Podcasts about facep

In this candid episode, I sit down with Dr. Elliot Justin—emergency physician turned sex tech innovator—to talk erectile fitness, aging erections, and why the humble c*ck ring might just be the unsung hero of midlife pleasure. From horse accidents and centaur metaphors to revolutionary wearable tech, this episode explores the real (and often overlooked) science behind erections and the emotional toll of performance anxiety. If you're ready to shift shame, embrace better tools, and reignite connection with your partner—this one's for you.Timestamps:00:00 – Introduction01:40 – Meet Dr. Elliot Justin & his journey from ER to sex tech04:00 – The horseback accident that changed everything06:15 – What erectile dysfunction really means (and doesn't)08:20 – Why most cck rings don't work — and how FirmTech changed that11:00 – The confidence-erection connection no one talks about13:30 – Why your partner's erection is a health signal15:50 – Can data actually improve erections? (Yep.)18:00 – RingMate: The pleasure product designed for her20:10 – Redefining what counts as sx22:00 – Final thoughts on pleasure, performance & partnershipKaren Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastAbout the Guest:Elliot Justin, MD, FACEP, is the CEO and Founder of FirmTech, the first sex tech company dedicated to improving men's erectile fitness. He has a background in Emergency Medicine and healthcare technology consulting. Dr. Justin is also a serial healthcare entrepreneur, having founded and sold Pegasus Emergency Group and Swift MD. He has provided guidance to various services, telemedicine, and tech startups. Dr. Justin pursued Slavic Studies at Harvard University and studied medicine at Boston University. Happily married for 35 years, and father of three children, Elliot and Ann live in Montana with three energetic mares and a flock of chickens.Connect with Elliot Justin, MD:Instagram: @doctorelliotjustin @myfirmtechWebsite: https://myfirmtech.comEnjoy 15% off with code TABOO15 using this link: https://myfirmtech.com/karenbigmanKaren Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative...

Burnout isn't just emotional, it's financial. Many doctors put off financial planning until they're deep in debt, stuck in lifestyle inflation, and too burned out to pivot. In this episode, The White Coat Investor Jim Dahle lays out how to build a burnout-resistant career by making smart, intentional money decisions, whether you're a student or a seasoned physician.We delve into frugality (the useful and the absurd), how burnout can quietly become your biggest financial threat, what makes a solid investment plan, the waterfall method of managing your money, and why many doctors end up wealthy on paper but broke in practice. Plus: when hiring a financial advisor is the smartest move you can make—and when it's the worst.Guest bio: Jim Dahle, MD, FACEP is a practicing emergency physician and the founder of The White Coat Investor. After early experiences with predatory financial advisors, he taught himself personal finance and saw firsthand how financial literacy transformed his life. Motivated to help colleagues avoid similar pitfalls, he launched The White Coat Investor—then the only unbiased financial education resource for physicians. More than a decade later, Dr. Dahle continues to lead the organization as CEO, columnist, and podcast host, staying true to its mission: “help those who wear the white coat get a fair shake on Wall Street.”We Discuss:Financial goals as the “game,” not competition with othersEmbracing frugality (and where it can go too far)Burnout as a major financial riskStrategies to reduce burnout, including working less and managing spendingUnderstanding your financial “basement” (minimum monthly needs)Lifestyle creep and how to monitor itThe “live like a resident” strategy post-trainingNet worth versus income, and why physicians sometimes retire brokeThe financial “waterfall” (how to prioritize where your money goes)Why trying to beat the market usually backfiresWhole life insurance: the hype versus realityCreating an Investment Policy Statement (IPS)Real estate investing: REITs versus hands-on ownershipDesigning your life and shifts as a financially independent physicianThe "night shift marketplace" modelWhen to work with, or fire, a financial advisorCase study: mid-career physician financial planning

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Howard W. Levitin, MD, FACEP, and Evan Springer, DO, about hyperglycemia management. Insulin supplies_resources (1) ED Glycemic Mngt v9 04_24_25 Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

We're told that aging is about loss. About slowing down. About limits. But what if we've got it all wrong? In this episode, we're joined by Dr. Charlotte Yeh — a trailblazer in healthcare, a former emergency physician, and now the Chief Experience Officer at Cherish. With over three decades of experience, including former Chief Medical Officer at AARP and now Yeh Innovation, Charlotte brings a deeply human perspective: that aging can be a time of growth, connection, and purpose. Together, we explore the myths and truths around getting older. We ask: how can we shift the narrative from decline to vitality? From isolation to community? From fear to intention? Dr. Yeh shares profound insights on emotional well-being, the quiet epidemic of loneliness, and how technology — when used wisely — can measure what really matters. This is a conversation about agency, resilience, and how we can all age not just gracefully, but powerfully. Because aging isn't something that happens to us — it's something we can choose to do with meaning. Thank you to our sponsors: HeroGeneration – Empowering caregivers and families with free tools, resources, and a supportive community to navigate aging with confidence and connection. Sign up HERE. Zinnia TV – A therapeutic platform for dementia care, offering calming, connection-centered video content. Use code GATHER20 for 20% off an annual subscription. Sign up HERE. 

Geralda Xavier, MD, MPH, MBA, FACEP, Chief Medical Officer at Hackettstown and Newton Medical Centers, Atlantic Health System, discusses initiatives to improve patient access and affordability. She outlines the four key pillars guiding these improvements: performance, population health, growth/stability, and innovation/research. Dr. Xavier also highlights how technology is being leveraged to expand access to care and drive meaningful advancements in the healthcare space.

In this episode, join moderator Brea Burmeister and experts Dr. Scott Weiner and Dr. Arjun Venkatesh as they explore how quality measures can transform opioid use disorder (OUD) care in emergency departments. Discover innovative metrics, quality improvement initiatives, and EHR data integration to optimize patient outcomes. Learn about overcoming barriers like stigma and resource shortages and get key recommendations from recent OUD treatment studies. Perfect for healthcare professionals and anyone interested in advancing OUD care.What You'll Learn:Challenges and opportunities of addressing the opioid epidemic in emergency medicineACEP's work on metrics and the development of quality improvement measuresKey quality initiatives to enhance OUD care and reduce harmThe barriers to adopting these initiatives and strategies to overcome themRecommendations based on recent studies in OUD treatment and medicationMODERATOR: Brea BurmeisterMember, CHIME Opioid Task ForceBio: With 23 years in healthcare, Brea specializes in managing relationships within Integrated Delivery Network (IDN) Health Systems, regional Group Practices, and Specialty Pharmacy accounts. She strengthens value-based care models by developing strategic plans, analyzing performance data, improving care coordination, and implementing process improvements. Brea's work enhances patient outcomes and experiences while reducing costs. Additionally, her volunteer work with the Opioid Task Force reflects her commitment to public health advocacy and community well-being.GUEST: Scott Weiner, MD, MPH, FAAEM, FACEP, FASAMEmergency and Addiction Medicine Physician, Brigham and Women's HospitalAssociate Professor, Harvard Medical SchoolCo-chair, Clinical Advisory subcommittee, CHIME Opioid Task ForceBio: Dr. Weiner is the McGraw Distinguished Chair in the Department of Emergency Medicine at Brigham and Women's Hospital and an Associate Professor of Emergency Medicine at Harvard Medical School. He is board-certified in emergency medicine and addiction medicine. He is an active researcher, working on multiple projects that focus on prevention and treatment of opioid use disorder.GUEST: Arjun Venkatesh, MD, MBA, MHSChair, Department of Emergency Medicine, Yale University School of MedicineChief, Emergency Medicine, Yale New Haven HospitalBio: Dr. Venkatesh is Chair and Chief of Emergency Medicine at the Yale University School of Medicine and Yale New Haven Hospital. He has received over $ 12 million in funding by the NIH, CMS, AHRQ, and CDC to develop measures and interventions that improve acute care outcomes and value. He has supported CMS's development of the Overall Hospital Quality Star Ratings, has led the development of quality measures for the Clinical Emergency Data Registry, and is PI of the Emergency Quality Network (E-QUAL). His work has produced over 200 publications and been implemented in numerous national quality and value programs. He is a graduate of Northwestern University School of Medicine, a proud graduate of the HAEMR Class of 2012 often referred to as the Greatest Class Ever, and completed the RWJF Clinical Scholars Program at Yale.Additional Resources:ACEP E-QUAL opioid initiativeCedr

Geralda Xavier, MD, MPH, MBA, FACEP, Chief Medical Officer at Hackettstown and Newton Medical Centers, Atlantic Health System, discusses initiatives to improve patient access and affordability. She outlines the four key pillars guiding these improvements: performance, population health, growth/stability, and innovation/research. Dr. Xavier also highlights how technology is being leveraged to expand access to care and drive meaningful advancements in the healthcare space.

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Elizabeth Clayborne, MD, MA, about ED boarding on how it impacts emergency physicians. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

In this episode of the St Emlyn's podcast, hosts Iain Beardsell and Liz Crowe welcome Dan Dworkis, an ER doctor from Los Angeles and host of the Emergency Mind podcast. Dan shares his expertise on optimizing team and individual performance in high-stress medical environments. The discussion delves into the concept of excellence beyond merely avoiding negative outcomes, using a rosebush metaphor to illustrate the need for proactive growth. They explore how teams can benchmark and improve performance, the importance of creating a culture of continuous improvement, and strategies to maintain positivity and energy even in challenging conditions. Dan also highlights the Mission Critical Team Institute and its role in supporting teams in life-or-death situations. This episode is essential listening for medical professionals committed to pushing the boundaries of excellence in their practice.   00:00 Introduction and Guest Welcome 01:06 Defining Excellence in Medicine 02:29 Measuring and Achieving Team Performance 06:13 Small Changes for Big Impact 10:03 Maintaining Positivity and Energy 15:30 Mission Critical Team Institute 16:33 Conclusion and Farewell   The Guest - Dan Dworkis Dan Dworkis, MD, PhD, FACEP is the Chief Medical Officer at the Mission Critical Team Institute, the founder of The Emergency Mind Project, a board-certified emergency medicine physician, and an assistant professor at the Keck School of Medicine at USC. His work focuses on the optimal development of mission critical teams in and out of emergency departments. He completed the Harvard Affiliated Emergency Medicine Residency at Massachusetts General Hospital / Brigham Health, and also earned an MD and PhD in molecular medicine from Boston University School of Medicine. Dr. Dworkis is the author of The Emergency Mind:  Wiring Your Brain for Performance Under Pressure.      

In this episode, Stephen Cantrill, MD, FACEP; Rajesh T. Gandhi, MD; and Payal K. Patel, MD, MPH, FIDSA, discuss: Workup of COVID-19 in the emergency departmentMethods of COVID-19 risk stratification Treatment recommendations for people with severe COVID-19, including how to effectively use antiviral therapy, dexamethasone, and other immunomodulators[CC1] in this population A detailed patient case to illustrate key takeawaysPresenters:Stephen Cantrill, MD, FACEP​Associate Director and Medical Director (Retired) ​ Department of Emergency Medicine​ Denver Health Medical Center​ Associate Professor ​ Department of Emergency Medicine​ University of Colorado Health Sciences Center​ Denver, Colorado Rajesh T. Gandhi, MD​Massachusetts General Hospital​ Professor of Medicine​ Harvard Medical School​ Boston, Massachusetts Payal K. Patel, MD, MPH, FIDSA​Systemwide Director of Antimicrobial Stewardship​ Associate Professor, Division of Infectious Diseases​ Intermountain Health​ Salt Lake City, Utah Link to full program: https://bit.ly/4gu2gcUGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

In this episode, Stephen Cantrill, MD, FACEP; Rajesh T. Gandhi, MD; and Payal K. Patel, MD, MPH, FIDSA, discuss treatment strategies for people who have severe COVID-19, including: Antiviral therapy with remdesivir Dexamethasone and other systemic corticosteroids Immunomodulators, such as JAK inhibitors or IL-6 inhibitors Overviews of clinical trial data demonstrating how and when to use these therapiesPresenters:Stephen Cantrill, MD, FACEP​Associate Director and Medical Director (Retired) ​ Department of Emergency Medicine​ Denver Health Medical Center​ Associate Professor ​ Department of Emergency Medicine​ University of Colorado Health Sciences Center​ Denver, Colorado Rajesh T. Gandhi, MD​Massachusetts General Hospital​ Professor of Medicine​ Harvard Medical School​ Boston, Massachusetts Payal K. Patel, MD, MPH, FIDSA​Systemwide Director of Antimicrobial Stewardship​ Associate Professor, Division of Infectious Diseases​ Intermountain Health​ Salt Lake City, Utah Link to full program: https://bit.ly/4gu2gcUGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.    

