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In this episode, Morgan Lorio, MD, FACS, Orthopaedic Spine and Hand Surgeon, discusses healthcare economics, physician reimbursement, administrative costs and his concept of clinical macroeconomics, which examines how financial decisions ultimately affect patient care and clinical value.
Jeremy Heffner, MD, FACS is a board-certified trauma surgeon, former Chair of Surgery at Lima Memorial Health System, and cofounder of Surgery Unified, one of the largest physician-led communities in surgery. His perspective carries weight because he has spent decades inside operating rooms, hospital leadership, physician culture, and the growing collision between medicine and corporate healthcare. He grew up in a blue-collar Ohio family of firefighters, railroad workers, police officers, and tradespeople. Medicine represented something rare: a career that combined service, stability, and purpose. He pursued engineering, earned his medical degree, completed trauma surgery fellowship training at the University of Michigan, and entered a profession that taught physicians to sacrifice themselves for patients.Then the rules changed.This conversation traces the gap between the medicine physicians were trained to practice and the healthcare industry that emerged around them. Administrative burden expanded. Insurance companies gained influence over treatment decisions. Prior authorization became routine. Hospital systems consolidated. Physicians retained responsibility for outcomes while losing authority over the conditions required to achieve them.Heffner describes watching colleagues struggle with burnout, moral injury, PTSD, and growing frustration with a system that increasingly inserts business incentives between clinicians and patients. He explains why younger physicians are entering medicine with a level of visibility that previous generations never had. They see the paperwork, the denials, the loss of autonomy, and the personal cost before they ever finish training.The discussion moves beyond physician dissatisfaction and into the broader consequences for patients. When insurers delay care, hospitals absorb costs, clinicians absorb stress, and patients absorb uncertainty. The financial incentives remain intact while trust erodes across every level of the healthcare system.At its core, this episode examines what happens when a profession built around service finds itself operating inside an industry built around extraction. The result affects physicians, nurses, caregivers, and every patient forced to navigate the consequences.RELATED LINKSJeremy HeffnerSurgery UnifiedSurgeOnUniversity of Michigan Department of SurgeryKevinMDSuck It Up ButtercupFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What happens when the surgeon becomes the patient? In this episode of the Health Design Podcast, we revisit a conversation with Minas Chrysopoulo — world-class breast surgeon and returning guest — who shares the story of a sudden and life-altering diagnosis that changed everything. In the summer of 2023, Minas woke up with stiffness and numbness in his hands. What followed was a diagnosis of psoriatic arthritis, a gruelling journey through six different medications, and ultimately the decision to stop operating entirely — a career that had defined him for three decades. Minas opens up about the shock of losing the thing he loved most, the surprising ways colleagues, patients, and friends responded, and what it truly means to forgive. He reflects on the unexpected gifts that emerged from his darkest period: a deeper gratitude, stronger relationships, and a clarity about what really matters. Now channelling his experience as a surgeon and a patient into healthcare access and patient empowerment, Minas shares his perspective on informed consent, the constraints patients face when navigating the medical system, and why technology may be the most powerful tool we have for closing the gap between what patients need and what they receive. This is a rare and honest conversation about resilience, identity, and what it means to build a meaningful second act.
Resources: Learn more about the Global Research into Intestinal Failure and Fistulae (GRIFF) Collaborative Contact Dr. John Monson, Ginny Hanchett, or the GRIFF team directly to learn how you can contribute: Dr. John Monson: jrtmonson@gmail.com Ginny Hanchett: ginny_Hanchett@urmc.Rochester.edu GRIFF Collaborative: griffcollaborative@gmail.com Check out the WOCNext® 2026 session, “Complicated, Costly & Consequential: Rethinking Care for Enterocutaneous Fistula & Intestinal Failure in Fragmented Systems” Learn more about the inclusion of ostomy and urological devices in the Centers for Medicaid and Medicare Services Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program About the Speakers: Virginia (Ginny) Hanchett, APRN-BC, DCNP, COCN, CWCN, works as a senior nurse practitioner and has been practicing in the field of WOC nursing for over 26 years and is proudly employed at the University of Rochester. She runs a program called Ostomy Services which focuses on outpatient long term management of patients with ostomies and fistulae. In this practice there are over 2,000 active patients including those with chronic fistulae and she understands the barriers to providing comprehensive care and product reimbursement with this group of specialized patients. She joined the collaborative efforts of The Global Research into Intestinal Failure and Fistulae in 2025. John Monson, MD, FRCSI (Hon), FRCSEng, FRCSEd (Hon), FRCS Glas (Hon), FASCRS, FACS, MAMSE, is a Professor of Surgery and a colon and rectal surgeon, and fellowship trained in surgical oncology, vascular surgery and colon and rectal surgery. Dr. Monson served as the Director of the Intestinal Failure Program at North Shore University Hospital, Long Island. Before joining Northwell Health in 2024 Dr. Monson served as Chair of the Digestive Health and Surgery Institute and Chief of Colorectal Surgery AdventHealth, Central Florida and was a Professor of Surgery at Loma Linda Medical School and University of Central Florida. He was the founder and Clinical Director of the Surgical Health Outcomes Consortium (SHOC) at AdventHealth, Orlando. Prior to moving to Orlando in 2016, Dr. Monson became Chief of the University of Rochester, School of Medicine Division of Colorectal Surgery and Vice Chair of its Department of Surgery in 2008. He was the founder and Director of the Surgical Health Outcomes and Research Enterprise (SHORE) as well as Vice-Chairman for Research. Dr. Monson, who was born in Dublin, Ireland, served as a Professor of Surgery, Head of the Academic Surgical Unit, and Deputy Head of the School of Medicine at the University of Hull in England between 1993 and 2008 before relocating to Rochester, New York. A world-renowned Colorectal surgeon, Dr. Monson, is a key opinion leader in the field of cutting-edge treatments for bowel cancer and his expertise includes a vast experience of complex re-operative surgery for intestinal failure and enterocutaneous failure. Dr. Monson is a Fellow of the American Society of Colon and Rectal Surgeons and served two terms as Chair of the ASCRS Research Committee and a member of the Foundation Board. He is also currently a member of the Rectal Cancer Committee having previously served on the IBD, International Relations, Membership, Standards and Public Relations Committees as well as the Executive Council. In addition, he was a co-founder of National Accreditation Program for Rectal Cancer and currently serves as the Vice-Chairman. He is a Co-Editor for Diseases of Colon and Rectum and Digestive Surgery and serves on multiple editorial boards including Annals of Surgery and the Journal of Gastrointestinal Surgery. He is a Fellow of all Four Royal Colleges of Surgeons in the British Isles (and Honorary Fellow of three) and is an Honorary Fellow of the ASGBI and the Society of University Surgeons. He has published more than 400 scientific papers, 150 book chapters and 8 books. His current research continues to focus on health care delivery and the implementation of change within health care systems with a particular emphasis on cancer care. Editing and post-production work for this episode was provided by The Podcast Consultant.
