychologist with more than 60 years experience teaching, training, and treating in the arena of human behavior. In his clinical practice, he has worked across the developmental stages (children to golden-agers), across the diagnostic spectrum (chemical dependency, severe mental illness, relationship issues, depression, anxiety, and PTSD), and treatment settings (clinics, inpatient psychiatric centers, and private practice). During the closing years of his practice, he became interested in the area of psychological trauma and worked with survivors in individual and group settings. He has been retired from active practice for about 15 years and spends his time engaged in self-discovery on the Sufi Path and social-change activities with his church. ------- Brian Mistler enjoys communing with fellow inquirers and reflecting together on revealed perennial wisdom. Hari Om Tat Sat. Peace, peace, peace. ------- Richard Grego is Professor of philosophy and cultural history at FSCJ. His research interests focus on cross cultural themes in religion and science - including philosophy of mind, comparative world religions/world civilizations, and the metaphysical - theological implications of theoretical physics and cosmology. His publications have included studies in the history - philosophy of science and conceptions of nature in the history of western philosophy, as well as cross-cultural perspectives on mind/ consciousness in western philosophy - psychology and the neo-Vedanta Hindu tradition. Prior to his academic career, he was a criminal investigator - polygraph examiner for the Florida Office of the Public Defender and in the private sector Instructor at the Criminal Justice Institute and International Academy of Polygraph Science in Florida, and national Academic Director of the Criminal Defense Investigation Training Council. ------- Joel David Lesses is President and Executive Director of Education Training Center, Inc. and his work experience is in education, psychology, and counseling for people marginalized by trauma, addiction, and psychological distress. He is deeply vested in addressing the effects of mental health distress and its marginalization including, incarceration, homelessness, and institutionalization. Joel is dedicated to reframing mental health distress as a potential spiritual marker and existential opportunity. He holds dual Master of Science degrees from University at Buffalo in Rehabilitation Counseling and Biomedical Sciences with a concentration in Epidemiology.   ------- Henry Cretella, M.D. studied and practiced Tibetan Buddhism for several years along with training in martial arts.  He then immersed himself in the more universal Sufism of Inayat Khan, an Indian mystic, for close to twenty years. He functioned as a senior teacher in the Inayati Order and the Sufi Healing Order before pursuing  his independent practice and study of mysticism. He now integrates what he has learned and experienced over these many years. He graduated from Vanderbilt Medical School and completed his psychiatric training at Strong Memorial Hospital of the University of Rochester in Rochester, NY.  His professional career spanned over 40 years as a general and child and adolescent psychiatrist and included teaching, administration, clinical practice and consultation in the greater Rochester and western NY areas.  This, along with his spiritual and especially mystical interests lead him to certification as a mind body practitioner through the Center for Mind Body Medicine and Dr. James Gordon.  He retired several years ago from active psychiatric practice, but continues to incorporate what he has learned into his spiritual practices and offerings.

God (Tao) says, 'be what I made you to be!' God (Tao) is found in relationships. Does God want us to know Him (or ourselves) most intimately? Dependent Co-arising? 'Simultaneously, I and all beings attain the Way' (Awaken to Reality) ~Buddha 'Essentially, outside of me, nothing exists' Verse 18 What does it mean to let go? What do we let go of? To be human is to be attached? Closes with Verse 81, and then Joel reads two poems by Ikkyu. Biographies of Panel: Dr. Bob Insull is an New York State Licensed Psychologist with more than 60 years experience teaching, training, and treating in the arena of human behavior. In his clinical practice, he has worked across the developmental stages (children to golden-agers), across the diagnostic spectrum (chemical dependency, severe mental illness, relationship issues, depression, anxiety, and PTSD), and treatment settings (clinics, inpatient psychiatric centers, and private practice). During the closing years of his practice, he became interested in the area of psychological trauma and worked with survivors in individual and group settings. He has been retired from active practice for about 15 years and spends his time engaged in self-discovery on the Sufi Path and social-change activities with his church. ------ Brian Mistler enjoys communing with fellow inquirers and reflecting together on revealed perennial wisdom. Hari Om Tat Sat. Peace, peace, peace. ------- Richard Grego is Professor of philosophy and cultural history at FSCJ. His research interests focus on cross-cultural themes in religion and science - including philosophy of mind, comparative world religions/world civilizations, and the metaphysical - theological implications of theoretical physics and cosmology. His publications have included studies in the history - philosophy of science and conceptions of nature in the history of western philosophy, as well as cross-cultural perspectives on mind/ consciousness in western philosophy - psychology and the neo-Vedanta Hindu tradition. Prior to his academic career, he was a criminal investigator - polygraph examiner for the Florida Office of the Public Defender and in the private sector Instructor at the Criminal Justice Institute and International Academy of Polygraph Science in Florida, and national Academic Director of the Criminal Defense Investigation Training Council. ------- Joel David Lesses is President and Executive Director of Education Training Center, Inc. and his work experience is in education, psychology, and counseling for people marginalized by trauma, addiction, and psychological distress. He is deeply vested in addressing the effects of mental health distress and its marginalization including, incarceration, homelessness, and institutionalization. Joel is dedicated to reframing mental health distress as a potential spiritual marker and existential opportunity. He holds dual Master of Science degrees from University at Buffalo in Rehabilitation Counseling and Biomedical Sciences with a concentration in Epidemiology. ------- Henry Cretella, M.D. studied and practiced Tibetan Buddhism for several years along with training in martial arts.  He then immersed himself in the more universal Sufism of Inayat Khan, an Indian mystic, for close to twenty years. He functioned as a senior teacher in the Inayati Order and the Sufi Healing Order before pursuing  his independent practice and study of mysticism. He now integrates what he has learned and experienced over these many years. He graduated from Vanderbilt Medical School and completed his psychiatric training at Strong Memorial Hospital of the University of Rochester in Rochester, NY.  His professional career spanned over 40 years as a general and child and adolescent psychiatrist and included teaching, administration, clinical practice and consultation in the greater Rochester and western NY areas.  This, along with his spiritual and especially mystical interests lead him to certification as a mind body practitioner through the Center for Mind Body Medicine and Dr. James Gordon.  He retired several years ago from active psychiatric practice, but continues to incorporate what he has learned into his spiritual practices and offerings.d

Omari Richins, MPH of Public Health Careers podcast talks with Dr. Tista Ghosh.In this conversation, Tista Ghosh, a physician and epidemiologist, shares her journey in public health, discussing her experiences during the pandemic, the importance of frontline workers, and the lessons learned for future preparedness. She emphasizes the need for cultural shifts in public health communication, the role of everyday people in disaster preparedness, and the significance of storytelling in understanding public health issues. Tista also provides insights into stress management for public health workers and the importance of supporting public health staff. She reflects on her career path, the challenges and rewards of her current role, and the need for better public health education.

Guest: Prof Lena Zgaga, Professor in Epidemiology at the Department of Public Health and Primary Care at the School of Health in Trinity

Chronic Kidney Disease (CKD) explained, including causes and pathophysiology, as well as symptoms and complications. We also look at diagnosis and treatment options. PDFs available here: https://rhesusmedicine.com/pages/nephrologyConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Chronic Kidney Disease?1:45 Chronic Kidney Disease Symptoms & Complications4:51 Chronic Kidney Disease Causes7:20 Chronic Kidney Disease Pathophysiology 8:14 Chronic Kidney Disease Epidemiology / Risk Factors 8:53 Chronic Kidney Disease Diagnosis10:30 Chronic Kidney Disease Treatment LINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/ReferencesNICE Clinical Knowledge Summaries (CKS). Definition of Chronic Kidney Disease. Last revised May 2025. Available at: https://cks.nice.org.uk/topics/chronic-kidney-disease/background-information/definition/ (NICE)StatPearls. Chronic Kidney Disease. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Last updated July 31 2024. Available at: https://www.ncbi.nlm.nih.gov/books/NBK535404/ (NCBI, PubMed)Wikipedia contributors. Chronic kidney disease. Last updated August 2025. Available at: https://en.wikipedia.org/wiki/Chronic_kidney_disease (Wikipedia)GPCPD (HEIW Wales). Prescribing in Acute Kidney Injury (AKI). Updated 2025. Available at: https://gpcpd.heiw.wales/clinical/acute-kidney-injury-in-primary-care/prescribing-in-aki/Kidney International. Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements, 2022 Apr;12(1):7–11. Available at: https://www.kidney-international.org/article/S0085-2538(22)00518-X/fulltext (PubMed)Disclaimer: Please remember this podcast and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

Estudo publicado no Journal of Epidemiology and Community Health conclui que cantores famosos morrem mais cedo do que cantores menos conhecidos. O caso é mais grave em cantores a solo

Parents navigating children's health in today's fast-paced world will find practical guidance and balanced insights in this episode. Dr. Joel Warsh, a board-certified pediatrician specializing in integrative medicine, shares strategies for making informed choices about vaccines, boosting immunity, and supporting overall wellness. From reducing toxins and improving nutrition to fostering emotional and mental health, this conversation provides actionable tips that empower families without overwhelm. Listeners will gain clarity, confidence, and tools to raise resilient, healthy children.  Key Takeaways:   Holistic pediatric care begins with balancing traditional medicine and integrative wellness.  Informed parenting is empowered through understanding, asking questions, and seeking clarity.  Prevention and mindful lifestyle choices lay the foundation for lifelong health in children.  Small, intentional changes at home—like nutrition, sleep, and toxin reduction—create lasting impact.  Open conversations and personalized care help families navigate complex health decisions with confidence.  About Dr, Joel "Gator" Warsh:  Joel Warsh aka Dr. Joel Gator of the popular parenting Instagram account and substack is a Board-Certified Pediatrician in Los Angeles, California who specializes in Parenting, Wellness and Integrative Medicine. He is the author of multiple books including his latest, Between a Shot and a Hard Place: Tackling Difficult Vaccine Questions with Balance, Data, and Clarity, He grew up in Toronto, Canada and completed a Master's Degree in Epidemiology before earning his medical degree from Thomas Jefferson Medical College. He completed his Pediatric Medicine training at Children's Hospital of Los Angeles and then worked in private practice in Beverly Hills before founding his current practice, Integrative Pediatrics. Dr. Gator has published research in peer-reviewed journals on topics including childhood injuries, obesity and physical activity. He has been featured in numerous documentaries, films, summits, podcasts and articles.  Connect with Dr. Joel Warsh at:  https://www.instagram.com/drjoelgator/  https://raisingamazingplus.com/inner-circle/  https://raisingamazingplus.com/   Connect with Dr. Michelle and Bayleigh at:  https://smallchangesbigshifts.com  hello@smallchangesbigshifts.com  https://www.linkedin.com/company/smallchangesbigshifts  https://www.facebook.com/SmallChangesBigShifts  https://www.instagram.com/smallchangesbigshiftsco  Thanks for listening!  Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page.  Do you have some feedback or questions about this episode? Leave a comment in the section below!  Subscribe to the podcast  If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app.  Leave us an Apple Podcasts review  Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. 

