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In this episode, Dr. Carla Pies and Dr. Gregory A. Schmidt join Dr. Clancy to discuss what a Full Code entails, the intention and function of a DNR order, the public's perception of CPR and DNR, and how to have effective goals of care conversations with patients. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73907 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Carla Pies, DNP, ARNP, ACHPN Palliative Care Nurse Practitioner University of Iowa Health Care Gregory A. Schmidt, MD Professor of Internal Medicine-Pulmonary, Critical Care and Occupational Medicine University of Iowa Carver College of Medicine Associate Chief Medical Officer, Critical Care Director of Critical Care Programs University of Iowa Health Care Financial Disclosures: Dr. Gerard Clancy, Dr. Pies, Dr. Schmidt, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.00 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-062-H99-P; Pharmacy Tech UAN: JA0000310-0000-25-062-H99-T Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References/Resources: ACPDecisions.org GOFAR Calculator
The five-year survival rate for those who undergo treatment for pancreatic cancer is 3%. Join our guest expert, Dr Joseph Cullen, as he shares the latest advances in treatment. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73375 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Joseph Cullen, MD Professor of Surgery - Gastrointestinal Surgery VA Medical Center Chief of Surgical Services University of Iowa Carver College of Medicine Financial Disclosures: Dr. Joseph Cullen has disclosed the following relevant financial relationship(s): McGuff Pharmaceuticals, Inc.—sponsored research. Relevant financial relationships have been mitigated. Dr. Gerard Clancy, his guests, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.25 ANCC contact hour. Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.25 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-055-H01-P Pharmacy Tech UAN: JA0000310-0000-25-055-H01-T Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join Dr. Clancy and his guests, Drs. Calhoun and Staber, as they discuss the transition of seriously ill patients from pediatric to adult systems of care. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73233 References/Resources: Got Transition. https://www.gottransition.org/ Transition to Adulthood Clinic for teens and young adults 14-30. https://cdd.center.uiowa.edu/transition-adulthood-clinic Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Amy Calhoun, MD Clinical Professor Medical Director of Iowa Newborn Screening Program Stead Family Department of Pediatrics University of Iowa Health Care Janice Staber, MD Associate Professor of Pediatrics - Hematology/Oncology Stead Family Department of Pediatrics University of Iowa Health Care Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join Dr. Clancy and guest Katey Kooi for a discussion of the benefits of music therapy in palliative and end-of-life care. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=72842 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Katey Kooi, MT-BC Music Therapist, Supportive and Palliative Care University of Iowa Health Care Financial Disclosures: Dr. Clancy, Ms. Kooi, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-039-H99-P Pharmacy Tech UAN: JA0000310-0000-25-039-H99-T Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References/Resources: Gutgsell, Kathy Jo et al. (2013) Music Therapy Reduces Pain in Palliative Care Patients: A Randomized Controlled Trial. Journal of Pain and Symptom Management, Volume 45, Issue 5, 822 – 831. Gallagher, Ragman, Rybicki. (2018) Outcomes of Music Therapy Interventions on Symptom Management in Palliative care patients. American Journal of Hospice and Palliative Medicine Vol 35(2) 250-257. Hilliard R. E. (2003). The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. Journal of music therapy, 40(2), 113–137. https://doi.org/10.1093/jmt/40.2.113 Bradt J, Dileo C, Grocke D, Magill L. (2011) Music interventions for improving psychological and physical outcomes in cancer patients.Cochrane Database Syst Rev. Aug 10;(8) Ramesh B. (2024) Role of Music Therapy in Palliative Care—Methods and Techniques. Journal of Palliative Care. https://journals.sagepub.com/doi/10.1177/08258597241235110 Whitford, Kevin J. et al.Music Therapy Intervention to Reduce Caregiver Distress at End of Life: A Feasibility Study Journal of Pain and Symptom Management, Volume 65, Issue 5, e417 - e423 https://www.jpsmjournal.com/article/S0885-3924(23)00035-0/fulltext Sarah Kordovan, Pia Preissler, Anne Kamphausen, Carsten Bokemeyer, and Karin Oechsle. (2016)Prospective Study on Music Therapy in Terminally Ill Cancer Patients during Specialized Inpatient Palliative Care Journal of Palliative Medicine 19:4, 394-399. Lopez, G., Christie, A.J., Powers-James, C. et al. (2019). The effects of inpatient music therapy on self-reported symptoms at an academic cancer center: a preliminary report. Support Care Cancer 27, 4207–4212. https://doi.org/10.1007/s00520-019-04713-4 Brungardt A, Wibben A, Tompkins AF, Shanbhag P, Coats H, LaGasse AB, Boeldt D, Youngwerth J, Kutner JS, Lum HD.(2021) Virtual Reality-Based Music Therapy in Palliative Care: A Pilot Implementation Trial. J Palliat Med. May;24(5):736-742. Ghetti, C. M., Schreck, B., & Bennett, J. (2023). Heartbeat recordings in music therapy bereavement care following suicide: Action research single case study of amplified cardiopulmonary recordings for continuity of care. Action Research, 0(0). https://doi.org/10.1177/14767503231207993
In today's episode with Dr. Terry Wahls, you'll hear us take a deep dive on: 1. The Wahls Protocol 2. Transforming MS 3. Nutrients that help your mitochondria function 4. Early indicators of chronic illnesse Dr. Terry Wahls is a Clinical Professor of Medicine at the University of Iowa Carver College of Medicine and the visionary behind The Wahls Foundation. Despite facing the challenges of secondary progressive multiple sclerosis, she triumphed over her condition by implementing a personalized diet and lifestyle program designed specifically for her brain. Dr. Terry Wahls has not only revolutionized her health journey but has also empowered others through her written works. She authored the influential books, "The Wahls Protocol: How I Beat Progressive MS Using Paleo Principles and Functional Medicine", "The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles", and the invaluable cookbook "The Wahls Protocol Cooking for Life: The Revolutionary Modern Paleo Plan to Treat All Chronic Autoimmune Conditions".
For today's episode, Dr. Hanna Stevens joins me to discuss early prenatal factors of early brain development. Dr. Stevens received an MD and PhD in Neuroscience from the University of Illinois. Dr. Hanna Stevens leads the Psychiatry and Early Neurobiological Development Lab at the University of Iowa Carver College of Medicine. Dr. Stevens is a distinguished Professor of Psychiatry and holder of the Ida P. Haller Chair.Her work leads groundbreaking research into the molecular and cellular foundations of early brain development, and is pivotal in linking prenatal stress, environmental factors, and genetic influences on childhood behavior and the emergence of disorders. With a focus on the critical periods of pregnancy and early childhood, her research aims to revolutionize the diagnosis and treatment of conditions throughout the lifespan. By the end of this episode, we hope you receive valuable information about the Placenta, Womb, and Development.Dr. Hanna Stevens https://medicine.uiowa.edu/psychiatry/profile/hanna-stevensIowa Healthcare https://uihc.org/childrens/providers/hanna-e-stevensPsychiatry and Early Neurobiological Development Lab (PENDL) https://stevens.lab.uiowa.eduPublications https://stevens.lab.uiowa.edu/publications0:00 Dr. Hanna Stevens2:00 Journey into Neuroscience and Psychiatry8:13 Prenatal Development of Autism14:02 The significance of NF-kB in Brain Development23:10 Serotonin; Leukocytes as a window into our Biology; Cortisol29:02 Steroid Hormones and Stress & Development34:12 Methylation40:00 Cell Proliferation & Migration in Fetal Development; Antioxidants45:56 Oxidative Stress; Mitochondria; Antioxidants48:30 Quantum Biology/Physics** Me shaking my head at minute 48:50 is not intended at Dr. Stevens, but at myself because I tell myself not to keep going to the electrons and light for a Cause of Autism to guests53:19 Future Research & Dorsal Striatum; Volume; Brain Development1:00 Reviews/Rating; Contact InfoX: https://x.com/rps47586Hopp: https://www.hopp.bio/fromthespectrumemail: info.fromthespectrum@gmail.com
Join Dr. Gerry Clancy and his guest, Dr. Jason Misurac, for a discussion of the potential for artificial intelligence to improve patient care and reduce clinician burnout, as well as acknowledgment of its limitations and potential harms. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=72393 References/Resources: https://link.springer.com/article/10.1186/s12911-021-01488-9 The role of artificial intelligence in healthcare: a structured literature review Silvana Secinaro, Davide Calandra, Aurelio Secinaro, Vivek Muthurangu & Paolo Biancone Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Jason Misurac, MD Clinical Associate Professor of Pediatrics -Nephrology, Dialysis and Transplantation University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, Dr. Jason Misurac, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-089-H99-P Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Richard Hoffman, MD, MPH, Emeritus Professor of Internal Medicine, University of Iowa Carver College of Medicine CME Credit Available for All Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/Pd7LVJFyfh (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: November 19, 2024 End Date: November 19, 2025
Richard Hoffman, MD, MPH, Emeritus Professor of Internal Medicine, University of Iowa Carver College of Medicine CME Credit Available for All Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/Pd7LVJFyfh (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: November 19, 2024 End Date: November 19, 2025
Join Dr. Clancy and his guests, Drs. Elizabeth Amelon, David Dickens, and Rachel Kinn as they discuss guidance for clinicians in using opiods for end of life pediatric patients. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=71737 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Elizabeth Amelon, MD Pediatric Clinical Pharmacy Manager University of Iowa Health Care David Dickens, MD Clinical Professor of Pediatrics - Hematology/Oncology University of Iowa Dance Marathon Endowed Chair in Pediatric Oncology, Clinical and Tranlational Research Clinical Director of Pediatric Oncology Services University of Iowa Health Care Rachel Kinn, MD Clinical Pharmacy Specialist University of Iowa Health Care Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hours. Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-087-H01-P Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of participation will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
