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Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression. In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics. Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri. It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
In this episode, we are joined by pediatric ophthalmologist and uveitis specialist Dr. Ginny Utz and pediatric rheumatologist Dr. Sheila Angeles-Han to discuss a multidisciplinary approach to the management of JIA-associated uveitis.The discussants report no relevant financial disclosures.
Clippings: The Official Podcast of the Council for Nail Disorders
Limited efficacy of platelet-rich plasma intramatricial injections for idiopathic brittle nail treatment: A pilot intrasubject randomized controlled trial.Ricardo JW, Grover C, Iorizzo M, Piraccini BM, Qiu Y, Lipner SR. Journal of the American Academy of Dermatology. 2025Diagnosis and Management of Subungual and Periungual Verruca: A Clinical Review. Curtis KL, Davis JC, Di Chiacchio N, Di Chiacchio NG, Grover C, Iorizzo M, Piraccini BM, Starace M, Tosti A, Lipner SR. Journal of the American Academy of Dermatology. 2024 Nov 15.
Podcast Show Notes: Scoliosis Treatment with Dr. Tony Nalda Episode Title: What Are the Different Types of Scoliosis? Episode Summary: Not all scoliosis is the same. While a diagnosis of “scoliosis” can sound straightforward, the type, cause, location, and severity of the curve make a huge difference in how it should be treated. In this episode of Scoliosis Treatment with Dr. Tony Nalda, we break down the different types of scoliosis, what causes them, and how these distinctions impact treatment decisions. If you or a loved one has been told, "You have scoliosis," this episode is essential for understanding what that truly means—and why personalized care is key to long-term success. Key Topics Covered: ✅ How Scoliosis Is Diagnosed: Defined as a sideways spinal curve of 10° or more, with rotation Measured using a Cobb angle on spinal X-rays Severity Categories: Mild: 10–25° Moderate: 25–40° Severe: 40°+ Very Severe: 80°+ ✅ Types of Scoliosis Based on Cause: Idiopathic Scoliosis (80% of cases): No clear cause; most common form Adolescent Idiopathic Scoliosis (AIS) is the most typical subtype Neuromuscular Scoliosis: Secondary to conditions like cerebral palsy, muscular dystrophy, or tethered cord Often linked to poor muscle tone or connective tissue dysfunction Congenital Scoliosis: Caused by malformations during fetal development, such as hemivertebrae Degenerative (De Novo) Scoliosis: Develops later in life due to asymmetrical spinal degeneration, often from old injuries or unresolved misalignments Traumatic Scoliosis: Caused by a severe injury, such as a fall or accident ✅ Types of Scoliosis Based on Curve Location: Cervical (Neck) Thoracic (Mid-Back) Lumbar (Lower Back) Thoracolumbar (Transitional Area) Multi-curve presentations such as double major or cervicothoracic scoliosis ✅ Why Curve Type and Cause Matter in Treatment: Treatment plans must consider: Causation (neuromuscular, congenital, idiopathic, etc.) Curve location Severity at diagnosis Age and growth stage These factors help determine whether a patient would benefit most from: Chiropractic-based conservative treatment Bracing Specialized exercises Therapy tailored to their unique curve pattern Key Takeaways: ➡️ Saying "you have scoliosis" is too vague—type, cause, and location all affect treatment strategy.➡️ Idiopathic scoliosis is the most common, but other types like neuromuscular or degenerative require very different approaches.➡️ Every scoliosis curve has the potential to progress—that's why addressing the structural problem early is essential.➡️ At Scoliosis Reduction Center, treatment plans are built around each patient's specific curve and contributing factors. Resources & Links:
We have talked extensively about Type 1 and Type 2 narcolepsy on the podcast, but what about its mysterious cousin idiopathic hypersomnia (IH)? What is IH and why is it so hard to diagnose? What is its relationship with narcolepsy, and how do we treat it? In this episode we will:Define idiopathic hypersomniaLook at its incidence rate next to narcolepsyList the key characteristics that differentiate it from narcolepsyLearn the factors that make it difficult to diagnoseHighlight the first FDA-approved treatment for the disorderProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Diane: Greetings Dr. Cabral, I have been using the DNS powder for quite some time, however I found through taking the IGG Food Sensitivity test that I'm pretty sensitive to peas, certain beans, lentils, hemp hearts and other food sources. I noticed the DNS powder has yellow pea protein, not green pea protein and wondered if because of this I should refrain from using the powder and go directly to the Multi's instead? I very much enjoy my daily morning shakes but don't wish to add to the sensitivity problem. Thank you for any advice you can lend. Kim: I am a 54 year old female diagnosed with empty sella, idiopathic intercranial hypertension, and central apnea. Are there things that I can do to help myself naturally? Prescribed medications were not good for my kidneys. Currently waiting to see if my kidney function recovers . Thank you Kim John: Hey doc. I took the heavy metal test and was high in mercury and lead. I've been using the Therasage sauna you