Send us a textLatinos have changed global science in extraordinary ways—and most people never learned their names. In this episode of The Global Latin Factor Podcast, Crispin Valentin highlights three groundbreaking Latino scientists whose discoveries reshaped public health, immunology, and modern medicine.

Send us a textMethods & challenges of establishing causal relationships in health research, emphasizing epidemiology, randomized trials, and genetic approaches.Topics:Epidemiology: Studies disease influences using observational designs like case-control and prospective cohorts, plus trials, to identify patterns and test hypotheses.Hierarchy of evidence critique: Rejects rigid pyramids favoring RCTs, as all studies can be biased; advocates triangulation integrating varied data types for robust conclusions.RCT strengths & weaknesses: Randomization balances confounders, but issues like poor blinding, attrition, or subversion can undermine results; large samples may yield spurious precision if biased.Confounding & reverse causation: Examples include yellow fingers and lung cancer (both from smoking) or early atherosclerosis inflating CRP-disease links; hard to fully control statistically.Nutrition epidemiology: Observational studies often overstate benefits (e.g., vitamin E for heart disease), leading to failed trials; incentives favor new findings over revisiting errors.Mendelian randomization: Uses genetic variants as proxies for exposures (e.g., ALDH2 for alcohol metabolism) to mimic randomization; reveals no heart benefits from alcohol, unlike observational data.Negative controls: Tests implausible outcomes (e.g., smoking and murder) or exposures (e.g., paternal smoking in pregnancy) to check for confounding artifacts.Evidence triangulation: Combines diverse studies with different biases (e.g., cross-cultural comparisons) for causality; applied to dismiss HDL-raising drugs despite initial promise.Practical Takeaways:Scrutinize health claims by checking for negative controls or variety in evidence sources to avoid mistaking correlation for causation.For personal decisions like alcohol intake, consider genetic studies showing risks at all levels, and aim for moderation or abstinence based on overall evidence.When evaluating supplements or diets, prioritize trials over observational data, and question media hype that ignores confounding factors.About the guest: Dr. George Davey Smith, MD, DSc is a professor of clinical epidemiology at the University of Bristol and director of the MRC Integrative Epidemiology Unit.*Not medical advice.Support the showAffiliates: Lumen device to optimize your metabolism for weight loss or athletic performance. MINDMATTER gets you 15% off. AquaTru: Water filtration devices that remove microplastics, metals, bacteria, and more from your drinking water. Through link, $100 off AquaTru Carafe, Classic & Under Sink Units; $300 off Freestanding models. Seed Oil Scout: Find restaurants with seed oil-free options, scan food products to see what they're hiding, with this easy-to-use mobile app. KetoCitra—Ketone body BHB + electrolytes formulated for kidney health. Use code MIND20 for 20% off any subscription (cancel anytime) For all the ways you can support my efforts

Dr. Nicola Hawley is an Associate Professor of Epidemiology at the Yale School of Public Health, where she also holds a secondary appointment in Anthropology. She serves as Associate Director for Dissemination and Implementation Science at the Yale Center for Clinical Investigation. Trained as a human biologist, Dr. Hawley is an internationally recognized expert in maternal and child health, with a focus on how early life experiences, from pregnancy through childhood, shape long-term risks for obesity and chronic disease. Her research bridges epidemiology, anthropology, and global health, using community-engaged and culturally grounded approaches to improve health outcomes in under-resourced and Indigenous settings. Much of her work centers in the Pacific, particularly in Sāmoa and American Sāmoa, where she leads NIH- and PCORI-funded studies on gestational and Type 2 diabetes, obesity prevention, and intergenerational health. She's also deeply committed to mentorship, helping train the next generation of global health and maternal-child health researchers. ------------------------------ Find the work discussed in this episode: Heinsberg LW, Loia M, Tasele S, Faasalele-Savusa K, Carlson JC, Anesi S, et al. (2025) Study protocol for the Health Outcomes in Pregnancy and Early Childhood (HOPE) Study: A mother-infant study in American Samoa. PLoS One 20(9): e0326644. https://doi.org/10.1371/journal.pone.0326644 ------------------------------ Contact the Sausage of Science Podcast and the Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Chris Lynn, Co-Host Website: cdlynn.people.ua.edu/, E-mail: cdlynn@ua.edu, Twitter:@Chris_Ly Courtney Manthey, Guest-Co-Host, Website: holylaetoli.com/ E-mail: cpierce4@uccs.edu, Twitter: @HolyLaetoli Anahi Ruderman, SoS Co-Producer, HBA Junior Fellow, E-mail: ruderman@cenpat-conicet.gob.ar

Welcome to the Choosing Wisely Campaign series! This is the fifth and final episode of our 5-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. Our last case-based episode focuses on a school-aged male presenting with new-onset enuresis. After a discussion of the differential diagnosis and evidence-based evaluation strategies, we apply recommendations from multiple AAP Choosing Wisely lists to create a care plan that is safe, resource-conscious, and child-centered. Throughout this episode, we'll highlight how ethical care principles—beneficence, nonmaleficence, autonomy, and justice—guide high-value decision-making and help us avoid unnecessary imaging, laboratory studies, and interventions that add cost without improving outcomes. This familiar case in pediatrics is worthy of a rewind to relisten to a throwback episode that will reinforce your skills and emphasize the clinical diagnosis and management without added diagnostics, referrals, or medications.  This case closes out our series on Choosing Wisely in Pediatrics, but the principles we've explored should continue to inform your practice every day. If you missed earlier episodes, rewind to learn more about the campaign's background and listen to cases on fever and cough, gastroenterology presentations, and more.   Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Modified rMETRIQ Score: 15/15 What does this mean?   Competencies: AACN Essentials: 1: 1.1 g; 1.2 f; 1.3 d, e 2: 2.1 d, e; 2.2 g; 2.4 f, g; 2.5 h, i, j, k 7: 7.2 g, h, k 9: 9.1i, j; 9.2 i, j; 9.3 i, k NONPF NP Core Competencies: 1: NP 1.1h; NP 1.2 k, m; NP 1.3 f, j, h 2: NP 2.1 j, g; NP 2.2 k, n; NP 2.4 h, i; NP 2.5 k, l, m, n, o 7: NP 7.2 m 9: NP 9.1 m, n; NP 9.2 n; NP 9.3 p References: AAP Section on Emergency Medicine & Canadian Association of Emergency Physicians. (2022). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWEmergencyMedicine.pdf AAP Section on Gastroenterology, Hepatology, and Nutrition. (2023). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWGastroenterology.pdf AAP Section on Urology. (2022). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWUrology.pdf Daniel, M., Szymanik-Grzelak, H., Sierdziński, J., Podsiadły, E., Kowalewska-Młot, M., & Pańczyk-Tomaszewska, M. (2023). Epidemiology and Risk Factors of UTIs in Children-A Single-Center Observation. Journal of personalized medicine, 13(1), 138. https://doi.org/10.3390/jpm13010138 McMullen, P.C., Zangaro, G., Selzer, C., Williams, H. (2026). Nurse Practitioner Claims and the National Practitioner Data Bank: Trends, Analysis, and Implications for Nurse Practitioner Education and Practice. Journal for Nurse Practitioners, 22(1), p. 105569, https://doi-org.proxy.lib.duke.edu/10.1016/j.nurpra.2025.105569 Tabbers, M. M., DiLorenzo, C., Berger, M. Y., Faure, C., Langendam, M. W., Nurko, S., Staiano, A., Vandenplas, Y., Benninga, M. A., European Society for Pediatric Gastroenterology, Hepatology, and Nutrition, & North American Society for Pediatric Gastroenterology (2014). Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of pediatric gastroenterology and nutrition, 58(2), 258–274. https://doi.org/10.1097/MPG.0000000000000266 UCSF Benioff Children's Hospitals. (n.d.). Constipation & urologic problems. https://www.ucsfbenioffchildrens.org/conditions/constipation-and-urologic-problems Vaughan, D. (2015). The Challenger Launch Decision: Risky Technology, Deviance, and Culture at NASA. University of Chicago Press. DOI: 10.7208/chicago/9780226346960.001.0001 Wilbanks, Bryan A. PhD, DNP, CRNA. Evaluation of Methods to Measure Production Pressure: A Literature Review. Journal of Nursing Care Quality 35(2):p E14-E19, April/June 2020. | DOI: 10.1097/NCQ.0000000000000411

Anorexia nervosa, umgangssprachlich Magersucht, trifft immer häufiger Kinder und Jugendliche – besonders seit der Corona-Pandemie. Im Gespräch erklärt die Psychiaterin Professorin Beate Herpertz-Dahlmann, woran Eltern, Lehrkräfte und Ärztinnen und Ärzte erkennen können, ob Gewichtsverlust noch harmlos ist oder bereits eine gefährliche Essstörung dahintersteckt. Wir sprechen über typische Warnzeichen, die Rolle von Social Media, mögliche langfristige Folgen und darüber, welche Behandlung es gibt. In der Alltagsfrage am Ende: Wie wird man Kopfläuse zuverlässig wieder los? Mehr Hintergründe zu Magersucht im Kindesalter liefert der Übersichtsartikel von Beate Herpertz-Dahlmann und Brigitte Dahmen: „Children in Need—Diagnostics, Epidemiology, Treatment and Outcome of Early Onset Anorexia Nervosa“ (Nutrients, 2019) https://www.mdpi.com/2072-6643/11/8/1932 Hier geht es zum RKI-Ratgeber zu Läusen: https://www.rki.de/DE/Aktuelles/Neuigkeiten-und-Presse/Soziale-Medien/Posts/Kopflauese_Ratgeber.pdf?__blob=publicationFile&v=2 "Aha! Zehn Minuten Alltags-Wissen" ist der Wissenschafts-Podcast von WELT. Wir freuen uns über Feedback an wissen@welt.de. Produktion: Serdar Deniz Redaktion: Christine van den Berg Impressum: https://www.welt.de/services/article7893735/Impressum.html https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html

Omari Richins, MPH of Public Health Careers podcast talks with Alexandra Piatkowski, MPH, PMP.In this conversation, Alexandra Piatkowski, founder and CEO of Piat Public Health, shares her journey in public health, emphasizing the importance of community engagement, mentorship, and effective data communication. She discusses her academic background, co-op experiences, and the transition to her consulting business, highlighting the need for actionable insights in public health. Alexandra also reflects on the challenges of true community engagement and the significance of building relationships in the field.