In this episode of Rounding@IOWA, Dr. Gerry Clancy hosts Dr. Michael Haugsdal and Dr. Diane Reist to discuss the critical impact of social determinants of health (SDOH) on health outcomes. The episode delves into the University of Iowa's Upstream Initiative, which addresses SDOH through multidisciplinary efforts. Tune in to learn about practical applications of "upstreamism" and how addressing SDOH can significantly improve patient outcomes and overall healthcare quality. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=70888 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Michael Haugsdal, MD Medical Clerkship Director, Obstetrics and Gynecology Clinical Associate Professor of Obstetrics and Gynecology University of Iowa Carver College of Medicine Diane Reist, BSPh, PharmD, RPh Pharmacy Practice Specialist University of Iowa Health Care Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour. Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-085-H99-P Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Sign up for the University of Iowa Carver College of Medicine Professional and Graduate School Virtual Conference! https://theshortcoat.com/premed/ Compared to MDs, the PA profession offers flexible employment and a (relatively) relaxed path to a healthcare career. Dave teams up with PA2s Noah Vasquez, Olivia Quinby, and Anna Cole, and PA1 Chloe Kepros to celebrate PA Week 2024! The crew looks at the unique challenges and experiences of being a physician assistant student, like why they chose the profession, the contrasts between themselves and their MD-student colleagues, the value of diverse educational backgrounds, the clinical experiences they've gathered along the way, the lessons they're learning watching people in other healthcare roles, and how their different pre-PA work experiences shape their perspectives and skills. Plus, without the additional hoops physicians must jump through (eg., their match process, residency education, and state licensing), PAs enjoy a flexibility of employment that's unmatched in the MD world.
Sign up for the University of Iowa Carver College of Medicine Professional and Graduate School Virtual Conference! https://theshortcoat.com/premed Balancing Medical School Ambitions and Personal Well-being Dave is joined by M2 Taryn O'Brien, M1 Sarah Sarah Lowenberg, Luke Geis, and Radha Velamuri dive into some listener questions, including from Charlotte, a senior in college recently accepted into medical school who is doing a lot and wants to do more. Meanwhile, Moesha wrote in to ask how pre-meds can stop feeling like they're not doing enough! And a 70-year-old man graduates from medical school proving that too much is never enough. What's the balance between gaining more experience and taking time to relax? How might Charlotte balance personal well-being and enjoying one's remaining college days? The cohosts share their own challenges, including managing self-doubt and the rigorous demands of medical school. We also play a fun game in which Dave proposes that Radha be the dean of a medical school for cave people, and that the others practice communicating biomedical terms to her new clan.
Join Dr. Clancy and his guests, Kira Blum, Dr. Schleich, and Dr. Slayman, as they discuss guidance for clinicians with their patients regarding the ever expanding options with dietary and herbal supplements, high protein products and sports drinks. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=68899 References/Resources: Examine https://examine.com/ NatMed https://naturalmedicines.therapeuticresearch.com/ NSF Certified for Sports Program https://www.nsfsport.com/ Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Kira Blum, RDN, LD Director of Sports Nutrition University of Iowa Athletics Kevin Schleich, PharmD Clinical Pharmacy Specialist in the University of Iowa Department of Family Medicine University of Iowa Carver College of Medicine Tyler Slayman, MD Clinical Assistant Professor of Family Medicine University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Med School is a non-trivial endeavor, but against the backdrop of a new class of MD and PA students arriving at the University of Iowa Carver College of Medicine, Dave and the co-hosts–including M3 Hend Al-Kaylani, PA2 Julie Vuong, M2 Gizzy Keeler, and M3 Trent Gilbert–share their humorous and sometimes ‘smelly' experiences from their first semester, play a trivia game Dave made up called ‘Blechardy with Alex Trebot 2.0,' and eat jelly beans. This is high-yield stuff, folks.
Biologics are complex, high-cost treatments derived from living systems, used for immune-related disorders. Biosimilars are more affordable alternatives that are highly similar to biologics, with no significant clinical differences. The FDA supports biosimilar development to reduce costs, and various financial aids are available to help patients access these treatments. Join us as we discuss these important topics. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=67816 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Brittany Bettendorf, MD Associate Professor of Rheumatology University of Iowa Carver College of Medicine Ashlyn Johnson, PharmD Pharmacy Specialist Inflammatory Bowel Disease Treatment Team University of Iowa Hospitals & Clinics Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-070-H01-P Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
In today's episode with Dr. Terry Wahls, you'll hear us take a deep dive on: 1. The Wahls Protocol 2. Transforming MS 3. Nutrients that help your mitochondria function 4. Early indicators of chronic illnesse Dr. Terry Wahls is a Clinical Professor of Medicine at the University of Iowa Carver College of Medicine and the visionary behind The Wahls Foundation. Despite facing the challenges of secondary progressive multiple sclerosis, she triumphed over her condition by implementing a personalized diet and lifestyle program designed specifically for her brain. Dr. Terry Wahls has not only revolutionized her health journey but has also empowered others through her written works. She authored the influential books, "The Wahls Protocol: How I Beat Progressive MS Using Paleo Principles and Functional Medicine", "The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles", and the invaluable cookbook "The Wahls Protocol Cooking for Life: The Revolutionary Modern Paleo Plan to Treat All Chronic Autoimmune Conditions".
Join Dr. Szot, Dr. Larson, Dr. Shim, and Dr. Reist as they discuss new therapeutic agents for the treatment of Alzheimer's disease and their role in management of the disease. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=66930 Resources: Lecanemab in Early Alzheimer's Disease. New England Journal of Medicine. DOI: 10.1056/NEJMoa2212948. PMID: 36449413 Lecanemab: Looking Before We Leap. Neurology. DOI: 10.1212/WNL.0000000000207505. PMID: 37479527 Host: Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Guests: Scott Larson, MD Clinical Assistant Professor of Family Medicine University of Iowa Department of Family Medicine Jeff Reist, PharmD Clinical Associate Professor of Pharmacy Practice and Science Director, Pharmacy Practice Learning Center University of Iowa College of Pharmacy HyungSub Shim, MD of Neurology and Psychiatry Clinical Assistant Professor Medical Director of the Memory Disorders Clinic University of Iowa Department of Neurology and Psychiatry Financial Disclosures: Dr. Joseph Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join Dr. Clancy and Dr. Donaldson as they discuss heat-related illnesses-prevention, early interventions out in the field, and diagnostic and emergency resuscitation measures. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=66600 References/Resources: Association of Extreme Heat with All-Cause Mortality in the Contiguous US, 2008-2017. Jama Netowrk Open. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2792389 Trends in heat related illness: Nationawide observational cohort at the US Department of Veteran Affairs. The Joural of Climate Change and Health. https://www.sciencedirect.com/science/article/pii/S2667278223000561 Heatstroke. New England Journal of Medicine. https://doi.org/10.1056/nejmra1810762 https://www.ready.gov/heat Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Melvin Donaldson, MD, PhD Fellow in Emergency Medicine University of Iowa Department of Emergency Medicine Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Vaping is perceived by some as a safer alternative to smoking, but is that the case? Join our clinical experts and a recent lung transplant recipient for a discussion of the dangers of vaping nicotine products and THC. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=66441 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Alejandro Comellas Freymond, MD Clinical Professor of Internal Medicine-Pulmonary, Critical Care, and Occupational Medicine Director, Clinical Research Support, ICTS University of Iowa Carver College of Medicine Dalton Powers Lung Transplant Recipient Jeffrey S. Wilson, MD Clinical Professor of Internal Medicine-Pulmonary, Critical Care, and Occupational Medicine Director, Pulmonary Function Laboratory, Pulmonary Rehabilitation Services, and Cardiopulmonary Exercise Laboratory Associate Director, Pulmonary Disease and Critical Care Fellowship Program University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, his guests, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Dive into something truly enlightening by tuning in to our latest podcast episode. Dr. Joseph Cullen, a distinguished Professor of Surgery at the University of Iowa Carver College of Medicine, unveils the remarkable findings from his pioneering phase 1 and phase 2 clinical trials, where high-dose vitamin C (IVC) is combined with standard care medications for cancer patients.Discover how his groundbreaking randomized IVC trial with pancreatic cancer patients is reshaping the landscape of cancer treatment, showing promising results in significantly extending the lives of patients with this terrible disease.Dr. Cullen will also shed light on ongoing IVC research with glioblastoma, non-small cell lung, rectal, breast, prostate, and other cancers. Don't miss this opportunity to learn from one of the leading figures in cancer research.