recommended 3 days a week for 30 minutes for about 2 years so I was surprised my numbers were high. I ordered the heavy metal detox and I wanted to know if I should stop taking your balanced zinc and hair support while on the detox . Thanks for all the great work you and your team is doing Stephen: Hi Dr. Cabral, Thank you for all you do to help people restore and maintain their health. I've been struggling with persistent fatigue and exhaustion for the past 10 years. No matter how much sleep I get, I'm always tired. I've done a 21 day and a 7 day FM detox which have made me feel better in other areas, but the fatigue persists. Do you have any chronic fatigue specific protocols or suggestions? Spencer: Hello Dr. Cabral I like the idea of a smoothie for breakfast full of 100% of my vitamins and minerals. However, I am an over methylater and tend to get hyper and anxious from the DNS. Is there any way I can still take it (perhaps anything I could take alongside) and avoid these symptoms apart from just lower the amount as I feel 1/2 to 1/4 scoop isn't enough to make a smoothie palatable. I've found better results taking folate as folinic acid and B12 as adenosylcobalamin and hydroxocobalamin. I'm sure it's not profitable to make a DNS with non methylated b vitamins since this won't affect most people. Thanks Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3348 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Clippings: The Official Podcast of the Council for Nail Disorders
Limited efficacy of platelet-rich plasma intramatricial injections for idiopathic brittle nail treatment: A pilot intrasubject randomized controlled trial. Ricardo JW, Grover C, Iorizzo M, Piraccini BM, Qiu Y, Lipner SR.JAAD. 2025 Jan 3Concealing Meets Healing in the Treatment of Toenail Onychomycosis: A Review of Concurrent Nail Polish Use With Topical Efinaconazole 10% Solution.Pandit B, Elewski B, Vlahovic TC. The Journal of Clinical and Aesthetic Dermatology. 2024Sep;17(9):38.
Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, Julie Flygare, JD, president and chief executive officer of Project Sleep, shared her personal and professional insights into the critical role of social connections for patients living with narcolepsy and idiopathic hypersomnia. Drawing from her journey with narcolepsy, Flygare highlighted the challenges of isolation at diagnosis and the transformative power of peer support and advocacy. She delved into survey findings that underscore the rarity of social connections among patients and their impact on adjustment and well-being. Additionally, Flygare offered actionable recommendations for clinicians to integrate social support into practice, emphasizing the value of patient advocacy organizations and fostering meaningful connections. Above all, her inspiring perspective shed light on the intersection of community, research, and clinical care in sleep health. Looking for more narcolepsy discussion? Check out the NeurologyLive® Narcolepsy clinical focus page. Episode Breakdown: 1:00 – Challenges and importance of social connections 5:45 – Building a thriving community and research impact 7:30 – Insights from patient surveys on social support 10:30 – Neurology News Minute 12:25 – Recommendations for clinicians on social support The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: FDA Approves Mirdametinib for NF1-Associated Plexiform Neurofibromas in Adults and Children FDA Approves Tablet Formulation of Risdiplam for Spinal Muscular Atrophy Solid Reports Positive Data for SGT-003 Gene Therapy in Phase 1/2 Trial of Duchenne Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.
AUA Guidelines: Diagnosis And Treatment Of Idiopathic Overactive Bladder Co-Host: Anne Pelletier Cameron, MD, FRCSC, URPS Segment #1: Is this an update to the prior Guideline? Segment #2: What is new in the Diagnosis, ntitial Assessment and Initial Management of OAB? Segment#3: What does the Guideline say about Oral Medication? Segment #4: What's new in minimally invasive prodcedures Segment #5: UDS and Cystoscopy Segment #6: What is new and exciting on the horizion for OAB Segment #7: Where to start and the most impactpact research in this area The AUA/SUFU Guideline on the Diagnosis and Treatment of Idiopathic Overactive Bladder Cameron AP, Chung DE, Dielubanza EJ, et al. The AUA/SUFU guideline on the diagnosis and treatment of idiopathic overactive bladder. J Urol. Published online April 23, 2024. doi:10.1097/JU.0000000000003985. https://www.auajournals.org/doi/10.1097/JU.0000000000003985
In part two of this two-part series, Dr. Jeff Ratliff and Dr. Ron Postuma discuss how clinicians should approach serological antibody testing in patients with REM behavior disorder or other associated neurologic symptoms. Show reference: https://www.neurology.org/doi/10.1212/NXI.0000000000200311
In part one of this two-part series, Dr. Jeff Ratliff and Dr. Ron Postuma discuss how frequently the IGLON5 antibody is identified among patients with idiopathic REM behavior disorder. Show reference: https://www.neurology.org/doi/10.1212/NXI.0000000000200311
Dr. Jeff Ratliff talks with Dr. Ron Postuma about the clinical features associated with IgLON5 positivity, emphasizing the implications for practitioners in diagnosing and treating sleep and movement disorders. Read the related article in Neurology: Neuroimmunology & Neuroinflammation. Disclosures can be found at Neurology.org.