Heidi Hedberg, Commissioner for the Alaska Department of Health and an ASTHO Member, tells us about Alaska's Youth Behavioral Health Roadmap; Dr. Joneigh Khaldun, former ASTHO Member and the newest President and CEO of the Public Health Accreditation Board, explains what brought her to her new role; ASTHO is now taking applications for the Implementing Pharmacist-Prescribed Contraception Learning Community; and there are several brand-new updates to ASTHO's Legal Mapping Center. Behavioral Health Roadmap Project for Alaska Youth ASTHO Public Health Review Morning Edition Episode 846: Comprehensive Mental Health Program, Syphilis Resources in One Place PHAB News Release: PHAB Names Joneigh Khaldun, MD, MPH, FACEP, As New President and CEO ASTHO Web Page: Implementing Pharmacist-Prescribed Contraception Learning Community ASTHO Web Page: Public Health Infrastructure  

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Michael A. Granovsky, MD, CPC, FACEP, to discuss the impact of the Washington leadership transition on health care in the first 100 days of the new administration. Additional links: Legislative & Advocacy Conference acep.org/lac  Reimbursement and Coding Conference https://www.acep.org/rc  ED Directors Academy https://www.acep.org/edda  Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Rade B. Vukmir, MD, JD, FCCP, FACEP, FACHE, about employment contracts and what to look out for when emergency physicians are reviewing their contracts. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Welcome back to another episode of the Allison J. Taylor LIFT Podcast. In our eighth episode, Allison discusses how product innovators use frustration and inspiration to create impactful artificial intelligence (AI) innovations that blend cutting-edge technology with human connection, with a focus on the healthcare sector. As product innovators and co-authors, Dr. Joshua Tamayo-Sarver, Vice President of Innovation at Inflect Health and Vituity, and Allison delve into the challenges and opportunities faced delivering AI-led solutions to market. Find out how different industries such as healthcare, business-to-business (B2B) enterprise software, and critical infrastructure change the product management requirements and lessons learned from various AI trials.   Along the journey today, they also explore how Dr. Joshua Tamayo-Sarver's unique perspective as a physician, statistician, software engineer, and business leader combine clinical expertise with software engineering to transform healthcare delivery and improve patient outcomes. In our conversation, we delve into the challenges and rewards of delivering AI-driven products in healthcare and B2B, the importance of ethical considerations, and how to manage unanticipated consequences. Discover recommended resources for tech sector success, as the speakers uncover lessons for product managers, innovators, and leaders, and explore how AI can transform tedious tasks into meaningful opportunities. Tune in now!   Key Points From This Episode: •    Introducing Dr‌. Tamayo-Sarver and his diverse expertise across industries. •    How Josh's “quadruple play” of skills influences his approach to healthcare innovation. •    Areas of product management passion that both speakers share. •    Learn about the TTIC, its purpose, and the various books the speakers have worked on together related to cyber security, product management and technical innovation. •    Hear the story of Sayvant and the valuable product-related lessons from the experience. •    Find out how ambient documentation technology led to improved patient care. •    See why eliminating tedious tasks is essential in healthcare and B2B. •    Hear about Discerna and lessons learned in using LLMs for comparative analysis. •    Discover why balancing innovation with careful experimentation in healthcare and B2B is vital. •    Understand ethical considerations of AI and the importance of maintaining human oversight. •    Explore the parallels between healthcare innovation and critical infrastructure cybersecurity. •    Uncover how storytelling, supported by data, drives impactful marketing and innovation. •    Find out the AI trends in healthcare can impact skill development and user adoption.   Dr. Joshua Tamayo-Sarver, MD, PhD, FACEP, FAMIA   Guest Biography:   Dr. Joshua Tamayo-Sarver, MD, PhD, FACEP, FAMIA, helped develop over 35 solutions and scale multiple new healthcare products, including the first occult AI sepsis tool with FDA breakthrough designation. A Harvard graduate, he holds degrees in biochemistry, epidemiology, and biostatistics, as well as a medical degree from Case Western Reserve University. He currently oversees corporate venture, internal incubation, and advisory for AI-driven healthcare solutions as the Vice President of Innovation at Inflect Health and Vituity. He is an acting physician, which also contributes to his healthcare product development and research. As an author he has written chapters in multiple books for the Trustworthy Technology & Innovation in Healthcare Book series Consortium (TTIC). He holds five U.S. patents for novel health technologies and has contributed to over 20 peer-reviewed publications. Tweetables:   “I say that I'm exceptional because I'm mediocre in four dimensions, and those four dimensions are suit, scrub, geek, and quant.” — Dr. Joshua Tamayo-Sarver [0:04:03]   “Cybersecurity is one of the friction points that stops things from scaling.” — Dr. Joshua Tamayo-Sarver [0:09:35]   “One of the reasons I love product innovation and delivering products to market is because you can have as many formulas and recipes as you want, but there's always something to it that's a little bit unanticipated, which makes it exciting.” — @allisonthought [0:19:21]   “I think for me, the biggest thing that I run into with AI and ethics is just a challenge to understand what AI is doing, especially around language models.” — Dr. Joshua Tamayo-Sarver [0:23:53]   “Artificial intelligence is not intelligent at all. It has no clue when it comes to the consequences for a human and a human life.” — @allisonthought [0:26:40]   Links Mentioned in Today's Episode: Dr. Joshua Tamayo-Sarver on LinkedIn Inflect Trustworthy Technology and Innovation in Healthcare Book Series Consortium (TTIC) ViVE Discerna Vituity Power Up Product Management Mobile Medicine Advanced Health Technology Sayvant Email Listener feedback to info@thoughtmarketing.com Allison J. Taylor on LinkedIn Allison J. Taylor on X  

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Andrea L. Austin, MD, about her book Revitalized: A Guidebook to Following Your Healing Heartline. The book draws from Dr. Austin’s experiences as a physician in the Navy and with the challenges of emergency medicine during the COVID-19 pandemic to discuss the impact of burnout and moral injury on healthcare professionals. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Listen in as Stephen Cantrill, MD, FACEP; Rajesh T. Gandhi, MD; and Payal K. Patel, MD, MPH, FIDSA, discuss current trends in and risk factors for progression to severe COVID-19, including for those for whom COVID-19 is not their primary concern when presenting to the emergency department (ED). Key topics of discussion include: How to complete a comprehensive patient workup in the EDConsiderations regarding pulse oximetryRisk stratification—what places patients at higher risk of severe disease?A detailed patient case to illustrate key takeawaysPresenters:Stephen Cantrill, MD, FACEP​Associate Director and Medical Director (Retired) ​Department of Emergency Medicine​Denver Health Medical Center​Associate Professor ​Department of Emergency Medicine​University of Colorado Health Sciences Center​Denver, ColoradoRajesh T. Gandhi, MD​Massachusetts General Hospital​Professor of Medicine​Harvard Medical School​Boston, MassachusettsPayal K. Patel, MD, MPH, FIDSA​Systemwide Director of Antimicrobial Stewardship​Associate Professor, Division of Infectious Diseases​Intermountain Health​Salt Lake City, UtahLink to full program:https://bit.ly/4fs7HcbGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

Listen in as Stephen Cantrill, MD, FACEP; Rajesh T. Gandhi, MD; and Payal K. Patel, MD, MPH, FIDSA, discuss best practices in treating patients hospitalized with mild to moderate COVID-19, including: Current guidelines from the Infectious Diseases Society of America and National Institutes of Health How to optimize therapy selection based on patient risk factors, including key data supporting best practicesA detailed patient case to illustrate key takeawaysPresenters:Stephen Cantrill, MD, FACEP​Associate Director and Medical Director (Retired) ​Department of Emergency Medicine​Denver Health Medical Center​Associate Professor ​Department of Emergency Medicine​University of Colorado Health Sciences Center​Denver, ColoradoRajesh T. Gandhi, MD​Massachusetts General Hospital​Professor of Medicine​Harvard Medical School​Boston, MassachusettsPayal K. Patel, MD, MPH, FIDSA​Systemwide Director of Antimicrobial Stewardship​Associate Professor, Division of Infectious Diseases​Intermountain Health​Salt Lake City, UtahLink to full program: https://bit.ly/4fs7HcbGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

Allison Budzinski, ASTHO Senior Workforce Analyst, tells us small and important steps to support the public health workforce; Shane Gausepohl, Communications and Equity Coordinator for Del Norte County Public Health, explains the Community Health Education Kiosk Project that his team has undertaken; and Dr. Joneigh Khaldun, an ASTHO alum, has been named the new President and CEO of the Public Health Accreditation Board. ASTHO Blog Article: Small Steps to Support and Compensate the Public Health Workforce ASTHO Blog Article: Health Education Kiosks Meet Diverse Needs in California Community Public Health Accreditation Board News Release: PHAB Names Joneigh Khaldun, MD, MPH, FACEP, As New President and CEO ASTHO Web Page: Stay Informed  

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Matthew Turner, MD, and Stephen Sandelich, MD, about their recent article in ACEP Now on neonatal resuscitation. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

November 14, 2024 ~ Manu Malhotra, MD, MBA, FACEP, Interim Chief Medical Officer, Henry Ford Health, and Chief Medical Officer, Henry Ford West Bloomfield Hospital and Northwest Market and Steven Rockoff, DO, Division Head, Department of Emergency Medicine, Henry Ford West Bloomfield Hospital talk emergency care at Henry Ford West Bloomfield Hospital and across Henry Ford Health.

Episode Overview: Host Mike Sacopulos interviews Megan Ranney, MD, MPH, FACEP, exploring her career journey and impactful work at the intersection of clinical medicine, public health, and advocacy. Ranney shares insights and actionable steps to address systemic healthcare issues and gun violence. Key Topics: Career Journey: From Peace Corps volunteer in West Africa during the AIDS crisis to Dean of Yale School of Public Health, Ranney offers a diverse perspective. Clinical Medicine and Public Health: Leverage insights from her work as an emergency physician and public health expert. System-Level Change: Ranney is passionate about driving systemic improvements in healthcare and public health. Firearm Harm: Learn from her brave stance on gun violence and evidence-based strategies for future change. Physician Action: Ranney outlines practical steps for physicians to make a difference. About the Expert: Megan L. Ranney, MD, MPH, FACEP, is the Dean of Yale School of Public Health; the C.-E. A. Winslow Professor of Public Health for Yale School of Public Health; and a Professor of Emergency Medicine at Yale School of Medicine. Background Emergency physician, researcher, and national public health advocate Focuses on digital health interventions for violence prevention and COVID risk reduction Co-founder of GetUsPPE, Senior Strategic Advisor to AFFIRM at the Aspen Institute Held significant roles at Brown University, including Deputy Dean and Founding Director of the Brown-Lifespan Center for Digital Health Elected member of the National Academy of Medicine Listen Now: Gain valuable insights on addressing gun violence and driving systemic change in healthcare from Megan Ranney, MD, MPH, FACEP. Learn more about the American Association for Physician Leadership.

