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Dr. Mitch Shulman can be heard every weekday morning at 7:50 on The Andrew Carter Morning Show.
What exactly is Barrett's esophagus—and how do doctors determine who may be at higher risk? In Part 2 of this 4-part patient education series, leading gastroenterologist and advanced endoscopist Raman Muthusamy explains how Barrett's esophagus develops from chronic GERD and how it's diagnosed and evaluated in clinical practice in the United States. In this episode, you'll learn: ✔️ What Barrett's esophagus is ✔️ How chronic acid reflux can affect the esophagus ✔️ How Barrett's is diagnosed during endoscopy ✔️ How doctors assess risk for progression to cancer ✔️ Why early detection matters ✔️ How GI specialists guide treatment and follow-up care If you or someone you love experiences long-standing heartburn, reflux, or GERD symptoms, this episode provides trusted, expert-backed information to help you better understand Barrett's esophagus and what comes next. This episode is part of a 4-part patient education series sponsored by Castle Biosciences and produced in collaboration with leading U.S. clinicians dedicated to improving outcomes for patients with Barrett's esophagus.
Heartburn and acid reflux are often brushed off as “normal,” but chronic reflux can lead to much more serious issues, including GERD and Barrett's esophagus. In this episode of Dishing Up Nutrition, Brandy Buro and Kara Carper explain what acid reflux actually is, why it happens, and how nutrition plays a key role in healing the gut and reducing symptoms naturally.
Heartburn and acid reflux are often brushed off as “normal,” but chronic reflux can lead to much more serious issues, including GERD and Barrett's esophagus. In this episode of Dishing Up Nutrition, Brandy Buro and Kara Carper explain what acid reflux actually is, why it happens, and how nutrition plays a key role in healing the gut and reducing symptoms naturally.
As we wrap up Esophageal Cancer Awareness month, Dr. Parikh is joined by Dr. Caitlin Houghton, a foregut surgeon. They explore the significance of Barrett's esophagus as a precursor to esophageal cancer and the collaborative approach between gastroenterologists and foregut surgeons in managing the condition. This episode was brought to you by Castle Biosciences, maker of Tissue Cypher, a test designed to predict the risk of esophageal cancer in patients with Barrett's esophagus.
Barrett's esophagus can develop silently in people with chronic acid reflux (GERD)—and many don't realize their risk until after diagnosis. In this episode of Gastro Girl, Robin shares her powerful, real-life journey from ongoing reflux symptoms to a diagnosis of Barrett's esophagus—and how that moment changed everything. Like many patients, Robin faced confusion, fear, and unanswered questions about what her diagnosis meant and what to do next. After learning more about Barrett's esophagus, including risk factors, monitoring, and emerging tools like TissueCypher, she felt empowered to take a more active role in her care and have informed conversations with her healthcare team. In this episode, you'll learn: What Barrett's esophagus is and how it relates to GERD Common symptoms and warning signs patients often overlook What a diagnosis means for cancer risk and monitoring How patient education can transform fear into action Why self-advocacy matters in digestive health care Robin's story is a reminder that knowledge can change your path—and your outcomes. If you experience chronic heartburn or reflux, this episode offers important insights to help guide your next conversation with your doctor. This educational series is supported by Castle Biosciences. Robin's story reflects her personal experience. Gastro Girl provides evidence-based information to support informed patient-provider conversations and does not offer medical advice.
Co-hosts Ryan Piansky, a patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Angelica Lackey Mirzoca, MPH, about her research on social vulnerability and EoE. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own. Key Takeaways: [:51] Co-host Ryan Piansky introduces this episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz. [1:13] Holly introduces today's topic — research on social vulnerability and eosinophilic esophagitis (EoE) — and today's guest, Angelica Lackey Mirzoca, a fourth-year medical student at the University of North Carolina School of Medicine in Chapel Hill. [1:38] Angelica will start an internal medicine residency this summer and is planning to do a fellowship in GI and liver disease. Before medical school, she studied public health nutrition at UNC and worked in clinical research in eosinophilic diseases. [1:58] Angelica has been able to use her analytic and public health skills as a member of UNC's EoE Research Group, which is part of the larger Center for Esophageal Diseases and Swallowing, led by Dr. Evan Dellon. [2:15] Ryan sees Dr. Dellon as his GI. Dr. Dellon has been a guest on the Real Talk: Eosinophilic Diseases podcast. Ryan says Dr. Dellon is wonderful, and many in the community look up to him. It's exciting that Angelica is doing research alongside him. [2:38] Dr. Craig Reed, part of the EoE Group, who works closely with Dr. Dellon, invited Angelica to a research meeting. She's always had an interest in digestive tract function and diseases. [2:55] When Angelica was growing up, her father had Barrett's Esophagus. She saw him choking a lot when he was swallowing. It was really scary. [3:04] Angelica says that being in the EoE space and appreciating the impact that problems swallowing have, not only on the patient's everyday life but on the people around the patient, it was important to her to dedicate her skills and time to EoE. [3:37] Angelica researched EoE and social vulnerability. Her abstract at the 2025 Digestive Diseases Week was titled "Increasing Social Vulnerability Impacts Presentation and Decreases Treatment Response in Eosinophilic Esophagitis." [3:58] Angelica explains that social vulnerability is a term to describe the context of people's day-to-day lives and the barriers and obstacles they navigate. [4:07] In this context, their lived experience has a dramatic impact on people's ability to anticipate and recover from different stressors. [4:16] Some groups are notably more vulnerable, including kids, older adults, single-parent households, and people who live with physical and mental disabilities. [4:28] Social vulnerability can be measured qualitatively in terms of socio-economic status and household composition. Other composite scores or variables can serve as quantitative assessments of social vulnerability. [4:50] Ryan says he does research for graduate school associated with climate vulnerability and infrastructure. He has done some work with the CDC's Social Vulnerability Index and the Climate and Environmental Justice Screening Tool. [5:20] Angelica says they used the CDC's Social Vulnerability Index in the study. It's a 16-variable composite score with four overarching themes. It's down to the Census Track level. You can associate it with patient zip codes. [5:37] The SVI can populate into patient charts or a QI database. It was very easy to incorporate into the database. [5:50] The QI database was developed to help people understand what neighborhoods and communities might need additional support in natural disasters. It includes variables that impact people's health day-to-day. [6:18] Angelica says health equity is core to everything she does. Participating in the EoE research, it was important to her to consider the social vulnerability, or people's