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Link Up w/The Morning Sickness Digitally All Over:Instagram: @hms_98_official, @bosskupd, @bretvesely, @dickToledoX/Twitter: @HMSon98, @DickToledo, @bretveselyFacebook: @HMSKUPDYouTube: @hmspodcast9320, @98kupdRequest/Call in/Wakeup Song line:(IN AZ) 585.9800More HMS: holmbergpodcast.com, 98kupd.comEmail: dtoledo@98kupd.com, bvesely@98kupd.com, bbogen@98kupd.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Mostafa Khairzada, VP of Innovations & Product Development at PDS Health and Dustin Johnson, Co-Founder & CTO of SOTA Cloud discuss their recent partnership. They share thoughts on: Changing imaging software The importance of interoperability & integration Clinical workflow & user experience To learn more & schedule a demo visit https://www.sotacloud.com/ and click the Get a Demo button on the top right. You can also connect with Dustin Johnson on Linkedin - https://www.linkedin.com/in/johnson-dustin/ To learn more about PDS Health visit https://www.pdshealth.com/ Connect with Mostafa Khairzada on Linkedin https://www.linkedin.com/in/innovateit/
Josh Block is the longtime leader of Block Imaging, a global healthcare equipment company known for its distinctive people-first culture and multigenerational family leadership. After unexpectedly stepping into the president's role at just 29 years old, Josh spent the next decade and a half guiding the organization's growth from a $30 million business into a thriving enterprise of over 425 team members. In this episode, he joins Brad to share insights from his new book, People Matter at Work, a practical framework for helping leaders create cultures where team members feel safe, seen, and successful, and where the organization wins as a result. Brad and Josh talk through the pivotal backyard moment that changed the course of Josh's life overnight, what it was like to suddenly lead people decades older than him, and how humility became the essential ingredient that shaped his leadership. They explore the "Me Cycle" vs. the "We Cycle," why so many workplaces get stuck in unhealthy patterns, and how transparency, thoughtful leadership, and tough-but-kind conversations can turn a culture around. Josh also shares real stories from inside Block Imaging, the importance of organizational identity, and what it looks like to democratize leadership as a company grows far beyond the founder's reach. This Week on The Wow Factor: Josh's early roots in Lansing, Michigan, selling strawberries door-to-door and discovering a love for entrepreneurship at a young age The unexpected Friday-to-Monday transition from sales rep to president, and how humility shaped his early leadership What the Me Cycle looks like inside companies, and why leaders unintentionally create cultures where people stop caring The We Cycle: how safety, transparency, and shared purpose turn individuals into a thriving team Why organizational identity matters, and how a clear mission draws the right people and gently repels the wrong ones How Block Imaging grew from 30 employees to more than 425, and why growth creates opportunities for others, not just leadership A real-time story from this week: how Josh coached a leader through caring for a team member facing trauma at home Why clear, honest feedback is generosity, and how "closing the gap" conversations can transform careers "Leadership is accomplishing things through others, and that begins with humility." - Josh Block "If you're glad you're here today, it's because someone before you didn't stop the growth. That's the invitation to keep building for the next person." - Josh Block "When people feel safe, seen, and successful, they give back. It gets lighter for everyone because the work is shared." - Josh Block Josh Block's Wow Moment: Josh reminds us that technical skill doesn't automatically translate into strong leadership. Leading well takes humility, curiosity, and a commitment to building a culture where people truly matter. His core message is simple: people are worth it. When leaders slow down, care intentionally, and lead transparently, the impact reaches far beyond the work itself. Connect With Block Imaging Block Imaging Website Block Imaging Facebook Block Imaging LinkedIn Block Imaging YouTube Block Imaging Instagram Connect With People Matter at Work People Matter at Work Website People Matter at Work Book Book Josh Block To Speak Connect With Brad Formsma: WOW Factor Website Brad Formsma on LinkedIn Brad Formsma on Instagram Brad Formsma on Facebook Brad Formsma on X
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Dr. Agustín Marrero explores the anatomy, mechanisms, and imaging characteristics of hamstring injuries, highlighting how MRI and ultrasound findings guide diagnosis, prognosis, and return-to-play decisions. Drawing on his team's research, he emphasizes the importance of precise localization of myotendinous injuries to optimize treatment strategies and reduce the risk of reinjury in athletes. MRI and US in Hamstring SportsInjury Assessment: Anatomy, Imaging Findings,and Mechanisms of Injury. Marrero et al. RadioGraphics 2025; 45(5):e240061
PodChatLive 219: Supination resistance normative data & Morton's neuroma; clinical suspicion Vs imaging findingsContact us: getinvolved@podchatlive.comLinks from todays episode:Morton's neuroma or its mimics: Diagnostic yield of magnetic resonance imaging and radiographic markers in patients referred with a clinical suspicionEstablishing Normative Values for the Supination Resistance Test: An International Cross-Sectional Study
Examining the commandment to keep the Sabbath reveals that it is a way by which we can image God not only on Sunday but with each act we finish. Jesus fulfilled this commandment with his completion of our salvation on the cross.
Advances in remote sensing and digital imaging are helping researchers detect crop stress earlier and measure plant traits with a level of precision that traditional field scouting can’t match. Dr. Keshav Singh, remote sensing and phenomics lead with Agriculture and Agri-Food Canada at Lethbridge, Alta., is leading a program that uses drones and ground-based robotic... Read More
Send a textIn this episode, we break down femoroacetabular impingement (FAI) for PTs and students—what it is, how it shows up clinically, and how it's typically diagnosed. We walk through cam, pincer, and mixed morphologies, quick assessment ideas (including FADIR/FABER and when imaging matters), and what PT treatment commonly focuses on. We also touch on when injections or surgery may come into play and key considerations for helping patients succeed with rehab.00:00 Welcome to PT Snacks01:10 FAI Defined and Diagnosed02:27 Cam Pincer and Mixed Types05:03 Clinical Assessment Tests07:26 Imaging and Key Angles08:31 PT Treatment Priorities11:14 Injections and Surgery Options12:20 Key Takeaways and Wrap Up13:16 Resources Newsletter and Promo14:10 Final Sign OffSupport the showNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You'll get: Thousands of accredited, evidence-based courses across multiple specialties (PT, OT, AT, SLP) that count for state-license CEUs. Access anytime, from your office, phone, or home—perfect for busy clinicians. One annual subscription, no per-course fee. Special offers: Use code PTSNACKSPODCAST at checkout and save over $100. Students use code PTSNACKSPODCASTSTUDENT for a discounted annual plan. Studying for the NPTE? Check out PT Final Exam — they've helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list ...
