Podcasts about Epidemiology

Commentary by Nina Nouravesh.

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3027: Christian Finn unpacks the science behind breakfast and weight loss, revealing that skipping breakfast doesn't automatically hinder weight management or help it. Drawing from controlled trials and metabolic research, he highlights that the best approach comes down to personal preference, not outdated nutritional dogma. Read along with the original article(s) here: https://muscleevo.net/skipping-breakfast/ Quotes to ponder: "Epidemiology has consistently associated infrequent breakfast consumption with increased risk of adiposity, diabetes, and cardiovascular disease. Yet, these findings do not infer causality and, critically, are more physically active." "Our simple question was (when it comes to weight loss), does it help to eat breakfast? And the answer seems to be probably not." "The common conception that breakfast may facilitate weight management by ‘kick-starting metabolism' was not evident at all in our results, resting metabolic rate stable within just 11 calories per day." Episode references: American Journal of Clinical Nutrition (Breakfast & Weight Loss): https://academic.oup.com/ajcn/article/100/2/507/4576520 Vanderbilt Breakfast Study (1992): https://pubmed.ncbi.nlm.nih.gov/1550088/ Bath Breakfast Project: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049314/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Emily Riederer is a Data Science Senior Manager at Credit Risk Modeling Capital One. Her website can be found here: https://www.emilyriederer.com/   Follow along on Bluesky: Emily: ‪@emilyriederer.bsky.social‬ Ellie: @epiellie.bsky.social Lucy: @lucystats.bsky.social  

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3027: Christian Finn unpacks the science behind breakfast and weight loss, revealing that skipping breakfast doesn't automatically hinder weight management or help it. Drawing from controlled trials and metabolic research, he highlights that the best approach comes down to personal preference, not outdated nutritional dogma. Read along with the original article(s) here: https://muscleevo.net/skipping-breakfast/ Quotes to ponder: "Epidemiology has consistently associated infrequent breakfast consumption with increased risk of adiposity, diabetes, and cardiovascular disease. Yet, these findings do not infer causality and, critically, are more physically active." "Our simple question was (when it comes to weight loss), does it help to eat breakfast? And the answer seems to be probably not." "The common conception that breakfast may facilitate weight management by ‘kick-starting metabolism' was not evident at all in our results, resting metabolic rate stable within just 11 calories per day." Episode references: American Journal of Clinical Nutrition (Breakfast & Weight Loss): https://academic.oup.com/ajcn/article/100/2/507/4576520 Vanderbilt Breakfast Study (1992): https://pubmed.ncbi.nlm.nih.gov/1550088/ Bath Breakfast Project: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049314/ Learn more about your ad choices. Visit megaphone.fm/adchoices

00:08 — Negar Mortazavi is a journalist, political commentator, and host of the Iran Podcast.  00:33 — Art Reingold is the Division Head of Epidemiology and Biostatistics at the UC Berkeley School of Public Health. The post Israel and Trump's War in Iran; Plus, Corona Calls appeared first on KPFA.

Guest Lisa Goldman Rosas is an authority on public health who says that food insecurity goes deeper than hunger and can lead to chronic diabetes, heart disease, and even anxiety and depression. Rosas champions a concept she calls “nutrition security,” which focuses on food's health value over mere calories. She discusses her work with “Recipe4Health,” an Alameda County-led program that issues produce prescriptions, offers health coaching, and integrates electronic health records to improve diets and well-being. Food is medicine, Rosas tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Lisa Goldman RosasRecipe4HealthConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces Lisa Goldman Rosas, a professor of epidemiology and population health, medicine and pediatrics at Stanford University.(00:03:56) Journey Into Food & HealthLisa's path from environmental science to food security and medicine.(00:05:54) Food Insecurity vs. Nutrition SecurityDistinguishing between food insecurity and nutrition security.(00:07:12) Food Choices Under PressureFactors that contribute to food insecurity in families.(00:09:03) Health Impacts of Food InsecurityLinks between food insecurity, chronic illness and mental health issues.(00:12:04) Government & Policy SupportHow programs like SNAP and WIC support food access.(00:14:15) Food as MedicineA growing movement connecting healthcare with nutrition support.(00:17:34) Trial Periods & Lasting ImpactWhy short-term programs can help families discover healthier habits.(00:21:27) What is Recipe4Health?An outline of a clinic-based produce and behavior prescription program.(00:24:07) When Disease Causes Food InsecurityHow expensive chronic disease can push people into food insecurity.(00:24:23) Medicaid Waivers for Food PrescriptionsThe state level policy shifts that allow food as a reimbursable health expense.(00:26:27) Private Sector's Role in Food InsecurityHow companies are getting involved in promoting healthy foods.(00:27:34) Simple Tips for Eating BetterStrategies to make small but impactful changes for eating healthier.(00:30:39) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook

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. 

Drs. Daina Parent and Ryan Bradley take a deep dive into the microbiome and it's influence on whole body health, and cover highlights on clinical research focused on gut health. They also touch on soil health and environmental toxins and the impact on the microbiome. Dr. Ryan Bradley is a Naturopathic Physician with a Master's Degree in Public Health and Epidemiology. He is currently a professor and has completed 8 years of clinical research training. He leads research initiatives at the intersection between public health and integrative and complimentary medicine. 2:00 – Dr. Bradley's Journey towards current career and passion for research; his interest in mechanisms of natural products and clinical research; clinical practice was focused on cardiometabolic disease, Diabetes, and more 5:10 – New initiatives after closing clinical practice 5 years ago - now focuses on clinical research / clinical trials; also focuses on Mentorship through National Center for Complimentary and Integrative Health, branch of NIH for Complimentary Medicine 8:30 – Importance of research for clinicians – shifts the way practitioners practice, especially in Complimentary and Integrative Medicine which has a population of clinicians thirsty for evidence of effectiveness of Complimentary and Integrative strategies, philosophy, and frameworks/protocols 11:55 – Historical Knowledge of effectiveness of Naturopathic Medicine, “the science is finally catching up to our practices”; example – gut health, dysbiosis, leaky gut syndrome; “We finally have the scientific tools to explore these concepts in greater detail.” 13:50 – Gut Health and Naturopathic Medicine – trends and changes in gut health practice; general public is paying more attention to their gut health; rapid innovation, especially with probiotics, postbiotics, prebiotics, and fibers; does the science support large doses of probiotics?; Is the practice outpacing the evidence?; What will the future of microbiome research and awareness look like? 20:40 – Gut Health as connected to global effects throughout the whole body – hormonal health, immune health, brain health; effects of environmental factors like air and water quality influence gut health 23:55 – Current research in the gut health space and how it translates into clinical practice 34:32 – NIH Grants for mentorship, gut health, mind-body practices and effects on anxiety, and more 40:40 – Mind Body Medicine and connection to Gut Health 42:15 – Will gut health continue to be at the forefront of medicine and medical research? Personalized probiotics and AI; potential natural GLP-1 agonists; increased public awareness to demand better foods, less environmental toxins in food, water, and air 49:55 – SOIL HEALTH: The hope for the near future: increased public understanding of soil health and connection to gut health and overall well-being; gut health linked to soil health, food quality, and farming practices; everything is interconnected 53:20 – Integrative Health and it's impact on public health