11/10/24The Healthy Matters PodcastS04_E02 - Dr. Thomas Wyatt and the Hospital's Front Door (Open 24/7/365)It can be said that the emergency department is the front door between a community and healthcare - that never closes.  Within it, there's an immense team of providers working together to attend to anyone and everyone who comes in through the door - every hour of every day.  Safe to say, it's an intensely busy place with no two days ever being the same.Hennepin County Medical Center is a Level I Adult and Pediatric Trauma Center and safety net hospital, which means it's equipped to tackle the full gamma of healthcare issues in our community - from earaches to heart attacks.  It's an intricate organization with a lot of moving pieces and a new, unique leader at the top, Dr. Thomas Wyatt (MD, FACEP).  Dr. Wyatt is one of the first tribally enrolled American Indians (Shawnee/Quapaw) to chair an academic emergency department in the United States and in Episode 2 he'll discuss the importance of this role, what life is like inside and outside of the emergency department, and the many challenges facing these departments across the country.  This is an excellent chance to get an inside view of an essential piece of the healthcare puzzle and to get to know a great figure in medicine.  We hope you'll join us.Got a question for the doc or a comment on the show?Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Keep an eye out for upcoming shows on social media!Find out more at www.healthymatters.org

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, discusses her thoughts on this recent article in ACEP Now on artificial intelligence in medical billing. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Please welcome to our show, Dr. John Roberts, who has worked with International Medical Corps since Hurricane Katrina, providing humanitarian assistance and disaster response to areas hit hardest from natural and manmade disasters. Dr. Roberts joins us to discuss the critical work of @InternationalMedicalCorps, which works in over 30 countries, helping people in critical circumstances such as war, famine, disease, hurricane and earthquake relief, and much more. He has been on the front lines, often serving in dangerous situations, helping to save lives and provide much needed physical and emotional support. And he's here to share what he does, and how you can support. Please find our show, #DeborahKobyltLIVE, on all video and audio podcast networks, and invite your friends, too. I'm your host, #DeborahZaraKobylt, and it's my pleasure to have you join us to discuss the mission of this critically important global nonprofit. - @internationalmedicalcorps #InternationalMedicalCorps #Medicalcare #firstresponder #help #aid #humanitarian #support

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, chats with Adaira Landry, MD, and Resa E. Lewis, MD, about their book on how small actions can make a big impact. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Get ready for another informative episode that raises awareness and empowers people to share their stories about Hepatitis C, featuring Sarah Laurel and Dr. Daniel Moore. Hello, this is Vincent A. Lanci and welcome back to the number 1 podcast show for mental health advocates and champions, "A Mental Health Break." YOU ARE NOT ALONE.Our Guests will discuss more about:-How their health experiences can help make a difference and build a community.-Raising awareness about Hepatitis C, how it is transmitted, and the fact that this disease affects over 4 million people in the US. -How can Hepatitis C be treatedDaniel Moore, MD, MBA, FACEP, physician and co-owner of Thoroughbred Emergency Physicians. He is recognized as a national leader in the field of emergency medicine in quality, safety, and communicable diseases. Sarah Laurel: After overcoming substance use disorder, Sarah was inspired to create resources for women facing similar challenges. What started as a grassroots effort has since evolved into a program offering housing, street outreach, and nationwide training. Drawing from her own experiences, Sarah remains deeply connected to those still on their recovery journey, using her story to inspire and support others. If you enjoy today's show, please subscribe for all episodes and leave a review to help others join our conversations. Have a question for the host or guest? Are you looking to become a show partner? Email Danica at PodcastsByLanci@gmail.com to get connected.CRISIS LINE: DIAL 988

Making his Faculty Factory debut in a memorable way this week is Michael Gottlieb, MD, RDMS, FAAEM, FACEP.  Naturally, here at the Faculty Factory Podcast, our ears perk up when we hear about the intersection of podcasts, learning, research, and academic medicine. We are joined by Dr. Gottlieb this week to learn all about his research into how the way content is delivered within an educational podcast impacts the actual learning takeaways for the listener and how much of that information is retained. Dr. Gottlieb serves as Professor of Emergency Medicine, Vice Chair of Research, and Director of the Emergency Ultrasound Division in the Department of Emergency Medicine at Rush University Medical Center in Chicago. It's a fascinating discussion, and we hope you buckle up for the journey that Dr. Gottlieb leads us on! As you will soon learn, the lion's share of today's conversation covers a lot of findings from his research for the recent study he co-authored, entitled “Educational Podcasts: Effect of Content Delivery Timing on Knowledge Acquisition and Retention,” which was published in Academic Medicine.  You can learn more about that here: https://pubmed.ncbi.nlm.nih.gov/38551950/ If you want more Faculty Factory resources, please visit our official website: https://facultyfactory.org/ 

YouTube Version https://youtu.be/TwCxKSIznb4 https://youtu.be/TwCxKSIznb4 Youtube Version Dr. Kim Tranquada, MD, FACEP, CEO and Founder of Healthcare Alliance for an Equitable World Dr. Kim Tranquada is an Emergency Physician with 25 years of experience. Kim has worked in a variety of clinical settings in the United States, from academic tertiary care medical centers, suburban medical centers, rural critical access hospitals, to tribal healthcare facilities. Dr. Tranquada has led and developed several programs, from emergency ultrasound, a novel medical Spanish and cultural competency residency program, to innovating and implementing tele-emergency care within the largest integrated medical system in the US. Kim is an accomplished leader, a trained leadership coach and is passionate about building a values-driven organization that embodies global diversity, equity, inclusion, and access.

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, chats about childcare options for emergency physicians and how they navigate both career and family life.  Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Many of our ED patients come in because they were told to. Whether it's by an advice nurse, primary care provider, urgent care, call center, specialty coordinator, etc., it often feels to us like the default is “go to the ED”. But, of course, that's not the case. There are myriad reasons why patients may be sent to the ED. In this episode, we talk with two of our favorite outpatient physicians - a Pediatrician and an Internist - about when and why they refer patients to the ED, as well as what they do to try to keep them out of the ED!  Did you learn something new? Please share this podcast with your colleagues! Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Dr. Olivia Campa, Assistant Clinical Professor of Internal Medicine at UC Davis Dr. Lena van der List , General Pediatrician at UC Davis, Host of Kids Considered Podcast Resources: Should you go to the emergency room (ER), urgent care or doctor's office? UC Davis Health resource  I'm Sending You a Patient… by Keri Gardner, MD, MPH, FACEP. EP Monthly, April 30, 2018 When Urgent Care Center Refers Patient to ED, Reasons Might Be Unclear. ED Legal Letter, May 1, 2021. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Beloved past-president of the American College of Emergency Physicians, Dr. Gillian Schmitz joins us to discuss an emergency department accreditation program that aims to address systemic problems and reduce burnout in emergency medicine. The program proposes different levels of accreditation based on criteria such as staffing, supervision, social work support, and patient care resources. The goal is to improve the practice environment and ensure physician-led care. Dr. Schmitz emphasizes the importance of physician involvement and advocacy in driving change and creating a better future for emergency medicine. She invites hospitals to participate in the pilot program and encourages physicians to provide feedback and support the initiative. Gillian Schmitz, MD, FACEP is a board certified Emergency Physician and Associate Professor in the Department of Military and Emergency Medicine at USUHS. She works clinically in the Emergency Department and serves as the Vice Chair of Education at Brooke Army Medical Center in San Antonio, TX. She is a nationally renowned educator and leader, currently serving on the National Board of Directors for the American College of Emergency Physicians (ACEP). Within USUHS, Dr. Schmitz is the clerkship site director for SAMMC, the Program Director for the Advanced Life Support Program, and faculty for Bushmaster, ACME, and Gunpowder.Dr. Schmitz has served in numerous national leadership positions within the American College of Emergency Physicians (ACEP) and serves on the Board of Directors. She is a former Chair of the Academic Affairs Committee, subcommittee Chair for the Medical Legal Committee, Chair for the Young Physicians Section, and former Board member for the Emergency Medicine Resident's Association (EMRA). She has been a leader in the Government Services Chapter, serving as President from 2015-2016.Dr.Schmitz has also been involved with emergency medicine research and is a former Emergency Medicine Foundation and DoD research grant recipient, published author, and reviewer for several medical journals. Her research interest is wound care, skin infections, and infectious disease.Dr. Schmitz has received awards for her leadership roles including the prestigious National Mentorship Award, the National Early Career Faculty Award from the Academy for Women in Academic Emergency Medicine (AWAEM), the Early Career Achievement Award from the Loyola Stritch School of Medicine, and numerous teaching and mentoring awards from her residents and students. Keywords: emergency department accreditation, systemic problems, burnout, physician-led care, staffing, supervision, social work support, patient care resources, physician involvement, advocacy Takeaways An emergency department accreditation program is being developed to address systemic problems and reduce burnout in emergency medicine. The program proposes different levels of accreditation based on criteria such as staffing, supervision, and social work support. Physician involvement and advocacy are crucial in driving change and improving the practice environment. Hospitals are invited to participate in the pilot program and provide feedback to help refine the accreditation standards. Sound Bites "80% of burnout stems from systemic problems" "Staffing and supervision are key differentiators in emergency department accreditation" "Physician wellness is a focus of the accreditation program" Chapters 00:00 Introduction and Background 02:52 Emergency Department Accreditation Program 08:07 Criteria for Accreditation 12:06 Levels of Accreditation 15:54 Physician Involvement and Advocacy 23:03 Getting Involved and Providing Feedback https://www.acep.org/edap GillianMD@gmail.com

On this episode of Managed Care Cast, we're talking with Sreekanth Chaguturu, MD, chief medical officer of CVS Health; Cathy Moffitt, MD, FAAP, CHIE, chief medical officer of Aetna; and Joneigh Khaldun, MD, MPH, FACEP, chief health equity officer of CVS Health. We discuss various topics, including the current challenges in primary and preventive care engagement, the role of trust in patient-provider relationships, and how community-based approaches and partnerships are improving care access nationwide.

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, chats with Michael Granovsky, MD, FACEP, about this year’s latest CMS physician fee schedule.  Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Should you use a continuous glucose monitor (CGM)?   Why is a CGM for weight management such a hot topic lately? Should glucose monitoring for non-diabetics be utilized? Is there actually evidence to support CGM for weight loss?   Well, I've brought on an expert to dive into all of these questions!   Today we are joined by Dr. Paul Kolodzik, MD, FACEP, FASAM, author of the Continuous Glucose Monitor Revolution. As a leading expert in the field of metabolic health and a board certified preventive medicine doctor, he has helped over 1,000 people lose weight and reverse chronic diseases such as prediabetes, diabetes, hypertension, high cholesterol, fatty liver disease, and sleep apnea.   Reheat your coffee, put your thinking cap on, and let's dive in!   Connect with Dr. Kolodzik: https://www.metabolicmds.com Find his book, The Continuous Glucose Revolution, on Amazon!

Dr. Gordon Larsen, M.D., FACEP is an emergency medicine specialist at St. George Regional Hospital and has over 32 years of experience in the medical field. He graduated from University of Utah medical school in 1991 and completed his emergency medicine residency in Peoria, Illinois at St. France Medical Center. He also completed a wilderness medicine fellowship with the Wilderness Medical Society in Salt Lake City, UT and has been the medical advisor for the EMS and search and rescue programs for Zion National Park since 1996. Outside of work, Dr. Larsen enjoys rock climbing, mountaineering, mountain biking, and snow sports. He has participated in the Huntsman World Senior Games for the past 13 years in mountain biking and triathlon, and he is very excited for climbing this year. Dr. Larsen and his wife Debra are the proud parents of 5 children and 15 grandchildren.