Physiotherapist and PhD researcher Laura Anderson just published a paper arguing that "medial tibial stress syndrome" is a 'garbage' name that's been freaking runners out and leading to terrible treatment for decades. Her proposed replacement? Load-Induced Medial Leg Pain (LIMP). Yes, LIMP, pun not intended. The Problem: "Tibial stress" makes everyone think bone stress injury → stress fracture → panic → rest for months Clinicians still aggressively massage shins until they're bruised People rest for months and it comes right back when they start running again It's one of the most common running injuries and we have almost zero quality research on it What It Is: Not a bone stress injury on a fracture continuum Doesn't get worse if you keep running (unlike actual bone stress injuries) We honestly don't know exactly what tissues are involved (probably multiple) Imaging usually shows nothing useful The fix? Tune in. Register for The Complete Shoulder online course Key papers: MTSS needs a new name - Laura's LIMP paper Connect with Jared and guests: Jared on Instagram: @shoulder_physio Jared on X: @jaredpowell12 Laura's clinic: The Injury Clinic See our Disclaimer here: The Shoulder Physio - Disclaimer
A novel functional MRI (fMRI) technique has been developed by Northwestern Medicine investigators to more accurately assess blood flow in the spinal cord. In this episode, Molly Bright, DPhil, explains how his noninvasive method could one day help clinicians detect early signs of neurological disease or injury, monitor recovery and guide treatment decisions for patients with spinal cord conditions.
Send a textA hoof can look fine while its tissue quietly runs out of blood. We sat down with Drs. Georgia Skelton and Andrew van Eps to unpack new 18F-FDG PET research showing how static weight bearing creates sharp, regional perfusion deficits in the equine foot—the very conditions that can spark support limb laminitis in otherwise healthy horses. The findings challenge old assumptions and make a powerful case for movement, dynamic load cycling, and smarter monitoring before the cascade begins.We walk through why 18F-FDG PET changes the game by capturing function, not just structure, revealing “no-uptake” zones in the lamellae, sole, and coronary band within minutes of standing still. You'll hear how medial palmar regions are hit hardest in front feet, why lifting the opposite limb shifts deficits laterally, and how the hoof's intricate anastomotic network lets blood choose the path of least resistance—bypassing vulnerable capillary beds under pressure. These insights tie directly to what clinicians see first in the field: sole pain, growth issues at the coronary band, and rapid decompensation when motion is restricted.From here we get practical. Andrew and Georgia outline emerging strategies to keep perfusion alive: enforced micro-movement, intermittent offloading with robotic slings, and dynamic orthotic devices that rotate pressure points across the sole. We dig into how mobile PET systems can guide personalized shoeing and support plans, and how tools like pressure mats and targeted near-infrared sensors could bring stall-side monitoring to the danger zones identified by imaging. The goal is simple: reintroduce safe variability and prevent any one region from being starved for too long.If you care for at-risk horses after fractures, abscesses, or surgery, this conversation offers a clearer map of the problem and a toolkit for early intervention. Subscribe, share this with your care team, and leave a review to help more equine professionals find evidence-based strategies that keep blood flowing and horses sound.AJVR article: https://doi.org/10.2460/ajvr.25.07.0268INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals
Cloud imaging promised speed and simplicity. Many health systems got longer rollouts, higher costs, and workflows that still feel tied to the data center. The issue isn't the cloud. It's how imaging platforms were designed to use it.In this conversation, Brad Levin, General Manager, North America at Visage Imaging, explains why streaming-first architecture changes the equation. The discussion covers why hosted PACS struggle to scale, how six-to-nine-month go-lives can/should be the norm, and why enterprise imaging works better as a single platform rather than stitched-together modules.Share your perspective on cloud imaging and the Netflix-approach in the comments.
Dr. Mohleen Kang chats with Dr. Stephen Humphries, Dr. Matthew Koslow, Dr. Justin Oldham, Dr. Jennifer Wang, Alexander Bankier, and Dr. David Baraghoshi about their articles, "A Quantitative Imaging Measure of Progressive Pulmonary Fibrosis" and "One-Year Change in Quantitative Computed Tomography Is Associated with Meaningful Outcomes in Fibrotic Lung Disease."
Imaging biomarkers over invasive biopsies! Minal Jagtiani MD, and Suraj Serai, PhD, speak with host, Raisa Amiruddin, MBBS, on safe repeatable tracking of pediatric liver iron, fat, and fibrosis with quantitative MRI. Learn the physics that makes the liver look bright and techniques to keep the measurements precise.