lived reality, and how it impacts their ability to feel empowered to access care. [6:42] Angelica talks about people not knowing what's wrong with them, choking. Angelica worked in restaurants for 12 years before going to medical school. She listened to a lot of people share their struggles to communicate with the doctors. [7:09] Holly says when she worked at a major children's hospital in an EoE clinic, they had local patient families and patients that flew in from farther away. The local patients got to see her weekly for feeding therapy. That's when she started doing telehealth. [8:04] Angelica says the biggest strength of the database is its size. Having 1,400 people and adding every new diagnosis they get at UNC, and every new diagnosis over the past 23 years. [8:25] There are adult (60%) and child (40%) patients in the database. There is also a good range of social vulnerability among the patients. [8:42] Ryan notes that one of the findings of this research was that people with higher social vulnerability often experience delays in diagnosis. [8:52] Angelica says most of the work was postulating on what could be the things that kept people from being diagnosed early, which is important. Angelica hopes that all institutions work to ensure that early endoscopies and biopsies are done. [9:!2] The new guidelines help. Having that high index of suspicion for everyone, not basing it on demographics or judging by appearance, for whether someone needs biopsies or not. [9:28] Social vulnerability includes access to care, getting endoscopies and biopsies, having health insurance, and ER care, which is expensive even with insurance. Specialty copays are expensive. Transportation is expensive. [9:53] Taking time off work can be hard. People take time off to get care for their children, but often not for themselves. [10:18] Ryan was diagnosed in 2002. Knowledge of EoE was not widespread, but his parents took off work and took him to doctors out of state. They had insurance that covered it. He saw five or six physicians in multiple states before he got a diagnosis. [10:42] Ryan's situation is not feasible for most people. He says he is fortunate to have gotten to a doctor who had the expertise to diagnose EoE. [10:51] Ryan says Dr. Emily McGowan was a guest on the Real Talk: Eosinophilic Diseases podcast (Episode 15), speaking on access to specialty care for EoE. She had researched urban and rural populations getting diagnosed with EoE. [11:05] Her research showed that if you're near a center that can diagnose you, you get diagnosed more frequently, which brings it back to access to care. [11:19] Angelica's research did not look at the urban/rural divide. That's something that may be a future direction of research. Eighty percent of North Carolina, where the study was located, is rural. [11:41] The Social Vulnerability Index shows there is the highest vulnerability in more rural areas, especially Eastern North Carolina. Angelica imagines that the urban/rural divide plays a big role. [11:59] Holly grew up in rural New York. She wasn't diagnosed until her twenties. She had issues, but her parents couldn't take her to be diagnosed. It's reassuring to have someone look into this, because when people do research, things change. [12:30] Ryan says all of these points make a lot of sense on the diagnostic side. If you are in a more socially vulnerable place, you don't have the resources. You can't go and get that diagnosis. [12:41] Ryan mentions the study found a difference in symptoms, such as vomiting, nausea, and abdominal pain. Ryan asks what that tells us about how EoE may affect patients differently in these different circumstances. [12:53] Angelica says the study group was 40% children, and children can present with different symptoms, like belly pain and regurgitation. They're eating different foods and may not be noticing solid foods getting stuck as often. [13:20] Anglica says there can be a lot of overlap with GERD and EoE. There may be some gut-brain interaction. There's a lot of psycho-social stress among people who have higher social vulnerability. That often manifests with the motility of the GI tract. [13:56] Angelica says their database doesn't include people who have eosinophilic GI diseases outside of EoE. [14:13] Holly says the study also showed that patients with higher social vulnerability were less likely to respond to swallowed steroid treatments, even after accounting for factors like age and insurance. Holly asks Angelica to explain this finding. [14:34] Angelica says this is really important. The way you manage EoE is very patient-specific. The new guidelines give jurisdiction to you, as a patient, and your provider in deciding other things. [14:51] You can choose dietary therapy first, or topical steroids first. People can take PPIs. They used to be required first, but now they are not. Topical steroids, the ones that you swallow, are common. Cutting out foods from your diet can be challenging. [15:17] Some people don't love the idea of taking medicine daily in their twenties or thirties. [15:32] The fact that you would start a patient on something and not see a histologic response opens up the door to follow-up questions of why it is not working. [15:50] Holly says the pattern wasn't shown in people using diet-based treatments and asks what might explain that difference. She mentions that dietary elimination groceries are expensive, compared to having good insurance covering the medicine. [16:14] Angelica says Dr. Dellon and part of the group did a study a couple of years ago looking at the cost of dietary elimination for patients. There was a lot of heterogeneity in diet elimination. It wasn't all six food elimination. It was different for everybody. [16:36] They found that it was cheaper for patients to do elimination diets than to pay for the compounded medicines. [16:44] Angelica was doing interviews recently for her residency, and a patient told her that when they were first diagnosed, it was hundreds of dollars for their compounded medicine, and they couldn't afford it. [17:00] Angelica says diet therapy can be different for children versus adults. Adults are sometimes very motivated to try diet therapy. The team wondered if that motivation could influence their outcomes or their ability to adhere to eliminating things. [17:23] Holly remembers sitting with the social worker at the Children's Hospital of Colorado GDP Clinic, talking about explaining when you're dairy-free, looking at ingredients like whey. There's so much that comes with it. It's confusing. [17:41] Ryan says he has used swallowed steroids; he's now on a biologic. He's done diet elimination. Groceries are expensive, but there are ways to work around that. Insurance can be frustrating with step therapies, so sometimes diet is the best option. [18:18] Ryan asks if a delayed diagnosis can impact symptom severity and disease progression, and therefore, the response to treatment options. Is the later diagnosis you see with more socially vulnerable populations playing into the treatment response? [18:34] Angelica says the delayed diagnosis can lead to a more acute change in the lining of the esophagus, to become more fibrotic and tougher, and the esophagus loses some of its natural flexibility. She says we do wonder if that can be a component of it. [18:59] Angelica says that's one of the limitations of the study. We need follow-up information to look longitudinally at some of the more recent endoscopies and the outcomes for these patients. She says that's something that we hope to do. [19:16] Ryan asks about information about disease severity within the data set. Angelica says they