In this episode "ASTCT Talks,” hosts Rebecca Epperly, MD, and Aimee Talleur, MD, from St. Jude Children's Research Hospital, dive into the pioneering realm of CAR T-cell therapy and its late effects on pediatric patients. The discussion unfolds at the intersection of innovation and caution, highlighting the recent sessions from the 2024 Tandem meetings. They explore the emerging challenges and lack of data concerning long-term impacts of this revolutionary treatment, particularly in pediatric, adolescent, and young adult populations. This episode sheds light on both the immense potential and the imperative need for comprehensive studies to better understand and mitigate the long-term consequences of cellular therapies in treating high-risk malignancies. About Dr. Rebecca Epperly, MD Dr. Rebecca Epperly is an Instructor in the Department of Bone Marrow Transplantation and Cellular Therapy (BMTCT) at St. Jude Children's Research Hospital. After gaining undergraduate degrees in biochemistry (BS) and music performance (BA), she received an MD from the University of Iowa Carver College of Medicine. She then completed pediatrics residency at the UPMC Children's Hospital of Pittsburgh and fellowships in pediatric hematology/oncology and BMTCT at St. Jude. As a clinician scientist, she is now working to improve outcomes for pediatric patients with high-risk malignancies using cellular based immunotherapy, with a focus on developing early-phase CAR T cell studies and evaluating the delayed effects of novel therapies. About Dr. Aimee Talleur, MD Dr. Aimee Talleur is an Assistant Member in the Department of Bone Marrow Transplantation and Cellular Therapy (BMTCT) at St. Jude Children's Research Hospital, specializing in the clinical investigation of novel immunotherapies for the treatment of high-risk malignant disorders. She completed her BA at Union College, MD at SUNY Upstate Medical University, pediatric residency at Children's National Medical Center, and fellowships in pediatric hematology/oncology and BMTCT at St. Jude. As a clinician scientist, Dr. Talleur focuses on the advancement of novel cellular therapies through early-phase clinical trials, including CAR T cell therapy. Additionally, her work includes the evaluation of acute and long-term toxicities of this immunotherapy approaches, seeking to better define such toxicities to inform upon predictive and intervention strategies.
Join Dr. Clancy and his guests, Dr. Flaum and Dr. Noupolos as they discuss the historical and current research on psilocybin and its potential use in the treatment of substance use disorders and major mental illnesses. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=66338 References/Resources: Iowa Doctors Investigate the Healing Potential of Psychedelic Drugs. Iowa Magazine. https://magazine.foriowa.org/story.php?ed=true&storyid=2302 National Library of Medicine, ClinicalTrials.gov https://clinicaltrials.gov/ Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Michael Flaum, MD Professor Emeritus in Psychiatry University of Iowa Carver College of Medicine Peggy Nopoulos, MD Chair and Department Executive Officer for the University of Iowa Department of Psychiatry Professor of Neurology, Pediatrics, and Psychiatry University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Ever wondered about donor-less skin grafts? Or how cryotherapy is used for pain control? What about spray-on skin? In this captivating podcast episode, we're joined by burn survivor and burn surgeon Dr. Jason Heard to explore these intriguing topics and more, as we delve into the latest trends and treatments in burn care. Dr. Jason Heard, a burn survivor turned burn surgeon, brings a unique perspective to the field. At the age of 12, he experienced second and third-degree burns over 40% of his body. This life-altering event inspired him to dedicate his career to caring for others. Now a faculty member at the UC Davis Firefighters Burn Institute and Shriners Children's Northern California burn units, Dr. Heard's journey from patient to practitioner is a testament to the resilience of the human spirit.Join us as we delve into the cutting-edge world of burn care with Dr. Heard. We'll explore the latest trends and treatments, from revolutionary laser surgeries and donor-less skin grafting to innovative cryotherapy for donor-site pain control and the game-changing foam dressing. Enjoyed the show? Tell us by leaving a 5-star review and sharing on social media using hashtag #GirlswithGrafts and tagging Phoenix Society for Burn Survivors! Meet Our Guest After sustaining a burn injury on almost half of his body at the age of 12, Dr. Jason Heard was drawn to the medical field and knew he wanted to help other burn survivors in the future. He completed his Bachelor of Science degree in Genetics and Biotechnology at the University of Iowa in 2011. During his undergraduate years, Jason completed many burn related research projects leading to multiple peer reviewed publications. He was also able to be heavily involved with a regional burn non-profit organization, Saint Florian Fire and Burn Foundation. Through this organization, Jason was able to not only attend but develop programming for multiple burn survivor programs. He was fortunate to serve on their Board of Directors from 2012-2014. He enrolled into medical school at the University of Iowa Carver College of Medicine in 2012 and matched into general surgery residency at UC Davis in 2016, and ultimately completed his residency at the University of Iowa Hospitals and Clinics in 2021. Jason's passion for burn care and my aspiration of doing a burn/critical care persisted throughout my training and he completed his fellowship at UC Davis in 2022. He is currently a faculty member at UC Davis/Shriners Northern California Burn Units, where he continues to care for burn survivors during their initial hospital admission and throughout their recovery, including reconstructive procedures/treatments. Jason is also on Phoenix Society for Burn Survivors' Board of Directors. Links Laser Treatment for Burn Scars: What Burn Survivors Want to KnowWill My Burn Skin Graft Go Away Over Time?Learn more about Spray-On SkinLearn more about the different type of skin grafts Podcast Sponsor Today's podcast is powered by Cunningham Law Firm! Located in Phoenix, Arizona and helping clients nationwide, the Cunningham Law Firm specializes in personal injury, wrongful death and burn related cases. Learn more by visiting https://cunninghamlawfirm.com. Sponsor Girls with Grafts Interested in becoming a sponsor of the show? Email us at info@phoenix-society.org.