https://www.mobilelabtechs.com/Can't get to a radiology clinic? Mobile imaging brings diagnostic services to homebound patients. Learn the benefits and how to access these services. Mobile Lab Techs City: Teaneck Address: 362 Cedar Lane Website: https://www.mobilelabtechs.com/ Phone: 8662423826 Email: Win.meik@mobilelabtechs.com
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Breast cancer screening is often treated as a given. Mammograms are framed as routine, early detection as unquestionably life-saving, and following guidelines as the responsible choice. But what if the full picture is more complicated?In this episode of hol+, Dr. Taz sits down with integrative oncologist and breast surgeon Dr. Jenn Simmons, author of The Smart Woman's Guide to Breast Cancer, to explore what breast cancer screening data actually shows, where common narratives may oversimplify reality, and how statistics can sometimes be misunderstood by both patients and providers.Together, they discuss the difference between screening and diagnostic imaging, why detecting more cancers does not always mean fewer deaths, and how concepts like overdiagnosis and lead-time bias shape our interpretation of outcomes. Dr. Jenn also explains how breast cancer behaves differently from many other cancers, why progression is not always linear, and what tumor markers like ER, PR, HER2, and triple-negative really indicate.The conversation expands beyond imaging into a whole-body view of breast health, touching on inflammation, immune function, metabolic health, toxic burden, stress, and lifestyle as factors that shape cancer risk and recovery. Rather than promoting fear or urgency, this episode focuses on helping listeners understand their bodies, ask better questions, and make informed decisions with clarity.This episode is for anyone who wants a deeper understanding of breast cancer screening, feels overwhelmed by conflicting guidance, or wants to approach breast health with more nuance and less panic.About Dr. Jenn SimmonsDr. Jenn Simmons is an integrative oncologist, breast surgeon, and founder of Real Health MD. She was Philadelphia's first fellowship-trained breast surgeon and spent nearly two decades leading one of the region's top breast programs before transitioning into integrative oncology.Drawing from her experience in conventional cancer care and her own health journey, Dr. Simmons now focuses on whole-body approaches to breast health, cancer prevention, and recovery, including metabolic health, inflammation, immune function, lifestyle medicine, and root-cause healing. She is the author of The Smart Woman's Guide to Breast Cancer, a patient-centered resource designed to help women better understand their diagnosis, ask informed questions, and navigate treatment decisions with clarity rather than fear.Order the BookThe Smart Woman's Guide to Breast Cancer Stay Connected:Connect further to Hol+ at https://holplus.co/- Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+.Follow Dr. Jenn SimmonsInstagram: https://www.instagram.com/drjennsimmonsYouTube: https://www.youtube.com/@dr.jennsimmonsWebsite: https://www.jennsimmonsmd.com/Follow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Subscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsGet your copy of The Hormone Shift: Balance Your Body and Thrive Through Midlife and MenopauseHost & Production TeamHost: Dr. Taz; Produced by ClipGrowth.com (Producer: Pat Gostek)00:00 Swedish trial claim and overdiagnosis framing 00:52 Why this became a part two conversation 03:25 Reframing screening narratives and medical training gaps 04:39 Why Dr. Simmons questions mammograms as a screening tool 06:06 Origins of screening programs and “invitation to screen” bias 07:12 Relative risk vs absolute numbers example (4 vs 5 per 1,000) 08:49 Overdiagnosis explained with a vivid analogy 09:50 Autopsy-study claim and the “microscopic cancer” idea 12:11 Swedish trial claim revisited: more diagnoses, same deaths 13:38 Downstream harms: callbacks, biopsies, overtreatment 15:04 Lead-time bias and survival statistics explained 16:44 Dr. Simmons' view on the founder's regret narrative 18:16 Switzerland headline clarified and what actually changed 20:10 Cautionary stories and aggressive cancers discussion 22:07 Why breast cancer does not always progress linearly 24:21 Buckets: DCIS, invasive, inflammatory, receptor types 26:15 Clinical vs subclinical disease approach 28:25 Long-term tradeoffs and “forgotten woman” after treatment 32:15 What ER PR HER2 mean biologically and system incentives 35:33 Testosterone discussion and prevention claim presented 42:15 Hormones after breast cancer and the 4-year “reintroduction” idea 44:29 Triple negative: environment, toxicity, immune system focus 49:19 What to do next: pause, exceptions, whole-body workup 52:32 Prevention and breast health approach begins 53:24 At-home tears test explanation (as discussed) 56:24 Detox basics and why sweating is emphasized 59:34 Imaging preferences for screening and what to do if limited access
Heart disease risk isn't just about cholesterol. In this episode of A Whole New Level, Dr. Matthew Budoff explains why coronary artery calcium (CAC) scoring may be the most important test most people aren't getting—and why imaging your arteries directly can reveal risk that blood tests alone can miss.Drawing on decades of research and data from the landmark MESA study, Dr. Budoff explains how calcium scoring predicts real cardiovascular events, how plaque actually forms and progresses, and why some people with high cholesterol never develop plaque—while others with “normal” labs do.This episode focuses on how to measure your actual cardiovascular risk, not just estimate it.Sign Up to Get Your Free Ultimate Guide to Glucose: https://levels.link/wnlIn this episode, we cover:Why CAC scoring is one of the strongest predictors of future heart eventsWhy cholesterol is critical—but only explains about half of heart disease riskWhy some people with very high LDL have zero plaque—and others with normal labs have dangerous plaqueWhy CAC is best understood as the “tip of the iceberg” of total plaque burdenWhen to escalate to CT angiography and advanced imagingHow plaque regression is possible—and what interventions actually drive itThe future of cardiac risk prediction: Lp(a), inflammation, and AI-driven plaque analysisThis conversation reframes heart risk around what's actually happening inside your arteries—not just what shows up in bloodwork.