In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, chats with Jonathan Glauser, MD, FACEP, and Matt Carvey, MD, FACEP, about their experiences seeing patients who are suffering with complications from sepsis.  Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes.  Catch up on all of ACEP Now in past issues.

Is that medication affecting your hard on? Did that ED treatment actually help? Has changing your diet affected your morning wood? Let's find out in today's episode! Today we meet Dr. Elliot Justin, MD, FACEP, Founder and CEO of FirmTech, the first sex tech company dedicated to improving men's erectile fitness. Dr. Justin has a background in Emergency Medicine and healthcare technology consulting. Driven by technological advancements and a growing emphasis on sexual wellness, the sextech market has exploded on a global scale in recent years. Join the conversation today as we learn how to help men have better and stronger erections, longer and more satisfying orgasms, and why the mysterious "sixth vital sign" is critical to the future of men's sexual health. Learn more about Dr. Justin and FirmTech products at www.myfirmtech.com

Non-compete clauses have plagued contracts for decades. It's been analogous to asymmetric warfare, with employers holding the upper hand. All of that may soon be a thing of the past.In this episode, we explore the Federal Trade Commission's recent ruling to ban these clauses and its implications for doctors and the healthcare industry. We'll also discuss the unexpected ways non-competes can protect smaller groups, the rise of independent contractor models, and the critical staffing issues in emergency medicine. A highlight of our discussion includes the lure and the trap of signing bonuses—what seems like a generous offer can sometimes come with subtle strings attached. Finally, we'll touch on the U.S. Senate's investigation into major staffing companies and the innovative emergence of empath units for mental health patients.

In this episode, join us as we explore the visionary journey of Dr. Elliot Justin, MD, FACEP, the CEO and Founder of FirmTech, the first sex tech company dedicated to improving men's erectile fitness. He has a background in Emergency Medicine and healthcare technology consulting. Dr. Justin is also a serial healthcare entrepreneur, having founded and sold Pegasus Emergency Group and Swift MD. He has provided guidance to various services, telemedicine, and tech startups. Dr. Justin pursued Slavic Studies at Harvard University and studied medicine at Boston University. The podcast discussed FirmTech's 'ring' device, exploring its impact on sexual and cardiac health. The conversation highlighted its potential to save lives by indicating cardiovascular health. The focus was on addressing Venous Leak Syndrome and FirmTech's unique approach compared to traditional treatments. The three takeaways emphasized sustained performance, the Erectile Fitness Score as a vital indicator, and the superiority of rings over medications like Viagra. The insights provided valuable information for men's health, covering sexual well-being and cardiovascular fitness as they age. To know more about Elliot: Website: MyFirmTech.com Facebook: https://www.facebook.com/people/FirmTech/100094146871492/ Instagram: https://www.instagram.com/myfirmtech/ YouTube: https://www.youtube.com/channel/UC46J3ibyYyQNPBr5T58DpFg/featured

In the aftermath of Hurricane Ian's unexpected Category 5 landfall in Florida, the evacuation of Golisano Children's Hospital became a critical operation, highlighting the challenges and heroism of transport medicine teams. Phyllis Hendry, MD, FAAP, FACEP, a key figure in pediatric emergency care and transport services, sheds light on the complexities of pediatric transport, the necessity of community-based response, and the lessons learned from this harrowing event. REASOURCES:https://www.nhc.noaa.gov/data/tcr/AL092022_Ian.pdfhttps://www.goodmorningamerica.com/wellness/story/inside-harrowing-48-hour-rush-evacuate-nicu-babies-90995512https://www.youtube.com/watch?v=CRpFrX3P8hM

S1E9: Equity and Implicit Bias in Medical Apps and Devices Host: Frank Cutitta Guest: Albert Villarin, MD, FACEP, CMIO, Nuvance Health Network To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Esteemed leaders from CVS Health, Florida Blue, Highmark, and Vori Health delved into the impact of health equity on chronic care. They not only shared strategies and solutions to enhance healthcare accessibility but also shed light on specific programs they have successfully implemented to bridge the health equity gap in chronic disease prevention and treatment.    Guests: Joneigh S. Khaldun, MD, MPH, FACEP, Vice President and Chief Health Equity Officer, CVS Health Kelli Tice, MD, Vice President, Medical Affairs & Chief Health Equity Officer, Florida Blue Nebeyou Abebe, Senior Vice President, Social Determinants of Health, Highmark Health Mary O'Connor, MD, Co-Founder & Chief Medical Officer, Vori Health   https://www.brightspotsinhealthcare.com/events/navigating-the-intersection-of-health-equity-and-chronic-care/   Links to programs mentioned during the episode Advancing Health Equity | CVS Health: https://www.cvshealth.com/impact/health-equity.html CVS Health launches Community Equity Alliance to improve health outcomes in underserved communities: https://www.cvshealth.com/news/health-equity/cvs-health-launches-community-equity-alliance-to-improve-health-outcomes.html Spoken Rx - Prescription Reader | CVS Pharmacy: https://www.cvs.com/content/pharmacy/spoken-rx Highmark Community Support Platform: https://highmark.findhelp.com/       This episode is sponsored by our partner, Vori Health Vori Health is a specialty medical practice delivering a virtual-first musculoskeletal (MSK) solution to help members get back to their lives faster. As the only nationwide MSK practice with doctor-led care teams, Vori Health is the most convenient way to access appropriate care for back, neck, and joint pain without bouncing around the healthcare system. Whether members need a diagnosis, non-opioid prescription, personalized physical therapy, or health coaching, they can turn to Vori Health for evidence-based care and effective end-to-end support. This holistic model reduces unnecessary surgeries, enables faster recoveries, and lowers MSK spend with up to a 4:1 ROI. For more information, visit www.vorihealth.com.  

John Howard, MD, MPH, JD, LLM, MBA, serves as Director of the National Institute for Occupational Safety and Health (NIOSH) and the Administrator of the World Trade Center Health Program in the U.S. Department of Health and Human Services in Washington, D.C. He first served as Director of NIOSH from 2002 through 2008 and is currently serving his fourth six-year term starting in 2021. Prior to his appointment as Director of NIOSH, Dr. Howard served as Chief of the Division of Occupational Safety and Health in the California Department of Industrial Relations, Labor and Workforce Development Agency, from 1991 through 2002. Dr. Howard is board certified in internal medicine and occupational medicine. He is admitted to the practice of medicine and law in the State of California and in the District of Columbia. He is a member of the U.S. Supreme Court bar.    Stefanie Simmons, MD, FACEP, is the Chief Medical Officer at the Dr. Lorna Breen Heroes' Foundation and a board-certified emergency medicine physician and healthcare executive. Dr. Simmons served as the Vice President of clinician engagement for Envision Physician Services for more than seven years, serving more than 26,000 physicians and advance practice providers with a focus on professional wellbeing, including translational research and programs designed to bring wellbeing best practices to clinical environments. She served as lead clinical faculty for the Clinician Experience Project Wellbeing program.   In this episode of Caring Greatly, Drs. Howard and Simmons share insights about the creation of the Impact Wellbeing Guide. The Guide, which is free, provides concrete, evidence-informed steps leaders can take to carry out the broader recommendations from the U.S. Surgeon General and National Academy of Medicine. They discuss insights from the process of creating and testing the Guide across multiple hospitals in the CommonSpirit Health System. And they offer guidance to leaders who are just getting started on their professional wellbeing journey.   The views and opinions expressed in this podcast are those of the speakers and do not necessarily reflect the views or positions of Stryker.

Join us as we learn a practical approach to teaching the basics of evidence based medicine on the wards or in clinic with Nicholas Maldonado MD, FACEP.   He talks us through the 5As framework, with a deeper dive into how to help our learners ask clinical questions and acquire the answers they are seeking in the medical literature using the 5S pyramid.    Claim CME for this episode at curbsiders.vcuhealth.org! Website | Instagram | Twitter | Subscribe | Patreon | Free CME!| Youtube  thecurbsidersteach@gmail.com Credit Producer/ Script: Charlotte Chaiklin MD Show notes/CME/Graphics: Molly Heublein MD Hosts: Charlotte Chaiklin, Era Kryzhanovskaya MD,  Molly Heublein MD    Peer Reviewer: Zoe Kopp MD and Keith Dickerson MD Guest: Nicholas Maldonado MD, FACEP Technical support: Podpaste Theme Music: MorsyMusic 

In this episode of The Pineapple Express Podcast Kiley talks with Dr Elliot Justin about Firmtech, Elliot Justin, MD, FACEP is an Emergency Medicine specialist, telemedicine expert and sex toy enthusiast. His goal is to help all men and women sustain their sexual fitness, and if they develop ED to reverse or impede its progression. This will be achieved by providing personal data via scientifically designed under wearables and more effective and comfortable cock rings and vibrators. They talk about the effects of ED in the swinger lifestyle and how Firmtech can be a solution for men and couples dealing with ED. Learn more about firmtech https://www.instagram.com/myfirmtech?igsh=MTJ4eGg4Z3ZuOXE5cA==Get your very own firmtech ring https://myfirmtech.com/?sca_ref=5783584.Bx15fTwK3eUse my code Sexyswingerchick for an exclusive discount All My Links To Learn More About Mehttps://sexyswingerchic.net/Onlyfans https://onlyfans.com/sexyswingerchicFind me on social media IG https://www.instagram.com/thepineappleexpresspodcast?igsh=MWdhZ2owY3d0dDhlNQ%3D%3D&utm_source=qrTikTok https://www.tiktok.com/@sexyswingerchic91?_t=8k7KsW0pvQI&_r=1Cleveland area Non Monogamous humans join our Facebook group https://www.facebook.com/share/pLzqD9XNXyUFnyEs/?mibextid=K35XfPIf you like this podcast leave us a review to let other listeners know what you like we are always looking to improve what we can do for you. For a personalized coaching session with me book on my website https://www.consciousloveconnections.com/Don't forget to sign up for our newsletter and stay up to date on All Things Pineapple Express http://eepurl.com/immxdIFor more info about me and where to find all the events we will be at and to get an exclusive invite to The Swinger Society Discord make sure you check out my website https://sexyswingerchic.net/I'm on clapper so if TikTok gets banned follow me here: https://clapperapp.com/Sexyswingerchic?is_invite=1&r=gV6ALln5op&c=in&m=coSponsor Links:https://swingersociety.net/https://www.go3fun.co/ad/TK10098https://promescent.com/kileyhttps://shamelesscare.com/?ref=358Use my code sexyswingerchic for 15% off https://thesultryvixen.com/