In this episode, Thomas K Varghese, Jr, MD, FACS, is joined by Erika Rangel, MD, FACS, from Brigham and Women's Hospital. They discuss Dr Rangel's recent article, “Flexibility Stigma and the Double Bind of Family Formation in Medical and Surgical Residency,” which found that flexibility stigma in residency discourages pregnant and parenting trainees from using needed work-life accommodations, creating harmful double binds between training expectations and personal well-being. Structural and cultural reforms are essential to support equity, retention, and trainee health. Disclosure Information: All relevant conflicts have been mitigated and Drs Varghese and Rangel, moderators, have no relevant financial conflicts to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. This activity has been designated as Credit to Address Regulatory Mandates in the following categories: Cultural Competency and Behavioral Health. Individuals MUST check with their state or local medical board, hospital, or organization to verify that the content does meet the specific requirements. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Rangel EL, Zeineddine J, Lovejoy MC, et al. Flexibility Stigma and the Double Bind of Family Formation in Medical and Surgical Residency Journal of the American College of Surgeons. Published online May 21, 2026. doi:10.1097/XCS.0000000000002046 Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord
There are many acceptable approaches to adrenalectomy. Hypercortisolism with adrenal origin is a challenging topic especially in a population where obesity is incredibly common. A thorough biochemical workup involving endocrinologists and endocrine surgeons is key to offering the best surgery. Large adrenal tumors with indeterminate imaging characteristics have historically been removed with an open surgical approach. However, with modern robotic technology, it is possible to remove these successfully using a minimally invasive approach with a high-volume surgeon. Today we will discuss some clinically challenging adrenal cases addressing the above issues, and include tips and tricks from an expert, high-volume robotic adrenal endocrine surgeon. Hosts:- Amanda Doubleday, DO, MBA, Assistant Professor, Waukesha Surgical Specialists, ProHealth Care. Affiliated with University of Wisconsin School of Medicine and Public Health, Department of Surgery.- Simon Holoubek, DO, MPH, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery.- John R. Porterfield, Jr., MD, MSPH, FACS, President of Clarus Surgery, President of Apex PA Surgical Services and Founder & Chief Medical Officer of Informed SurgicalPlease visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/WDH865. CME/MOC/AAPA/IPCE credit will be available until August 16, 2027.Directing Better Outcomes in Prostate Cancer: Urologist Leadership in Personalizing Treatment Innovation and Delivering Patient-Centered Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca, Blue Earth Diagnostics, Johnson & Johnson and Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/WDH865. CME/MOC/AAPA/IPCE credit will be available until August 16, 2027.Directing Better Outcomes in Prostate Cancer: Urologist Leadership in Personalizing Treatment Innovation and Delivering Patient-Centered Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca, Blue Earth Diagnostics, Johnson & Johnson and Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.
PeerView Kidney & Genitourinary Diseases CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/WDH865. CME/MOC/AAPA/IPCE credit will be available until August 16, 2027.Directing Better Outcomes in Prostate Cancer: Urologist Leadership in Personalizing Treatment Innovation and Delivering Patient-Centered Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca, Blue Earth Diagnostics, Johnson & Johnson and Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/WDH865. CME/MOC/AAPA/IPCE credit will be available until August 16, 2027.Directing Better Outcomes in Prostate Cancer: Urologist Leadership in Personalizing Treatment Innovation and Delivering Patient-Centered Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca, Blue Earth Diagnostics, Johnson & Johnson and Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.
PeerView Kidney & Genitourinary Diseases CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/WDH865. CME/MOC/AAPA/IPCE credit will be available until August 16, 2027.Directing Better Outcomes in Prostate Cancer: Urologist Leadership in Personalizing Treatment Innovation and Delivering Patient-Centered Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca, Blue Earth Diagnostics, Johnson & Johnson and Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/WDH865. CME/MOC/AAPA/IPCE credit will be available until August 16, 2027.Directing Better Outcomes in Prostate Cancer: Urologist Leadership in Personalizing Treatment Innovation and Delivering Patient-Centered Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca, Blue Earth Diagnostics, Johnson & Johnson and Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.
In this episode, Dr. C. Joe Northup, MD, FACS, FASMBS, Bariatric Surgeon & 40th President of the American Society for Metabolic and Bariatric Surgery (ASMBS), discusses the impact of GLP-1 medications on bariatric surgery, the durability and safety of surgical treatment, and expanding access to obesity care. He also shares leadership lessons, the future of metabolic care, and why obesity should be treated as a disease rather than a character flaw.
In this episode, Dr. April Jasper sits down with John C. Li, MD, FACS, a board-certified otolaryngologist and neurotologist, U.S. Air Force Flight Surgeon, and pilot, for an insightful conversation about hearing and the sounds we encounter every day.Dr. Li shares his journey through medicine and aviation, his experience around fighter aircraft and military flight simulation, and how his work led to a deeper focus on noise-induced and hidden hearing loss.The conversation explores an important question: How loud is too loud? Dr. Li explains why both sound level and duration of exposure matter, how seemingly ordinary environments can put our hearing at risk, and why hearing protection should begin long before noticeable hearing loss occurs.He also shares a personal experience that helped shape his passion for hearing health and discusses the mission behind EarAware and the EarAware Sound Exposure app, designed to help people better understand and monitor the sound around them.Download EarAware Sound Exposure: https://apps.apple.com/us/app/earaware-sound-exposure/id6756061359Learn more about EarAware: https://www.earaware.com
This mini-series on Behind the Knife will delve into the technical aspects of the Operative Standards for Cancer Surgery, developed through the American College of Surgeons Cancer Research Program. This third episode highlights the Hepato-Pancreato-Biliary cancer operative standard.Hosts:Eliza W. Beal, MD, FACS (X: @ElizaWBealMD) is a Hepato-Pancreato-Biliary surgeon at the Barbara Ann Karmanos Cancer Institute in Detroit. She is also an associate professor of Oncology and Surgery at Wayne State University School of Medicine.Morgan Jackson, MD is a general surgery resident at the Detroit Medical Center and Wayne State University in Detroit, MI.Daniel Nelson, MD, FACS, FSSO (X: @DWNelsonHPB) is a Hepato-Pancreato-Biliary surgeon at the University of Tennessee Health Science Center - Chattanooga.Hop Sanderson Tran Cao, MD, FACS (X: @HopSTranCao) is a Hepato-Pancreato-Biliary surgeon at MD Anderson Cancer Center. Guest:Alice Wei, MD is a Hepato-Pancreato-Biliary surgeon at Memorial Sloan Kettering and associate professor of surgery at Weill Cornell School of Medicine. Dr. Wei contributed to the development of the operative standards for HPB surgery. Learning Objectives: The goals of this podcast are to provide education about the standards, generate discussion, and offer technical pearls to both oncologic specialists and general surgeons, to all of whom these standards apply. In this podcast we discuss the operative standards for liver resection for hepatocellular carcinoma, which includes that the surgeon should: (1) perform a thorough inspection of the liver and abdomen, either laparoscopically or open, including performing liver ultrasound, and (2) should resect all lesions to macroscopically negative margins, preferably with an anatomic resection. Our guest Dr. Wei also provides technical tips, pearls for improving skills performing and interpreting liver ultrasound, and discusses the role of lymphadenectomy in patients with hepatocellular carcinoma. References: Operative Standards for Cancer Surgery, Volume 3: Sarcoma, Adrenal, Neuroendocrine, Peritoneal, Urothelial, Hepatobiliary https://www.facs.org/quality-programs/cancer-programs/cancer-surgery-standards-program/operative-standards-for-cancer-surgery/purchase/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
In this episode, host Rick Greene, MD, FACS, talks with Eren Berber, MD, MBA, FACS, a professor of surgery and director of robotic endocrine surgery at the Cleveland Clinic in Ohio, about a recent article in the Annals of Surgical Oncology, Laparoscopic Versus Robotic Adrenalectomy: A Randomized Clinical Trial. Dr. Berber and colleagues compared laparoscopic and robotic adrenalectomy for perioperative outcomes, including cost, as well as ergonomics and conversion from the original surgical plan. Talk about the podcast on social media using the hashtag #SurgicalReadings
What happens when decades of medical knowledge meet a personal mission to rethink wellness?Dr. Robert Beltran, MD, PharmD, FACS, joins I Am Refocused Radio to explore the intersection of modern medicine, natural ingredients, cognitive health, vitality, and healthy aging.With doctorate degrees in both pharmacy and medicine from the University of California, San Francisco, and board certification in Otolaryngology-Head and Neck Surgery and Facial Plastic and Reconstructive Surgery, Dr. Beltran brings a unique perspective to the wellness conversation.He also shares the journey behind Recomnd, the wellness brand he founded after years of research and his own experiences with health and recovery.In this conversation, we discuss how Dr. Beltran approaches preventative health, the relationship between science and nature, what consumers should understand about supplements, and why maintaining mental and physical vitality becomes increasingly important as we age.This is a conversation about more than adding another supplement to the cabinet. It's about understanding the body, asking better questions about wellness, and exploring what it means to survive, revive, and thrive.https://recomnd.com/
Please visit answersincme.com/GFY860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Vishal A. Patel, MD; and Jonathan S. Zager, MD, FACS, FSSO. In this activity, experts in cutaneous oncology discuss the evolving role of gene expression profiling (GEP) tests in refining risk assessment and supporting individualized, multidisciplinary management strategies for patients with melanoma. Upon completion of this activity, participants should be better able to: Identify the clinical rationale for using GEP tests to stratify the risk of disease progression in patients with cutaneous melanoma; Review the clinical evidence, including guideline-supported data, for GEP tests to stratify disease progression risk in patients with cutaneous melanoma; Formulate multidisciplinary strategies for incorporating the results of GEP tests into risk-based management of patients with cutaneous melanoma; and Outline patient-centered approaches to integrating GEP tests into the management of patients with cutaneous melanoma at risk of metastasis.
