Podcasts about george washington university school

Smart phones. Smart cars. Smart speakers. Web browsers. Social media. Artificial Intelligence.Technologies we rely on every day generate a massive amount of information about what we do, where we go, what we like, and who we are. That data can make life very convenient — your rideshare app knows where you want go before you enter an address, you only see ads for products you're already interested in buying, videos on subjects you enjoy are already auto-populated in your feed.But at what cost? What's the tradeoff?Andrew Guthrie Ferguson is a professor of law at the George Washington University School of Law and a national surveillance expert. He says that the rise of the self-surveillance state has big ramifications for Americans' personal freedoms and America's democratic values.We sit down with him to talk about how are data is being used against us and about his books, “Your Data Will Be Used Against You: Policing in the Age of Self-Surveillance.”Find more of our programs online. Listen to 1A sponsor-free by signing up for 1A+ at plus.npr.org/the1a.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Dr. Gross graduated from the University of California, Berkeley with a degree in biochemistry and molecular cell biology. He earned his Doctor of Medicine in 1992 from the George Washington University School of Medicine. He contributed to virology research during his studies. After graduating, he undertook a residency in neurological surgery at the University of California, Irvine Medical Center until 1997. He then pursued a Fellowship in Spinal Biomechanics at the University of New Mexico until 1999. Licensed in California and Nevada, Dr. Gross has SPINE practices in Orange County and Henderson, Nevada. A trained neurological surgeon, he specializes in athletic injuries and spine procedures, and offers longevity and biohacking consultations. He's certified by the American Board of Neurological Surgery and is a member of several prestigious surgical societies. Since 2020, Top Doctor recognized Dr. Gross as a leading Neurological Surgeon. He also received HealthTap's 2022 Top Doctor Award as a top Neurological Surgeon in the U.S. Dr. Gross founded ReCELLebrate, focusing on anti-aging and regenerative medicine. The mission for ReCELLebrate emphasizes offering modern biochemical treatments and considering surgery as a last resort.   https://recellnutra.com/?ref=LPK10 https://www.instagram.com/recellebrate/   

Greg Brady spoke to Chris Kayes, chair of the management department in the George Washington University School of Business about Why are coffee drinkers increasingly choosing alternatives to Starbucks? Learn more about your ad choices. Visit megaphone.fm/adchoices

Greg Brady spoke to Chris Kayes, chair of the management department in the George Washington University School of Business about Why are coffee drinkers increasingly choosing alternatives to Starbucks? Learn more about your ad choices. Visit megaphone.fm/adchoices

About this episode: Dr. Anita K. Patel emerged as a prominent online educator during the pandemic. Today, she's leveraging social media to advocate for the humane treatment of children in ICE detention. In this episode: her work to help detained children obtain much-needed medical attention and her advice for doctors on using social media to make a wider impact. Guest: Dr. Anita K. Patel is an attending physician at Children's National Medical Center and associate professor of pediatrics at George Washington University School of Medicine. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: The Children of Dilley—ProPublica Pediatricians send letter to DHS demanding release of children in ICE detention—Texas Public Radio Medical Care in Immigration Detention—Public Health On Call (October 2025) How Social Media is Changing the Way We Talk About Health—Public Health On Call (March 2026) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

If you've ever wondered whether stem cell therapy could play a role in autoimmune healing, this episode is for you. In today's conversation, we're diving into the science, hope, controversy, and real-life possibilities surrounding stem cells and autoimmune disease. Our guest breaks down what stem cells actually are, how they may support healing and inflammation reduction, and what people with autoimmune conditions should know before considering treatment. We also discuss risks, misconceptions, costs, current research, and why so many women dealing with chronic fatigue, pain, and immune dysfunction are becoming curious about regenerative medicine. Whether you're newly diagnosed, exploring holistic healing options, or simply fascinated by emerging wellness therapies, this episode will give you a balanced and thought-provoking look at one of the most talked-about topics in autoimmune health today. ✨ In this episode: What stem cells are and how they work The connection between inflammation and regenerative healing Potential benefits for autoimmune conditions Risks, limitations, and important considerations Questions to ask before pursuing treatment The future of stem cell therapy and chronic illness care

Guest: Henry Kaminski, MD Myasthenia gravis is an unpredictable condition, with symptoms and treatment responses that can vary widely from one patient to the next. Tune in to hear Dr. Henry Kaminski explain how to navigate this variability and make thoughtful, individualized treatment decisions. Dr. Kaminski is the Meta A. Neumann Professor of the Department of Neurology at The George Washington University School of Medicine and Health Sciences in Washington.

An intensive traditional foods program aimed at curbing diabetes is credited with major weight loss and health benefits for some of its participants. Native Food for Life is a collaboration between tribal health officials and the Physicians Committee on Responsible Medicine. Native America Calling had an inadvertent role in the program's inception on the Navajo Nation almost two decades ago. It has since expanded beyond the Southwest. Did pemmican bread pudding sway the judges who awarded Diné chef Justin Pioche champion of the “Indigenous Inspiration” episode of the Food Network's “Chopped” cooking competition? Pioche is busy back to work at his Fruitland, N.M.-based Pioche Food Group business, but is taking time out to reach out to his fans, both new and old, after his high-profile success. GUESTS Justin Pioche (Diné), chef and owner of Pioche Food Group and James Beard Award Best Chef finalist Jenson Yazzie (Diné), photographer Dr. Josie Howard (Cherokee), psychiatrist Dr. Neal Barnard, adjunct professor of medicine at the George Washington University School of Medicine in Washington, D.C. and president of the Physicians Committee for Responsible Medicine Break 1 Music: Ch'iya'a'n Biyiin/Native Food Song (song) Radmilla & Herman Cody (artist) Shi Kéyah (album) Break 2 Music: Heartbreaker (song) Sage Lacapa (artist) Heartbreaker (single)

In this clinically rich episode, host Dr. Ted Lain sits down with board-certified dermatologist and global skin cancer expert Dr. Todd Schlesinger — AAD Board of Directors member, Mohs surgeon, clinical assistant professor at George Washington University School of Medicine, and medical director of the Clinical Research Center of the Carolinas — for a deep dive into systemic and targeted therapies for non-melanoma skin cancer (NMSC). The doctors begin with a thorough breakdown of the hedgehog signaling pathway (PATCHED, Smoothened, GLI-1 transcription) and how mutations in this pathway drive basal cell carcinoma (BCC) growth. They compare the two FDA-approved hedgehog pathway inhibitors (HHIs) — vismodegib (Erivedge) and sonidegib (Odomzo) — covering their mechanisms of action, volume of distribution differences (16–18L vs. ~9,000L), indications for locally advanced and metastatic BCC, how to define "locally advanced," and complete vs. partial response rates. Dosing strategies are addressed in detail, including alternate-day dosing and treatment breaks backed by the MIKIE study and STEVIE safety study. For managing the most common adverse events — muscle cramps, dysgeusia, weight loss, and fatigue — Dr. Schlesinger shares his clinical protocol using L-carnitine supplementation (1,500–2,000mg liquid, started 2–4 weeks before therapy) along with calcium and CoQ10. The conversation then moves to PD-1 and PD-L1 checkpoint inhibitors for locally advanced and metastatic cutaneous squamous cell carcinoma (cSCC) and BCC, covering cemiplimab (Libtayo), pembrolizumab (Keytruda), and nivolumab (Opdivo). The hosts explain the immune checkpoint mechanism using a memorable analogy, discuss how UV exposure upregulates PD-1 on tumor cells, and explore the practical realities of dermatologists prescribing infusion-based immunotherapy — including multidisciplinary care team logistics, buy-and-bill considerations, and when to partner with oncology. The episode closes with an exciting look at the pipeline: intralesional therapies for nodular and superficial BCC from companies including Verica, iViva, PHIO, and Feldan, red light PDT for superficial BCC nearing FDA approval, and the broader question of where these drugs fit as neoadjuvant, adjuvant, or primary therapies — and what complete response benchmarks (80–95%) dermatologists should expect before adopting non-surgical primary options. To watch this and other episodes, be sure to check out our YouTube page DISCLAIMER: This podcast is not intended to provide diagnosis, treatment, or medical advice. Content provided in this podcast is for educational purposes only. Please consult with a physician regarding any health-related diagnosis or treatment.See omnystudio.com/listener for privacy information.

Imagine that you are told you have "good" cholesterol and think you are doing fine only to learn that you have a 50% obstruction in your left anterior descending artery which is what leads to the widowmaker heart attack, which most people don't survive. Heart disease is the number one killer of women and that includes all cancers combined so why was this primary care doctor told there were no red flags? And, what can we learn from her experience? You'll hear the lab test that made her ask for further testing, including a scan that revealed the blockage. Dr. Nanos shares the tests, including blood tests you should request. And we discuss your risk factors when you hit menopause. This is a life changing conversation you don't want to miss. Share it with everyone you know. Dr. Georgine Nanos, MD, MPH is a board-certified family physician and the owner of Kind Health Group, a concierge primary care and accelerated TMS practice in the setting of a luxury medspa in California. Dr. Nanos holds a Bachelor's Degree from Colgate University, a Master's Degree in Public Health from Boston University, and a Doctor of Medicine Degree from George Washington University School of Medicine. Dr. Nanos has been practicing medicine for over 20 years in San Diego and has expertise in treating a wide range of medical conditions in patients of all ages. She has been awarded and recognized by her peers as a Top Doctor of San Diego for over ten years. She is a medical contributor to numerous local and national TV, radio, and print media outlets.   KEY TOPICS ·  Understanding Heart Disease: The #1 Killer of Women (0:00) ·  How "Good" Cholesterol Almost Led to a Widowmaker (5:54) ·  Why CCTA Is Essential for Detecting Dangerous Soft Plaque (10:12) ·  Overcoming Insurance Barriers and Doctor Limitations in Testing (27:48) ·  Estrogen's Role in Protecting Women's Cardiovascular Health (32:02) ·  Trusting Your Intuition and Prioritizing Your Well-Being (37:58)   RESOURCES MENTIONED JOIN MICHELE'S NEWSLETTER FOLLOW on YOUTUBE Michele's Book: Design A Life You Love: A Woman's Guide to Living a Happier and More Fulfilled Life   GUEST INFORMATION Website: https://www.kindhealthgroup.com/ The Future of Medicine Interview – https://thegoodlifecoach.com/007-2/ IG: https://www.instagram.com/drgeorginenanos/ If you enjoyed this interview, please take a moment to rate and review it on Apple Podcasts or other podcast player. *The Good Life with Michele Lamoureux podcast and content provided by Michele Lamoureux is for educational and entertainment purposes only. It does NOT constitute medical, mental health, professional, personal, or any kind of advice or serve as a substitute for such advice. The use of information on this podcast or materials linked from this podcast or website is at the user's own risk. Always consult a qualified healthcare or trusted provider for any decisions regarding your health and wellbeing. This episode may contain affiliate links.