Cold OpenCBT…? Never worked for autistic me.So, look, we KNOW masking doesn't work. Or FEAR. Or PAIN. We're dying from them already.That's all the words we need.[Music]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 6. “Doc? You Got Us All Wrong, Pt 2: CBT…? Never Worked for Autistic Me.”Abelist agendas. Bad research subjects. Bad data. Bad therapy.There's the whole story.An experimental multi-part series… around 10 minutes each. Cuz some autistic listeners tell me they like to binge in small bites. Others say they listen in the car… so you can also download the complete series as one file.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]I've been struggling with an article on CBT & Autism for years.Sigh. Spoons. A lot of reading. A lot of thinking…To come to my opinion… my thesis…that any therapy based on purely cognitive techniques… even if pros throw on some Behavioral rubber-band-snapping special sauce on the side…?It's inherently ableist… attacking the very way our autistic brains are wired. Demanding abilities many neurodivergents just weren't born with.Here's a snapshot. A quick personal story from when autistic-as-fuck me turned for help…“I'm sorry… What did you just say?”“I said…” He looked nervous. “I said… I always recommend aversive therapy for my autistic kids. My clients.”Me. In a dead-cold voice. “Snapping a rubber band.”“Y-e-s-s.” He seemed torn. Was I gonna get positive reinforcement… Or that weird, hostile, defensiveness professionals get. When you ask questions.Into that hesitant silence, I say, “Snap it hard. Hard as they can. Against their wrist.”“Yes. The sting is important.” Now, he's eager to share. “When they repeat the aversive stimulus, they…”Again I interrupt with my ashen, Clint-Eastwood voice. “During a meltdown.”“Well… actually… just before.” He's beaming, proud. “They learn to snap the band at the earliest hint they'll lose control. It's operant conditioning.”A kid having a meltdown on Aisle 3. Likely overwhelmed by sensory overload.Let's just add a little sharp pain… and see what happens…As if by giving it some science-y name… it's not self-inflicted torture.Brief CBT BackgroundCognitive Behavioral Therapy emerged in the 60s. A kind of forced marriage. Between Beck's cognitive therapy… focused on internal thoughts. And Skinner's behavioral therapy… focused on observable behavior. Both developed studying neurotypical minds.Change your thoughts, change your feelings, change your behavior… change your life. Simple, right?Unless your brain doesn't work that way…Sometimes…? Research… Ain't.How could COGNITIVE Behavioral Therapy not be inappropriate for autistics?Research Problem #1. It's based on studying neurotypical populations. But we autistics think differently by definition.Problem #2? For the foundational studies, CBT researchers used white, university student subjects… for the most part. They're easy and cheap to find. But maybe 3% are autistic? Maybe? ALL with decent IQs and functioning student skills… even the few autistic subjects?And Problem #3 is a doozy. Many autistics survive by people-pleasing. Kids and grownups. We're likely to mask our true experiences to appear "better"... or please therapists. Plus we may have trouble perceiving and communicating our own experience. Self-reported data might not reflect our reality.,Then there's one that's rarely discussed. Problem #4… the "waitlist relief effect." Most neurodivergent folks endure months or years waiting for therapy, suffering intensely. When we finally get accepted into therapy? There's overwhelming relief… elevating our mood and behavior. Which distorts everything a therapist will hear.We may dial up our masking. Cuz we're scared shitless we'll lose this lifeline.Meanwhile, researchers publish, buff their nails…. and attribute any self-reported improvement as proof their technique works.The Cognitive Part…? A Stopper.Substitute "executive functioning" for "cognitive." As in the thing they say is largely missing from my autistic forebrain.The entire technique? One cognitive process after another.. First you must notice. Then you must reflect.Then decide.Then review.Then judge context.Then review…Finally… Act.Then regret.Let that sink in. All of cognitive therapy is about monitoring individual thoughts for "cognitive errors." Then replacing them with correct ones.Hundreds of decisions, distinctions, social cue processings. Executive functioning. A process that NEVER became automatic for me. As clinician after clinician cheerfully reassured me it would.Many autistic individuals have memory differences. Working memory differences that make it nearly impossible to hold the kind of information cognitive work requires. Much less manipulate it on the fly…Now… About Behavior.Now, the "Behavioral" part of CBT? The Skinnerian special sauce?Rewards… and punishments… for the action you choose. Hoping you'll build automatic, correct responses.Basically rat training. If you shock me enough times. Sure. I won't go through that door. AND I will struggle mightily to only have an internal stroke... rather than an external meltdown.But the researcher... or teacher... gets to check the box, "Cured." Cuz we're no longer a nuisance to them. And we continue to quietly die. Invisibly. Politely...Inside.That kind of aversion... to fear or pain? True for every living thing at an evolutionary level above a paramecium.Like rats. Or kids. Cuz... FEAR works. PAIN works. Just not the way they think.These Practical Implementation Failures…Should sound pretty familiar. To autistic folks. Keenly aware of the nightmare effort Autistic Masking demands around Straight Society.So, look, we know masking doesn't work. Or fear. Or PAIN. We're dying from them already.That's all the words we need.Add to this our difficulty forming new habits, maintaining routines, and processing cognitive information differently. Under stress… which therapy itself can induce… we often revert to previous behaviors. Any “improvements” from “techniques”? Not bloody likely they're ingrained as permanent muscle memory.Requiring frequent refresher sessions to maintain the illusion of change… and progress.As one commenter wrote: "To me, CBT has always felt inherently surface-level. It's like closing a few tabs on your browser as opposed to doing a factory reset."Biggest problem of all? Neurodivergent Diversity.Autistic, ADHD, AuDHD, dyslexic, dyspraxic… all different cognitive profiles.Sure, we're all different from the typical population. But an autistic who also experiences ADHD thinks and acts differently than a dyslexic one. At least to my trained observation. I was a mental health social worker for 10 years…Despite these complexities… Maybe because it is complex… It seems to me that CBT treats us all as if we're standard-model humans. With a few bugs to fix.We require GENERATIONAL studies of representative populations to sort this spaghetti pile out. Before we should be recommending these techniques.On living humans. Adults. And especially kids.ABA and Its Relatives: An Even Deeper Hole.Applied Behavioral Analysis (ABA) deserves special mention. It's the behavioral therapy most parents hear about in grammar schools.What most don't know? ABA shares roots with debunked, torturous gay Conversion Therapy. Outlawed in many states. Both were developed by O. Ivar Lovaas in the 60s.Both aim to eliminate "undesirable" behaviors. Using “aversive” techniques. From snapping rubber bands in the nice clinics. To cattle prods in the not-so-nice facilities.Punishing and suppressing behaviors that are natural to our nervous systems. Behaviors that protect us from a society not built for us.ABA may have volumes of "data." But it's all shaped by behaviors researchers and parents want, not what autistic children or adults need. The outcomes measured? Eye contact. Sitting still. Verbal responses. Not internal autistic wellbeing.It's important to understand one simple point. Data is not science.How you frame your research or experiment How you gather your data How you choose how many subjects and whom When you choose to gather data How you interpret your data How you present your dataAll impact its validity and value. ABA and all its camouflaged cousins fall down on this core scientific truth.Bottom line? When former ABA children grow up, many report trauma. PTSD. Anxiety. Depression. Self-harm.ConclusionFuck #ABA. Fuck #CBT.Everybody in the therapeutic-industrial complex from clinic receptionist to billionaire pharmaceutical CEO makes money. From your kid's pain. Caused by treatments that don't address neurodivergent needs. As far as I… and better-known neurodiversity-affirming authorities… can tell.Strong words? Yes. Because minds… and lives… are at stake.We need therapies that work WITH our neurology, not against it. That build on our strengths instead of calling us coolly, professionally, pathologizing names.In Part 3, we'll really bring this all home. How labeling our intrinsic differences as disease is about as anti-therapeutic as you can get.We'll explore "PDA… Not Every Difference Is a Disease." And really raise a ruckus.OutroFor your deeper diving pleasure, the transcript contains references and footnotes for most points I raise. From a variety of views.Hey, don't forget, you can download Part 1, “Autistic Resilience.” Or download both parts as one file.More coming in this series exploring how neurodivergent folks can build sustainable, authentic lives… with or without professional intervention. With 2 more parts coming…AutisticAF Out Loud podcast is supported solely by listeners like you. If you have a friend or family member touched by neurodiversity? Why not turn them on to us with a quick email?By the way, we believe no one should have to pay to be autistic. Many neurodivergent people can't afford subscription content.Your Ko-Fi tip of any amount helps keep this resource free for them. Or join our paid subscriber community at johnnyprofaneknapp.substack.com for ongoing support. I put both links in description.References & Further Reading1: Ableist: Discriminating against people with disabilities by assuming everyone's mind and body work the same way. Like designing a world only for the "standard model human" and then blaming us when we can't navigate it.2: Operant conditioning: A learning process in which behavior is shaped by rewards or punishments.3: Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin.4: Bottema-Beutel, K., & Crowley, S. (2021). Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature. Frontiers in Psychology, 12.5: Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. Journal of Autism and Developmental Disorders, 48(2), 473-484.6: Masking: The act of concealing one's autistic traits to fit in or avoid negative attention.7: Meta-analyses show that waitlist control groups often overestimate the effect sizes of psychotherapies for depression and anxiety, and that changes occurring during waitlist periods are typically small, making waitlist-controlled trials a less strict test of effectiveness.Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., de Wit, L., Ebert, D. D., ... & Furukawa, T. A. (2024). Overestimation of the effect sizes of psychotherapies for depression in waitlist-controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiology and Psychiatric Sciences, 33, e10.8: Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Anxiety Disorders, 41, 56-64.9: Boucher, J., Mayes, A., & Bigham, S. (2012). Memory in autistic spectrum disorder. Psychological Bulletin, 138(3), 458-496.10: Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5-25.11: Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behaviors in a male child. Journal of Applied Behavior Analysis, 7(2), 173–190.See also: El Dewar (2024), "ABA: The Neuro-Normative Conversion Therapy," NDConnection; and the Lovaas Institute's 2024 statement regarding conversion therapy.12: Sandoval-Norton, A. H., & Shkedy, G. (2019). How much compliance is too much compliance: Is long-term ABA therapy abuse? Cogent Psychology, 6(1).13: McGill, O., & Robinson, A. (2020). "Recalling hidden harms": Autistic experiences of childhood Applied Behavioral Analysis (ABA). Advances in Autism, ahead-of-print.14: Xie, Y., Zhang, Y., Li, Y., et al. (2021). Cognitive Behavioral Therapy for Autism Spectrum Disorders: A Systematic Review. Pediatrics, 147(5), e2020049880.81015: Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 49, 41-54.16: Miguel, C., Harrer, M., Cuijpers, P., et al. (2025). Self-reports vs clinician ratings of efficacies of psychotherapies for depression: a meta-analysis. Epidemiology and Psychiatric Sciences, 34, e9.Note: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.Binge on the most authentic autistic voice in podcasting.7 decades of raw truth, real insights, zero yadayada.#AutisticAF Out Loud Newsletter is a reader-supported publication. Click below to receive new posts… free. Tosupport my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit johnnyprofaneknapp.substack.com/subscribe