What I Discussed With Dr Arthur Burnett...- Why the pill has never once started an erection, and what that means for the nights it did nothing- The name he would give erectile dysfunction if he could rename it tomorrow- What his lab found when they went looking for the same response in women- Why the men who most want the pill to work are the ones it helps least- What he thinks of a prescription that takes four clicks and no conversation- The sentence surgeons skip before a prostatectomy, and why he takes the blame for it- What he does when he finds his own name on a supplement bottle- What he refuses to write a prescription for, no matter who is askingChapters00:00 – Intro & Sponsor Spotlight (https://www.ohmibod.com/) 00:26 – Redefining Intimacy After 50: Welcoming Johns Hopkins Urologist Dr. Arthur Burnett 01:33 – Is Erectile Dysfunction Inevitable? Why Unreliable Erections Don't Mean the End of Your Sex Life 02:18 – The Real Science Behind Viagra: What a Pioneering Researcher Wants Men to Know 04:29 – The Hidden Danger of Quick-Fix Online Prescriptions & Skipping Root Causes 07:24 – Removing the Shame: Why Men Must Stop Suffering in Silence 08:30 – Erectile Dysfunction as an Early Warning Sign for Heart & Vascular Health 10:19 – Does Viagra Work for Women? The Truth About Female Clitoral Blood Flow 12:31 – Sponsor Spotlight (GITM Playbook) 13:10 – Why the Blue Pill Doesn't Work Without Mind-Body Synergy 16:23 – Rethinking Performance: Shifting Focus Beyond Penetrative Sex 17:06 – The Unspoken Trauma: What Doctors Often Miss in Prostate Cancer Care 19:39 – Innovations in Prostate Surgery: Preserving Nerve Function & Recovery 20:58 – Post-Surgery Rehabilitation: Do Vacuum Pumps & Therapy Devices Actually Work? 22:29 – How to Talk to Your Partner About Sexual Decline Without Losing Attraction 23:33 – Lifestyle Habits That Naturally Improve Blood Flow & Performance 24:30 – Nitric Oxide Supplements: Separating Hype from Real Medical Science 28:01 – Authentic Health: Ditching the “Marlboro Man” Myth & Taking Charge Show NotesMost men over 50 assume their erections changed because they got older. Dr Arthur Burnett has spent forty years trying to tell them otherwise, and for most of those years he has been shouting into the wind.In this episode I'm joined by Dr Arthur Burnett, a urologist at Johns Hopkins, where he has worked for more than four decades. His laboratory did the discovery work in the late 1980s that made the blue pills possible. So I opened by asking him whether he regrets what men have done with them since.Two of the men I loved died. Both of them started here, and I read it as age. One had diabetes and told me flatly that the pill wasn't working, and I believed him. Dr Burnett listened to that story and told me what had been going on inside that man's body while I was busy blaming the wrong thing entirely.He is just as blunt about his own profession. He has watched surgeons treat the cancer and skip the man, and he does not exempt himself from it.There is no shame in this conversation and no bravado either. If your erections have changed and you have been waiting quietly for them to sort themselves out, this is the episode that tells you what you are actually waiting on.Listen, learn and enjoy.Key Takeaways- The oral medications release the brakes on an erection. They cannot start one. Arousal has to be driven from the brain and the body first, which is why a man can take the pill, feel nothing, and wrongly conclude he is finished.- Dr Burnett would call it penile vascular dysfunction. An erection runs on blood vessels, nerves and hormones, the same system that runs the heart, and it usually falters before anything else does.- His lab found the same nitric oxide response in clitoral tissue. The mechanics are close to identical, but female arousal involves hormones and other factors, so one pill was never going to be the answer.- Diabetes damages nerve and blood vessel tissue and behaves in the body almost like premature ageing. These men need more stimulus to drive the response, and the drugs work measurably less well for them.- The online questionnaire skips the health workup. Erectile dysfunction should send a man for a full check, and Dr Burnett calls home delivery without a clinician an unfortunate development in his field.- Nerve sparing surgery lifted recovery rates above zero. Surgeons now map the nerve pathways during the operation, man by man, though the results are still not where he wants them.- He has little faith in nitric oxide supplements and has found his own name on products he knew nothing about. His position comes from society guidelines rather than his own opinion.- Sleep, weight, smoking, movement, stress, cardiovascular health, checkups. He will not be asked for a miracle by a man smoking three packs a day, and says this layer comesAbout the GuestArthur L. “Bud” Burnett II, MD, MBA, FACS, is a globally recognized Johns Hopkins urologist, researcher, Viagra Pioneer, and educator whose pioneering work in men's health and erectile function has transformed care worldwide.About SuzanneSuzanne Noble is a sex and relationship expert, author, and host of the Sex Advice for Seniors podcast, one of the top-rated shows empowering people 50+ to embrace confident, joyful intimacy. Known for her candid, warm, and often humorous approach, Suzanne challenges age-related taboos, misinformation, and awkward conversations about sex after 50. She helps millions around the world navigate their sexual lives with pleasure, connection, and self-assurance. Because life is too short for bad sex... or silence about it.Connect With SuzanneInstagram: https://www.instagram.com/sexadviceforseniorsFacebook: https://www.facebook.com/sexadviceforseniorsTikTok: https://www.tiktok.com/@sexadviceforseniorsSubstack: https://www.sexadviceforseniors.comConnect with Dr Arthur BurnettWebsite https://drarthurburnett.com/Instagram https://www.instagram.com/dr.arthurburnett/YouTube https://www.youtube.com/@DrArthurBurnettFacebook https://www.facebook.com/DrArthurLBurnett/Want More?Visit the Website: https://sexadviceforseniors.com — includes FREE guides and resources for better sex at any age.Free Downloadable Guide: 10 Most Overlooked Secrets to Better Sex PDF: https://subscribepage.io/suzannenoblefreebieSign Up for My FREE Newsletter: https://sexadviceforseniors.comOvercome Erectile Dysfunction & Stay Firm: https://www.stayfirmprogram.comCheck Out My Storefront for Better Sex: https://zaap.bio/stayfirmInterested in 1:1 Coaching or Custom Sex Advice for Seniors Sessions? https://tidycal.com/suzannenoble/30-minute-mentoringRelated EpisodesThe Hidden Habits Destroying Men's Erections | ft. Tom Jenkins https://www.sexadviceforseniors.com/p/the-real-cause-of-erectile-dysfunctionWhy Sex Changes After 50 and What Nobody Tells You | ft. Dr. Jenn Kennedy https://www.sexadviceforseniors.com/p/why-sex-changes-after-50-and-what This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sexadviceforseniors.com/subscribe
Listen as John F. Doane, MD, FACS; Sonny Goel, MD; and Robert T. Lin, MD, discuss the evidence-based keratorefractive lenticule extraction (KLEx) guidelines and how they align with real-world SMILE (Carl Zeiss Meditec) practice. At each step, the panel shares practical pearls to sharpen clinical judgment, refine surgical technique, and optimize SMILE outcomes.