What is regenerative medicine? How can it help patients? What options are available? Join us today as we discuss these topics. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=48288 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Ryan Kruse, MD Clinical Assistant Professor of Orthopedics and Rehabilitation University of Iowa Health Care Disclosure Policy: University of Iowa Roy J. and Lucille A. Carver College of Medicine adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant financial relationships have been mitigated prior to the commencement of the activity. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join Dr. Gerard Clancy and his guests, Carol Harshman RN, Katie Ries MSW, LMSW, and Dr. Bryan Struck, as they discuss discuss guidance on best practices for goals of care discussions among those with serious illness and prognosis. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=66060 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Carol Harshman, RN Supportive and Palliative Care Program University of Iowa Hospitals and Clinics Katie Ries, MSW, LMSW Supportive and Palliative Care Program University of Iowa Hospitals and Clinics Bryan Struck, MD Clincial professor of Internal Medicine - General Internal Medicine Director, Supportive and Palliative Care Program University of Iowa Hospitals and Clinics Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join Dr. Joe Szot and his guest, Dr. Karen Brust, as they discuss the available tools for monitoring influenza-like illness and how the data collected contributes to infection control planning. Joseph Szot, MD Associate Dean for CME and Integrative Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Karen Brust, MD Clinical Associate Professor of Internal Medicine - Infectious Diseases University of Iowa Carver College of Medicine Hospital Epidemiologist University of Iowa Hospitals & Clinics Resources: SHEA - The Society for Healthcare Epidemiology of America Infectious Diseases Society of America CIDRAP - Center for Infectious Disease Research and Policy Financial Disclosures: Dr. Joseph Szot, Dr. Karen Brust, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=65956 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.25 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
The BRAND NEW 2nd Generation Tone Devices are launching soon! Pre-order HERE & get $40 OFF with the code VIPLAUNCHGEN2 Today's episode is all about the modified ketogenic diet with Dr. Terry Wahls and her story of overcoming progressive disease of MS. See Full Bio Below Join Dr. Wahls' Study HERE Get the Exclusive Launch Discount on Tone Protein with Code TONEVIP20 - Click Here to Check it out! Get $50 OFF The Tone LUX Red Light Therapy Panels when combined with a pre-order for the new Tone LUX Crystal Mask - use the code TONELUXSAVE50 - Click HERE To Shop! - Introducing the BRAND NEW TONE LUX Red Light Therapy Wellness Devices! Check out the Tone LUX Diamond and Tone LUX Sapphire or the Tone LUX Gem! - Follow @optimalproteinpodcast on Instagram to see visuals and posts mentioned on this podcast. Follow Vanessa on instagram to see her meals, recipes, informative posts and much more! Click here @ketogenicgirl Link to join the facebook group for the podcast: https://www.facebook.com/groups/2017506024952802/ - Special thank you to our sponsor, ENERGYbits! Need better nutrition and improved energy or focus, but don't know how? ENERGYbits® spirulina algae tablets are your answer. Effortless to take and organically grown, these “bits of food” are 100% spirulina, the most nutrient-dense, antioxidant-rich, high-protein food in the world. Just swallow or chew a few tablets each morning or whenever you are tired/hungry to improve your mitochondria, energy, gut health and focus or reduce hunger, cravings or the need for caffeine. Safe for the entire family. Pets love them too!Energize without compromise. If you're ready to supercharge your energy, health and longevity, click the button below to shop from our ENERGYbits website. Use the discount code OptimalProtein for 20% OFF your entire order! - LMNT is a tasty electrolyte drink mix with a science backed formula! They also have an amazing no questions asked return policy. Level up your game with electrolytes and enjoy delicious instant sugar free beverages! ENJOY HOT with LMNT Chocolate Caramel! For A Limited Time Go To www.drinklmnt.com/ketogirl and get a FREE Sample Pack with any purchase! Get your FREE sample pack of all 8 delicious flavours of LMNT at www.drinkLMNT.com/Ketogirl - Terry L. Wahls, M.D, is a clinical professor of medicine at the University of Iowa Carver College of Medicine in Iowa City. She has made it her mission to spread the word about the Wahls Protocol through the book, her lectures and seminars around the globe, her website, The Wahls Research Fund, and her Wahls Protocol Seminars for the public and health professionals. - This podcast content does not constitute an attempt to practice medicine and does not establish a doctor-patient relationship. Please consult a qualified healthcare provider for medical advice and personal health questions. Prior to beginning a new diet you should undergo a health screening with your physician to confirm that a new diet is suitable for you and to out any conditions and contraindications that may pose risks or are incompatible with a new diet, including by way of example: conditions affecting the kidneys, liver or pancreas; muscular dystrophy; pregnancy; breast-feeding; being underweight; eating disorders; any health condition that requires a special diet [other conditions or contraindications]; hypoglycemia; or type 1 diabetes. A new diet may or may not be appropriate if you have type 2 diabetes, so you must consult with your physician if you have this condition. Anyone under the age of 18 should consult with their physician and their parents or legal guardian before beginning such a diet. Use of Ketogenic Girl videos are subject to the Ketogenicgirl.com Terms of Use and Medical Disclaimer. All rights reserved. If you do not agree with these terms, do not listen to, or view any Ketogenic Girl podcasts or videos.
In this episode, we discuss prevention, diagnosis, and treatment of frostbite. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Monica Lamb, BSN RN Assistant Nurse Manager, Burn Treatment Center University of Iowa Hospitals & Clinics Jolyn Schneider, MSN RN Nurse Manager, Burn Treatment Center University of Iowa Hospitals & Clinics Lucy Wibbenmeyer, MD Clinical Professor of Surgery-Acute Care Surgery University of Iowa Carver College of Medicine Director, Burn Treatment Center University of Iowa Hospitals & Clinics References/Resources: UIHC Health Topic: https://uihc.org/health-topics/frostbite American Burn Association Clinical Practice Guidelines on the Treatment of Severe Frostbite. Wibbenmeyer L; Lacey AM; Endorf FW; Logsetty S; Wagner AL; Gibson AL; Nygaard RM. (2023) J Burn Care Res. DOI: 10.1093/jbcr/irad022. PMID: 37045447 https://academic.oup.com/jbcr/advance-article/doi/10.1093/jbcr/irad022/7111107 Thrombolytic Use in Management of Frostbite Injuries: Eight Year Retrospective Review at a Single Institution. Heard, J., Shamrock, A., Galet, C., Pape, K. O., Laroia, S. & Wibbenmeyer, L. (2020). (Vols. 41). (3), pp. 722-726. Journal of burn care & research : official publication of the American Burn Association. DOI: 10.1093/jbcr/iraa028. PMID: 32030427 Financial Disclosures: Dr. Lucy Wibbenmeyer has disclosed the following financial relationships: Avita Medical Americas, LLC - Sponsored Research, Consultant; AlloSource - Consultant; MediWound Ltd. - Sponsored Research; Stratatech - Sponsored Research; PolyNovo Biomaterials Pty Ltd. - Sponsored Research Dr. Gerard Clancy, Jolyn Schneider, Monica Lamb, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. All relevant financial relationships have been mitigated. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=65611 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.25 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join Dr. Clancy and his guests as they focus on promising advances in the treatment of Alcohol Use Disorder. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine D. Lowell Yoder, MSW, LISW, IADC, ACSW Clinical Coordinator for Substance Use Disorders, Psychiatry University of Iowa Hospitals & Clinics Thad Abrams, MD, MS Director of Consult / Liaison Psychiatry Service at the Iowa City VA Medical Director at the Iowa City Free Mental Health Clinic Clinical Associate Professor University of Iowa Carver College of Medicine Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=64249 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour. Social Workers: As a Jointly Accredited Organization, the University of Iowa Roy J. and Lucille A. Carver College of Medicine is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 0.75 general continuing education credit(s). Pharmacist / Pharmacy Technician: The University of Iowa Carver College of Medicine designates this activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must complete the online evaluation and provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-23-055-H01 Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Welcome to another episode of the Dr. Lo Radio Show! Dr. Terry Wahls is a clinical professor of medicine at the University of Iowa Carver College of Medicine in Iowa City, Iowa, U.S.A., where she teaches internal medicine residents in their primary care clinics. She also does clinical research and has published over 60 peer-reviewed scientific abstracts, posters, and papers. In addition to being a doctor, Dr. Wahls is also a patient with a chronic, progressive disease. She was diagnosed with relapsing remitting multiple sclerosis in 2000, around the time she began working at the university. By 2003 she had transitioned to secondary progressive multiple sclerosis. Dr. Wahls underwent chemotherapy in an attempt to slow the disease and began using a tilt-recline wheelchair because of weakness in her back muscles. In this episode, Dr. Terry Wahls talks about her experience with Multiple Sclerosis, and her healing journey involving traditional as well as non-traditional medicine. She has a deep focus on diet and exercise and has been a part of, and conducted multiple studies on the effect of diet on MS and brain function. I'd love your feedback on this episode, so please leave a review on the podcast or continue the conversation on my Instagram @dr_lo I hope you learned something new today! 00:45 Intro to who Dr. Terry Wahls is, and how she's helping others 02:10 Terry tells her story 05:20 Terry's realization that the current understanding of Secondary Progressive MS was incomplete 08:50 The clinical research that was done 11:00 How diet can increase the rate at which MS deteriorates the brain 12:50 Does your environment contribute to your MS? 15:50 The pharmaceutical approach vs an approach with diet, meditation and other non-conventional methods 19:08 What is myelin? 21:19 What are astrocytes? 23:09 BDNF (Brain-Derived Neurotrophic Factor) 29:19 Everyday you are making neurological pathways; positive or negative 30:24 Actionable routines you can do to increase your healing potential with MS 31:51 Foods that increase healing 33:29 Advice for the family members of someone suffering from MS 34:58 How to be a part of Dr. Wahls' study If you enjoyed this episode, please leave a 5-star review wherever you listen to your podcasts! And, don't forget to subscribe and share this podcast with friends and family! I love seeing your posts and shares on social media as well. Instagram: @dr_lo http://www.instagram.com/dr_lo Facebook: Dr. Lauren Noel: http://www.facebook.com/DrLoNoel Shine Instagram: @shineNaturalMedicine http://www.instagram.com/shinenaturalmedcine My Golden Eggs Fertility Course: http://www.GoldenEggsFertility.com Terry's Website: https://terrywahls.com/