In this episode, Lillian Erdahl, MD, FACS, is joined by Fatemeh Shojaeian, MD, MPH, from the Johns Hopkins University School of Medicine. They discuss Dr Shojaeian's recent article, “Refractory and Recurrent Idiopathic Granulomatous Mastitis Treatment: Adaptive, Randomized Clinical Trial,” in which the authors found that, for resistant or relapsing patients with idiopathic granulomatous mastitis, combining methotrexate and corticosteroids offers a promising strategy. This integration of disease-modifying antirheumatic drugs with corticosteroids not only reduces the necessity for high steroid doses but also effectively alleviates associated side effects. Disclosure Information: Drs Erdahl and Shojaeian have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Erica: Hi Dr. Cabral. I wanted to ask about hair loss. I have a female friend in her 30s who is starting to wake up with a lot of hair on her pillow and on her bed after sleeping. Where would you start to look for the underlying root causes of this? Thank you. Patrick: Hey dr. Huge fan thanks so much for all you and your team do. I have another elbow question for you I went And got an X-ray and it showed some ostiophytes and I have snapping elbow which is affecting my rom Ofcorse all they said was cortisone shot and pills . I'm very active and enjoy exercising so I'd love to know the best therapy and supplements to do. Thanks Montas: Hi Dr Cabral, Thank so much for this life saving information you provide in order to take our health. For the past 5 years, I have been suffering a lot with back pain, joint pain, and all part of my body. I went from doctor to doctor, they can't really help me and it's obvious because they didn't train to go to the root cause of a symptomatic disease. I have been diagnosed with TB and spent 6 months for the treatment but after 1 year this left me with more diseases. I sweat a lot night and day, I have noise in my stomach eating or not, I strangely lose pounds instead of gaining. What's the first lab test you would recommend me to do to? I can't afford big 5. Thank you! Lara: Hi, dr. Cabral.. I'm wondering if any of the following contradicting information is true: you have to be taking Mg and Zn together for better absorption and the other is, don't take them together because Zn can block Mg absorption.. I found the same for Iron and Calcium - that they should be taken 4h away from Mg so they don't block its absorption.. please clarify, so we know how to properly take these supplements.. thank you so much! happy healing, everyone! An: hi Dr. Cabral thank you for all you do. I have a quick question now that I'm 70 I have bunions that are starting to bother me. I've had them for years but now that I'm heavy into pickleball they're starting to hurt. I see noninvasive bunion fixes and I'm just wondering what your thoughts are on those are they worth it or is that just a scam? Audrey: Hello! Appreciate all of your insight - you are a wealth of knowledge! I'm a 32 year old that has had idiopathic thrombocytopenia since I had my child 5 years ago. Just wondering what labs you recommend for this and how to improve the numbers. Thanks! Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3222 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
She is more fierce than a mountain lion in Big Ben! Meet Zuly, a mom of three, a courageous advocate for her children and other parents who have children with rare diseases. From standing up to the medical industry to taking on Capitol Hill, Zuly has worked tirelessly to not only save her daughter's life, but to make the changes necessary to save others. Her journey began when her third child was diagnosed with Systemic Juvenile Idiopathic Arthritis and Secondary Hemophagocytic Lymph Histiocytosis. Join us in the Bunker to day to discuss mama trauma, motherhood, momsday moments, Mexico, Iraq, refugee, pregnancy, Systemic Juvenile Idiopathic Arthritis and Secondary Hemophagocytic Lymph Histiocytosis, survival, anxiety, medical miracles, medical establishments, medical mysteries, rare diseases, and HOPE! If you like this episode and want to connect other Mama Trauma Survivors to the Momsday Bunker, please like and share! Follow the Keri Momsday Prepper on Facebook and Keri_Henson_aka_Momsdayprepper for tips and tricks on preparedness. You can reach Keri at MomsdayPrepper
Charlie Andrews talks to Dr Anthony (Tony) Wisken, Consultant Paediatric Gastroenterologist in Bristol.The Ingest podcast is hosted by Dr Charlie Andrews a GPwER in gastroenterology based near Bath. Charlie works as a GP partner at Somer Valley Medical Group, trained as an endoscopist and leads the national GPwER in gastroenterology training programme, launched in 2023 in the southwest of England. Charlie is a committee member of the PCSG (Primary Care Society of Gastroenterology). For more information visit pcsg.org.uk Chapters (00:00:05) - INGEST(00:01:02) - Chronic abdominal pain in children(00:07:47) - Pediatric gastroenterology, pain in the tummy(00:13:13) - Reflux in children, 6 years and older(00:15:26) - Headache and abdominal pain in children, age 6(00:21:34) - Idiopathic bowel syndrome in children(00:24:51) - Tummy pain 11, constipation(00:31:08) - Mesenteric adenitis 20, Cancer(00:35:06) - Functional GI disorders, the role of ultrasound(00:38:57) - Obstructive bowel disease in teenagers(00:45:41) - Gallstones in children, anaesthesia and surgery(00:47:01) - Celiac disease, tests and how to manage it(00:49:40) - Top 3 Take Homes for kids(00:51:51) - H. Pylori in children's tummy pain(00:55:37) - 3 take home points from the abdominal pain episode