have information on the severity scores of patients. [19:54] The data showed that patients with higher social vulnerability had more of a mixed inflammatory phenotype compared to people with lower social vulnerability. [20:09] Ryan notes that there are so many different angles to look at. He says in doing research, especially when working with medical charts, you can't get everything for such a large population. What you're able to figure out from all this is so cool. [20:24] Holly says she was the person who ended up in the ED with a food impaction, and that could have been avoided. She loves that Angelica is researching it. [20:44] Holly asks what the key takeaways are for clinicians from this research. [20:54] Angelica says a key takeaway for all clinicians caring for people with EoE is that you have to take into consideration the vulnerabilities that patients are navigating. We operate within a complicated health system that needs to be more efficient. [21:14] Angelica says you get more messages daily and have a lot of competing needs. It can be easy to assume that this patient in front of me is doing well enough and has access to what they need to be supported. [21:31] Patients having space to ask a question about something important to them can be validating and affirming. Whether patients want to share at that encounter, or at the next. It normalizes that we humans need help navigating life, because it's hard. [22:20] Holly talks about providers sitting down with you and asking if you have access to drive to this specialty pharmacy, or if you live in a home where this medicine can be delivered to you safely. It's nice to have someone ask what's going to work best for you. [22:49] Angelica agrees. She says the Social Vulnerability Index can be incorporated into Epic. You can look at a high score and make sure the patient has a social worker and care management. Make it standard procedure to discuss it with patients. [23:10] Ryan explains to listeners that Epic is where all patient information and records are stored. Holly mentions that her office doesn't have Epic, and she misses having electronic medical records. [23:34] Ryan says as a patient, it's impactful that his healthcare team considers his life outside the doctor's office and that he is sticking with his care and can find care that works well for him. [24:11] Angelica says it's important that patients understand that the spaces they are in outside the clinic do impact their health. Up to 80% of our health is influenced by things outside of the hospital and clinic, like health behaviors, exercise, smoking, and alcohol. [24:36] Angelica says your physical environment is so important: the quality of your housing, your carpet, the pollution in your air, working in a factory, working with animals, that's important to consider. [25:00] Angelica says your general stress level is important. That can be worse when you live in an environment that's very noisy or where you don't feel physically safe. Those are very important things to share with your doctors. [25:25] Ryan speaks of research he does on California wildfires, where the power might be turned off for days at a time to avoid starting fires, which can spoil refrigerated foods or medicines that are difficult to replace. Where you live has major impacts. [26:31] Angelica says something we want to do is to look at a pooled subset of around 80 patients to see what is going on with their swallowed steroid treatment. You can discern quite a lot from a chart review by the questions patients send to their team. [26:56] Questions might be things like confusion about how to take the medication, any trouble with insurance claims, or if the medicines are touching the throat the way they're supposed to be. Is the throat not getting adequate exposure to the medicine? [27:20] A thought the team had was that if there's increased chronic stress, that increases the allostatic load, and that can impact total inflammation. Will that make the mucosa in some people inherently resistant, and do they need bigger doses to treat the disease? [27:42] Angelica says we're also going to incorporate the jobs they are working and the potential exposures they have there. How far they live from UNC Main, and if they are living in a rural county or not. They are trying to identify specific areas to help patients. [28:08] Ryan speaks of the benefits and drawbacks of integrating AI into patient records. In chronic cases, the AI summaries are skimming over important details. [28:45] Angelica says they are using AI at UNC, a lot of times when people are being admitted to the ED. It's also being used in the clinic. Angelica sees that AI edits out important details of a patient's social history. [29:27] Holly says her office is trialing an AI, and she has learned she can teach it what is necessary to include in the notes. It can be good if you use it appropriately and train it. [30:03] Ryan says his father recently had a prescription denied because the AI said he didn't have the disorder. He was diagnosed 20 years ago. It took several phone calls to override the AI and see in his chart that he needed this medication. [30:54] Angelica says she hopes that this study can be the beginning of a conversation. [31:00] Health equity is important in all of medical care. Angelica hears more about it in a primary care setting. She looks forward to health equity becoming the core of GI and liver diseases and to how we approach that care. [31:20] Having the conversation can be the beginning of advocacy. It will be the beginning of having medications be more affordable, so you do not have to try and fail so many medications before you get the one that works for you. [31:40] Angelica says every hour of not having the medication that works for them is hard for people. This research was a relatively simple project that answered some very important questions and left us with many more important questions to answer. [32:00] Angelica hopes it shows the feasibility of using these tools that we already have in the community, to start making everyone's health better, and not just people who have access. [32:15] Ryan says we're excited that you're here talking about this with us. We'd also like to congratulate you on receiving an award last year at Digestive Disease Week. [32:23] It was an honor to recognize you with the American Gastroenterological Association APFED Abstract Award for your outstanding research that we've been discussing today. [32:31] The abstract, "Increasing Social Vulnerability Impacts Presentation and Decreases Treatment Response in Eosinophilic Esophagitis," was selected in recognition of its significant contributions to the field. [32:47] Angelica says it was such an honor. It means a lot to her because she conceptualized and executed this project, with so much support from Dr. Dellon and the larger EoE Group. She says she couldn't have done it without them. [33:05] Angelica says, most importantly, the project was a small win for health equity. She hopes that it starts a lot of important conversations and that we continue to be more attuned to the social drivers that impact our really vulnerable patient population. [33:30] Angelica's final words: For patients, caregivers, and loved ones, I encourage you to ask questions. There are no stupid or silly questions. If you feel silly asking, how you feel is valid, but it's really important that you get your questions answered. [33:55] It's OK to say you don't know what questions to ask. You are the expert on what you need and what is important to you. Ask questions, and say when you don't know what to ask. [34:40] Holly thinks that's great