How to Activate the "Ozempic" Effect without a GLP-1 Rx with guest expert Dr. Neal BarnardWeight loss after 40 isn't a willpower issue—it's a food signaling issue. In this episode, I sit down with Dr. Neal Barnard to unpack why midlife weight gain happens and how you can finally eat right for your biology. Once you understand how certain foods talk directly to your metabolism, appetite hormones, and fat-burning machinery, the entire game changes.This episode is about moving beyond the deprivation mindset of "eating less" to explore how to lose weight without ever counting a single calorie.We're talking real science and food that actually tastes good. From why berries beat calorie counting to how fiber literally "traps" calories and carries them out of your body, we are diving deep into the Power Foods strategy. Dr. Barnard explains how plant-based meals naturally stimulate GLP-1—the same satiety hormone targeted by drugs like Ozempic and Wegovy—allowing you to turn off your appetite without needles or side effects. This is a must-listen for women who want to feel strong, lean, and fully alive now and at 80.What You'll Learn in This Episode:The Biological Pivot: Why traditional calorie restriction backfires in midlife and what works instead.Calorie Trapping: How fiber acts as a literal "sponge" to remove approximately 100 calories per day as waste.The Three Fat-Loss Mechanisms: How to activate appetite control, calorie trapping, and a metabolism boost simultaneously.Natural GLP-1: Why plant-based fiber and healthy complex carbs are the exact signals your satiety cells are looking for.The Twin Study: The mind-blowing research linking berries to 9% less abdominal fat, even in genetically identical twins.Thermogenesis Hacks: How cinnamon, chili peppers, and specific spices increase your calorie-burning speed.The Power 6 Foods: The top foods proven to support sustainable weight loss, including berries, melons, and cruciferous veggies.Habit Retraining: Why weight-loss drugs fail to retrain eating habits and how food can bridge that gap.The 21-Day Transition: How to move gently into a Power Foods lifestyle without overwhelm or perfection.Longevity Benefits: Why this approach reduces cancer risk, supports joint health, and reverses diabetes markers.About Our Guest Expert:Dr. Neal Barnard, MD, FACC is an adjunct professor of medicine at the George Washington University School of Medicine and President of the Physicians Committee for Responsible Medicine. His research focuses on the role of nutrition in weight loss, diabetes reversal, hormonal health, chronic pain, and cancer prevention. He is the author of multiple bestselling books, including The Power Foods Diet, and has led NIH-funded clinical trials that are reshaping how we understand metabolic health.Instagram/Twitter: @DrNealBarnardFacebook: @NealBarnardMD****************************************Why clean clothes with toxic cleaners? Try this instead!It shocked me that our laundry rooms are often one of the most toxic places in our homes.After breast cancer, I began changing out my personal care and beauty but didn't even think about my cleaning supplies.For laundry, I found a few brands that are really clean and free of harmful ingredients, but still searched for that fresh scent without the toxic junk. Found it finally! Here is the link to it (and you can message me to check to see if there are any great offers happening with current savings!CLICK THIS LINK for the details and get 100 FREE LOADS

Each patient is unique, and effective care requires a comprehensive, 360-degree perspective. In this episode, Dr. Irina Rozenfeld joins Haylie Pomroy to share the right formula for delivering personalized, patient-centered care for individuals with chronic illness. They emphasize the importance of a strong therapeutic relationship as a foundation for effective treatment and long-term outcomes, and why each patient deserves empathy. Dr. Rozenfeld further explains how clinicians can help patients bridge knowledge gaps, the role of healthcare practitioners in supporting ongoing healing and wellness, and why combining patient education with expert guidance is essential for optimal care. Learn how empathy and personalized care strategies can transform chronic illness outcomes—tune in to Fast Metabolism Matters.    Irina Rozenfeld, DNP, MSHS, APRN, ANP-BC, is a Board-Certified Nurse Practitioner committed to the health of her patients. Irina emphasizes patient-practitioner relationships, critical thinking, and patient education to develop an optimal treatment plan and achieve sustainable results. She obtained her Bachelor's of Science degree from Nova Southeastern University and a Master's of Science in Nursing Studies from Florida International University. Additionally, she has obtained a Master's degree in Integrative Medicine from George Washington University School of Medicine and a Doctoral degree at the University of North Florida. Before joining the INIM, Irina worked for more than twenty years as a physician assistant in Russia. After relocating to Florida, she worked as a Clinical Research Nurse at Nova Southeastern University. Irina obtained an international certification as a Clinical Research Professional and has been involved in research in many roles. Irina teaches at Nova Southeastern University College of Nursing as an adjunct faculty.   Facebook: https://www.facebook.com/irina.rozenfeld.1  LinkedIn: https://www.linkedin.com/in/irina-rozenfeld-413a4028/  Instagram: https://www.instagram.com/irina.rozenfeld.1/   Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.   Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com   Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy 

Protecting nurses and healthcare workers physically and mentally is not just one component of the Safer Together National Action Plan; it may be the one that holds all the others together.   In this third episode of our Safer Together series, Patricia McGaffigan, RN, MS, Vice President of Safety at IHI, President of the Certification Board for Professionals in Patient Safety, and co-chair of the National Steering Committee for Patient Safety talks with Christine Pabico, Senior Director of the American Nurses Credentialing Center's Pathway to Excellence and Well-Being Excellence Programs.  Patricia and Christine trace the development of ANCC's Well-Being Excellence Credential, the first of its kind to encompass the entire workforce across every type of care setting. We also hear from two of its pilot organizations, Children's National Hospital in Washington, D.C., and BayCare Health System in Tampa Bay, to hear how they became certified through the ANCC Wellbeing Certification and what that means for their organizations.   Patricia McGaffigan, MS, RN, CPPS  ·  Senior Advisor for Safety, Institute for Healthcare Improvement (IHI); President, Certification Board for Professionals in Patient Safety; Co-chair, National Steering Committee for Patient Safety  Christine Pabico, PhD, RN, NE-BC, FAAN  ·  Senior Director, Pathway to Excellence and Well-Being Excellence, American Nurses Credentialing Center (ANCC)  Nikki Daily  ·  Chief Team Resources Officer, BayCare Health System   Rocky Hauch, DNP, RN, PCCN  ·  Advanced Professional Development Practitioner and Nurse Well-Being Lead, BayCare Health System  Trish Shucoski, DNP, MSN, RN, NEA-BC  ·  Chief Nurse Executive, BayCare Health System  Simmy King, DNP, MS, MBA, NI-BC, NE-BC, CHSE, FAAN  ·  Chief Nursing Informatics and Education Officer; Associate Professor of Pediatrics, The George Washington University School of Medicine    Safer Together Series In the first episode of our Safer Together Series, Donald Berwick, MD, co-founder and President Emeritus of the Institute for Healthcare Improvement, and Patricia McGaffigan, RN, MS, Vice President of Safety at IHI, President of the Certification Board for Professionals in Patient Safety, and co-chair of the National Steering Committee for Patient Safety, issued a call to action: safety is not a matter of individual effort; it is a total system responsibility, built on four interlocking pillars, one of which is workforce safety and well-being.   In the second episode, Kelly Randall, PhD, Vice President for Patient Safety and Regulatory Services at Ascension, where she leads the health system's comprehensive patient safety program, high reliability strategy, and system-wide deployment of the Safer Together National Action Plan, showed us what it looks like to answer that call, shifting culture across nearly 100 hospitals, one huddle, one conversation, one near-miss at a time.    Resources   1. The Foundational Workforce-Safety Lucian Leape Institute. (2013). Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. Boston: National Patient Safety Foundation. https://www.ihi.org/library/publications/through-eyes-workforce-creating-joy-meaning-and-safer-health-care  Gandhi, T. K., Kaplan, G. S., Leape, L., et al. (2018). Transforming concepts in patient safety: A progress report. BMJ Quality & Safety, 27(12), 1019–1026. https://doi.org/10.1136/bmjqs-2018-008768 https://pmc.ncbi.nlm.nih.gov/articles/PMC6288701/    2. The Safer Together National Action Plan  National Steering Committee for Patient Safety. (2020). Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement. https://www.ihi.org/partner/initiatives/national-steering-committee-patient-safety/national-action-plan-advance-patient-safety  Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety. PubMed. https://pubmed.ncbi.nlm.nih.gov/40876046/    3. Nurse Burnout and Patient Safety  Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059  Getie, A., Ayenew, T., Amlak, B. T., Gedfew, M., Edmealem, A., & Kebede, W. M. (2025). Global prevalence and contributing factors of nurse burnout: An umbrella review of systematic reviews and meta-analyses. BMC Nursing, 24(1), 596. https://doi.org/10.1186/s12912-025-03266-8  Smiley, R. A., Kaminski-Ozturk, N., Reid, M., et al. (2025). The 2024 National Nursing Workforce Survey. Journal of Nursing Regulation, 16(1), S1–S88. https://doi.org/10.1016/S2155-8256(25)00047-X    4. Workplace Violence Against Nurses  Pascale, A., George, N., Potter, C., & Warshawsky, N. E. (2025). Alarming rise in nurse assaults: Urgent call for legislation. Nurse Leader, 23(3), 321–327. https://doi.org/10.1016/j.mnl.2024.12.012  Wolf, L. A., Delao, A. M., & Perhats, C. (2014). Nothing changes, nobody cares: Understanding the experience of emergency nurses physically or verbally assaulted while providing care. Journal of Emergency Nursing, 40(4), 305–310. https://doi.org/10.1016/j.jen.2013.11.006    5. ANCC Well-Being Excellence Credential  Carson, W., & Bates, M. (2024). Elevating professional well-being in healthcare: A crosswalk of the NIOSH Impact Wellbeing campaign and the ANCC Pathway to Excellence Framework. Nursing Administration Quarterly. https://pmc.ncbi.nlm.nih.gov/articles/PMC11373476/  American Nurses Credentialing Center. (2025). ANCC Well-Being Excellence Credential. NursingWorld.org. https://www.nursingworld.org/organizational-programs/well-being-excellence    6. Nurse Well-Being: Building Peer and Leadership Support Program  American Nurses Foundation. (n.d.). Nurse well-being: Building peer and leadership support program. NursingWorld.org. https://www.nursingworld.org/foundation/programs/nurse-wellbeing/    7. Healthy Nurse, Healthy Nation  American Nurses Association. (n.d.). Healthy Nurse, Healthy Nation. https://www.healthynursehealthynation.org/     

Specialty care remains one of the biggest black boxes in healthcare, creating delays, unnecessary referrals, and major frustration for both patients and primary care providers. In this episode, Reza Sanai, co-CEO and co-founder of PicassoMD, discusses how his team is helping primary care providers access specialist expertise in near-real time while also improving the referral process when specialty care is truly needed. He explains why specialty access often breaks down at the point of care, how fragmented provider data makes navigation more difficult, and why better coordination between primary care and specialists can reduce unnecessary ER visits, improve triage, and speed access to the right care. Reza also shares how PicassoMD is supporting rural and underserved communities, why visibility into the patient journey matters so much, and how thoughtful partnerships are essential to making innovation work in real healthcare settings. Tune in and learn how smarter specialist access could help close one of healthcare's most persistent care coordination gaps.  About Reza Sanai: Reza Sanai, MD, FACC, is the co-CEO and founder of PicassoMD, a platform that gives primary care providers real-time access to a network of value-based specialists across major disciplines. Through curbside consultations and referral support, PicassoMD helps reduce unnecessary referrals and ER visits while improving care transitions, patient experience, and outcomes. In addition to leading PicassoMD, Reza has served in advisory roles with Mighty Health and VIDA Fitness & Aura Spa, and was previously a co-managing partner at Cardiocare LLC. He earned his Doctor of Medicine from The George Washington University School of Medicine and Health Sciences, where he was a member of the AOA Honor Society. Things You'll Learn: Specialty care often functions like a black box, making it harder for primary care providers to get timely input and coordinate the next step for patients. Real-time access to specialists can help primary care providers make better decisions, reduce unnecessary referrals, and avoid preventable ER visits. Referral quality depends on more than specialty type alone, since factors like language, mission fit, geography, and appointment availability all shape patient access. Rural and underserved communities benefit when technology connects providers and patients with specialist expertise that may not be available locally. Successful healthcare innovation depends not just on the product itself, but on strong partnerships and an iterative approach to implementation. Resources: Connect with and follow Reza Sanai on LinkedIn or reach out via email. Follow PicassoMD on LinkedIn and visit their website. 