Hip Replacement surgeries are growing at a rate of 10% per year. But Dr. Prather says that proper Structure-Function Care can help people avoid Hip Surgery, delay surgery for years, and even help those who have already had surgery. In this episode, you'll learn:—How Osteoarthritis is the #1 cause of Hip Replacements. And 40 million Americans have Osteoarthritis, including 80% of those over the age of 50. —How NonSteroidal Anti-Inflammatory Drugs (NSAIDs) can temporarily help the pain, but will make the problem worse by dissolving the cartilage in the joint. —How Hip Surgeries have "dramatically" improved over the years with increased patient satisfaction rates. But, you will still be considered permanently disabled after a Hip Replacement.—The natural products that work better than drugs to help with joint pain, including Glucosamine and Chondroitin.—The Vitamins, Minerals, and Herbals that are beneficial for joint health.—Why a combination of Chiropractic and Physical Therapy makes things go so much better for a patient. —The difference that treatments like Orthotics, Acupuncture, Dry Needling, Decompression, Ultrasound, Electrical Stimulation, and Diathermy can make for patients with Hip problems.—Why Dr. Prather calls the Rapid Release treatment "absolutely wonderful for Trigger Points" and has "been like a miracle" for patients. And the Chinese Liniments that are "highly recommended" to relieve pain.—What an exam for Hip Problems should include. And why good Imaging is important to figure out exactly what is going on, so the right treatment plan can be made. —The surprising connection between gut issues and hip degeneration.http://www.TheVoiceOfHealthRadio.com*Receive exclusive bonus content as a member of our Voice Of Health Patreon Community:https://www.patreon.com/cw/VoiceofHealthPodcast
When does a metatarsal stress reaction actually show up on imaging? In this episode of the Doc On The Run Podcast, Dr. Christopher Segler explains the difference between a stress response, stress reaction, and true stress fracture—and why timing matters when choosing X-rays, MRI, ultrasound, or CT scans. Learn how early imaging can help you make smarter race decisions, avoid false reassurance from a “normal” X-ray, and protect your fitness without turning a minor stress reaction into a full fracture.
Discover the latest protocol changes for managing MRI contrast reactions—from debunking the shellfish allergy myth to knowing when epinephrine is critical. Learn why precise documentation and severity-based strategies are now essential for patient safety. Visit https://www.contrast-connect.com/blog-post/mri-contrast-reaction-management-documentation-protocol-explained to learn more. ContrastConnect City: Las Vegas Address: Las vegas Website: https://www.contrast-connect.com/
Show Notes 2/13/2026AI model from Google's DeepMind reads recipe for life in DNA Source: BBC Link: https://www.bbc.com/news/articles/c39428dv18yoCarbon Robotics Launches the World's First-Ever Large Plant ModelSource: BusinessWire.com Link: https://www.businesswire.com/news/home/20260202630325/en/Carbon-Robotics-Launches-the-Worlds-First-Ever-Large-Plant-ModelYour future home might be framed with printed plasticSource: MIT News Link: https://news.mit.edu/2026/your-future-home-might-be-framed-with-printed-plastic-0203A new scan lets scientists see inside the human body in 3D color Source: ScienceDaily.comLink: https://www.sciencedaily.com/releases/2026/02/260204121550.htm3D-printed passive cooling system cools data centers without fans or pumps Source: Interesting EngineeringLink: https://interestingengineering.com/ai-robotics/3d-printed-passive-cooling-data-centersHow we're helping preserve the genetic information of endangered species with AI Source: Google's The Keyword BlogLink: https://blog.google/innovation-and-ai/technology/ai/ai-to-preserve-endangered-species/The Navy's Batwing Fighter Jet Promises Mach 4 Speed… But It's Still Just a ConceptSource: YD Design Link: https://www.yankodesign.com/2026/02/06/the-navys-batwing-fighter-jet-promises-mach-4-speed-but-its-still-just-a-concept/New study of chemical reactions in space 'could impact the [theories of the] origin of life in ways we hadn't thought of'Source: LiveScience.com Link: https://www.livescience.com/chemistry/complex-building-blocks-of-life-can-form-on-space-dust-offering-new-clues-to-the-origins-of-life
In the final episode, Vidur Mahajan looks ahead to the future of radiology. From AI-enabled education to convergence with genomics and pathology, this discussion explores how imaging and AI will reshape diagnostics over the next decade. Timestamps: 00:00 – Introduction 00:51 – Exciting innovations 03:47 – Role of radiologists 05:59 – AI and education 08:40 – AI and genomics 10:55 – What's next?
In this episode, we sit with Dr. Tarik Alkasab, Heather Chase and Dr. C. Michael Hood to talk about recent developments in the worlds of Common Data Elements (CDS, see https://www.rsna.org/practice-tools/data-tools-and-standards/radelement-common-data-elements), Open Imaging Data Model (OIDM, see https://www.openimagingdata.org/) and other developments such as the Imaging Problem List (IPL).
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Professor Kazuaki Negishi from Sydney, Australia. They discuss the optimal use of imaging to detect cardiac effects of cancer therapies. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper: https://heart.bmj.com/content/111/22/1057
Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner
Imaging With Intention: Optimizing Care Through Collaboration in Diagnostic Radiology Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101474 Host and Executive Producer Holly Wayment and UT Health San Antonio's Department of Pediatrics bring us this Grand Rounds episode with Desi Schiess, MD, pediatric radiologist. This episode reviews evidence-based imaging choices, radiation considerations, and practical tips for ordering X‑ray, ultrasound, CT, MRI, fluoroscopy, and nuclear medicine in children. It includes case examples, a quiz, and guidance on when to consult a radiologist to ensure safe, effective pediatric imaging.