Please visit answersincme.com/GFY860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Vishal A. Patel, MD; and Jonathan S. Zager, MD, FACS, FSSO. In this activity, experts in cutaneous oncology discuss the evolving role of gene expression profiling (GEP) tests in refining risk assessment and supporting individualized, multidisciplinary management strategies for patients with melanoma. Upon completion of this activity, participants should be better able to: Identify the clinical rationale for using GEP tests to stratify the risk of disease progression in patients with cutaneous melanoma; Review the clinical evidence, including guideline-supported data, for GEP tests to stratify disease progression risk in patients with cutaneous melanoma; Formulate multidisciplinary strategies for incorporating the results of GEP tests into risk-based management of patients with cutaneous melanoma; and Outline patient-centered approaches to integrating GEP tests into the management of patients with cutaneous melanoma at risk of metastasis.
Have you experienced False Hope Syndrome? Without telling you exactly what that is, I'm going to let you know chances are good that you have. I have certainly done so in more than one area of my life! False Hope Syndrome runs rampant in relation to weight loss. Listen in, learn exactly what it is and how to keep yourself safe from falling into the disappointment associated with False Hope Syndrome as you move forward in losing and maintaining weight loss.The Weight Loss Winformation Podcast gives you essential psychological information to help you lose weight and more importantly, to help keep you at a healthy weight for your body! No matter how you are working to lose weight and no matter how much weight you want to lose, Weight Loss Winformation will keep you moving in a positive direction. Let's get started because well… Why Weight? (get it? Pun intended… )?Resources:· BariAfterare: www.bariaftercare.com· Connie Stapleton PhD website: www.conniestapletonphd.com· BariAftercare website: https://www.conniestapletonphd.com/bariaftercare· BariAftercare Facebook page (for members only): https://www.facebook.com/groups/BariAftercare· Kevin Stephens: Your Bariatric Buddy https://www.facebook.com/groups/yourbariatricbuddy/people· Instagram: @ (Caleshia Haynes)· Instagram: @therealbariboss (Tabitha Johnson)· Instagram @drsusanmitchell (Dr. Susan Mitchell)· Instagram: @lauraleepreston (Laura Preston)· ProCare Vitamins (10% off with code ConnieStapleton)· Rob DiMedio: https://www.busybariatrics.com/· Dr. Joan Brugman: drjbrugman@outlook.com· Dr. Nestor de la Cruz-Munoz on Linked In: https://www.linkedin.com/in/drdelacruzmunoz/From: How Much Weight Will You Lose After Bariatric Surgery? Nestor de la Cruz-Munoz MD, FACS, DABOMJuly 12, 2026 The Evidence Is Clear — And It's Not What Most Patients Expecto The AACE/TOS/ASMBS guidelines are explicit: Very few preoperative factors are sufficiently predictive to give a precise individual weight loss number.This means the honest answer is not a number — it's a range.The Real Weight Loss Ranges by ProcedureThe most reliable metric is total weight loss percentage (TWL) — not excess weight loss.Sleeve Gastrectomy (SG)· 23–25% TWL at 1 year· 17–19% TWL at 5 years· PCORnet (65,000+ patients): 18.8% TWL at 5 yearsRoux‑en‑Y Gastric Bypass (RYGB)· 28–31% TWL at 1 year· 21–26% TWL at 5 years· 20–27% TWL at 10 years· PCORnet: 25.5% TWL at 5 years· SM‑BOSS RCT: 27.5% TWL at 10 yearsOne‑Anastomosis Gastric Bypass (OAGB)· Highest early TWL· Emerging evidence suggests greater long‑term durability than SG and RYGB· Randomized TrialsBy‑Band‑Sleeve RCT (3‑year outcomes):· RYGB: 26.8% TWL· Sleeve: 19.4% TWL· Band: 14.0% TWLWeight regain after cessation of medication for weight management: systematic review and meta-analysiso West S, Scragg J, Aveyard P, Oke JL, Willis L, Haffner SJP, Knight H, Wang D, Morrow S, Heath L, Jebb SA, Koutoukidis DA. Weight regain after cessation of medication for weight management: systematic review and meta-analysis. BMJ. 2026 Jan 7;392:e085304. doi: 10.1136/bmj-2025-085304. PMID: 41500720; PMCID: PMC12776922.o https://pubmed.ncbi.nlm.nih.gov/41500720/· The primary anti-obesity medications (AOMs) highlighted in this high-level study are newer incretin mimetics, specifically:o Semaglutide (a GLP-1 receptor agonist)o Tirzepatide (a GIP/GLP-1 receptor co-agonist)The Rebound Effect: High-Level EvidenceThis January 2026 systematic review and meta-analysis published in The BMJ synthesized data from 37 studies involving 9,341 participants, providing robust, high-level clinical evidence on what happens after stopping these medications:· Rapid Return to Baseline: On average, patients return to their baseline weight within 1.7 years after stopping any weight management medication.· Accelerated Regain for GLP-1/GIP Drugs: For those stopping semaglutide or tirzepatide, the rebound is even faster—returning to baseline weight in just 1.5 years.· Faster than Behavioral Programs: The rate of weight regain after medication cessation is significantly faster than the regain observed after finishing behavioral weight management programs.· Reversal of Health Benefits: Stopping these therapies also rapidly reverses their positive, beneficial effects on cardiometabolic markers.· These findings emphasize that using these medications short-term without a more comprehensive, long-term approach to weight management leads to a rapid reversal of both weight loss and cardiometabolic improvements, and this is the real benefit we can offer to our patients: a long-term plan that can and should be updated on the course of their chronic disease and its natural course. Nothing in obesity treatment should be absolutely static.· How to overcome past dieting failures. By Kristen A. Carter MSo https://www.psychologytoday.com/us/blog/health-and-human-nature/202103/false-hope-syndrome-reveals-big-problem-dieting· Getting Real: Warning Signs of False Hope Syndrome. by Dan J. Tomasulo PhD., TEP, MFA, MAPPo https://www.psychologytoday.com/us/blog/the-healing-crowd/202209/getting-real-warning-signs-of-false-hope-syndrome· Expected Weight Loss From Gastric Bypass – Calculatoro https://www.obesitycoverage.com/weight-loss-surgeries/gastric-bypass/how-much-can-i-expect-to-lose· Expected Weight Loss (after Sleeve)o https://www.obesitycoverage.com/gastric-sleeve-reference-manual/
