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Listener feedback, transcatheter tricuspid valve replacement, a new metabolic disease called CKM, the ARISE-FLUIDS Trial, the BIHCA trial, and temporal trends in ICD therapies are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Listener Feedback LOSE-AF Trial https://jamanetwork.com/journals/jama/fullarticle/2849335 ARREST-AF Trial https://jamanetwork.com/journals/jamacardiology/fullarticle/2840225 POP-AF Trial https://doi.org/10.1093/eurheartj/ehaf689 PRAGUE-25 Trial https://www.jacc.org/doi/10.1016/j.jacc.2025.04.042 II Transcatheter Tricuspid Valve Replacement TRISCEND Cost Study https://doi.org/10.1016/j.shj.2026.101049 TRISCEND II Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2401918 III More Disease Creation – the CKM Syndrome ACC/AHA Release First-Ever Guideline for CKM Syndrome https://www.medscape.com/viewarticle/acc-aha-release-first-ever-guideline-ckm-syndrome-2026a1000jbs CKM Guideline in Circulation https://www.ahajournals.org/doi/10.1161/CIR.0000000000001447 IV Two Trials That Teach Important EBM Lessons ARISE-FLUIDS Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2516225 Dr Josh Farkas Post on X https://x.com/PulmCrit/status/2065064796270022845?s=20 V Bicarbonate for Inpatient Cardiac Arrest –The BIHCA trial BIHCA Trial https://jamanetwork.com/journals/jama/fullarticle/2850405 VI The Decline of VT in Heart Failure Trends and Outcomes in ICD Recipients: 15-Year Analysis https://doi.org/10.1093/europace/euag110 Declining Risk of Sudden Death in HF https://www.nejm.org/doi/full/10.1056/NEJMoa1609758 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
Alabama11th Circuit court puts stay on execution that uses nitrogen hypoxia methodAG Marshall joins multi state coalition asking EPA to put mifepristone on list of water contaminantsJohn Wahl wants to advocate for repeal of state income tax if elected as Lt.GovernorWes Allen and state lawmakers put out letter about the limits of the Lt. Governor's office in regards to taxesattack ads on Barry Moore's military records coming from PAC in AL have been pulled by WVTMFuneral arrangements have been made for Auburn University student who died in Japan while on vacation with familyNationalDOJ to take on states restricting the 2nd amendment with legal casesWI Senator Johnson says Covid vaccine needs ICD code to be treated as diseaseHog rancher says mRNA shots on pigs killed a fourth of themJournalist Lara Logan talks about the attack on US elections and culture by Globalist/Marxist/IslamistsPresident Trump calls of military strikes against Iran, says deal close to completion ( we will see about that !)
Wednesday, June 10, 2026 - Week 24 #NightOfImpact was 15 Days ago! Photos: https://jeaniehorton.pixieset.com/curesyngap1nightofimpact2026/ Impact: $800k+, of which $300 was our match. Industry: Multiple Academics & Clinicians: Stanford, Berkeley & UCSF. Cross-pollination is always good. Speakers: Ash, John, Kathryn, Helen Willsey & Me. Only got a video of John, which was a mistake. If you took one, please share. Here is John: https://www.linkedin.com/posts/graglia_still-reflecting-on-our-inaugural-cure-syngap1-ugcPost-7467439971294048256-cUf9/ Dr. Willsey Rocks. Willsey Press Release https://www.eurekalert.org/news-releases/1130924 (both were at NoI). A few other points on HRW, as we call her. Simons: https://curesyngap1.org/blog/future-research-for-syngap1-how-helen-willsey-broke-new-ground-frogs-in-hand/ Willsey in Neuron 2021: https://www.cell.com/neuron/pdf/S0896-6273(21)00002-7.pdf (Frogs) Birtele in Nature Neuroscience 2023: https://www.nature.com/articles/s41593-023-01477-3 (Confirms) McCluskey in Nature Communications 2025: https://www.nature.com/articles/s41467-025-57342-3 (GI) Kostyanovskaya in BioRxiv 2025: https://pubmed.ncbi.nlm.nih.gov/39677731 (cilium) 5TH SCRAMBLE FOR SYNGAP, SC – 114 days Classic case of a small event becoming an institution! cureSYNGAP1.org/Scramble26 CURE SYNGAP1 CONFERENCE - 175 days cureSYNGAP1.org/Pre USA: use your ICD-10, F78.A1: https://onlinelibrary.wiley.com/doi/10.1002/epi.70142 PUBMED Pubmed 2026 is at 35. +11 vs the week. (61 last year was +9) https://pubmed.ncbi.nlm.nih.gov/?term=syngap1&filter=years.2026-2026&sort=date SOCIAL MATTERS 5,045 LinkedIn. https://www.linkedin.com/company/curesyngap1 1.58k YouTube. https://www.youtube.com/@CureSYNGAP1 11.1k Twitter https://twitter.com/cureSYNGAP1 45k Insta https://www.instagram.com/curesyngap1 $CAMP closed at $4.34 today. https://www.google.com/finance/beta/quote/CAMP:NASDAQ Like and subscribe to this podcast wherever you listen. https://curesyngap1.org/podcasts/syngap10 Episode 209 of #Syngap10 #SYNGAP1 #CureSYNGAP1 #Podcast #PatientAdvocacy
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 18th Season starts up and Episode 2 features a Newsworthy update on the OIG Work Plan for May 2026.Sonal's Trusty Tip highlights May's Stroke Awareness Month.Spark inspires us all to reflect on all things fear based on the inspirational words of Anaïs Nin.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
„Ich kauf mir was. Kaufen macht so viel Spaß!“ heißt es in einem Song von Herbert Grönemeyer. Was aber, wenn der Einkauf nie benutzt wird und sich Kleider und Kisten unausgepackt in den Ecken stapeln? Am Fall von Frau P. zeigen Franca und Christian, wo normales Shoppen aufhört und Kaufsucht beginnt: wenn nicht mehr die Ware zählt, sondern das gute Gefühl beim Kaufen an sich. Rund jeder Zwanzigste ist betroffen, Männer wie Frauen. Es geht um Emotionsregulation und um die lebhafte Fantasie vom besseren Ich im neuen Outfit. Franca und Christian sprechen über Scham und Schulden und geben praktische Tipps für Angehörige und Betroffene und klären, wie man umgeht mit dem Kaufen in unserer sinnlichen Konsumwelt. Denn am Ende geht es nur selten um die fünfzehnte Lichterkette, sondern um die Frage, was uns eigentlich wirklich fehlt. Quellen (Auszug): Maraz, A., Griffiths, M. D., & Demetrovics, Z. (2016). The prevalence of compulsive buying: a meta-analysis. Addiction. https://doi.org/10.1111/add.13223 Müller, A., Brand, M., Claes, L., et al. (2019). Buying-shopping disorder – is there enough evidence to support its inclusion in ICD-11? CNS Spectrums. https://doi.org/10.1017/S1092852918001323 Brandtner, A., Brand, M., & Müller, A. (2025). Mental imagery in the context of online compulsive buying-shopping disorder. Addictive Behaviors Reports. https://doi.org/10.1016/j.abrep.2025.100586 Müller, A., Joshi, M., Kessling, A., et al. (2025). Effects of acute stress on cue reactivity and implicit cognitions in online compulsive buying-shopping disorder. Journal of Behavioral Addictions. https://doi.org/10.1556/2006.2025.00002 Hilfe: Kaufsucht-Beratung - https://www.fv-medienabhaengigkeit.de/fachverband/arbeitsgruppen/ag-kaufsucht/, kostenlose Schuldnerberatung über https://www.caritas.de/hilfeundberatung/onlineberatung/schuldnerberatung/start, Telefonseelsorge 0800 111 0 111, https://www.telefonseelsorge.de/ Francas neues Buch: Die innere Oma — ab 4. September 2026, jetzt kurze Zeit mit handschriftlicher Signatur vorbestellbar: https://shop.autorenwelt.de/products/die-innere-oma-von-franca-cerutti Alle Tourdaten und Tickets für Dezember: https://www.190a.de/psychologie-to-go/ Unterstütze uns auf Steady: https://steady.page/de/psychologie-to-go/about Hinterlasse eine Frage oder einen Kommentar auf unserem Anrufbeantworter: https://www.speakpipe.com/Psychologietogo Noch mehr gibts auf www.franca-cerutti.de Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte: https://linktr.ee/psychologietogo Du möchtest Werbung in diesem Podcast schalten? Dann erfahre hier mehr über die Werbemöglichkeiten bei Seven.One Audio: https://www.seven.one/portfolio/sevenone-audio
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 years on Feedspot.Sonal's 18th Season starts up and Episode 1 features Newsworthy updates the PEPPER program.Sonal's Trusty Tip and compliance recommendations focus on dermatology claims with modifier 25.Spark inspires us all to reflect on all things fear based on the inspirational words of Lewis Carroll.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
What happens when the heart's electrical system spirals into a life-threatening rhythm disorder? In this episode of Beyond the Rounds, we explore ventricular arrhythmias — dangerous heart rhythm disturbances that can lead to sudden cardiac death, repeated ICD shocks and severe heart failure complications. Dr. Nolan Fisher sits down with cardiac electrophysiologist Dr. Peter Weiss to break down how these arrhythmias develop, why they are so difficult to treat and how new ablation technologies are changing outcomes for patients with complex ventricular tachycardia (VT).Dr. Weiss, Director of the Center for Ventricular Arrhythmias and Robotics at Banner – University Medical Center Phoenix, shares how advanced mapping systems, catheter ablation and emerging technologies like ultra-cold cryoablation, AI-guided mapping and robotic magnetic navigation are helping physicians target dangerous electrical circuits deep within the heart muscle. The discussion also explores how Banner Health is building a multidisciplinary referral center capable of rapidly managing critically ill patients experiencing VT storm and recurrent ICD shocks.