for people with a new diagnosis, or children. Ask, what would you ask, if you were in my shoes? [34:54] Ryan thinks this is a great start for listeners who are newly diagnosed. If you'd like to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes. [35:09] If you're looking for a specialist who treats eosinophilic disorders, we encourage you to use APFED's Specialist Finder at APFED.org/specialist. [35:18] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections. [35:28] If you've been personally impacted by eosinophilic disorders and are interested in sharing your experience, please check out APFED.org/shareyourstory. [35:37] Ryan thanks Angelica for joining us today. This was a super insightful conversation. Angelica thanks Ryan and Holly for having her on. It was a pleasure getting to talk today. [35:54] Holly thanks Angelica and also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode. Mentioned in This Episode: APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast Apfed.org apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials Angelica Lackey Mirzoca, MPHpubmed.ncbi.nlm.nih.gov/41551662 apfed.org/blog/may-2025-research-roundup-ddw-edition gastro.org/news/introducing-the-2025-aga-research-foundation-awardees Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda. Tweetables: "When I was growing up, my Dad had Barrett's Esophagus. I saw him choking a lot when he was swallowing. It was really scary. And so, being in the EoE space…was really important and attractive to me." — Angelica Lackey Mirzoca, MPH "We used the CDC's Social Vulnerability Index in the study. It's a 16-variable composite score with four overarching themes. It's down to the Census Track level. You can associate it with patient zip codes." — Angelica Lackey Mirzoca, MPH "Health equity is core to everything I do. Having the opportunity to participate in the EoE research, I felt it was important that we considered the social vulnerability, or people's lived reality, and how that impacts their ability to access care." — Angelica Lackey Mirzoca, MPH "Most of the work was postulating on what could be the things that kept people from being diagnosed early, something that's really important." — Angelica Lackey Mirzoca, MPH "I encourage you to ask questions…It's OK to say you don't know what questions to ask. You are the expert on what you need and what is important to you. Ask questions, and say when you don't know what to ask." — Angelica Lackey Mirzoca, MPH Guest Bio: Angelica Lackey Mirzoca, MPH
That burning sensation you dismiss as "just heartburn" could be a silent warning. For millions, occasional acid reflux is a chronic condition called GERD, and it's quietly setting the stage for devastating cellular damage to your esophagus. This video breaks down the science behind how chronic acid reflux can lead to a precancerous condition called Barrett's Esophagus, and ultimately, one of the fastest-growing cancers in the Western world: esophageal adenocarcinoma. We'll uncover why ignoring the burn is a mistake and give you five evidence-based, actionable steps you can take today to defuse this ticking time bomb and protect your long-term health. This isn't just about managing discomfort—it's about preventing a silent killer. Recurring heartburn can be a sign of a more serious condition, gastroesophageal reflux disease (GERD). Recognizing persistent acid reflux is important for your overall digestive health. You can learn more about heartburn remedies and see a doctor for diagnosis. Health Declassified is brought to you by Peter Wright & Kathleen Beauvais https://HealthDeclassified.com peter@healthdeclassified.com kathleen@healthdeclassified.com Get our weekly newsletter for links to articles mentioned on the show, holistic health tips and news of future guests. Subscribe here Content on our website, in our newsletter, in our audio and video episodes has been obtained from reliable sources, is for information only and should not be taken as medical advice. Check with your doctor before starting a new exercise or supplement programme especially if you have any joint, skeletal, mobility or digestive issues. Here are some of the tools we use to produce this podcast. Kit for sending emails and caring for subscribers Hostgator for website hosting. Podbean for podcast hosting Airtable for organizing our guest bookings and automations. Clicking on some links on this site will let you buy products and services which may result in us receiving a commission, however, it will not affect the price you pay.
What happens when your body is permanently changed—and you still choose to show up fully alive? This episode features Dallas Oliver, a gay man and esophageal cancer survivor diagnosed at just 39. Dallas shares his journey through chemotherapy, radiation, major surgery, and life without an esophagus, along with the realities most people never talk about: intimacy, identity, food, energy, and grief. Out of that experience, he created a weekly LGBTQ cancer support group to offer the kind of space he couldn't find when he needed it most. This conversation is raw, honest, and deeply human-centered on survival, chosen family, and the power of community in healing. Key takeaways: Cancer doesn't just change the body: it reshapes identity, intimacy, and daily life.LGBTQ cancer survivors face unique challenges that deserve affirming, honest spaces.Community is not optional...it's a critical part of healing and survival. About Dallas He was born and raised in South Georgia and left at age 23 after coming out in Piedmont Park, boarding a plane soon after for Portland, Oregon. He spent the next 14 years there living more fully as himself, with some of my most meaningful time spent in rural southern Oregon, on and around the Wolf Creek Radical Faerie Sanctuary. In 2018, he felt a strong pull to return to Atlanta, where he launched his career in massage therapy. It was also here that he faced and survived stage 3 esophageal cancer. Each chapter of his journey—geographical, professional, and deeply personal—has shaped who he is today: a 43-year-old gay man living without an esophagus, grounded in resilience, authenticity, and lived experience. Connect With Dallas Website Facebook Instagram Hey Guys, Don't Forget! Join the 40 Plus: Gay Men Gay Talk, monthly chats. - Learn More! Also, join our Facebook Community - 40 Plus: Gay Men, Gay Talk Community
In this episode, we review the high-yield topic of Barrett Esophagus from the Gastrointestinal section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Chronic heartburn and GERD are often brushed off as everyday issues—but for some patients, long-term reflux can quietly progress to Barrett's esophagus, the only known precursor to esophageal cancer. In Part 1 of this 4-part U.S.-focused patient education series, foregut surgeon Dr. Dan Lister, Founder of the Arkansas Heartburn Treatment Center, explains how reflux disease can evolve over time and why early recognition matters. In this episode, you'll learn: How chronic GERD can progress silently Why Barrett's esophagus matters—even when symptoms improve or disappear Key warning signs patients should never ignore How Barrett's is detected and risk is assessed in the U.S. Treatment approaches that may help reduce cancer risk Whether you've lived with reflux for years or are newly diagnosed, this episode provides clear, evidence-based guidance to help you take reflux seriously—and take action. This episode is part of a 4-part patient education series sponsored by Castle Biosciences and produced in collaboration with leading U.S. clinicians dedicated to improving outcomes for patients with Barrett's esophagus.