I'm delighted to connect with Dr. Lanna Cheuck today. She's a board-certified urologic surgeon who transitioned from academic medicine into a distinctive career in medical esthetics. In today's conversation, Dr. Lanna shares her inspiring origin story, and we explore the influence of sexual health and genitourinary syndrome of menopause, common symptoms women experience, and why so few women receive treatment despite how common the condition is. Dr. Lanna explains non-surgical treatment options that improve blood flow, increase orgasms, and improve pelvic floor health, and discusses the influence of senescent cells, the celebrity non-surgical facelift, and how GLP-1 medications influence facial aging. She also shares interesting insights on Korean skincare benefits versus a concierge U.S.-based system, clarifies what biostimulators are and how they stimulate collagen production over time, and explains the influence of PDGF growth factors, cadaver fat transfers, energy devices, and estrogen used on our faces. Stay tuned for a fascinating conversation filled with practical insights into women's health, medical esthetics, and healthy aging. IN THIS EPISODE, YOU WILL LEARN: How the continuum of symptoms associated with genitourinary syndrome of menopause is often dismissed as something women simply have to live with The value of vaginal estrogen, and how many women are still denied that treatment due to outdated concerns following the WHI study Non-surgical procedures that can improve blood flow, collagen, elastin, lubrication, sensitivity, orgasms, and pelvic floor health, and why Dr. Lanna considers them regenerative sexual health rather than cosmetic procedures Why it's essential to seek practitioners with extensive training for intimate procedures Dr. Lanna's celebrity non-surgical facelift combines multiple approaches to address every layer of facial aging. How rapid weight loss associated with GLP-1 medications can accelerate facial aging The advantages and limitations of Korean esthetics, and how it differs from a concierge U.S.-based approach What biostimulators are, and how they stimulate collagen production Why Dr. Lanna introduces energy-based devices according to skin quality rather than age alone Dr. Lanna shares her perspective on using topical estriol or estradiol for facial skin Bio: Dr. Lanna Cheuck, DO, FACS, is the CEO, Founder, and Medical Director of LC Medical PLLC with multiple locations and her flagship in the heart of midtown Manhattan. She is a board-certified, Ivy League-trained surgeon and self-taught businesswoman who built her brand into multi-million dollar companies in less than five years. She is the CEO and Founder of FACE Med-Spa Training, where she has over 30K injectors in her community. She is also the CEO and Co-Founder of FACE Med Store, a seven-figure online shop specializing in the distribution of medical supplies, equipment, and skincare. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Lanna Cheuck On her website Instagram
Daniel S. Eiferman, MD, MBA, FACS, Professor of Surgery at The Ohio State University in Columbus, joins us to discuss his new book, “Cut Open: A Surgeon's Stories of Loss, Resilience, and Growth,” and to explore some of the most important leadership skills in medicine you won't learn in formal training, this week on the Faculty Factory Podcast. Learn about the book: https://www.amazon.com/Cut-Open-Surgeons-Stories-Resilience-ebook/dp/B0GGZFD4HT Dr. Eiferman shares the leadership skills medical training often leaves out: How to lead a team Navigating difficult conversations Building trust with patients and colleagues
Curious about the future of longevity? We're curious too. This week, we're joined by Dr. Kay Durairaj as she dives into skin longevity and regenerative medicine. Listen in as she discusses the benefits of peptides, how to look for aging factors, and where longevity medicine might be going. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com. Kay Durairaj, MD, FACS is a board-certified facial plastic surgeon and head and neck surgeon based in Pasadena, California, where she founded Beauty by Dr. Kay. Her practice focuses on facial rejuvenation, injectables, and biostimulatory treatments, with an emphasis on aesthetic approaches that support healthy aging and skin longevity. She is also an educator and hosts Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon, a podcast where she shares evidence-informed insights on beauty, wellness, and aesthetic care with both patients and providers.
Download Chapter 1 of Breast Implants, Explant Surgery, and Breast Implant Illness — FREE → https://robert-whitfield-md-pllc.myklpages.com/l/ScrLbh —————————————————————————— Episode 180: Dr. Whitfield is joined by Jane Hogan, The Wellness Engineer, for a conversation on why mindset is inseparable from physical healing. They dig into the mind-body-nervous system connection, why self-criticism works against recovery, and a real patient story showing how unresolved emotional history can surface during surgical recovery. ——————————————————————————
In this episode, live from SightLine 2026, Jim Mazzo and John A. Hovanesian, MD, FACS, sit down with Ben Bergo and Carol Kearney of Tenpoint Therapeutics. They discuss the approval of Yuvezzi (carbachol 2.75% and brimonidine tartrate 0.1% ophthalmic solution) for presbyopia as well as what it takes to launch a new product in a competitive market. · The beginning of Yuvezzi. 2:11 · How do you differentiate yourself from other products in the market? 7:34 · The fear of retinal detachment. 10:55 · Advice for young entrepreneurs. 13:31 · The decision to use brimonidine tartrate. 16:37 We'd love to hear from you! Send your comments/questions to eyeluminaries@healio.com. Follow John A. Hovanesian, MD, FACS, @DrHovanesian on Instagram and X and John Hovanesian on LinkedIn.