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of ventricular arrhythmias, advanced electrophysiology procedures and the evolving role of catheter ablation in complex cardiac care.What We Cover• The difference between ventricular arrhythmias and atrial fibrillation (AFib)• Why ventricular tachycardia (VT) can become life-threatening• How scar tissue and cardiomyopathy create electrical “short circuits”• Understanding PVCs (premature ventricular contractions) and when they should be treated• How electrophysiologists map the heart's electrical system in real time• What catheter ablation actually does during a VT procedure• The role of ICDs (implantable cardioverter defibrillators)• Why antiarrhythmic medications like amiodarone can be difficult long term• How robotic magnetic navigation improves catheter stability and maneuverability• AI-assisted mapping and machine learning in electrophysiology• New technologies including ultra-cold cryoablation and pulsed field ablation• The importance of multidisciplinary VT storm programs and rapid referral pathwaysKey Topics for Clinicians• Ventricular tachycardia (VT)• Ventricular arrhythmias• VT storm• Cardiac electrophysiology• Catheter ablation• Robotic catheter navigation• Premature ventricular contractions (PVCs)• Implantable cardioverter defibrillators (ICDs)• Pulsed field ablation• Cryoablation• AI-guided electrophysiology mapping• Ischemic cardiomyopathy• Advanced heart failure• Electrophysiology mapping systems• Structural heart disease• Sudden cardiac death preventionAbout Our GuestDr. Peter Weiss is a cardiac electrophysiologist and Director of the Center for Ventricular Arrhythmias and Robotics at Banner – University Medical Center Phoenix and the University of Arizona College of Medicine – Phoenix. He specializes in complex ventricular arrhythmia management, robotic catheter ablation and advanced electrophysiology procedures. Dr. Weiss trained at Stanford University and has performed more than 1,400 robotic ablation procedures. Prior to joining Banner Health, he spent 14 years building a regional ventricular arrhythmia referral program at Intermountain Health.How to Refer a PatientBanner Health providers: Use Cerner's Ambulatory Referral Management (ARM) tool.Community providers: Please call 602-521-3090 for referral information and scheduling assistance.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.
250: Fragst du dich manchmal, ob du eigentlich “einfach nur” ein Trauma hast oder ob da vielleicht noch mehr dahinter steckt wie z.B. ADHS, Autismus oder AuDHS? Du bist damit nicht allein.
This episode we are joined by Mr. Mike Backus - CEO of Outwest Energy - a startup oil & gas company based in Calgary, Alberta, Canada. Mike Backus has over 25 years of experience in a variety of engineering, operational, finance and executive roles. Prior to founding Outwest, Mike was a member of the executive teams at Kiwetinohk Energy Corp and Painted Pony Energy where he was the Chief Operating Officer, responsible for the Development and Operations prior to the corporate sale of both companies. Most of his career was spent with Nexen Inc. (now CNOOC International) where he was most recently the VP of Operations for Canada and the UK North Sea businesses. Mike has held various positions during his career, including working both conventional and unconventional Canadian gas and power assets, oilsands, offshore North Sea, Middle East and West Africa. Mike holds both a Bachelor of Commerce degree in Accounting and a Bachelor of Science degree in Mechanical Engineering, both from the University of Saskatchewan. He is a registered Professional Engineer in Alberta (P.Eng) and holds his Corporate Director designation (ICD.D). Among other things we learned about Starting From 0 Bbl/d: Building Outwest Energy.Enjoy.Thank you to our sponsors.Without their support this episode would not be possible:Connate Water SolutionsATB Capital MarketsBunch ProjectsWarren ValveAstro Oilfield Rentals-*This podcast is for informational and educational purposes only, and is not intended as investment advice. Please do your own research, and consult professionals directly before making any investment decisions.Support the show
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 years on Feedspot.Sonal's 17th Season starts up and Episode 17 features Newsworthy updates on the month's fraud, waste, and abuse cases. Sonal's Trusty Tip and compliance recommendations focus on modifier 25.Spark inspires us all to reflect on beauty, abundance, and innovation based on the inspirational words of Abhijit Naskar.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
DPC Is Growing in Pediatrics: Dr. Andrew Hertz on Zest's Expansion, Survey Findings, and the Future of CareThe Pediatric Lounge welcomes returning guest Dr. Andrew Hertz, co-founder and president of the Zest Pediatric Network, to discuss the growth of direct pediatric care (DPC) and results from Zest's national survey. Hertz reports Zest's expansion from three Cleveland-area practices to 10 sites opening by summer, with 13 physicians across Ohio, Pennsylvania, and Florida, and describes using annual surveys because pediatric DPC data was previously lacking and the movement is growing about 25% yearly. Survey findings include that pediatric DPC is largely women-led (about 90%), mid-career, mostly solo practices; most charge $100–$175 per child per month with panels under 250 patients; about 48% are AAP members; and many report improved satisfaction and less moral injury. They discuss DPC benefits such as reduced office, urgent care, and ED visits, challenges with insurance and Medicaid capitation without CPT codes, AI's operational promise and societal risks, and employer value focused more on employee satisfaction than pediatric ROI.00:00 Welcome Back Dr Hertz01:30 Zest Network Growth02:50 Why Survey DPC03:49 Who Joins DPC05:06 Boards and MOC Debate09:31 AAP Membership Questions13:54 Why DPC Is Rising18:22 AI vs EHR Efficiency22:03 Insurance and Capitation25:14 Hybrid Models and Access29:08 Costs and Who Can Afford32:45 Medicaid Capitation Hurdles35:06 Data Without CPT Codes36:24 Data Without Red Tape37:07 ICD-10 and Simple EMRs38:23 Holistic Prevention Coaching41:32 Defining DPC Success42:43 Net Promoter Score Explained46:10 NPS for Behavior Change49:19 Storytelling to Drive Adoption55:53 AI in Pediatrics Promise and Peril01:03:21 Beyond DPC Payment Models01:06:15 Employers and Care Navigators01:09:24 Closing Thoughts and Growth01:11:31 Podcast OutroSupport the show
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 16 focuses on compliance recommendations for telehealth modifiers, places of service, and common billing mistakes for telehealth services.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
For patient referrals: call 602-521-3661What happens when the heart's electrical system spirals into a life-threatening rhythm disorder? In this episode of Beyond the Rounds, we explore ventricular arrhythmias — dangerous heart rhythm disturbances that can lead to sudden cardiac death, repeated ICD shocks and severe heart failure complications. Dr. Nolan Fisher sits down with cardiac electrophysiologist Dr. Peter Weiss to break down how these arrhythmias develop, why they are so difficult to treat and how new ablation technologies are changing outcomes for patients with complex ventricular tachycardia (VT).Dr. Weiss, Director of the Center for Ventricular Arrhythmias and Robotics at Banner – University Medical Center Phoenix, shares how advanced mapping systems, catheter ablation and emerging technologies like ultra-cold cryoablation and pulsed field ablation are helping physicians target dangerous electrical circuits deep within the heart muscle. The discussion also explores how Banner Health is building a multidisciplinary referral center capable of rapidly managing critically ill patients experiencing VT storm and recurrent ICD shocks.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of ventricular arrhythmias, advanced electrophysiology procedures and the evolving role of catheter ablation in complex cardiac care.What We Cover• The difference between ventricular arrhythmias and atrial fibrillation (AFib)• Why ventricular tachycardia (VT) can become life-threatening• How scar tissue and cardiomyopathy create electrical “short circuits”• Understanding PVCs (premature ventricular contractions) and when they should be treated• How electrophysiologists map the heart's electrical system in real time• What catheter ablation actually does during a VT procedure• The role of ICDs (implantable cardioverter defibrillators)• Why antiarrhythmic medications like amiodarone can be difficult long term• New technologies including ultra-cold cryoablation and pulsed field ablation• The importance of multidisciplinary VT storm programs and rapid referral pathwaysKey Topics for Clinicians• Ventricular tachycardia (VT)• Ventricular arrhythmias• VT storm• Cardiac electrophysiology• Catheter ablation• Premature ventricular contractions (PVCs)• Implantable cardioverter defibrillators (ICDs)• Pulsed field ablation• Cryoablation• Ischemic cardiomyopathy• Advanced heart failure• Electrophysiology mapping systems• Structural heart disease• Sudden cardiac death preventionAbout Our GuestDr. Peter Weiss is a cardiac electrophysiologist and Director of the Center for Ventricular Arrhythmias and Robotics at Banner – University Medical Center Phoenix and the University of Arizona College of Medicine – Phoenix. He specializes in complex ventricular arrhythmia management, robotic catheter ablation and advanced electrophysiology procedures. Dr. Weiss trained at Stanford University and completed additional advanced electrophysiology training at the University of Pennsylvania. Prior to joining Banner Health, he spent 14 years building a regional ventricular arrhythmia referral program at Intermountain Health.How to Refer a PatientBanner Health providers: Use Cerner's Ambulatory Referral Management (ARM) tool.Community providers: Please call 602-521-3661 for referral information and scheduling assistance.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.