In this episode, we explore the latest developments in weight loss drugs and how these drugs can be integrated into comprehensive weight loss treatment plans. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Billie Jo Myers, PharmD Adjunct Assistant Professor, University of Iowa College of Pharmacy Iowa City VA Health Care System Katherine White, MD, MME, FACP Clinical Associate Professor of Internal Medicine-General Internal Medicine University of Iowa Carver College of Medicine Resources: MOVE! Weight Management Program https://www.move.va.gov/ Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial. Journal of General Internal Medicine. DOI: 10.1007/s11606-020-06571-x. PMID: 33835315. PMCID: PMC8034040. Effectiveness of anti-obesity medications approved for long-term use in a multidisciplinary weight management program: a multi-center clinical experience. International Journal of Obesity. DOI: 10.1038/s41366-021-01019-6. PMID: 34811486. PMCID: PMC8881310. Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=59741 Physicians: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 ANCC contact hours. Pharmacists and Pharmacy Technicians: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 ACPE credits Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Today we will discuss the state of our health workforce, and strategies to address the significant health workforce shortages we are all experiencing. Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine References/Resources: The Moral Crisis of America's Doctors Pulse on the Nation's Nurses Survey Series: 2022 Workplace Survey Changes in Burnout and Satisfaction with Work-life Integration in Physicians over the first 2-years of the COVID-19 Pandemic Patterns of Moral Injury in Post 9/11 Combat Veterans and CV-19 Health Care Workers Addressing the Healthcare Staffing Shortage Clinician mental health and well-being during global health care crises: evidence learned from prior epidemics for COVID-19 pandemic Latest crime survey found that the rate of murders, rapes, robberies, and aggravated assaults at U.S. hospitals dramatically increased in 2021 Comparison of Early and Late-Stage Breast and Colorectal Cancer Diagnoses During vs Before the COVID-19 Pandemic Financial Disclosures: Dr. Joe Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=59424 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
Join us as we unravel the complexities of managing drug shortages, examine the various factors contributing to this pressing issue, and discuss potential mitigation strategies. Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Erin R. Fox, PharmD, MHA, BCPS, FASHP Associate Chief Pharmacy Officer, Shared Services, University of Utah Health Adjunct Professor, University of Utah College of Pharmacy Michael Brownlee, PharmD, MS, FASHP Associate Hospital Director for Pathology, Pharmacy, and Radiology and Chief Pharmacy Officer, University of Iowa Hospitals & Clinics Clinical Associate Professor and Associate Dean, University of Iowa College of Pharmacy References/Resources: Drug Shortage Health and National Security Risks: Underlying Causes and Needed Reforms - Full Committee Hearing, Homeland Security & Governmental Affairs ASHP Drug Shortages Statistics FDA Drug Shortages & Quality Issues Building Resilience Into the Nation's Medical Product Supply Chains - NASEM Report, March 2022 Financial Disclosures: Dr. Joseph Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=59356 Nurses: The University of Iowa Roy J. and Lucille A.Carver College of Medicine designates this enduring material for a maximum of 0.5 ANCC contact hours. Pharmacists: The University of Iowa Roy J. and Lucille A.Carver College of Medicine designates this enduring material for a maximum of 0.5 ACPE credits. Physicians: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 6/16/2023
Dr. Terry Wahls is a Clinical Professor of Medicine at the University of Iowa Carver College of Medicine and the visionary behind The Wahls Foundation. Despite facing the challenges of secondary progressive multiple sclerosis, she triumphed over her condition by implementing a personalized diet and lifestyle program designed specifically for her brain. In today's episode with Dr. Terry Wahls, you'll hear us take a deep dive on: 1. The Wahls Protocol: Dr. Terry Wahls chose to broaden her book's scope beyond MS, focusing on autoimmune disorders as a whole. Through a specific diet and supplements, combined with electrostimulation of muscles, she experiences significant improvements in her health and embarks on a healing journey. 2. Nutrients that help your mitochondria function: Dr. Wahls goes in depth on the nutrients that can help you increase your mitochondria function. 3. Early indicators of chronic illnesses: Do you know the early indicators of neurological illness? Dr. Wahls tells us all about the signs and symptoms to watch for. Order tests through Rupa Health, the BEST place to order functional medicine lab tests from 30+ labs - https://www.rupahealth.com/
Join Dr. Szot and his guests to discuss reproductive health in patients with rheumatic and musculoskeletal diseases. Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Brittany Bettendorf, MD Associate Professor of Internal Medicine University of Iowa Carver College of Medicine Emily B. Walsh, PharmD Clinical Pharmacy Specialist in the Adult Rheumatology Clinic University of Iowa Hospitals and Clinics References/Resources: 2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Disease. https://onlinelibrary.wiley.com/doi/epdf/10.1002/art.41191 Briggs Drugs in Pregnancy and Lactation, 12th edition – text that can be physically purchased or found in Lexicomp, an online drug reference Drugs & Lactation Database LactMed® - https://www.ncbi.nlm.nih.gov/books/NBK501922/ https://mothertobaby.org/ US Medical Eligibility Criteria for Contraceptive Use: https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html Financial Disclosures: Dr. Joe Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=56695 Physicians: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Pharmacists: The University of Iowa Carver College of Medicine designates this knowledge-based activity for a maximum of 0.5 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must complete the online evaluation and provide their NABP ID and DOB (MMDD) to receive credit. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 05/02/2023
In this episode, we examine the One Health approach to antimicrobial stewardship and the interplay of efforts in veterinary and human medicine. Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Daniel Livorsi, MD Associate Professor of Internal Medicine Infectious Disease Specialist University of Iowa Carver College of Medicine Will Sander, DVM MPH DACVPM Assistant Professor, Department of Veterinary Clinical Medicine Director of DVM/MPH Joint Degree Program University of Illinois Urbana-Champaign Resources: The National Institute of Antimicrobial Resistance Research and Education (NIAMRRE) One Health Basics (CDC) Financial Disclosures: Dr. Joseph Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=56671 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Pharmacists: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ACPE credits. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ANCC contact hours. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 4/5/2023
Today we will discuss the benefits, risks and safety issues with personal electric vehicles including e-bikes, and e-scooters. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Cara J Hamann, PhD Assistant Professor of Epidemiology Core Director of Training and Education for the Injury Prevention Research Center University of Iowa Sven Steen, MD Clinical Assistant Professor of Emergency Medicine Medical Director of University of Iowa Air Care University of Iowa Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=56489 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.) Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 03/14/2023
In this episode we learn about the important role that sexual assault nurse examiners (SANE) and sexual assault response teams (SART) have in caring for victims in the immediate aftermath of a sexual assault. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Katy Rasmussen, CCRN Coordinator, Johnson County Sexual Assault Response Team Sexual Assault Nurse Examiner University of Iowa Hospitals & Clinics Pamela Terrill, MS ARNP Sexual Assault Nurse Examiner University of Iowa Hospitals & Clinics References/Resources: Medical Response to Adult Sexual Assault 2nd Edition - Linda Ledray and Ann Burgess - STM Learning, Inc. Rape Abuse & Incest National Network https://www.rainn.org/ End Violence Against Women International https://evawintl.org/ International Association of Forensic Nurses http://www.iafn.org/ Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=56491 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 03/20/2023
It's week two of our new series, [heal.], and today, we're talking with one of my medical heroes, Dr. Terry Wahls, about how to prevent and heal autoimmune diseases with food and how to strengthen your mitochondria. We're also going to talk about the power of breastfeeding and why sleep is critical for wellness. Dr. Wahls is a clinical professor of medicine at the University of Iowa Carver College of Medicine in Iowa City, Iowa, USA, where she teaches internal medicine residents in their primary care clinics. She also does clinical research and has published over 60 peer-reviewed scientific abstracts, posters, and papers. But in addition to being a doctor, she is also a patient with a chronic, progressive disease, which you'll hear about in a few moments. Dive Deeper: If you enjoy this episode with Dr. Wahls, I'm sure you'll also enjoy the following: 297: Robb Wolf on Why Food is Medicine, the Paleo Diet, Sleep Deprivation, and How to Feed Your Brain 335: [heal.] Dr. Daniel Amen on Healing Your Brain to Change Your Mind, The Fallacy of Positive Thinking, Hidden Toxins That Are Destroying Your Health, and Why the News is Ruining Your Brain ++++++ Episode Links: Dr. Wahls's Website | Instagram | Facebook | Get Dr. Wahls's book on Amazon! Subscribe to #WinTodayShow on YouTube. Join the conversation wherever hashtags are welcome using #WinTodayShow. Get the "Win the Week" email newsletter here. ************************** This week's show partners: Get LMNT and a free gift with your purchase here! **************************