Support the Institute today. https://givenow.nova.edu/the-institute-for-neuro-immune-medicine-inim-2025   In this episode of the Hope and Help For Fatigue and Chronic Illness podcast, Haylie Pomroy shares the mic with Dr. Irina Rozenfeld to discuss how toxicity impacts the body and its relevance in chronic illness. They dive into how we are exposed to environmental toxins in our day-to-day lives, how patients with multiple chemical sensitivity can reduce and avoid exposure, and share practical, clinically grounded strategies to limit toxicity at home and in our food. Dr. Rozenfeld also addresses sleep, diet, and detoxification as integral components of the patient's healing journey, and their impact on the nervous system and immune system. Together, they provide expert guidance regarding safe travel, the appropriate use of sauna therapy for detoxification, and how patients can effectively communicate with their healthcare providers about toxic burden and environmental exposures. Irina Rozenfeld, DNP, MSHS, APRN, ANP-BC, is a Board-Certified Nurse Practitioner committed to the health of her patients. Irina emphasizes patient-practitioner relationships, critical thinking, and patient education to develop an optimal treatment plan and achieve sustainable results. She obtained her Bachelor's of Science degree from Nova Southeastern University and a Master's of Science in Nursing Studies from Florida International University. Additionally, she has obtained a Master's degree in Integrative Medicine from George Washington University School of Medicine and a Doctoral degree at the University of North Florida. Before joining the INIM, Irina worked for more than twenty years as a physician assistant in Russia. After relocating to Florida, she worked as a Clinical Research Nurse at Nova Southeastern University. Irina obtained an international certification as a Clinical Research Professional and has been involved in research in many roles. Irina teaches at Nova Southeastern University College of Nursing as an adjunct faculty.   Facebook: https://www.facebook.com/irina.rozenfeld.1  LinkedIn: https://www.linkedin.com/in/irina-rozenfeld-413a4028/  Instagram: https://www.instagram.com/irina.rozenfeld.1/   Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.   Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com   Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy    Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others.   Apple Podcasts: https://podcasts.apple.com/us/podcast/hope-and-help-for-fatigue-chronic-illness/id1724900423   Spotify: https://open.spotify.com/show/154isuc02GnkPEPlWfdXMT   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d    This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.   Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM

This episode of EM Pulse dives into a critical intersection of clinical practice: the overlap between objective evidence-based medicine and the subjective influence of implicit bias. In a special collaboration with Don't Forget the Bubbles (DFTB), we are joined by experts from across the globe to discuss a landmark study on how clinical decision rules—specifically the PECARN (Pediatric Emergency Care Applied Research Network) imaging rules—impact disparities in pediatric trauma imaging. The Variables of Bias We often think of medical decision-making as a clean equation, but how much do factors like a patient's perceived race or ethnicity “creep” into our choices? The team explores the concept of equitable care—providing the best possible outcome regardless of factors outside a patient's control—and why awareness alone often isn’t enough to counteract the biases we all carry. Standardizing Equity: The Power of the Rule The core of this discussion centers on a prospective multicenter study titled “Perceived Race and Ethnicity on CT Use in Children with Minor Head or Abdominal Trauma.” * The Question: Do racial and ethnic disparities in CT use still exist in the “PECARN era”? The Twist: Why the researchers chose to look at clinician-perceived race rather than self-identification to capture what is actually happening in the provider's mind during a shift. The Finding: The guests discuss the surprising (and encouraging) results regarding how structured clinical rules can act as “equity builders.” A Global Perspective Bias isn’t just a local issue. With representation from UC Davis, UCSF, Children's National, and Athens, Greece, the panel looks at the international landscape of pediatric emergency care. They discuss: The barriers to implementing decision tools in different healthcare systems. The concept of “pediatric readiness” on a global scale. How these rules—originally developed in the U.S.—are being validated and adapted from Australia to Europe. Moving Beyond the “Black Box” While AI and machine learning are the buzzwords of the day, this episode highlights the beauty of “simple” statistical tools that are transparent and easy to use at the bedside. The guests share how they envision these findings changing their next shift—not by removing the “humanity” of the process, but by anchoring conversations with families in solid evidence. Check the Show Notes: We've included links to the original study and the companion blog post at Don't Forget the Bubbles, which features a deep dive into the data. You can also find the PECARN Pediatric Head Injury and Intra-abdominal Injury (IAI) rules on MDCalc to use on your next shift.   We want to hear from you! Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Nisa Atigapramoj, Pediatric Emergency Medicine Physician at UCSF Benioff Children’s Hospital Dr. Spyridon Karageorgos, Pediatric Emergency Medicine Physician at Aghia Sophia Children's' Hospital in Athens, Greece Resources: DontForgetTheBubbles.com: CT Use in Children with Minor Head or Abdominal Trauma Atigapramoj NS, McCarten-Gibbs K, Ugalde IT, Badawy M, Chaudhari PP, Yen K, Ishimine P, Sage AC, Nielsen D, Uppermann JS, Kravitz-Wirtz ND, Tancredi DJ, Holmes JF, Kuppermann N. Perceived Race and Ethnicity on CT Use in Children With Minor Head or Abdominal Trauma. Pediatrics. 2026 Feb 1;157(2):e2024070582. doi: 10.1542/peds.2024-070582. PMID: 41520991. PECARN Spotlight: Tools Validated Excuse Me, Your Bias is Showing PECARN **** 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.

Today, Hunter was joined by Professor Andrew Ferguson to discuss his new book, Your Data will be Used Against You. In it, Professor Ferguson discusses how and why mass surveillance is exploding in the United States and the dangers that expansion poses towards all those that value the right to privacy.     Guest: Andrew Ferguson, Professor of Law, George Washington University School of Law   Resources: Pick up a Copy of the Book Today https://nyupress.org/9781479838295/your-data-will-be-used-against-you/   Sign up for the ABA Public Defender Summit https://events.americanbar.org/event/12d07164-1011-4723-9352-e8e3168db945/welcome     Contact Hunter Parnell:                                 Publicdefenseless@gmail.com  Instagram @PublicDefenselessPodcast Twitter                                                                 @PDefenselessPod www.publicdefenseless.com  Subscribe to the Patreon www.patreon.com/PublicDefenselessPodcast  Donate on PayPal https://www.paypal.com/donate/?hosted_button_id=5KW7WMJWEXTAJ Donate on Stripe https://donate.stripe.com/7sI01tb2v3dwaM8cMN Trying to find a specific part of an episode? Use this link to search transcripts of every episode of the show! https://app.reduct.video/o/eca54fbf9f/p/d543070e6a/share/c34e85194394723d4131/home **** ALL OPINONS SHARED BY HOST HUNTER PARNELL DO NOT REFLECT THE THOUGHTS OR OPINIONS OF THE AURORA MUNICIPAL PUBLIC DEFENDER****

Can regenerative medicine really help us avoid surgery?

Dr. Irina Rozenfeld joins Haylie Pomroy to share in-depth insights on how toxins and toxic exposures impact the body both physically and physiologically. They examine how toxic burden develops through environmental and lifestyle exposures, outline the body's natural detoxification processes, and discuss practical strategies for minimizing exposure during everyday activities such as travel and sauna use. The conversation also emphasizes the importance of clear communication between patients and healthcare practitioners to help restore and maintain physiological balance. Dr. Rozenfeld further responds to audience questions, offering expert guidance on toxic workplace environments and explaining what occurs within the microbiome during periods of toxic exposure. Catch all of these insights on the Fast Metabolism Matters Podcast - Immune Health: Why Our Environment Matters. Irina Rozenfeld, DNP, MSHS, APRN, ANP-BC is is a Board Certified Nurse Practitioner committed to the health of her patients. Irina emphasizes patient-practitioner relationships, critical thinking, and patient education to develop an optimal treatment plan and achieve sustainable results. She obtained her Bachelor's of Science degree from Nova Southeastern University and a Master's of Science in Nursing Studies from Florida International University. Additionally, she has obtained a Master's degree in Integrative Medicine from George Washington University School of Medicine and a Doctoral degree at the University of North Florida. Before joining the INIM, Irina worked for more than twenty years as a physician assistant in Russia. After relocating to Florida, she worked as a Clinical Research Nurse at Nova Southeastern University. Irina obtained an international certification as a Clinical Research Professional and has been involved in research in many roles. Irina teaches at Nova Southeastern University College of Nursing as an adjunct faculty. Facebook: https://www.facebook.com/irina.rozenfeld.1  LinkedIn: https://www.linkedin.com/in/irina-rozenfeld-413a4028/  Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet. Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com http://Hayliepomroy.com/cleanse Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy     

Most doctors treat the average patient. But you are not average, and this episode gives you the precision medicine blueprint to treat yourself like the individual you are, using multi-omic testing, biohacking technology, and longevity science to optimize every layer of your biology. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Dr. Anil Bajnath, a Board-Certified Family Physician, author of The Longevity Equation, and President and Founder of the American Board of Precision Medicine. He serves as Adjunct Professor at the George Washington University School of Medicine and CEO of the Institute for Human Optimization. Dr. Bajnath is certified through the Institute for Functional Medicine, board certified in anti-aging and regenerative medicine, and is one of the few clinicians actively applying genomics, transcriptomics, proteomics, and epigenetics together in a real clinical practice. Together, Dave and Dr. Bajnath break down why population-based medicine fails individuals, how functional medicine and precision science combine to unlock real human performance, and why your mitochondria sit at the foundation of every longevity strategy worth pursuing. They dig into how AI can help you decode your own inflammasome biology, why biohackers are using “sex drugs” to extend longevity, why vagal nerve stimulation directly suppresses the NLRP3 inflammasome, and which biomarkers like MMP9 and homocysteine mainstream medicine keeps ignoring. They also cover peptides, supplements, the dark side of metformin, microdosing for anti-aging, and why biohacking works best when it's personalized and precise. This is essential listening for anyone serious about longevity, smarter not harder health strategies, metabolism, sleep optimization, brain optimization, functional medicine, and taking full control of their biology. You'll Learn: Why precision medicine outperforms population-based health strategies for human performance How to layer genomics, transcriptomics, and proteomics into one complete biological picture Which longevity biomarkers your doctor is likely ignoring, including MMP9 and homocysteine How vagal nerve stimulation suppresses the NLRP3 inflammasome and drives anti-aging benefits The real story on metformin, peptides, and which supplements actually move the needle How AI can help you understand your own biology and act on it faster Why biohacking precision beats random stacking every time Thank you to our sponsors! • Igniton | Head over to Igniton.com and use code DAVE for an exclusive 15% off your first order. • BEYOND Biohacking Conference 2026 | Register with code DAVE300 for $300 off https://beyondconference.com • Caldera + Lab | Go to https://calderalab.com/DAVE and use code DAVE at checkout for 20% off your first order. • Screenfit | Get your at-home eye training program for 40% off using code DAVE at https://www.screenfit.com/dave. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: precision medicine, biohacking, Dave Asprey Cialis, Anil Bajnath, American Board of Precision Medicine, multi-omics, genomics, transcriptomics, proteomics, epigenetics, NLRP3 inflammasome, vagal nerve stimulation, MMP9, homocysteine, mitochondria, longevity, anti-aging, peptides, BPC-157, metformin, rapamycin, functional medicine, human performance, supplements, EGCG, exposome, nitric oxide, vascular health, metabolism, brain optimization, AI health, biohacking technology, Dave Asprey Sex Drugs Resources: • Learn More About Anil's Work And the Institute For Human Optimization At: https://ifho.org/ • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 00:53 – Intro to Precision Medicine 01:58 – Dr. Bajnath's Holistic Health Journey 05:03 – Pharmaceuticals vs. Supplements 07:58 – Peptides and Longevity Molecules 10:34 – Sexual Health and Vitality 13:56 – Vascular Health and Blood Flow 15:14 – Multi-Omics Approach 19:03 – DNA and Genomics 22:17 – Transcriptomics and RNA 24:24 – Proteomics and Inflammation Markers 32:00 – The Human Exposome 34:55 – Key Health Biomarkers 36:58 – Cell Membrane Dynamics 40:28 – Biological Investment Strategy 41:53 – Life Extension Possibilities 48:52 – Bioenergetics and Mitochondria 49:47 – Quantum Medicine and the Future 51:33 – Vagal Nerve Stimulation See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Jeffrey Gross, MD is a spine fellowship-trained, board-certified neurological surgeon with more than two decades of experience treating complex disorders of the spine, brain, and nervous system. He earned his medical degree from the George Washington University School of Medicine and Health Sciences and completed his residency in neurological surgery at University of California, Irvine Medical Center, followed by a fellowship in spinal biomechanics at the University of New Mexico Schoolof Medicine. Dr. Gross provides comprehensive evaluations to identify the root causes of persistent pain and injuries —often going beyond conventional approaches —and is known for his commitment to conservative, non-surgical options when possible, resorting to minimally invasive surgical treatments only when appropriate. He frequently offers second opinions for patients considering or having had prior surgery and treats a range of complex spinal conditions at practices in Newport Beach, California, and Henderson, Nevada. In addition to his clinical work, Dr. Gross has authored numerous peer-reviewed publications and book chapters and is a fellow of the American Association of Neurological Surgeons and member of the North American Spine Society.In this episode, Michele and Dr. Gross dive deep into the evolution of regenerative medicine —from traditional stem cell therapy to the more advanced use of extracellular vesicles (exosomes) and tissue-specific signaling. They discuss why inflammation is a central driver of aging and degenerative disease, how exosomes differ from stem cells, and why delivery method matters —especially for brain health and musculoskeletal repair. Dr. Gross explains his European-guided protocol of bone-edge injections for joint regeneration, why certain procedures cause unnecessary inflammation, and how peptides such as BPC-157, TB-500, mitochondrial peptides, and telomere-supporting compounds are strategically stacked for optimal results. The conversation also explores emerging innovations like Muse stem cells, tissue-specific exosomes for hair restoration, AI in diagnostic medicine, and how patients can take control of their health through movement, sleep hygiene, fasting, and targeted peptide support.Special Offer for Listeners:Dr. Gross is offering a complimentary 30-minute consultation for listeners who schedule within 30 days of this episode's release. Use code RECELL when booking. 1-844-4RECELL Info@ReCELLebrate.comMedical Disclaimer –Ageless and Timeless PodcastAgeless and Timeless (the “Show”), along with its host and guests, shares insights and discussions on health, wellness, and longevity for informational and educational  purposes only. The Show does not provide medical advice, diagnoses, treatments, cures, or preventative recommendations for any disease or health condition. The content shared should not be used as a substitute for professional medical advice, diagnosis, or treatment.While we strive to feature reputable sources and knowledgeable guests, neither Ageless and Timeless nor its host or affiliates assume responsibility for errors, omissions, or misinterpretations in the information provided. Listeners are encouraged to use their own discretion and consult with a licensed medical professional before making any health-related decisions. By listening to this podcast, you acknowledge that any actions you take based on the information presented are at your own risk, and Ageless and Timeless, its host, guests, and affiliates are not liable for any direct, indirect, incidental, or consequential damages resulting from the use of this conten