Interview with Alexander T. Hillel, MD, author of Oral Everolimus Following Dilation in Idiopathic Subglottic Stenosis: A Phase 1 Nonrandomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Oral Everolimus Following Dilation in Idiopathic Subglottic Stenosis
Interview with Alexander T. Hillel, MD, author of Oral Everolimus Following Dilation in Idiopathic Subglottic Stenosis: A Phase 1 Nonrandomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Oral Everolimus Following Dilation in Idiopathic Subglottic Stenosis
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Joanna: Hi Dr. Cabral, I hope this message finds you well and you're enjoying a beautiful summer! I've got two totally unrelated questions that I would love to get your take on: 1. Could you quickly explain what Sjorgren's syndrome is in your words, what could be causing it or what tests would help to find that out and what you would recommend if someone in your family suffered from that? 2. Could you see the drug industry investing more research into things like myostatin-inhibitors again to counteract the risks of muscle loss for people using GLP-1 agonists? Thanks for everything you do! Johann Michael: Hey Steven, I haven't messaged in a long time I still have primary Addisons disease and take the regular hydrocortisone and fludrocortisone daily. I'm just after having an emergency shot of hydrocortisone because I have a gastro bug and I want to recover quickly. Have you any tips on this please? Just so tired of being scared to get sick with this illness. Lisa: Does meat cause cancer specially like prostate cancer or any other cancer? Can you use diet to stop it without treatment? WIll a whole food plant base diet help it? Is it possible to get colon cancer within 2 years of having colonoscopy? Will a ct scan show it or pet scan? Mindy: Hi! I enjoy listening to your podcast each day and really trust your advice. I was wondering if you've heard of or looked into the Jaspr air filter? It's more expensive than the air doctor and I'm wondering if it is really effective and worth the price. Thanks for all you do! Pip: Hi Dr Cabral. I'm 35 and have been diagnosed with idiopathic cervical dystonia tremor. I've had it on and off for about ten years however this year it has got considerably worse and affects me daily in activities. The neurologist has referred me to another neurologist specialising in dystonia who will inject Botox into my neck muscle to relax it and stop the tremor. This is a three monthly treatment for the rest of my life. Apparently there is no cure but I'd like to think there is SOMETHING natural / alternative I can do to stop or reduce the tremor. I'd love to hear your suggestions? Thank you. Pip Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3124 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Oligoarticular JIA is the most common subtype of juvenile arthritis. Children with oligo have 4 or fewer joints involved in the first 6 months of disease. The biggest complication that requires monitoring for is chronic uveitis which is asymptomatic but ultimately vision threatening if not controlled. Follow us on Instagram @yourekiddingrightdoctors Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss any episodes and RATE to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)
While AK's peers were shopping for prom dresses and applying to college, she spent senior year self-advocating and undergoing hospitalizations. AK had been diagnosed with juvenile arthritis at 12 years old after experiencing jaw and ankle pain. Subsequently, the flares became increasingly systemic with daily spiking fevers. AK shares how […]
BUFFALO, NY- July 17, 2024 – A new #research paper was #published in Aging (listed by MEDLINE/PubMed as "Aging (Albany NY)" and "Aging-US" by Web of Science) Volume 16, Issue 13, entitled, “Modulating in vitro lung fibroblast activation via senolysis of senescent human alveolar epithelial cells.” Idiopathic pulmonary fibrosis (IPF) is an age-related disease with poor prognosis and limited therapeutic options. Activation of lung fibroblasts and differentiation to myofibroblasts are the principal effectors of disease pathology, but damage and senescence of alveolar epithelial cells, specifically type II (ATII) cells, has recently been identified as a potential trigger event for the progressive disease cycle. Targeting ATII senescence and the senescence-associated secretory phenotype (SASP) is an attractive therapeutic strategy; however, translatable primary human cell models that enable mechanistic studies and drug development are lacking. In this new study, researchers Joseph S. Spina, Tracy L. Carr, Lucy A. Phillips, Heather L. Knight, Nancy E. Crosbie, Sarah M. Lloyd, Manisha A. Jhala, Tony J. Lam, Jozsef Karman, Meghan E. Clements, Tovah A. Day, Justin D. Crane, and William J. Housley from AbbVie Bioresearch Center and Northeastern University describe a novel system of conditioned medium (CM) transfer from bleomycin-induced senescent primary alveolar epithelial cells (AEC) onto normal human lung fibroblasts (NHLF) that demonstrates an enhanced fibrotic