Dr. Terry Wahls was diagnosed with secondary progressive Multiple Sclerosis (MS) diagnosis in 2007. She was bedridden and could barely walk and sitting up was a challenge for her. As a medical doctor, she dove into aggressive treatment options to try to beat her disease and symptoms, but unfortunately, they didn't find much relief. She also dealt with debilitating pain that made it hard for her to work and function normally. Instead of succumbing to MS, Dr. Wahls vowed to do everything she could to alleviate the awful symptoms she was dealing with. It led her down a path of discovering nutritional and lifestyle therapies that could offer real relief. They were so effective that she became active again, both walking and cycling, and she returned to living a normal life, free from being wheelchair-bound, with a huge increase in her quality of life. She went on to develop The Wahls Protocol and led several research studies, including eight clinical trials, that proved just how effective these dietary changes are in treating progressive MS. In this episode with Dr. Anthony Gustin, you'll hear about Dr. Wahls' inspiring and incredible health journey, how nutrition can drastically impact autoimmune conditions, and the diets that can help these conditions. You'll also hear her thoughts on using the carnivore diet for autoimmune conditions, the two nutrient-dense foods she recommends eating whether you're sick or not, and the spiritual component of healing and health. Dr. Wahl also shares the symptoms and conditions that may be a red flag for future autoimmune issues, what you can do to treat those before they become worse, and the mindset she adopted to help herself and her family get through the most challenging parts of her health journey. Dr. Terry Wahls is a clinical professor of medicine at the University of Iowa Carver College of Medicine. She teaches internal medicine residents in their primary care clinics and does clinical research. Dr. Wahls has been published in over 60 peer-reviewed scientific abstracts, posters, and papers, and her work has been cited thousands of times. She's also on her eighth clinic trial, working hard to show that dietary and lifestyle interventions are effective treatment options for people suffering from autoimmune conditions. In this episode, you'll learn about the following topics: Dr. Terry Wahls' incredible health journey and how she went from barely being able to walk or sit up to being active again and living a high quality of life despite being diagnosed with secondary progressive MS Dr. Wahls' aha moment in her healing health journey and how she started researching alternative treatment options The diets being studied for progressive MS treatments and which ones have shown the most promising results The nutrients she focused on adding to her diet to start repairing her mitochondrial health Is the carnivore diet a good option for people with autoimmune conditions like MS? Is there only one diet or more than one that works at increasing the longevity and quality of life in MS patients? Two nutrient-dense foods Dr. Wahls included in her diet to improve her MS outcomes Other conditions that may benefit from The Wahls Protocol The other lifestyle factors Dr. Wahls addressed aside from nutrition to improve her condition and quality of life The spiritual component to better health and healing What keeps Dr. Wahls going now that she's seen incredible improvements in her condition Resources mentioned: Dr. Terry Wahls' website Dr. Terry Wahls' Instagram, Twitter, Facebook, and YouTube channel Where you can donate to help support Dr. Wahls' incredible research Dr. Wahls' book, The Wahls Protocol
THRIVE@Carver is a series of podcast episodes on leadership in medicine. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine J. Brooks Jackson, MD, MBA Dean of Carver College of Medicine VP of Medical Affairs Professor of Pathology University of Iowa Financial Disclosures: Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=51867 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.) Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)
This is the first episode of THRIVE@Carver, a special series on leadership in medicine. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Patricia Winokur, MD Executive Dean Professor of Internal Medicine University of Iowa Carver College of Medicine Financial Disclosures: Dr. Clancy, Dr. Winokur and the members of the planning committee for Rounding@IOWA and THRIVE@Carver have no relevant financial relationships to disclose. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=51869 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.) Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 09/23/2022
In this episode, Lt. Collin Wellsandt from the Iowa City Fire Department as well as Dr. Lucy Wibbenmeyer and nurse manager Jolyn Schneider from the UIHC Burn Treatment Center join Dr. Clancy for a discussion of prevention and treatment of burns and toxic gas inhalation. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Jolyn Schneider, MSN RN Nurse Manager, Burn Treatment Center University of Iowa Hospitals and Clinics Lt. Collin Wellsandt Firefighter Iowa City Fire Department Lucy Wibbenmeyer, MD Clinical Professor of Surgery-Acute Care Surgery Program Director, Burn Fellowship, Surgery Director, Burn Treatment Unit University of Iowa Carver College of Medicine References/Resources: Safe Start Burn Prevention Program https://uihc.org/childrens/services/safe-start-burn-prevention-program Burn Awareness and Prevention for Children Guide https://uihc.org/childrens/health-topics/burn-awareness-and-prevention-children-guide How Do Carbon Monoxide Detectors Work? https://www.nist.gov/how-do-you-measure-it/how-do-carbon-monoxide-detectors-work The Burden of Adverse Childhood Experiences in Children and Those of Their Parents in a Burn Population https://pubmed.ncbi.nlm.nih.gov/33484246/ Financial Disclosures: Dr. Lucy Wibbenmeyer has disclosed the following relevant financial relationships: Avita Medical Americas, LLC - Sponsored Research, Consultant; AlloSource - Consultant; MediWound Ltd. - Sponsored Research; Stratatech - Sponsored Research Dr. Gerard Clancy, Jolyn Schneider, Collin Wellsandt, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. All relevant financial relationships have been mitigated. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=56443 CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.) Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 01/17/2023
This episode is brought to you by WHOOP and Inside Tracker. Today on The Dhru Purohit Podcast, Dhru sits down with Dr. Terry Wahls to discuss the top foods and lifestyle factors that support and damage our mitochondria. Dr. Wahls shares how she healed herself from secondary progressive multiple sclerosis using the principles of Functional Medicine.Dr. Wahls is an Institute for Functional Medicine certified practitioner and clinical professor of medicine at the University of Iowa Carver College of Medicine. She is the author of The Wahls Protocol and the cookbook The Wahls Protocol Cooking for Life. She has conducted several clinical trials, coauthored 24 scientific publications, and is pioneering a way to make her protocol more accessible by making it available online to the public. In this episode, Dhru and Dr. Wahls talk about the damage processed foods cause for people's health and the environment. They discuss Dr. Wahls' story, and how The Wahls Protocol inspired clinical research that has helped thousands of people reclaim their health. In this episode, we dive into: - The top three superfoods that Dr. Wahls uses regularly and includes in her Wahls Protocol to supercharge mitochondrial health (2:14)- The top three foods that are damaging our mitochondrial health (19:10)- The role sugar plays in our mitochondrial health (26:10)- Lifestyle factors that help and hurt our mitochondria (27:46)- How and what toxins poison our mitochondria (31:36)- Dr. Wahls' illness and how she discovered the role her mitochondria played (50:47)- The biggest changes Dr. Wahls made to her diet on her healing journey (1:08:26)- Remarkable stories of patients following the Wahls Protocol (1:23:21)- Who might not benefit from eating plant fiber (1:40:10)- The latest on Dr. Wahls' research (1:49:04) Also mentioned in this episode:The Wahls ProtocolBristol Stool ChartFor more on Dr. Wahls, follow her on Instagram @drterrywahls and through her website, terrywahls.com. WHOOP is a personalized digital fitness tracker and health coaching platform that monitors your physiology 24/7 and provides personalized recommendations based on what your body needs. To get yours, go to join.whoop.com and get 15% off your membership with code DHRU15.InsideTracker provides detailed nutrition and lifestyle guidance based on your individual needs. Right now, they're offering my podcast community 20% off. Just go to insidetracker.com/DHRU to get your discount and try it out for yourself. Hosted on Acast. See acast.com/privacy for more information.
Dialing in your diet is essential to supporting your health, even in combating chronic illnesses like an autoimmune diseases. Terry Wahls joins Thyroid Strong Podcast to share her story of multiple sclerosis and how she reduced the painful symptoms of her disease, Dr. Wahls has reclaimed control of her life and continues to study and write about the role that nutrition and lifestyle interventions can play in treating MS.Dr. Terry Wahls is a clinical professor of medicine at the University of Iowa Carver College of Medicine. In addition, she conducts clinical research and has published over 60 peer-reviewed scientific abstracts, posters, and papers. Besides being a doctor, Dr. Wahls has added insight into her profession as a patient with multiple sclerosis. In this interview, Dr. Wahls explains the protocol that she came up with to help other patients with MS regain control of their health through diet and exercise. As the research continues, more and more is being discovered about the role that functional medicine can play in helping people with chronic degenerative diseases and Dr. Wahls shares some of her groundbreaking discoveries with us today.Have you or someone you know drastically changed their diet to manage symptoms after a diagnosis? Tell me how it went in the comments below!In this episode:Dr. Wahls' story after getting diagnosed with multiple sclerosisThe importance of mitochondrial functioning in maintaining the overall health of your organs and how to support its health through dietHow air travel negatively affects your health by exposing you to more toxinsThe transformations with patients on the Wahls ProtocolHow to start taking better care of our mitochondriaThe most important supplements you can take to support your mitochondriaQuotes:“I had to combine the principles of ancestral health and functional medicine and what I was learning based on my own reviews of the basic science of MS to create this very intentional and intense therapeutic diet and lifestyle program.” [8:18]“The organs that are most dependent on mitochondria are the ones with the highest energy needs — so your retina, your heart, and your brain… It's those three organs where the mitochondrial dysfunction will first show up.” [16:07]“We had one lady who came to us using a cane for short distances and a walker for long distances. She was jogging by six months!” [21:46]“We can't be successful if we have ill mitochondria.” [32:09]Links:Find Dr. Terry Wahls onlineFollow Dr. Wahls on Facebook | Pinterest | Twitter | YouTubeThe Wahls Protocol by Terry Wahls, M.D.Watch Terry Wahls' Ted TalkGet the Wahls Protocol Diet HandoutRead Dr....