Welcome to Resiliency Radio with Dr. Jill Carnahan, where today's episode uncovers one of the most urgent and invisible threats to human health: microplastics. Dr. Jill is joined by internationally respected environmental medicine expert Dr. Lynn Patrick for a deep, science-based discussion on how microplastics are quietly changing human biology—from the gut to the brain to the cardiovascular system. In this eye-opening conversation, Dr. Jill Carnahan and Dr. Patrick explore why microplastics may pose an even greater long-term risk than PFAS and other "forever chemicals." You'll learn how **nanoplastics—now responsible for up to 90% of exposure—**are small enough to cross the gut lining, lungs, blood-brain barrier, and even the placenta, accumulating in tissues with no effective exit pathway. Key topics include: ① Why microplastics act as "Trojan horses" for pesticides, heavy metals, and endocrine-disrupting chemicals ② Research linking microplastics to heart disease, dementia, IBD, and colorectal cancer ③ The alarming rise of plastic particles found in human brain tissue ④ How everyday items—bottled water, food packaging, and tea bags—drive exposure ⑤ Why microplastics overwhelm detox pathways and resist normal elimination ⑥ Emerging strategies for exposure reduction, including water filtration, avoidance, and the evolving role of plasmapheresis ⇨ Dr. Patrick also shares decades of clinical insight into environmental toxicology and explains why awareness—not fear—is the first step toward protection in a plastic-saturated world. ❤️ If you care about long-term brain health, cardiovascular health, gut integrity, and environmental medicine, this episode offers critical knowledge and practical strategies to reduce risk and protect resilience. ✨ Like, subscribe, and share to help others understand the hidden exposures shaping modern health.

About the Lecture: The Israeli, a novel by veteran journalist Phil Kurata, is set in the years 1947 to 1965, after the end of World War II, when in the Middle East, newly independent countries were shaking off the colonial powers of Britain and France. It reimagines the life of famed spy Eli Cohen. Beginning in Alexandria, Egypt, it transitions to a nascent Israel and then to Syria, where Cohen spies for the Israelis. Steeped in the food and the culture of the Middle East at that formative period, it takes a hard-eyed view of racism and prejudice on both the Israeli and Arab sides. It takes the reader on a deep dive into the intractable and often vicious conflicts that split the region today. About the Speaker: Phillip Kurata is a novelist and former journalist who grew up in Lawrence, Kansas, and earned a bachelor's degree in French literature and a master's degree in Asian Studies from the University of Kansas. He studied at the University of Tunis in the mid-1960s, and—as a fluent French speaker—he returned to Tunisia as a Peace Corps Volunteer and a public health educator. He got into journalism while studying Chinese in Taiwan, writing for the Far Eastern Economic Review. He later worked for United Press International, Agence France Presse and Voice of America in Japan, Taiwan, Hong Kong, Beijing, France, and Washington, DC. Phil served for many years as a writer with the U.S. Department of State, based in Washington, DC. His first novel, The Reluctant Agent, was published by Washington Writers' Publishing House as the Fiction Prize winner. His most recent novel, The Israeli, published in 2024, is a fictionalized story of the legendary Israeli spy, Eli Cohen, and examines the destructive power of ethnic hatred. Dr. Elspeth Cameron Ritchie is a forensic psychiatrist with special expertise in military and veterans' issues. She has been Chief of Psychiatry at Medstar Washington Hospital Center since 2018. She retired from the Army in 2010, after holding numerous leadership positions within Army Medicine, including Psychiatry Consultant. She trained at Harvard, George Washington, Walter Reed, and the Uniformed Services University of the Health Sciences, and has completed fellowships in both forensic and preventive and disaster psychiatry. She is a Professor of Psychiatry at the Uniformed Services University of the Health Sciences, Georgetown University, and George Washington University School of Medicine. An internationally recognized expert, she brings a unique public health approach to the management of disasters and combating mental health issues. Her assignments and other missions have taken her to Korea, Somalia, Iraq, and Cuba. She has over 250 publications, mainly in the areas of forensic, disaster, suicide, ethics, military combat psychiatry, and women's health issues. Recent volumes include: “Forensic and Ethical Issues in Military Behavioral Health”, “Women at War”, “Post-Traumatic Stress Disorder and Related Diseases in Combat Veterans”, “Intimacy After Injury: Restoring Sexual Health on Return from Combat”; “Psychiatrists in Combat, Clinicians Experience in the War Zone”, “Gay Mental Healthcare Providers and Patients in the Military: Personal Experiences and Clinical Care” and “Clinical Management of the Homeless Patient: Social, Medical and Psychiatric Issues." **Learn more about IWP graduate programs: https://www.iwp.edu/academics/graduate-degree-programs/ ***Make a gift to IWP: https://wl.donorperfect.net/weblink/WebLink.aspx?name=E231090&id=3

This episode of EM Pulse dives into one of the most stressful scenarios in the ED: the febrile infant in the first month of life. Traditionally, a fever in this age group has meant an automatic “full septic workup,” including the dreaded lumbar puncture (LP). But times are changing. We sit down with experts Dr. Nate Kuppermann and Dr. Brett Burstein to discuss a landmark JAMA study that suggests we might finally be able to safely skip the LP in many of our tiniest patients. The Study: A Game Changer for Neonates Our discussion centers on a massive international pooled study evaluating the PECARN Febrile Infant Rule specifically in infants aged 0–28 days. While previous guidelines were conservative due to a lack of data for this specific age bracket, this study provides the evidence we've been waiting for. The Cohort: A large pool of infants across multiple countries. The Findings: The PECARN rule demonstrated an exceptionally high negative predictive value for invasive bacterial infections. The Big Win: The rule missed zero cases of bacterial meningitis. Defining the Danger: SBI vs. IBI The experts break down why we are shifting our terminology and our clinical focus. Serious Bacterial Infection (SBI)  Historically, this was a “catch-all” term including Urinary Tract Infections (UTIs), bacteremia, and meningitis. However, UTIs are generally more common, easily identified via urinalysis, and typically less life-threatening than the other two. Invasive Bacterial Infection (IBI)  This term refers specifically to bacteremia and bacterial meningitis. These are the “high-stakes” infections the PECARN rule is designed to rule out. Dr. Kuppermann notes that we should ideally view bacteremia and meningitis as distinct entities, as the clinical implications of a missed meningitis case are far more severe. The HSV Elephant in the Room One of the primary reasons clinicians hesitate to skip an LP in a neonate is the fear of missing Herpes Simplex Virus (HSV) infection. Low Baseline Risk: While the overall risk of HSV in a febrile infant is low, the risk of “isolated” HSV (meningitis without other signs or symptoms) is even rarer. Screening Tools: Most infants with HSV appear clinically ill. Clinicians can also use ALT (liver function) testing as a secondary screen – transaminase elevation is a common marker for systemic HSV. Clinical Judgment: If the baby is well-appearing, has no maternal history of HSV, no vesicles, and no seizures, the risk of missing HSV by skipping the LP is exceptionally low. Practical Application: Shared Decision-Making This isn’t just about the numbers—it’s about the parents. “Families don’t mind their babies being admitted… They do not want the lumbar puncture. It is the single most anxiety-provoking aspect of care.” — Dr. Brett Burstein The PECARN “Low-Risk” Criteria:  (Remember, this rule applies only to infants who are not ill-appearing.) Urinalysis: Negative Absolute Neutrophil Count (ANC): ≤ 4,000/mm³ Procalcitonin (PCT): ≤ 0.5 ng/mL The Bottom Line: If an infant is well-appearing and meets these criteria, physicians can have a nuanced conversation with parents about the risks and benefits of forgoing the LP, while still admitting the child for observation (often without empiric antibiotics) while cultures brew. Key Takeaways The “Well-Appearing” Filter: If an infant looks ill, the rule does not apply. These patients require a full workup, including an LP, regardless of lab results. Meticulous Physical Exam: Assess for a strong suck, normal muscle tone, brisk capillary refill, and any rashes or vesicles. History is Key: Always ask about maternal GBS/HSV status, pregnancy or birth complications, prematurity, sick contacts, and any changes in feeding, stooling or activity. Procalcitonin: PCT is the superior inflammatory marker for this rule. If your facility only offers traditional markers like CRP, the PECARN negative predictive value cannot be strictly applied. In the words of Dr. Kuppermann: “If you don’t have it, for God’s sakes, just get it! ALT to Screen for HSV: While not part of the official PECARN rule, our experts suggest that significantly elevated liver enzymes should raise suspicion for systemic HSV. Observe, Don’t Discharge: Being “low risk” does not mean the infant goes home. All infants ≤ 28 days still require admission for 24-hour observation and blood/urine cultures. We want to hear from you! Does this change how you approach febrile neonates in the ED? How do you handle shared decision-making with parents? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Brett Burstein, Clinician-Scientist and Pediatric Emergency Medicine Physician at Montreal Children’s Hospital, McGill University Resources: Burstein B, Waterfield T, Umana E, Xie J, Kuppermann N. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. 2026 Feb 3;335(5):425-433. doi: 10.1001/jama.2025.21454. PMID: 41359314; PMCID: PMC12687207“Hot” Off the Press: Infant Fever Rule “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? PECARN Infant Fever Update: 61-90 Days Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O’Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. ****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.  