This new mini-series on Behind the Knife will delve into the technical aspects of the Operative Standards for Cancer Surgery, developed through the American College of Surgeons Cancer Research Program. This second episode highlights the thyroid cancer operative standard.Hosts:Tracy Wang, MD, MPH, FACS is a Professor of Surgery and Vice-Chair of Strategic and Professional Development at the Medical College of Wisconsin with a clinical focus on endocrine surgical oncology. Vladmir Neychev, MD, PhD is a Professor of Surgery at the University of Central Florida College of Medicine with a clinical focus on endocrine surgical oncology.Jack Sample, MD (@JackWSample) is a General Surgery Resident at Mayo Clinic Rochester.Guests:Elizabeth Grubbs, MD (@EGrubbsMD) is a Professor of Surgical Oncology at MD Anderson where she specializes in endocrine tumors, with expertise in cancer of the thyroid.David Hughes, MD is a Clinical Associate Professor of Surgery at University of Michigan, where he focuses on surgical diseases of the endocrine system, including a particular focus on the diagnosis and management of papillary thyroid cancer.Learning Objectives: Understand key preoperative and intraoperative aspects of the evaluation and treatment of patients with biopsy-proven papillary thyroid carcinoma (PTC) greater than or equal to 1 cm. Define factors that guide decision making regarding the extent of surgical resection (lobectomy versus total thyroidectomy) for PTC.Links to Papers Referenced in this EpisodeOperative Standards for Cancer Surgery, Volume 2: Thyroid, Gastric, Rectum, Esophagus, Melanomahttps://www.facs.org/quality-programs/cancer-programs/cancer-surgery-standards-program/operative-standards-for-cancer-surgery/purchase/Kindle edition:Amazon.com: Operative Standards for Cancer Surgery: Volume 2, Section 1: Thyroid eBook : Program, American College of Surgeons Clinical Research, Katz, Matthew HG: Kindle StoreImpact of Extent of Surgery on Survival for Papillary Thyroid Cancer Patients Younger Than 45 years. https://pubmed.ncbi.nlm.nih.gov/25337927/ Extent of Surgery Affects Survival for Papillary Thyroid Cancer. https://pubmed.ncbi.nlm.nih.gov/17717441/Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content. Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Send Zorba a message!Dr. Zorba digs into new research that shows heavy drinking can lead to an increased stroke risk. Zorba helps out a caller (another Karl Christenson) with Barrett's Esophagus. The caller suggests that Zorba should bottle and prescribe his laugh as medicine. Zorba also helps a listener who has extremely itchy skin, we hear a Mom Joke, and we learn about glasses from the 1980s that were purported to help folks lose weight.Support the showProduction, edit, and music by Karl Christenson Send your question to Dr. Zorba (he loves to help!): Phone: 608-492-9292 (call anytime) Email: askdoctorzorba@gmail.com Web: www.doctorzorba.org Stay well!
Send Zorba a message!Dr. Zorba digs into new research that shows heavy drinking can lead to an increased stroke risk. Zorba helps out a caller (another Karl Christenson) with Barrett's Esophagus. The caller suggests that Zorba should bottle and prescribe his laugh as medicine. Zorba also helps a listener who has extremely itchy skin, we hear a Mom Joke, and we learn about glasses from the 1980s that were purported to help folks lose weight.Support the showProduction, edit, and music by Karl Christenson Send your question to Dr. Zorba (he loves to help!): Phone: 608-492-9292 (call anytime) Email: askdoctorzorba@gmail.com Web: www.doctorzorba.org Stay well!
Behind the Knife ABSITE 2026 – Up-to-date and high yield learning to help you DOMINATE the exam. Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Be sure to check out our free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2026 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/en-us/index.html If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. Check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review
The best water filter?Even more on gadoliniumVagus nerve therapy benefitsWith so many benefits of drinking coffee, should I drink more of it instead of tea?Any update on Barrett's Esophagus?
Join us for the final episode of Foreign Language Movies' month where we discuss Guido's pick of Battle Royale and answer questions like:Do you enjoy sides more?Is a fan a weapon?andHow many meat thermometers do we need?Learn all about Quad Pro Quo at: https://linktr.ee/quadproquopod
Dr. Lisa Mathew interviews Dr. Caitlin Houghton, a foregut surgeon at the Keck School of Medicine of USC and MemorialCare Orange Coast Medical Center. Dr. Houghton specializes in the management of GERD and Barrett's Esophagus, focusing on identifying patients at highest risk for esophageal cancer and using advanced endoscopic techniques to personalize care. GERD Awareness Week coincides with the start of the holiday season, a time when patients often notice their reflux symptoms worsening. Dr. Houghton discusses emerging trends in GERD and Barrett's Esophagus that private practice gastroenterologists should be tracking. She also shares insights from cases like her uncle Pat, who developed long-segment Barrett's with minimal reflux symptoms, and offers guidance on how clinicians can better counsel patients who may be asymptomatic but still at risk. Join Dr. Mathew and Dr. Houghton as they explore practical approaches to risk stratification, indications for upper endoscopy, and how to weigh treatment options for patients with Barrett's esophagus. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, Episode 85, presented by TissueCypher from Castle Biosciences
Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Lauren: Hi Dr Cabral, I want to start by thanking you for all you do! I love listening to your podcasts and have learned so much. I had surgery 15 years ago to fix a labrum tear and within the last year I started experiencing pain again. I had a scope done and found out the suture rubbed the cartilage off my shoulder joint (this probably isn't the correct medical terminology) and now I'm experiencing bone-on-bone pain. I was told there wasn't anything I could do unless I replaced my shoulder. I'm working on fixing my gut and will then do a liver detox. Other than working on inflammation, what else can you recommend? Ann: quick question - what are your thoughts on banding internal hemroids? I recently had a colonoscopy for gut issues and in their report mentioned the hemroids i knew I had but also that they band them at their clinic. I never heard of this - I'd love to get rid of them as they are uncomfortable and messy. They say it's uninvasive and low risk but I don't always trust what the medical field has to say - just wondering what your thoughts are. Thank you for your time! :) and for all the help you give your followers. Audrey: Hi Dr Cabral, I know to get adequate morning sunlight I shouldn't be wearing glasses, but what about contacts? Am I still getting the healthy benefits of sunlight with wearing contact lenses? Thanks so much Anonymous: I was diagnosed with Barrett's Esophagus a year ago after getting an EDG through my GI doctor. He told me I'd need to be on PPIs for the rest of my life. This terrifies me...but I've tried to come off of them before and it's really uncomfortable. I generally understand how PPIs work and now acid will flood the body when you come off of them, and that it takes time but I've tried and can't make it past several weeks...what would you recommend? Bettina: Hello Dr. Cabral, I'm curious to know your thoughts on this product. Brottrunk, a trusted German product for 36 years, is made from 100% organic, freshly baked sourdough bread (spring water, whole grain bread (WHOLE RYE FLOUR, water, WHOLE WHEAT FLOUR, natural sourdough (WHOLE RYE FLOUR, water), salt, WHOLE OAT FLOUR)). The bread is sliced, soaked in spring water, and fermented for six months. This process produces lactic acid and beneficial lactic acid bacteria, creating a drink rich in enzymes, vitamin B12, minerals, and amino acids. Brottrunk supposedly supports a normal immune system and energy metabolism, and helps reduce tiredness and fatigue. It may also have cleansing, detoxifying, and antifungal effects, making it an excellent probiotic supplement for digestion. Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions! - - - Show Notes and Resources: StephenCabral.com/3564 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Thoracic anesthesia is one of the most complex and high-stakes specialties in medicine, where the airway may literally be open on the table, and every breath depends on seamless teamwork. In this episode of Anesthesia Alchemy, Lynn and Garry welcome Dr. Melissa Puskac, a CRNA and thoracic anesthesia expert, to unpack the challenges and breakthroughs that define this field. From carinal resections and sleeve lobectomies to esophagectomies and mediastinal mass surgeries, Dr. Puskac explains how modern techniques like cross-field ventilation, high-frequency jet ventilation (HFJV), and ECMO are transforming survival and recovery. Here's some of what you'll hear in this episode:
Eat Your Spanish: A Spanish Learning Podcast for Kids and Families!