transcriptional and secretory phenotype compared to non-senescent AEC CM treatment or direct bleomycin damage of the NHLFs. “In the current study, we confirm the presence of senescent cell populations within the human IPF lung, as well as assess primary cell reagents for sensitivity to senescent cell targeting therapies.” In this system, the bleomycin-treated AECs exhibited classical hallmarks of cellular senescence, including SASP and a gene expression profile that resembles aberrant epithelial cells of the IPF lung. Fibroblast activation by CM transfer was attenuated by pre-treatment of senescent AECs with the senolytic Navitoclax and AD80, but not with the standard of care agent Nintedanib or senomorphic JAK-targeting drugs (e.g., ABT-317, ruxolitinib). This model provided a relevant human system for profiling novel senescence-targeting therapeutics for IPF drug development. “Taken together, the model described herein provides a physiologically relevant, primary human cell system to study the effects of alveolar epithelial cell senescence on lung fibroblasts in the context of chronic fibrotic lung disease.” DOI - https://doi.org/10.18632/aging.205994 Corresponding author - Tovah A. Day - t.day@northeastern.edu Video short - https://www.youtube.com/watch?v=rpmo2PlGDKc Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.205994 Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts About Aging-US The mission of the journal is to understand the mechanisms surrounding aging and age-related diseases, including cancer as the main cause of death in the modern aged population. The journal aims to promote 1) treatment of age-related diseases by slowing down aging, 2) validation of anti-aging drugs by treating age-related diseases, and 3) prevention of cancer by inhibiting aging. (Cancer and COVID-19 are age-related diseases.) Please visit our website at https://www.Aging-US.com and connect with us: Facebook - https://www.facebook.com/AgingUS/ X - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/@AgingJournal LinkedIn - https://www.linkedin.com/company/aging/ Pinterest - https://www.pinterest.com/AgingUS/ Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc MEDIA@IMPACTJOURNALS.COM
Radiology read to you! Andrew reads Radiopaedia's DISH article in a highly experimental "solo readful". Plus, some chat about audiobooks, insurance premiums, styloid processes and a prize winner is announced! Radiopaedia's DISH article ► https://radiopaedia.org/articles/diffuse-idiopathic-skeletal-hyperostosis Radiopaedia 2024 Virtual Conference ► https://radiopaedia.org/courses/radiopaedia-2024-virtual-conference Become a supporter ► https://radiopaedia.org/supporters Get an All-Access Pass ► https://radiopaedia.org/courses/all-access-course-pass Andrew's X ► https://twitter.com/drandrewdixon Frank's X ► https://twitter.com/frankgaillard Ideas and Feedback ► podcast@radiopaedia.org The Reading Room is a radiology podcast intended primarily for radiologists, radiology registrars and residents.
Michael Thorpy, MD - When Sleep Is Exhausting: Improving Diagnosis and Outcomes in Patients With Idiopathic Hypersomnia
Episode 79 - on this episode we discuss what the hypersomnia condition classification is. Why would we do this on a podcast where people have trouble sleeping because many people with hypersomnia (excessive sleepiness in the day) also have sleep disturbance at night making them wake up frequently. Take a listen as we discuss the conditions.**Key Topics Covered:**1. **Introduction:** Discussion about past recording experiences and setting the stage for the episode.2. **Personal Anecdotes:** The hosts share personal stories about air tagging kids and dealing with summer camps.3. **Product Review:** Introduction and review of a new bio-freeze-like product line for pain relief, which includes a nighttime formula with ingredients like arnica flower, magnesium, hemp oil, and melatonin.4. **Deep Dive into Hypersomnia:** - Explanation of hypersomnia and its classification. - Detailed discussion on narcolepsy (types 1 and 2) and cataplexy. - Diagnostic methods for narcolepsy, including sleep tests and multiple sleep latency tests. - Idiopathic hypersomnia and its challenges in treatment. - Lesser-known hypersomnias like Klein Levin Syndrome. - Hypersomnia due to medical disorders, medications, mental disorders, and insufficient sleep syndrome. - Discussion on long sleepers and how to manage schedules around sleep needs.5. **Strategies for Better Sleep:** Importance of regular sleep and wake times, medication management, and lifestyle adaptations for better sleep health.- Subscribe to the podcast on YouTube and other platforms.- Leave a comment with your thoughts on the episode.- Check out the new pain relief product and share your feedback.Theme music "Happy Days by FSM Team" courtesy of https://www.free-stock-music.com Support the Show.Please go to the following page to support the show: https://www.buzzsprout.com/1692604/support www.danielbaughn.comwww.dosleep.comsleeptakeout@gmail.com
Two glucose monitoring systems have been cleared for over-the-counter sale; Arexvy gains approval for adults aged 50 to 59 years; Kevzara approved for active polyarticular juvenile idiopathic arthritis; Generic Duchenne muscular dystrophy drug is made available; and Iqirvo gets accelerated approval for primary biliary cholangitis.