Ask Me A Question For Next Week's Episode!Included in this episode: A calorie deficit is not a cure for obesity. How "you're not broken" can be invalidating and dismissive of real chronic conditions if we aren't careful. Epidemiology and epigenetics. Facts about obesity and morbid obesity. All of the factors that go into personalized solutions for managing chronic illnesses like obesity. The morality complex of body weight on the rise. The history of bodily righteousness in America. The nuances of justification of racial hierarchies in the stigmatization of  fatness. Structural racism and how historic inequities affect communities today. Medical bias and discrimination towards women. Fasting as "spiritual discipline" and "Holy Anorexia" in the Renaissance period. How faith based solutions for weight are based in shame and obedience. The reality that there is a higher risk of obesity if a person connects religion to their weight. Sources: PMCID: PMC3358928PMCID: PMC7758617PMCID: PMC3969538

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Evan S. Dellon, MD, and Elizabeth T. Jensen, PhD, about a paper they published on predictors of patients receiving no medication for treatment of eosinophilic esophagitis. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:52] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:14] Holly introduces today's topic, predictors of not using medication for EoE, and today's guests, Dr. Evan Dellon and Dr. Elizabeth Jensen.   [1:29] Dr. Dellon is an Adjunct Professor of Epidemiology at the University of North Carolina School of Medicine in Chapel Hill. He is also the Director of the UNC Center for Esophageal Diseases and Swallowing.   [1:42] Dr. Dellon's main research interest is in the epidemiology, pathogenesis, diagnosis, treatment, and outcomes of eosinophilic esophagitis (EoE) and eosinophilic GI diseases (EGIDs).   [1:55] Dr. Jensen is a Professor of Epidemiology with a specific expertise in reproductive, perinatal, and pediatric epidemiology. She has appointments at both Wake Forest University School of Medicine and the University of North Carolina at Chapel Hill.   [2:07] Her research primarily focuses on etiologic factors in the development of pediatric immune-mediated chronic diseases, including understanding factors contributing to disparities in health outcomes.   [2:19] Both Dr. Dellon and Dr. Jensen also serve on the Steering Committee for EGID Partners Registry.   [2:24] Ryan thanks Dr. Dellon and Dr. Jensen for joining the podcast today.   [2:29] Dr. Dellon was the first guest on this podcast. It is wonderful to have him back for the 50th episode! Dr. Dellon is one of Ryan's GI specialists. Ryan recently went to North Carolina to get a scope with him.   [3:03] Dr. Dellon is an adult gastroenterologist at the University of North Carolina at Chapel Hill. He directs the Center for Esophageal Diseases and Swallowing. Clinically and research-wise, he is focused on EoE and other eosinophilic GI diseases.   [3:19] His research interests span the entire field, from epidemiology, diagnosis, biomarkers, risk factors, outcomes, and a lot of work, more recently, on treatments.   [3:33] Dr. Jensen has been on the podcast before, on Episode 27. Holly invites Dr. Jensen to tell the listeners more about herself and her work with eosinophilic diseases.   [3:46] Dr. Jensen has been working on eosinophilic gastrointestinal diseases for about 15 years. She started some of the early work around understanding possible risk factors for the development of disease.   [4:04] She has gone on to support lots of other research projects, including some with Dr. Dellon, where they're looking at gene-environment interactions in relation to developing EoE.   [4:15] She is also looking at reproductive factors as they relate to EoE, disparities in diagnosis, and more. It's been an exciting research trajectory, starting with what we knew very little about and building to an increasing understanding of why EoE develops.   [5:00] Dr. Dellon explains that EoE stands for eosinophilic esophagitis, a chronic allergic condition of the esophagus.   [5:08] You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have EoE, it is a long-term condition.   [5:24] Eosinophils are a type of white blood cell, specializing in allergy responses. Normally, they are not in the esophagus. When we see them there, we worry about an allergic process. When that happens, that's EoE.   [5:40] Over time, the inflammation seen in EoE and other allergic cell activity causes swelling and irritation in the esophagus. Early on, this often leads to a range of upper GI symptoms — including poor growth or failure to thrive in young children, abdominal pain, nausea, and symptoms that can mimic reflux.   [5:58] In older kids, symptoms are more about trouble swallowing. That's because the swelling that happens initially, over time, may turn into scar tissue. So the esophagus can narrow and cause swallowing symptoms like food impaction.   [6:16] Ryan speaks of living with EoE for decades and trying the full range of treatment options: food elimination, PPIs, steroids, and, more recently, biologics.   [6:36] Dr. Dellon says Ryan's history is a good overview of how EoE is treated. There are two general approaches to treating the underlying condition: using medicines and/or eliminating foods that we think may trigger EoE from the diet.   [6:57] For a lot of people, EoE is a food-triggered allergic condition.   [7:01] The other thing that has to happen in parallel is surveying for scar tissue in the esophagus. If that's present and people have trouble swallowing, sometimes stretching the esophagus is needed through esophageal dilation.   [7:14] There are three categories of medicines used for treatment. Proton pump inhibitors are reflux meds, but they also have an anti-allergy effect in the esophagus.   [7:29] Topical steroids are used to coat the esophagus and produce an anti-inflammatory effect. The FDA has approved a budesonide oral suspension for that.   [7:39] Biologics, which are generally systemic medications, often injectable, can target different allergic factors. Dupilumab is approved now, and there are other biologics that are being researched as potential treatments.   [7:51] Even though EoE is considered an allergic condition, we don't have a test to tell people what they are allergic to. If it's a food allergy, we do an empiric elimination diet because allergy tests aren't accurate enough to tell us what the EoE triggers are.   [8:10] People will eliminate foods that we know are the most common triggers, like milk protein, dairy, wheat, egg, soy, and other top allergens. You can create a diet like that and then have a response to the diet elimination.   [8:31] Dr. Jensen and Dr. Dellon recently published an abstract in the American Journal of Gastroenterology about people with EoE who are not taking any medicine for it. Dr. Jensen calls it a real-world data study, leveraging electronic health record patient data.   [8:51] It gives you an impression of what is actually happening, in terms of treatments for patients, as opposed to a randomized control trial, which is a fairly selected patient population. This is everybody who has been diagnosed, and then what happens with them.   [9:10] Because of that, it gives you a wide spectrum of patients. Some patients are going to be relatively asymptomatic. It may be that we arrived at their diagnosis while working them up for other potential diagnoses.   [9:28] Other patients are going to have rather significant impacts from the disease. We wanted to get an idea of what is actually happening out there with the full breadth of the patient population that is getting diagnosed with EoE.   [9:45] Dr. Jensen was not surprised to learn that there are patients who had no pharmacologic treatment.   [9:58] Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are early in their disease process and still exploring dietary treatment options.   [10:28] Holly sees patients from infancy to geriatrics, and if they're not having symptoms, they wonder why bother treating it.   [10:42] Dr. Jensen says it's a point of debate on the implications of somebody who has the disease and goes untreated. What does that look like long-term? Are they going to develop more of that fibrostenotic pattern in their esophagus without treatment?   [11:07] This is a question we're still trying to answer. There is some suggestion that for some patients who don't manage their disease, we very well may be looking at a food impaction in the future.   [11:19] Dr. Dellon says we know overall for the population of EoE patients, but it's hard to know for a specific patient. We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range.   [11:39] Some people get symptoms and get diagnosed right away. Others might have symptoms for 20 or 30 years that they ignore, or don't have access to healthcare, or the diagnosis is missed.   [11:51] What we see consistently is that people who may be diagnosed within a year or two may only have a 10 or 20% chance of having that stricture and scar tissue in the esophagus, whereas people who go 20 years, it might be 80% or more.   [12:06] It's not everybody who has EoE who might end up with that scar tissue, but certainly, it's suggested that it's a large majority.   [12:16] That's before diagnosis. We have data that shows that after diagnosis, if people go a long time without treatment or without being seen in care, they also have an increasing rate of developing strictures.    [12:29] In general, the idea is yes, you should treat EoE, because on average, people are going to develop scar tissue and more symptoms. For the patient in front of you with EoE but no symptoms, what are the chances it's going to get worse? You don't know.   [13:04] There are two caveats with that. The first is what we mean by symptoms. Kids may have vomiting and growth problems. Adults can eat carefully, avoiding foods that hang up in the esophagus, like breads and overcooked meats, sticky rice, and other foods.   [13:24] Adults can eat slowly, drink a lot of liquid, and not perceive they have symptoms. When someone tells Dr. Dellon they don't have symptoms, he will quiz them about that. He'll even ask about swallowing pills.    [13:40] Often, you can pick up symptoms that maybe the person didn't even realize they were having. In that case, that can give you some impetus to treat.   [13:48] If there really are no symptoms, Dr. Dellon thinks we're at a point where we don't really know what to do.   [13:54] Dr. Dellon just saw a patient who had a lot of eosinophils in their small bowel with absolutely no GI symptoms. He said, "I can't diagnose you with eosinophilic enteritis, but you may develop symptoms." People like that, he will monitor in the clinic.   [14:14] Dr. Dellon will discuss it with them each time they come back for a clinic visit.   [14:19] Holly is a speech pathologist, but also sees people for feeding and swallowing. The local gastroenterologist refers patients who choose not to treat their EoE to her. Holly teaches them things they should be looking out for.   [14:39] If your pills get stuck or if you're downing 18 ounces during a mealtime, maybe it's time to treat it. People don't see these coping mechanisms they use that are impacting their quality of life. They've normalized it.   [15:30] Dr. Dellon says, of these people who aren't treated, there's probably a subset who appropriately are being observed and don't have a medicine treatment or are on a diet elimination.   [15:43] There's also probably a subset who are inappropriately not on treatment. It especially can happen with students who were under good control with their pediatric provider, but moved away to college and didn't transfer to adult care.   [16:08] They ultimately come back with a lot of symptoms that have progressed over six to eight years.   [16:18] Ryan meets newly diagnosed adult patients at APFED's conferences, who say they have no symptoms, but chicken gets caught in their throat. They got diagnosed when they went to the ER with a food impaction.   [16:38] Ryan says you have to wonder at what point that starts to get reflected in patient charts. Are those cases documented where someone is untreated and now has EoE?   [16:49] Ryan asks in the study, "What is the target EGID Cohort and why was it selected to study EoE? What sort of patients were captured as part of that data set?"   [16:58] Dr. Jensen said they identified patients with the ICD-10 code for a diagnosis of EoE. Then they looked to see if there was evidence of symptoms or complications in relation to EoE. This was hard; some of these are relatively non-specific symptoms.   [17:23] These patients may have been seeking care and may have been experiencing some symptoms that may or may not have made it into the chart. That's one of the challenges with real-world data analyses.   [17:38] Dr. Jensen says they are using data that was collected for documenting clinical care and for billing for clinical care, not for research, so it comes with some caveats when doing research with this data.   [18:08] Research using electronic health records gives a real-world perspective on patients who are seeking care or have a diagnosis of EoE, as opposed to a study trying to enroll a patient population that potentially isn't representative of the breadth of individuals living with EoE.   [18:39] Dr. Dellon says another advantage of real-world data is the number of patients. The largest randomized controlled trials in EoE might have 400 patients, and they are incredibly expensive to do.   [18:52] A study of electronic health records (EHR) is reporting on the analysis of just under 1,000. The cohort, combined from three different centers, has more than 1,400 people, a more representative, larger population.    [19:16] Dr. Dellon says when you read the results, understand the limitations and strengths of a study of health records, to help contextualize the information.   [19:41] Dr. Dellon says it's always easier to recognize the typical presentations. Materials about EoE and studies he has done that led to medicine approvals have focused on trouble swallowing. That can be relatively easily measured.   [20:01] Patients often come to receive care with a food impaction, which can be impactful on life, and somewhat public, if in a restaurant or at work. Typical symptoms are also the ones that get you diagnosed and may be easier to treat.   [20:26] Dr. Dellon wonders if maybe people don't treat some of the atypical symptoms because it's not appreciated that they can be related to EoE.   [20:42] Holly was diagnosed as an adult. Ryan was diagnosed as a toddler. Holly asks what are some of the challenges people face in getting an EoE diagnosis.   [20:56] Dr. Jensen says symptoms can sometimes be fairly non-specific. There's some ongoing work by the CEGIR Consortium trying to understand what happens when patients come into the emergency department with a food bolus impaction.   [21:28] Dr. Jensen explains that we see there's quite a bit of variation in how that gets managed, and if they get a biopsy. You have to have a biopsy of the esophagus to get a diagnosis of EoE.   [21:45] If you think about the steps that need to happen to get a diagnosis of EoE, that can present barriers for some groups to ultimately get that diagnosis.   [21:56] There's also been some literature around a potential assumption about which patients are more likely to be at risk. Some of that is still ongoing. We know that EoE occurs more commonly in males in roughly a two-to-one ratio. Not exclusively in males, obviously, but a little more often in males.   [22:20] We don't know anything about other groups of patients that may be at higher risk. That's ongoing work that we're still trying to understand. That in itself can also be a barrier when there are assumptions about who is or isn't likely to have EoE.   [23:02] Dr. Dellon says that in adolescents and adults, the typical symptoms are trouble swallowing and food sticking, which have many causes besides EoE, some of which are more common.   [23:18] In that population, heartburn is common. Patients may report terrible reflux that, on questioning, sounds more like trouble swallowing than GERD. Sometimes, with EoE, you may have reflux that doesn't improve. Is it EoE, reflux, or both?   [24:05] Some people will have chest discomfort. There are some reports of worsening symptoms with exercise, which brings up cardiac questions that have to be ruled out first.   [24:19] Dr. Dellon mentions some more atypical symptoms. An adult having pain in the upper abdomen could have EoE. In children, the symptoms could be anything in the GI tract. Some women might have atypical symptoms with less trouble swallowing.   [24:58] Some racial minorities may have those kinds of symptoms, as well. If you're not thinking of the condition, it's hard to make the diagnosis.   [25:08] Dr. Jensen notes that there are different cultural norms around expressing symptoms and dietary patterns, which may make it difficult to parse out a diagnosis.   [25:27] Ryan cites a past episode where access to a GI specialist played a role in diagnosing patients with EoE. Do white males have more EoE, or are their concerns just listened to more seriously?   [25:57] Ryan's parents were told when he was two that he was throwing up for attention. He believes that these days, he'd have a much easier time convincing a doctor to listen to him. From speaking to physicians, Ryan believes access is a wide issue in the field.   [26:23] Dr. Dellon tells of working with researchers at Mayo in Arizona and the Children's Hospital of Phoenix. They have a large population of Hispanic children with EoE, much larger than has been reported elsewhere. They're working on characterizing that.   [26:49] Dr. Dellon describes an experience with a visiting trainee from Mexico City, where there was not a lot of EoE reported. The trainee went back and looked at the biopsies there, and it turned out they were not performing biopsies on patients with dysphagia in Mexico City.   [27:13] When he looked at the patients who ended up getting biopsies, they found EoE in 10% of patients. That's similar to what's reported out of centers in the developed world. As people are thinking about it more, we will see more detection of it.   [27:30] Dr. Dellon believes those kinds of papers will be out in the next couple of months, to a year.   [27:36] Holly has had licensure in Arizona for about 11 years. She has had nine referrals recently of children with EoE from Arizona. Normally, it's been one or two that she met at a conference.   [28:00] Ryan asks about the research on patients not having their EoE treated pharmacologically. Some treat it with food avoidance and dietary therapy. Ryan notes that he can't have applesauce, as it is a trigger for his EoE.   [28:54] Dr. Jensen says that's one of the challenges in using the EHR data. That kind of information is only available to the researchers through free text. That's a limitation of the study, assessing the use of dietary elimination approaches.   [29:11] Holly says some of her patients have things listed as allergies that are food sensitivities. Ryan says it's helpful for the patients to have their food sensitivities listed along with their food allergies, but it makes records more difficult to parse for research.   [30:14] Dr. Dellon says they identify EoE by billing code, but the codes are not always used accurately. Natural Language Processing can train a computer system to find important phrases. Their collaborators working on the real-world data are using it.   [30:59] Dr. Dellon hopes that this will be a future direction for this research to find anything in the text related to diet elimination.   [31:32] Dr. Jensen says that older patients were less likely to seek medication therapy. She says it's probably for a couple of reasons. First, older patients may have been living with the disease for a long time and have had compensatory mechanisms in place.   [32:03] The other reason may be senescence or burnout of the disease, long-term. Patients may be less symptomatic as they get older. That's a question that remains to be answered for EoE. It has been seen in some other disease processes.   [32:32] Dr. Dellon says there's not much data specifically looking at EoE in the older population. Dr. Dellon did work years ago with another doctor, and they found that older patients had a better response to some treatments, particularly topical steroids.   [32:54] It wasn't clear whether it was a milder aspect of the disease, easier to treat, or because they were older and more responsible, taking their medicines as prescribed, and having a better response rate. It's the flip side of work in the pediatric population.   [33:16] There is an increasingly aging population with EoE. Young EoE patients will someday be over 65. Dr. Dellon hopes there will be a cure by that point, but it's an expanding population now.   [33:38] Dr. Jensen says only a few sites are contributing data, so they hope to add additional sites to the study. For some of the less common outcomes, they need a pretty large patient sample to ask some of those kinds of questions.   [33:55] They will continue to follow up on some of the work that this abstract touched on and try to understand some of these issues more deeply.   [34:06] Dr. Dellon mentions other work within the cohort. Using Natural Language Processing, they are looking at characterizing endoscopy information and reporting it without a manual review of reports and codes. You can't get that from billing data.   [34:29] Similarly, they are trying to classify patient severity by the Index of Severity with EoE, and layer that on looking at treatments and outcomes based on disease severity. Those are a couple of other directions where this cohort is going.   [34:43] Holly mentions that this is one of many research projects Dr. Jensen and Dr. Dellon have collaborated on together. They also collaborate through EGID Partners. Holly asks them to share a little bit about that.   [34:53] Dr. Jensen says EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join.   [35:07] EGID Partners also needs people who don't live with an EGID to join, as controls. That gives the ability to compare those who are experiencing an EGID relative to those who aren't.   [35:22] When you join EGID Partners, they provide you with a set of questionnaires to complete. Periodically, they push out a few more questionnaires.   [35:33] EGID Partners has provided some really great information about patient experience and answered questions that patients want to know about, like joint pain and symptoms outside the GI tract.   [36:04] To date, there are close to 900 participants in the registry from all over the world. As it continues to grow, it will give the ability to look at the patient experience in different geographical areas.   [36:26] Dr. Dellon says we try to have it be interactive, because it is a collaboration with patients. The Steering Committee works with APFED and other patient advocacy groups from around the world.    [36:41] The EGID Partners website shows general patient locations anonymously. It shows the breakdown of adults with the condition and caregivers of children with the condition, the symptom distribution, and the treatment distribution.   [37:03] As papers get published and abstracts are presented, EGID Partners puts them on the website. Once someone joins, they can suggest a research idea. Many of the studies they have done have come from patient suggestions.   [37:20] If there's an interesting idea for a survey, EGID Partners can push out a survey to everybody in the group and answer questions relatively quickly.   [37:57] Dr. Dellon says a paper came out recently about telehealth. EoE care, in particular, is a good model for telehealth because it can expand access for patients who don't have providers in their area.   [38:22] EoE is a condition where care involves a lot of discussion but not a lot of need for physical exams and direct contact, so telehealth can make things very efficient.    [38:52] EGID Partners surveyed patients about telehealth. They thought it was efficient and saved time, and they had the same kind of interactions as in person. In general, in-state insurance covered it. Patients were happy to do those kinds of visits again.   [39:27] Holly says Dr. Furuta, herself, and others were published in the Gastroenterology journal in 2019 about starting to do telehealth because patients coming to the Children's Hospital of Colorado from out of state had no local access to feeding therapy.   [39:50] Holly went to the board, and they allowed her to get licensure in different states. She started with some of the most impacted patients in Texas and Florida in 2011 and 2012. They collected data. They published in 2019 about telehealth's positive impact.   [40:13] When 2020 rolled around, Holly had trained a bunch of people on how to do feeding therapy via telehealth. You have to do all kinds of things, like make yourself disappear, to keep the kids engaged and in their chairs!   [40:25] Now it is Holly's primary practice. She has licenses in nine states. She sees people all over the country. With her diagnosis, her physicians at Mass General have telehealth licensure in Maine. She gets to do telehealth with them instead of driving two hours.   [40:53] Dr. Jensen tells of two of the things they hope to do at EGID Partners. One is trying to understand more about reproductive health for patients with an EGID diagnosis. Only a few studies have looked at this question, and with very small samples.   [41:15] As more people register for EGID Partners, Dr. Jensen is hoping to be able to ask some questions related to reproductive health outcomes.   [41:27] The second goal is a survey suggested by the Student Advisory Committee, asking questions related to the burden of disease specific to the teen population.   [41:48] This diagnosis can hit that population particularly hard, at a time when they are trying to build and sustain friendships and are transitioning to adult care and moving away from home. This patient population has a unique perspective we wanted to hear.   [42:11] Dr. Jensen and Dr. Dellon work on all kinds of other projects, too.   [42:22] Dr. Dellon says they have done a lot of work on the early-life factors that may predispose to EoE. They are working on a large epidemiologic study to get some insight into early-life factors, including factors that can be measured in baby teeth.   [42:42] That's outside of EGID Partners. It's been ongoing, and they're getting close, maybe over the next couple of years, to having some results.   [43:03] Ryan says all of those projects sound so interesting. We need to have you guys back to dive into those results when you have something finalized.   [43:15] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [43:22] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [43:31] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [43:41] Ryan thanks Dr. Dellon and Dr. Jensen for joining us today. This was a fantastic conversation. Holly also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Evan S. Dellon, MD, MPH, Academic Gastroenterologist, University of North Carolina School of Medicine   Elizabeth T. Jensen, MPH, PhD, Epidemiologist, Wake Forest University School of Medicine, University of North Carolina at Chapel Hill   Predictors of Patients Receiving No Medication for Treatment of Eosinophilic Esophagitis in the United States: Data from the TARGET-EGIDS Cohort   Episode 15: Access to Specialty Care for Eosinophilic Esophagitis (EoE)   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I've been working on eosinophilic gastrointestinal diseases for about 15 years. I started some of the early work around understanding possible risk factors for the development of disease. I've gone on to support lots of other research projects." — Elizabeth T. Jensen, MPH, PhD   "You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have it, it really is a long-term condition." — Evan S. Dellon, MD, MPH   "There are two general approaches to treating the underlying condition, … using medicines and/or eliminating foods from the diet that we think may trigger EoE. I should say, for a lot of people, EoE is a food-triggered allergic condition." — Evan S. Dellon, MD, MPH   "I didn't find it that surprising [that there are patients who had no treatment]. Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are … still exploring dietary treatment options." — Elizabeth T. Jensen, MPH, PhD   "We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. Some people get symptoms and are diagnosed right away. Other people might have symptoms for 20 or 30 years." — Evan S. Dellon, MD, MPH   "EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. EGID Partners also needs people who don't live with an EGID to join, as controls." — Elizabeth T. Jensen, MPH, PhD

Commentary by Dr.  Jian'an Wang.