Tuesday, May 19, 2026 - Week 21 Personal Update via Syngap Stories: Page: cureSYNGAP1.org/stories41 Post: https://www.linkedin.com/posts/syngap1stories-syngap1-curesyngap1-share-7462125026276777984-OVBr #ThisIsOursToLose - Three steps to engaging friends with CURE SYNGAP1. Share CURE SYNGAP1 Video - Burden, Hope & Progress - 1.1k views in 11 days. cureSYNGAP1.org/Burden https://www.linkedin.com/posts/syngap1-curesyngap1-raredisease-share-7458298251893448706-jfWF Send IMPACT REPORT - Tool for family, newly diagnosed & Fundraising. cureSYNGAP1.org/Impact or cureSYNGAP1.org/Impact25 Ask to Donate curesyngap1.org/donate/ CAMP4 Joining us at the Night of Impact (with Stoke, Acadia, BioMarin, Gondola & others) and… https://www.biospace.com/press-releases/camp4-therapeutics-to-present-new-preclinical-data-demonstrating-cmp-002-improves-seizure-threshold-and-severity-in-a-model-of-syngap1-related-disorder INAUGURAL SF NIGHT OF IMPACT, CA – 9 days Join us this is our only Gala for 2026! cureSYNGAP1.org/SF26 5TH SCRAMBLE FOR SYNGAP, SC – 137 days Classic case of a small event becoming an institution! cureSYNGAP1.org/Scramble26 CURE SYNGAP1 CONFERENCE - 198 days. cureSYNGAP1.org/Pre26 USA: use your ICD-10, F78.A1: https://onlinelibrary.wiley.com/doi/10.1002/epi.70142 PUBMED Pubmed 2026 is at 31. +10 vs the week. (61 last year was +9) https://pubmed.ncbi.nlm.nih.gov/?term=syngap1&filter=years.2026-2026&sort=date SOCIAL MATTERS 4,964 LinkedIn. https://www.linkedin.com/company/curesyngap1 1.58k YouTube. https://www.youtube.com/@CureSYNGAP1 11.1k Twitter https://twitter.com/cureSYNGAP1 45k Insta https://www.instagram.com/curesyngap1 $CAMP closed at $4.56 yesterday. https://www.google.com/finance/beta/quote/CAMP:NASDAQ Like and subscribe to this podcast wherever you listen. https://curesyngap1.org/podcasts/syngap10 Episode 208 of #Syngap10 #SYNGAP1 #CureSYNGAP1 #Podcast #PatientAdvocacy
Why are so many people struggling with sugar cravings, binge eating, obesity, and chronic disease — even when they desperately want to stop?In this episode of the Kick Sugar Coach Podcast, we explore the growing scientific movement to recognize ultra-processed food addiction as a legitimate medical condition. Joined by clinical health psychologist Dr. Jen Unwin, we unpack the evidence behind food addiction, why ultra-processed foods may hijack the brain's reward system, and why official recognition could change the future of treatment, research, and recovery.Dr. Jen Unwin shares her personal journey with sugar addiction, her work helping people reverse type 2 diabetes through low-carb and whole-food approaches, and the international effort to have “Ultra-Processed Food Use Disorder” recognized by major medical organizations like the WHO and DSM.
In this talk, recorded at Insight Community of the Desert, Mary discusses the Second Precept. It's often just referred to as not stealing, but this precept is about recognizing all the different places that craving and greed show up and how to let go of that. Additionally, the cultivation of generosity is an important step in freedom from craving and a way to live in harmony with others and in contentment with ourselves.Recorded May 17, 2026 at ICD in Palm SpringsSend me a text with any questions or comments! Include your name and email if you would like a response - it's not included automatically. Thanks.Visit Mary's website for more info on classes and teachings.
Welcome to the latest episode of late-breaker coverage from Heart Rhythm 2026 in Chicago, with host Deep Chandh Raja, MBBS, MD, PhD, FHRS and his guests Paul Chun Yih Lim, MBBS, FHRS and Abhishek Deshmukh, MD. This discussion reviews the late-breaking HRS 2026 trial Safety and Performance of a Novel ICD Lead for Left Bundle Branch Area Pacing: Results from the ASCEND CSP Trial Arrhythmia, which evaluated a novel implantable cardioverter-defibrillator (ICD) lead designed specifically for left bundle branch area pacing (LBBAP). Faculty discuss the safety profile, implant success, pacing performance, and clinical implications of conduction system pacing using dedicated ICD technology, as well as how these findings may influence future device implantation strategies and physiologic pacing approaches in patients requiring defibrillator therapy. Learning Objectives Assess the safety and procedural performance outcomes associated with left bundle branch area pacing in patients requiring ICD therapy. Evaluate the potential role of conduction system pacing technologies in advancing physiologic pacing and device-based arrhythmia management. Describe the design and intended clinical application of the novel ICD lead evaluated in the ASCEND CSP trial. Podcast Contributors Deep Chandh Raja, MBBS, MD, PhD, FHRS Paul Chun Yih Lim, MBBS, FHRS Abhishek Deshmukh, MD Host and Contributor Disclosure(s): D.C. Raja Nothing to disclose. A. Deshmukh Honoraria/Speaking/Teaching/Consulting: GE Healthcare, Biotronik, Medtronic, Biosense Webster Research: AltaThera Pharmaceuticals P. Lim Nothing to disclose.
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 15 features a Newsworthy update on the OIG Work Plan for April 2026.Sonal's Trusty Tip highlights reporting requirements for postoperative visits.Spark inspires us all to reflect on beauty, abundance, and innovation based on the inspirational words of Coco Chanel.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
✉️ Darmowy Newsletter: http://bit.ly/e1t1-newsletter ----
Friday, May 8, 2026 - Week 19 CURE SYNGAP1 STRATEGY WORKING Our strategy has always been to derisk SYNGAP1 so that industry will invest and bring their skill and capital to bear. We leverage donor dollars to maximize impact. Yesterday was a great example: EARNINGS REPORTS CAMP4 1Q26 Results: $99M https://investors.camp4tx.com/news-releases/news-release-details/camp4-reports-first-quarter-2026-financial-results-and-corporate We submitted our first regulatory filing for CMP-002 in Australia which positions us to initiate a global first-in-human Phase 1/2 clinical trial in the second half of 2026. Stoke 1Q26 Results: $411M https://investor.stoketherapeutics.com/news-releases/news-release-details/stoke-therapeutics-announces-first-quarter-2026-financial Lead optimization is underway to identify a clinical candidate for the treatment of SYNGAP1 in 2026. SYNGAP1 is a severe and rare genetic neurodevelopmental disease. Praxis 1Q26 Results: $1.4B https://investors.praxismedicines.com/news-releases/news-release-details/praxis-precision-medicines-provides-corporate-update-and-19 Praxis remains on track to nominate a development candidate for each of its three early stage ASO therapeutic initiatives in the first half of 2026: PRAX-090 is designed to address SYNGAP1 loss-of-function (LoF) mutations, a leading cause of severe intellectual disability and epilepsy in DEEs. #CompetitionIsGoodForThePatient KCNT1 Big Day today - Congratulations Post: https://www.linkedin.com/posts/graglia_kcnt1-share-7458560855744618496-X10d Press Release: https://www.linkedin.com/posts/kcnt1-kcnt1-epilepsy-ugcPost-7458487179149787136-kH7c/ WATCH & SHARE OUR VIDEO Watch and share the new SYNGAP1 Video, it is excellent and helps explain our cause to families and friends. We need to turn them into supporters and donors. cureSYNGAP1.org/SYNGAP1 -> https://youtu.be/pO3ayASBiEk INAUGURAL SF NIGHT OF IMPACT, CA – 20 days Join us this is our only Gala for 2026! cureSYNGAP1.org/SF26 5TH SCRAMBLE FOR SYNGAP, SC – 148 days Classic case of a small event becoming an institution! cureSYNGAP1.org/Scramble26 USA: use your ICD-10, F78.A1: https://onlinelibrary.wiley.com/doi/10.1002/epi.70142 PUBMED Pubmed 2026 is at 28. +9 vs the week. (61 last year was +9) https://pubmed.ncbi.nlm.nih.gov/?term=syngap1&filter=years.2026-2026&sort=date https://pubmed.ncbi.nlm.nih.gov/42093631/ ADHD in patients with #DLG2 #NRXN1 #SHANK3 #SYNGAP1 SOCIAL MATTERS 4,940 LinkedIn. https://www.linkedin.com/company/curesyngap1 1,569 YouTube. https://www.youtube.com/@CureSYNGAP1 11.1k Twitter https://twitter.com/cureSYNGAP1 45k Insta https://www.instagram.com/curesyngap1 $CAMP closed at $4.46. https://www.google.com/finance/beta/quote/CAMP:NASDAQ $STOK closed at $32.89. https://www.google.com/finance/beta/quote/STOK:NASDAQ $ACAD closed at $22.40. https://www.google.com/finance/beta/quote/ACAD:NASDAQ $PRAX closed at $330.02. https://www.google.com/finance/beta/quote/PRAX:NASDAQ Like and subscribe to this podcast wherever you listen. https://curesyngap1.org/podcasts/syngap10 Episode 207 of #Syngap10 #SYNGAP1 #CureSYNGAP1 #Podcast #PatientAdvocacy