Dr. Jeff Gross 'The Stem Cell Whisperer' is with us to chat about regenerative medicine, health care, and ReCELLebrate.   We talk about new areas about stem cell research, peptides, finding easier and non invasive ways to activate stem cells, Canadian vs USA healthcare, action in MAHA, FDA and marketing claims, Big Implants, exosomes, mood disorders and daily regimens.   In the last part we get into various other bio hacking practices and theories, energy and info space, water, pineal glands, gene spike proteins, the reset on childhood vaccines, population clearing events, hormesis, fasting, chimerism, lifting to failure, flipping the food pyramid, creatine, Vit D, Darren's hunting and the death march.   DR. JEFF GROSS, founder of ReCELLebrate and a pioneer in the field of regenerative medicine. He graduated from the University of California, Berkeley with a degree in biochemistry and molecular cell biology. He earned his Doctor of Medicine in 1992 from the George Washington University School of Medicine. The mission for ReCELLebrate emphasizes offering modern biochemical treatments and considering surgery as a last resort. recellebrate.com https://recellnutra.com/ 15% Grimerica   To gain access to the second half of show and our Plus feed for audio and podcast please clink the link http://www.grimericaoutlawed.ca/support.   For second half of video (when applicable and audio) go to our Substack and Subscribe. https://grimericaoutlawed.substack.com/ or to our Locals  https://grimericaoutlawed.locals.com/ or Rokfin www.Rokfin.com/Grimerica Patreon https://www.patreon.com/grimericaoutlawed   Support the show directly: https://grimericacbd.com/ CBD / THC Tinctures and Gummies https://grimerica.ca/support-2/ Our Adultbrain Audiobook Podcast and Website: www.adultbrain.ca Our Audiobook Youtube Channel:  https://www.youtube.com/@adultbrainaudiobookpublishing/videos Check out our next trip/conference/meetup - Contact at the Cabin www.contactatthecabin.com Other affiliated shows: www.grimerica.ca The OG Grimerica Show Join the chat / hangout with a bunch of fellow Grimericans  Https://t.me.grimerica grimerica.ca/chats   Discord Chats Darren's book www.acanadianshame.ca Eh-List Podcast and site: https://eh-list.ca/ Eh-List YouTube: https://www.youtube.com/@TheEh-List www.Rokfin.com/Grimerica Our channel on free speech Rokfin Leave a review on iTunes and/or Stitcher: https://itunes.apple.com/ca/podcast/grimerica-outlawed http://www.stitcher.com/podcast/grimerica-outlawed Sign up for our newsletter http://www.grimerica.ca/news SPAM Graham = and send him your synchronicities, feedback, strange experiences and psychedelic trip reports!! graham@grimerica.com InstaGRAM https://www.instagram.com/the_grimerica_show_podcast/  Purchase swag, with partial proceeds donated to the show www.grimerica.ca/swag Send us a postcard or letter http://www.grimerica.ca/contact/ ART - Napolean Duheme's site http://www.lostbreadcomic.com/  MUSIC Tru Northperception, Felix's Site sirfelix.bandcamp.com         

ADHD is not just about attention. It is about self-control, self-esteem, and what happens when the brain goes offline. Living with untreated ADHD is not just about missing assignments. It is about moving through the world without a reliable connection between what you know and what you do. In this conversation, I talk with Dr. Karin Varblow, a behavioral pediatrician, former teacher and social worker, neurodivergent adult, and mom to neurodivergent kids. We look closely at what untreated ADHD really costs over a lifetime, from self-esteem and identity to health, safety, relationships, and even life expectancy. Dr. Karin explains why ADHD is not simply a "school problem" and why kids who "know better" still cannot always do better in the moment. She shares her "know and go" model of the brain, which helps make sense of why lectures and bigger consequences do not lead to different behavior, and why kids so often feel confused and ashamed by their own actions. We also talk about sleep, airway, co-occurring conditions, and how things like anxiety, trauma, allergies, and disordered sleep can overlap with ADHD or even mask it. Dr. Karin breaks down what good treatment actually looks like in real life, including medication, parent training, behavior supports, and making daily life more stimulating and relevant for the ADHD brain. If you have ever wondered whether ADHD "really" needs treatment, or felt discouraged by mixed messages, this episode will help you see the bigger picture with more clarity and more compassion for you and your child. Key Takeaways Untreated ADHD is not just about school performance. It affects self-esteem, identity, health, safety, relationships, income, and even life expectancy over time. Research shows that people with untreated ADHD have higher rates of emergency room visits, poverty, incarceration, and an average life expectancy that is years shorter than their non-ADHD peers. Treatment meaningfully improves these outcomes. ADHD is both overdiagnosed and underdiagnosed, and it often shows up alongside other conditions like anxiety, depression, learning differences, sleep disorders, allergies, GI issues, and trauma. Sorting out "what's what" takes time and thoughtful evaluation. Effective ADHD treatment is not one thing. The strongest evidence supports a combination of medication and behavior modification, with behavior modification defined as training and support for parents, not "fixing the child" in a weekly session. Behavior plans that focus only on lectures and bigger consequences usually miss the mark. Most kids already know the rules. The problem is not a lack of knowledge, it is a lack of access to that knowledge in the moment. Dr. Karin's "know and go" model helps explain this: the "know" part of the brain holds rules, values, and experience; the "go" part drives behavior. In ADHD, especially around non-preferred tasks, the "go" can take off before the "know" ever gets a say. That disconnect is why kids so often say "I don't know why I did that" and mean it. They are not being manipulative. They are genuinely confused and often ashamed, because their behavior does not match what they actually believe or want. ADHD brains do have strong executive function in areas of high interest. A child who cannot organize themselves around homework may show incredible focus, planning, and follow-through when building Legos or diving into a favorite topic. Sleep, breathing, immune function, and overall health matter. Airway issues, disordered sleep, allergies, and inflammation can all worsen attention, regulation, and behavior, and sometimes even mimic ADHD. Addressing these pieces is part of good care. Supporting a child with ADHD means changing the story from "try harder" to "let's change how we're asking, what we're asking, and how we're supporting you." When adults focus on relevance, relationship, and realistic support, kids get more access to their best selves. About Karin Varblow Dr. Karin Varblow is a behavioral pediatrician and neurodivergence specialist who has built a career around coordinated, whole-family ADHD care. She earned her BA from Duke University and her MD from The George Washington University School of Medicine as a National Health Service Corps Scholar, and completed her Pediatrics residency at INOVA Fairfax Hospital for Children. Dr. Varblow's work is shaped by her unique path as a former educator and social worker, a former general pediatrician, a parent in a neurodiverse family, and an individual with ADHD herself. She supports families through medication management, parent support, behavior modification, care coordination, advocacy, and strategy development, with a focus on helping children thrive in real life, not just "meet expectations." About Your Host, Gabriele Nicolet I'm Gabriele Nicolet, toddler whisperer, speech therapist, parenting life coach, and host of Complicated Kids. Each week, I share practical, relationship-based strategies for raising kids with big feelings, big needs, and beautifully different brains. My goal is to help families move from surviving to thriving by building connection, confidence, and clarity at home. Complicated Kids Resources and Links:

The USDA and HHS just released new Dietary Guidelines for Americans. We dig into the new guidelines with Dr. Leigh Frame, our favorite nutrition scientist, co-host of the pod, and co-director of the Frame-Corr Lab here at George Washington University School of Medicine & Health Sciences. An Associate Professor in the departments of Clinical Research & Leadership and Physician Assistant Studies, Leigh combines nutrition and immunity through translational research, leveraging extensive experience in biomedical research and education. Dr. Frame earned her PhD in Human Nutrition and MHS in Immunology from the Johns Hopkins Bloomberg School of Public Health and graduated with Distinction in Biochemistry from Mary Baldwin College. An expert on Integrative Medicine and the gut microbiome, she's also the Executive Director of the GW Office of Integrative Medicine & Health. ◘ Related Links: New Food Guidelines for Americans, https://realfood.gov/; Harvard Healthy Eating Plate, https://nutritionsource.hsph.harvard.edu/healthy-eating-plate/; Dr. Frame's Nutrition Guide, https://rwc.smhs.gwu.edu/nutrition-guide; Canada's Food Guide, https://food-guide.canada.ca/en/ ◘ Transcript bit.ly/3JoA2mz ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

In Field (Cancerization) Tested: Patient and Provider Perspectives on Klisyri, guest host Dr. Vishal A. Patel, Associate Professor of Dermatology and Medicine/Oncology at the George Washington University School of Medicine and Health... The post Field (Cancerization) Tested: Patient and Provider Perspectives on Klisyri appeared first on JDDonline - Journal of Drugs in Dermatology.

It's germ season, and babies, toddlers, and young kids get sick a lot! In this episode, I'm talking with pediatrician Dr. J about supporting sleep when your little is sick. We chat about:What to expect from sleep when your little is sickHow to make them more comfortable Red flags that you need medical supportTips for preventing illness in the germy months Sick littles and sleep is hard, and the only way through is to support everyone through it. I hope these tips help you next time your family is sick.About Dr. JDr. Jalan Burton, or Dr. J, as she loves to be called, is a pediatrician, public health champion, professional coach, wife, and mother of three. Equipped with 7 years of professional coaching and consulting experience, 15 years of medical education and pediatrics experience, and over 20 years of peer health education experience, Dr. J is passionate about family wellness, healthcare worker wellness, and community building. She is the founder and CEO of Healthy Home Pediatrics and Harmony in Practice. Dr. J is a proud graduate of the University of Virginia, Columbia University Mailman School of Public Health, and The George Washington University School of Medicine. Dr. J's clinical philosophy is built around the belief that when families are truly supported they thrive. Dr. J's professional coaching philosophy centers on the belief that when healthcare workers build businesses that are joyful, profitable, scalable, and sustainable, we enrich the lives of our communities and generations to come. Connect with Dr. JWebsite: https://www.healthyhomepediatrics.com/Instagram: www.instagram.com/healthyhomepedsFacebook: www.facebook.com/healthyhomepediatricsConnect with Kim Instagram: instagram.com/intuitive_parenting_dcFacebook:  facebook.com/intuitiveparentingdcLearn more about working with Kim: https://intuitiveparentingdc.com/

Positive childhood experiences (PCEs) are foundational to a child's healthy development and well-being.  Listen as Dr. Elizabeth Hisle-Gorman and Dr. Binny Chokshi discuss promoting PCEs and how the Healthy Outcomes From Positive Experiences (HOPE) model supports strengthening families. This podcast is made possible by generous funding from the Team Seymour Spouses' Club. To learn more, visit https://www.teamseymourspouses.com/.   Audio mixing by Concentus Media, Inc., Temple, Texas.   Show Notes: Resources:   Healthy Outcomes From Positive Experiences (HOPE) https://positiveexperience.org/   Hidden Heroes- Elizabeth Dole Foundation https://hiddenheroes.org/   Operation Purple Camp- National Military Family Association https://www.militaryfamily.org/programs/operation-purple/operation-purple-camp/   The Military Child Well-being Toolkit https://www.militarychild.org/resource/wellbeing-toolkit/   Military OneSource https://www.militaryonesource.mil/non-medical-counseling/   Bio: Dr. Hisle-Gorman is Director of the Military Family Research Division and Associate Professor in the Department of Pediatrics. She began her career as a social worker working in neighborhood development efforts in Washington, DC to support and strengthen families to prevent family violence and overcome hardship. However, a move to a military town with her active-duty military spouse, re-focused her on work with military families. She served as a Child Protective Services officer in Onslow County, North Carolina and worked extensively with military families. After completing her Ph.D. in Social Work at the University of Maryland, Dr. Hisle-Gorman taught and worked in community development and was the senior author on one of the first articles to document the clinical effects of military deployment on children. She subsequently moved to USUHS to expand its research portfolio exploring the effects of military life on children. Her research interests are focused the impact of past military deployment on military children, effects of parental injury and family violence on pediatric health and mental health, and healthcare usage trends in military pediatrics. However, she has also worked on projects examining autism in children, indicators of immunization completion, neonatal health, care for transgender individuals, healthcare disparities, and the effects of medications on children. Dr. Hisle-Gorman has significant experience working with the Military Health System Data Repository and conducting retrospective research studies about military-connected children using the MDR. Dr. Hisle-Gorman most enjoys mentoring medical students, residents, and junior faculty on research projects, and teaching them the research process on an individual basis.   Dr. Binny Chokshi is a general pediatrician, with a focus on adolescents and young adults. Dr. Chokshi's research and education interests are focused on understanding the impact of early life stressors on health across the life course. To mitigate the effects of trauma and stress on children, Dr. Chokshi advocates for a trauma-informed approach to healthcare. She has developed web-based e-modules to train outpatient pediatricians in responding to childhood adversity with a trauma-informed care approach and has also trained medical students and residents at George Washington University School of Medicine and Health Sciences. In a prior role at Children's National Hospital, she also worked with hospital leadership to develop hospital wide trauma-informed practices. In her current role at USUHS, Dr. Chokshi examines how military specific factors may impact child and and family health, with a current focus on how social determinants of health such as food security impact military child health.  Dr. Chokshi is also passionate on promoting positive childhood experiences, to foster healthy development in children and counter the impacts of stressful experiences.  Dr. Chokshi has a vested interest in medical education and completed Masters in Education at the George Washington University School of Education and Human Development. On a national level, Dr. Chokshi serves on the Expert Leadership Team for the American Academy of Pediatrics project “Building Capacity for Trauma-Informed Pediatric Care”.   