Cold OpenYou wanna pathologize me? Knock yerself out. Faithfully counting every leaf marked "deficit"…But missing the whole damn forest we know locally as "Survival."[Doc? You Got Us All Wrong, Pt 1: Autistic Resilience]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 5. “Doc? You Got Us All Wrong, Pt 1: Autistic Resilience.”Deficits… or strengths? Survival… or thriving? Pathology… or inborn, natural autistic behavior? We turn the diagnostic telescope around. Let's focus on the forest of resilience behind every leaf labeled "deficit."An experimental multi-part series… all around 10 minutes. Because some neurodivergent listeners like to binge in small bites. Or you can download Part 1 and Part 2 at once… for listeners who crave the whole enchilada in one sitting.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]What I tell any therapist… any caregiver… first session:I have survived physical and sexual abuse from family and schoolmates.Bullying by teachers and fellow students… 2nd grade through high school.Multiple professional crashes… in multiple careers.At least a dozen firings.2 evictions.1 bankruptcy.Dozens of major household moves.Few friends, and…2 divorces, 3 "living togethers," and a couple of "serious" relationships that, well…, weren't?Ain't this resilience?Resilience. Ya know, that cap-and-gown term pros use for getting knocked down seven times. Stubbornly getting up… eight...I'm still alive. Still creating. Still getting published. Still speaking to thousands of autistics a year.Never attempted suicide... despite three hospitalizations.AND I'm still autistic. Cuz there ain't no cure for something that ain't wrong. Unless you base your "medical model" on some statistical "normal"… which is just a made up story. Cuz not one living person is summed up by a Bell curve normal… not even within a standard deviation.Yes, yes… yes. Some professionals are evolving. Pros who listen more than lecture. But face it. In the grand scheme of things… they're rare.Let's get clear right now, right here. It's not being autistic that creates our trauma. It's living autistic in a society that inflicts trauma on us. Refusing to accept, adapt… support… us.Why do "helping" pros focus on my deficits, my lacks, my pitiful performance of “Activities of Daily Living”…? Like, did I shower today…? No.Rather than the sheer strength of will I demonstrate every time I take my next breath?Why do they offer to fix me,inform me,guide me, andcharge me for sessions,mentoring,workshops,best-selling books,SYSTEMS they've just invented…based on… at best… incomplete research?[Music]You know social media… if you like and share this podcast, a lot more people will check it out. You can do a lot of good with just one click.You wanna pathologize me? Knock yerself out.Turn my every inborn neurodivergent characteristic into a disease. You do have powerful diagnostic tools…But you're looking through that diagnostic telescope backwards. Faithfully counting every leaf marked "deficit"… But missing the whole damn forest that we know locally as "Survival."Like my "failure to maintain eye contact.” A “social deficit.” Right... completely missing how that survival skill lets me process your words… without painful sensory overload. My form of my respect… for you.Go ahead and use professionally, objectively disempowering terms, like "comorbidity"... betraying your bias that my very way of Being is… in your eyes… a disease. And then riff on, elaborate away: "pathological demand avoidance," "obsessive-compulsive disorder," "borderline personality disorder,"And on and on… and on.Truth? Every diagnosis? Just another survival mechanism. Not symptoms of autism. Responses to how society treats autism.Behaviors that kept me alive… in your world. While you obsess over what's "wrong" with me…Or… we could build on my autistic strengths.Look, none of us have all of these. And superpowers don't exist. Some have strengths not listed. But if you aren't looking for them? Likely, you're mis-treating us.* Resilience: Just surviving multiple, severe stressors is a biggie. Every autistic adult you meet has adapted to extreme challenges. Most of us… traumatized. Yet we endure. We integrate. We keep going.* Deep Feeling: Pros call ‘em "mood swings." We call it feeling everything… deeply. Depth that drives our creativity… in science, art, writing, becoming lunatic billionaires… or the cool neighbor next door.. It's not a flaw. It's fuel.* Survival Skills: My life, my continued existence… is my proof. Just as any autistic adult's life is. We've survived devastating life events. With inner strength and coping strategies.These aren't skills most professionals understand… not even some neurodivergent practitioners. Because these skills are linked to how our individual autistic minds work. Which is… in fact… different. Not just from most humans. From each other, too.* Creative Persistence: Every autistic person knows this pull. Our passionate focus on our interests. Grabbing us deeper than hunger. We don't just see details… no matter what TV tells you. We work on wide canvases. We create. We build. We solve. That's strength.* Living with Extremes: My knee surgeon was shocked. "You walked two miles a day on a torn meniscus?" Yes, but… a light touch on my face can trigger panic. That's not contradiction. That's how we survive. We may get sensory warnings earlier than most… Yet we handle what breaks others. Daily.* Hidden Adaptability: Look at my life changes—jobs, homes, relationships. Society labels us as "rigid." Truth is, we adapt constantly. We got no choice. Yet we persevere. We keep doing. That's not weakness. That's strength.* Processing Power: We take in everything. Process it deeply. Yet live through emotional and sensory experiences that would derail most people. We keep going. Keep growing. That's not dysfunction. That's determination. Coming directly from… not despite… our neurodivergent cognition.* Spectrum of Strength: Maybe resilience is a spectrum, too. And some of us autistics crank it up past 11. Not weakness from disability. Strength from difference. Turning autistic stereotypes upside down. Yet again.[Music]Just a quickie… this is Part 1 of “Doc? You Got Autism All Wrong?” Why not binge the next part? Or download the long-form version with both parts? Link in transcript.Challenging Normal-izing ModelsMy story? Just one among thousands. Millions.I've worked as a magazine publisher. Functioned as an academic grad student… multiple times. And been homeless… multiple times. I've been privileged to hear many, many similar stories over the decades. At all levels of society, education, age.These stories all share one truth: Autistic traits are not inherently deficits. They can be hidden sources of strength and resilience. In the right environment. In the right community.Take one example: Pathological Demand Avoidance (PDA). What pros like to label our natural, neurodivergent response to external demands like deadlines. I meet the diagnostic criteria. Always have. But in my opinion, they bulldoze right over my inborn need for autonomy. Leading too often to trauma. PDA… seems to me… a dehumanizing slur. For the nature I was born with.Yet many neurodivergents find comfort and support diagnosed as PDA. In the acknowledgment of our differences the diagnosis does offer. I don't wish to negate their experience. And I'm not arguing neurodivergents do NOT have needs for autonomy. Or that we don't suffer due to these differences. At the hands of Straight Culture.My point: Sensory and social differences are NOT pathologies.It's like dogs noticing that cats are more hyper than canines...So to "help" ‘em, pro dogs decide to forcibly train or torture every cat. To steamroll them into converting to “Dog Normal.”We are human… autistic humans.We need what all humans need: To build on our strengths. To find our nurturing environments. To choose our supportive communities.We just accomplish these things... differently.Look, I'm fighting the whole Normative Narrative. Which demands any difference MUST be "cured." Or at least fixed.And I'm not keen on neurodivergent-based attempts to bandaid the problem. By simply defining a new normal for autistics and other neurodivergents. Just another standard we may fail to live up to.Frankly, I'm calling for a strengths-based, non-normative psychology for all neurodivergents. A theme I develop in this series and future podcasts. How we might replace CBT and similar treatments with more neurodivergent-centered alternatives.So where do we start this revolution?Doc, Stop. Look again…At the big picture this time. See those brilliant sparks of unusual strength? Far more powerful than your "deficits."Reality check: Up to now, you've just been documenting how modern consumer culture fails our neurology. In the office. In our schools. In shopping at freaking Walmart for fuck's sake.Anywhere we're forced to process too much sensory input. Or pretend to read invisible social cues. Pretend we're you… without rest or accommodation.Let's explore a new direction. Simply put?Doc… stop looking through your telescope backwards. Look at us. Right in front of your eyes._____References & Further ReadingNeither exhaustive nor comprehensive. Articles that made me think.* The high prevalence of trauma and adverse experiences among autistic individuals* PTSD and Autism* Trauma and Autism: Research and Resources* How to build resiliency in autistic individuals: an implication to advance mental health* Association Between Autism and PTSD Among Adult Psychiatric Outpatients* The relationship between autism and resilience* Building Resilience – An Important Life Skill* Understanding Resilience in Neurodivergent Adults* Autistic Resilience: Overcoming Adversity Through Self-Care and Strengths* The criticism of deficit-based models of autism* Moving Beyond Deficit-Based Models of Autism* Strengths-First Assessment in Autism* The reality of autistic strengths and capabilities* 6 Strengths (not Weaknesses) of Individuals with Autism* Autism as a Strength* Neurodiversity as a Competitive AdvantageNote: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.Doc, You Got Us All Wrong, Pt 2: CBT...? Never Worked for Autistic MeCold OpenCBT…? Never worked for autistic me.So, look, we KNOW masking doesn't work. Or FEAR. Or PAIN. We're dying from them already.That's all the words we need.[Music]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 6. “Doc? You Got Us All Wrong, Pt 2: CBT…? Never Worked for Autistic Me.”Abelist agendas. Bad research subjects. Bad data. Bad therapy.There's the whole story.An experimental multi-part series… around 10 minutes each. Cuz some autistic listeners tell me they like to binge in small bites. Others say they listen in the car… so you can also download the complete series as one file.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]I've been struggling with an article on CBT & Autism for years.Sigh. Spoons. A lot of reading. A lot of thinking…To come to my opinion… my thesis…that any therapy based on purely cognitive techniques… even if pros throw on some Behavioral rubber-band-snapping special sauce on the side…?It's inherently ableist… attacking the very way our autistic brains are wired. Demanding abilities many neurodivergents just weren't born with.Here's a snapshot. A quick personal story from when autistic-as-fuck me turned for help…“I'm sorry… What did you just say?”“I said…” He looked nervous. “I said… I always recommend aversive therapy for my autistic kids. My clients.”Me. In a dead-cold voice. “Snapping a rubber band.”“Y-e-s-s.” He seemed torn. Was I gonna get positive reinforcement… Or that weird, hostile, defensiveness professionals get. When you ask questions.Into that hesitant silence, I say, “Snap it hard. Hard as they can. Against their wrist.”“Yes. The sting is important.” Now, he's eager to share. “When they repeat the aversive stimulus, they…”Again I interrupt with my ashen, Clint-Eastwood voice. “During a meltdown.”“Well… actually… just before.” He's beaming, proud. “They learn to snap the band at the earliest hint they'll lose control. It's operant conditioning.”A kid having a meltdown on Aisle 3. Likely overwhelmed by sensory overload.Let's just add a little sharp pain… and see what happens…As if by giving it some science-y name… it's not self-inflicted torture.Brief CBT BackgroundCognitive Behavioral Therapy emerged in the 60s. A kind of forced marriage. Between Beck's cognitive therapy… focused on internal thoughts. And Skinner's behavioral therapy… focused on observable behavior. Both developed studying neurotypical minds.Change your thoughts, change your feelings, change your behavior… change your life. Simple, right?Unless your brain doesn't work that way…Sometimes…? Research… Ain't.How could COGNITIVE Behavioral Therapy not be inappropriate for autistics?Research Problem #1. It's based on studying neurotypical populations. But we autistics think differently by definition.Problem #2? For the foundational studies, CBT researchers used white, university student subjects… for the most part. They're easy and cheap to find. But maybe 3% are autistic? Maybe? ALL with decent IQs and functioning student skills… even the few autistic subjects?And Problem #3 is a doozy. Many autistics survive by people-pleasing. Kids and grownups. We're likely to mask our true experiences to appear "better"... or please therapists. Plus we may have trouble perceiving and communicating our own experience. Self-reported data might not reflect our reality.,Then there's one that's rarely discussed. Problem #4… the "waitlist relief effect." Most neurodivergent folks endure months or years waiting for therapy, suffering intensely. When we finally get accepted into therapy? There's overwhelming relief… elevating our mood and behavior. Which distorts everything a therapist will hear.We may dial up our masking. Cuz we're scared shitless we'll lose this lifeline.Meanwhile, researchers publish, buff their nails…. and attribute any self-reported improvement as proof their technique works.,The Cognitive Part…? A Stopper.Substitute "executive functioning" for "cognitive." As in the thing they say is largely missing from my autistic forebrain.The entire technique? One cognitive process after another.. First you must notice. Then you must reflect.Then decide.Then review.Then judge context.Then review…Finally… Act.Then regret.Let that sink in. All of cognitive therapy is about monitoring individual thoughts for "cognitive errors." Then replacing them with correct ones.Hundreds of decisions, distinctions, social cue processings. Executive functioning. A process that NEVER became automatic for me. As clinician after clinician cheerfully reassured me it would.Many autistic individuals have memory differences. Working memory differences that make it nearly impossible to hold the kind of information cognitive work requires. Much less manipulate it on the fly…Now… About Behavior.Now, the "Behavioral" part of CBT? The Skinnerian special sauce?Rewards… and punishments… for the action you choose. Hoping you'll build automatic, correct responses.Basically rat training. If you shock me enough times. Sure. I won't go through that door. AND I will struggle mightily to only have an internal stroke... rather than an external meltdown.But the researcher... or teacher... gets to check the box, "Cured." Cuz we're no longer a nuisance to them. And we continue to quietly die. Invisibly. Politely...Inside.That kind of aversion... to fear or pain? True for every living thing at an evolutionary level above a paramecium.Like rats. Or kids. Cuz... FEAR works. PAIN works. Just not the way they think.These Practical Implementation Failures…Should sound pretty familiar. To autistic folks. Keenly aware of the nightmare effort Autistic Masking demands around Straight Society.So, look, we know masking doesn't work. Or fear. Or PAIN. We're dying from them already.That's all the words we need.Add to this our difficulty forming new habits, maintaining routines, and processing cognitive information differently. Under stress… which therapy itself can induce… we often revert to previous behaviors. Any “improvements” from “techniques”? Not bloody likely they're ingrained as permanent muscle memory.Requiring frequent refresher sessions to maintain the illusion of change… and progress.As one commenter wrote: "To me, CBT has always felt inherently surface-level. It's like closing a few tabs on your browser as opposed to doing a factory reset."Biggest problem of all? Neurodivergent Diversity.Autistic, ADHD, AuDHD, dyslexic, dyspraxic… all different cognitive profiles.Sure, we're all different from the typical population. But an autistic who also experiences ADHD thinks and acts differently than a dyslexic one. At least to my trained observation. I was a mental health social worker for 10 years…Despite these complexities… Maybe because it is complex… It seems to me that CBT treats us all as if we're standard-model humans. With a few bugs to fix.We require GENERATIONAL studies of representative populations to sort this spaghetti pile out. Before we should be recommending these techniques.On living humans. Adults. And especially kids.ABA and Its Relatives: An Even Deeper Hole.Applied Behavioral Analysis (ABA) deserves special mention. It's the behavioral therapy most parents hear about in grammar schools.What most don't know? ABA shares roots with debunked, torturous gay Conversion Therapy. Outlawed in many states. Both were developed by O. Ivar Lovaas in the 60s.Both aim to eliminate "undesirable" behaviors. Using “aversive” techniques. From snapping rubber bands in the nice clinics. To cattle prods in the not-so-nice facilities.Punishing and suppressing behaviors that are natural to our nervous systems. Behaviors that protect us from a society not built for us.ABA may have volumes of "data." But it's all shaped by behaviors researchers and parents want, not what autistic children or adults need. The outcomes measured? Eye contact. Sitting still. Verbal responses. Not internal autistic wellbeing.It's important to understand one simple point. Data is not science.How you frame your research or experiment How you gather your data How you choose how many subjects and whom When you choose to gather data How you interpret your data How you present your dataAll impact its validity and value. ABA and all its camouflaged cousins fall down on this core scientific truth.Bottom line? When former ABA children grow up, many report trauma. PTSD. Anxiety. Depression. Self-harm.ConclusionFuck #ABA. Fuck #CBT.Everybody in the therapeutic-industrial complex from clinic receptionist to billionaire pharmaceutical CEO makes money. From your kid's pain. Caused by treatments that don't address neurodivergent needs. As far as I… and better-known neurodiversity-affirming authorities… can tell.Strong words? Yes. Because minds… and lives… are at stake.We need therapies that work WITH our neurology, not against it. That build on our strengths instead of calling us coolly, professionally, pathologizing names.In Part 3, we'll really bring this all home. How labeling our intrinsic differences as disease is about as anti-therapeutic as you can get.We'll explore "PDA… Not Every Difference Is a Disease." And really raise a ruckus.OutroFor your deeper diving pleasure, the transcript contains references and footnotes for most points I raise. From a variety of views.Hey, don't forget, you can download Part 1, “Autistic Resilience.” Or download both parts as one file.More coming in this series exploring how neurodivergent folks can build sustainable, authentic lives… with or without professional intervention. With 2 more parts coming…AutisticAF Out Loud podcast is supported solely by listeners like you. If you have a friend or family member touched by neurodiversity? Why not turn them on to us with a quick email?By the way, we believe no one should have to pay to be autistic. Many neurodivergent people can't afford subscription content.Your Ko-Fi tip of any amount helps keep this resource free for them. Or join our paid subscriber community at johnnyprofaneknapp.substack.com for ongoing support. I put both links in description.References & Further Reading1: Ableist: Discriminating against people with disabilities by assuming everyone's mind and body work the same way. Like designing a world only for the "standard model human" and then blaming us when we can't navigate it.2: Operant conditioning: A learning process in which behavior is shaped by rewards or punishments.3: Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin.4: Bottema-Beutel, K., & Crowley, S. (2021). Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature. Frontiers in Psychology, 12.5: Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. Journal of Autism and Developmental Disorders, 48(2), 473-484.6: Masking: The act of concealing one's autistic traits to fit in or avoid negative attention.7: Meta-analyses show that waitlist control groups often overestimate the effect sizes of psychotherapies for depression and anxiety, and that changes occurring during waitlist periods are typically small, making waitlist-controlled trials a less strict test of effectiveness.Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., de Wit, L., Ebert, D. D., ... & Furukawa, T. A. (2024). Overestimation of the effect sizes of psychotherapies for depression in waitlist-controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiology and Psychiatric Sciences, 33, e10.8: Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Anxiety Disorders, 41, 56-64.9: Boucher, J., Mayes, A., & Bigham, S. (2012). Memory in autistic spectrum disorder. Psychological Bulletin, 138(3), 458-496.10: Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5-25.11: Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behaviors in a male child. Journal of Applied Behavior Analysis, 7(2), 173–190.See also: El Dewar (2024), "ABA: The Neuro-Normative Conversion Therapy," NDConnection; and the Lovaas Institute's 2024 statement regarding conversion therapy.12: Sandoval-Norton, A. H., & Shkedy, G. (2019). How much compliance is too much compliance: Is long-term ABA therapy abuse? Cogent Psychology, 6(1).13: McGill, O., & Robinson, A. (2020). "Recalling hidden harms": Autistic experiences of childhood Applied Behavioral Analysis (ABA). Advances in Autism, ahead-of-print.14: Xie, Y., Zhang, Y., Li, Y., et al. (2021). Cognitive Behavioral Therapy for Autism Spectrum Disorders: A Systematic Review. Pediatrics, 147(5), e2020049880.81015: Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 49, 41-54.16: Miguel, C., Harrer, M., Cuijpers, P., et al. (2025). Self-reports vs clinician ratings of efficacies of psychotherapies for depression: a meta-analysis. Epidemiology and Psychiatric Sciences, 34, e9.Note: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.#AutisticAF Out Loud Newsletter is a reader-supported publication. Click below to receive new posts… free. To support my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit johnnyprofaneknapp.substack.com/subscribe