Wednesday, May 6, 2026 - Week 19 Congrats to GETA, CURE SYNGAP1 Australia & CAMP4 for a great weekend. https://www.linkedin.com/posts/syngap1-epilepsy-ugcPost-7457791427486466048-j8SB WEBINARS! CURE-ID Webinar tomorrow! Register now. Thu May 7, 2026 1:30pm – 3pm (PDT) cureSYNGAP1.org/cureID Next week, especially NY families, while you are registering, please make sure to go to this one with Dr. Buxbaum from Mt. Sinai. curesyngap1.org/seaver https://www.linkedin.com/posts/curesyngap1_curesyngap1-syngap1-rarediseaseresearch-activity-7457507565527044096-dDEK Longitudinal Data Matters - Every six months or more! Study list! CURE SYNGAP1 CONNECT http://curesyngap1.org/connect Citizen Health https://www.citizen.health/ai-advocate/syngap1 Combined Brain ProMMiS https://www.linkedin.com/feed/update/urn:li:activity:7450196488300728320 & Rare-X, the same week. OR DSC. #S10e CURE-ID for Drug responses. Webinar: Thu May 7, 2026 1:30pm – 3pm (PDT) cureSYNGAP1.org/cureID 6th ANNUAL SPRINT FOR SYNGAP1, we raised over $300k! (Gross) Thank you Tavillas for raising over $170k this will go to the Missense fund. We spent over $¼M on missense last year. Thank you Emily Barnes for hosting a New England event for families. https://www.linkedin.com/posts/ecarlisle_we-had-an-incredible-sprint-for-syngap-ugcPost-7457845816502845440-nJCd Thank you to Sara and Sarah for the Virginia event. GREAT WORK. https://www.linkedin.com/posts/sarah-sakly-648544337_syngap1-raredisease-curesyngap1-ugcPost-7456869206341464065-VESz Thank your Rifton for the donation of the tricycle. Congratulations Matthew! https://www.linkedin.com/posts/curesyngap1_syngap1-curesyngap1-sprint4syngap-activity-7457806850676281344--JR- Thank you to the Edouard Family! cureSYNGAP1.org/Crafts26 https://www.linkedin.com/posts/curesyngap1_curesyngap1-syngap1-craftsforacure-activity-7457211260242411520-ekPz INAUGURAL SF NIGHT OF IMPACT, CA – 22 days Join us this is our only Gala for 2026! cureSYNGAP1.org/SF26 5TH SCRAMBLE FOR SYNGAP, SC – 150 days Classic case of a small event becoming an institution! cureSYNGAP1.org/Scramble26 USA: use your ICD-10, F78.A1: https://onlinelibrary.wiley.com/doi/10.1002/epi.70142 PUBMED Pubmed 2026 is at 27. +10 vs the week. (61 last year was +9) https://pubmed.ncbi.nlm.nih.gov/?term=syngap1&filter=years.2026-2026&sort=date SOCIAL MATTERS 4,931 LinkedIn. https://www.linkedin.com/company/curesyngap1 1.56k YouTube. https://www.youtube.com/@CureSYNGAP1 11.1k Twitter https://twitter.com/cureSYNGAP1 45k Insta https://www.instagram.com/curesyngap1 $CAMP closed at $3.97 Friday. https://www.google.com/finance/beta/quote/CAMP:NASDAQ Like and subscribe to this podcast wherever you listen. https://curesyngap1.org/podcasts/syngap10 Episode 206 of #Syngap10 #CureSYNGAP1 #Podcast
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 14 features E/M guideline reminders, as well as revised G2211 and G0136 updates.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Documenting and coding sepsis has challenged virtually everyone in healthcare ever since Sepsis-3 redefined the condition in 2016 as a “life-threatening organ dysfunction due to a dysregulated host response to infection.”Meanwhile, ICD-10-CM still maintains the older Sepsis-2 language of sepsis (SIRS/Systemic Inflammatory Response Syndrome due to infection, without organ dysfunction) and severe sepsis (sepsis that does result in organ dysfunction).During the next live edition of Monitor Monday, Dr. James S. Kennedy will report on efforts currently underway to address the recent Centers for Disease Control and Protection (CDC) proposal to align ICD-10-CM to Sepsis-3/Phoenix terminology, and to introduce new codes for “impending sepsis,” also known as pre-sepsis: a morbid continuum between a localized infection with and without Sepsis-3/Phoenix-defined sepsis .Dr. Kennedy is expected to solicit assistance from Monitor Mondays listeners toward a reasonable solution.Broadcast segments will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Matthew Albright, chief legislative affairs liaison for Zelis, will report on current healthcare legislation.
May 1, 2026In this episode, Scott, Mark, and Dr. Ray Painter break down key differences between ureteral stent removal and replacement codes—50385, 50387, and 50688—highlighting how anatomy, access (internal vs. external), and the requirement for radiologic supervision drive proper code selection. They also tackle a growing issue with ICD-10 coding for bladder cancer, where the correct use of “history of” codes during BCG maintenance therapy is leading to unexpected payer denials. The discussion explores when to follow strict coding guidelines versus when payer-specific rules may require strategic adjustments. The takeaway: understanding both the technical details of coding and the realities of payer behavior is essential to avoiding denials and protecting revenue. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner. https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 years on Feedspot.Sonal's 17th Season starts up and Episode 13 features Newsworthy updates on the month's fraud, waste, and abuse cases. Sonal's Trusty Tip and compliance recommendations focus on documentation.Spark inspires us all to reflect on beauty, abundance, and innovation based on the inspirational words of Brian Tracy.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
You could not think your way out of the pattern. That is not a failure of insight. That is the nature of complex trauma. In this episode, Jennifer Wallace and Elisabeth Kristof return to one of the most resonant threads in Trauma Rewired's history: complex post-traumatic stress. Several years ago they recorded a series on CPT that changed how thousands of listeners understood themselves. This is the revision. Not a replacement of what came before, but a deepening, one shaped by advances in trauma research, neuroscience, and by the hosts' own continued growth. The reframe at the center of this episode is one that matters: complex trauma is not a disorder. It is not something wrong with you. It is a predictive nervous system pattern, an intelligent set of adaptations shaped by prolonged relational stress, often beginning in childhood, that made complete sense in the environment they were formed in. The question is not what is wrong with you. The question is what did your nervous system learn and how can it learn something new? Elisabeth and Jennifer trace the history of CPT as a clinical concept, from Judith Hermann's early naming of what PTSD could not capture, through Pete Walker's lived experience framework, into the current neuroscience of predictive patterning, interoception, and the body as the site of both the wound and the healing. They explain why complex trauma has no single memory to point to, why it often lives in sensation and state rather than narrative, and why that means healing looks different here than it does for single-event trauma. The episode also goes deep on something that does not get named enough in healing spaces: the trap of the healing vortex. The way that understanding complex trauma can become its own form of nervous system activation, another thing to fix, another layer to excavate, another reason the system cannot rest. Real growth, they argue, requires repetition and safety and time, but it also requires rest, play, and the gradual experience of being okay in the present moment without urgency. This episode opens the new CPT series and previews what is coming: the inner critic, toxic shame, social anxiety, emotional flashbacks, and self-abandonment, each explored not as pathology but as nervous system strategies that once served a purpose and can now be worked with differently. In This Episode, You Will Learn: Why complex trauma is better understood as a predictive nervous system pattern than a disorder The difference between CPT and PTSD and why that distinction matters for healing Why there is often no single memory in complex trauma, and why the experience lives in the body instead How interoception becomes disrupted in the context of chronic relational stress Why the nervous system seeks familiar environments, even harmful ones, and how that perpetuates the cycle How systemic and cultural trauma shapes the nervous system in the same way interpersonal trauma does What neuroplasticity actually requires: repetition, safety, and time, not insight alone Why pushing too hard into somatic work can backfire, and what pacing actually looks like How the healing vortex keeps people stuck and what stepping out of it makes possible What observer capacity is, why it is one of the most important markers of growth, and how it develops A preview of the five distinguishing characteristics of CPT that will be explored throughout the series Chapter Markers 0:00 - CPT Shows Up Most Clearly in Relationships 1:13 - Welcome: Revisiting the Complex Trauma Series 2:04 - Why We Are Updating This Framework Now 4:25 - What Complex Trauma Is and Where the Term Came From 6:19 - Judith Hermann, Pete Walker, and Why This Language Matters 7:15 - Why We Use CPT Instead of CPTSD 8:07 - The Distinguishing Patterns: How Complex Trauma Shows Up 10:16 - DSM vs ICD-11: The Diagnosis Question 11:38 - CPT vs PTSD: Different Patterns, Different Healing 13:08 - When There Is No Memory: Implicit Patterning and the Developing Brain 15:20 - CPT as a Predictive Nervous System Pattern 17:09 - The Five Distinguishing Characteristics of CPT 18:07 - Trauma Lives in the Body, Not Just the Story 20:56 - Complex Trauma Is Fundamentally Relational 22:21 - Re-Patterning Secure Attachment Through Somatics 26:35 - Embodied Presence as the Foundation 29:55 - Systemic and Cultural Trauma: This Is Not Only Individual 34:24 - Pacing, Rest, and the Healing Vortex 37:24 - The Role of Play and Pleasure in Nervous System Re-Patterning 41:18 - Building Observer Capacity: The Shift From This Is Who I Am to This Is Happening in Me 43:22 - What Is Coming in the Rest of the CPT Series Resources and Links NSI Foundations Bundle for coaches and practitioners: neurosomaticintelligence.com/foundations Two week Rewire Trial of guided neuro somatic training: rewiretrial.com Learn more about Elisabeth's work at brainbased.com Learn more about Jennifer's work at her YouTube channel: Sacred Synapse https://www.youtube.com/@sacredsynapse-23 Trauma Rewired podcast is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear. We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being. If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline. If someone's life is in danger, immediately call 911. We do our best to stay current in research, but older episodes are always available. We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs. We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis. Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved. We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com All rights in our content are reserved