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In today's episode, we've got some compelling new research from the European Spine Journal focusing on thoracolumbar fascia, chronic low back pain, and idiopathic lumbar scoliosis. We'll dive into how ultrasound technology is used to uncover critical findings that could impact chiropractic practices worldwide.Episode Notes: Thoracolumbar fascia and chronic low back pain in idiopathic lumbar scoliosis: an ultrasonographic studyThe Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comInterested in ShockWave technology? I built a practice using StemWave and can't recommend it enough. Learn more at- https://gostemwave.com/theevidencebasedchiropractor Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
TRIGGER WARNING - This episode contains graphic details and emotions regarding euthanizing a pet due to severe aggression. Both Em and Lana, get very real and very emotional. This is not an episode for children and maybe not one to listen to at work, at least not without headphones. Being a dog guardian comes with a lot of responsibility and a lot of tough decisions. From start to finish the dog's life and well-being is in YOUR hands. This includes having to make the very difficult decision to let your pet go when things start to go very wrong. On this episode of Straight Up Dog Talk, Lana, and Em both share personal stories about having a dog with idiopathic aggression, also known as rage syndrome. This condition is NOT treatable and is in the best interest of all parties to take action to make sure that everyone remains safe. Unfortunately due to the lack of education and information available on this topic people don't know what to do in these situations. We are here to tell you that you are NOT alone and you have support. If you are experiencing situations like the ones in this episode, please do not hesitate to ask for help if needed. Our mission is to educate on this topic so that other people are not suffering in silence. Follow Lana and Ares on TikTok: salg.loki.themaligator & Instagram: loki.the.maligator_
Andrea Tooley, MD, joins Sila Bal, MD, MPH, to review a case of a 33-year-old woman who presented with sudden onset periorbital pain and edema on her left side. On examination, vision was 20/20 with normal IOP and extraocular movements. Dr. Tooley walks through important orbital examination findings that physicians should evaluate in every patient with an orbital concern. Listen to gain insights into the approach to idiopathic orbital inflammation and other potentially concerning orbital inflammatory conditions.
Dr. Irfan Sheikh finishes out his five-part series about idiopathic generalized epilepsy with a discussion of epilepsy with generalized tonic-clonic seizures alone. This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.
Wellness + Wisdom Episode 635 Wellness + Wisdom Podcast Host and Wellness Force Media CEO, Josh Trent, shares how soon to be parents can prevent and prepare for sleep deprivation and how to deal with the emotions that manifest as physical illness. Send Josh your AMA Question HERE! Today's Questions Jim: I'm about to have a baby here in September and you hear all these stories of, Hey, you're going to go through sleep deprivation. It's going to be a high-stress environment. You know, all the things that kind of make you fear of like, oh my god, the baby's coming. I was wondering if you had maybe a list of supplements or a protocol to kind of help around, you know, dampening the impact of that stress or that sleep deprivation. Maybe if there's things leading up to the birth event, things post-birth, I'm sure there are sets of supplements or practices. Keith: I've been dealing with some pretty notable liver issues. And for context, 5-6 years ago, I had chronic liver failure diagnosed from Vanderbilt. I don't have any disease at all. The doctor said everything's fine with me. So with everything you've, with everyone you've talked to, what are some non-conventional approaches to gut health that come to mind? ❄️ Biohack Your Mind & Body with Plunge Ice Baths! Save $150 on your PLUNGE order with code "WELLNESSFORCE" As seen on Shark Tank, Plunge's revolutionary Cold Plunge uses powerful cooling, filtration, and sanitation to give you cold, clean water whenever you want it, making it far superior to an ice bath or chest freezer. ☀️ Live Life Well from Sunrise to Sunset Save 20% with code "WELLNESSFORCE" on everyone's favorite Superfoods brand, ORGANIFI, including their Sunrise to Sunset Bundle and their Women's Power Stack that includes HARMONY + GLOW for true hormonal balance and great health radiating through your beautiful skin. Click HERE to order your Organifi today.
In the fourth episode of this five-part series, Dr. Irfan Sheikh talks about Idiopathic generalized epilepsy. In this episode, he talks about juvenile myoclonic epilepsy.
In the third episode of this five-part series, Dr. Irfan Sheikh talks about Idiopathic generalized epilepsy. In this episode, he talks about juvenile myoclonic epilepsy.
In the second episode of this five-part series, Dr. Irfan Sheikh talks about idiopathic generalized epilepsy. In this episode, he discusses childhood absence epilepsy.
Although seizures can be scary, managing idiopathic epilepsy doesn't have to be. In this episode of Clinician's Brief Partner Podcast, host Dr. Beth sits down with Dr. Fred Wininger to get answers on how to approach the seizing pet, tips for pet owner communication, and options in seizure management.Resource:https://www.kbrovet.com/Contact us:Podcast@briefmedia.comWhere to find us:Cliniciansbrief.com/podcastsFacebook.com/clinciansbriefTwitter: @cliniciansbriefInstagram: @clinicians.briefThe Team:Beth Molleson, DVM - HostSarah Pate - Producer & Project Manager, Brief StudioRandall Stupka - Podcast Production & Sound Editing
In the first episode of this five-part series, Dr. Irfan Sheikh talks about Idiopathic generalized epilepsy. In this episode, he gives a brief overview of Idiopathic generalized epilepsy. This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.