We think Mrs. Elephant and Mr. Mouse are the perfect duo to tackle this question!And remember, if you are interested in furthering your Spanish learning, we offer virtual Spanish lessons! Feel free to reach out to us if you would like to know more!Lots of love,Evan and Vanessa ❤️
In the final episode of our 4-part series on GERD and Barrett's Esophagus, we move beyond awareness to focus on action. What should patients actually do after diagnosis—and how can they take charge of their care journey? We're joined by Tedra Gray, a seasoned Advanced Practice Provider, who shares real-world examples and practical advice for patients navigating chronic reflux, Barrett's Esophagus, or treatment follow-up. You'll learn: Why early diagnosis and follow-up matter What can happen if Barrett's Esophagus is left untreated How shared decision-making helps build the right care plan The different approaches for patients at low, moderate, or high risk Whether you're newly diagnosed or managing long-term reflux, this episode offers compassionate, expert-backed guidance to help you feel informed and empowered. Missed the earlier episodes? Catch up here: Part 1 – From Reflux to Risk: How Heartburn and GERD Could Lead to Esophageal Cancer https://gastrogirl.com/podcast/from-reflux-to-risk-how-heartburn-and-gerd-could-lead-to-esophageal-cancer/ Part 2 – Barrett's Esophagus: The Hidden Risk of Chronic Heartburn https://gastrogirl.com/podcast/barretts-esophagus-the-hidden-risk-of-chronic-heartburn/ Part 3 – Managing Barrett's Esophagus: Treatments and Risk Reduction https://gastrogirl.com/podcast/managing-barretts-esophagus-treatments-risk-reduction/ This series is sponsored by Castle Biosciences and produced in collaboration with leading clinicians and researchers committed to improving patient outcomes.
Joan, or as she is better known on the internet Joan of Heart, is an enthusiastic content creator who is best known for her YouTube channel Pedal Playhouse. There she shares her passion for effect pedals not just by reviewing them, but demonstrating what they are capable of along with a healthy mix of comedic animations to keep the video fun and interesting. Joan actually started her channel in response to her ongoing health issues. She has a unique combination of gastrointestinal issues that have left her struggling with doctors to get a proper diagnosis, debating treatment options and dietary concerns. A silent form of GERD (gastroesophageal reflux disease), that lacks the usual heartburn, has damaged her esophagus over the years leaving her with Barrett's Esophagus (a stiffening of the lower esophagus due to chronic acid exposure). She also has absent esophageal contractility leading to dysphagia or trouble swallowing. Combine both of those with a hiatal hernia where the stomach slides up through the opening in the diaphragm and she has a potent cocktail of issues that antacids, proton pump inhibitors, and sleeping on a wedge pillow can only partially alleviate. In this episode of the Major Pain Podcast, Joan shares her passion for music, media creation, the National Association of Music Merchants (NAMM), in addition to her story of diagnosis and struggles with both mental health and physical illness. Facing difficulty convincing doctors and preparing for corrective surgery, she tries to share her story to help others who may have the same struggles. She reflects on her personal journey as she tries to live up to her sign off line for her videos, “be the good you wish to see in the world”. Check out Joan of Heart at the Pedal Playhouse! https://www.youtube.com/@PedalPlayhouse PlayWatch the episode on YouTube, listen here on the website, or on your favorite podcast platform.
In Part 3 of our 4-part series on GERD and Barrett's Esophagus, we're joined by Dr. Caitlin Houghton, a foregut surgeon with Keck Medicine of USC, to discuss what happens after Barrett's Esophagus is diagnosed—and how patients can reduce their cancer risk and manage the condition effectively. From reflux control to endoscopic eradication therapy (EET), and in some cases, surgery, Dr. Houghton breaks down the latest treatment strategies and what patients need to know. This episode offers practical advice, expert insights, and real hope for those navigating life with Barrett's. Topics include: What Barrett's Esophagus is and why it matters How doctors decide when and how to treat The role of EET, medications, and lifestyle changes When surgery may be necessary Tips for patients to advocate for their care Missed the earlier episodes? Catch up here: Part 1 – From Reflux to Risk: How Heartburn and GERD Could Lead to Esophageal Cancer https://gastrogirl.com/podcast/from-reflux-to-risk-how-heartburn-and-gerd-could-lead-to-esophageal-cancer/ Part 2 – Barrett's Esophagus: The Hidden Risk of Chronic Heartburn https://gastrogirl.com/podcast/barretts-esophagus-the-hidden-risk-of-chronic-heartburn/ This series is sponsored by Castle Biosciences and produced in collaboration with leading clinicians and researchers committed to improving patient outcomes.
In part 2 of our 4-part series on GERD and Barrett's Esophagus, we take a closer look at what Barrett's esophagus is, how it develops from chronic acid reflux, and why early detection is essential to reducing the risk of esophageal cancer. We're joined by Dr. Raman Muthusamy, a nationally recognized expert in gastroenterology and advanced endoscopy, who explains how Barrett's is diagnosed, the latest tools and technologies involved, and how a team-based approach improves outcomes. If you or someone you care about struggles with long-term heartburn or GERD, this episode offers critical insights to help you take action before it becomes something more serious. Missed Part 1? Listen or watch now:From Reflux to Risk: How Heartburn and GERD Could Lead to Esophageal Cancer https://bit.ly/3Fvzf4o This series is sponsored by Castle Biosciences and produced in collaboration with leading clinicians and researchers dedicated to improving patient care and outcomes.
Better Edge : A Northwestern Medicine podcast for physicians
In this episode of Better Edge podcast, Sri Komanduri, MD, discusses the latest advances in the screening and management of Barrett's esophagus and esophageal cancer. He highlights the significance of risk stratification to enhance patient outcomes and minimize the incidence of interval cancers. Additionally, Dr. Komanduri emphasizes the importance of improving patient access to care and the role of advocacy organizations in supporting both patients and clinicians.