VIDEOS: The Cost of Denial Clip (17:33) Hang On, Bill Gates and Dr. Fauci just did WHAT? | Redacted with Clayton Morris (21:43) There is nothing constructive about the pot calling the kettle black. – Clare Daly (1:17) Clinical trial for nicotinamide riboside: Vitamin safely boosts levels of important cell metabolite linked to multiple health benefits University of Iowa Health Care, October 10, 2022 In a clinical trial of nicotinamide riboside (NR), a newly discovered form of Vitamin B3, researchers have shown that the compound is safe for humans and increases levels of a cell metabolite that is critical for cellular energy production and protection against stress and DNA damage. Studies in mice have shown that boosting the levels of this cell metabolite — known as NAD+ — can produce multiple health benefits, including resistance to weight gain, improved control of blood sugar and cholesterol, reduced nerve damage, and longer lifespan. Levels of NAD+ diminish with age, and it has been suggested that loss of this metabolite may play a role in age-related health decline. These findings in animal studies have spurred people to take commercially available NR supplements designed to boost NAD+. However, these over-the-counter supplements have not undergone many clinical trials to see if they work in people. The new research, reported in the journal Nature Communications, was led by Charles Brenner, PhD, professor and Roy J. Carver Chair of Biochemistry at the University of Iowa Carver College of Medicine The human trial involved six men and six women, all healthy. Each participant received single oral doses of 100 mg, 300 mg, or 1,000 mg of NR in a different sequence with a seven-day gap between doses. After each dose, blood and urine samples were collected and analyzed to measure various NAD+ metabolites in a process called metabolomics. The trial showed that the NR vitamin increased NAD+ metabolism by amounts directly related to the dose, and there were no serious side effects with any of the doses. “This trial shows that oral NR safely boosts human NAD+ metabolism,” Brenner says. “We are excited because everything we are learning from animal systems indicates that the effectiveness of NR depends on preserving and/or boosting NAD+ and related compounds in the face of metabolic stresses. Because the levels of supplementation in mice that produce beneficial effects are achievable in people, it appears than health benefits of NR will be translatable to humans safely.” Consumption of a bioactive compound from Neem plant could significantly suppress development of prostate cancer National University of Singapore, September 29, 2022 Oral administration of nimbolide, over 12 weeks shows reduction of prostate tumor size by up to 70 per cent and decrease in tumor metastasis by up to 50 per cent A team of international researchers led by Associate Professor Gautam Sethi from the Department of Pharmacology at the Yong Loo Lin School of Medicine at the National University of Singapore (NUS) has found that nimbolide, a bioactive terpenoid compound derived from Azadirachta indica or more commonly known as the neem plant or curry leaf common in throughout Indian cuisine, could reduce the size of prostate tumor by up to 70 per cent and suppress its spread or metastasis by half. In this research, we have demonstrated that nimbolide can inhibit tumor cell viability — a cellular process that directly affects the ability of a cell to proliferate, grow, divide, or repair damaged cell components — and induce programmed cell death in prostate cancer cells,” said Assoc Prof Sethi. The researchers observed that upon the 12 weeks of administering nimbolide, the size of prostate cancer tumor was reduced by as much as 70 per cent and its metastasis decreased by about 50 per cent, without exhibiting any significant adverse effects. “This is possible because a direct target of nimbolide in prostate cancer is glutathione reductase, an enzyme which is responsible for maintaining the antioxidant system that regulates the STAT3 gene in the body. The activation of the STAT3 gene has been reported to contribute to prostate tumor growth and metastasis,” explained Assoc Prof Sethi. “We have found that nimbolide can substantially inhibit STAT3 activation and thereby abrogating the growth and metastasis of prostate tumor,” he added. Mindfulness training provides a natural high, study finds University of Utah, October 20, 2022 New research from the University of Utah finds that a mindfulness meditation practice can produce a healthy altered state of consciousness in the treatment of individuals with addictive behaviors. Not unlike what one might experience under the influence of psychedelic drugs—achieving this altered state through mindful meditation has the potential lifesaving benefit of decreasing one's addictive behaviors by promoting healthy changes to the brain. The findings come from the largest neuroscience study to date on mindfulness as a treatment for addiction. The study, published in the journal Science Advances, provides new insight into the neurobiological mechanisms by which mindfulness treats addiction. Study findings provide a promising, safe and accessible treatment option for the more than 9 million Americans misusing opioids. Eric Garland is the lead author of the paper and is a distinguished professor and directs the University of Utah's Center on Mindfulness and Integrative Health Intervention Development. Garland's study builds on previous research measuring the positive effects of theta waves in the human brain. Researchers have found that individuals with low theta waves tend to experience a wandering mind, trouble concentrating or they ruminate on thoughts about themselves. Low theta waves result in a loss of self-control as the brain slips into its default mode of automatic habits. In contrast, when a person is focused, present and fully absorbed in a task, EEG scans will show increased frontal midline theta wave activity. “With high theta activity, your mind becomes very quiet, you focus less on yourself and become so deeply absorbed in what you are doing that the boundary between yourself and the thing you are focusing on starts to fade away. You lose yourself in what you are doing,” said Garland. Garland's new study showed it is in this mindful, theta wave state that people begin to experience feelings of self-transcendence and bliss, and the brain changes in ways that actually reduce one's addictive behaviors. Garland's research team recruited 165 adults with long-term opioid use for the study. Participants were randomly placed into either the control group that participated in supportive group psychotherapy or the experimental group taught to incorporate Mindfulness-Oriented Recovery Enhancement (MORE) into their daily lives. Participants showed more than twice as much frontal midline theta brain activity following treatment with MORE, whereas those in supportive therapy showed no increase in theta. Participants in MORE who showed the biggest increases in theta waves reported more intense experiences of self-transcendence during meditation, including the sense of one's ego fading away, a sense of oneness with the universe or feelings of blissful energy and love. MORE also led to significant decreases in opioid misuse through the nine-month follow-up. These reductions in opioid misuse were caused in part by the increases in frontal midline theta brain waves. Garland explained that by achieving “tastes of self-transcendence” through meditation, mindfulness therapy boosted theta waves in the frontal lobes of the brain to help participants gain self-control over their addictive behaviors. Free radicals blamed for toxic buildup in Alzheimer's brains Rutgers University, October 11, 2022. A study reported in Cell Death & Disease revealed a previously unknown mechanism that may contribute to traumatic brain injury and Alzheimer's disease. While a buildup of the protein amyloid-beta has been hypothesized to be the major driver of Alzheimer's disease, the study suggests that another protein, after undergoing oxidation by free radicals, could be a causative factor. “Indeed, scientists have known for a long time that during aging or in neurodegenerative disease cells produce free radicals,” explained lead researcher Federico Sesti, who is a professor of neuroscience and cell biology at Rutgers Robert Wood Johnson Medical School. “Free radicals are toxic molecules that can cause a reaction that results in lost electrons in important cellular components, including the channels.” Dr Sesti and colleagues determined that oxidation of a potassium channel known as KCNB1 results in a toxic buildup of this protein, leading to increased amyloid-beta production and damage to brain function. “The discovery of KCNB1's oxidation/build-up was found through observation of both mouse and human brains, which is significant as most scientific studies do not usually go beyond observing animals,” Dr Sesti reported. “Further, KCBB1 channels may not only contribute to Alzheimer's but also to other conditions of stress as it was found in a recent study that they are formed following brain trauma.” Study: Maternal, paternal exercise affects metabolic health in offspring Ohio State University, October 19, 2022 A mouse study by Kristin Stanford, with The Ohio State University College of Medicine at the Wexner Medical Center, provides new ways to determine how maternal and paternal exercise improve metabolic health of offspring. This study used mice to evaluate how their lifestyles—eating fatty foods vs. healthy and exercising vs. not—affected the metabolites of their offspring. Metabolites are substances made or used when the body breaks down food, drugs or chemicals, or its own fat or muscle tissue. This process, called metabolism, makes energy and the materials needed for growth, reproduction and maintaining health. Metabolites can serve as disease markers, particularly for type 2 diabetes and cardiovascular disease. “Tissue metabolites contribute to overall metabolism, including glucose or fatty acid metabolism, and thus systemic metabolism. We have previously shown that maternal and paternal exercise improve health of offspring. Tissue and serum metabolites play a