Cheryl and Rebecca also share misconceptions and talk about the variability and fluctuations of symptoms, as well as reframing limitations and embracing flexibility. They explore the idea of living a "good life" with rheumatic diseases, acknowledging the challenges while emphasizing the possibility of thriving and pursuing one's dreams despite the condition.Episode at a glance:Advocacy and Awareness: Cheryl and Rebecca emphasize the importance of advocating for individuals with juvenile idiopathic arthritis (JIA) and raising awareness about the condition to combat misconceptions and promote understanding in various settings.What happens when kids with JIA become adults? Rebecca clarifies common misconceptions such as that kids “outgrow” JIA. As an adult living with JIA, she explains how the diagnosis follows you to adulthood because it's a different disease than adult rheumatoid arthritis.Education and Work Accommodations: Cheryl & Rebecca discuss the need for accommodations, highlighting the importance of communication with employers, teachers, and peers.Thriving with JIA: The conversation delves into the idea of living a fulfilling life despite the challenges of rheumatic diseases, emphasizing the importance of reframing limitations, embracing flexibility, and celebrating achievements and everyday joys.Coping tools: Cheryl and Rebecca discuss the challenges faced by individuals and families dealing with JIA, as well as strategies for navigating life with chronic illness, including seeking support, staying informed, and fostering a positive mindset.Favorite mantras: “It's never too late to be who you might have been”, and it “always seems impossible until it's done”.Medical disclaimer: All content found on Arthritis Life public channels was created for generalized informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.Episode SponsorsRheum to THRIVE, an online course and support program Cheryl created to help people with rheumatic disease go from overwhelmed, confused and alone to confident, supported and connected. See all the details and join the program or waitlist now! For full episode show notes including a video & transcriptComing soon on the Arthritis Life Website.
In today's episode, Dr Vignesh Devraj is exploring the connection between toxic relationships and idiopathic health conditions. The people around whom we spend most of our day to day life - partner, friends, colleagues and managers have a bigger impact on our health than we realize. In this episode, we understand how to identify whether a relationship is safe or toxic for you, redefine what toxicity means and explore how to handle such situations. The topics discussed in this episode are: Do our relationships affect our health? How to identify if a relationship is toxic to you? The cost of normalising of toxicity is certain situations Connection between toxic relationships and idiopathic diseases Hot to start deep healing? BALANCE THE MIGHTY VATA - ONLINE COURSE NOW AVAILABLE What makes Ayurveda unique in its treatment approach is its practical wisdom on the concept of Vata. Vata is responsible for Prana - the life energy, nervous system - the master panel of our body, and our emotions. In Ayurveda, it is mentioned that controlling Vata is the most difficult part of healing and recovery. Recently I have recorded a workshop on - Balancing The Mighty Vata which has over 6 hrs of content, with notes filled with practical inputs that can be integrated into our life. You can access this at https://drvignesh.teachable.com/ For further information about Dr Vignesh Devraj, kindly visit www.vigneshdevraj.com and www.sitaramretreat.com Instagram - @sitarambeachretreat | @vigneshdevraj Twitter - @VigneshDevraj If you are interested in doing one on one ayurvedic consultation with Dr Vignesh Devraj please find the details in this link - https://calendly.com/drvignesh/50minute-session-with-dr-vigneshdevraj?month=2024-01 If you are economically challenged, please use the form provided to request a free Ayurvedic consultation here. (Link - https://docs.google.com/forms/d/e/1FAIpQLSd29nHcrC1RssR-6WAqWCWQWKKJo7nGcEm8ITEl2-ErcnfVEg/viewform ) We truly hope you are enjoying our content. Want to help us shape and grow this show faster? Leave your review and subscribe to the podcast, so you'll never miss out on any new episodes. Thanks for your support. Disclaimer: - The content of the podcast episodes is not intended to be a substitute for professional medical procedures, consultations, diagnosis, or treatment in any manner. We strongly do not recommend using the content of these episodes as medical advice for any medical conditions for you, others, or for treating your patients.
In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults. Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS. --- SHOW NOTES 00:00 - Introduction 01:21 - Dr. Schoeff's Journey & Practice 08:28 - Symptoms & Differential Diagnosis 12:31 - Physical Examination & Diagnosis 27:23 - Introduction to Endoscopic Dilation 28:57 - Steroid Injections as a Management Option 31:24 - The Three Big Categories of Treatment 33:05 - How Steroids Address Disease Pathophysiology 38:58 - Technique for Airway Dilation 49:06 - Deciding on Cricotracheal Resection 51:14 - How Insurance Affects Treatment Options 55:05 - Final Thoughts & Pearls
In this week's episode, Brain & Life Podcast host Dr. Katy Peters and playwright Sarah Ruhl discuss her Bell's Palsy diagnosis (Idiopathic seventh nerve palsy) and the book she wrote about her experience, Smile: The Story of a Face. Sarah discusses the onset of her symptoms after giving birth to twins, how this diagnosis has affected her work life, and the importance of asking for help. Then, neurologist Dr. Gary Gronseth joins Dr. Peters to discuss just what Bell's Palsy is, what the risk factors are, and reminds listeners that with a diagnosis also comes with lots of hope for the future. Additional Resources Smile: The Story of a Face by Sarah Ruhl Playwright Sarah Ruhl on Losing the Ability to Smile Due to Bell's Palsy What Doctors Know About Bell's Palsy Bouncing Back from Bell's Palsy We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? · Record a voicemail at 612-928-6206 · Email us at BLpodcast@brainandlife.org Social Media: Guests: Sarah Ruhl @sarah_ruhl_ Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD
Drs. Derek Stitt and David T. Plante discuss the Wisconsin Sleep Cohort study to estimate the prevalence of idiopathic hypersomnia. Show reference: https://www.neurology.org/doi/abs/10.1212/WNL.0000000000207994
Dr. Derek Stitt talks with Dr. David T. Plante about the Wisconsin Sleep Cohort study to estimate the prevalence of idiopathic hypersomnia. Read the related article in Neurology. Disclosures can be found at Neurology.org.