In this episode, host Helen Angus, CEO of AMS Healthcare, speaks with Dr. Robert Reid.  Dr. Robert Reid is the Chief Scientist Emeritus at Trillium Health Partners, where he previously served as the Hazel McCallion Research Chair in Learning Health Systems at the Institute for Better Health (IBH) and Senior Vice President. He is a global expert and thought leader in population health, learning health systems and primary care. He is best known for his work in developing and evaluating a patient-centred medical home at Group Health Cooperative, now Kaiser Permanente. With IBH colleagues, Dr. Reid is also well known for leading the development of the Learning Health System (LHS) Action Framework that is now being used across Canada to guide system-based learning approaches. Dr. Reid is currently providing expertise in the re-design of Ontario's health care system through the Ontario Health Teams initiative. Dr. Reid co-leads of the Rapid Improvementand Support Exchange (RISE) which provides technical support for rapid learning and improvement for Ontario Health Teams. At the University of Toronto, Dr. Reid holds an academic appointment as Professor(status) with the Institute of Health Policy, Management and Evaluation (IHPME), and the Department of Family and Community Medicine. He is also a Professor with McMaster University's Department of Health Research Methods, Evidence, and Impact. Board certified in preventive medicine, Dr. Reid received his medical degree from the University of Alberta and completed a Master's Degree in Epidemiology and a Ph.D. in Health Policy and Management at Johns Hopkins University amshealthcare.ca

Nations that once relied on USAID funding to combat the spread of HIV and AIDS have been impacted by President Trump's cuts to the program. On Today's Show:Jon Cohen, senior correspondent with Science, reports on how countries that suffer high rates of HIV/AIDS are coping now that USAID funding has dried up, and how local governments, especially in places like Lesotho, are attempting to figure out solutions. Plus, Wafaa El-Sadr, MD, director of ICAP at Columbia University, professor of epidemiology and medicine at Columbia Mailman School of Public Health, executive vice president of Columbia Global, and lead of the New York City Preparedness & Response Institute, discusses ICAP's HIV/AIDS treatment under the Trump administration.

Carly Brantner is an assistant professor of Biostatistics & Bioinformatics at Duke University and Duke Clinical Research Institute. Resources from this episode: multicate: R package for estimating conditional average treatment effects across one or more studies using machine learning methods PCORnet® Front Door: Access point for potential investigators, patient groups, and other stakeholders to connect with PCORnet and get support for potential research studies Patient-Centered Outcomes Data Repository (PDOCR): De-identified data from 24 (and counting) PCORI-funded studies Follow along on Bluesky: Carly: @carlybrantner.bsky.social Ellie: @epiellie.bsky.social Lucy: @lucystats.bsky.social  

Commentary by Satish Raj.