CMS permanently authorized virtual direct supervision for contrast-enhanced imaging starting January 2026. But state laws, ACR standards, and technologist training create a complex compliance environment. What does your facility need to know right now? ContrastConnect City: Las Vegas Address: Las vegas Website: https://www.contrast-connect.com/
In this episode of The Heart of Innovation, cohosts Kym McNicholas and Dr. John Phillips feature multiple patients courageously sharing their lived experiences with Peripheral Artery Disease, including rare and often misunderstood cases that challenge what patients are told is "possible." Pamela's story highlights a critical gap in PAD care. After being told by a large hospital system that amputation was inevitable, she reached out to the Global PAD Association's Leg Saver Hotline. Through patient advocacy and care coordination, the underlying contributors to her disease were identified, including the role climate played in worsening her symptoms. Her decision to relocate to a warmer environment helped stabilize her condition and avoid limb loss, proving that earlier intervention and individualized care matter. Francine's journey offers another rare perspective. Diagnosed at just 48 despite being a runner, personal trainer, and fitness instructor, she was found to have a full occlusion in her left leg and intermittent blockages in her right. After undergoing a femoral-popliteal bypass, multiple stents, and angioplasty procedures, Francine transformed her lifestyle through the Dean Ornish program and a low-fat vegan diet. She has since completed four half marathons and continues teaching group fitness, yoga, and Reiki. Theresa's story exposes how often PAD is dismissed, even when the warning signs are clear. With a family history of PAD, Theresa recognized the symptoms early. At 46, she sought help after developing walking pain, only to be told repeatedly that it was a back problem and that she was "too young" to have PAD. A Doppler study was performed but interpreted as normal. For five years, as her symptoms worsened and her walking distance shrank to less than ten metres, she continued to advocate for herself before finally insisting on a vascular referral. Within minutes of meeting a vascular consultant, Theresa was diagnosed with severe PAD. Imaging revealed a 100 percent blockage in her right leg and 80 percent in her left. Angioplasty provided temporary relief, but restenosis occurred quickly. A second procedure resulted in arterial injury, requiring placement of a 30-centimetre stent in her right thigh. Despite ongoing pain, Theresa developed remarkable collateral circulation, so robust that it complicated intervention attempts. Today, she remains closely monitored by a responsive vascular specialist and manages her condition with vigilance, pacing, and rest. She also notes a meaningful improvement in walking pain after starting Wegovy, an observation she continues to discuss with her care team. Equally important, Theresa speaks candidly about the emotional toll of PAD. A special education teacher who loves to travel, she feared the disease would take away the life she loved, as it had for her father. After a period of isolation, she made a conscious decision that PAD would be part of her story, but not the author of it. She now works full time, travels when she can, adapts when needed, and lives by a powerful truth: she controls PAD, not the other way around. Together, these stories reinforce a message too many patients never hear in time: Leg pain, cramping, and difficulty walking are not normal aging. They are warnings.
Episode 211: Understanding HFpEF. Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits 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.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example. They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
In this episode, we welcome Skip Lievsay, CAS. Skip is an Oscar-winning Sound Editor and Re-Recording Mixer who has worked on films including Blood Simple, The Color of Money, Raising Arizona, Goodfellas, The Silence of the Lambs, Cape Fear, Malcolm X, Casino, Fargo, The Big Lebowski, No Country for Old Men, I Am Legend, Gravity, The Hunger Games, Birdman, Roma, Uncut Gems, A Quiet Place: Day One, and Marty Supreme. In our chat, he shares on his early days, about working with the Coen Brothers, and his creative approach to crafting sound in post. In March, Skip is being honored with the Cinema Audio Society Career Achievement Award in Los Angeles, CA. The Making Of is presented by AJA:From cinema to proAV: gaining a competitive edge with streaming knowledgeThe worlds of cinema production and proAV are converging. Cinema-grade equipment is making its way into more stadiums, houses of worship, and concert venues. Because of this, professionals that understand the tools and disciplines powering both will stand out. Get ahead of the curve with the latest streaming insights and gear from AJA.Sony's Breakthrough Audio, Imaging and Sports Technologies Raise the Bar for the NFL's Super Bowl LX in San FranciscoSony's New Coach's Headsets, 175+ Cameras and Hawk-Eye Tracking and Video Technologies Capture Every Angle, Split‑Second Decision and High‑Speed Moment of the NFL's Biggest GameSony, an official technology partner of the NFL, announced today that its technology ecosystem will play an expanded role in Super Bowl LX, marking the company's most advanced presence at the NFL's championship game to date.Read more hereNow with Massive 8TB Capacity—Thunderbolt 5 SpeedThe OWC Envoy Pro Ultra now comes in a new 8TB capacity, pairing enormous space with next‑generation Thunderbolt 5 performance. With real‑world speeds over 6000 MB/s and a rugged, bus‑powered design, it's perfect for 4K/8K workflows, on‑location shoots, and fast media offloads. High‑speed, high‑capacity, and ready for serious creative work.Browse hereDonate to Help The Digital Cinema Society SurviveDCS, a 501(c)(3) nonprofit dedicated to keeping filmmakers current on motion picture technology is currently in dire financial straights. We are trying to make the best of a tough situation and asking those who can afford it to help keep us afloat.Please consider donating to DCS hereMeet LiveU Solo PRO:Deliver an outstanding live video experience with the LiveU Solo PRO. Designed for creators and professionals alike, the Solo PRO video encoder provides one-touch, wireless live streaming directly from your camera to popular online platforms and any web destination. Stream with confidence using bonded 4G/5G connectivity and enjoy superior reliability and image quality up to 4K resolution. To learn more, contact Videoguys at 800-323-2325.Learn more herePodcast Rewind:Feb. 2026 - Ep. 116.Feature your products or services in this newsletter and reach 250K+ film and TV industry professionals. To learn more, please email mvalinsky@me.com Get full access to The Making Of at themakingof.substack.com/subscribe