One common concern among patients with scoliosis is can my curve become big enough that it starts affecting the way my lung functions. In this episode, Dr. Tony Nalda addresses the potential impact of scoliosis on lung function. There are three main types of scoliosis: idiopathic, neuromuscular, and congenital. Idiopathic scoliosis, the most prevalent form, lacks a known cause, making it a multifactorial condition. Scoliosis tends to progress during growth phases, leading to physical changes. Symptoms vary among individuals, with postural changes being a common indicator in children, while pain often drives the diagnosis in adults. Impact on Lung Function The curvature of the spine in scoliosis affects muscles, tissues, and organs, creating asymmetrical forces within the body that can lead to a functional lung capacity problem. The thoracic curves can alter rib arches and spaces, potentially affecting lung function. The size of the curve, uneven forces, and spinal rigidity may contribute to functional lung capacity problems. Not all individuals with similar curve sizes experience the same symptoms or lung impairments. Factors such as age, type, curvature, and physical condition contribute to individual variations. Various methods, including spirometry and functional lung capacity tests, can assess lung function. Testing is important to understand how scoliosis may be affecting an individual's lungs. Strategies for Lung Health Never let your curve become big. If you never let your curve become large, you're less likely to develop a lung functional concern. Reduce your curve. If you have a significant curve, the smaller you get it, the less likely it is to affect your lungs. Despite surgery being promoted as a means to address potential lung issues associated with scoliosis, the actual impact on lung function remains uncertain, and individual cases may vary. Each scoliosis case is unique which is why a patient needs to undergo individualized testing. By understanding the relationship between scoliosis and lung function, individuals can take proactive steps to manage their condition, emphasizing the importance of early intervention and maintaining smaller curves to mitigate potential impacts on lung health. To understand more, check out Dr. Tony Nalda's podcast. Artlist.io 847544
Case Discussion 110 Answer: Medical therapy in acute pericarditis
A 14-month-old is brought into the clinic for a well-child visit. Born at 39.5 weeks gestation, he has been healthy and is up-to-date with immunizations. The child started to walk at age 12 months and the parents note that “his feet look a little crooked when he stands and sometimes he will trip when he is trying to run because they curve in.” The NP notes a mild inward curvature of the front half of the foot bilaterally, with an intoeing positioning when he stands. The feet are flexible and the child walks with ease without evidence of discomfort during ambulation or on exam. There is no joint redness, heat, or swelling. This most likely represents: Pes planus. Club foot. Metatarsus adductus. Idiopathic juvenile arthritis. ---YouTube: https://www.youtube.com/watch?v=NvjewWxJpUEVisit fhea.com to learn more!
In this episode, we review the high-yield topic of Infantile Idiopathic Scoliosis from the Spine section. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
In this episode, we review the high-yield topic of Idiopathic Transient Osteoporosis of the Hip (ITOH) from the Recon section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
This podcast features Dr. Steven Cabral, a renowned figure in the health space. He discusses his personal health journey and how it has shaped his mission to help others understand their own bodies. Dr. Cabral shares his experience with an idiopathic illness and how he turned to natural medicine to find answers. He explains the importance of comprehensive testing and recommends the "big five" tests that can provide valuable insights into an individual's health. Overall, Dr. Cabral's story highlights the possibility of healing with the right information and guidance. Topics Discussed in this Episode: 01:49 Idiopathic illness and natural medicine.05:09 Gut health and hormone balance.07:30 Fixing Thyroid Imbalances.10:23 Simplistic approach to healing.13:12 Building resilience in the body.18:12 Rebuilding through minerals and vitamins.19:17 Fasting and its effects.24:29 Balancing calcium and magnesium.26:34 Balancing calcium with magnesium.30:07 Sodium potassium imbalance.34:09 Salt and stress levels.35:10 The benefits of salt.38:34 Mineral ratios and supplementation.43:26 Importance of looking at the body holistically.45:10 The importance of minerals.49:39 Toxic heavy metals and health.51:09 Detoxification and toxic metal removal.56:36 Biofilm disruptors and detox.59:30 What does it mean to be well?01:00:31 Mind and movement in life.01:03:57 Accessing the HTMA test.Free Metals and Minerals Test from Dr. CabralCheck out Dr. Stephen Cabrals website: Stephencabral.comFor a limited time, join Levels and receive an additional 2 FREE months on your annual membership! Unlock your offer at:LEVELS.LINK/ANCIENTHEALTH Order, track, and get results from 30+ lab companies with Rupa Health—FREE for practitioners! Sign up or schedule a demo at RUPAHEALTH.COMFollow @healthinstitute, @organic_blondie, and @doctormotley on Instagram! Join The Health Institute Newsletter!
In this episode, we review the high-yield topic of Juvenile Idiopathic Scoliosis from the Spine section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
In this episode, we review the high-yield topic of Juvenile Idiopathic Arthritis from the Basic Science section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message