Heart attacks & strokes are down, but guess what's rising? ⚡ Atrial fibrillation,

Vaccines have become one of the most polarizing topics in public health, and frankly, for valid reasons. What we've witnessed over the past few years is an unprecedented breakdown in trust between medical institutions and the public - and that didn't happen in a vacuum.What is the truth about Vaccine Safety and Efficacy? Dr. Roger McFillin sits down with vaccine safety epidemiologist Allison Krug to expose the hidden forces shaping public health, from vaccine safety to the weaponization of fear. They dive deep into the failures of placebo-controlled trials, the truth about natural immunity vs. vaccine-induced immunity, and why good evidence is harder to find than you think. Allison shares what she learned working inside the pharmaceutical industry and reveals how mindset, belief systems, and disconnection from nature and spirituality are fueling today's chronic illness crisis. If you've ever questioned mainstream medicine or want to reclaim your health and autonomy, this conversation will change how you see the world.00:00 Introduction00:05:32 The Danger of Outsourcing Health to "Experts"00:20:45 Mindset, Pain, and the Illusion of Powerlessness00:42:49 Consciousness and the Healing Power Within01:05:32 Germ Theory, Genetics, and the Loss of Agency01:15:47 Awakening to Frequencies: A Spiritual Revolution01:22:23 Dark Spiritual Forces and the Battle for Consciousness01:31:27 How Public Schools Crush Creativity and Independence01:49:05 Medical Paradigm Flaws: What They're Not Telling You01:55:40 Spiritual Emptiness: The Hidden Cost of Modern Culture02:00:12 Radical Responsibility and the Return to Divine LoveAllision Krug WebsiteAllision Krug on XAllison Krug on Megyn Kelly COVID-19 vaccine boosters for young adults: a risk benefit assessment and ethical analysis of mandate policies at universities  Dr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

In this second episode of our lung cancer miniseries, Jonathan Sackier is joined by David Baldwin, a leading expert in screening, epidemiology, and policy. Baldwin reflects on national screening programmes, groundbreaking trials, and how AI, big data, and evidence-based guidelines are reshaping lung cancer care. Timestamps: 00:00 – Introduction 03:17 – Key takeaways from the UKLS trial 11:10 – Boosting participation in screening studies 17:04 – The Targeted Lung Health Check programme 23:30 – Understanding large datasets in lung cancer epidemiology 32:44 – AI and big data in lung cancer imaging 41:43 – Shaping national guidelines 47:47 – Are we doing enough to prevent lung cancer? 53:06 – Baldwin's three wishes for healthcare

The U.S. Health Secretary, RFK Jr., announced he was dismissing all the members of the CDC's vaccine advisory committee.On Today's Show:Katelyn Jetelina, founder and author of the newsletter Your Local Epidemiologist, talks about what RFK Jr. says are his goals, and what the consequences might be.

In this episode, Callum and Jame discuss the latest evidence base for endocarditis assessment & management, focusing on the ESC 2023 guidance. Epidemiology! Prophylaxis! How to take a blood culture! A long and complicated comparison of the Duke-ISCVID and Duke-ESC criteria that doesn't really matter because they're both as good as each other! AND MORE…in part 2 because this is a 2-parter sorry SEE YOU NEXT TIME! Show notes for this episode here: https://idiots.notion.site/111-112-Endocarditis-2023-Update-3594d55559314434a3b87d4c30ec41f3 Send us a text Support the showQuestions, comments, suggestions to idiotspodcasting@gmail.com or on Bluesky @idiots-pod.bsky.socialPrep notes for completed episodes can be found here (Not all episodes have prep notes).If you are enjoying the podcast please leave a review on your preferred podcast app!Feel like giving back? Donations of caffeine gratefully received!https://www.buymeacoffee.com/idiotspod

As we enter the summer season, many of us will spend countless hours outdoors. We often discuss tick awareness and tick-borne illness, but one tick in particular is getting a lot of press these days. In case you needed another reason to be mindful of ticks, today we discuss Alpha-gal Syndrome. In today’s episode we explore the science behind alpha-gal syndrome – a rare and serious allergy to red meat and other mammal products triggered by a bite from the Lone Star Tick. Tune in to learn how to recognize symptoms and why this syndrome is spreading across many regions and many countries. Today on The Lab Report: 3:30 What is Alpha-gal Syndrome? 6:30 Delayed anaphylaxis? What! 9:50 Epidemiology and prevalence 11:50 Not only red meat – other products 14:55 Diagnosing alpha-gal syndrome 16:20 Tick avoidance and sensitization 18:40 What foods can these patients eat? 20: 15 Question of the Day? Are there herbs that can help? Additional Resources: Alpha-gal Information Subscribe, Rate, & Review The Lab Report Thanks for tuning in to this week’s episode of The Lab Report, presented by Genova Diagnostics, with your hosts Michael Chapman and Patti Devers. If you enjoyed this episode, please hit the subscribe button and give us a rating or leave a review. Don’t forget to visit our website, like us on Facebook, follow us on Twitter, Instagram, and LinkedIn. Email Patti and Michael with your most interesting and pressing questions on functional medicine: podcast@gdx.net. And, be sure to share your favorite Lab Report episodes with your friends and colleagues on social media to help others learn more about Genova and all things related to functional medicine and specialty lab testing. To find a qualified healthcare provider to connect you with Genova testing, or to access select products directly yourself, visit Genova Connect. Disclaimer: The content and information shared in The Lab Report is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in The Lab Report represent the opinions and views of Michael Chapman and Patti Devers and their guests.See omnystudio.com/listener for privacy information.

When your cucumbers keep ending up on outbreak lists, it's time to ask: what the actual food safety fail is going on?In this episode of Don't Eat Poop!, our hosts Matt and Francine dig into the repeat salmonella outbreaks linked to Bedner Growers - and why the phrase “voluntary recall” should still raise your eyebrows. They dissect how the contamination trail is traced, what might really be behind recurring farm-based outbreaks, and why cross-contamination is everyone's problem. Whether you're running a farm, a food service kitchen, or just trying to avoid the “poop” in your produce, this one's a wake-up call.In this episode:

Commentary by Dr. Jian'an Wang.

Today's episode of the Faculty Factory Podcast explores strategies for embracing a new career challenge or retirement itself. This broadcast features a recording from a recent lecture led by Faculty Factory Podcast host Kimberly Skarupski, PhD, MPH. Dr. Skarupski is Associate Vice Provost, Leadership Development, in the Office of Faculty Affairs with UTMB Health in Galveston, Texas. She is a tenured Professor in the Department of Internal Medicine, Division of Geriatrics in the John Sealy School of Medicine and in the Department of Epidemiology in the School of Public and Population Health. If you'd like to see the slides from the lecture that this podcast is based on, you can access them here. More Faculty Factory Resources: https://facultyfactory.org/ 

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.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Joining us on Well Said is Dr Kenneth Richard Spaeth, Medical Director for Occupational and Environmental Medicine at Northwell Health and Assistant Professor of Occupational Medicine, Epidemiology and Prevention at the Zucker School of Medicine to talk about what science knows—and what it doesn't—about Microplastics; the near invisible threat hiding in our food, water and […]

Jamie Hartmann-Boyce and Nicola Lindson discuss emerging evidence in e-cigarette research and interview Steve Cook from the University of Michigan USA about the importance of correctly interpreting and assessing the available data. Associate Professor Jamie Hartmann-Boyce and Associate Professor Nicola Lindson discuss the new evidence in e-cigarette research and interview Dr Steven Cook from the Department of Epidemiology, School of Public Health University of Michigan and the Centre for Assessment of Tobacco Regulations, University of Michigan. In the May podcast Steve Cook discusses the methodological problems of cross-sectional data on the health effects of e-cigarette use a topic he addressed at the May 2025 EC Summit, Washington DC. Steve Cook underlines why all cross-sectional health effects studies should be interpreted with extreme caution unless they examine dose-response relationships and account for temporality and cigarette smoking confounding. Dr Cook emphasises the importance of other information such as smoking histories and health histories and the importance of developing a best practice to ensure that we minimize the risks associated with spurious association and maximise predictive accuracy. Steven Cook receives National Institute for Health (NIH) and Food and Drug Administration's (FDA) Center for Tobacco Products (CTP) funding. This is not deemed a conflict of interest. EC Summit, Washington DC: https://www.e-cigarette-summit.com/program-2025/ Recent paper: 10.1016/j.isci.2025.111985 This podcast is a companion to the electronic cigarettes Cochrane living systematic review and Interventions for quitting vaping review and shares the evidence from the monthly searches. Our search for the EC for smoking cessation review carried out on 1st May 2025 found 1 ongoing (NCT06922617) and 1 linked study (DOI: 10.1101/2025.02.17.25322409). Our search for our interventions for quitting vaping review up to 1st May 2025 found 1 new (DOI 10.1001/jama.2025.3810) and 4 ongoing studies (DOI 10.2196/71961, KCT0010346, NCT06909500, NCT06929520). For further details see our webpage under 'Monthly search findings': https://www.cebm.ox.ac.uk/research/electronic-cigarettes-for-smoking-cessation-cochrane-living-systematic-review-1 For more information on the full Cochrane review of E-cigarettes for smoking cessation updated in January 2025 see: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010216.pub9/full For more information on the full Cochrane review of Interventions for quitting vaping published in January 2025 see: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD016058.pub2/full This podcast is supported by Cancer Research UK.

In this illuminating episode we speak with Dr. Filippa Juul. An epidemiologist and leading researcher on the impact of ultra-processed foods (UPFs) on human health. Together, we unpack what ultra-processed really means, why it's not just about calories or macros, and how these foods are stealthily contributing to the global rise in obesity, chronic illness, and food addiction. Dr. Filippa Juul is a nutritional epidemiologist and Faculty Fellow at the Department of Public Health Policy and Management at the New York University School of Global Public Health (NYU GPH). She earned her PhD in Epidemiology from NYU GPH in 2020, following a MSc in Public Health Nutrition from the Karolinska Institute in Stockholm, Sweden, and a BA in Nutrition and Dietetics from Universidad Autónoma de Madrid in Spain. Dr. Juul's research focuses on improving cardiometabolic health outcomes at the population level, with a particular interest in the role of ultra-processed foods (UPFs) in diet quality, obesity, and cardiovascular disease. She utilizes large U.S. population studies to examine these associations and is also exploring the biological mechanisms underlying the impact of UPFs on cardiometabolic health.  Dr. Juul explains the NOVA classification system, dives into recent groundbreaking studies, and offers insights into why UPFs are so difficult to resist—and what we can do about it, both individually and at the policy level. Key Takeaways 

Andrew Heiss is an assistant professor in the Department of Public Management and Policy at the Andrew Young School of Policy Studies at Georgia State University. Vincent's “What is your estimand” section in his {marginaleffects} book: https://marginaleffects.com/chapters/challenge.html#sec-goals_estimand Article on defining estimands: https://doi.org/10.1177/00031224211004187 Andrew's marginal effects post: https://www.andrewheiss.com/blog/2022/05/20/marginalia/ Andrew's post on “fixed effects” and mariginal effects across different disciplines: https://www.andrewheiss.com/blog/2022/11/29/conditional-marginal-marginaleffects/ Follow along on Bluesky: Andrew: @andrew.heiss.phd Ellie: @epiellie.bsky.social Lucy: @lucystats.bsky.social  