Is your relationship navigating the choppy waters of midlife? Then you are not alone. In this week's deep dive on "The Hormone Prescription Podcast," we unpack the conversations you need to have but might be dreading. This episode, we tackle erectile dysfunction (ED) head-on with the formidable Dr. Elliot Justin. Let's not skirt around the issue—the man in your life's ED affects both of you deeply. It's essential to address it not just for his well-being, but for yours and your relationship's health. Dr. Justin strides into the studio with an awe-inspiring list of credentials: urologist, innovative thinker, and couples' counselor extraordinaire, renowned for bringing new perspectives to midlife challenges. Today, he shares the collective wisdom garnered from years at the forefront of men's health and intimate relationships. Midlife can feel like a carnival of changes and curveballs. But when the elephant in the room is ED, that jovial atmosphere quickly transforms into a solo tightrope walk. Dr. Justin encourages us to transform this walk into a joint tightrope act, one that strengthens your bond and navigates the complexities of progesterone to performance. About Dr. Elliot Justin: ELLIOT JUSTIN, MD, FACEP, is the CEO and Founder of FirmTech, the first sex tech company dedicated to improving men's erectile fitness. He has a background in Emergency Medicine and healthcare technology consulting. Dr. Justin is also a serial healthcare entrepreneur, having founded and sold Pegasus Emergency Group and Swift MD. He has provided guidance to various services, telemedicine, and tech startups. Dr. Justin pursued Slavic Studies at Harvard University and studied medicine at Boston University. Happily married for 35 years, and father of three children, Elliot and Ann live in Montana with three energetic mares and a flock of chickens So, what can you expect to uncover in this eye-opening chat? Insights You Can't Afford to Ignore: Understand just how much ED can influence your daily life, and how to navigate these changes with grace. The Expert's Plan for Partnership: Dr. Justin's wealth of knowledge and experience is distilled into practical strategies to face the ED challenge as a team. Innovative Approaches to Speak Up and Heal: Discover modern ways to approach ED—no more outdated stigmas, only up-to-date solutions. Communication is Key to Connection: Learn the importance of open and honest conversation, and some powerful dialogue strategies for building bridges. Success Stories that Give Hope: Real-life experiences and victories will inspire you on your own journey through midlife. This episode bears all, from tender anecdotes to strategic wisdom, and catapults us into a space where ED isn't just a problem to overcome, but a journey to undertake together. So gather your wits and your earbuds—this one's going to shake up the midlife conversation in all the best ways. Tune into "The Hormone Prescription Podcast" now. And remember, don't just listen—subscribe, review, and transform the narrative of midlife with us.   Speaker 1 (00:00): “What goes up does not have to come down until you're ready.” Dr. Elliot. Justin, stay tuned to find out why your partner's ED is essential to address and how. Speaker 2 (00:12): So the big question is, how do women over 40 like us keep weight off, have great energy, balance our hormones in our moods, feel sexy and confident, and master midlife? If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself again. As an O-B-G-Y-N, I had to discover for myself the truth about what creates a rock solid metabolism, lasting weight loss, and supercharged energy after 40, in order to lose a hundred pounds and fix my fatigue. Now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results and to give you clarity on the answers to your midlife metabolism challenges. Join me for tangible, natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston. Welcome to the Hormone Prescription Podcast. Speaker 1 (01:05): Hi everybody. Welcome back to another episode of The Hormone Prescription. Thank you so much for joining me today as we dive into the topic of erectile dysfunction for men. You know, it's kind of interesting that, you know, we women actually get erections of our clitoris. It's really a mini penis and most women aren't aware of that. And if you are not getting erections, that's something that needs to be addressed. I think we dive into this in this episode. In the interview we talk a little bit about this. He calls it something else for women, but for men and women, it really can be a sign of larger health issues, particularly related to your cardiac function, to your heart that can be lethal. So it's something you need to pay attention to. A lot of guys don't talk to their doctors about this issue because they're embarrassed and really, yeah, those days are over. Speaker 1 (02:02): You need to start talking to your doctors about your sex. You just do. It's imperative. Your sex is not separate from . Your total function, your liver function, your hormone function, your brain function, your gastrointestinal digestive function, your heart cardiac function, your sex is an essential part of your body, of who you are, how you function, your vitality. We get into that in this episode. Dr. Justin is on the same page with me. So if your doctor is ignoring your sexuality and not talking to you about it, it's time that you brought it up and demand to have it addressed and also for your partner. But I know that we women sometimes play that role for the men in our lives to be the one to help them get over themselves and talk about this with their doctor. So we're gonna talk about how to do that in this episode and more. Speaker 1 (02:57): Dr. Justin is not only a physician who's treated many, many patients, but he's a researcher, he's a developer, and he, like me, is always thinking about how we can serve people better? How can we help them live healthier, happier, longer lives? So I think you're gonna love Dr. Justin as much as I love talking to him. Just note, this is an explicit interview. So we do say some words that you might not want your kiddos to hear. So if you don't want them to hear it, you might wanna switch to a different episode and listen to this when you are in privacy. Just a note and I'll tell you a little about Dr. Justin. Then we'll get started. So, Dr. Elliot, Justin is a medical doctor fellow and CEO of the founder of Firm Tech. It's the first sex tech company dedicated to improving men's erectile fist fitness. Most sex companies are just sex toy companies, but this is a tech company to improve erectile fitness. He has a background in emergency med and healthcare technology consulting, and he is a serial healthcare entrepreneur, like I said, always developing things to help people live better lives. And he founded and sold multiple companies and provided guidance to various services. And he's just an all around badass who loves helping people. So I think you're gonna enjoy this episode. Without further ado, please help me welcome Dr. Elliot Justin to the show. Speaker 3 (04:31): Thanks. I welcome the opportunity to speak. Speaker 1 (04:32): Yeah. I'm really excited to have you on because you and I both know that men are not talking to their doctors about their erectile difficulties, their sexual difficulties, or low libido, all the problems they're having in the bedroom. We know that they, there are women, female partners are aware, and therefore we're really the ones that need the information. So if you're a woman listening, listen up, because really, I always say that erectile dysfunction could save a man's life, and we're gonna talk about that and you're probably scratching your head going, how could that save a man's life? But I wanna start by, I could explain that, know you have a background. Yeah, we'll get to that. You have a background in emergency medicine and healthcare technology. So what got you interested in diving deeper into the subject of men's sexuality and erectile dysfunction and men's sexual health? Speaker 3 (05:34): Well, my background, I'm an emergency medicine physician, and since 2015, my, I've been doing medical technology. That's how I got to this as an emergency medicine doctor, I can assure you that's short of a heart attack or a stroke. There are a few emergencies I could concern a man as much as a lip dick. So this is something that's of, of, you know, of vital importance to men, both their self-esteem and their health. I got involved in this. I was actually working on a very complicated catheter to regulate blood pressure after a stroke. A urologist heard what I was doing and said, I see you've done some research with neuromodulation of erectile function, which I had a neuromodulation for. We mean placing electrodes by a nerve and nerves. The paradigm for that is cardiac pacemaker that controls your heart, your heart, even have to even after you're dead. Speaker 3 (06:17): My thought was if we can control sexuality, the impact on, on, on an aging population would be enormous. I will say that project failed. I tried to neuromodulation the cous nerve, which everyone's favorite nerve no has heard about. Suppose the nerve that's responsible produce orgasms in men or women. We try it out on, on some, on some sheep. And actually, and on myself. We, we to no effect. I actually don't think that we know how orgasms are produced. It's very complicated. Well, oddly, even more complicated than, than the heart. So this urologist came to me about in 2015 and said, I wanna count the number nocturnal erection, not two, excuse me, came me three years ago, 2020, and said, I wanna count the number of nocturnal erections that are leading indicator of mass cardiovascular health. And I said, really? I know, I know anything about it. Speaker 3 (07:03): I, you know, I mean, everyone knows about morning wood. We poke up partners where it, we made, we laugh about it. But a healthy man has three to five nocturnal erections per night. And if that number goes down, it's a sign of an impending heart attack or stroke. So it's not just an association. Blood take, taking a blood high blood pressure is associated with stroke and heart attack. Declined number of nocturnal reactions is actually a leading indicator. It's predictive. So that I thought, gee, that could be enormous as an emergency medicine doctor. But a, that's another vital sign and a vital sign that would be much more compelling to men probably than any other than the other, other vital signs. And we live in this age of healthcare wearables for pretty much everything except for sex. And what do men, frankly, women care more about? Speaker 3 (07:43): How many steps they took yesterday or their calorie count or this or this or, or their sexual health. And that's, you know, that's a, that's a rhetoric, rhetoric question for most people. So the numbers are enormous, as you indicated earlier. I mean, 50% of men by age 50 have erectile dysfunction. It's even higher for women. And why is it higher for women? Because postmenopausal women lose their hormonal protection against heart disease. So postmenopausal women have all the same problems that men deal with. Diabetes, high blood pressure, atherosclerosis, auto attacks, et cetera. But premenopausal women take SSR antidepressants and they take hormones all which have, both of which have a significant impact upon their sexual performance as a health. So with d with data, we give people data. We can now transform the quality of, of, of, of health, of healthcare. We can transform how things are managed. Speaker 3 (08:35): 'Cause There's a cliche, if you can track it, you can hack it. So right now, when it comes to sexual health, doctors just really just have opinions. If I go, I'm 70 years old. If I went to a urologist or a sexologist right now and said, I like where my, where my sexual health is right now. I can perform every day. My wife and I are happy, but I wanna keep it there. What can ha what can you tell me? Or I told him, you know, I'm having, I'm, I'm, I'm, I'm struggling getting erections. They can wave an ultrasound over my, over my penis in the office, but I'm not getting aroused. I'm not finding out what I really wanna know, which is what's happening when I'm trying to, trying to perform. So if we can give people data, they can then measure the impact of diseases, medications, diet, self effects, all these claims that are made and see what works for them. Speaker 1 (09:18): Yeah. You know, you, you've made so many great points in that. I just wanna go back and highlight a couple of them. Sure. So number one is that most women don't realize that erectile dysfunction is a problem for women. Women, yes. We get erections, ladies, right? 'cause Our clitoris is a small penis and they do get erect with sexual arousal. And that we women just write off that we're not getting aroused. We don't have orgasms as, oh, it's only a pleasure problem. But it's not just like for men, like you said, it's a leading indicator for cardiac disease. It is a leading indicator for cardiac disease and hormonal poverty for you ladies. So I just wanna highlight that because I think that's essential. But now I wanna go back. So this is great. Okay. That you, you really saw that there was a need for this. And you probably recognize men aren't gonna go to the doctor for this. They're not gonna talk about it. And so you started looking at ways that they could actually measure this themselves, right? Speaker 3 (10:22): Correct. Well, the doctors are really ignorant about this. Mm-Hmm. , I'll, I'll give you two examples in, I was approached by Dr. Hot Hotel and professor of urology at University of Utah to count the nerve nocturnal erections. And he wanted to embed sensors into a device like a condom ring that had six mm-Hmm. But it would have six times the elasticity of the condom ring. And I looked at this device and said, well, that's not gonna work because condom rings break. So have he been a urologist unaware of the fact that this piece of common technology is actually vulnerable to breaking also condom rings can rotate, which means, which means, means you have rotational artifact. And my thought to hit the response was, well, let's do better than that. Let's try to do more than just count the number in external erections. Let's try to figure out the health of all erections. So my thought was to embed sensors into an advanced form of an erection ring or cochran instead of colloquially known as this doctor, I've never used the cockran. Now I have yet to find, well, here's a joke we have at medical, at medical congresses. I'll ask you, how do you tell the difference between a straight doctor and a gay doctor? You ask one question, Rin, Speaker 1 (11:27): Have you used a coching? Is that the question? ? That's Speaker 3 (11:30): The question you got. How have you used a coching? You got, and the answer is, and, and a straight doctor's like nine is like never. 'cause They just, whether it's male pride or I don't, you know, straight doctors treat rings like a Suman kryptonite. I don't need that. Gay doctors will be like, yeah, like last night you got a better one. So gay straight doctors aren't open to the really, what should be the, the first line of therapy for man who has dysfunction? Then you have, there's no, there's no sense from these doctors about what is, what is normal sexual behavior. The scoring systems that are used by urologists, by sexologists to evaluate men or women for that matter, are focused on penetrative sex. There's the shim score, the atom, the eye, you're probably familiar with these. They don't reflect what people are actually doing. Speaker 3 (12:14): Mo most se most, most sex between, between partners over the age of 40. Penetration is just a part of it. It's not the focus, it's not the endpoint. And these studies, like something out of the 1950s or 60, are focused on that as an endpoint. Then urologists think, okay, the first line of therapy is to give a PD five medication with Viagra, Ali, p and d, you know, the, the top ones. But those medications put more blood into the penis, but they don't keep it there. Mm-Hmm. most men's problem is not getting it up. Most men's problem is losing an erection. That could happen for a whole variety of reasons from anxiety, diabetes, hypertension, alcohol, drugs. And then the most common one that urologists don't think about because all men get it, all women get it too, which is venous leak syndrome. Speaker 3 (12:57): Urologists are sure are surgery oriented. The pill doesn't work. They wanna put an implants into a penis or, or do some sort of surgical procedure. So venous leak syndrome is something that we can be born with. Very, very few men have it where you get blood, the penis, but it leaks out because the muscles that control the veins to hold the blood of the penis aren't, aren't very strong. Venous leak syndrome is something we all experience as we get older. I don't know how old you are. I'm 70. If I sit on a plane for five or six hours, my socks will start to pinch. My wedding band will, my finger will be hard, hard to take off my finger because I have venous link. 'cause As I get older, the, the muscles and my small veins don't pump blood back to my heart as effectively. Speaker 3 (13:32): It's the same thing for the penis. As we get older, our, our our, the smooth muscles weaken in our penis. We get an erection and we lose it. Now, that loss could be accelerated by anxiety or it can be the very cause of anxiety or, or caused by medications. Our research shows the big cocktails are SR antidepressants and anti antihypertensive and or in combination. But the solution is a plumbing solution. The P five medications put more blood in the penis. A properly used Cochran holds the blood in the penis, allowing a man to sustain erection for more, for a more satisfactory time period. Coing should be mainstreamed. I look at vibrators in my lifetime. My mother's vibrator was in a bottom dress drawer of a supply closet. Just thought we'd never find it. . We didn't know what it was. Speaker 3 (14:15): We found it. You know, I don't, my wife probably owns seven or eight. My daughter takes 'em on dates. They've been mainstreamed. It's no longer considered to be shameful for women to use a vibrator. Most women, I think in the latest report there were 60 women, 60 million women in the United States own more than one. What do men have? Well, they have these monstrous things called strokers. Like somebody could beat something to death with, they don't have anything, but, but they do have rings. But cochlea have been made the wrong way for many years. Can I, may I explain? Yeah. So I want to come up with a ring that could be worn overnight. Well, this cause I want to count data. I want to count these nocturnal erections. I also want to come up with a ring that could be worn comfortably during sex with sensors inside of it in order to record the duration of the firmness. Speaker 3 (14:56): Every erection. So we get baseline data on man's sexual health. But ings have been made for 150 years out of tight silicone rings. You have to have an erection before you put them on. 'cause They choke off the blood supply. It's like a NOIs on of penis. I mean, it's like some design by a hangman. I mean, so I thought, let's make coch rings out of a soft elastomer. So these are, I dunno if on camera right now, but these, these, our rings are unique. They're, they're made out of a, out of a soft elastomer. So they're comfortable with us. Silicone makes us adapt to them. I also wanted the ring to be safe, easy on, easy off. Many men are overweight. They, they, they can't, they can't even see their penis. Men who they're, they're anxious. These things need to be made very, very easy for them. Speaker 3 (15:35): I would suspect that about half the se heterosexual sex in the world starts when a man is scratching his wife's back. When she takes a bra off at night. Women don't like bras in their back because they're silicone in the back. It's itchy to the skin. I was looking at my wife's bra on the ground and I thought, oh, a hook. Women don't put on bras over their heads. A bras is a ring that opens and closes with a hook. Let's make an erection ring with a hook. So it's easy on, easy off. And then let's also design a ring. But that man can put on when he is flacid. So we can put on discreetly, put on hours before second. It could be worn for hours. So it doesn't block the arterial flow. It only constrains the return. And then let's also try to design a ring that will make a man's pleasure more intense. Speaker 3 (16:19): It's not a vibrator. The way we do that with a man is we draw out the. So we tested a ring on a group of men between the ages of 27 and 70. The goal is that if we put the right, we want to increase the ejaculatory phase by 50%. So with this ring, my ejaculatory phase goes from four seconds to seven seconds. That's a significantly more powerful orgasm. I think it's good as a vibrator, but it's, if it's for an instantly more powerful orgasm. But more importantly now, by putting sensors into it, we, we have a ring that's comfortably worn overnight to count nocturnal erections, which are leading the indicator mass. Cardiovascular health and wandering sex. The ring can measure the duration of firmness of erections. So now men can measure the impact of everything from medications, diseases, supplements, diets, relationships. Mm-Hmm. on sexual performance and say what works, what doesn't work. Speaker 1 (17:07): So I wanna ask you, because you mentioned this before we started recording, and then we touched a little bit on it just then that vibrators are mainstream for women. I mean, there are all kinds you can get like, what did I see online? It was like a superhero shaped vibrator. And I mean, they got everything. So sex toys for women are really mainstream, but not for men unless they're gay men. Why do you think that is? Speaker 3 (17:34): Well, I think there's several reasons. I think women, one, represent a much larger market. Women do women make what? Like 80% of the purchases overall in the United States or, I, I I think that might, I think it might be worldwide women purchase. If you exclude condoms, women purchase the majority of the sex toys. So when people look at numbers in, in the sex toy area, they say, oh, well men buy more. Well, not, that's not that. Once you exclude condoms, then it's, you know, then it's women. I think women are more open-minded rep represent a larger market. I also think the vibrators have been so enormously successful. No one else has figured out something equivalent for, you know, for men. I think for gay men, it's different. They're really, really focused on, on sexual pleasure and much less inhibited. Mm-Hmm. . And also anal sex requires a harder penis. It's harder to penetrate the anal sphincter than it is to penetrate a vagina. So a ring becomes, you know, it's almost a necessary tool. Speaker 1 (18:28): Okay. You, you made a comment though before we were recording. There's something about you, the way you said it was pretty comical because you said if a woman brings sex toys into the bedroom, so can you share that, that no problem. Yeah, sure. But if a man, then what happens? Yeah. Speaker 3 (18:44): When managers introduce sex toys, the industry surveys say they get used one or two times and then they get thrown out. If a woman introduces a sex toy, it, it gets used for as long and as often as she wants, wants it to be used. But, that also inhibits men from buying sex toys as well too, because they're not gonna get used. I also, I don't think any effort has really been made by the industry to make sex, make conquering sexy. But, but I, but the data shows this, this is a really important 'cause and there's, we, we've had an internal study to this effect. And there's gonna be big paper, two pi papers, spout rings at the American Neurology Association and Congress coming up, coming up in in May one is going, is going to show that if a man wants to have a longer lasting erection, a ring is more, more effective than a PD five medication. Speaker 3 (19:27): Well, big pharma's not gonna like that. And the heterosexual doctors have frankly been, they should have caught on this a long time ago. And if we're using rings, they would realize it. But a ring to dil in our internal data will keep, we were looking at D 2 cent data. So no one has studied D two ence. D two s is the time it takes for an erection to go down. We didn't measure time to go up because there's so many variables involved in that. Are you with a partner? Are you masturbating just by watching porn? You're drinking? We are just interested in the time it takes for erection to go down. 'cause That would be a measure of how much blood is held in the penis. So the ring alone, dala fill alone sustains an erection on the average of two, two to three minutes afterwards. The ring is about four and a half minutes long. And a ring plus the film is about five and a half minutes. So that those are men without Ed. So the takeaway message really is for all men would be, if you want to have a longer lasting, harder erection, put a ring on it and take a pill. Also, if you're a man who suffers prematurely and you want to keep thrusting afterwards comfortably, not uncomfortably, put a ring on it, take a pill. Mm-Hmm, Speaker 1 (20:30): , you made the comment several times, and I don't wanna bypass it because I think it's worth talking about. 