Episode SummaryThe FDA held a rare public hearing to reconsider the safety labels on vaginal estrogen—a pivotal moment for menopause care.In this episode, Dr. James Simon, a leading menopause specialist and clinical researcher, joins Georgie Kovacs to unpack what the hearing revealed, why the current labeling may do more harm than good, and what it means for millions of women experiencing genitourinary syndrome of menopause (GSM), recurrent UTIs, painful sex, and incontinence.Together, they explore how outdated warnings, lack of education, and systemic biases continue to shape women's access to treatment—and what both women and clinicians need to know as change finally takes shape.Discussion PointsWhy is the FDA reconsidering the vaginal estrogen warning label now?What does genitourinary syndrome of menopause (GSM) actually mean—and how common is it?How do current black box warnings limit women's access to safe and effective therapies?What's the real risk of vaginal estrogen and breast cancer—and what does the evidence say?How can updated labeling improve care for UTIs, painful sex, and incontinence?What steps can clinicians take to confidently prescribe vaginal estrogen?What role does the media and misinformation play in perpetuating fear around menopause care?How can women advocate for themselves if their doctor is hesitant to prescribe?What's next for the FDA—and how could this hearing reshape menopause treatment in the U.S.?

In this episode, Ali speaks with Dr. James A. Simon, a leading OB-GYN and "Menopause Whisperer," about his pioneering work in sexual medicine and menopause care. Dr. Simon discusses the challenges and importance of addressing sexual health in gynecology, the evolution of hormone therapy, and the cultural barriers that often prevent open conversations about menopause and women's sexuality.The episode highlights the need for more holistic, individualized care for women, the impact of hormones on health and wellbeing, and the progress still needed in medical education and societal attitudes. Listeners will come away with a deeper understanding of menopause, hormone therapy, and the value of compassionate, open dialogue about women's health and aging.Topics also include how aging has changed over generations, why people got scared of Hormone Replacement Therapy, the prevalence and benefits of testosterone in women, the politics of hysterectomies, how Viagra was happened upon, and how GLP-1s work. FOR MORE ALI MEZEY:ALI - WebsiteALI - LinkTreeFOR MORE JAMES:IntimMedicine Website: https://intimmedicine.com/YouTube: https://www.youtube.com/@intimmedicinespecialists5815/videosFacebook: https://www.facebook.com/IntimMedicineRestore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for LifeBook by Dr. James A. Simon.JAMES BIO:James A. Simon, MD, CCD, MSCP, IF, FACOGDr. James A. Simon is a board-certified Ob/Gyn, and reproductive endocrinologist. He is Clinical Professor of Obstetrics and Gynecology at The George Washington University School of Medicine in Washington, DC. Dr. Simon also holds certifications as an AASECT-Certified Sexuality Counsellor, an ISCD-Certified Clinical Bone Densitometrist, and a Menopause Society-Certified menopause specialist. He has an active private practice, IntimMedicine Specialists® in Washington, DC focused on complicated gynecology, sexual medicine for both men and women, and menopause. Dr. Simon has received numerous awards including: “Top Washington Physicians,” “America's Top Obstetricians and Gynecologists,” “Super Doctors of Washington DC-Baltimore-Northern Virginia,” and “The Best Doctors in America.” He is the only physician to serve as President of both The Menopause Society and the International Society for the Study of Women's Sexual Health. Nicknamed “The Menopause Whisperer,” by Washingtonian Magazine, Dr. Simon is an established researcher and author--completing more than 450 research trials, and more than 800 published articles, abstracts, chapters, and the paperback book: Restore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for Life. Dr. Simon loves riding the best rollercoasters in the world, collecting fountain pens and wristwatches, and freshwater fishing. He is a five-time Master Angler of Canada.hiker, dog trainer, and lover of nature.OTHER RESOURCES, LINKS AND INSPIRATIONS: ASECT (American Association of Sexuality Educators, Counselors and Therapists)A professional organization for sexuality educators, counselors, and therapists.ISCD (International Society for Clinical Densitometry)Organization focused on bone density and skeletal health.Menopause SocietyFormerly known as the North American Menopause Society (NAMS), dedicated to promoting the health and quality of life of women through an understanding of menopause.International Society for the Study of Women's Sexual Health (ISSWSH)Multidisciplinary, academic, and scientific organization dedicated to women's sexual health.Washingtonian Magazine ArticleRegional magazine that dubbed Dr. Simon "The Menopause Whisperer."Sexual Health AllianceOrganization and conference for sexual health professionals.Women's Health Initiative Hormone StudiesLandmark studies on hormone therapy in women.Menopause MeetingsAnnual conferences for menopause specialists.PremarinEstrogen medication derived from pregnant mares' urine, historically used in hormone therapy.Viagra (Sildenafil)Medication for erectile dysfunction, originally developed for high blood pressure.GLP-1 Receptor AgonistsClass of injectable medications for diabetes and weight loss (e.g., Ozempic, Wegovy).Dr. Dympna RenshawSouth African psychiatrist and pioneer in sexual medicine, especially in the context of trauma and dysfunction.Halle Berry, Kate WinsletCelebrities mentioned for their advocacy and openness about menopause.Contraception Marches (late 1960s)Historical reference to activism for access to contraception.[From time to time, a word or phrase goes wonky. Please forgive my wandering wifi.]

Dr. Jeff Gross graduated from the University of California, Berkeley with a degree in biochemistry and molecular cell biology. He earned his Doctor of Medicine in 1992 from the George Washington University School of Medicine. He contributed to virology research during his studies. After graduating, he completed a residency in neurological surgery at the University of California, Irvine Medical Center, from 1997. He then pursued a Fellowship in Spinal Biomechanics at the University of New Mexico until 1999. Licensed in California and Nevada, Dr. Gross has SPINE practices in Orange County and Henderson, Nevada. A trained neurological surgeon, he specializes in athletic injuries and spine procedures, and offers longevity and biohacking consultations. He's certified by the American Board of Neurological Surgery and is a member of several prestigious surgical societies. Since 2020, Top Doctor has recognized Dr. Gross as a leading Neurological Surgeon. He also received HealthTap's 2022 Top Doctor Award as a top Neurological Surgeon in the U.S. Dr. Gross founded ReCELLebrate, focusing on anti-aging and regenerative medicine. The mission for ReCELLebrate emphasizes offering modern biochemical treatments and considering surgery as a last resort.Website:http://ReCELLebrate.comhttps://klap.app/?via=matt-nappoSpons...https://www.dubby.gg/discount/minddog...https://tantaly.pxf.io/jezWbe https://invideo.sjv.io/c/3290446/1543...https://mindbloom.sjv.io/c/3290446/15...https://daily-high-club-affiliate-pro...https://goodbru.com/?sca_ref=8203535....DONATE TO THE CHANNEL: https://www.paypal.com/donate/?hosted...Join this channel to get access to perks:   / @minddog  

What happens when a febrile infant presents at 61 days old? Are they suddenly low risk for invasive bacterial infections? In this episode, we explore the gray zone of managing febrile infants aged 61–90 days with the help of two new clinical prediction rules from PECARN. Joining us are two powerhouses in pediatric emergency medicine: Dr. Nate Kuppermann and Dr. Paul Aronson, who walk us through their recent study published in Pediatrics. We discuss why prior research has traditionally stopped at 60 days, what the new data shows about risk in this slightly older age group, and how these rules might help guide clinical decision-making. This study fills a long-standing gap—but should we start using the rules now? Tune in for a nuanced discussion on sensitivity, missed cases, practical application, and the future of risk stratification in young infants with fever. What is your practice in terms of work-up of 2-3 month old febrile infants? Will this change what you do? Hit us up social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children's National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Paul Aronson, Professor of Pediatrics (Emergency Medicine); Deputy Director, Pediatric Residency Program at Yale University School of Medicine Resources: “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? Aronson PL, Mahajan P, Meeks HD, Nielsen B, Olsen CS, Casper TC, Grundmeier RW, Kuppermann N; PECARN Registry Working Group. Prediction Rule to Identify Febrile Infants 61-90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. 2025 Sep 1;156(3):e2025071666. doi: 10.1542/peds.2025-071666. PMID: 40854562; PMCID: PMC12432541. Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O'Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. **** 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.

Over the past 30 years, the United States has experienced rapid technological change. Yet in recent years, innovation appears to have plateaued. The iPhone of four years ago is nearly identical to today’s model, and the internet has changed little over the same period. Little tech companies play a significant role in generating new ideas and technological development. In this episode, experts discuss the financial gains and risks of incentivising little tech innovation and offer policy recommendations that encourage investment in the "littlest tech" firms to drive future breakthroughs.Join the Federalist Society’s Regulatory Transparency Project and host Prof. Kevin Frazier for an in-depth discussion of the “Little Tech Agenda” with special guest Dave Karpf, Associate Professor at the George Washington University School of Media and Public Affairs.

If you've ever tried to lose weight, you know how challenging it can be. We are constantly looking for easy, effective ways to take off the pounds and keep them off. According to Dr. Neal Barnard, certain foods actually cause weight loss, like a weight-loss medication without a prescription. He discusses the power foods diet, which he contends results in easy weight loss, with no calorie counting and no portion limits. Dr. Barnard is an adjunct faculty member of the George Washington University School of Medicine and president of the Physicians Committee for Responsible Medicine, where he heads a research team investigating scientific issues in nutrition and health. He is the New York Times bestselling author of Dr. Neal Barnard's Program for Reversing Diabetes, Power Foods for the Brain, The 21-Day Weight-Loss Kickstart, and Your Body in Balance, among many others. His new book is, The Power Foods Diet: The Breakthrough Plan That Traps, Tames, and Burns Calories for Easy and Permanent Weight Loss.

BUFFALO, NY — September 24, 2025 — A new #research paper was #published in Volume 17, Issue 8 of Aging-US on August 7, 2025, titled, “What is the clinical evidence to support off-label rapamycin therapy in healthy adults?” In this study, led by Jacob M. Hands from The George Washington University School of Medicine and Health Sciences, researchers analyzed current research to determine whether low-dose rapamycin can extend healthspan or delay aging in healthy adults. While studies in animals have shown promising results, this review found no clear clinical evidence that the same benefits apply to humans. The findings point to the urgent need for larger, better-designed human trials before recommending rapamycin for off-label use to prevent aging. Rapamycin, originally developed as a drug to suppress the immune system, has gained interest as a possible anti-aging therapy. It works by blocking a key cellular pathway called mTOR, which plays a role in growth and metabolism. In animal studies, blocking this pathway has extended lifespan. However, the translation of these results to humans remains uncertain. The current study examined clinical trials and observational studies involving healthy adults who took low doses of rapamycin or similar drugs. “This paper has reviewed trials of low-dose mTOR inhibition therapy in human subjects.” Some trials showed encouraging signs. For example, older adults treated with low-dose mTOR inhibitors showed stronger immune responses and fewer respiratory infections. Other studies suggested possible improvements in subjective well-being and physical performance, such as walking speed and strength. Still, none of the trials directly showed that rapamycin extends life or clearly slows the aging process. One small study using a biological aging model (PhenoAge) suggested that users might have reduced their biological age by nearly four years, but the estimate was based on average values, not individual patient data. There are also concerns about side effects. While short-term use seems safe, some studies reported increases in blood lipids and markers of inflammation. Research on muscle health produced contradictory findings—some studies suggest rapamycin might reduce the body's ability to build muscle. The impact on mental health is also unclear, with a few participants reporting increased anxiety during treatment. The researchers emphasize that rapamycin's role in human aging is still uncertain. Off-label use is growing among longevity clinics and individuals seeking anti-aging solutions, but there is no standard dose, and long-term safety is unknown. The authors advise that off-label use should be approached with caution, including careful monitoring and full disclosure about the limited evidence. Overall, while animal studies have demonstrated promising effects, human trials have not yet shown that rapamycin can safely or effectively slow aging or extend lifespan. More rigorous and well-controlled studies are necessary before the drug can be considered a reliable option for healthy adults interested in longevity interventions. DOI - https://doi.org/10.18632/aging.206300 Corresponding author - Jacob M. Hands - jacobhands@gwu.edu Abstract video - https://www.youtube.com/watch?v=cdWUenvB_mY Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts To learn more about the journal, please visit our website at https://www.Aging-US.com​​ and connect with us on social media at: Facebook - https://www.facebook.com/AgingUS/ X - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Bluesky - https://bsky.app/profile/aging-us.bsky.social Pinterest - https://www.pinterest.com/AgingUS/ Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc MEDIA@IMPACTJOURNALS.COM

This weekend you can still get your raffle ticket or bid on a silect auction to the Anne Saxelby Legacy Fund!  Check out their amazing organization and what they do for apprecntices around the country to preserve the farming industry.  https://www.annesaxelbylegacyfund.org/2025-raffleLearn about RPP in this week's health segment. Mary Robinson is living with generalized pustular psoriasis and Adam Friedman, MD, FAAD is the Professor and Chair of Dermatology, The George Washington University School of Medicine & Health Sciences.Author Matin Miryeganeh has written a powerfully inspiration memoir, " All Is Well." It's a memoir of loss, survival; and inner strength.  Dr. Jess Carbinp is a relationship and onlie dating expert. She talks about love languages, partcularly that of helping to clean, highlighting seventh generation products.