At the beginning of May, the National Institutes of Health, part of the Department of Health and Human Services, announced a plan to develop a universal vaccine platform. Think: a single shot for flu or COVID-19 that would last years, maybe a lifetime. The plan—called Generation Gold Standard—has a reported budget of $500 million, and a tight deadline. But will it work? And where does the science on this actually stand? In this live broadcast, Hosts Flora Lichtman and Ira Flatow talk with epidemiologist Michael Osterholm and vaccine researcher Ted Ross.Guests: Michael Osterholm is Director of the Center for Infectious Disease Research and Policy (CIDRAP) at the University of Minnesota in Minneapolis, Minnesota.Dr. Ted Ross is the global director of vaccine research at the Cleveland Clinic's Florida Research and Innovation Center in Port St. Lucie, Florida. Transcript will be available after the show airs on sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

In our May episode, we marked Hypertension Awareness Month with Dr. Robert Ostfeld, a cardiologist at Montefiore Medical Center. Dr. Ostfeld shared how his patients naturally lowered their blood pressure by adopting a plant-based diet and offered tips for eating more plant-based foods. In this month's Key Note, he explains how getting proper sleep can reduce stress hormones that contribute to high blood pressure. The Takeaway We want to hear from you! Please complete our survey: org/member-feedback. Drop us a line at our social media channels: Facebook// Instagram // YouTube. Get started on your health journey by making an appointment with your primary care physician to know your numbers. Get to know your numbers at 1199SEIUBenefits.org/healthyhearts. Find healthy recipes and meal-prep tips at 1199SEIUBenefits.org/food-as-medicine. Visit the Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Get inspired by fellow members through our Members' Voices series: 1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to join webinars on building healthy meals, managing stress and more: 1199SEIUBenefits.org/videos. Visit our YouTube channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists. Sample our wellness classes to exercise body and mind: 1199SEIUBenefits.org/wellnessevents. Robert Ostfeld, MD, MSc, FACC, is the Director of Preventive Cardiology at Montefiore Health System and a Professor of Medicine at the Albert Einstein College of Medicine. Dr. Ostfeld treats patients with adult cardiovascular disease, including coronary artery disease, hypertension, hyperlipidemia and erectile dysfunction with a focus on prevention and treatment through lifestyle change. He works closely with his patients to help them adopt a plant-based diet. Dr. Ostfeld received his Bachelor of Arts in the Biologic Basis of Behavior from the University of Pennsylvania, graduating Summa Cum Laude and Phi Beta Kappa and his Doctor of Medicine from Yale University School of Medicine. He then did his medical internship and residency at the Massachusetts General Hospital and his Cardiology Fellowship and Research Fellowship in Preventive Medicine at Brigham and Women's Hospital, both teaching hospitals of Harvard Medical School. During his Cardiology Fellowship, he earned a Master's of Science in Epidemiology from the Harvard School of Public Health. Dr. Ostfeld's research focus is on cardiovascular disease prevention and reversal through lifestyle modification. Ongoing topics he investigates include the impact of plant-based nutrition on erectile function, coronary artery disease, angina and heart failure. His work has been published in peer-reviewed journals, books, articles, and clinical statements and has been presented nationally. Dr. Ostfeld is board certified in Cardiovascular Disease and Echocardiography, and he is a member of numerous professional societies, including the Physician's Committee for Responsible Medicine and the American College of Cardiology.

The Latest Research Behind Phantom Pain   You may have heard the saying, "Mind over Matter" a few times in your life. I know I have, but did you know that it is more than just a saying? Did you know that our brains are capable of helping us cope when we struggle, especially when we deal with pain? Today I learned how the brain can actually help us changing the way we think and perceive the pain we feel. We have the ability to redirect and reconnect our brain waves to cope with phantom pain, or any pain, that we experience. Today, I was honored to have on Dr Felipe Fregni, professor of Physical Medicine and Rehabilitation at Harvard Medical School and Professor of Epidemiology at Harvard TH Chan School of Public Health, as well as the Director of the laboratory of Neuromodulation at Spaulding Rehabilitation Hospital. He has been researching how the brain perceives pain and what is happening during bouts of pain to our brain. Dr Felipe Fregni, Harvard Professor   The hope is that if we learn how our brain works and how it changes during moments of pain or discomfort then we can start to use that information to better equip the individual to work through pain and eliminate it without medication! Wouldn't that be something! Studying the brain to find connections   Dr Fregni splits his time teaching at Harvard and working the lab at Spaulding Rehabilitation Hospital   Dr Fregni and his staff and students have been researching this topic for a while now and getting the data they need from participants, like myself, and they could use you too! Their goal is to create a device that you can wear to assist in pain elimination through brain waves. They started this study with bringing people into their lab to trial what they had created. Now they are onto phase 2 and getting new participants to work from home with their device. As an amputee I am excited to see research into phantom pain and how we deal with it and finding ways to cope without medication. Dr Fregni also mentioned that their research also branches into helping stroke victims and paralysis as well! When we figure out how pain is communicated within our body we can then begin to find ways to lessen or even eliminate it. One interesting thing we did touch on, which I stated at the very beginning was the mind over matter mentality. You may have heard me say that when I start hurting I tend to become active, I get moving and I find something to distract myself from thinking about the phantom pain. What Dr Fregni told me was that when we become active we start using our brain, we get neurons to fire and this makes for a healthy brain. So every time I'm struggling, my coping mechanism was to not think about the pain but to dive into something else. This is exactly what we should all be doing because we are creating connections in our brain, fire it up, and building it stronger. So mindset matters. Speaking to ourselves in positive ways matters. Even thinking about an activity we love to do creates connections in our brain for healing. What a powerful organ it is, indeed! I want to thank Dr Fregni for coming on and guiding us through how our brain is capable of helping us heal and for building this community of researchers to help those of us who are struggling with pain and need a better way to handle it. I look forward to seeing how your research builds a stronger and healthier tomorrow for us! Thank you! If you would like to take part in the clinical research happening right now, from the comfort of your own home you can reach out to Dr Fregni's department with the link below. I hope you all have a very blessed week. And as always until next time, Be Healthy, Be Happy, Be YOU!!! Much love,     To see if you qualify to participate in their study please click HERE

Focus Issue on Heart Failure and Cardiomyopathies, Epidemiology, Prevention and Health Care Policies

In this episode, our hosts chat with Dr. Rebecca Crapanzano-Sigafoos and Frankie Catalfumo about APIC's updated CAUTI Implementation Guide and the collaborative efforts behind it. They share the guide's origins and what inspired the guide, highlight key prevention strategies, and debunk some common misconceptions about CAUTI in healthcare. Tune in to hear the discussion about real-world implementation challenges, the distinction between essential and additional practices, and how the new tools were designed to enhance process improvement. Get inspired to “partner harder” and strengthen your IP practice! Hosted by: Kelly Holmes, MS, CIC, FAPIC and Lerenza L. Howard, MHA, CIC, LSSGB About our Guests: Rebecca (Becca) Crapanzano-Sigafoos, DrPH, CIC, FAPIC (previously Bartles) Rebecca (Becca) Crapanzano-Sigafoos, DrPH, CIC, FAPIC is the Executive Director of the Association for Professionals in Infection Control and Prevention (APIC)'s Center for Research, Practice, and Innovation (CRPI). Becca has practiced Infection Prevention and Infectious Disease Epidemiology for the last 20 years in a variety of healthcare settings and has numerous publications focused on infection prevention staffing and endoscope safety. 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 with a dissertation topic of “Assessing efficacy of an evidence-based Clostridiodes difficile screening tool using electronic medical record data.” She has been CIC certified since 2008 and is an APIC fellow. Most notably, though, Becca is the mother of six amazing daughters, ages 10-27. Frankie Catalfumo, MPH, CIC, CRCS Frankie Catalfumo, MPH, CIC, CRCST is the Director of Practice Guidance and Health Equity at APIC in their Center for Research, Practice, and Innovation (CRPI). Frankie is an infection preventionist with more than 10 years of experience leading collaborative initiatives within acute healthcare and the federal government. In his current role, he oversees the development of practice guidance tools that are meaningful to the association's membership. He also leads investigative work regarding the relationship between health equity and infection prevention. Prior to joining APIC, Frankie led infection prevention initiatives at Inova Health System, the Johns Hopkins Hospital, the Department of Defense, and the Centers for Disease Control and Prevention. From the global HIV epidemic to the threat of multi-drug resistant bacteria, all infectious agents prompt the need for effective prevention and control measures. Frankie is board-certified in infection control (CIC) and in sterile processing (CRCST). Resource: CAUTI Implementation Guide

In this episode there will be puns where you yeast expect them...But more seriously, what does Candida albicans actually mean? What are yeasts anyway? How does this all relate to the Romans?These questions, and more, will be answered as Alyssa and Callum continue the Fungal series with this, the first in a 3-parter on all things Candida!In this episode we cover the Taxonomy (newly confusing), Epidemiology and Pathogenesis of Candida spp. before talking about superficial candidiasis.Look out for upcoming episodes on invasive Candidiasis and C. auris!Show notes for this episode here: https://idiots.notion.site/108-110-Yeasts-Candida-0eb5f9271f654312b59458d39f8de603?pvs=74 Send us a textSupport the showQuestions, comments, suggestions to idiotspodcasting@gmail.com or on Bluesky @idiots-pod.bsky.socialPrep notes for completed episodes can be found here (Not all episodes have prep notes).If you are enjoying the podcast please leave a review on your preferred podcast app!Feel like giving back? Donations of caffeine gratefully received!https://www.buymeacoffee.com/idiotspod

Today's episode of the Faculty Factory Podcast is about the need for strong leadership in the face of uncertainty. It features a recording from a recent lecture led by Faculty Factory Podcast host Kimberly Skarupski, PhD, MPH. If you'd like to see any visuals from the lecture, please visit our Faculty Factory YouTube channel here: https://youtu.be/VxcRU1ZzGow  Dr. Skarupski is Associate Vice Provost, Leadership Development, in the Office of Faculty Affairs with UTMB Health in Galveston, Texas. She is a tenured Professor in the Department of Internal Medicine, Division of Geriatrics in the John Sealy School of Medicine and in the Department of Epidemiology in the School of Public and Population Health. The talk explores strategies for staying grounded, communicating with clarity, and supporting your postdocs through uncertain times. This lecture has been edited and repurposed to provide a friendly podcast listening experience. Learn more about the Faculty Factory: https://facultyfactory.org/ 