NO EPISÓDIO 644, TEREMOS A PRESENÇA DO RUBÃOQUER FAZER PARTE DISSO? ENTÃO BOOORAAA. VEM COM A GENTE E INTERAJA NESSA TRANSMISSÃO AO VIVO!!!VIIIIIIIIBRA!!! INSCREVA-SE EM @falaglaubernews CONHEÇA MAIS DOS NOSSOS PATROCINADORES:
In this episode of the Behind the Knife Global Surgery Series, we take a closer look at the real-world complexity of global surgery partnerships between high-income institutions and partners in the Global South. Words like equity, bidirectionality, partnership, and decolonization are used often in global surgery—but what do they actually mean when funding, mobility, research access, publication opportunities, and institutional power are unequally distributed?Host Mike Mallah is joined by Dr. Hugo Stark from George Hospital in South Africa and Dr. Sydney Bertram from Emory for a candid discussion about the benefits and tensions of collaborations in an unequal world. Together, they explore how global surgery partnerships can create meaningful educational and clinical value, how good intentions can still reproduce unequal systems, and how surgeons can build partnerships that are locally useful, honest about power, and ultimately centered on better surgical care for patients.Hosts/Guests:- Mike M. Mallah, MD, FACS, FICSDirector of Global Surgery at Medical University of South Carolina@MikeMMallahMD@MUSCGlobalSurgmallahm@musc.edu- Hugo Stark, MDHead of Department - Surgery, George Hospital, Western Cape, South AfricaHead of Surgical Services, Central Karoo RegionSydney Bertram, MDGeneral Surgery Resident, Emory UniversityTrainee Advisory Council, Consortium of Universities for Global Health@Sydney_Bertram Learning objectives:• Describe how global surgery partnerships can provide educational, clinical, professional, and research value for both high-income and Global South partners.• Identify how asymmetries in funding, mobility, publication access, and institutional agenda-setting can create inequity within otherwise well-intentioned global surgery partnerships.• Discuss practical principles for ethical global surgery engagement, including centering local needs, avoiding extraction, building durable partnerships, and focusing on patient access to surgical decision-making.Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Episode 179: Dr. Robert Whitfield — Why Some Women Still Don't Feel Better After Explant Description (same for all three platforms) Download Chapter 1 of Breast Implants, Explant Surgery, and Breast Implant Illness — FREE → https://robert-whitfield-md-pllc.myklpages.com/l/ScrLbh —————————————————————————— In Episode 179, Dr. Robert Whitfield explains why some women still don't feel like themselves months or years after explant — and walks through the genetic, inflammatory, hormonal, and nutritional factors that are rarely evaluated before or after surgery. He's joined by SHARP detox lead Chelsea for a live Q&A covering lab testing, drainage pathways, and what a structured recovery plan actually looks like, regardless of how long it's been since surgery. ——————————————————————————
Please visit answersincme.com/860/MED-ONC-03814-replay to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Neil D. Gross, MD, FACS; Nikhil I. Khushalani, MD; and Emily S. Ruiz, MD, MPH. In this activity, leading skin cancer experts guide an interactive, multidisciplinary case-based discussion on optimizing (neo)adjuvant immunotherapy for high-risk, resectable cutaneous squamous cell carcinoma (CSCC). Upon completion of this activity, participants should be better able to: Apply the latest clinical trial data and guideline recommendations to treatment planning for patients with high-risk, resectable CSCC; Recognize when to incorporate systemic neoadjuvant and adjuvant immunotherapy in patients with CSCC based on clinical and pathological features; and Propose strategies to optimize care for patients with high-risk CSCC through the evidence-based use of neoadjuvant and adjuvant immunotherapy within multidisciplinary care plans.
ESPN, AP, USA Today, NFL Neurosurgeon, Ironman TriathleteIt is not everyday that I get to speak to a renowned neurosurgeon for the NFL. Yes! The National Football League. In addition, long time team neurosurgeon for the Pittsburgh SteelersMarch 4, 2022 The NFL Physicians Society (NFLPS) awarded the Arthur C. Rettig Award for Academic Excellence to Joseph C. Maroon, MD. Dr. Maroon is a neurosurgeon for the Pittsburgh Steelers for 38 years and recently presented at the NFLPS scientific meeting during the 2022 NFL Scouting Combine. Dr. Maroon is the first Neurosurgeon to receive this award.Joseph C. Maroon, M.D., FACS, is Professor and Vice chairman of the Department of Neurological Surgery and Heindl Scholar in Neuroscience at the University of Pittsburgh Medical Center. He is a world-renowned neurosurgeon, health and nutrition expert and Ironman triathlete. He obtained his medical and neurosurgical training at Indiana University, Georgetown University, Oxford University in England and the University of Vermont. He is regarded as a premiere specialist in the surgical treatment of injuries and diseases of the brain and spine, particularly with microscopic and minimally invasive procedures. He had done extensive research into brain tumors, concussions and diseases of the spine that have led to many innovative techniques for diagnosing and treating these disorders. Consistently listed in America's Best Doctors, he has an international referral baseTeam neurosurgeon for the Pittsburgh Steelers since 1981, Dr. Maroon has successfully performed surgery on numerous professional football players and other elite athletes with potentially career-ending neck and spine injuries, safely returning them all to their high level of athletic performance. He serves on the National Football League's Mild Traumatic Brain Injury Committee. Along with Mark Lovell, Ph.D., in the early 1990's, Dr. Maroon co-developed ImPACT™ (Immediate Post-Concussion Assessment and Cognitive Testing), the first, most-widely used and most scientifically validated computerized concussion evaluation system. ImPACT is a 20-minute test that has become a world-wide standard tool used in comprehensive clinical management of sports-related concussions for athletes of all ages. Over 3 million athletes have been base-lined with ImPACT™.Dr. Maroon is frequently quoted as an expert source by national media, recently including the New York Times, USA Today, Associated Press, ESPN, Sports Illustrated.© 2026 Building Abundant Success!!2026 All Rights Reserved Join Me on ~ iHeart Radio @ https://tinyurl.com/iHeartBASSpot Me on Spotify: https://tinyurl.com/yxuy23baAmazon ~ https://tinyurl.com/AmzBASAudacy: https://tinyurl.com/BASAud
Welcome to the SAGES Stories Podcast! In episode 37, hosts Kevin El-Hayek and Jenny Shao sit down with Darth Tigeris Dr. Edward Auyang, Sith Lord and Tiger Dad Professor of Surgery at the University of New Mexico, for a wide-ranging conversation about his unconventional path from biomedical engineering and computer science to minimally invasive surgery. Like, SERIOUSLY unconventional. Dr. Auyang discusses surgical ergonomics, practical ways to reduce physical and cognitive fatigue in the operating room, his approach to resident autonomy and surgical education, and lessons from his visiting professorship in Japan. He also shares his enthusiasm for Star Wars, music, whiskey, anime, and the professional community he has found through SAGES. Show notes: SAGES Stories Episode 17 – Nat Soper SAGES Ergonomics Task Force Videos SAGES Train the Trainers Course Information
Download Chapter 1 of Breast Implants, Explant Surgery, and Breast Implant Illness — FREE → https://robert-whitfield-md-pllc.myklpages.com/l/ScrLbh —————————————————————————— In Episode 178, Dr. Robert Whitfield explains why two patients with identical fat transfer procedures can have completely different results — and why the answer has less to do with the surgery itself and more to do with the body's condition going into it. He breaks down the role of inflammation, metabolic health, and genetics in graft survival, and is joined by patient Jessica Brassington, who shares her own explant and fat transfer recovery experience within the SHARP Method™ framework. ——————————————————————————
In this episode, Lillian Erdahl, MD, FACS, is joined by Morgan Pettigrew, MD, from UT Southwestern. They discuss Dr Pettigrew's recent article, “Artificial Intelligence Simplification of English and Spanish Surgical Consent Forms: 1-Size Does Not Fit All,” which found that while ChatGPT-4.0 improved the readability of English surgical consent forms, it did not improve readability of Spanish forms. To address this disparity, the authors developed a custom-trained GPT that improved readability of English and Spanish consent forms. Disclosure Information: All relevant conflicts have been mitigated and Drs Erdahl and Pettigrew, moderators, have no relevant financial conflicts to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Pettigrew, Morgan F MD; Nunez-Rocha, Ricardo E MD; Govindu, Sai R BS; Castillo, Samy MD; Heslin, Ryan T MD; Bain, Andrew P MD; Abreu, Andres A MD; Fatimah, Nafeesah MD; Polanco, Patricio M MD, FACS; Wang, Sam C MD, FACS. Artificial Intelligence Simplification of English and Spanish Surgical Consent Forms: 1-Size Does Not Fit All. Journal of the American College of Surgeons 243(1):p 202-214, July 2026. | DOI: 10.1097/XCS.0000000000001890 Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord
Please visit answersincme.com/860/101834101-replay to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Simpa S. Salami, MD, MPH; and Neal D. Shore, MD, FACS. In this activity, experts in prostate cancer discuss new evidence for individualized, evidence-based treatment strategies in metastatic hormone-sensitive disease. Upon completion of this activity, participants should be better able to: Evaluate the clinical implications of the most recent data informing the standard of care treatment options for mHSPC; Integrate patient-, disease-, and therapy-related factors to develop individualized, evidence-based treatment strategies for mHSPC; and Design patient-centered care approaches that balance the benefit and risk of treatment to optimize outcomes in mHSPC.