Support the Institute today. https://www.nova.edu/give/index.html?area=Institute%20for%20Neuro-Immune%20Medicine&designation=INIM%20Grateful%20Patient%20Fund   Showing empathy to patients and truly being in their shoes is how we begin to redefine care. Today, Haylie Pomroy is joined by Nurse Practitioner Irina Rozenfeld to talk about how personalized care for chronic illness can help improve and redefine the way we approach healthcare today. Dr. Rozenfeld shares her formula for helping patients gain access to adequate care, the role of empathy in building strong therapeutic relationships, and how her advocacy work also empowers patients to become advocates for themselves. Together, they dig deep into personalized medicine, the impact of knowledge deficit in healthcare, and how a patient can more effectively communicate with their practitioner to achieve the best outcomes. Learn more on the Hope and Help for Fatigue and Chronic Illness Podcast: Redefining Care: Personalized Medicine for Chronic Illness   Enjoy our show? Please leave us a 5-star review so we can bring hope and help to others. You can also catch this show on YouTube and other podcast platforms.    Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy   If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx   Irina Rozenfeld, DNP, MSHS, APRN, ANP-BC is is a Board Certified Nurse Practitioner committed to the health of her patients. Irina emphasizes patient-practitioner relationships, critical thinking, and patient education to develop an optimal treatment plan and achieve sustainable results. She obtained her Bachelor's of Science degree from Nova Southeastern University and a Master's of Science in Nursing Studies from Florida International University. Additionally, she has obtained a Master's degree in Integrative Medicine from George Washington University School of Medicine and a Doctoral degree at the University of North Florida. Before joining the INIM, Irina worked for more than twenty years as a physician assistant in Russia. After relocating to Florida, she worked as a Clinical Research Nurse at Nova Southeastern University. Irina obtained an international certification as a Clinical Research Professional and has been involved in research in many roles. Irina teaches at Nova Southeastern University College of Nursing as an adjunct faculty.   Facebook: https://www.facebook.com/irina.rozenfeld.1  LinkedIn: https://www.linkedin.com/in/irina-rozenfeld-413a4028/  Instagram: https://www.instagram.com/irina.rozenfeld.1/   Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.   Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com   Instagram: https://www.instagram.com/hayliepomroy Facebook: https://www.facebook.com/hayliepomroy YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy    Enjoy our show? Please leave us a 5-star review so we can bring hope and help to others.   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here. Website: https://www.nova.edu/nim/  Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine  Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM

BIO:Ed Harrold is an author, inspirational leader, public speaker, coach and educator. Ed's mastery in the science of mindful breathing blends the fields of neuroscience and the wisdom of contemplative traditions into effective strategies to improve health, well-being and performance.   Ed is the author of Life With Breath IQ + EQ = NEW YOU & BodyMindBusiness: The Business Of BE'ing Within.Ed's Breath AS Medicine Trainings offer Continuing Education in the healthcare, health & wellness, fitness, allied health and sleep medicine communities.  His trainings were also a CME course with George Washington University School of Medicine & Health Sciences.  Ed's breathwork was studied by the Harvard Medical Research team with IEL.  Ed is the Breath Expert for Goldie Hawn's MindUP organization. Ed is a Breath Master on The Breath Source breathwork app (Android & IOS).  Learn more about Ed at www.edharrold.com SHOWNOTES:

 Dr. Jeff Gross — Board-certified neurological surgeon, biochemist, biohacker, founder of Celebrate Regenerative Medicine, and longevity/biohacking consultant based in Las Vegas & Southern California. Medical & Health Longevity Background: Dr. Gross trained at UC Berkeley (Biochemistry & Molecular Biology), George Washington University School of Medicine, UC Irvine (Neurosurgery), and UNM (Spinal Biomechanics). He has decades of frontline experience in spine surgery, sports injuries, regenerative medicine, and now consults on biohacking and longevity. Biohacking & Longevity: Biohacking is essentially circles back to ancient wellness wisdom (eat well, sleep, exercise)—but enhanced by modern science (measuring phytonutrients, leveraging tech like red light, hyperbaric therapy, protein timing, etc). Emphasizes that “prevention” is still the number one defense against the four top causes of death in Western countries; early proactive screening and lifestyle habits remain critical. There is increasing crossover between “traditional medicine” and “naturopathic”/“functional” approaches—Dr. Gross sees this convergence as positive and overdue, but notes resistance still exists in mainstream medicine. Emerging Business Opportunities in the Wellness Space: IV centers, cryotherapy, and retail biohacking clinics (hyperbaric O2, red light therapy, peptides, weight loss clinics, etc.) are booming, especially in health-conscious cities. Low-barrier options: health coaching, nutrition consulting, affiliate/online influencer businesses—Dr. Gross notes people he knows personally earning seven figures as wellness affiliates. Innovations: Short-form EMS (electro-muscular stimulation) workouts, “blood flow restriction” exercise systems, and more. Cancer screening clinics: Now possible with advanced genomics and blood-testing—these are in demand but not widely available through traditional doctors/insurance, opening more avenues for direct-to-consumer providers. Supplementation & Biohacking Basics: “Non-negotiables” for almost everyone: Vitamin D3 (& often K2): Most people are deficient; optimal blood levels promote longevity, reduce inflammation, and lower all-cause mortality. Magnesium: Especially at night for recovery and cellular repair. Creatine: Improves muscle mass, heart health, and brain health; well correlated with longevity. Probiotics: Modern lifestyles make gut health challenging—good probiotic support is important. Nicotine: Can be a cognitive enhancer in low doses and proper delivery (gum/patch, NOT smoking)—but is highly addictive. Other Business/Money Ideas: Successful affiliate and influencer businesses for those passionate about health and wellness. Emphasizes supplement sales (with high trust and real value), personalized coaching, and education are evergreen opportunities. Industry Critique: Criticizes health insurance as a “legal mafia,” noting it often adds cost and hassle while limiting real preventive care. Encourages listeners to be their “own best advocate” for health—don't rely only on five-minute mainstream doctor visits. Connect with Dr. Jeff Gross: https://recellebrate.com/

On this edition of The Mark White Show, Dr. Adam Friedman, Professor and Chair of Dermatology at The George Washington University School of Medicine & Health Sciences, shares the critical differences between generalized pustular psoriasis (GPP) and the more common plaque psoriasis, and why timely diagnosis and awareness can save lives. Then, Jamie Harding, Associate State Director for AARP Alabama, joins me to mark the 90th anniversary of Social Security, discuss the program's impact on millions of Americans, and share how we can work together to protect and strengthen it for generations to come.

On this Make A Difference Minute, Dr. Adam Friedman, Professor and Chair of Dermatology at The George Washington University School of Medicine & Health Sciences, explains the difference between generalized pustular psoriasis (GPP) and the more common plaque psoriasis. While plaque psoriasis affects the skin's surface and can often be managed over time, GPP is a rare, potentially life-threatening condition that causes widespread pustules, severe inflammation, and can lead to serious complications. Dr. Friedman shares why awareness of GPP is critical and how it can save lives. Sponsor: Green's Dependable Hardware Russellville, AL

In this episode of the BrushwithBritt Podcast, Britt sits down with Derik Sven

Show Notes: Kendalle Cobb, a family physician, has been practicing in Cleveland since 2004. She graduated from George Washington University School of Medicine in Washington, DC and completed her family medicine residency at Kaiser Foundation Hospital in Fontana, California. After a year in Boston, she returned to serve on the faculty at her former residency program. She met her husband, who taught at a boarding school in Claremont, California, and after they got married, they moved to Cleveland to be closer to his family. Family Physician and Physician Advisor Kendalle shares that family medicine, as a primary care specialty, takes a more holistic approach with the inclusion of counseling and a “cradle to grave” mentality that follows the patient through different stages of life. She sees patients 50% of the time in a family health center in the community. The rest of her time is spent as one of the associate chiefs of staff and as a physician advisor at Cleveland Clinic Lerner College of Medicine, a five-year program that trains students to be physician investigators, focusing on research, scholarship, personal and professional development, and reflective practice. The physician advisor attests to the students' competency report is representative of the feedback that the students receive. Supporting Medical Students Kendalle talks about working as a physician advisor. She shares what she has learned in this role. One aspect she has realized is that people are often used to being self-sufficient, making it challenging to ask for help or to work in collaborative environments. She explains what some students struggled with in terms of peer-to-peer interaction, challenges of the assessment system, and accepting that there will always be areas of improvement. Kendalle helps normalize expectations for students. She also talks about the connections between her work as a physician advisor and as a family physician. The Partnership Aspect of Medicine When Kendalle first thought about becoming a doctor, she initially had an idea of being able to fix things, but now she appreciates the partnership aspect of medicine where she accompanies people along their path. She mentions that there is often a difference between the textbook ideal treatment and what's best for the patient in front of her. She explains that medicine is a team sport, and group work requires trust and collaboration, and while she didn't like group work in school, she realizes that, in medicine, no individual can do everything, and doctors rely on others to answer phones, send messages, and process refill requests. By understanding and addressing these challenges, doctors can help their students navigate the challenges they face and become better doctors. Counseling and Family Medicine Kendalle talks about how family medicine and her approach to counseling has evolved over time. During her residency, one afternoon a week was dedicated to mental health, in addition to didactic sessions, she had two hour-long patients, supervised by a family physician and psychiatrist. Over the course of her residency, she had an increasing number of clinic sessions to see an increasing number of patients with various physical and mental health concerns. She learned that some people just want to share their feelings without wanting to change anything. She shares a story of a patient who was upset about a situation, and although their conversation was not health related, it helped Kendalle support the patient in figuring out next steps. In addition to counseling, she also learned to use tactical phrases and questions to help patients make decisions that align with their goals. This approach allows for more effective communication and understanding of patients' needs and concerns. Creating a Safe Space for All Patients Kendalle discusses the importance of understanding and addressing various health issues in healthcare settings. She shares her experiences with the stub toe theory, which is really "broken arm theory,"  which is when a doctor attributes any concern with which a patient presents, to some other risk factor (smoking, obesity, gender identity). She also discusses the importance of considering factors that can affect health in interacting with patients. She shares a case of a woman with previously well-controlled blood pressure whose blood pressure was high. Kendalle uncovered a social stressor.  Kendalle emphasizes the need to consider different priorities and the reasons behind people's decisions regarding their health. She avoids asking the question "why" and instead asks "what factors contributed" to the patient's decision or thoughts about their health issues. This approach helps patients feel less defensive and allows Kendalle to better partner with patients to manage their health. Confidentiality in the Doctor's Office Kendalle explains that she is often the doctor for more than one generation in a family,  and she shares a story that stresses the importance of confidentiality in the doctor's office. She also talks about how difficult it can be when extended family members want to become her patients, but the fact that the family entrusts the doctor with their loved ones is special. She also talks about the trust, gratitude, and grace shown by the patients, and how these are the moments that stay with her. Influential Harvard Professors and Courses Kendalle mentions history professor Michael McCormick, who helped her develop confidence in analyzing primary sources from medieval and early modern Europe. She also mentions fundraising for CityStep by organizing a formal event in Memorial Hall. Timestamps: 01:26: Kendall Cobb's Career Journey  02:28: Understanding Family Medicine  04:12: Teaching and Advising at Cleveland Clinic 05:40: Learning and Adapting in Medical Education 12:02: Counseling and Patient Interactions  13:57: Handling Patient Health Issues 25:21: Patient Relationships and Trust 29:10: Personal Life and Interests  31:33: Harvard Memories and Influences  Links:  LinkedIn: https://www.linkedin.com/in/kcobbmd/ Featured Non-profit: The featured non-profit of this week's episode is the Houston Learning Network recommended by Huang Quan Vu who reports:  “Hi. I'm Huang Quan Vu, class of 1992. The featured non-profit of this episode of The 92 Report is the Houston Learning Network. HLN helps Houston area educators grow their practice and transform their classrooms by providing funding and support so they could attend in person professional development at Harvard, participate in virtual Harvard educational programming from Houston and learn from Harvard educators who passed through Houston. I was a founding member of HLN, and I'm currently the Vice Chair of the Board of Directors. You can learn more about their work at Houston learning network.org, and now here's Will Bachman with this week's episode.” To learn more about their work, visit: HoustonLearningNetwork.org.   