We need a “human in the loop” in mid-revenue cycle work, experts say. What they fail to answer is the more interesting question: Where in the loop, exactly?Back-end AI fact-checker? Front-end query authorizer? Or, maybe something like my current OTR guest Penny Jefferson envisions: Medical record maestro. The end-to-end connectedness of the medical record, evolving API standards, increased use of prior authorization, episode-based reimbursement models, and review of all of this by AI and other tools makes documentation cohesion more important than ever. CDI is changing with the times, but often not fast enough. It must change, or risk stagnation and possible extinction. The ready availability of vast amounts of information in the EHR and AI-enabled reviews and audits means a slip in a diagnosis can result in a big DRG downgrade or denial of stay altogether. But an AI powered enabled CDI maestro conducting the show can make a record strong, front to back. Penny has been writing like a fiend about many of these and other related topics for LinkedIn and the likes of ICD-10 Monitor--which is what led her back to the hot seat of the Off the Record studio. Listen in as we discuss: A day in the life of: Penny's evolving role at UCDavis Her take on today's CDI work, where is it coming up short and/or at risk of being automated away? UR function/medical necessity and how CDI can assist case management without igniting a turf war. “Longitudinal episode integrity”: Episode-based bundled payments (TEAM, etc.) and how they shift chart review beyond discrete diagnosis review to breadth APIs and FHIR standards: Issues with fields that don't match throughout the medical record leading to denials, bringing it home with an encephalopathy example Where does CDI need to upskill to meet these new demands? Does the “traditional” chart review/query role need to change ... or do we need an entirely new role to evolve to meet these demands? And what about productivity metrics? Addressing the elephant in the room. Where is the human in the loop? For example: should a human review every AI query before it goes out? Spend more time on high dollar, 5+ day stays? Tiebreak a co-equal dx? Updates on admit type. Listeners might recall our previous show on this topic, with loose NUBC definitions leading to urgent vs. elective categorization to minimize impact on quality metrics. Other fun stuff you only get on #OTR
In this episode, I welcome back Mia Hughes — director of Genspect Canada, senior fellow at the Macdonald-Laurier Institute, and one of the sharpest writers on the gender scandal — to dig into the framework she calls "trans as an extreme overvalued belief." Mia walks us through the history of the overvalued idea, from Carl Wernicke in 1892 to Paul McHugh's post-9/11 application of the concept to ideologically driven violence, and explains why this psychiatric category — sitting between delusion and obsession — finally makes sense of the trans phenomenon in a way no other diagnosis ever has.We trace the Dutch origins of medical transition in the 1970s, the moment psychiatry "gave up" on these patients, and how WPATH's 2010 de-psychopathologization statement re-engineered a mental illness into a celebrated identity — triggering, in Mia's view, the social contagion that followed. I bring my clinical lens to the conversation, exploring transference and countertransference, neuroplasticity, the hijacking of dopamine through "gender euphoria," and why so many therapists get this wrong in both directions. We close on Mia's anorexia parallel and what it teaches us about loosening the grip of a pathological belief — gently, indirectly, and without the parent in the line of fire.Mia Hughes specializes in researching pediatric gender medicine, psychiatric epidemics, social contagion and the intersection of trans rights and women's rights. She is the author of The WPATH Files, a senior fellow at the Macdonald-Laurier Institute and director of Genspect Canada. She co-hosts the Beyond Gender podcast with Stella O'Malley and Bret Alderman, available on Apple, Spotify, and YouTube. Follow her on X @_CryMiaRiver. Follow her Substack @CryMiaRiver. Mia first appeared on this podcast in episode 107. Exposing Gender Malpractice: Mia Hughes on the WPATH Files, Medical Ethics, & Informed Consent. Books mentioned in this episode:• The Extreme Overvalued Belief by Tahir Rahman• Good Girls: A Study and Story of Anorexia by Hadley Freeman[00:00:00] Start[00:02:13] Trans as an Extreme Overvalued Belief[00:07:13] From 9/11 to Anders Breivik[00:11:13] Neuroplasticity and Adolescent Meaning-Making[00:18:52] Defining the Trans Overvalued Belief[00:22:52] The Dutch 1970s: When Psychiatry Gave Up[00:31:00] Countertransference and the Therapist's Role[00:38:35] WPATH's Fortress and the True Believer[00:43:20] Re-Psychopathologization Campaign[00:45:45] How HBIGDA Became WPATH[00:50:13] DSM-5, ICD-11 and the Sleight of Hand[01:02:08] Hacking Dopamine and Gender Euphoria[01:06:27] The Anorexia Parallel[01:13:13] What Therapists Get Wrong[01:28:45] Putting Cracks in the Belief[01:35:26] Helping the Part That Wants OutROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Now featuring 24/7 personalized AI support implementing the tools with RepairBot! Use code SOMETHERAPIST2026 to take 50% off your first month.PODCOURSES: use code SOMETHERAPIST at LisaMustard.com/PodCoursesPRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission. ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 12 features an exclusive Trusty Tip on auditing with recommendations for achieving alignment between production auditing and quality auditing.Check out Sonal's NAMAS article:https://namas.co/production-vs-quality-what-we-forget-when-we-audit-fast/Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Monday, April 20, 2026 - Week 17 CURE SYNGAP1 joins the Haystack Project in petitioning FDA for more clarity. PR: https://static1.squarespace.com/static/5966cc2220099e91326caaec/t/69d7dbb80155f46e144ae2e5/1775754168227/4.9.26+press+release+petition_vf.pdf Petition: https://static1.squarespace.com/static/5966cc2220099e91326caaec/t/69d7e016d5986e16ff09b64c/1775755288463/Letter+Head+Petition+for+rulemaking+to+amend%C2%A021+CFR+%C2%A7+314.126+and+%C2%A0%C2%A7312.47+%281%29.pdf Reuters 4/1: https://www.reuters.com/sustainability/boards-policy-regulation/rare-disease-advocacy-group-urges-trump-administration-restore-fda-clarity-2026-04-01/ Pink Sheet: https://insights.citeline.com/pink-sheet/pathways-and-standards/review-pathways/could-structured-not-ad-hoc-us-fda-flexibility-increase-rare-disease-development-certainty-BYXJENIJLFEINOSO72RS53ZJHE/ Show your support here: https://www.regulations.gov/document/FDA-2026-P-3666-0001 Paragraph 1 – Share information about you and SYNGAP1. Paragraph 2 – Seizures are hard to count while X, Y and Z are major burdens but FDA wants nice countable seizures, this makes it hard to develop drugs. Paragraph 3 – How could “clinically meaningful” endpoints potentially help your community and drug developers? How could a study design other than a ‘randomized clinical trial' help? How could FDA consulting with disease-specific experts help? Closing – Finish your letter with anything along these lines: We support the framework for all rare set diseases in Haystack's petition. We don't believe FDA has to lower the evidentiary bar to approve treatments for our diseases. Randomization isn't always possible. New scientific methods should be considered. Endpoints specific to our disease should be considered. We urge FDA to open a rulemaking so we can have a legally binding regulation. Board changes, thank you to everyone. https://www.linkedin.com/posts/curesyngap1_curesyngap1-syngap1-patientadvocacy-activity-7450528611339616256-4MJF?utm_source=share&utm_medium=member_desktop&rcm=ACoAAAAD8f4B7JC4TMss45Q8hrsq5kiceI0Z8HE Press Release cureSYNGAP1.org/PR45 US, use your ICD-10, F78.A1: https://onlinelibrary.wiley.com/doi/10.1002/epi.70142 Study list! Citizen Health https://www.citizen.health/ai-advocate/syngap1 Combined Brain (May 1 & 2 in NorCal), https://docs.google.com/presentation/d/1IjaHILXj7AlBDlbTJgvYrkBS_0bnI8VCnTIiPXJ7JGM/edit?usp=sharing ProMMiS https://www.linkedin.com/feed/update/urn:li:activity:7450196488300728320 Rare-X, the same week. DSC and Cook's are coming soon! CURE-ID for Drug responses. CURE-ID is cool. https://cure.ncats.io/home (Webinar coming) Webinar: Thu May 7, 2026 1:30pm – 3pm (PDT) cureSYNGAP1.org/cureID 6th ANNUAL SPRINT FOR SYNGAP1, EVERYWHERE – 5 days - $207k! Go Tavilla. 17 teams raised $265K last year; this year, we have 20+ teams! https://curesyngap1.org/calendar/sprint4syngap-2026 Thank your Rifton for the donation of the tricycle. Email today: https://mailchi.mp/curesyngap1.org/sprint-for-syngap-2026-one-community-one-goal?e=17610baa03 INAUGURAL SF NIGHT OF IMPACT, CA – 38 days Join us this is our only Gala for 2026! cureSYNGAP1.org/SF26 5TH SCRAMBLE FOR SYNGAP, SC – 166 days Classic case of a small event becoming an institution! cureSYNGAP1.org/Scramble26 PUBMED Pubmed 2026 is at 26. +9 vs the week. (61 last year was +9) https://pubmed.ncbi.nlm.nih.gov/?term=syngap1&filter=years.2026-2026&sort=date SOCIAL MATTERS 4,891 LinkedIn. https://www.linkedin.com/company/curesyngap1 1.55k YouTube. https://www.youtube.com/@CureSYNGAP1 11.1k Twitter https://twitter.com/cureSYNGAP1 45k Insta https://www.instagram.com/curesyngap1 $CAMP closed at $4.67 Friday. https://www.google.com/finance/beta/quote/CAMP:NASDAQ Like and subscribe to this podcast wherever you listen. https://curesyngap1.org/podcasts/syngap10 Episode 205 of #Syngap10 #CureSYNGAP1 #Podcast