In this episode of Built Different, Dr. Zach Clinton sits down with Dr. Tyler VanderWeele, Professor of Epidemiology at Harvard T.H. Chan School of Public Health and Director of the Human Flourishing Program at Harvard University, a pioneering movement of research at the intersection of faith, health, meaning, and relationships. Together we explore what it truly means to flourish, how his global research initiative known as the Global Flourishing Study is reshaping our understanding of well-being across 22 countries and over 200,000 participants, and what the implications are for people-helpers, ministry leaders, and anyone committed to a faith that’s formed, instead of merely informed. We unpack his top findings, surprising insights, and practical steps you can take to cultivate flourishing in your own life and in those you serve. Find Out More About Dr. VanderWeele’s Work at Harvard: https://hfh.fas.harvard.edu/ Find Out More About the Global Flourishing Study: https://hsph.harvard.edu/research/vanderweele-group/global-flourishing-study/ Receive Clinically Excellent, Distinctively Christian Help Today: www.christiancareconnect.com Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

Lawrence M. Schell is a Distinguished Professor in the Department of Anthropology and the College of Integrated Health Sciences at the University at Albany, SUNY, with a joint appointment in the Department of Epidemiology and Biostatistics. His research explores the interrelationship between biology and culture, with a particular focus on how contemporary urban environments shape human health and development. Dr. Schell's early work examined noise as a form of urban stress, investigating its effects on prenatal and postnatal growth. He later expanded his research to include pollutants such as polychlorinated biphenyls (PCBs) and lead, situating these exposures within the broader context of urban adaptation and health disparities. The study of lead exposure in Albany, NY, examined its influence on child physical and cognitive development, with attention to maternal nutrition and other factors that affect the transfer of lead from mother to fetus. In partnership with the Akwesasne Mohawk Nation he has recently completed three major projects. The first examined how PCBs that were used in manufacturing affect physical and sexual development during adolescence. His second project followed up the adolescents in project 1 to learn how exposure had influenced their transition into adulthood. The third project, also conducted with the Akwesasne community, explored how environmental pollutants may impact reproductive health and fertility among women. Through this work, Dr. Schell highlights the urban environment as a critical frontier for human adaptation, emphasizing the challenges posed by pollution, stress, and other features of modern city life while recognizing that these challenges are inequitably distributed in society. In 2004 Schell established a research center at Albany with NIH support to grow research on health disparities. Continued NIH support culminated in an endowment grant that will support the center and the development of health disparities research for many years to come. ------------------------------ Contact the Sausage of Science Podcast and the Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Chris Lynn, Co-Host Website: cdlynn.people.ua.edu/, E-mail: cdlynn@ua.edu, Twitter:@Chris_Ly Courtney Manthey, Guest-Co-Host, Website: holylaetoli.com/ E-mail: cpierce4@uccs.edu, Twitter: @HolyLaetoli Anahi Ruderman, SoS Co-Producer, HBA Junior Fellow, E-mail: ruderman@cenpat-conicet.gob.ar

When the 1952 London fog killed people in large numbers, it became a wake-up call that air pollution could be deadly—inspiring a young medical student named Jon Samet to dedicate 40+ years to understanding how the air we breathe affects our health. Now a leading authority who has shaped EPA policy and US Surgeon General reports since 1984, Dr. Samet reveals how tobacco industry fraud tactics resurfaced in air pollution debates, why COVID taught us that we humans are powerful infectious sources in small particles suspended for hours, how radon is the one carcinogen you can measure yourself for $30-50 and actually fix, and why MERV-A filter ratings matter more than standard MERV for real-world efficiency.Plus the critical reminder that indoor spaces where we spend most of our time are places where we inhale dangerous things. THINGS WE SPOKE ABOUTTobacco industry fraud tactics mirror air pollution industry science denialCOVID taught us people are powerful infectious sources needing controlRadon is measurable carcinogen you can test and mitigate yourselfAir filtration reduces infectious load; MERV-A ratings show real-world efficiencyIndoor air quality improves productivity, reduces absenteeism, attracts talented employeesGUEST DETAILS Dr. Jon Samet is a leading authority in environmental health who has dedicated over 40 years to understanding how inhaled pollutants affect public health. Former Dean and current Professor of Epidemiology, Dr. Samet has chaired key advisory committees for the EPA (Clean Air Scientific Advisory Committee) and FDA, fundamentally shaping environmental health policy. Since 1984, he has been a crucial contributor to multiple US Surgeon General reports on smoking, documenting the health impacts of active and secondhand smoke. His work exposed tobacco industry campaigns of fraud and deception that attempted to undermine scientific evidence—tactics later replicated by air pollution industries.During COVID, he chaired a National Academies of Sciences committee developing frameworks for providing respiratory protection for the nation—recommendations that unfortunately never gained traction despite demonstrating critical needs. Dr. Samet earned membership in the National Academy of Medicine and continues advancing indoor air quality science, particularly post-COVID focus on controlling pathogen transmission in buildings. Based in Denver, he consults with building owners, school districts, and policymakers on implementing evidence-based air quality improvements. His expertise bridges epidemiology, aerosol science, regulatory policy, and practical building management—making him uniquely qualified to translate decades of public health research into actionable indoor air quality strategies.MORE INFORMATIONThere is also a wealth of industry information on air quality and how to improve it on our website at camfil.comLet's Talk Clean Air is produced for Camfil by DustPod.ioQUOTESYou know, when people ask me about radon, it is a carcinogen, but somebody can go buy a test kit, get back a result. How many carcinogens are there that you could measure yourself and do something about it? - Dr. Jon SametAirborne pathogens have always been with us and will remain with us. I think what COVID did is it taught us just what powerful sources of infection we people can be - Dr. Jon SametA couple of nights ago, I got on the train, and there's somebody with a very wet cough, coughing right in the middle of a very small space. And I'm thinking he should be wearing at the least a mask to prevent droplets from flying around, and in that small space probably I should have had on an N95. - Dr. Jon SametKEYWORDS#indoorairquality #radontest ing #airbornepathogens #secondhandsmoke #respiratoryprotection

In 1865, German physician and medical writer Justus Hecker published a volume titled The Epidemics of the Middle Ages. In a footnote, he remarked on a strange phenomenon: an outbreak of meowing nuns. In this minisode, I bring you the story of the meowing nuns of late medieval France and the men who told their story.Researched, written, and produced by Corinne Wieben with original music by Purple Planet.SourcesPrimaryAristotle. History of Animals. Translated by d' A. W. Thompson. In Aristotle, Complete Works. Vol. 1, 774–993. Princeton, NJ: Princeton University Press, 1984.Aristotle. Politics. Translated by Ernest Barker. Oxford: Oxford University Press, 1977.Hecker, J. F. C. The Epidemics of the Middle Ages. Translated by B. G. Babington. London: Woodfall, 1844. Zimmerman, J. G. Solitude. Vol. II. London: Dilly, 1798.SecondaryBartholomew, Robert E. Little Green Men, Meowing Nuns and Head-Hunting Panics: A Study of Mass Psychogenic Illness and Social Delusion. London: McFarland, 2001.Bartholomew, Robert E. and Simon Wessely. “Protean Nature of Mass Sociogenic Illness: From Possessed Nuns to Chemical and Biological Terrorism Fears.” British Journal of Psychiatry 180, no. 4 (2002): 300–306.Mercer, Christia. “The Philosophical Roots of Western Misogyny.” Philosophical Topics 46, no. 2 (2018): 183–208.Penso G. Roman Medicine. 3rd ed. Noceto: Essebiemme, 2002.Tasca, Cecilia et al. “Women and Hysteria in the History of Mental Health.” Clinical Practice and Epidemiology in Mental Health 8 (2012): 110-9.Support the showEnchantedPodcast.netBluesky/enchantedpodcast.net

Measles, whooping cough, and other vaccine-preventable diseases are on the rise around the world. Cuts to foreign aid, coupled with growing vaccine hesitancy, and persistent gaps in vaccine access are fueling outbreaks in poor and wealthy nations alike. In this conversation, global health experts discuss the drivers of these outbreaks and the solutions that can advance vaccine equity and better public health worldwide.   Background Reading: This tracker from CFR's Think Global Health initiative maps weekly updates of disease outbreaks around the globe. This article unpacks the global decline in immunization coverage. This backgrounder unpacks the effectiveness of vaccines in preventing disease, and the global rise in vaccine hesitancy.   Host: Thomas J. Bollyky, Bloomberg Chair in Global Health and Director of the Global Health Program, Council on Foreign Relations   Guests: Heidi Larson, Founder and Director, The Vaccine Confidence Project   Seth Berkley, Senior Advisor, Pandemic Center; Adjunct Professor of the Practice in the Department of Epidemiology, Brown University School of Public Health   William John Moss, Executive Director, International Vaccine Access Center; Professor of Epidemiology, Johns Hopkins Bloomberg School of Public Health   Want more comprehensive analysis of global news and events straight to your inbox? Subscribe to CFR's Daily News Brief newsletter.   To keep tabs on all CFR events, visit cfr.org/event. To watch this event, please visit our YouTube channel: https://www.youtube.com/watch?v=ilif8cCwErE   