Frontline Connections: Strengthening Our ResilienceIn honor of May's National Nurses Week, EMS Week, Hospital Week, and more, Transmission Interrupted celebrates the frontline professionals who stand at the crossroads of care, safety, and preparedness.In this special episode, host Jill Morgan is joined by a panel of experts from across the country: Tristan Twohig, an emergency department nurse from Spokane, Washington; Caroline Persson, who co-leads the NETEC IPC and BCU leadership workgroups and joins from Denver Health; and Stefanie Lane, co-leader of the NETEC Regional Coordination workgroup from Mass General in Boston.Together, they unpack the real-world challenges facing frontline healthcare providers—the moments when communication breaks down between EMS and hospital teams, the risks of missed or unclear handoffs, and the persistent gaps in infection prevention. The panel shares stories from the field, discusses the importance of the “identify, isolate, inform” model, and explores strategies for strengthening resilience and teamwork across emergency settings.Whether you're a healthcare worker, a leader, or simply curious about how our health systems come together in high-risk scenarios, this episode amplifies the voices of those who make healthcare resilient from the ground up.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsStefanie Lane, MS, MPH, NREMT Biothreats Program Manager, Center for Disaster Medicine Massachusetts General HospitalStefanie Lane serves as a Biothreats Program Manager within the MGH Center for Disaster Medicine. In this role, she ensures operational readiness of the special pathogens program, spearheads the development of novel educational modalities (including XR/VR) for high-risk low frequency events, and serves as a SME/liaison between the EMS and healthcare facilities. Stefanie has an extensive background in education and has designed and facilitated a wide variety of training courses. She has eighteen years of experience as an Emergency Medical Technician, where she has served as a training coordinator and board member for ambulance services in Vermont. Stefanie completed her undergraduate degree in Biology at the University of Vermont, and holds Masters degrees in Environmental Science & Policy from Johns Hopkins University and Public Health from Harvard University. Caroline Croyle Persson, MPH, MPA, CIC , PMP, FAPIC Program Director, Denver Health  Caroline Croyle Persson is the Program Director for Disaster Health at Denver Health & Hospital Authority. Her work focuses on healthcare emergency management, coordination and collaboration, and capacity building to enhance healthcare preparedness and response efforts. Ms. Persson also serves as an agency representative (AREP) for NDMS IMT. Prior to her current role, Mrs. Persson worked in infection prevention and control with a focus on influenza, emergency management, high risk pathogens, program and policy management, hand hygiene, and regulatory compliance. She has worked on various public health projects prior to arriving at Denver Health spanning malaria prevention, community health worker sustainment, emergency management, and HIV/AIDs mobile health application acceptance. Mrs. Persson has an MPH from Columbia University with a certificate in Infectious Disease Epidemiology, an MPA from the University of Colorado Denver, and is a Fellow of the Association for Professionals in Infection Control and Epidemiology. Tristan...

For Hypertension Awareness Month, we are fortunate to have Dr. Robert Ostfeld, a cardiologist at Montefiore Medical Center, join us to talk about lifestyle approaches for treating – and preventing – high blood pressure. In this episode, Dr. Ostfeld explains the numbers, the symptoms – or lack of symptoms – and the associated risks. A self-confessed “reformed cardiologist,” he talks about how he saw his patients who adopted a plant-based diet significantly lower their blood pressure. Not ready to go totally plant-based? Dr. Ostfeld says simply adding more fruits, vegetables and whole grains to your diet can help lower not only your blood pressure but also your risk for heart disease, stroke and dozens of other conditions.   The Takeaway We want to hear from you! Please complete our survey: org/member-feedback. Drop us a line at our social media channels: Facebook// Instagram // YouTube. Get started on your health journey by making an appointment with your primary care physician to know your numbers. Get to know your numbers at 1199SEIUBenefits.org/healthyhearts. Find healthy recipes and meal-prep tips at 1199SEIUBenefits.org/food-as-medicine. Visit the Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Get inspired by fellow members through our Members' Voices series: 1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to join webinars on building healthy meals, managing stress and more: 1199SEIUBenefits.org/videos. Visit our YouTube channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists. Sample our wellness classes to exercise body and mind: 1199SEIUBenefits.org/wellnessevents. Robert Ostfeld, MD, MSc, FACC, is the Director of Preventive Cardiology at Montefiore Health System and a Professor of Medicine at the Albert Einstein College of Medicine. Dr. Ostfeld treats patients with adult cardiovascular disease, including coronary artery disease, hypertension, hyperlipidemia and erectile dysfunction with a focus on prevention and treatment through lifestyle change. He works closely with his patients to help them adopt a plant-based diet. Dr. Ostfeld received his Bachelor of Arts in the Biologic Basis of Behavior from the University of Pennsylvania, graduating Summa Cum Laude and Phi Beta Kappa and his Doctor of Medicine from Yale University School of Medicine. He then did his medical internship and residency at the Massachusetts General Hospital and his Cardiology Fellowship and Research Fellowship in Preventive Medicine at Brigham and Women's Hospital, both teaching hospitals of Harvard Medical School. During his Cardiology Fellowship, he earned a Master's of Science in Epidemiology from the Harvard School of Public Health. Dr. Ostfeld's research focus is on cardiovascular disease prevention and reversal through lifestyle modification. Ongoing topics he investigates include the impact of plant-based nutrition on erectile function, coronary artery disease, angina and heart failure. His work has been published in peer-reviewed journals, books, articles, and clinical statements and has been presented nationally. Dr. Ostfeld is board certified in Cardiovascular Disease and Echocardiography, and he is a member of numerous professional societies, including the Physician's Committee for Responsible Medicine and the American College of Cardiology.

Sponsored by: Set for LifeSet For Life Insurance helps doctors safeguard their future with True Own Occupational Disability Insurance. A single injury or illness can change everything, but the best physicians plan ahead. Protect your income and secure your future before life makes the choice for you. Your career deserves protection—act now at https://www.doctorpodcastnetwork.co/setforlife_______________ In an era where misinformation can masquerade as science, how do you discern credible research? Host Dr. Bradley Block welcomes Dr. Katie Suleta, to unpack the importance of scrutinizing study authors and journals for conflicts of interest. Drawing from her recent experience with the Journal of Personalized Medicine, where a case study on supplements for autism treatment failed to disclose a lead author's affiliation with a supplement company, Dr. Suleta shares her journey to push for its retraction. This episode equips physicians with tools to inoculate themselves against junk science, emphasizing intellectual humility and lateral reading to protect patient care and public trust.Three Actionable Takeaways:Check Author Affiliations – Before reading a study, investigate authors' affiliations and potential conflicts of interest using readily available information to assess bias.Evaluate Journal Credibility – Be wary of journals with overly long or suspicious titles, and research their reputation to avoid predatory publications.Practice Lateral Reading – Cross-check studies or news articles with other sources to verify credibility and understand broader reactions, enhancing your information hygiene.About the Show:PGD  Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Katie Suleta is a trained epidemiologist with expertise in infectious diseases and health informatics, serving as the regional director of research and graduate medical education. She mentors residents daily and works as a science writer, contributing to outlets like the American Council on Science and Health, The Conversation, Skeptical Inquirer, and STAT News. Known for her advocacy against misinformation, Dr. Saleta recently exposed a case study in the Journal of Personalized Medicine where a lead author's undisclosed supplement company affiliation led her to push for its retraction, highlighting the need for transparency in scientific publishing.LinkedIn: http://linkedin.com/in/katherine-sota-ortecho-447a4899Instagram: https://www.instagram.com/katysota?igsh=Njd0NG4weW90OWJiAbout the Host Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Physician's Guide to Doctoring podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

May 1, 2025 - State health officials have launched an online dashboard that makes it easy to track and analyze data on sexually transmitted diseases in New York. We explore this public facing tool with Wilson Miranda, surveillance director for the Office of Sexual Health and Epidemiology at the State Department of Health, and John Lake, evaluation specialist for the Office of Sexual Health and Epidemiology at the State Department of Health.

In this edition of Cancer Registry World, we explore the significance of familial pancreatic cancer and the vital role of familial cancer registries. Dr. Alison Klein, Professor of Oncology, Pathology, and Epidemiology, and Director of the National Familial Pancreas Tumor Registry (NFPTR) at Johns Hopkins University School of Medicine—joins Dr. Rick Greene to share insights into the registry's goals and its unique contributions to cancer surveillance and patient management. Don't miss this engaging discussion packed with valuable perspectives.

Part 1 of this discussion examines psychology, philosophy, religion, spiritually, science, and medicine, a panel of five (5) people opens with the question, 'where am I?' and 'what is going on [in the world]?' and refers to James Hillman, ideas and action as an artificial distinction, are they the same thing? How are they interlinked? The poet Major Ragain is quoted, 'contemplation alters the course of rivers.' From the Bhagavad Gita: Freedom from action is not accomplished by abstaining from action, so how is it accomplished? Relinquishing the fruit of action Ghandi's, 'through service, I find myself.' The Panel begins to examine the Taoist concept of non-action, Wu Wei. How do we cultivate Wu Wei? The Panel explores Univerisal Truths. Natural action arises, we have a deep intrinsic calling, how do we find and express it? What is our reason for being here? To receive the Divine Will is a part of choiceless action. 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 is a Missouri-hillbilly curious about Reality. He has lived as a computer scientist, psychologist, running and growing businesses, and helping entrepreneurs, hospitals, and healthcare providers. Mid-life Brian had a partially debilitating nerve injury and soon after met a true Vedanta teacher who spent 30+ years in India and trained under Swami Chimayananda, Sawmi Dayananda, and others. This refocused his study of the classic non-dual wisdom as presented in the Bhagavad Gita and Upanishads. Learn more at http://www.stillcenter.media. 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.

Today we are joined by a remarkable guest, Dr. Trenna Sutcliffe, a board-certified developmental-behavioral pediatrician and the founder of the Sutcliffe Clinic in the San Francisco Bay Area. Her educational history is impressive. She completed her undergraduate education in Molecular Biology and Medical Genetics followed by a masters degree in Biophysics at The University of Toronto. She obtained her Medical degree at McMaster University before her pediatric residency and training finished at the Hospital for Sick Children in Toronto. And oh by the way, she then did a year of pediatric Neurology residency and a Fellowship in Developmental Pediatrics. And finally, another Masters degree in Epidemiology at Stanford University. Thus, her educational path has allowed her to see the developmental landscape through a wider lens covering many disciplines. Dr. Sutcliffe started the first Developmental Pediatrics Clinic at Stanford and played the role of trailblazer throughout her career. With over 25 years of experience, Dr. Sutcliffe specializes in supporting children with autism, ADHD, and anxiety, offering a multidisciplinary approach to diagnosis and treatment. In this episode, she'll share her insights on the rising prevalence of these conditions, the importance of personalized care, and practical strategies for parents navigating developmental challenge. Fundamentally, Dr. Sutcliffe is a going to educate us on a better way to deliver whole person care to the developmentally challenged and beautiful children of this country. Two words encapsulate her work: empowering and thoughtful. Let's dive into this conversation with Dr. Sutcliffe to learn how we can help our children thrive! Dr. M

I sit down with Dr Aasma Shaukat, Gastroenterologist and Professor of Population Health, who is also trained in Epidemiology and Clinical Research, and Director of GI Outcomes Research at NYU Langone Health, Grossman School of Medicine.  We talk about progress in healthcare fields including gastroenterology.  We talk microbiome (I compared my digestive tract to the ocean).  We did talk colonoscopy prep in quite a bit of detail.  We also talk about screening rates in the NYC area< C5 and how fortunate we are to work and live in an area that really tries to be inclusive and proactive.  Gastroenterology has incorporated AI tools, so far in polyp detection, but also summarizing patient history and creating a whole picture, which is also helpful in oncology and more.  Note that this was originally recorded just after the New Year in early January.  

Send us a textShort Summary: The flaws of nutrition epidemiology with Dr. John SpeakmanAbout the guest: John Speakman, PhD is a professor at the University of Aberdeen and runs a lab in Shenzhen, China, focusing on energy balance, obesity, and aging. Note: Podcast episodes are fully available to paid subscribers on the M&M Substack and everyone on YouTube. Partial versions are available elsewhere. Transcript and other information on Substack.Episode Summary: Dr. John Speakman explores the pitfalls of nutrition epidemiology, a field that links diet to health outcomes like cancer and obesity but often produces contradictory results. They discuss flawed methods like 24-hour recalls and food frequency questionnaires, which rely on memory and are prone to bias, and introduce Speakman's new tool using doubly labeled water to screen implausible dietary data. The conversation highlights systematic biases, such as under-reporting by heavier individuals, and emerging technologies like photo diaries and AI for better dietary tracking.Key Takeaways:Nutrition epidemiology studies often contradict each other due to unreliable methods.Common techniques like 24-hour recalls & food frequency questionnaires suffer from memory issues, portion size issues, and systematic biases, often underestimating food intake.Heavier individuals (higher BMI) under-report food intake more, skewing associations between diet & obesity.Speakman's tool, based on 6,500 doubly labeled water measurements, predicts energy expenditure to flag implausible dietary survey data.Emerging technologies, like smartphone photo diaries and AI food identification, promise more accurate dietary tracking than traditional surveys.Randomized controlled trials, not surveys, provide the most reliable dietary insights; single-day intake surveys linked to outcomes years later are dubious.Speakman advises ignoring most nutrition epidemiology headlines due to their inconsistency and lack of prognostic value for behavior change.Related episode:Support the showAll episodes, show notes, transcripts, etc. at the M&M Substack Affiliates: Lumen device to optimize your metabolism for weight loss or athletic performance. Use code MIND for 10% off. Readwise: Organize and share what you read. Athletic Greens: Comprehensive & convenient daily nutrition. Free 1-year supply of vitamin D with purchase. KetoCitra—Ketone body BHB + potassium, calcium & magnesium, formulated with kidney health in mind. Use code MIND20 for 20% off any subscription. MASA Chips—delicious tortilla chips made from organic corn and grass-fed beef tallow. No seed oils or artificial ingredients. Use code MIND for 20% off. For all the ways you can support my efforts

Send us a textTopics Discussed:MeditationGenerosity CompassionMindfulnessEfficiency DOGEPeople Mentioned:My FamilyBob MarleyTrumpMuskBooks to Consider:Nexus - Yuval Noah HarariMoney, Lies and God - Katherine StewartResurrecting Jesus - Adyashanti

My fabulous guest this week, Dr. Audrey Schnell, and I found ourselves very aligned in the discussion of her work as a trailblazer in personal development and transformation. Specifically the potential for Humanity as a whole to move into a much more abundant, prosperous, and enjoyable era and for individuals to reach their full, magnificent ability. This is a theme throughout her work, Dr. Schnell is renowned for her deep expertise, she has spent decades empowering individuals to break through their barriers and unlock their full potential. Dr. Schnell can uniquely pinpoint the hidden roots of self-sabotage and offer transformative guidance that leads to profound, lasting change. On this guest episode, Dr. Schnell speaks with us from the comfort of her amazing off-grid home in West Virginia. She shares about her experience starting out in the field of Epidemiology and Biostatistics, studying why and how people change for over 40 years. She goes on to share how she got into the coaching business and how health and wealth together are the foundation of success, what self-sabotage really is and how to get out of your own way.Bio:Dr. Schnell has an M.A. in Clinical Psychology and a Ph.D. in Epidemiology and Biostatistics.  She has been studying why and how people change for over 40 years. Audrey Schnell enables her clients to end self sabotage, stop derailing themselves, master their emotions and reach their goals. She helps people see the blind spots that are costing them money and eliminate emotional triggers so they can reach their potential, create long-term client relationships, and even turn difficult clients into success stores. She has been a featured speaker at retreats, been a valued guest on numerous industry podcasts and founded 2 successful online summits that featured over 20 top-flight experts from the world of healing and peak performance. Audrey lives off the grid on 40 Acres in rural West Virginia with her husband and dogs. Email: audrey@audreyschnellphd.comWebsite: www.audreyschnell.comFacebook: Audrey Schnell Instagram : audreyschnellphdLinktree : https://linktr.ee/audreyschnellLinkedin :Audrey Schnellhttps://audreyschnell.kartra.com/calendar/ZoomwithAudrey* Women Waken Wednesdays will be held weekly on Wednesdays at 6pm PST starting in February! This is a virtual Women's group I'm holding for my beautiful listeners. I would love for you to join! Please contact me (IG or Email) for Zoom info!Donations To Women Waken To Support The Show Are Greatly Appreciated

Watch hol+ by Dr. Taz MD on YouTube: https://www.youtube.com/@DrTazMD/podcastsIf you've ever had questions about childhood vaccine safety, the recommended vaccine schedule, or how to support your child's immune system in a more natural, holistic way, this episode is for you. In this powerful and balanced conversation, Dr. Joel “Gator” Warsh, a board-certified integrative pediatrician, shares his insights on the most common vaccine concerns parents face today.He discusses how he approaches vaccine conversations with parents, how to evaluate the current CDC childhood immunization schedule, and the importance of personalizing healthcare decisions for each child. He also explains how functional medicine and holistic pediatric care can play a role in strengthening children's health, supporting the immune system, and addressing parental concerns in a non-judgmental way.Whether you're looking for answers about vaccine side effects, considering delayed vaccine schedules, or exploring natural alternatives to support pediatric immune health, this episode delivers a research-informed, compassionate, and grounded perspective. We also cover how to reduce shame in health discussions and empower parents with the information they need to make confident decisions.00:00 Introduction: The Vaccine Debate01:27 Guest Introduction: Dr. Joel “Gator” Warsh03:34 The Importance of Open Dialogue05:55 Understanding Vaccine Polarization12:01 Historical Context: Vaccine Hesitancy13:12 Vaccine Safety and Reporting20:56 The Influence of Big Pharma24:03 Concerns About Vaccine Overload24:51 Dr. Taz's Personal Story27:03 Research Gaps in Vaccine Safety30:39 Autism and Vaccine Hesitancy45:07 Conclusion and Final ThoughtsDr. Joel “Gator” Warsh's Bio:Joel Warsh aka DrJoelGator of the popular parenting Instagram is a Board-Certified Pediatrician in Los Angeles, California who specializes in Parenting, Vaccines, Wellness and Integrative Medicine. He is the author of Between a Shot and Hard Place: Tackling 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 in Studio City. 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.Stay ConnectedSubscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsFollow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Join the conversation on X: https://x.com/@drtazmdTikTok: https://www.tiktok.com/@drtazmdFacebook: https://www.facebook.com/drtazmd/Connect with Dr. Warsh:https://www.instagram.com/drjoelgator/https://linktr.ee/drjoelgatorHost & Production TeamHost: Dr. Taz; Produced by Rainbow Creative (Executive Producer: Matthew Jones; Lead Producer: Lauren Feighan; Editors: Jeremiah Schultz and Patrick Edwards)Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+

In this episode, I'll cover the root causes of reflux & share the most effective treatments. Tune in! Work with us! https://drruscio.com/virtual-clinic/ Product mentions:  Thiamega https://www.objectivenutrients.com/products/thiamega/ Vagustim https://vagustim.io/   Watch next

Long Covid Part 2: Treatments. Studies. Histamines. Hormones. POTS. Clots. Hearts. Hope. Highly-respected Long Covid expert, Dr. Wes Ely, is back for all of your listener questions. We also check in with Physics Girl Diana Cowern on her years-long struggle with the disease. So start with Part 1, and then finish up with this episode addressing all your straggling questions, and great advice for patients and caregivers. Follow Dr. Ely on GoogleScholarBuy Dr. Ely's book, Every Deep-Drawn Breath, on Bookshop.org or AmazonDonations went to: Critical Illness, Brain Dysfunction, And Survivorship (CIBS) Center, Cohen Center for Recovery from Complex Chronic Illness, and Open Medicine Foundation – Diana Cowern's favorite cause to support clinical trialsMore episode sources and linksSmologies (short, classroom-safe) episodesOther episodes you may enjoy: Surgical Angiology (VEINS & ARTERIES), Cardiology (THE HEART), Disability Sociology (DISABILITY PRIDE), Molecular Biology (PROTEINS + SCIENCE COMMUNICATION), Nephrology (KIDNEYS), Diabetology (BLOOD SUGAR)Sponsors of OlogiesTranscripts and bleeped episodesBecome a patron of Ologies for as little as a buck a monthOlogiesMerch.com has hats, shirts, hoodies, totes!Follow Ologies on Instagram and BlueskyFollow Alie Ward on Instagram and TikTokEditing by Mercedes Maitland of Maitland Audio Productions and Jake ChaffeeManaging Director: Susan HaleScheduling Producer: Noel DilworthTranscripts by Aveline Malek Website by Kelly R. DwyerTheme song by Nick Thorburn