fundamental role in the health of an organism, but how parental exercise affects offspring tissue and serum metabolites has not yet been investigated. This new data contributes to how maternal or paternal exercise could improve metabolism in offspring,” Stanford said. This study found that all forms of parental exercise improved whole-body glucose metabolism in offspring as adults, and metabolomics profiling of offspring serum, muscle, and liver reveal that parental exercise results in extensive effects across all classes of metabolites in all of these offspring tissues. Regular consumption of fried food before pregnancy increases risk of developing gestational diabetes Kennedy Shriver National Institute of Child Health and Human Development, October 10, 2022 New research published in Diabetologia (the journal of the European Association for the Study of Diabetes) shows that women who eat fried food regularly before conceiving are at increased risk of developing gestational diabetes during pregnancy. Gestational diabetes (GDM) is a complication that can arise during pregnancy, and is characterised by abnormally high blood glucose during the pregnancy (especially in the final 3 months). It can lead to increased birthweight of the child, as well jaundice and other complications. When left untreated, it can cause complications or stillbirth. Women who have GDM are more likely to later develop full blown type 2 diabetes. The authors included 21,079 singleton pregnancies from 15,027 women in the Nurses' Health Study II (NHS II) cohort. NHS II is an ongoing prospective cohort study of 116,671 female nurses in the USA aged 25-44 years at the start of study. For fried food consumption, participants were asked “how often do you eat fried food away from home (e.g. French fries, fried chicken, fried fish)?” and “how often do you eat food that is fried at home?” Both questions had four possible frequency responses: less than once per week, 1-3 times per week, 4-6 times per week, or daily. The researchers analysed fried food consumption at home and away from home separately, as well as total fried food consumption. In addition, they asked the participants what kind of frying fat/oils they usually used at home, with the possible responses as follows: real butter, margarine, vegetable oil, vegetable shortening, or lard. The association persisted after further adjustments were made for varying body-mass index (BMI). After this, the risk ratios of GDM among women who consumed total fried foods 1-3, 4-6, and 7 or more times per week, compared with those who consumed less than once per week, were 1.06, 1.14, and 1.88 respectively (thus an 88% increased risk for 7 or more times per week compared with less than once per week). The authors say: “The potential detrimental effects of fried food consumption on GDM risk may result from the modification of foods and frying medium and generation of harmful by-products during the frying process. Frying deteriorates oils through the processes of oxidation and hydrogenation, leading to an increase in the absorption of oil degradation products by the foods being fried, and also a loss of unsaturated fatty acids such as linoleic and linolenic acids and an increase in the corresponding trans fatty acids such as trans-linoleic acids and trans-linolenic acids.” They add: “Frying also results in significantly higher levels of dietary advanced glycation end products (AGEs), the derivatives of glucose-protein or glucose-lipid interactions. Recently, AGEs have been implicated in insulin resistance, pancreatic beta-cell damage, and diabetes, partly because they promote oxidative stress and inflammation. Moreover, intervention studies with a diet low in AGEs have shown significantly improved insulin sensitivity, reduced oxidant stress, and alleviated inflammation.” When analysed separately, the authors found that there was a statistically significant association of GDM with fried food consumption away from home, but not with fried food consumption at home. The authors say: “Deterioration of oils during frying is more profound when the oils are reused, a practice more common away from home than at home. This may partly explain why we observed a stronger association of GDM risk with fried foods consumed away from home than fried foods consumed at home.”
Physician Assistants have been an important partner to MDs for 50 years. A big crowd is in the studio to talk about physician assistants during National PA Week! PA2 students Ariele and Hannah join M2s Chandler, Hend, and Sophie to talk about the partnership in learning they have at the University of Iowa Carver College of Medicine, as well as their future partnerships with physicians. The gang explores these roles and more in an improv game of General Hazepital.
Hello everyone and welcome to a very special 2-part episode of the MS Gym podcast. At the moment, Jodi and I are currently on our usual summer podcast hiatus, but when author Dr. Terry Wahls, the creator of The Wahls Protocol, reached out to us to help share information about a new study she's working on, we were honored and MORE than happy to oblige. We both thought it would be a perfect opportunity to host an episode together and, of course, we couldn't wait to share the episodes with our listeners. So, you might be thinking, who is Dr. Terry Wahls? What's the Wahls Protocol? Dr. Wahls is currently a clinical professor of medicine at the University of Iowa Carver College of Medicine in Iowa City, Iowa, U.S.A., where she teaches internal medicine residents in their primary care clinics. She also does clinical research and has published over 60 peer-reviewed scientific abstracts, and papers. What gives Dr. Wahls a unique perspective in her field, is the fact that in. 2003 she was diagnosed with RRMS and quickly transitioned to SPMS a few short years later. At that time, she put her researched-oriented brain to work and discovered that most MS treatments centered around drugs that were years away from approval. Given that, she diverted her attention to the role of vitamins and supplements, which were readily available, in helping brain disorders, as part of a treatment plan. She added to her research repertoire functional medicine, a biology–based approach that focuses on identifying and addressing the root cause of disease and from there started compiling a list of supplemental nutrients that would assist in brain health. Her ah ha moment came when she asked herself, what if she created a diet that would include those important brain nutrients, not from supplements, but from the foods she ate...and the rest is Wahls Protocol history! In this episode one of two, we'll get a closer look at Dr. Wahls own physical decline and how she ate her way back to health and onto creating the now infamous Wahls Protocol. We'll also ask her about the new study she's working on. EPISODE NOTES: Who is Dr. Terry Wahls? Her unique perspective Eating her way to healthy Too weak to sit in a chair Why mitochondria is key Diet, exercise and supplements How it changed her career path What MS drugs she's taken over the years Her chemotherapy experience Redesigning her Paleo diet When the magic happened The highlights of the Wahls Protocol Where are the nutrients in the food? Her troublesome trigeminal neuralgia Being able to sit at the dining table Making symptomatic strides from food alone The bike ride that changed everything Bringing the Wahls Protocol to the masses When her own residents started trying her protocol Running her own clinic "Give me your sickest people" Is it a healing diet? A body's regenerative capacity Fixing the microbiome Is it a high fat, low carb diet? Less sugar, more vegetables and protein, yes or no? FATS, what types are important? How the standard American diet is destructive Meeting people where they're at Explaining why there is NOT a one size fits all diet Is coconut oil really like "the devil"? Pre-diet blood work How our genetic differences change the efficacy of our diet choices Should children be on a ketogenic diet Who you shouldn't be listening to The family factor Dr. Wahls study LINKS: DR. TERRY WAHLS: Website Book - The Wahls Protocol - with access to BONUS content THE MS GYM: Website YouTube Facebook Instagram BROOKE SLICK: Website Instagram
Do profound health transformations inspire and motivate you? Then you'll want to listen to this conversation with Dr. Terry Wahls, who went from being in a wheelchair to living life as an active, busy professional. Dr. Wahls is living proof that you can change debilitating conditions like multiple sclerosis (MS) with diet and lifestyle changes. Dr. Wahls – a clinical professor of medicine at the University of Iowa Carver College of Medicine, clinical researcher, and author of several books including The Wahls Protocol® – was diagnosed with relapsing-remitting multiple sclerosis (MS) in 2000. In December 2007, she began the Wahls Protocol®. The results were stunning: Within a year, Dr. Wahls could walk without a cane. She even completed an 18-mile bicycle tour! Here, you'll learn about Dr. Wahls' TEDx talk that changed everything, her big a-ha moment that helped redesign the paleo diet, and the moment that changed everything for Dr. Wahls (and left her family in tears). Plus, you'll hear about why the Wahls Protocol® is ideal for any autoimmune condition (not just MS) and the one simple dietary strategy EVERYONE should do. JJ and Dr. Wahl also talk about the most inflammatory foods (and the best anti-inflammatory options), how The Virgin Diet and the Wahls' Protocol® overlap, the groundbreaking research Dr. Wahls is doing to challenge the conversation about MS and other autoimmune conditions, and where to start if you're just beginning the Wahls Protocol®. Whether you have MS or another autoimmune condition, or you need a big hit of inspiration, you won't want to miss this information-packed conversation where Dr. Wahl proves that with the right diet, lifestyle, and mindset, anything is possible. As a thank you for listening, you'll get Dr. Wahls' five-step process that she uses in her clinics to help patients improve their health behaviors. Get Dr. Terry's Free Guide: Introduction to the Wahls Behavior Change Model https://terrywahls.com/betterhealth/