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 11 features a return to her spotlight series on Newsworthy interviews that are also filled with Trusty Tips. Enjoy this bonus replay!Join Sonal on welcoming Robyn Alvarado and hear her talk about her Journey.Find Robyn on LinkedIn:https://www.linkedin.com/in/robyn-marie-alvarado-cpc-cpma-12507a22/Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Health data should tell a patient's complete story. That's where the ICD-11, ICF and ICHI classification systems combine to move beyond basic diagnosis codes to capture a person's daily functioning and the vital interventions they need to thrive. On this episode, we unpack these systems with global health leader Dr. Patricia Saleeby. She explores how they enhance care and outcomes and shares a moving personal story highlighting the impact of holistic care. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
In this episode of Data in Biotech, host Ross Katz sits down with Kevin Brown, co-founder of Standard BioModel, to explore one of the most ambitious projects in biomedical AI, building a multimodal foundation model that represents the full complexity of a patient across time. Drawing on a career spanning brain-computer interfaces, computer-aided diagnosis at Siemens Healthineers, and oncology data science at Bristol Myers Squibb, Kevin shares the scientific and philosophical journey that led him to a single conviction: a patient is not a document. Rather than reducing a patient to clinical notes, ICD-10 codes, or isolated test results, Standard BioModel's approach maps every available modality - CT imaging, digital pathology, genomics, EKGs, longitudinal EHR data - into a shared latent space, and models how that patient moves through time. The result is a framework designed not just for prediction, but for counterfactual reasoning, clinical trial matching, and personalized intervention, with open-source models already being validated across leading academic medical centers. What you'll learn in this episode: >> Why reducing a patient to text - clinical notes, radiology reports, genomic assay summaries - and how mapping multimodal data into a shared latent embedding space preserves information that never makes it into the written record >> How Standard BioModel's temporal architecture models patients as trajectories through an abstract embedding space rather than static snapshots, enabling counterfactual reasoning about the likely impact of interventions on a patient's future health trajectory >> Why no single foundation model can own every clinical vertical and how building a highly generalizable base model that facilitates downstream fine-tuning is a more defensible and scalable strategy than building narrow, application-specific models >> How the model handles missing modalities in real-world clinical settings, and why the architecture is designed to function effectively even when not every data type is available for every patient >> Why Standard BioModel has chosen to open-source its models and why broad, institution-specific validation across diverse patient populations is not just a scientific priority, but a prerequisite for trustworthy clinical AI Meet our guest: Kevin Brown is the Founder and CEO of Standard Model Biomedicine, where he builds foundation models for biomedicine. He previously led AI work as Director of Artificial Intelligence at SimBioSys, and held data science and applied ML roles at Bristol Myers Squibb and Siemens Healthineers. With a neuroscience research background from New York University, Kevin's work spans generative AI and machine learning for biomedical and medical imaging applications. Connect with Kevin Brown on LinkedIn About the host: Ross Katz is Principal and Data Science Lead at CorrDyn. Ross specializes in building intelligent data systems that empower biotech and healthcare organizations to extract insights and drive innovation. Connect with Ross Katz on LinkedIn Connect with us: Follow the podcast for more insightful discussions on the latest in biotech and data science.Subscribe and leave a review if you enjoyed this episode! Sponsored by… This episode is brought to you by CorrDyn, the leader in data-driven solutions for biotech and healthcare. Discover how CorrDyn is helping organizations turn data into breakthroughs at CorrDyn.
Got questions? Send Ericka a Text!Your medical insurance may be able to cover wisdom teeth extractions, and the reason most people never find out is painfully simple: nobody asks the right way. We sit down with Jen from Hygiene Unlocked and unpack a real, recent moment where a medical insurance rep insisted “that's dental” until Jen pushed for an actual code check. Once the CPT and diagnosis pairing was reviewed, the answer changed, and so did the entire cost picture.We get practical about dental medical billing: how to think in medical necessity instead of “dental vs medical”, how ICD-10 diagnosis codes tell the story that justifies treatment, and why cross-coding matters when an oral surgery plan only lists dental codes. We also talk about the everyday realities of calling payers, including how reps default to in-network benefits, how to confirm out-of-network coverage, and why you should always get a call reference number so you can appeal bad information later.The takeaway is bigger than wisdom teeth. When we treat the mouth like it's separate from the body, patients lose benefits they pay for and offices miss legitimate reimbursement. If you want a clearer, more defensible process for wisdom teeth extraction billing, CPT coding, ICD-10 documentation, and CMS-1500 claims, this conversation will change how you look at your next treatment plan. Subscribe, share this with a biller or office manager, and leave a review with your biggest medical billing question. Download "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=headerRegister for the free one-hour webinar on Wednesday, April 29, 2026, here:https://us06web.zoom.us/meeting/register/ABKZUAxNQEynSqUET8SwAgSchedule a billing chat with Ericka:https://calendly.com/ericka-dentalbillingdoneright/30minDM Ericka on Instagram to join the wait list for Elevate Billing & Coding:@dental_billing_coach Email Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.comGrab the Hygiene Billing and Coding Playbook Here:https://stan.store/hygieneunlockedEmail Ed:ed@dentalbillingdoneright.comSchedule a demo with MaxAssist to unlock scheduleing potential here:https://maxassist.com/book-a-demo-fortune-billing/Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D...
Coding fracture care using CPT and ICD-10-CM can be challenging—especially when documentation from providers lacks key details. In this episode of the CodeCast Podcast, Terry breaks down exactly what coders should look for in physician notes, including essential documentation elements and common gaps. She also shares expert insights and practical tips to help ensure accurate coding, proper reporting, and compliance when working with fracture treatment cases. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Fracture Coding Accuracy appeared first on Terry Fletcher Consulting, Inc..
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 10 features a Newsworthy update on the OIG Work Plan for March 2026.Sonal's Trusty Tip highlights National Government Services' name change. Wellpoint Federal is now operating as the region's Medicare Administrative Contractor.Spark inspires us all to reflect on beauty, abundance, and innovation based on the inspirational words of Gloria Steinem.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 9 features a return to her spotlight series on Newsworthy interviews that are also filled with Trusty Tips. Enjoy this bonus replay!Join Sonal on welcoming back a fan favorite! Let's hear all about what's been going on in the life and times of Keisha Wilson.Find Keisha on LinkedIn:https://www.linkedin.com/in/keisha-wilson-ccs-cpc-cpco-crc-cpb-cpma-approved-instructor-1894b762/Get a copy of Keisha's new book, By Her Side:https://byhersidefaithfulcaregiver.com/?mc_cid=73567e3451&mc_eid=b4ee9275f2Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Drs. Jensen and Richey discuss with Dr. Lehrman a coding summary, an educational tool that can benefit every client, practicing podiatrist, resident, and student. The summary can be seen in graphic form at the end of the podcast.o Developed to provide general coding guidance based on commonly accepted standards and interpretations of ICD-10 diagnostic coding and CPT procedural coding principles.o To be used solely as a guideline to assist practitioners. Final coding decisions remain the responsibility of the provider.o Significant thought, expertise, and clinical experience has gone into the development of this summary. BakoDx enlisted the insight of Dr. Jeffrey Lehrman, a well-respected advisor and certified cod, and with support from Dr. Wayne Bakotic, Dr. William Scherer, as well as Shawna, Jasmine and compliance approval from Donna Millard.o Ensuring broad distribution supports consistency, compliance awareness, and informed clinical documentation practices across the podiatric medical community. Our goal is to provide clarity, enhance understanding, and empower providers with reliable reference material, while reinforcing that this document remains a guideline and not a substitute for independent coding judgment or payer specific policies.Enjoy!!