Every spring for over 50 years, the Trauma, Critical Care, and Acute Care Surgery conference, best known simply as the MATTOX conference, is held in Las Vegas (https://www.trauma-criticalcare.com/). The conference is unique in that it is entirely focused on practice-changing clinical education. It's a damn good time too! A favorite feature is the annual debates. Today, we are featuring a showdown between Drs. Bryan A. Cotton, MD, MPH and Marty A. Schreiber, MD, FACS, FCCM, FCRST (Hon), COL, MC, USAR as they debate REBOA as a Life-Saving Intervention in Hemorrhagic Shock. You can listen on the podcast or watch the debate with accompanying slides on our website or app. Let's get ready to RUMMMBLLLEEEE! TRAUMA SURGERY VIDEO ATLAS: https://behindtheknife.org/premium/trauma-surgery-video-atlasPreparing for the deadliest injuries is challenging, and currently available resources are limited. That is why we created the Behind the Knife Trauma Surgery Video Atlas. Be ready for the most complex injuries, like penetrating trauma to the neck, audible bleeding from the IVC, and pelvic hemorrhage, with 24 scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
In today's episode, we spoke with Neil D. Gross, MD, FACS. Dr Gross is the medical director of Perioperative Surgical Services, section chief of Oropharynx Cancer, Surgery, and professor of head and neck surgery at The University of Texas MD Anderson Cancer Center in Houston. In our exclusive interview, Dr Gross discussed the key biological and clinical distinctions between cutaneous squamous cell carcinoma (CSCC) and basal cell carcinoma (BCC), noting that although BCC is more indolent and less responsive to systemic therapies, including immunotherapy, CSCC carries a meaningful risk of nodal and distant metastases and has demonstrated robust responses to anti–PD-1 therapy, with approximately half of patients achieving a significant response.He emphasized the importance of early multidisciplinary evaluation, with resectability serving as a critical first branch point in treatment planning. For patients with unresectable or metastatic CSCC, anti–PD-1 therapy is now the established standard of care. For borderline resectable patients, such as those at risk for significant functional loss from surgery, upfront systemic therapy offers the potential to preserve function and achieve cure. For resectable, high-risk patients, Gross highlighted the role of adjuvant cemiplimab-rwlc (Libtayo) following surgery and radiation, based on data from the phase 3 C-POST trial (NCT03969004).The discussion also addressed toxicity considerations in elderly and immunocompromised patients, populations Gross described as particularly high risk and underserved. He noted that although anti–PD-1 therapies are generally well tolerated, serious toxicities remain possible, underscoring the importance of careful patient monitoring in both adjuvant and investigational neoadjuvant settings.Finally, Gross highlighted the actively accruing phase 3 NRG-HN014 trial (NCT06568172), a National Cancer Institute–sponsored cooperative group study open across the United States, Canada, and Australia, which is evaluating a neoadjuvant approach vs upfront surgery in patients with advanced resectable CSCC. He also noted that more mature data from C-POST, as well as long-term phase 2 neoadjuvant findings, are anticipated later this year. [CS1]https://faculty.mdanderson.org/profiles/neil_gross.html
Every spring for over 50 years, the Trauma, Critical Care, and Acute Care Surgery conference, best known simply as the MATTOX conference, is held in Las Vegas (https://www.trauma-criticalcare.com/). The conference is unique in that it is entirely focused on practice-changing clinical education. It's a damn good time too! A favorite feature is the annual debates. Today, we are featuring a showdown between Drs. Carlos V.R. Brown, MD, FACS and Katie W. Russell, MD as they debate WHETHER OR NOT PEDIATRIC PANCREATIC INJURIES CAN BE MANAGED NON-OPERATIVELY. You can listen on the podcast or watch the debate with accompanying slides on our website or app. Let's get ready to RUMMMBLLLEEEE! TRAUMA SURGERY VIDEO ATLAS: https://behindtheknife.org/premium/trauma-surgery-video-atlasPreparing for the deadliest injuries is challenging, and currently available resources are limited. That is why we created the Behind the Knife Trauma Surgery Video Atlas. Be ready for the most complex injuries, like penetrating trauma to the neck, audible bleeding from the IVC, and pelvic hemorrhage, with 24 scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Download Chapter 1 of Breast Implants, Explant Surgery, and Breast Implant Illness — FREE → https://robert-whitfield-md-pllc.myklpages.com/l/ScrLbh In this episode, board-certified plastic surgeon Dr. Robert Whitfield joins the show to walk through his path from oncologic microsurgical reconstruction to a practice focused on implant removal (explant) surgery and holistic surgical recovery. Dr. Whitfield discusses his team's published research analyzing capsule tissue from hundreds of patients using PCR testing, and what that data shows about bacterial contamination rates compared to smaller prior studies. He explains how genetic variation in detox pathways — including methylation and glucuronidation — may influence how patients respond to surgical devices, and how his team uses this information as part of pre-surgical planning.
In this vodcast episode we explore what sets the UAMS ENT Head and Neck Program apart and why that matters for patients across Arkansas. Dr. Gresham Richter, MD, FACS, FAAP, chair of the UAMS Department of Otolaryngology-Head and Neck Surgery, describes the program's patient-centered approach and statewide outreach.Hear how multidisciplinary care, pediatric ENT collaboration with Arkansas Children's Hospital, access to head and neck surgery specialists, and advanced treatments like robotic-assisted surgery and cochlear implants improve outcomes for hearing loss, voice disorders, sinus surgery patients, and cancer care. Keywords: ENT care, otolaryngology, pediatric ENT, head and neck surgery, cochlear implant, sinus surgery.Learn more and find clinic locations
What if the pills in your medicine cabinet are the problem, not the fix? Dr. Robert Beltran was a triple board-certified surgeon and pharmacist for 30 years. Then a 2014 accident left him dependent on OxyContin. A five-herb blend from an Asian market cleared his brain fog in three weeks and got him off opioids, launching a decade of formulating plant-based supplements at recomnd Nutrition. Meet our guest Dr. Robert Beltran (MD, PharmD, FACS) is a retired ENT and cosmetic surgeon and the CEO and Chief Formulator of recomnd Nutrition. At 73, he blends a pharmacist's rigor with a decade of clinical work on herbal formulas for cognition, stress, and sexual wellness. Thank you to our partners Outliyr Biohacker's Peak Performance Shop: get exclusive discounts on cutting-edge health, wellness, & performance gear Ultimate Health Optimization Deals: a database of of all the current best biohacking deals on technology, supplements, systems and more Latest Summits, Conferences, Masterclasses, and Health Optimization Events: join me at the top events around the world FREE Outliyr Nootropics Mini-Course: gain mental clarity, energy, motivation, and focus Key takeaways A 2024 DNA barcoding study found 60% of shelf supplements don't match their label At least half of market supplements show no measurable benefit No clinical study has shown an obvious anti-aging benefit from NAD, per Beltran Herbs like tongkat ali and maca raise the body's own testosterone without replacing it 70% of men on testosterone therapy over 12-18 months develop side effects Antidepressants, sedatives, and sleep aids account for 60,000 deaths a year Fix exercise, diet, and stress before reaching for any supplement Episode highlights 01:53 The accident and the opioid trap 04:43 The five-herb blend that changed everything 07:01 What extract ratios really mean 18:31 The case against NAD 28:26 Herbs that raise testosterone naturally 30:55 The testosterone therapy risks clinics bury 49:15 The 60,000-death problem 53:26 Three desert-island ingredients 01:01:22 What to fix before any supplement Links Watch it on YouTube: Full episode show notes: https://outliyr.com/268 Connect with Nick on social media Instagram Twitter (X) YouTube LinkedIn Easy ways to support Subscribe Leave an Apple Podcast review Suggest a guest Do you have questions, thoughts, or feedback for us? Let me know in the show notes above and one of us will get back to you! Be an Outliyr, Nick
In this episode, Alex sits down with Sheila Barbarino, MD, FAAO, FAACS, FACS to talk about the fast-moving world of aesthetic medicine and what's coming next. They discuss how international travel and research are helping shape new treatment options, from emerging fillers to the next generation of neurotoxins. The conversation dives into practical medical-legal safety advice, including how small daily habits can protect both patients and practices. Finally, the episode highlights the expanding leadership of women in medical aesthetics and why that shift matters for the industry's future. 00:30 Aesthetics as a global industry 01:34 The intersection of medical safety and legal safety 05:06 How FDA regulation can create an innovation gap 16:45 Innovative new treatments and techniques for holistic treatment 23:15 The leadership role of women in aesthetics
In this episode, Morgan P. Lorio, MD, FACS, joins the podcast to discuss redefining spine care through more personalized and evidence-based treatment approaches. He explores why treatment plans can fail, shares insights from his work on transitional reliability, and explains the importance of establishing clear rules of engagement to improve communication, decision-making, and patient outcomes.