Today, I am thrilled to connect with nurse practitioner, Dr. Lisa Chism. Lisa is the Clinical Director of the Oakland Macomb Center for Breast Health in Michigan. She has over 25 years of experience, specializing in breast health, menopause, sexual health, and breast cancer survivorship. She is also an author and a faculty member at a local university. In our conversation, we discuss the breast cancer risk for women with dense breasts, family history, or prior biopsy, diving into supplemental imaging, lifestyle modifications, HRT, and breast risk, and the changes that occur after a breast cancer diagnosis. We also explore the genitourinary syndrome of menopause and screening, permanent versus non-permanent changes occurring in the genital urinary area, and anticipatory informed care guidance for patients with a history of trauma. This is one of those conversations you will definitely want to revisit. With Lisa's thoughtful advocacy, deep commitment to patient care, and powerful insights, it is clear why sharing her message is so critically important. IN THIS EPISODE, YOU WILL LEARN: The different levels of breast density and their implications for cancer detection Various risk assessment tools used to determine breast cancer risk How alcohol impacts the risk of breast cancer Why weight management essential for post-menopausal women The importance of having detailed conversations with providers about menopause symptoms and the available treatment options Lisa shares her approach to evaluating and educating patients How trauma impacts women's sexual health Permanent and non-permanent changes that occur in the vaginal area during menopause Can older women still do HRT? A simple breast-examination habit for all women Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Lisa Chism Instagram (@DrMommyPoppins) Instagram (@TheAdoptedNurse) Oakland Macomb OBGYN Center for Breast Health-Rochester Hills
When should you attempt to save the root filled molar that everyone else thinks is doomed? What are the key steps to safely remove, treat, and replant a tooth without causing fractures or resorption? And how do you manage patient expectations and post-op care to maximize success? In this episode, Dr. Samuel Kratchman and Dr. Shivakar join Jaz to explore intentional tooth replantation—a procedure that rarely gets the spotlight but can completely change treatment options for challenging cases. They cover everything from case selection and imaging, to managing crowns and fragile teeth, to simple tools and techniques that make this procedure predictable and accessible. They also dive into patient communication, consent, and how to include this procedure as part of your everyday dental armamentarium, giving you the confidence to consider it when the right case comes along. https://youtu.be/SjJTzbJ_AXs Watch PDP256 on YouTube Key Takeaways: Intentional replantation is a viable alternative to extraction. The success rate of intentional replantation is documented at 88-89%. Patient education is crucial for successful treatment outcomes. The periodontal ligament must be kept moist during the procedure. Imaging is essential for understanding tooth anatomy before replantation. The procedure can be performed atraumatically with proper technique. Replantation can be a last chance for teeth that are difficult to replace with implants. A mindset shift is needed in dentistry to prioritize saving natural teeth. Apical infections are often linked to the root tip and surrounding tissue. A good coronal seal is essential before any restorative work. Common complications include ankylosis and resorption. Inflammation can aid in the extraction process by serving the ligament. Post-operative care is vital for successful recovery. Highlights: 00:00 Teaser 00:48 Introduction 03:27 Pearl: PDL is everything 04:54 Interview with Dr. Shivakar Mehrotra 07:03 Interview with Dr. Samuel Kratchman 11:01 Terminologies and Success Rates of Replantation 16:03 Indications of Replantation 22:29 Evaluating Radiographs and Clinical Factors 28:48 Case Studies and Practical Applications 30:51 Midroll 34:12 Case Studies and Practical Applications 38:08 Management of Apical Infection 40:35 Curveball Scenario: Combined Endodontic and Restorative Challenge 45:57 Replantation Success Rates and Complications 51:06 Radiographic Signs and Extraction Techniques 56:03 Postoperative Care and Instructions 59:49 Final Thoughts and Resources 01:02:14 Outro
Send us a textIn this episode, Dr. Matthew R. Hitchcock, MD, MBA, shares his journey as a direct primary care physician and healthcare entrepreneur. Frustrated by long waits and high costs in traditional imaging, he founded Hitchcock Direct Imaging, a cash-only, insurance-free imaging center in Chattanooga, Tennessee. Dr. Hitchcock discusses how direct care models can improve patient access, the regulatory hurdles he navigated, and the importance of transparency in healthcare pricing. Learn how collaboration, innovation, and patient-focused care are reshaping the healthcare experience. Connect with him:Website: Hitchcock Family MedicineHitchcock Direct Imaging Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
Send us a textIn this episode, Dr. Matthew R. Hitchcock, MD, MBA, shares his journey as a direct primary care physician and healthcare entrepreneur. Frustrated by long waits and high costs in traditional imaging, he founded Hitchcock Direct Imaging, a cash-only, insurance-free imaging center in Chattanooga, Tennessee. Dr. Hitchcock discusses how direct care models can improve patient access, the regulatory hurdles he navigated, and the importance of transparency in healthcare pricing. Learn how collaboration, innovation, and patient-focused care are reshaping the healthcare experience. Connect with him:Website: Hitchcock Family MedicineHitchcock Direct Imaging Support the show*Next Coaching Cohort Starts Feb 25, 2026. Launch it in 8 weeks and apply here --> Record your question easily here --> Join the Direct Care Society private Facebook group here. --> Own a DSC practice and want to share your story? Apply here EMR I'm currently using in my Direct Care practice Simple Practice HIPAA Compliant Email with Paubox Get $250 Credit Here Find me on LinkedIn https://linkedin.com/in/teadpm More resources teadpm.com
The Final March of the Floppies Episode: A Visit with John Morris, The Applesauce, The Imaging of Floppies, An Office Becomes a Battlefield, The Forever Trickle, Images and Analytics, The Final Boss of the Floppies.A celebration of what may turn out to be one of the most definite major projects in the big-office era of my work - taking down the thousands of floppy disks people have sent me over the years.