How did a soil-dwelling parasite infiltrate a New York care facility? Hosts Jess and Nicki dig into a real-life outbreak of Strongyloides stercoralis with experts Kelly Barrett and Dr. Geetika Sood. What began as an unexpected lab finding spiraled into 17 confirmed infections across residents and staff. Tune in for sharp insights, big data talk, and infection prevention lessons you won't want to miss. With special guests: Kelly Ann Barrett, MPH, Infectious Disease Epidemiologist, New York State Department of Health and Geetika Sood, M.D., ScM, Medical Director, New York State Division of Epidemiology

Last week attempts at cloud seeding to reduce pollution in Delhi failed to produce any rain. We catch up with reporter Chhavi Sachdev to find out more about official's latest and controversial attempt at tacking hazardous levels of air pollution in the city. The Maldives have become the first country to ban smoking for younger generations with no one born on or after 1 January 2007 being able to buy tobacco products. Journalist Philippa Roxby comments on what this means for health.What do the public know about the cancer risks of alcohol? Dr Sanjay Shete, Professor of Biostatistics and Epidemiology at the University of Texas, explains his research comparing the real risks to public awareness.A Finnish study has found that voting behaviours in elections are strongly linked to health, suggesting it may even be a stronger determinant than education. Plus, how walking over 5,000 steps a day may slow the cognitive decline in those with preclinical Alzheimer's disease.Presenter: Claudia Hammond Producer: Katie Tomsett & Hannah RobinsImage: A commuter walks near India Gate amid heavy smog pollution on October 29, 2025 in New Delhi, India. Delhi is once again blanketed by hazardous smog following the Diwali festival, as pollution levels spike to the "very poor" and "severe" categories, with air quality indexes far exceeding safe limits. The crisis, which is driven by firecracker use, emissions, and seasonal crop residue burning has prompted emergency measures like cloud seeding. Image Credit: Ritesh Shukla/Getty Images

In this episode of the Ardan Labs Podcast, Bill Kennedy talks with Salah Mahmud, a medical researcher specializing in epidemiology and medical statistics. Salah shares his journey from growing up in Libya under Gaddafi's regime to conducting cutting-edge research in Canada on the connection between influenza and heart attacks. He discusses the challenges of running large-scale observational studies, the bureaucratic barriers to accessing medical data, and the importance of diversity in health research. Salah also reflects on his early entrepreneurial ventures, his discovery of programming during medical school, and how resilience and adaptability shaped his personal and professional journey.00:00 Introduction02:03 Research on Influenza and Heart Attacks05:53 Challenges in Data Access16:51 Life in Libya Under Gaddafi21:32 From Medicine to Programming41:18 WHO Collaboration and Education Abroad57:13 Disappearance and New Beginnings01:09:33 Immigration and Adaptation in Canada01:15:45 Balancing Medicine and Technology01:21:22 Family, Culture, and Reflection01:25:37 Current Research and Future GoalsConnect with Salah: Email: salah.mahmud@umanitoba.caLinkedIn: https://www.linkedin.com/in/salah-mahmud-4177285a/Mentioned in this Episode:Golang: https://go.dev/Want more from Ardan Labs? You can learn Go, Kubernetes, Docker & more through our video training, live events, or through our blog!Online Courses : https://ardanlabs.com/education/ Live Events : https://www.ardanlabs.com/live-training-events/ Blog : https://www.ardanlabs.com/blog Github : https://github.com/ardanlabs

 When the work that once defined you no longer fits, what comes next?In this heartfelt conversation, strategist and executive coach Kelsi Kriitmaa, PhD joins Melissa to explore what it means to embody change, especially for those in the social-impact and humanitarian worlds. Together, they talk about:Living your values through different seasons of life and careerThe difference between having to pivot and wanting toHow to reframe a “career gap” into a story of growthFinding community and accountability when work feels uncertainWhy sustainable leadership matters more than ever in 2025Whether you're navigating a career transition, feeling unmoored by sector-wide changes, or simply wondering what's next, this episode reminds you: you're allowed to change, and you don't have to do it alone.Today's GuestKelsi Kriitmaa, PhD is a strategic advisor, executive coach, and former Chief Operating Officer who helps social-impact leaders and organizations work, lead, and grow, sustainably. After more than ten years living and working across humanitarian emergencies in Africa, the Middle East, and Asia, she moved to Geneva and joined the leadership of a social-impact consulting firm, later serving as COO. With 20+ years spanning multilateral institutions, non-profits, foundations, CSR teams, and mission-driven companies, Kelsi blends sharp strategy with a human-centered lens. She supports leaders and teams on organizational strategy and transitions, and coaches mid- to senior-level professionals and consultants on values-aligned careers and portfolio paths. Kelsi holds a BA in Psychology, an MPH, a PhD in Epidemiology, a CSR certificate, and accredited coaching credentials. She's been featured in Forbes, Devex, and The Bloom.You'll LearnHow to test the question: Do I have to pivot, or do I want to?A values-first way to navigate career seasons (and why “having it all” is a myth of timing).The “panic → pause → plan” sequence for layoffs and funding shocks.How to reframe résumé gaps with honesty, clarity, and credibility.Why portfolio careers (multiple revenue streams, multiple identities) are rising in social impact.A simple Top-10 targeting method for focused job search.How to network without feeling salesy, and why “give before you get” works.Accountability pods and co-working rhythms that create momentum.Sustainable leadership trends: psychological safety, realistic workloads, and localized decision-making.First steps if consulting might be for you (and signs it isn't).Key Quotes by Kelsi “We're not one identity. We're allowed to change, and our careers should change with us.” “Change doesn't mean starting over; it means realigning.” “Quality over quantity: ten intentional targets beat a hundred blind applications.”Resources & MentionsKelsi's website: https://www.kriitmaa.com/ Kelsi's take on LinkedIn: The good, bad and ugly: https://www.youtube.com/Kelsi's Group Coaching Programs (including wait list for January 2026 programs): https://www.kriitmaa.com/group-coaching  Devex: https://www.devex.com/ The Bloom: https://readtobloom.com/ Dr. Rebecca Dempster, trained on Internal Family Systems (IFS) - https://resileo.net/   “The Power Pause: How to Plan a Career Break After Kids—and Come Back Stronger Than Ever” by Neha Ruch - link“Toxic Grit: How to Have It All and (Actually) Love What You Have” by Amanda Goetz - linkShow Editor Ziada Abeid is a communications consultant with over a decade of experience spanning media relations, PR, marketing, fundraising, and digital media strategy. She specializes in crafting compelling narratives and data-driven campaigns that amplify brand visibility and engagement. To learn more, visit: linkedin.com/in/ziadaabeid

The Great Fear was a panic during the French Revolution that spread through rural areas. It all started with a conspiracy theory. Research: Davies, Alun. “The Origins of the French Peasant Revolution of 1789.” History, 1964, Vol. 49, No. 165 (1964). https://www.jstor.org/stable/24404527 Elster, Jon. “The Two Great Fears of 1789.” Prepared for the Conference on “Emotions and Civil War”, Collège de France June 10-11 2010. https://www.college-de-france.fr/media/jon-elster/UPL13205_LePillouerThe_two_great_fears_of_1789.pdf Hill, Henry Bertram. “An Aftermath of the Great Fear.” The Journal of Modern History, Vol. 22, No. 4 (Dec. 1950). Via JSTOR. https://www.jstor.org/stable/1875896 Kasal, Krystal. “Mapping out France's 'Great Fear of 1789' shows how misinformation spreads like a virus.” Phys.org. 8/28/2025. https://phys.org/news/2025-08-france-great-misinformation-virus.html Lefebvre, Georges. “The Great Fear of 1789; rural panic in revolutionary France.” Joan White, translator. Pantheon Books. 1973. Lenharo, Mariana. “An abiding mystery of the French Revolution is solved — by epidemiology.” Nature. 8/27/2025. doi: https://doi.org/10.1038/d41586-025-02739-9 Mark, Harrison W. “Great Fear.” World History Encyclopedia. https://www.worldhistory.org/Great_Fear/ Markoff, John. “Contexts and Forms of Rural Revolt: France in 1789.” The Journal of Conflict Resolution , Jun., 1986, Vol. 30, No. 2 (Jun., 1986), pp. Via JSTOR. https://www.jstor.org/stable/174254 Pelz, William A. “The Rise of the Third Estate: The French People Revolt.” From A People's History of Modern Europe. Pluto Press. Via JSTOR. https://www.jstor.org/stable/j.ctt1c2crfj.8 Tackett, Timothy. “Conspiracy Obsession in a Time of Revolution: French Elites and the Origins of the Terror, 1789-1792.” The American Historical Review , Jun., 2000, Vol. 105, No. 3. Via JSTOR. https://www.jstor.org/stable/2651806 Zapperi, Stefano et al. “Epidemiology models explain rumour spreading during France’s Great Fear of 1789.” Nature. 8/27/2025. https://doi.org/10.1038/s41586-025-09392-2 See omnystudio.com/listener for privacy information.

In this episode of The Birth Lounge Podcast, HeHe sits down with Dr. Joel Gator Warsh, a pediatrician known for his refreshingly transparent and evidence-based approach to children's health. Together, they unpack one of the most emotionally charged topics in parenting—vaccines. HeHe and Dr. Gator talk openly about the gaps in vaccine research, the importance of truly informed consent, and what every parent deserves to understand before making decisions for their family. They explore everything from the new RSV vaccine and aluminum adjuvants to SIDS and medical ethics—all through the lens of curiosity, compassion, and critical thinking. This isn't about fear or finger-pointing—it's about facts, trust, and empowering you to make confident, informed choices for your baby. 00:00 Introduction to Vaccine Debate 01:16 The Birth Lounge Podcast Introduction 01:23 Debunking the 'Big Baby' Myth 03:32 Introducing the 'Pushing Out Your Big Ass Baby' Course 05:29 Vaccine Exploration Series Recap 05:50 In-Depth Vaccine Discussion with Dr. Joel Gator 07:46 Challenges in Vaccine Research and Public Trust 12:21 Ethics and Future of Vaccine Studies 45:42 Pushback Against Vaccines 46:18 The Need for Open Dialogue 47:30 Personal Experiences and Public Trust 50:16 Ethical Dilemmas in Pediatric Care 57:33 Herd Immunity and Vaccine Efficacy 01:06:13 The Quest for Clean Deodorant 01:13:14 Complexities of Vaccine Safety 01:19:35 Chronic Disease and Medical Humility 01:29:00 Questioning Vaccine Safety Standards 01:30:28 The Controversy of Vaccine Skepticism 01:33:09 The Need for Vaccinated vs. Unvaccinated Studies 01:39:31 SIDS and Vaccines: A Complex Relationship 01:46:07 Aluminum in Vaccines: Concerns and Debates 01:53:16 The New RSV Vaccine: What You Need to Know 02:01:03 Final Thoughts and Gratitude   Guest Bio: Joel Warsh aka DrJoelGator of the popular parenting Instagram account and substack is a Board-Certified Pediatrician in Los Angeles, California who specializes in Parenting, Wellness and Integrative Medicine.  He is the author of multiple books including his latest, Between a Shot and a Hard Place: Tackling Difficult Vaccine Questions with Balance, Data, and Clarity,  He grew up in Toronto, Canada and completed a Master's Degree in Epidemiology before earning his medical degree from Thomas Jefferson Medical College. He completed his Pediatric Medicine training at Children's Hospital of Los Angeles and then worked in private practice in Beverly Hills before founding his current practice, Integrative Pediatrics. Dr. Gator has published research in peer-reviewed journals on topics including childhood injuries, obesity and physical activity. He has been featured in numerous documentaries, films, summits, podcasts and articles. INSTAGRAM: Connect with HeHe on IG  Connect with Dr. Gator on IG    BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone! ✨ Pre-sale ends today for Birthing Your Big Ass Baby! Get evidence-based guidance to birth your baby—no matter their size—with total confidence:

In this episode, we're joined by Kiran Nagdeo, a doctoral student in the Epidemiology department with a background in dentistry. Kiran shares her journey from being a practicing clinician in India for eight years to a leader in public health research, and how the COVID-19 pandemic inspired her to shift her focus from one-on-one patient care to population-level health and advocacy. Kiran details her path to becoming a leader in organizations like the American Public Health Association and the World Federation of Public Health Associations. She emphasizes the crucial role of mentorship and the simple but powerful act of "showing up" to unlock opportunities and accelerate one's professional growth. We also delve into her research at NYU GPH, including a systematic review on the PUFA Index for untreated dental decay and a project on ultra-processed food consumption and dental decay in pregnant females, using data from the NHANES dataset. This episode is a lesson in how passion, persistence, and a willingness to step outside your comfort zone can open doors to a meaningful career in public health advocacy. To learn more about the NYU School of Global Public Health, and how our innovative programs are training the next generation of public health leaders, visit http://www.publichealth.nyu.edu.

Everyone eats. It's the one thing we all have in common. And yet, nutrition has become one of the most confusing, divisive, and misunderstood sciences in modern life. Low-fat. High-fat. Keto. Vegan. Paleo. Superfoods. For every study, there's a headline that seems to say the opposite. In this episode, we turn to one of the most trusted voices in nutrition research to cut through the noise: Dr. Walter Willett, MD, DrPH. Dr. Willett, Professor of Epidemiology and Nutrition at Harvard T.H. Chan School of Public Health, has spent more than four decades studying how what we eat affects our health, longevity, and brain function. His work has helped reshape dietary guidelines around the world, replacing fear and fads with clarity and evidence. Together, we unpack what the science really says about diet and the brain: how food choices shape inflammation, cognition, and long-term disease risk, and what practical lessons decades of data can teach us about eating for life and longevity. In this conversation, we discuss: • How nutrition became so confusing (and what the data actually shows) • Why the quality of fat matters more than the amount • How refined carbohydrates fuel inflammation, insulin resistance, and brain fog • The power of fiber and the microbiome for mood and memory • Why plant-based proteins come out ahead for health and sustainability • How global dietary guidelines are changing (and what's still misunderstood) • The intersection of nutrition, planetary health, and human wellbeing Dr. Walter Willett has authored over 2,000 scientific papers and several landmark books, including 'Eat, Drink, and Be Healthy'. This is... Your Brain On Nutrition. SUPPORTED BY: the 2026 NEURO World Retreat. A 5-day journey through science, nature, and community, on the California coastline: https://www.neuroworldretreat.com/ 'Your Brain On' is hosted by neurologists, scientists, and public health advocates Ayesha and Dean Sherzai. 'Your Brain On... Nutrition' • SEASON 6 • EPISODE 2 LINKS Dr. Walter Willett at Harvard T.H. Chan School of Public Health: https://hsph.harvard.edu/profile/walter-c-willett/ Dr. Willett's book, 'Eat, Drink, and Be Healthy': https://www.goodreads.com/book/show/5579.Eat_Drink_and_Be_Healthy FOLLOW US Join NEURO World: https://neuro.world/ Instagram: https://www.instagram.com/thebraindocs YouTube: https://youtube.com/thebraindocs Website: https://thebraindocs.com/

Seth Berkley, MD, an infectious disease epidemiologist currently advising vaccine, biotechnology, and technology companies; an adjunct professor and senior adviser to the Pandemic Center at Brown University; former CEO of Gavi, the Vaccine Alliance; cofounded COVAX; founded and served as CEO of the International AIDS Vaccine Initiative; and the author of Fair Doses: An Insider's Story of the Pandemic and the Global Fight for Vaccine Equity (University of California Press, 2025), talks about the need for vaccine equity and lessons learned (and ignored) from the COVID pandemic.

What if your sleepless nights weren't just a part of aging but the silent accelerator of it?Michelle MacDonald welcomes Dr. Woganee Filate, physician, sleep researcher, and women's health advocate, to tackle one of the most overlooked pillars in women's health: sleep. Dr. Filate unpacks why women experience a unique midlife sleep crisis, what's really behind it from biology to social dynamics and how to reclaim restorative rest. They discuss evidence-based strategies for improving sleep during menopause, how sleep impacts everything from metabolism to emotional regulation, and why a healthy sleep routine is foundational for personal growth, a healthy mindset, and long-term fitness. Whether you're in perimenopause or just struggling to rest, this episode is a must-listen.Favorite Moments:1:35 Why Sleep Is the Most Overlooked Pillar in Women's Health7:05 The Hidden Link Between Sleep Loss and Long-Term Health span13:18 Why Sleep Problems in Women Are Dismissed and Misunderstood29:38 One Year on CPAP: A Personal Sleep Apnea Recovery Story“Sleep is the land of infinite second chances—if tonight was bad, tomorrow's a fresh start.” — Dr. Woganee Filate GUEST: DR. WOGANEE FILATE BHSC, MD, FRCP©, CO-FOUNDER LUME WOMEN + HEALTHWebsite | LinkedIn | Instagram | NewsletterFull Guest Bio: Dr. Woganee Filate is a passionate and dedicated adult respirologist and sleep medicine physician committed to providing comprehensive, evidence-based and patient-centered care. She has a wealth of experience in diagnosing and managing respiratory and sleep disorders. Her interests include educating patients on the changes in sleep during the menopause transition and what can be done to optimize sleep during this key life stage. In addition to her medical degree, Dr. Filate holds a Master of Health Science, with a focus on Community Health & Epidemiology, from the University of Toronto. CONNECT WITH MICHELLEWebsite | Instagram | YouTube | Facebook | XFull Michelle Bio: Michelle MacDonald is the creator of the FITNESS MODEL BLUEPRINT™ and host of the Stronger By Design™ podcast. Known globally for her transformation programs, Michelle empowers women to redefine aging through evidence-based strength training, nutrition, and mindset practices. Since 2012, she has coached thousands of women online, leveraging her expertise as a Physique Champion and ISSA Strength and Conditioning Specialist. She co-founded Tulum Strength Club and established The Wonder Women (TWW), inspiring countless transformations including her mother, Joan MacDonald (Train With Joan™). Michelle continues to lead the charge in women's fitness, launching the Stronger by Design™ fitness app in fall 2024.Where to Watch/Listen:WebsiteApple PodcastsSpotifyYouTubeLeave a rating for this podcast with one click

Join Dr. Jay and Brad as they interview Katy Talento.Katy Talento is an epidemiologist, a naturopath, a veteran health policy advisor and health benefits consultant. She is the founder and CEO of AllBetter Health, an insurgent benefits advisory firm building lower-cost, higher-quality health plans for employers. Prior to starting AllBetter, Katy was the health policy lead in the White House on the Domestic Policy Council where her portfolio included ending secret health care prices, lowering drug prices, expanding health IT interoperability, combating the opioid crisis, protecting conscience rights in health care and promoting bioethics in the life sciences.Katy has appeared on or been published in a number of media outlets, including CNN, CBN, Sky News, Newsmax, EWTN, The New York Times, The Hill, The Morning Consult, FoxNews.com, RealClearPolitics, and others. Prior to her White House appointment, Katy served five U.S. Senators over a 15-year period, including as top health advisor, legislative director and oversight investigator. She also worked in the private sector helping multinational energy companies protect their global workforce from occupational health threats, and served on the research faculty at Georgetown University School of Medicine.Katy spent two years in a Catholic religious order and has worked with vulnerable populations in East Africa, industrial Russia and inner city America. Katy received her undergraduate degree in Sociology from the University of Virginia, her Master of Science in Epidemiology degree from the Harvard School of Public Health and her Naturopathic Doctorate from the Energetic Wellness School of Naturopathy. A mother of two grown children, Katy lives in Leesburg,VA with her husband.To connect with Katy, visit her websites at ahcsm.org or allbetter.health. You can also check out her Facebook, Instagram, X, and LinkedIn @/katytalento. 

Today, on a very special Grave Plot Podcast... Nostalgia, comedy, and dirty words combine in a fun size episode (that will still fill you up) as we discuss some of our favorite TV Halloween specials! Prove you're not a scaredy cat with Garfield's Halloween Adventure! Beware the zombie-creating tainted taco meat with the Community episode "Epidemiology!" Explore your Shinning with The Simpsons' Treehouse of Horror V! And finally get some supernatural justice on Donald Duck with the classic Disney short film Trick or Treat! So satiate your sweet tooth with this combo pack of classic TV!

Curious how you can shape the future of IPC research? The APIC Research Network (ARN) makes it easy — with free membership, mentorship, and resources to help you learn, publish, and collaborate. Hear from Becca Crapanzano-Sigafoos and Sara Reese as they share how ARN is shaping global research, amplifying IP voices, and creating new opportunities for growth. Learn more about the ARN as well as how to join: https://apic.org/apic-research-network  Hosted by: Kelly Holmes, MS, CIC, FAPIC and Lerenza L. Howard, MHA, CIC, LSSGB About our Guests: Rebecca (Becca) Crapanzano-Sigafoos, DrPH, CIC, FAPIC Rebecca (Becca) Crapanzano-Sigafoos, DrPH, CIC, FAPIC is the Executive Director of APIC's Center for Research, Practice, and Innovation (CRPI). She received both her BS in Public Health, Health Education and her MPH in Epidemiology from East TN State University. She completed her Doctorate in Public Health in 2021. She has been CIC certified since 2008 and is an APIC fellow. Most notably, though, Becca is the mother of six amazing daughters, ages 11-28.   Sara Reese, PhD, MPH, CIC, AL-CIP, FAPIC Sara Reese is the Director of Research at APIC's Center for Research, Practice and Innovation (CRPI) with extensive experience in infection prevention leadership across major healthcare systems including Intermountain Health, Swedish Medical Center, and Denver Health. She has led pandemic response efforts, driven healthcare-associated infection reduction initiatives, and contributed to the field through mentorship, publications, and national conference presentations. She received her Bachelor's of Science and PhD in Microbiology at Colorado State University and her MPH at Colorado School of Public Health. In her spare time, she tries to keep up with her 14- and 10-year-old boys!