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 years on Feedspot.Sonal's 17th Season starts up and Episode 8 features Newsworthy updates on the month's fraud, waste, and abuse cases. Sonal's Trusty Tip and compliance recommendations focus on Category III CPT® codes.Spark inspires us all with a quote from Serena Williams to celebrate Women's History Month and give appreciation to all the great women in our lives.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Episode 216: Fibromyalgia Overview Reitta Wyllie and Tejasvi Ayaggari (medical students) discuss with Dr. Arreaza the presentation, diagnosis and management of fibromyalgia, a commonly unrecognized disease that may impact patient's quality of life if left untreated. Written by Reitta Nash, MSIV, American University of the Caribbean. Additional commentary provided by Dr. Tejasvi Ayyagari. Edits and comments by Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Introduction Fibromyalgia is a chronic pain condition that affects millions of people worldwide, yet it remains one of the most misunderstood disorders in medicine. Patients often experience widespread pain, fatigue, sleep disturbances, cognitive difficulties, and a host of other symptoms that significantly impact daily functioning and quality of life. TJ: It's common, but I feel it is mostly misunderstood and sometimes goes undiagnosed. Reitta: Yes, despite its prevalence, fibromyalgia has historically been met with skepticism, delayed diagnosis, and stigma. Today, we'll break down what fibromyalgia is, what we know about its underlying mechanisms, how it's diagnosed, and how it's managed using evidence-based approaches. What is fibromyalgia? Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain, accompanied by symptoms such as fatigue, non-restorative sleep, cognitive dysfunction often referred to as “fibro/brain fog,” and mood disturbances. TJ: Unlike inflammatory or autoimmune diseases, fibromyalgia does not cause structural damage to joints or muscles, nor does it produce objective findings on imaging or routine laboratory testing. Instead, it is considered a centralized pain disorder, meaning pain processing within the central nervous system is altered. Arreaza: Many years ago, I had a patient who had fibromyalgia in Germany. He shared how hard it was for him to get diagnosed and treated because many countries fail to recognize fibromyalgia as a disease. However, Germany is not one of them. The German Association of the Medical Scientific Societies (AWMF) has established specific diagnostic criteria for fibromyalgia syndrome (FMS). Also, the World Health Organization recognizes fibromyalgia as a chronic condition, and it is included in the International Classification of Diseases 10th edition (ICD-10). Reitta: The American College of Rheumatology (ACR) recognizes fibromyalgia as a distinct clinical diagnosis, affecting approximately 2–4% of the population, with a higher prevalence in women, though it can affect individuals of any sex or age. Historical Perspective Fibromyalgia was once referred to by terms such as fibrositis, a name that implied inflammation of connective tissue. However, as research failed to demonstrate inflammatory changes, the terminology evolved. In 1990, the American College of Rheumatology introduced the first formal diagnostic criteria, which focused heavily on tender point examination. Over time, these criteria were revised as understanding of the condition improved. Modern diagnostic criteria no longer rely on tender points and instead emphasize symptom severity and widespread pain distribution, reflecting a more patient-centered and clinically practical approach. What causes fibromyalgia? The exact cause of fibromyalgia is not fully understood, but current evidence supports a multifactorial, neurobiological model. The American Academy of Family Physicians identifies a spectrum of chronic overlapping pain conditions that frequently coexist with fibromyalgia, including IBS, TMJ pain, vulvodynia, Chronic fatigue syndrome, interstitial cystitis, endometriosis, chronic tension headaches, migraine, and chronic low back pain. These functional somatic conditions may represent a single disorder manifesting as pain in different body regions at different times over the life span. _____________________ References: Aaron RV, Ravyts SG, Carnahan ND,et al. Prevalence of depression and anxiety among adults with chronic pain: a systematic review and metaanalysis‑analysis. JAMA Netw Open. 2025;8(3):e250268. doi:10.1001/jamanetworkopen.2025.0268. PMID: 40053352. Bradley LA. Pathophysiologic mechanisms of fibromyalgia and its related disorders. J Clin Psychiatry. 2008;69(Suppl 2):6‑14. PMID: 19962493. doi:10.4088/JCP.v69s02102. Häuser W, Ablin J, Fitzcharles MA, et al. Fibromyalgia. Am Fam Physician. 2023;107(2):158‑166. Häuser W, Fitzcharles MA. Facts and myths pertaining to fibromyalgia. Nat Rev Rheumatol. 2018;14(9):525‑535. PMID: 38607678; doi:10.1038/s41584‑018‑0084‑4. Kleykamp BA, Ferguson MC, McNicol E, et al.The prevalence of psychiatric and chronic pain comorbidities in fibromyalgia: An ACTION systematic review. Semin Arthritis Rheum. 2021;51(1):166‑174. PMID: 33383293. doi:10.1016/j.semarthrit.2020.10.006. Magen E, Tolkin L, Aamar S, et al.Endocrine comorbidities in fibromyalgia. Clin Endocrinol (Oxf). 2025;[Epub ahead of print]. doi:10.xxxx/clinend.2025.xxxxx. Mohabbat AB, Wilkinson JM. Central sensitization: When it is not “all in your head.” Am Fam Physician. 2023;107(1):92‑96. Moscati A, Faucon AB, ArnaizYépez‑Yépez C, et al.Life is pain: Fibromyalgia as a nexus of multiple liability distributions. Am J Med Genet B Neuropsychiatr Genet. 2023;192(2):134‑148. doi:10.1002/ajmg.b.32911. Rivera FA, Munipalli B, Allman ME, et al.A retrospective analysis of the prevalence and impact of associated comorbidities on fibromyalgia outcomes in a tertiary care center. Front Med (Lausanne). 2023;10:1184734. doi:10.3389/fmed.2023.1184734. Sleurs D, Tebeka S, Scognamiglio C, Dubertret C, Le Strat Y. Comorbidities of selfreported fibromyalgia in United States adults: A ‑reported fibromyalgia in United States adults: A crosssectional‑sectional study from the NESARC‑III. Eur J Pain. 2020;24(9):1687‑1698. doi:10.1002/ejp.1619. Winslow BT, Vandal C, Dang L. Fibromyalgia: Diagnosis and management. Am Fam Physician. 2023;107(2):158‑166. PMID: 36791450. Wolfe F, Clauw DJ, Fitzcharles MA, et al. Revisions to the American College of Rheumatology fibromyalgia diagnostic criteria. Arthritis Care Res (Hoboken). 2023;75(12):2029‑2039. PMID: 41097025. doi:10.1002/acr.24963. Wolfe F, Clauw DJ, Fitzcharles MA, et al.Revisions to the American College of Rheumatology fibromyalgia diagnostic criteria. Arthritis Care Res (Hoboken). 2023;75(12):2029‑2039. PMID: 41097025. doi:10.1002/acr.24963. Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
Health data should tell a patient's complete story. That's where the ICD-11, ICF and ICHI classification systems combine to move beyond basic diagnosis codes to capture a person's daily functioning and the vital interventions they need to thrive. In this episode, we unpack these systems with global health leader Dr. Patricia Saleeby. She explores how they enhance care and outcomes and shares her own moving personal story highlighting the impact of holistic care.