The medical system expects you to chase 33 different screening appointments across multiple specialists and check your organs one at a time. But there's a smarter way that scans your entire body in under an hour to catch cancer, aneurysms, fatty liver, and other serious health issues before they become life-threatening. In today's episode, I sit down with Dr. Daniel Durand, Chief Medical Officer of Prenuvo, to talk about the real-world power (and limitations) of proactive whole-body MRI screening. Dr. Durand walks us through how this advanced screening method detects over 500 conditions, many of which traditional screenings miss. We talk about the importance of early detection for cancers and neurodegenerative diseases, and how this proactive approach to health can save lives. "It's better to see things early when you can intervene, and see them in a controlled context when you're healthy." ~ Dr. Daniel Durand In This Episode: - Introduction to Dr. Daniel Durand and his background - Conventional vs whole body scans - Conditions that whole-body MRI can detect - Bringing scans to underserved populations - Imaging for risk identification vs. diagnosis - How often you should rescan and what to expect - EMF exposure concerns and MRI safety parameters - How consumer demand is driving change in medicine Products & Resources Mentioned: Prenuvo Whole-Body MRI: My listeners get a special discount when you book at https://prenuvo.com/wendymyers Bon Charge Blue Light Blockers: Get 15% off with code WENDY at https://boncharge.com Organifi Happy Drops: Save 20% with code MYERSDETOX at https://organifi.com/myersdetox Organifi Collagen: Use code MYERSDETOX for 20% off at https://organifi.com/myersdetox Chef's Foundry P600 Ceramic Cookware: Get 20% off with code WENDY20 at https://chefsfoundry.com Heavy Metals Quiz: Take it for free at https://heavymetalsquiz.com About Dr. Daniel Durand: Dr. Daniel Durand is a dual board-certified adult & pediatric radiologist and Chief Medical Officer at Prenuvo, where he leads clinical operations, research, and the medical group for the world's largest network of proactive whole-body MRI clinics. Previously, he served as Chief Clinical Officer & Chief Innovation Officer at LifeBridge Health and held leadership roles in accountable care at Johns Hopkins. He is passionate about empowering primary care and shifting medicine toward true prevention through advanced imaging. Learn more at: https://prenuvo.com/wendymyers Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.
Success stories on the global stage! Kassa Darge, MD PhD, speaks with host Raisa Amiruddin, MBBS, on the training and educational needs to improve pediatric radiology in resource-limited settings, while sharing inspirational anecdotes from his career and strategies to get involved in outreach initiatives.
Send us a textJoin Kasey on the PT Snacks podcast as we delve into lumbar spinal stenosis, perfect for physical therapists and students eager to enhance their fundamentals. Understand the basics of stenosis, its impact on patients, and effective treatment approaches. Learn how to differentiate between types of stenosis, evaluate symptoms, and integrate conservative treatments with manual therapy and exercise for optimal patient outcomes. Stay informed on imaging techniques and when surgery might be necessary. Tune in for this bite-size segment and boost your practice skills!00:00 Introduction to PT Snacks Podcast00:48 Understanding Lumbar Spinal Stenosis02:47 Symptoms and Causes of Lumbar Spinal Stenosis07:57 Diagnosis and Imaging of Spinal Stenosis10:45 Conservative Treatments for Spinal Stenosis12:08 Surgical Options and Post-Op Care12:49 Conclusion and Additional ResourcesSupport the showNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You'll get: Thousands of accredited, evidence-based courses across multiple specialties (PT, OT, AT, SLP) that count for state-license CEUs. Access anytime, from your office, phone, or home—perfect for busy clinicians. One annual subscription, no per-course fee. Special offers: Use code PTSNACKSPODCAST at checkout and save over $100. Students use code PTSNACKSPODCASTSTUDENT for a discounted annual plan. Studying for the NPTE? Check out PT Final Exam — they've helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list ...
Stem cell science is reshaping treatment for complex disorders of the brain and spinal cord. Researchers develop cell based therapies to replace lost dopaminergic neurons in Parkinson's disease, fill gaps across spinal cord injuries, and calm seizure networks in refractory epilepsy by restoring the balance of inhibition and excitation. Teams test immune cell therapies against Epstein Barr virus infected B cells in multiple sclerosis and collaborate to move treatments across the blood brain barrier to reach diseased cells. Clinicians combine imaging in the operating room, surgical tools, and research on biological age and the pace of aging to understand disease and guide treatment. Patient advocates describe challenges and hopes for better options, and contemporary art reflects on perception in digital and physical worlds. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40992]
Stem cell science is reshaping treatment for complex disorders of the brain and spinal cord. Researchers develop cell based therapies to replace lost dopaminergic neurons in Parkinson's disease, fill gaps across spinal cord injuries, and calm seizure networks in refractory epilepsy by restoring the balance of inhibition and excitation. Teams test immune cell therapies against Epstein Barr virus infected B cells in multiple sclerosis and collaborate to move treatments across the blood brain barrier to reach diseased cells. Clinicians combine imaging in the operating room, surgical tools, and research on biological age and the pace of aging to understand disease and guide treatment. Patient advocates describe challenges and hopes for better options, and contemporary art reflects on perception in digital and physical worlds. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40992]
Send us a textIn this episode of the PT Snacks podcast, your host Kasey dives into the often-overlooked topic of rib stress fractures. Aimed at physical therapists and PT students, this segment focuses on identifying, understanding, and managing these injuries, particularly in rowers and overhead athletes. Learn about the prevalence, symptoms, risk factors, and treatment strategies for rib stress fractures, along with expert tips for differential diagnosis and patient management. Whether you're prepping for your SCS or looking to improve patient outcomes, this episode offers valuable insights delivered in an engaging, bite-sized format.00:00 Introduction to PT Snacks Podcast00:17 Understanding Rib Stress Fractures01:32 Prevalence and Affected Populations03:26 Symptoms and Diagnosis08:42 Differential Diagnoses10:45 Management and Treatment14:05 Imaging and Final Thoughts15:14 Conclusion and Additional ResourcesSupport the showNeed CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You'll get: Thousands of accredited, evidence-based courses across multiple specialties (PT, OT, AT, SLP) that count for state-license CEUs. Access anytime, from your office, phone, or home—perfect for busy clinicians. One annual subscription, no per-course fee. Special offers: Use code PTSNACKSPODCAST at checkout and save over $100. Students use code PTSNACKSPODCASTSTUDENT for a discounted annual plan. Studying for the NPTE? Check out PT Final Exam — they've helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list ...