In this episode, Morgan P. Lorio, MD, FACS, joins the podcast to discuss redefining spine care through more personalized and evidence-based treatment approaches. He explores why treatment plans can fail, shares insights from his work on transitional reliability, and explains the importance of establishing clear rules of engagement to improve communication, decision-making, and patient outcomes.
In the last episode from this year's Live from Hawaiian Eye series, Jim Mazzo and John A. Hovanesian, MD, FACS, sit down together to discuss the podcast's annual drug name awards. · Vizz or the Mazzo "rizz." 02:37 · Qlosi gets the "cutesy" award. 04:01 · Tryptyr. 05:35 · Encelto. 06:57 We'd love to hear from you! Send your comments/questions to eyeluminaries@healio.com. Follow John A. Hovanesian, MD, FACS @DrHovanesian on Instagram and X and John Hovanesian on LinkedIn.
In this episode, Morgan P. Lorio, MD, FACS, joins the podcast to discuss redefining spine care through more personalized and evidence-based treatment approaches. He explores why treatment plans can fail, shares insights from his work on transitional reliability, and explains the importance of establishing clear rules of engagement to improve communication, decision-making, and patient outcomes.
If you've been quietly wondering whether low testosterone is the reason you've stopped wanting to touch your wife — or stopped wanting to at all — this episode is for you. You'll walk away understanding why a hormone fix alone almost never brings back the connection you've lost, and what actually has to happen first. If you're not sure where to start, take the free "Why Is My Desire Low?" quiz at mylibidodoc.com/libido-quiz — it maps both the physical and emotional roots, and it's completely free.
Download Chapter 1 of Breast Implants, Explant Surgery, and Breast Implant Illness — FREE → https://robert-whitfield-md-pllc.myklpages.com/l/ScrLbh——————————————————————————Episode 175 Dr. Robert Whitfield sits down with Dr. Kim to unpack one of the most overlooked drivers of chronic illness — mold toxicity and its impact on the cell membrane, mitochondria, and lymphatic system. Dr. Kim shares his own health crisis (a heart attack at age 33 caused by undiagnosed Bartonella and mold toxin exposure) and explains how mycotoxins like aflatoxin, ochratoxin, and gliotoxin damage cell membranes, disrupt bile flow, fuel biofilm formation, and contribute to neuroinflammation, mast cell activation, and parasitic susceptibility. The conversation dives deep into the science of cell danger response, phospholipid membrane repair, drainage pathway support, and why aggressive detox protocols can backfire without proper preparation. Dr. Whitfield connects these findings to his clinical work with breast implant illness patients, including PCR testing data showing biofilm formation on breast implants and its relationship to environmental toxin exposure. Topics covered include: How mold toxicity can mimic cardiac symptoms and trigger misdiagnosis The role of phospholipids, SPM-based fish oil, and essential fatty acids in repairing damaged cell membranes Why biofilms form and how they protect bacteria, mold, and heavy metals from the immune system The gut-liver-bile connection and enterohepatic recirculation of mycotoxins Nervous system regulation, mast cell activation, and why "safety" must come before aggressive detox Practical guidance on binders, glutathione precautions, sleep hygiene, and pre-surgical detox protocols—————————————————————————— Ready to take the next step?Book a Discovery Call → https://discovery.drrobertwhitfield.com (https://discovery.drrobertwhitfield.com/)Learn about the SHARP Method (Strategic Holistic Accelerated Recovery Program) → https://www.drrobertwhitfield.com/sharpJoin Dr. Rob's Circle (private community, 390+ members) → https://drrobscircle.com (https://drrobscircle.com/)——————————————————————————Dr. Robert Whitfield, MD, FACS is a board-certified plastic surgeon in Austin, Texas, specializing in breast implant illness (BII), explant surgery, and holistic surgical recovery. He has performed 2,000+ explant procedures and patients travel from 40+ states and 15 countries to work with him.#BreastImplantIllness #Explant #SHARPMethod #ChronicInflammation #BreastImplantRemovalPinned Comment Grab Chapter 1 of my book completely free — it covers what breast implant illness actually is, the 3 steps I use with every patient, and a real patient story. No fluff.→ https://robert-whitfield-md-pllc.myklpages.com/l/ScrLbhComment SHARP below if you want more on surgical recovery.
What are the experts saying about thyroid cancer treatment in 2025? Maybe it's time to discuss deescalation of aggressive surgical care for lower risk thyroid cancers. We can accept that less surgery may be appropriate in select cases, including more thyroid lobectomies versus total thyroidectomies, consider less invasive approaches such as percutaneous ablation techniques, and utilize more observation with active surveillance. Early assessment of treatment may allow appropriate reduction in use of radioactive iodine ablation and more relaxed routine monitoring can reduce surveillance burden to patients and providers. Hosts: - Amanda Doubleday, DO, MBA, Assistant Professor, Waukesha Surgical Specialists, ProHealth Care. Affiliated with University of Wisconsin School of Medicine and Public Health, Department of Surgery. - Simon Holoubek, DO, MPH, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery. - Alexander Chiu, MD, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery. - Rebecca S Sippel, MD, FACS, Professor and Chair of Division of Endocrine Surgery, Vice Chair of Academic Affairs and Professional Development, University of Wisconsin School of Medicine and Public Health, Department of Surgery. Learning Objectives:- Risk stratification system now includes 4 categories: low, low-intermediate, high-intermediate, and high-TSH suppression targets are simplified: below the normal range if there is structural or biochemical disease and in the normal range if disease free. - Thyroid lobectomy is recommended for tumors < 2cm cT1N0 tumors and can be considered for tumors 2-4 cm. - Micro-Papillary Thyroid Carcinoma (
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