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 7 features an exclusive Trusty Tip with compliance recommendations based on 2021/2023 guidelines for evaluation and management services in office and other outpatient settings.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Seasoned resource investing expert Ed Baer returns to MSE and offers speculators candid advice. Ed discusses current resource-sector opportunities amid recent commodity enthusiasm and subsequent pullbacks. Baer explains why he got involved with Mogotes Metals in the Vicuna district near major projects and outlines aggressive drilling plans amid lab delays. He also assesses a current loser in his portfolio, Pan Global. Ed Baer currently serves as CEO and Executive Member of the Board of Directors for the private resource investment company DNA Gold Corp. Mr. Baer has extensive experience in strategic planning and business development, spanning over 30 years in the natural resources sector. In his capacity as Interim Chairman and CEO of European Goldfields Ltd., he effected the transformation of the company through strategic initiatives that leveraged his project management, financing and capital markets experience. Mr. Baer also served in a senior corporate development capacity to Greystar Resources Ltd., and held senior executive positions and a directorship with TVX Gold Inc. Having served in senior executive and corporate development positions for junior and mid-tier precious metals companies, he has a demonstrated record in the transformation and successful building and turnaround of соmраnіеѕ. Mr. Baer holds a Master of Laws (LLM) from Osgoode Hall Law School and a Master of Science (Leadership) with Distinction from Northeastern University. He is a member of the Institute of Corporate Directors and obtained the ICD.D designation in 2009. 00:00 Intro 00:46 Euphoria in junior miners 03:11 Reality Check Pullbacks 04:42 Why Gold and Copper 07:09 Financing Window Tightens 07:47 Flow Through Skepticism 09:03 Mogotes Metals Origin Story 10:01 Vicuna District Big Picture 11:43 Drilling Plans and Lab Delays 13:06 Jurisdiction and Due Diligence 14:23 Taking Profits Not Greedy 16:42 Handling Losers: Pan Global 19:31 MRE Timing and Credibility 21:01 Calling Institutions for Clarity 22:08 Opportunity Cost Reality 23:19 Walking Away from Arrogance 24:23 Use Realistic Metal Prices 25:51 Background Checks and Governance 29:00 Options RSUs And Pay Abuse 31:10 Useless Board Seats 33:34 Eike Batista Lesson 36:58 Thunder Bay Due Diligence 39:30 Why Promos Fade Online 40:18 How To Reach Ed Ed Baer's private investment company: https://www.dnagoldcorp.com/ Sign up for our free newsletter and receive interview transcripts, stock profiles and investment ideas: http://eepurl.com/cHxJ39 This was not a sponsored interview. Mining Stock Education (MSE) offers informational content based on available data but it does not constitute investment, tax, or legal advice. It may not be appropriate for all situations or objectives. Readers and listeners should seek professional advice, make independent investigations and assessments before investing. MSE does not guarantee the accuracy or completeness of its content and should not be solely relied upon for investment decisions. MSE and its owner may hold financial interests in the companies discussed and can trade such securities without notice. If you buy stock in a company featured on MSE, for your own protection, you should assume that it is MSE's owner personally selling you that stock. MSE is biased towards its advertising sponsors which make this platform possible. MSE is not liable for representations, warranties, or omissions in its content. By accessing MSE content, users agree that MSE and its affiliates bear no liability related to the information provided or the investment decisions you make. Full disclaimer: https://www.miningstockeducation.com/disclaimer/
In the final installment of the Healthcare Econ 101 miniseries, Dr. Christopher Childers and Dr. Nina Clark demystify the "black box" of medical billing and coding. This episode breaks down the two essential components of every medical bill: ICD codes, which identify the patient's diagnosis (the "why"), and CPT codes, which describe the specific services or procedures performed (the "what"). The discussion emphasizes that surgeons are legally and ethically responsible for the accuracy of these codes, regardless of whether a professional coder or an automated system handles the data entry. Listeners will gain insights into the "Global Period," the pitfalls of illegal "unbundling," and how to use modifiers—such as the -22 for increased procedural services—to accurately reflect the complexity of a case.***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 6 features a Newsworthy update on the OIG Work Plan for February 2026.Sonal's Trusty Tip and compliance recommendations focus on a new moratorium issued to DMEPOS medical suppliers.Spark inspires us all to reflect on beauty, abundance, and innovation based on the inspirational words of Aaron Rose.Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Send a textEver look at a medical bill and wonder who actually gets paid—and why the numbers make no sense? We sat down with Dr. Christopher Eamon, interventional pain physician, and Tim Groth, CEO of Groth Pain & Spine, to map the full journey from exam room to reimbursement, and the hidden incentives shaping your care. From CPT and ICD-10 codes to clearinghouses and payer edits, we break down the back-end machinery that turns a note into a claim, and a claim into money… or a denial.We get candid about audits and takebacks—how Medicare can pay without prior review, then claw funds back years later—forcing practices to repay money already used to run clinics and pay doctors. That risk pushes small practices to the brink while large health systems negotiate two to five times Medicare rates and pass higher coinsurance onto patients. The price gap explains why your deductible hits harder at a hospital than at an independent office, and why many clinicians feel trapped between quality and volume.Then we tackle approvals and gatekeeping: why evidence-based procedures like spinal cord stimulation stall under shifting rules, how “peer-to-peer” often means a non-specialist reading policy instead of the literature, and how hours spent appealing denials come straight out of patient time. We share real examples of arbitrary criteria, odd denials, and the emotional toll of telling a patient the best option won't be covered.So how do independent practices survive? By rethinking workflows with scribes and extended intakes, building multidisciplinary teams, and cross-subsidizing essential but underpaid services. We explore concierge care as a lifeline for time and access, the rise of MSOs to pool admin costs, and the hard truth that rate-setting often bears little relation to clinical complexity. Along the way, we confront the broken math of premiums, deductibles, and end-of-life spending—and ask what smarter tradeoffs could look like if we valued healthier years over bureaucratic churn.If you've ever felt lost in prior auths, frustrated by surprise bills, or curious why a surgeon might earn less than a device rep in the same case, this conversation will connect the dots and give you language to ask better questions. Subscribe, share this with a friend who's wrestling with the system, and leave a review with your biggest insurance or billing mystery—we'll tackle it in a future show.Support the showLearn More at: www.Redefine-Fitness.com
Advances in genetics have transformed how we understand kidney disease, and the discovery of APOL1 has been a major milestone. In this episode of Kidney Commute: Pitstop, host Dr. Osama El Shamy is joined by Meyeon Park, MD, MAS and Denay Richards, PhD to explore the role of APOL1 genetic variants in kidney disease development and progression. The discussion covers the epidemiology of APOL1, the interplay between genetic risk and environmental factors, and scenarios in which APOL1 genetic testing may be considered. Speakers also address how test results are communicated to patients and families, implications for disease management, emerging research into APOL1 targeted therapies, and the significance of newly introduced ICD 10 codes for APOL1 mediated kidney disease. After listening to the podcast, please complete the survey at https://kidneyforms.tfaforms.net/4728148. This educational episode is supported by Vertex Pharmaceuticals.
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Medical Billing & Coding Podcast for 5 Years on Feedspot. Sonal's 17th Season starts up and Episode 5 features a return to her spotlight series on Newsworthy interviews that are also filled with Trusty Tips. Join Sonal on welcoming back a fan favorite! Let's hear all about what's been going on in the life and times of Keisha Wilson.Find Keisha on LinkedIn:https://www.linkedin.com/in/keisha-wilson-ccs-cpc-cpco-crc-cpb-cpma-approved-instructor-1894b762/Get a copy of Keisha's new book, By Her Side:https://byhersidefaithfulcaregiver.com/?mc_cid=73567e3451&mc_eid=b4ee9275f2Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Eating disorder shapeshifting explained, therapy dissociation tips, no contact with adult child response, self-acceptance after weight gain, feeling unseen or outcast, skin picking dermatillomania, broken UK NHS mental health system, social anxiety in sessions, neurodivergent experiences, body image struggles, anxiety after injury, DSM vs ICD-11 differences, parasocial relationships advice. Licensed marriage and family therapist Kati Morton answers your real questions in this Ask Kati Anything episode—get expert insights on coping, recovery, and feeling seen. Shopping with our sponsors helps support Ask Kati Anything. Please check out this week's special offers: • Hero Bread is offering 10% off your order. Go to https://www.hero.co/ and use code KATI at checkout • Hers - visit https://www.forhers.com/kati for personalized, affordable weight loss plans with licensed medical support • Zocdoc - find and book top-rated doctors, therapists, or mental health providers near you in minutes. Go to https://www.zocdoc.com/kati Audience questions: 0:47 - Q1: Mind goes blank when therapist asks 'what do you need?' (social anxiety, dissociation) 6:16 - Q2: Why eating disorders shapeshift from restricting to bingeing (neurodivergent impact) 15:17 - Add-on: Self-acceptance vs weight loss first mindset in ED recovery (body image fears) 21:03 - Q3: Anxiety, depression after injury and loss of independence (positive mindset tips) 29:05 - Q4: Key differences between DSM and ICD-11 for diagnosing mental illnesses 34:05 - Q5: Feeling like an outcast or invisible - how to build inclusion and connections 43:20 - Q6: Dermatillomania (skin picking) - causes, tips, and tricks to stop 47:35 - Q7: Navigating broken mental health systems and feeling unhelpable 54:21 - Q8: Best response when an adult child goes no contact (with compassion and respect) 1:01:04 - Q9: Navigating parasocial relationships with content creators and celebrities MY BOOKS Why Do I Keep Doing This? https://geni.us/XoyLSQ Traumatized https://geni.us/Bfak0j Are u ok? https://geni.us/sva4iUY ONLINE THERAPY? Enjoy 10% off your first month: While I do not currently offer online therapy, BetterHelp can connect you with a licensed, online therapist: https://betterhelp.com/kati PARTNERSHIPS Nick Freeman | nick@biglittlemedia.co DISCLAIMER The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship. Ask Kati Anything ep. 303 | Your mental health podcast, with Kati Morton, LMFT Learn more about your ad choices. Visit megaphone.fm/adchoices
Many EMRs now embed ICD‑10 and CPT codes directly into the medical record. But is that advisable? The safest approach is still to let the documentation stand on its own. The content of the record should support the coding choices, and coders and auditors should base their work on the medical facts as documented. Codes can—and should—be applied only after the documentation is complete. On today’s CodeCast episode, Terry explains that when providers insert billing codes into the note, the intention may be good, but the risk of contradictions or inaccuracies can outweigh any perceived benefit. Should medical record documentation stand alone, without templated teaching language that was never meant to be included? Should codes appear in the record simply to give the impression of accuracy, rather than allowing the documentation to speak for itself? Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Who's Doing the Coding — Providers or Coders? appeared first on Terry Fletcher Consulting, Inc..
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