'cause I know somebody listening is wondering why are doctors so phobic about talking about sex? You know, sexual function is a leading indicator of your overall health and vitality. So looking at a male man or woman's sexual functioning, I think is vital to their overall health assessment. And if there's any difficulty there, it's essential to evaluate it because it corresponds to cortisol stress hormone levels, and there are other sex hormone levels and vascular function, cardiac function, but also as a preventative practice, just like drinking enough water, just like enough aerobic exercise, weight bearing exercise, sex, regular, active, pleasurable sex is vital in promoting vitality. So what are we missing? Because I know women are listening, why isn't my doctor talking to me about this? Why isn't my doctor talking to my partner about this? What is the problem with doctors here? Speaker 3 (21:41): I have so angry about this issue because we physicians are doing our patients a horrific disservice. I'm seven years old, I'm a doctor. Doctor should feel comfortable talking to me. I've never had a doctor warn me about the sexual side effects of medication. I've never had a doctor ask me about my marriage. Did not ask those questions. Is stupid. It's insensitive. Now. One reason is there are no boxes to check for those things. There's no way of making money addressing those things that they should. And, and, and it actually applies to urologists as well too. They often don't take complete sex stories with people, but just, Hey, here's a PD five medication. We'll do an ultrasound. You're not working. You need an implant. You're not helping a person that way. I completely agree with you. Studies show that if someone has sex every day, their cortisol levels significantly improve. Speaker 3 (22:27): If men were in control study, big study was done. Whales, I think of Scotland. If men have men with equivalent cardiovascular disease at age 70 start having sex twice a week, their risk of cardiac arrest goes down 50% over the next five years. The benefits are enormous. And we should be recommending to people to have more sex. We doctors make recommendations about diet, about exercise, about sleep, and we don't speak about sex. And if we do speak about it, we are embarrassed. We have, believe me, people wanna talk about it. My, my last year of emergency medicine clinical practice, I said, you know what, I'm just going to do what I was trained to do in medical school. I'm gonna add a sexual history to pretty much all my exams. Well, it turned out even people came in with an ankle sprain. Wanna talk about both? A lot of 'em just wanna talk about their sex lives and they don't wanna talk about this spouse who wants to tell you all about it. Speaker 3 (23:15): So people, men and women are hungry for this information. And they're, to your point, and I would like to bring it up, Dr. Dustin, we doctors are doing them a tremendous disservice. But I don't know if doctors, mostly doctors are even capable of discussing it because they're kind of, they're relative as, as, as a group. They're relatively pr and conservative in conservative sort. An old, an old fashioned kind of, you know, you know, meaning about sex. Before I got involved in this field, I never, I never went to sexual congresses of urology or society of sexual methodology, which is no one's talk. There's very little talk about pleasure. All the focus is on surgery and pills. And it's not focused on what most con what concerns most people, which is how do I maintain my sexual health if I, if I'm poor sexual health, how, what can I do to reverse it? It's, you know, the, the focus of the doctors is, is on things, I'll be blunt things that make them money. Yeah, Speaker 1 (24:06): That's unfortunate. And really sex has been relegated to the closet for everyone. And it's such a vital part of health prevention, of promotion, of vitality, prevention of disease. I would be remiss if I didn't ask about, you mentioned some causes and contributors to erectile dysfunction, sexual dysfunction in men. If we didn't talk about porn, because that's epidemic among men in the United States all over the world, globally, how does that affect, and I know there's some women listening who are like, my husband watches porn. Is that part of the problem? Well, Speaker 3 (24:42): I'm, I'm, I'm ambivalent about porn because for a lot of men it is an escape to a world where they, where they, where in fantasy they, they get what they want and the things that they're not getting from their partners, male or female partners. For some people porn is beneficial. And so are we gonna ban porn because it's also harmful to some people. I wish that people could discuss porn with their partners. That's really where the where it comes in porn becomes. It can become a window into finding out what someone else's fantasies are. And most people, too many people don't have sex regularly. They, so before I talk about, talk about porn, because I'm, I I'm gonna get, I'll get you the mail, the major male complaint about porn in a moment. Mm-Hmm. men, too many people stop making love. Hmm. That's, they need to plan for pleasure. Speaker 3 (25:23): I mean, I, it it, I bring this up with guys at the gym or women, women too, which is like, Hey, you these, because they know what, they know what I'm doing. You, you let me know your love life is not satisfactory. How many hours do you spend working out a week? It'd be like, oh, 10, 14 hours. And I'll say, if you could just take two hours of that away and put that into your relationship, and they look at me like, men and women look at me like I'm nuts. Well, it's that, that that can't be done. I said, yeah, it can be done and should be done with planning. You know, a good love making is no more spontaneous than a good exercise session or, or a great meal meal. I don't just up a great meal Speaker 1 (25:57): Meal or a great vacation. I Speaker 3 (25:58): Don't, I don't go there, I don't, I don't know the refrigerator and say, Hey, what, what are the leftovers? Let's have leftovers again, . And that's what, and that's, let's have rotisserie chicken for the third night in a row. And that's the problem with a lot of people sex . They, they, they get bored with what they're doing with their partners and they don't talk about it. Speaker 1 (26:15): That analogy. But I love it. It's great. It's so true. You know, and, and I recently, I've really been diving the past six or so months into sacred sexuality and womb wisdom and the whole, you know, three types of orgasms or more, actually five, that women can have. And in diving into this, I've read a lot where the biggest problem for most women regarding sex and why they don't wanna have it, is because their men don't know how to properly work the machinery, how to please them, the different types of orgasms, what's required to get their motors going. And for them to become satisfied and actually to make love. They know how to wham bam, thank you man, kind of ma'am have sex, but they don't know how to make love. And so I'm wondering, where do guys supposed to learn this? Where Speaker 3 (27:06): Are women supposed to learn? I mean, you, you, because men have all the same complaints about women, men my age and men younger. It's like, oh, she's all, you know, she's, she, she thinks she tugs on my, my penis. Like, like, like, like an arm a machine or, you know, so people, this, this issue cuts both ways. Okay? And this is where people, people need to, people need to, my opinion, they, they need to, to communicate better about what they want. I mean, I, I'll get back to, I'll get back to, to my food analogy. Mm-Hmm. My wife is in the room right now. I don't know what she wants for dinner. And I could eat, you know, I, you know, so I, if, if I want, if I want to, if I wanna really make her happy with, for dinner tonight, I should explore what her, her ideas are. Speaker 3 (27:45): I think when it comes to sex, people kind of settle into both parties. I go down on her, she comes and then I penetrate her. That's kind of pretty, pretty standard and pretty boring sex that goes, that goes on for most people. This, they would, they would communicate. And that's what, that's, that's where I think porn can be valuable. People watch, if people explore porn together, they will expl expand their vocabulary for love, you know, for, you know, for love making. Also, there are a lot of guys for porn, porn is an outlet for them. The way shopping is for women and people like to say that, that porn built the web, but porn might have built the web originally. But shopping sustains the web, women do 85 to 90% of shopping online. Women have done studies showing that women get the same dopamine hits in their brain that men do from shopping, that men do from Washington porn. So gone to the point of Congress as people like to blame the other sex, but they need to, you know, examine what they're doing. And then they, then they need, they, they need to communicate better about what, about what their mutual needs are and be more. Right. Not saying nothing. Speaker 1 (28:45): That's fascinating information about shopping. I didn't know that's the case. So you're kind of equating the two. Speaker 3 (28:51): If women think it's ridiculous that a man wants to look at eight, eight bodies online, a guy might also think it's ridiculous that the woman needs to look at 25 shoes online. It's, it's, it's . You know, it's, I mean, but meanwhile to your, you know, Dr. Doc, Dustin, to your point, they could be making love. They could be. They could be. And that's the problem. They're not talking, they're not not playing for pleasure. They're not communicating. In addition to which there are other problems, which circle back to which we, people are taking a lot of medications to interfere with their sexual performance with, you know, half the adult population being diabetic, hypertensive 20, 25% taking anti antis antidepressants. All these drugs have, have, and these diseases have significant impact upon, upon their sexual performance. And people. And the doctors don't do a good job about wanting people to know about the sexual side effects. Speaker 3 (29:37): So with data, about how long they last, how firm they can get, we have, we're starting to get some data about women with the, the, the trial protocol. We can, they, people can then say, you know what? My doctor prescribed 300 milligrams of whatever antidepressant, but I noticed that around 150 milligrams my erection starts to soften or I can't. So people, I mean of course we, we, we recommend to everyone if they don't make changes, but with their medications before, let's discuss it with healthcare providers. But I know people are doing it because the healthcare providers don't know about them, don't know about these issues and don't prioritize. You know, they, as you said, you said earlier, the least priority for most doctors is someone's sexual performance. But if someone's taking Sri SRI antidepressant and lisinopril for their blood pressure and they can't get it up, but they can't, you're not making, you're not helping, you're not helping the depressions very much and you're not helping their their partner either. Speaker 1 (30:29): Right? Sex is a natural antidepressant. So , if you fix the sex, you probably wouldn't need the medication. So there's a woman listening now and she's really paying attention because she's thinking, wow, we don't have sex. We become like roommates. Either one of us could take it or leave it. Maybe she hasn't gotten out of hormonal poverty. So that's part of her issue. And if that's you, you definitely wanna listen up. 'cause , we are gonna run a special at her hormone club this winter if you wanna join us. But she knows her partner, she's observed that he's having some difficulties, whether obtaining an erection, maintaining having short or premature. How do you suggest that she approach this and talk to him? Because I've heard complaints from women before that when they've tried to bro this subject with their partners, that it has not been met with openness. So as a man, what would you say? How do we approach this with our partners? Speaker 3 (31:30): That's a great question. Hopefully you have some background information on the guy, because someone, it depends upon the person's age, but if, if it's, if it's a man over 45 or 50 it's the, the likelihood of that person having a physiological problem increases. So you really need to know what someone's blood pressure is, what their blood sugar, hemoglobin A1C is and the blood sugar, what their testosterone level is. There are, there are tests and then there are medications. I, you know, with, I've been impressed with the work that I've done over the last year, speaking to our patients, how many men could be helped just by, just in their medications and 'cause they're often taking multiple medications that that, that often a combination with alcohol are, are affecting their sexual performance. So you need to find out about the base, these, these baseline health factors. Speaker 3 (32:16): Another issue is these are all hard, such such just discussed, which is if a man can get it up with pornography and if a man is having erections at night when he's sleeping, he should be able to get up with his partner. And if he's not getting up with, with his partner, there's some issue in the relationship more, far more likely not some anxiety producing issue that's built up over the over built up over the years that need that, that needs to be addressed. Addressed. Mm-Hmm. between the two of them or, or addressed with, with, with the benefit of, of therapy. That's where ring comes in handy because a lot of those men get, they can get up and then they lo then they lose the erection and then they avoid sex because they, they, they feel I've got it up with her, but I've lost it. It hasn't worked out. That's where ring ring comes with confidence build up because a male erection things very differently than a male without erection. And, and Cochran will keep the blood in the penis even if people are having an argument of some erection. Speaker 1 (33:05): Is the way for her to approach it with him to maybe say, honey, I have some concerns I'd like to talk to you about. Can we set aside some time this weekend and then secure a time and then just couch it as a health concern and say, you know, I've noticed a, B, C when we are making love and I'm concerned because I heard Dr. Justin talking on Dr. Kirin show that this could have indications, meaning that you're at increased risk for heart disease, heart attack and early death, or any of the other things we've talked about. Or that the medications you're on might need to be adjusted. And I'm really wondering if we might be able to go to your doctor or if you could make an appointment with your doctor. Does that sound like a reasonable approach? Speaker 3 (33:52): Yeah, definitely. Speaker 1 (33:53): It's non-threatening. Uhhuh . Speaker 3 (33:55): Absolutely. And it does have to be approached as a partner issue. I mean, men often need the support of their partners just to comply with their medicines. Mm-Hmm. , I mean women are much more likely to comply with their, with it, with their medicines. Also, I think people need to think about what happens when they try to have sex. And his significance, if a man never gets an erection, doesn't have a a morning erection, this is where a device that can count the overnight that could be worn overnight comes in handy. I'll take it at both extremes. If a man, if a, if a man has a tech ring that can count, he wears overnight and he has nocturnal erections three or more, that man's sexual health is good enough to have to have sex. So that indicates that the issue is not medication related, disease related. Speaker 3 (34:36): The issue is probably is partnership related at the other extreme, the other extreme, and this happens, we, we, if a man has two or less nocturnal erections or those not, and those erections are, are either weak or not, they just don't occur that partner is getting risk fatigue or jaw fatigue for nothing. 'cause It ain't gonna happen. That man has a significant erectile problem that man needs to, to your point, that man needs to see a urologist and a cardiologist because he has a cardiovascular, cardio urological problem of, of profound significance and he needs help. Mm-Hmm. . So, and that's what, that's, that's where the data really comes in handy. 'cause The data ought to assess what's going on. So it could be, Hey honey, I noticed that, you know, the last six months have been really bad, you know, been difficult for you in, in bed and you start taking medication X just around the same time. Maybe the medication is the problem and maybe we can, with data, we can test whether that is the Speaker 1 (35:30): Issue. Right. And so the device that you developed actually they can wear overnight and it gives data in the privacy of their own home. Is that correct? Speaker 3 (35:39): That's correct. It can be one during sex as well too. Speaker 1 (35:41): Okay. And so how often do they have to use it to get enough data for how long a week takes a month? It Speaker 3 (35:48): Takes about up to about four uses for the sensors to calibrate the, to the individual's body. 'cause People's, you know, penises vary and, and how firm they get, they vary and, and you know, just variability. Variability in how long, how, how long people last. So I use it the way I use blood pressure. I take my blood pressure once a week. I take my, I measure my sexual health once a week. Oh, Speaker 1 (36:10): Okay. And then you kind of can follow it over time. Speaker 3 (36:13): Yeah, we have, we have men who use it every day and we have men who use it frequently. I mean it's been really valuable. There's a whole other issue here too, which can discuss prostate disease, which is, is another issue that prostate disease can, erectile dysfunction can mean a warning sign of prostate disease. So if a man Oh mm-Hmm Speaker 1 (36:27): Yeah. We even Speaker 3 (36:28): Talk that, I'm sorry, sorry I It's okay. So Right, if a man develops is starting to develop erectile dysfunction that man does need, you know, especially an older man, not, you know, old man over the age of 45, 50, that man needs, needs a a ur urology exam as well too. Speaker 1 (36:42): And men should be getting a rectal prostate exam annually. Correct. Speaker 3 (36:47): Annually. At least every two, every every two or three years. And if there's a family history, it should, it might need to be done more frequently. Right. I mean the PSA test remains controversial. I think it's a good idea. There might be some false positives, but, you know, why take a chance? Speaker 1 (37:00): Well what's the current age at which they should be getting that and is it annual? Speaker 3 (37:03): It's annual, I think it's 55. I I have to look. The indications change so frequently I have to look it up. Speaker 1 (37:09): Same for women . Yeah. So yeah, make sure that your partner is getting the PSA prostate specific antigen and a rectal prostate exam at whatever the current recommendations are. They should be getting that Women you need to be getting your rectal every year . They also need the rectal for screening for blood as well. Oh my gosh. This is such good information. And I think you've helped save some men, some women, and some marriages and couplings today because it's vital. Lemme Speaker 3 (37:41): Talk about that. 'cause We've had two men who had significantly declining nocturnal erections who went to their doctors and, and, and went to cardiology, actually got a cardiology workup and they, and they got catheterized and they got treated. They would've, they could've gone to have a heart, have a heart attack or something more, more disastrous. So the data, the data's fun, but the data's also really, really valuable. Yes. Speaker 1 (38:01): Very valuable when it comes to health. So ladies, don't ignore it. If your partner is suffering with any of these conditions, take steps to assess what's going on and get it addressed. Because it could be a sign of deeper health issues that could be life threatening, number one. But number two, a great sex life is really an important part of your, not only your physical vitality, but your emotional wellness and your connection to your partner and to the world at large. So thank you so much Dr. Justin for coming on and sharing this wonderful information. You've got some information to share with everyone about where they can find out more about you. We'll have the links in the show notes, they can find out more about your device and about how you are helping men. Speaker 3 (38:54): Yeah. If I could just add just one other thing, Dr. Dunston, which is that Sure. We're working, we're working on similar technology for women. So we've retested on, on, on, on 38 women and it's, it's our goal by early 25 2025 to deliver data for women that will also allow them to hack their sex, their sexual health in order to have a long, a longer lifetime of, of love making. Speaker 1 (39:13): Okay. You gotta give us a sneak peek in like one to two minutes . Sure. So we can know about that. Speaker 3 (39:19): Uhhuh we are measuring, it's all about blood flow in men and women. So just as, as the male device firmness is a marker of blood flow in a female device. I don't call it so much erection, but I call it arousal. We are measuring blood flow in the CLS overnight. Women have nocturnal chlor arousal and we are measuring that as a leading indicator of their cardiovascular and cardiometabolic health. And in one during sex, we are measuring their chlor arousal as well. So women can then measure the impact of diseases, diets, supplements, creams, all the, all, all things that that which claims are made for, for their sexual health and see what works best for them. Speaker 1 (39:54): That's amazing. Thank you for that. Do keep me updated on that . I will. So yeah, tell everyone where they can find out more. Speaker 3 (40:01): Sure. You can find us at my firm tech M-Y-F-I-R-M-T-E-C h.com and you can find me directly at elliot E-L-L-I-O t@myfirmtech.com. And thank you much so much, doc Dustin, for this opportunity. Speaker 1 (40:15): Yeah, thank you so much for coming on. I think this has been such valuable information. We will have that link in the show notes and you can go there to click and find out more and stay updated. I'm gonna stay updated on what's coming down the line for women and I'll certainly let you know. So thank you again for joining us for another episode of the Hormone Prescription. I know you are inspired to create a better sex life for yourself and your partner for all its wellness and vitality benefits. I look forward to hearing from you on social media more about this. Have a great week and until next week, peace, love, and hormones y'all. Speaker 2 (40:55): Thank you so much for listening. I know that incredible vitality occurs for women over 40 when we learn to speak hormones and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it if you'd give me a review and subscribe. It really does help this podcast out so much. You can visit the hormone prescription.com where we have some free gifts for you and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation. Until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold for you. Talk to you soon.   ► Learn more about Dr. Justin's works on erectile fitness - CLICK HERE.   ► Feeling tired? Can't seem to lose weight, no matter how hard you try? It might be time to check your hormones. Most people don't even know that their hormones could be the culprit behind their problems. But at Her Hormone Club, we specialize in hormone testing and treatment. We can help you figure out what's going on with your hormones and get you back on track. We offer advanced hormone testing and treatment from Board Certified Practitioners, so you can feel confident that you're getting the best possible care. Plus, our convenient online consultation process makes it easy to get started. Try Her Hormone Club for 30 days and see how it can help you feel better than before. CLICK HERE.   ► Do you feel exhausted, moody, and unable to do the things that used to bring you joy? It could be because of hormonal poverty! You can take our quiz now to find out if your hormone levels are at optimum level or not. Take this quiz and get ready to reclaim your life; say goodbye to fatigue and lack of energy for good. We want every woman to live her best life — free from any signs or symptoms of hormonal poverty, so they can relish their everyday moments with confidence and joy. Imagine having a strong immune system, vibrant skin, improved sleep quality… these are all possible when hormones are balanced! CLICK HERE now and take the #WWPHD Quiz to discover if you're in hormonal poverty — it only takes 2 minutes! Let's get started on optimizing your hormone health today.