In this episode, we review the high-yield topic of Barrett Esophagus from the Gastrointestinal section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Heartburn isn't just a nuisance — it's often a warning sign of deeper gut issues. In this episode of the Feel Better, Feel Great Podcast, Dr. Andrea McSwain shares Sarah's journey from chronic acid reflux to serious diagnoses like eosinophilic esophagitis and Barrett's esophagus. Learn why common treatments like omeprazole (a popular PPI) provide relief but may also come with long-term risks, and how true healing means addressing the root cause. Discover holistic strategies to reduce symptoms, protect your gut, and reclaim your health — naturally. If you're tired of short-term fixes and want real answers, this episode is your starting point. Don't forget to explore the podcast membership for deeper support and actionable gut healing steps! #HeartburnRelief #AcidReflux #GERD #GutHealth #FunctionalMedicine #HolisticHealing #PPIRisks #BarrettsEsophagus #EosinophilicEsophagitis #Omeprazole #FeelBetterFeelGreat #DigestiveHealth #HealthPodcast #DrAndreaMcSwain
Host: Darryl S. Chutka, M.D. Guests: Cadman L. Leggett, M.D., and Chamil C. Codipilly, M.D. Occasional heartburn from gastroesophageal reflux is usually nothing more than an occasional nuisance for most patients. However, when the reflux becomes chronic, it can become more serious. One complication is Barrett's esophagus. On occasion, Barrett's can develop into esophageal adenocarcinoma, an aggressive malignancy with a survival rate of only around 20% at 5 years. Although usually seen in those with chronic acid reflux, Barrett's can occasionally occur in those without any clinical evidence of acid reflux. When should a patient with acid reflux receive an upper endoscopy? What's the significance of finding Barrett's esophagus on an endoscopy? How often does Barrett's develop into esophageal cancer and does treatment prevent this from happening? In this podcast, these are just some of the questions I'll be asking our guests, Cadman L. Leggett, M.D., and Chamil C. Codipilly, M.D., both from the Division of Gastroenterology and Hepatology at the Mayo Clinic as we discuss Barrett's Esophagus. Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development
CT scan accidentally reveals calcium deposits where they don't belong; Dispelling the myth that hunter-gatherers get more sleep than Westerners; Blue light exposure at night impairs sleep—but morning exposure improves it; When normal B12 levels aren't enough; NT Factor vs. urolithin A (Mitopure®️) for mitochondria; Alternatives to PPIs for Barrett's Esophagus; Topical—not oral—melatonin for skin rejuvenation.
On today's MJ Morning Show: Brake pad dust Esophagus story #1 Morons in the news Asteroid odds Brian Setzer's health New Oreo flavors Worst EX stories Warning: MJ's Instagram MJ is 'undiagnosed' according to Fester Guys take video of woman playing Candy Crush in traffic ASAP Rocky trial Esophagus story #2 Westshore Plaza update (and an idea of what to do before it's gone) Florida's nursing school students aren't passing exams What is "Costco Therapy" Key to great sex, according to psychology Other passenger on a plane invading your space? Gas prices are cheaper in Sarasota than Tampa Bay area Android phones warning Food delivered with note 'had to get rid of these'
In this Gut Doctor episode, Dr. Parikh takes on the patient role as PA Sarah Enslin discusses diagnosis and management of Barrett's esophagus. Sarah Enslin is a physician assistant at the University of Rochester Medical Center and Vice Chair of American College of Gastroenterology's Advanced Practice Provider committee. Today's episode is brought to you by Castle Biosciences, maker of TissueCypher, a test designed to predict the risk of esophageal cancer in patients with Barrett's esophagus.
If you struggle with acid reflux, hiatal hernia, Barrett's esophagus, or other GI issues, you'll want to listen to this next guest. Not only has he been in clinical practice and teaching for over 45 years, he writes books on functional gastroenterology. His most recent book is for the general public, directly speaking to people struggling with these issues because so many of them aren't getting the help they need. It's called, Let's Be Real About Reflux: Getting to the Heart of Heartburn. Key Takeaways To Tune In For: (00:25) - Meet Dr. Steven Sandberg Lewis (02:15) - Understanding Common Concern with Reflux (06:02) - Understanding Barrett's Esophagus (19:03) - The Alkaline vs. Acidic Diet Debate (27:20) - Tailored Treatment Plans (36:36) - Breaking Free from Standard Protocols Resources talked about in this episode Website: Hive Mind Medicine Books: Let's Be Real About Reflux: Getting to the Heart of Heartburn Functional Gastroenterology: Assessing and Addressing the Causes of Functional Digestive Disorders, Second edition, 2017 Testing: Acid Reflux Pepsin Testing
Behind the Knife ABSITE 2025 – Up-to-date and high yield learning to help you DOMINATE the exam. Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Be sure to check out our brand new free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2025 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/en-us/index.html If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
For years, I felt like I could die any day. That's how sick I was. And surprisingly, I'm grateful for that experience. In this episode, I'm sharing the five powerful life lessons I learned from battling a severe health challenge, specifically my fight with Barrett's Esophagus, which I thought would take me before my 25th birthday. Whether you're dealing with your own health struggles or just navigating life's challenges, these lessons can change your perspective and empower you to grow stronger through adversity. From learning the value of patience and consistency, to understanding the power of your support system and why life is too short to settle for less, these insights aren't just for overcoming illness—they're for living a better, more intentional life. Tune in for real, hard-earned wisdom that can help you thrive even in the face of struggle. Subscribe to our newsletter, Evolved Health, for tips and insights email list: HERE FREE TOOLS to start your health and fitness journey Top 5 Challenge Anonymous Question Box LMNT Electrolytes: https://drinklmnt.com/ascutnik APPLY FOR COACHING SDE Method app Alessandra's Instagram Josh's Instagram
That can happen???See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Gio and Boomer wonder about Dodgers pitcher Dustin May's torn esophagus. How did it happen?
Friday!! We made it thru another week!! WE do our normal friday supersized line by line recap of this weeks Real Housewives of Beverly Hills! Plus, we cover Southern Charm reunion, Salt Lake City and The Traitors! Special thanks to Juliana Carrozza (@julianacarrozza) for the Beverly Hills notes! Sign up for our substack for free! https://sobaditsgoodryanbailey.substack.com Also, this show and every show is dedicated to my beautiful mom Rebecca Ann Bailey-July 18th, 1948-August 25, 2023 Timestamtamps: :31-Show Notes/Southern Charm Reunion, Salt Lake City, The Traitors 32:42-RHOBH Recap! -Check out our latest promo codes here: https://betches.com/promos -Go sign up for the patreon for over 250 episodes NOT on the main feed! https://www.patreon.com/sobaditsgood Also, So Bad It's Good has merch now! Go to www.sobaditsgoodmerch.com to order yours TODAY! If you're enjoying the insane amount of blood, sweat and literal tears of this pod consider telling a friend or rating us 5 stars on iTunes! Special shoutout to Maritza Lopez (Insta: @maritza.gif) for all of her insanely hard work creating these beautiful pieces of art on my instagram and patreon page!! Instagram: @sobaditsgoodwithryanbailey, @ryanbailey25 Twitter:@ryanabailey25 TIKTOK @sobaditsgoodwithryanb Learn more about your ad choices. Visit megaphone.fm/adchoices
Annemarie's career is being questioned and so is her ability to be a Housewife! Does she have what it takes to be on RHOBH? Then in Miami, Nicole's name is cleared and Adrianna is now the one in the hot seat. What will happen next?!See omnystudio.com/listener for privacy information.
Danny recaps part 1 of The Real Housewives of Salt Lake City reunion, which featured an insane set, transcripts, and so much more. After RHOSLC, Danny recaps The Real Housewives of Beverly Hills, which gave us more esophagus talk, a country ballad, and cereal betrayals.RHOBH Recap: 28:28ishORDER DANNY'S NEW BOOK: https://linktr.ee/jolliestbunchDANNY'S (OTHER) BOOK: Smarturl.it/unrememberTwitter: @DannyPellegrinoInstagram: @DannyPellegrinoYouTube: www.YouTube.com/DannyPellegrino1TikTok: @DannyPellegrinoPatreon: www.Patreon.com/EverythingIconic Hosted on Acast. See acast.com/privacy for more information.
FRIDAY! Huge episode today! Not only do we have a full solo recap of this weeks Beverly Hills episode (where i actually like Erika) I got to speak to Dr. Tiffany Moon (@tiffanymoonmd) again!! Dr. Moon, formerly of Real Housewives of Dallas joins us to clarify Sutton's esophagus issue from last week. Not only that, but she talks about her job, her candle line Aromasthesia (@aromasthesia) and her wine company Three Moons Wine (@threemoonswine) and when/if we will be seeing her back on our screens. She's amazing! Sign up for our substack for free! https://sobaditsgoodryanbailey.substack.com OUR HOLIDAY GIFT GUIDE IS OUT NOW! Also, this show and every show is dedicated to my beautiful mom Rebecca Ann Bailey-July 18th, 1948-August 25, 2023 Timestamps :31-Show Notes 2:53-DR. TIFFANY MOON! 34:10-RHOBH Episode 9 Recap! -Check out our latest promo codes here: https://betches.com/promos -Go sign up for the patreon for over 250 episodes NOT on the main feed! https://www.patreon.com/sobaditsgood Also, So Bad It's Good has merch now! Go to www.sobaditsgoodmerch.com to order yours TODAY! If you're enjoying the insane amount of blood, sweat and literal tears of this pod consider telling a friend or rating us 5 stars on iTunes! Special shoutout to Maritza Lopez (Insta: @maritza.gif) for all of her insanely hard work creating these beautiful pieces of art on my instagram and patreon page!! Instagram: @sobaditsgoodwithryanbailey, @ryanbailey25 Twitter:@ryanabailey25 TIKTOK @sobaditsgoodwithryanb Learn more about your ad choices. Visit megaphone.fm/adchoices
FRIDAY! We made it to the end of the week! Let's party with an all new Beverly Hills supersized recap! SUTTON HAS A DAINTY ESOPHAGUS and Kyle shares her loss! This one has it all. Plus, a couple of other bravo stories at the beginning! Special thanks to Juliana Carrozza (@julianacarrozza908) for taking amazing notes for this episode! Sign up for our substack for free! https://sobaditsgoodryanbailey.substack.com OUR HOLIDAY GIFT GUIDE IS OUT NOW! Also, this show and every show is dedicated to my beautiful mom Rebecca Ann Bailey-July 18th, 1948-August 25, 2023 Timestamps :31-Show Notes/Survivor/back to the mustache/Sheana vs the TWOTS/opening BH remarks 23:50-RHOBH recap -Check out our latest promo codes here: https://betches.com/promos -Go sign up for the patreon for over 250 episodes NOT on the main feed! https://www.patreon.com/sobaditsgood Also, So Bad It's Good has merch now! Go to www.sobaditsgoodmerch.com to order yours TODAY! If you're enjoying the insane amount of blood, sweat and literal tears of this pod consider telling a friend or rating us 5 stars on iTunes! Special shoutout to Maritza Lopez (Insta: @maritza.gif) for all of her insanely hard work creating these beautiful pieces of art on my instagram and patreon page!! Instagram: @sobaditsgoodwithryanbailey, @ryanbailey25 Twitter:@ryanabailey25 TIKTOK @sobaditsgoodwithryanb Learn more about your ad choices. Visit megaphone.fm/adchoices
Lara and Carey decide to give RHOBH another chance (for now). The two return to 90210 to recap episodes 6+7, featuring The Dinner Party from Hell, Part 2. Kyle hosts supper for the girlies featuring THC-infused food to get them off her case for not drinking. Sutton brings her skeleton bone (and tiny esophagus) to battle Kyle over her newfound sobriety and unwillingness to talk martial woes. A blackout Denise Richards joins the table (with Camille Grammer in tow) and confronts Erika for doing... something. Annemarie Wiley - the newest cast member - makes her presence known, Erika the Showman toys with an idea of a Vegas residency, and Dorit pitches homeschooling their kids to a skeptical PK. Then, Gaia answers our prayers and delivers Kim Richards; she emerges from her pandemic hermit era refreshed and into coloring on her walls. Plus, Carey reveals his shockingly off-brand senior yearbook quote...Listen to this episode ad-free AND get access to weekly bonus episodes + video episodes by joining the SUP PATREON.Be cheap as hell and get full-length videos of the pod for free by subscribing to the SUP YOUTUBE.Relive the best moments of this iconic podcast by following the SUP TIKOK. Hosted on Acast. See acast.com/privacy for more information.