According to a 2024 World Health Organization study, over the last 50 years vaccines have saved over 154 million lives worldwide from over 20 life threatening diseases. As vaccines are facing skepticism, we are here to cut through the noise and lay out the facts as to why staying up-to-date on vaccinations is especially important for kidney patients. This episode is supported by Moderna.  In today's episode we heard from:  Mary Baliker has been a dedicated healthcare advocate for the past 40 years, and is involved in several kidney initiatives regionally, nationally and globally. Mary was diagnosed with a rare kidney disease at the age of nine and since then has undergone hemodialysis and received four kidney transplants. As a result of this life-long journey, Mary cherishes her life and possesses a strong desire to help improve the healthcare experience, health outcomes and quality of life for patients with kidney disease. In addition to publishing multiple peer reviewed articles related to the kidney patient experience, Mary is the author of Maria Never Gives Up, a story written to help children and families facing chronic illnesses. Her book is distributed across transplant and dialysis centers nationwide and is available for purchase online William Werbel, MD, PhD is a transplant infectious diseases physician and scientist at Johns Hopkins focused on optimizing protection against infections in immunocompromised persons. He completed clinical and research fellowship in infectious diseases at Johns Hopkins following MD training at the University of Michigan and internal medicine residency and chief residency at the Northwestern Feinberg School of Medicine. He is the current Associate Director for Epidemiology and Quantitative Sciences in the Johns Hopkins Transplant Research Center and principal investigator of the national Emerging Pathogens of Concern in Immunocompromised Persons (EPOC) cohort study. He receives NIH funding to study the landscape of infections in transplant recipients and evaluate the real-world impact of vaccination using a combination of epidemiological and laboratory approaches. Additional Resources: Vaccines for CKD Patients Vaccine Integrity Project IDSA Immunization Resources Emerging Pathogens of Concern in Immunocompromised Persons (EPOC) Study   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

About this episode: For centuries, public health has seen invisible killers, believed in the power of community interventions, and created better health outcomes across the globe. In this episode: Former CDC director Tom Frieden explains how to tackle today's biggest health challenges and previews his new book, “The Formula for Better Health: How to Save Millions of Lives—Including Your Own”. Guest: Dr. Tom Frieden, MPH, is the president and CEO of Resolve to Save Lives. He previously served as the director of the CDC and is the author of “The Formula for Better Health: How to Save Millions of Lives—Including Your Own”. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: The Formula for Better Health: How to Save Millions of Lives—Including Your Own—Penguin Random House A former CDC director's guide to seeing and stopping threats to America's health—STAT Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

This week we're joined by Adele Houghton of the Harvard School of Public Health and Carlos Castillo-Salgado of the Johns Hopkins Bloomberg School of Public Health to discuss their new book Architectural Epidemiology: Architecture as a Mechanism for Designing a Healthier, More Sustainable, and Resilient World. We chat about how to connect the social and architectural determinants of health before projects get off the ground in order to create more healthy neighborhoods. +++ Get the show ad free on Patreon! Follow us on Bluesky, Threads, Instagram, YouTube, Flickr, Substack ... @theoverheadwire Follow us on Mastadon theoverheadwire@sfba.social Support the show on Patreon http://patreon.com/theoverheadwire Buy books on our Bookshop.org Affiliate site!  And get our Cars are Cholesterol shirt at Tee-Public! And everything else at http://theoverheadwire.com

Join the October Menopause Challenge: https://drgabriellelyon.com/forever-strong-menopause-challenge/Pre-Order The Forever Strong PLAYBOOK and receive exclusive bonuses: https://drgabriellelyon.com/playbook/Want ad-free episodes, exclusives and access to community Q&As? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.comDescriptionIn this critical episode, Dr. Gabrielle Lyon sits down with pediatrician Dr. Joel Warsh—known to many as "Dr. Gator"—to confront the most concerning trends in children's health. Dr. Warsh, author of A Shot and a Hard Place, reveals the staggering rise of chronic disease and autism in children, arguing that it's a crisis that demands a deeper, more open conversation.This is a brave and necessary discussion that moves beyond political rhetoric and into the science. Dr. Warsh, an epidemiologist, offers a candid perspective on the vaccine debate, challenging the notion that the "science is settled." He reveals the surprising truth about what research has and hasn't been done on the long-term effects of the cumulative vaccine schedule.This episode is a must-listen for any parent who wants to be empowered with the knowledge to make informed decisions for their family and understand the true impact of our food system, environmental exposures, and sedentary lifestyles on the next generation.Chapter Markers0:00 - The Chronic Disease Epidemic in Kids2:51 - The Vaccine Debate: Risks vs. Benefits4:06 - A Pediatrician's Take on the Newborn Hep B Vaccine12:50 - The Alarming Rise in Autism Rates15:09 - The Missing Research on the Vaccine Schedule19:30 - How to Navigate Conflicting Information from RFK Jr.40:01 - The Role of Environmental Toxins in Chronic Illness44:50 - The Food System & The Epidemic of Childhood Obesity50:11 - Screen Time & The Sedentary Child55:50 - The Presidential Fitness Test Debate1:00:03 - Safe Workouts for Kids & The Importance of Movement1:11:31 - Final Thoughts on CDC, Personal Choice & The Road AheadWho is Joel Gator:Joel Warsh is a Board-Certified Pediatrician in Los Angeles, California who specializes in Parenting, Wellness and Integrative Medicine. He grew up in Toronto, Canada and completed degrees in Kinesiology, Psychology and Epidemiology and Community Health before earning his medical degree from Thomas Jefferson Medical College. He completed his Pediatric Medicine training at Children's Hospital of Los Angeles (CHLA) and worked in private practice in Beverly Hills before founding his current practice, Integrative Pediatrics and Medicine Studio City, in 2018.Dr. Gator has published research in peer-reviewed journals on topics including childhood injuries, obesity and physical activity.He has been featured in numerous documentaries, films, summits, podcasts and articles including CBS, Fox, LA Parent, Washington Post, MindBodyGreen, and many others.He is also the founder of the Parenting Masterclass Platform Raising Amazing which can be found at RaisingAmazingPlus.comDr. Joel Gator may be best known for his popular Instagram DrJoelGator where he offers weekly parenting and integrative pediatric support.He is a...

“It's 5pm and your Consultant (attending) has headed off home. A patient arrives in the resuscitation room blood spurting from a stab wound in the armpit. Join Roisin – a junior Major Trauma fellow, Prash – a surgical trainee, Max – a senior trauma surgery fellow, and Chris – a Consultant trauma surgeon, as we talk through decision making from point of injury to aftercare in this challenging trauma surgical case”. • Hosts: Bulleted list of host names, including title, institution, & social media handles if indicated 1.     Mr Prashanth Ramaraj. General Surgery trainee, Edinburgh rotation. @LonTraumaSchool 2.     Dr Roisin Kelly. Major Trauma Junior Clinical Fellow, Royal London Hospital.  3.     Mr Max Marsden. Resuscitative Major Trauma Fellow, Royal London Hospital. @maxmarsden83 4.     Mr Christopher Aylwin. Consultant Trauma & Vascular Surgeon and Co-Programme Director MSc Trauma Sciences at Queen Mary University of London. @cjaylwin • Learning objectives: Bulleted list of learning objectives. A)    To become familiar with prehospital methods of haemorrhage control in penetrating junctional injuries. B)     To recognise the benefits of prehospital blood product resuscitation in some trauma patients. C)     To follow the nuanced decision making in decision for CT scan in a patient with a penetrating junctional injury. D)    To describe the possible approaches to the axillary artery in the context of resuscitative trauma surgery. E)     To become familiar with decision making around intraoperative systemic anticoagulation in the trauma patient. F)     To become familiar with decision making on type of repair and graft material in vascular trauma. G)    To recognise the team approach in holistic trauma care through the continuum of trauma care. • References: Bulleted list of references with PubMed links. 1.    Perkins Z. et al., 2012. Epidemiology and Outcome of Vascular Trauma at a British Major Trauma Centre. EJVES. https://www.ejves.com/article/S1078-5884(12)00337-1/fulltext 2.    Ramaraj P., et al. 2025. The anatomical distribution of penetrating junctional injuries and their resource implications: A retrospective cohort study. Injury. https://www.injuryjournal.com/article/S0020-1383(24)00771-X/ 3.    Smith, S., et al. 2019. The effectiveness of junctional tourniquets: A systematic review and meta-analysis. J Trauma Acute Care Surg. https://journals.lww.com/jtrauma/abstract/2019/03000/the_effectiveness_of_junctional_tourniquets__a.20.aspx 4.    Rijnhout TWH, et al. 2019. Is prehospital blood transfusion effective and safe in haemorrhagic trauma patients? A systematic review and meta-analysis. Injury. https://www.injuryjournal.com/article/S0020-1383(19)30133-0/ 5.    Davenport R, et al. 2023. Prehospital blood transfusion: Can we agree on a standardised approach? Injury. https://www.injuryjournal.com/article/S0020-1383(22)00915-9. 6.    Borgman MA., et al. 2007. The Ratio of Blood Products Transfused Affects Mortality in Patients Receiving Massive Transfusions at a Combat Support Hospital. J Trauma Acute Care Surg. https://journals.lww.com/jtrauma/fulltext/2007/10000/the_ratio_of_blood_products_transfused_affects.13.aspx 7.    Holcomb JB., et al. 2013. The Prospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) Study. Comparative Effectiveness of a Time-Varying Treatment With Competing Risks. JAMA Surgery. https://jamanetwork.com/journals/jamasurgery/fullarticle/1379768 8.    Holcomb JB, et al. 2015. Transfusion of Plasma, Platelets, and Red Blood Cells in a 1:1:1 vs a 1:1:2 Ratio and Mortality in Patients With Severe Trauma. The PROPPR Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2107789 9.    Davenport R., et al. 2023. Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury. The CRYOSTAT-2 Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2810756 10.   Baksaas-Aasen K., et al. 2020. Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. ICM. https://link.springer.com/article/10.1007/s00134-020-06266-1 11. Wahlgren CM., et al. 2025. European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma. EJVES. https://esvs.org/wp-content/uploads/2025/01/2025-Vascular-Trauma-Guidelines.pdf 12. Khan S., et al. 2020. A meta-analysis on anticoagulation after vascular trauma. Eur J Traum Emerg Surg. https://link.springer.com/article/10.1007/s00068-020-01321-4 13. Stonko DP., et al. 2022. Postoperative antiplatelet and/or anticoagulation use does not impact complication or reintervention rates after vein repair of arterial injury: A PROOVIT study. Vascular. https://journals.sagepub.com/doi/10.1177/17085381221082371?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US