Paul Kolodzik, MD, FACEP, FASAM is Board Certified in Preventive Medicine, has been using the GLP-1 medications since they were first approved by the FDA in 2017. He was one of the early physician prescribers of these medications to help his patients achieve weight loss and improved metabolic health. In his metabolic health and weight loss practice, Dr. Kolodzik has assisted over 1,000 patients lose weight and reverse chronic diseases such as prediabetes, diabetes, hypertension, high cholesterol, fatty liver disease, and sleep apnea. Based on this experience, he has become a leading expert in the field of metabolic health, and a specialist related to the use of the new FDA-approved GLP-1 weight loss medications. He thoroughly understands not only these medications' potential benefits, but also their risks (such as muscle mass loss and weight regain upon discontinuation). He understands how these medications can be used prudently as part of a comprehensive weight loss and health improvement program. Working with his patients, he uses the medications in a manner (for example low doses, limited time periods) to avoid creating life-long dependency on them. Need 1-on-1 Fitness Support? Get Personalized Workouts & Coaching right on your phone

#AdvocateHealth is leading the way in rebuilding its 150,000+ workforce post-pandemic. Recognizing wellness as an institutional imperative and creating a new C-suite role—Enterprise Vice President, Well-Being for All Teammates—underscores this commitment. In this podcast, Mila Felder, MD, FACEP, teases her keynote at the ACCC 50th Annual Meeting & Cancer Center Business Summit, why it's important to attend this session in person, and what she's looking forward to most at the meeting.   Guest:   Mila Felder, MD, FACEP Enterprise Vice President, Well-Being for All Teammates Advocate Aurora Health   “…talking about burnout and stress related to working in health care is important as a preventative tool. We do a lot of work to prevent illness in our patients…clinicians and health care workers are not very good at identifying their own individual needs and serving those needs.”   Hear Mila speak live at the ACCC 50th Annual Meeting and Cancer Center Business Summit.   Resources: Cancer Care Team Mental Health: Normalizing Helpers Seeking Help — [PODCAST] Improving the Culture of Your Cancer Center, One Idea at a Time A Psychological First Aid Program in the COVID-19 Era Caring for the Caregiver Community-Based Psychological First Aid for Oncology Professionals