Part 2 goes from definitions to implications.Bottom-up pain does not mean “it's in the tissues.”This episode is a recording of a live interview with pain researcher and clinician Asaf Weissman. If you haven't watched Part 1, start there—we laid the foundation: why pain semantics matter, how mixed messages harm patients, and why “nothing is wrong with your body” is an overreach.In Part 2, we dig into:What “always bottom up” actually means (and what it doesn't)Structural paradigm vs pathophysiology: why imaging often fails usWhy stress, fear, and emotions are usually modulators, not causesThreshold models: when trajectories may (and may not) be changeableThe case for neuroimmune mechanisms in chronic pain statesWhere diagnostics and biologics may take chronic pain care nextWhat role physios may play as case managers and guidesThis is the second half of a two-part series. Part 1 builds the framework. Part 2 challenges how we interpret evidence, scope, and clinical uncertainty—while staying anchored to what helps the patient in front of you.*********************************************************************
What if we could precisely measure a cell at its most fundamental level? In this episode, we talk with the University of Chicago scientist Peter Maurer about how he and his colleagues made the breakthrough discovery of turning a protein found in living cells into the first biological quantum bit, also known as a qubit.Maurer explains how quantum systems—once thought to be too fragile for real-world use—are becoming some of the most powerful sensors ever built, and what they could teach us about the brain, the body and more. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Ben & Woods listen back to some flubs from our imaging voice and react to breaking NFL news.
In this episode of Longevity by Design, host Dr. Gil Blander sits down with Dr. Wei-Wu, Executive Chairman at Human Longevity, Inc. Together, they explore how advances in genome sequencing, AI, and multi-layered diagnostics are changing the fight against age-related diseases. Wei-Wu shares why understanding your own genetic risks and combining them with other health data leads to better prevention and a longer healthspan.Wei-Wu explains the value of integrating genome sequencing, advanced imaging, and liquid biopsy to catch diseases like cancer early, before symptoms appear. He draws on real-world examples, including how combining different tests can spot cancers that single methods might miss. The conversation highlights how technology brings down costs, making once-rare insights widely available, and how each person stands to benefit from personalized risk profiles.The episode closes with practical advice: use today's tools to become the CEO of your own health. Wei-Wu urges listeners to embrace data-driven, individualized care and stresses that no single tool or habit holds all the answers. Instead, true longevity comes from a holistic, ongoing approach, one that uses all available knowledge to prevent disease and extend both life and health.Guest-at-a-Glance
Certified Thermal Electrician™ is the most complete thermal imaging certification program built specifically for electricians, electrical inspectors, and electrical contractors. This video is a sample from our program lesson on Understanding Severity in Electrical Thermal Imaging.This professional thermal imaging training teaches you how to safely perform infrared inspections, interpret thermal images using ΔT analysis, apply NFPA 70B & NFPA 70E standards, and write defensible inspection reports that protect both your customer and your license. Whether you are an electrician, master electrician, electrical contractor, facility maintenance technician, or electrical inspector, this course gives you real-world field skills you can apply immediately.
Scientists are expanding our understanding of MS at an unprecedented pace. This week, Dr. Leorah Freeman discusses why, as new discoveries and medications enter clinical practice, neurologists and MS specialists should ask themselves 3 important questions when considering a patient's treatment plan. Dr. Freeman is the Director of the Multiple Sclerosis and Neuroimmunology Center at Dell Medical School at the University of Texas at Austin, where she also leads the MS and Neuroimmunology fellowship program and the MS Imaging and Outcomes Research Laboratory. We'll also tell you about study results that reveal two distinct biologically-informed MS subtypes. We're explaining some of the confusing background to the FDA's decision not to approve a disease-modifying therapy that achieved positive results in its Phase 3 clinical trial. And did we really need a study to tell us that people living with MS fear experiencing a relapse or disease progression? Well, yes. We'll explain why. We're also reminding you to mail your insurance premium payments and other important documents earlier than you have in the past. And we're sharing details about the two clinical trials that received $4.1 million in funding as part of the International Progressive MS Alliance Experimental Medicine Trial Awards. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: 3 questions your neurologist should be asking themselves :22 Public Service Announcement: How the new rule about postmarks could affect your healthcare 1:16 FDA says it's not ready to approve Tolebrutinib 3:16 Study identifies two biologically-informed MS subtypes 6:29 Study results remind us that people with MS fear relapse and progression 10:09 The International Progressive MS Alliance invests $4.1 million in two clinical trials 14:04 Dr. Leorah Freeman discusses why neurologists need to ask themselves 3 important questions when considering a patient's treatment plan 17:18 Share this episode 33:16 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/436 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com The Multiple Sclerosis Insider https://themultiplesclerosisinsider.substack.com STUDY: Combined Magnetic Resonance Imaging and Serum Analysis Reveals Distinct Multiple Sclerosis Types https://academic.oup.com/brain/article/148/12/4578/8321558 STUDY: Fear of Disease Progression and Relapse in Multiple Sclerosis: A Systematic Scoping Review https://frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1680781/full JOIN: The RealTalk MS Facebook Group https://facebook.com/groups/realtalkms REVIEW: Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 436 Guests: Dr. Leorah Freeman Privacy Policy
In this episode, Brian sits down with Darren from Oregon, a seasoned paranormal investigator turned dedicated Bigfoot researcher. Darren recounts the life-changing encounter that occurred during a bachelor party in the wilderness—an experience that shifted his focus from ghost hunting to tracking cryptids.What began as one startling sighting of Bigfoot evolved into years of ongoing research, multiple encounters, and the collection of compelling evidence.Darren shares remarkable details, including thermal camera footage, massive footprints, and hidden nesting sites deep in the forest. But Bigfoot isn't the only cryptid on his radar.Darren also dives into terrifying Dogman encounters—describing chilling moments that hint at a dangerous, possibly territorial conflict between these two legendary creatures.His stories provide a rare glimpse into the shadowy edge of the unknown, where cryptids clash and researchers tread carefully. Darren also shores some of the tools that he uses in the field, including game cameras, thermal imaging, and the unexpected role of medicinal plant research in uncovering patterns in cryptid behavior.DBK Investigations YouTube Get Our FREE NewsletterGet Brian's Books Leave Us A VoicemailVisit Our WebsiteBecome a supporter of this podcast: https://www.spreaker.com/podcast/sasquatch-odyssey--4839697/support.