REAL Self-Care: Burnout Is Not Your Fault & the Way Out with Dr. Pooja Lakshmin Psychiatrist Dr. Pooja Lakshmin shows us how to tell the difference between the Faux Self-Care we've been sold versus the Real Self-Care we desperately need. Discover:  How to incorporate boundaries through the power of the pause and how to navigate the post-boundary ick with ease; A simple tool to know whether you are being driven by your goals or driven by your values (and how to find and start living by your values today); and Whether you might be in ‘martyr mode,' and the key to getting out of it.  About Pooja: ⁠Dr. Pooja Lakshmin⁠ is a board-certified psychiatrist, author, keynote speaker, and a contributor to The New York Times. Her debut book, ⁠REAL SELF-CARE: Crystals, Cleanses, and Bubble-Baths Not Included⁠, is an NPR Best Book of 2023 and a national best-seller. Pooja serves as a clinical assistant professor of psychiatry at George Washington University School of Medicine, and maintains an active private practice where she treats women struggling with burnout, perfectionism, and disillusionment, as well as clinical conditions like depression, anxiety and ADHD. She frequently speaks, advises and consults for organizations on mental health and well-being. Pooja writes the weekly Substack newsletter, ⁠Real Self-Care⁠.  IG: ⁠@poojalakshmin To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Join Dr. Jay and Brad as they interview Dr. Matthew Mintz! Since 2017, board-certified internist Matthew Mintz, MD, FACP, has provided old-fashioned, personalized care with today's advanced diagnostic procedures and treatments in Bethesda, Maryland. Dr. Mintz received his Bachelor of Arts from The University of Chicago, and earned his medical degree and residency in internal medicine and primary care at George Washington University School of Medicine. After completing a Chief Medical Residency at George Washington University, Dr. Mintz became a full-time GW faculty member for 20 years, where he saw patients and taught medical students/residents.To connect with Dr. Mintz, you can visit his website at https://drmintz.com/

Our podcast show being released today will focus on S.  919, the Guiding and Establishing  National Innovation for U. S. Stablecoins Act of 2025 or GENIUS Act which was reported out of the Senate Banking, Housing, and Urban Affairs Committee by a bipartisan vote of 18-6. The bill would establish a regime to regulate stablecoins.  Our guest today, Professor Art Wilmarth of George Washington University School of Law, published an op-ed on March 6 in the American Banker in which he wrote that the “..bill would allow stablecoins, which are volatile deposit-like instruments, to be offered to the public without the essential protections provided by federal deposit insurance and other regulatory safeguards regarding banks that are insured by the Federal Deposit Insurance Corp. By placing the federal government's imprimatur on poorly regulated and unstable stablecoins, the …bill would greatly increase the probability that future runs on stablecoins would trigger systemic crises requiring costly federal bailouts to avoid devastating injuries to our financial system and economy.” Our podcast show was designed to be of interest to both crypto neophytes and experts. During this podcast, we explore the following issues:            1. What are stablecoins, and what are their present and potential use cases?            2.  How do stablecoins differ from other types of crypto like bitcoin?            3. How many companies issue stablecoins today?  4. What is the total volume in dollars of outstanding stablecoins?  Has it been growing?  Do all stablecoin issuers also issue other types of crypto?            5. Do any banks issue stablecoins?  If not, why not? 6.  Are there any federal or state regulations that apply to stablecoins today?  What about state money transmitter laws?  7.  Do stablecoins provide a better way to improve the speed and reliability of payments compared to other ways of making payments? Do they offer any benefits that are NOT currently offered by tokenized bank deposits and the instant payment and settlement services offered by FedNow and the Clearing House's Real Time Payment Network?  How do stablecoins on public blockchains compare to tokenized deposits held on private electronic bank ledgers, in terms of safety, reliability, and efficiency. 8.   Professor Wilmarth describes a typical stablecoin transaction and the fact that stablecoin issuers often pay interest on stablecoins that are the equivalent of money market mutual funds and way more than banks pay on passbook or statement savings accounts or checking accounts.            9.  How do stablecoin issuers generate revenue? 10.   What are the potential risks of stablecoins, especially if they can be offered by nonbanks and are not covered by federal deposit insurance?  Would they present the same risks as money market funds, which the Fed and Treasury bailed out in 2008 and again in 2020? Have there been any examples of these risks being realized?  Have there been any failures? What happens if a stablecoin issuer fails?  Does bankruptcy law (as amended by the GENIUS Act), provide a feasible process for dealing with failures of stablecoin issuers?  If nonbank stablecoin issuers become large financial institutions and get into serious trouble, would the federal government be able to finance another series of massive bailouts similar to those of 2007-09 and 2020-21 without risking a crisis in the Treasury bond market and/or another surge of inflation? 11.  Will Big Tech firms issuing stablecoins be able to dominate our banking system and economy and would that necessarily be a bad thing? 12. Which firms are likely to be the most significant issuers of stablecoins if nonbanks are allowed to conduct that activity?  If Big Tech firms are allowed to offer stablecoins, could they use stablecoins to offer banking services and eventually dominate the banking industry?  What should we learn from China's experience with Ant Financial Group (Alipay) and Tencent (WeChat Pay), China's two largest Big Tech firms, which became dominant providers of financial services to Chinese consumers and households? 13.  We then discussed the so-called GENIUS ACT which the Senate Banking Committee passed by an 18-6 bipartisan vote on March 13. What are the major features of the Act?            14.  What are your major concerns about the bill? 15. What would the stablecoin market look like if Congress passed the GENIUS Act in the form that it was approved by the Senate Banking Committee? 16.  Should we require all issuers and distributors of stablecoins to be FDIC-insured banks?  Why do you believe that federal banking laws governing FDIC-insured banks provide a far better approach for regulating issuers of stablecoins? [After the recording of this podcast, the bill ran into rough sledding on the floor for a couple of weeks with some Senators, like Senator Elizabeth Warren, raising consumer protection issues similar to those raised by Professor Wilmarth and other Senators raising concerns about President Trump's family substantially benefiting from enactment of the bill. However, on May 19, after negotiations among Senate Democrats and Republicans to amend the Bill to add consumer protections, limits on tech companies issuing stablecoins and ethics standards for special government employees, like Elon Musk, the Bill advanced on a bipartisan procedural vote to prevent filibustering in the Senate, 66-32, making it likely that the Bill will pass the Senate by a super-majority vote. The fate of the Bill in the House is less certain.] Alan Kaplinsky, Senior Counsel and formerly the Chair for 25 years of the Consumer Financial Services, hosted the podcast show.

I'm thrilled to welcome back two favorite podcast guests and just all-around wonderful humans, Dr. William Stixrud and Ned Johnson. You might know them from their bestselling book The Self-Driven Child, which I often refer to on this show as one of the most important resources in my parenting life. Well, Bill and Ned have a new phenomenal resource that I can't wait to share with you — a workbook based on their beloved book called The Seven Principles for Raising a Self-Driven Child.  Today's episode features a rich and deep conversation about some of the concepts they support parents in navigating in their new workbook, like why fostering autonomy is key to motivation, emotional well-being, and long-term success, why connection matters more than control, how to support our kids without trying to change them, and ways we can create a home environment that builds confidence and trust. They also share practical strategies for effective communication, including how to guide our kids through challenges without adding pressure or anxiety. As parents, it is scary to let go of control and to trust our kids to navigate their own problems, but as you'll hear in this conversation, this is exactly what they need to be motivated. We know we can't change them, but we can support them in finding the reason to change for themselves.   About William R. Stixrud, Ph.D William R. Stixrud, Ph.D., is a clinical neuropsychologist and founder of The Stixrud Group. He is a member of the teaching faculty at Children's National Medical Center and an assistant professor of psychiatry and pediatrics at the George Washington University School of Medicine. Additionally, Dr. Stixrud is the author, with Ned Johnson, of the nationally bestselling book, The Self-Driven Child: The Science and Sense of Giving Your Kids More Control Over Their Lives, What Do You Say: How to Talk with Kids to Build Motivation, Stress Tolerance, and a Happy Home, and The Seven Principles for Raising a Self-Driven Child: A Workbook. About Ned Johnson Ned Johnson is president and “tutor-geek” of PrepMatters, an educational company providing academic tutoring and standardized test preparation. A battle-tested veteran of test prep, stress regulation and optimizing student performance, Ned has spent roughly 50,000 one-on-one hours helping students conquer an alphabet of standardized tests, learn to manage their anxiety, and develop their own motivation to succeed. Ned is the host of the The Self-Driven Child podcast. His work has been featured in the New York Times, Washington Post, NPR, The Guardian, Wall Street Journal, US News, Seventeen, and many others.   Things you'll learn Why empowering children with autonomy fosters their development, motivation, and ability to navigate their own reality Why connection matters more than control, and parents should act as supportive guides rather than enforcers The role of self-reflection, an understanding of different temperaments, and a willingness to listen without pressure in effective parenting (guiding) How to cultivate respectful environments where children feel safe to explore, make decisions, and learn from their experience Why raising self-driven children leads to the best outcomes for their lives as self-determined and self-actualized adults   Resources mentioned The Seven Principles for Raising a Self-Driven Child: A Workbook by Dr. William Stixrud & Ned Johnson Ned Johnson / Prep Matters What Do You Say? How to Talk with Kids to Build Motivation, Stress Tolerance, and a Happy Home by Dr. William Stixrud and Ned Johnson The Self-Driven Child: The Science and Sense of Giving Your Kids More Control Over Their Lives by Dr. William Stixrud and Ned Johnson Conquering the SAT: How Parents Can Help Teens Overcome the Pressure and Succeed by Ned Johnson and Emily Warner Eskelsen Learn more about your ad choices. Visit megaphone.fm/adchoices

Do law schools look unfavorably at applicants who retake the LSAT? This week, Ben and Nathan insist that any downsides to retaking the LSAT are negligible, while the upsides can be life-changing. The guys also dispel the myth of “overthinking,” rail against obscurantist 509 reports, and probe Ben's alma mater: George Washington Law. Study with our Free Plan Download our iOS app Watch Episode 487 on YouTube 3:49 - Law School Exams - A long-time listener describes how studying LSAT Logic Games helped prepare them for law school exams. 13:30 - T14 Scholarships - The guys discuss a T14 law school's deceptive messaging about scholarships. 21:59 - Overthinking - LSAT students often blame their mistakes on “overthinking.” But you're far more likely to miss a question because you didn't think about it enough. 32:21 - Ask Button - Nathan and Ben celebrate the LSAT Demon Ask Button team. 34:47 - Retaking with a High Score - Ben and Nathan revisit a recent discussion about the potential downsides of retaking the LSAT when you already have a high score. The guys maintain that there's only upside to retaking. 56:03 - What's the Deal with…? - Nathan and Ben look into George Washington University School of Law, a regional law school in Washington, D.C. 1:29:52 - Word of the Week - We offer this podcast for your delectation.