   Step into the vanguard of battlefield medicine with Dr. John M. Croushorn, an engineer-turned-emergency physician whose innovations are redefining trauma treatment. From his pivotal career switch of joining Army Medicine post-9/11 to creating the Abdominal Aortic Junctional Tourniquet (AAJT-S), this episode weaves together the personal and the technical, providing an intimate look at the challenges and triumphs of military medicine.   As we converse with Dr. Croushorn, you'll be transported to the front lines of tactical emergency medical solutions, where the origins of such practices in the military and law enforcement laid the groundwork for today's life-saving techniques. Discover the birth of the AAJT-S, spurred by tragedy and necessity, and how a chance encounter with a Special Forces Medic brought the device's development full circle. This narrative captures the essence of innovation — where creativity meets critical needs, and every step in the design process can mean the difference between life and death. The trenches of tactical medicine are filled with stories of lives saved and legacies forged, and each tale tightens the bond between trauma care advancements and those who stand ready at the front lines.   Dr. Croushorn continues to pull back the curtain on the dynamic field of military medicine, guiding us through the application of junctional tourniquets and their profound impact on saving lives in pre-hospital scenarios. We'll also cast an eye to the future, examining ongoing research and the global implications of these medical advancements. Hear tales of the AAJT-S's deployment in diverse environments, from the deserts of the Middle East to the conflict in Ukraine, and learn how this technology is not just a tool but a testament to human resilience and the relentless pursuit of advancing trauma treatment.   Chapters: (00:00) Military Medicine and Trauma Treatment Innovation (15:08) Developing Tactical Emergency Medical Solutions (21:26) Junctional Tourniquets for Hemorrhage Control (35:19) Junctional Tourniquet Application and Future Innovations (45:38) Physiologic Effects of a Cardiac Device   Chapter Summaries: (00:00) Military Medicine and Trauma Treatment Innovation Former Army Medical Corps officer shares journey from engineering to military medicine, including deployment experiences and innovative contributions.   (15:08) Developing Tactical Emergency Medical Solutions Tactical medicine's role in the FBI, development of the AAJT-S for pelvic bleeding, and a serendipitous encounter with a Special Forces Medic.   (21:26) Junctional Tourniquets for Hemorrhage Control Junctional tourniquets are crucial in trauma care, effectively controlling hemorrhage in extremity-torso junctions and surpassing other methods.   (35:19) Junctional Tourniquet Application and Future Innovations Versatile junctional tourniquet device for pediatric to 64-inch circumference patients, efficacy compared to REBOA, and use in trauma centers and NCTH.   (45:38) Physiologic Effects of a Cardiac Device Innovative application of the AAJT-S has shown impressive results in traumatic cardiac arrest scenarios, leading to protocol changes and ongoing studies in Ukraine.   Take Home Messages: The tragic events of 9/11 inspired a shift in career from electrical engineering to Military Medicine, highlighting the profound impact significant historical events can have on individual life choices. The development of the Abdominal Aortic Junctional Tourniquet (AAJT-S) marked a significant advancement in pre-hospital trauma care, particularly for severe hemorrhage control in areas where traditional tourniquets are ineffective. Innovation in military medical devices can stem from unexpected places, including the adaptation of materials like bike shop inner tubes, demonstrating resourcefulness in the face of challenges. Collaboration between medical professionals and those with hands-on battlefield experience, such as Special Forces Medics, is crucial for the practical development of life-saving medical technologies. Tactical emergency medical solutions, like the AAJT-S, have evolved to meet the specific needs of military and emergency response situations, including combat scenarios and disaster relief efforts. The versatility of junctional tourniquets makes them a critical tool not only for the military but also for civilian emergency services, as evidenced by their use by air ambulance services and fire departments. Emergency Medicine is continually advancing, with a focus on developing solutions for non-compressible torso hemorrhage, which presents new challenges in the field of trauma care. Groundbreaking research into the physiologic effects of medical devices in traumatic cardiac arrest scenarios is paving the way for updated emergency protocols and potentially higher survival rates. The global impact of military medical innovations can be seen in various international settings, including conflict zones like Ukraine, where they play a vital role in saving lives on the battlefield. Effective hemorrhage control, particularly in junctional areas, is essential for improving survival rates in trauma patients, emphasizing the importance of continuous innovation and application of medical devices in pre-hospital settings.   Episode Keywords: Military Medicine, Trauma Treatment, Emergency Medical Protocols, Abdominal Aortic Junctional Tourniquet, Tactical Medicine, Hemorrhage Control, Pre-hospital Setting, Medical Device Development, Special Forces Medic, Junctional Tourniquet, Extremities, Combat Gauze, Expandable Foams, Pediatric Patients, Non-compressible Torso Hemorrhage, Physiologic Effects, Traumatic Cardiac Arrest, Return of Spontaneous Circulation, Porcine Model, Emergency Protocols, Ukrainian Vascular Surgeon, Bakhmut Conflict, Military Medical Authorities   Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineInnovation #AbdominalAorticTourniquet #TacticalMedicineTech #TraumaCareBreakthroughs #LifesavingInventions Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.   WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast