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Are you putting off scheduling your next OB-GYN appointment? We get it—it can be uncomfortable, awkward, and even embarrassing to chat with the doc about issues or questions related to down there. That's why we're bringing back this episode of This Grit and Grace Life with guest Dr. Holly Miller, a board certified OB-GYN, to answer all the hard OB-GYN questions you need to know about feminine health but are probably too embarrassed to ask about. This episode is filled with questions that women tend to run from, including: When do we see a gynecologist? Why do we see gynecologists? Do we have to see a gynecologist? And the biggest question, why are we terrified of seeing a gynecologist? Whether you're busy or scared something is wrong and you don't want to face it, you need to go see a gynecologist. It's that simple! Neglecting your health is no way to handle potential issues you may be facing. We know after listening, you'll feel comfortable and confident scheduling your next appointment! What else you'll learn: When a teenager should see a gynecologist When you should have your first pap smear How regularly you should have a pap smear and pelvic exams How to feel comfortable when seeing your gynecologist Important information you need to share with your gynecologist What a “normal cycle” should look like Symptoms you need to look out for throughout our womanhood Common issues you need to know are not normal When you need to begin getting regular mammograms The top things Dr. Miller wants you to know about your feminine health Why you never need to feel embarrassed! Dr. Holly Miller completed medical school at Loyola University Stritch School of Medicine and a residency in Obstetrics and Gynecology at Rush University Medical Center in Chicago. She's currently an OB-GYN physician in Florida. Outside of the office, Dr. Miller enjoys reading, running and spending time with her husband and four children. Find more from Dr. Miller by visiting her practice website here. Quote of the episode: “It's extremely important that women of all ages have a relationship with a doctor, specifically a gynecologist." —Dr. Holly Miller Resources Mentioned: Follow Dr. Holly Miller on Instagram for more feminine health advice HERE. Be sure to follow us on social media! Facebook Instagram Twitter Pinterest #gritandgracelife
Join us on this episode of the Spine Pod with Dr. Avinash Patwardhan as we discuss the fundamental components of spine biomechanics and the driving principles behind why restoring natural motion in the spine is the key to long-term successful outcomes and improved quality of life for patients seeking spine care. Dr. Avinash Patwardhan is a professor at the Loyola University Stritch School of Medicine and a world-renowned biomechanical engineer and researcher who has made significant contributions to the field of spine surgery. His work on sagittal balance and alignment, motion preservation, spinal kinematics and the follower load model has placed him at the forefront of biomechanics in the spine community for nearly 50 years, with more than 300 publications to date. Over the last twenty years, Dr. Patwardhan has committed his research to the advancement of motion preservation devices, including cervical and lumbar artificial disc replacement and lumbar total joint replacement. His research lab at the Edward Hines Jr. VA Hospital has played a major role in testing the safety and efficacy of many motion-preserving devices used in spine care in the United States today. Listen as Dr. Patwardhan talks about the evolution of motion-preserving devices in spine surgery, highlighting the importance of understanding the biomechanical principles of the native spine and the impact that fusion can have on adjacent segments. He also discusses his early work with the first ever artificial disc approved in the United States, the Charité disc, and the challenges faced in developing and testing new motion-preserving devices throughout his career. Dr. Patwardhan wraps up the conversation by emphasizing the importance of patient selection and his future vision of utilizing both radiographic and pre- and postoperative clinical data to improve surgical outcomes. Check out The Spine Pod on: Apple Podcasts: https://podcasts.apple.com/us/podcast/the-spine-pod/id1744988609 Spotify: https://open.spotify.com/show/0DBzWfVt1ExQE0qTjhOERa?si=wGshpmKtTsWf4_3tjye-ZA Amazon Music: https://music.amazon.com/podcasts/98fd41ad-75ee-4371-bb70-c5b274324a47/the-spine-pod?ref=dm_sh_MQE4wl3lyb6590VX9msjWdqkn Follow The Spine Pod on Facebook https://www.facebook.com/profile.php?id=61558880652712
On this episode, we have the privilege of learning from Dr. Jillian Carnahan, a Medical Doctor, Functional Medicine Expert, and author of "Unexpected". Dr. Carnahan tells the compelling story of her path to healing from serious health issues, including breast cancer and Crohn's Disease, as well as environmental toxins, mold, and emotional trauma. She opens herself up to listeners in the knowledge that many of us will identify with her personal experiences, and with the hope that we can learn how to heal ourselves. Dr. Carnahan believes that the interplay of toxicity and our infectious burden overwhelms our capacity to heal and it is only when we're conscious of both and implement the physical and emotional steps necessary to reduce our toxic load that we can find health and healing. On today's podcast, you will learn: About Dr. Jill Carnahan's compassionate work to help people detox and heal. The physical and emotional triggers that can cause various ailments. How mold can cause gut impermeability and a myriad of illnesses and what you can do about it. The importance of listening to your body and loving yourself. How Dr. Carnahan's personal health and emotional experiences led to her passion for healing others. Dr. Carnahan's favorite detox tips. About “Unexpected”, Dr. Carnahan's memoir and how you can get a signed copy. Dr. Jill Carnahan's Bio: Dr. Jill Carnahan is a Medical Doctor and Functional Medicine Expert. She uses functional medicine to help patients find the root cause of their illness and identify nutritional and biochemical imbalances that may be contributing to symptoms. Dr. Carnahan searches for underlying triggers that contribute to illness through cutting-edge lab testing and tailors the intervention to individual needs. She uses nutrition, supplements, lifestyle changes, or medication to treat illness, and always seeks the gentlest way to help patients restore health. Dr. Carnahan received her medical degree from Loyola University Stritch School of Medicine in Chicago. She is board certified in Family Medicine and Integrative Holistic Medicine. She worked as the medical director at the Methodist Center for Integrative Medicine in Peoria, Illinois, a practice she founded. Thirteen years ago she moved to Boulder, Colorado and opened Flatiron Functional Medicine where she has a widely sought-after medical practice with a broad range of clinical service including nutritional consultations, chiropractic therapy, naturopathic medicine, acupuncture, and massage therapy. Dr. Carnahan is survivor of both breast cancer and Crohn's disease and passionate about teaching patients how to live well and thrive in the midst of complex and chronic illness. She is also a widely sought-after inspirational speaker and travels around the world to teach physicians the principles of personalized and functional medicine. She is a prolific writer and speaker, and loves to infuse others with her passion for hope, health and healing! She has been featured in Shape Magazine, Parade, Forbes, MindBodyGreen, First for Women, Townsend Newsletter, and The Huffington Post as well as seen on NBC News and Health segments with Joan Lunden. She recently published her prescriptive memoir “Unexpected”. Learn more about Dr. Jill Carnahan at jillcarnahan.com ✨SUBSCRIBE✨ http://bit.ly/38pyo1U
Dr. Carnahan completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. In 2006 she was voted by faculty to receive the Resident Teacher of the Year award and elected to Central Illinois 40 Leaders Under 40. She received her medical degree from Loyola University Stritch School of Medicine in Chicago and her Bachelor of Science degree in Bio-Engineering at the University of Illinois in Champaign-Urbana. She is dually board-certified in Family Medicine (ABFM) and Integrative Holistic Medicine (ABIHM). Dr. Jill was also part of the first 100+ health-care practitioners to be certified in Functional Medicine through the Institute of Functional Medicine (IFMCP). In 2008, Dr. Carnahan's vision for health and healing resulted in the creation of Methodist Center for Integrative Medicine in Peoria, IL where she served as the Medical Director for 2 years. In 2010, she founded Flatiron Functional Medicine in Boulder, Colorado where she partnered in functional medicine with medical partner, Dr. Robert Rountree. She recently opened a brand new medical clinic with a broad range of services in Louisville, Colorado. Dr. Jill is also 15-year survivor of breast cancer and Crohn's disease and passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is also committed to teaching other physicians how to address underlying cause of illness rather than just treating symptoms through the principles of functional medicine. She is a prolific writer, speaker, and loves to infuse others with her passion for health and healing!
Today we talk about Functional Medicine with Jill Carnahan, MD, ABIHM, ABoIM, IFMCP, Founder and Medical Director of Flatiron Functional Medicine and a world-renowned expert on this medical subspecialty that is based on personalized medicine and focused on the root causes, such as lifestyle instead of symptoms like high cholesterol. Utilizing state-of-the-art lab testing and biochemical analysis, Dr. Carnahan helps each patient identify the root cause of their illness by identifying nutritional or metabolic imbalances that may be contributing to their symptoms. She uses nutritional protocols and supplements, lifestyle changes, and medication to increase patient level of function and always seeks the gentlest and least invasive way to restore health and optimize healing. Dr. Carnahan was part of the first 100+ healthcare practitioners to be certified in Functional Medicine through the Institute for Functional Medicine (IFMCP). She is committed to educating other health professionals how to address underlying causes of illness through the principles of Functional Medicine. After completing her residency at the University of Illinois in Family Medicine at Methodist Medical Center, Dr. Carnahan received her medical degree from Loyola University Stritch School of Medicine in Chicago. She received her Bachelor of Science degree in Bioengineering at the University of Illinois at Champaign-Urbana. ◘ Related Links Dr. Carnahan's website bit.ly/3XXr6dx The Institute for Functional Medicine www.ifm.org What is Functional Medicine bit.ly/3VmIhU3 Replacing Review of Systems to Improve Healthcare Delivery: A Functional Medicine Commentary bit.ly/3udnYwj ◘ Transcript bit.ly/3ONShmP ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.
Dr. Sari Hart is an Emergency Medicine physician at Hines VA Hospital and an Associate Professor of Emergency Medicine at Loyola University Stritch School of Medicine. She is also the founder of ESME, Emotional and Social Medical Education and the creator of Healer's Art Reflections, which she was inspired to create as a sequel to Dr. Rachel Naomi Remen's Healer's Art. She was born in Chicago, in the very same rooms where she would later learn to deliver babies. She completed medical school and her emergency medicine residency at University of Chicago. Her emergency medicine experience spans the full spectrum from outpost locum tenens work in the midwestern flatlands to dynamic inner-city practices. Over time, her commitment to healing expanded to include healing the healers themselves. With this new focus, Dr. Hart founded ESME, bringing the best of current social and emotional learning to tomorrow's doctors. To learn more about ESME and Healer's Art Reflections, visit www.sarihart.com. Episode produced by: Emily Hagen, Rasa Valiauga Episode recording date: October 3, 2022 www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate --- Send in a voice message: https://anchor.fm/medicus/message
Do you have occasional heartburn or a bitter sour taste in your mouth consistently? You could be suffering from a reflux disease called GERD. Other symptoms can be a cough, asthma, laryngitis and even chest pain! Mark sits down with Dr. John Pandolfino to discuss his research in regards to gastroesophageal reflux and swallowing disorders.About Dr. John Pandolfino John E. Pandolfino, MD, is the Chief of Gastroenterology and Hepatology at Northwestern Medicine. A native of Brooklyn, New York, Dr. Pandolfino received his Doctor of Medicine from Loyola University Stritch School of Medicine and completed a residency and fellowship at Northwestern University. His research focuses on the biomechanics of bolus transport (where a mass of food has been chewed to the point of swallowing) and gastrointestinal motility as it pertains to gastroesophageal reflux and swallowing disorders. He developed the Esophageal Center at Northwestern Medicine, which serves as the nation's top referral center for complex esophageal diseases, such as achalasia, eosinophilic esophagitis and refractory Gastroesophageal Reflux Disease (GERD). The brain-gut connection can't be ignored. Stress triggers symptoms- it can increase acid in the stomach, relax the muscles that stop acid from flowing back up into the esophagus, and decrease the production of substances that protect the stomach from acid. Lifestyle changes and medication needs vary according to patient. Rather than put all patients on elaborate and restrictive diets, the Northwestern Medicine team helps patients identify their triggers and teaches them how to avoid them, reduce them and medicate those that can't otherwise be addressed. Some patients also benefit from surgery to fix the structures that are allowing GERD to occur. Treatment is important: Over time, chronic inflammation from GERD can break down the esophagus, causing pain, ulcers, scar tissue and problems with swallowing. It can also cause changes to the esophagus that can increase the risk of esophageal cancer. For more information, please visit www.nm.org/radio
Do you have occasional heartburn or a bitter sour taste in your mouth consistently? You could be suffering from a reflux disease called GERD. Other symptoms can be a cough, asthma, laryngitis and even chest pain! Mark sits down with Dr. John Pandolfino to discuss his research in regards to gastroesophageal reflux and swallowing disorders.About Dr. John Pandolfino John E. Pandolfino, MD, is the Chief of Gastroenterology and Hepatology at Northwestern Medicine. A native of Brooklyn, New York, Dr. Pandolfino received his Doctor of Medicine from Loyola University Stritch School of Medicine and completed a residency and fellowship at Northwestern University. His research focuses on the biomechanics of bolus transport (where a mass of food has been chewed to the point of swallowing) and gastrointestinal motility as it pertains to gastroesophageal reflux and swallowing disorders. He developed the Esophageal Center at Northwestern Medicine, which serves as the nation's top referral center for complex esophageal diseases, such as achalasia, eosinophilic esophagitis and refractory Gastroesophageal Reflux Disease (GERD). The brain-gut connection can't be ignored. Stress triggers symptoms- it can increase acid in the stomach, relax the muscles that stop acid from flowing back up into the esophagus, and decrease the production of substances that protect the stomach from acid. Lifestyle changes and medication needs vary according to patient. Rather than put all patients on elaborate and restrictive diets, the Northwestern Medicine team helps patients identify their triggers and teaches them how to avoid them, reduce them and medicate those that can't otherwise be addressed. Some patients also benefit from surgery to fix the structures that are allowing GERD to occur. Treatment is important: Over time, chronic inflammation from GERD can break down the esophagus, causing pain, ulcers, scar tissue and problems with swallowing. It can also cause changes to the esophagus that can increase the risk of esophageal cancer. For more information, please visit www.nm.org/radio
In this episode of This Grit and Grace Life, we revisit an important conversation with Dr. Holly Miller on women's health, including issues you need to know but are probably too embarrassed to ask about. Dr. Miller is a board certified OB-GYN, wife of 20+ years, mother of four, and dedicated to ensuring you know everything you need to know about your feminine health. This episode is filled with questions that women tend to run from… When do we see a gynecologist? Why do we see gynecologists? Do we have to see a gynecologist? And the biggest question, why are we terrified of seeing a gynecologist? It's our goal with this episode to emphasize that your feminine health is extremely important, and you need to stop putting it on the back burner. Whether you're busy or scared something is wrong and you don't want to face it, you need to go see a gynecologist. It's that simple! Neglecting your health is no way to handle potential issues you may be facing. We know after listening, you'll feel comfortable and confident scheduling your next appointment! What else you'll learn: When a teenager should see a gynecologist When you should have your first pap smear How regularly you should have a pap smear and pelvic exams How to feel comfortable when seeing your gynecologist Important information you need to share with your gynecologist What a “normal cycle” should look like Symptoms you need to look out for throughout our womanhood Common issues you need to know are not normal When you need to begin getting regular mammograms The top things Dr. Miller wants you to know about your feminine health Why you never need to feel embarrassed! Dr. Holly Miller completed medical school at Loyola University Stritch School of Medicine and a residency in Obstetrics and Gynecology at Rush University Medical Center in Chicago. She's currently an OB-GYN physician in Florida. Outside of the office, Dr. Miller enjoys reading, running and spending time with her husband and four children. Find more from Dr. Miller by visiting her practice website here. Quote of the episode: “It's extremely important that women of all ages have a relationship with a doctor, specifically a gynecologist." —Dr. Holly Miller Be sure to follow us on social media! Facebook Instagram Twitter Pinterest #gritandgracelife
In this episode of This Grit and Grace Life, we revisit an important conversation with Dr. Holly Miller on women's health, including issues you need to know but are probably too embarrassed to ask about. Dr. Miller is a board certified OB-GYN, wife of 20+ years, mother of four, and dedicated to ensuring you know everything you need to know about your feminine health. This episode is filled with questions that women tend to run from… When do we see a gynecologist? Why do we see gynecologists? Do we have to see a gynecologist? And the biggest question, why are we terrified of seeing a gynecologist? It's our goal with this episode to emphasize that your feminine health is extremely important, and you need to stop putting it on the back burner. Whether you're busy or scared something is wrong and you don't want to face it, you need to go see a gynecologist. It's that simple! Neglecting your health is no way to handle potential issues you may be facing. We know after listening, you'll feel comfortable and confident scheduling your next appointment! What else you'll learn: When a teenager should see a gynecologist When you should have your first pap smear How regularly you should have a pap smear and pelvic exams How to feel comfortable when seeing your gynecologist Important information you need to share with your gynecologist What a “normal cycle” should look like Symptoms you need to look out for throughout our womanhood Common issues you need to know are not normal When you need to begin getting regular mammograms The top things Dr. Miller wants you to know about your feminine health Why you never need to feel embarrassed! Dr. Holly Miller completed medical school at Loyola University Stritch School of Medicine and a residency in Obstetrics and Gynecology at Rush University Medical Center in Chicago. She's currently an OB-GYN physician in Florida. Outside of the office, Dr. Miller enjoys reading, running and spending time with her husband and four children. Find more from Dr. Miller by visiting her practice website here. Quote of the episode: “It's extremely important that women of all ages have a relationship with a doctor, specifically a gynecologist." —Dr. Holly Miller Be sure to follow us on social media! Facebook Instagram Twitter Pinterest #gritandgracelife
Be Green With Amy - Plant Based Nutrition, Weight Loss, Cooking, Traveling and more!
What is a plant based lifestyle? What can I eat on a plant based diet? Watch Full Episode! Learn the easy steps to becoming plant based. Get started now! Find out where you get your protein, calcium, b12 and more. Scroll down for Dr. Zacharias's bio ⬇⬇
Eva Wojcik is Chair of the Department of Pathology and Helen M. and Raymond M. Galvin Professor of Pathology at Loyola University Stritch School of Medicine, Maywood, Illinois, USA.Dana Razzano is a current GI/Liver Pathology Fellow at Stanford University, California, USA, and completed a Cytopathology fellowship at Yale University, Connecticut, USA, in June 2021.You can find Dana on Twitter at @Dr_DR_Cells, and Eva on Twitter at @eva_wojcik.
Despite her impressive background, including her UCLA Obstetrics and Gynecology Residency, Dr. Courtney Hunt, MD, found herself at a loss when both her and her husband were dealing with autoimmune conditions. The things that she had been taught during her medical training helped mask some symptoms at best, but never got her anywhere close to the point of being truly healed. How could this happen? Shouldn't someone who, statistically, has more knowledge about the body than 99% of people be able to fix just about anything? It turns out, she couldn't. And, with this realization, Dr. Hunt went back to the drawing board to rethink everything she knew and had been taught. In this episode, we are talking to someone who just may be the most knowledgeable guest we've ever had. You will not only learn about how she healed, but also how she started connecting the dots of a much bigger picture involving the entirety of humanity. How did this OBYGYN turn into someone on a mission to heal the human race? You'll just have to tune in to find out. But, when you do, don't forget your notebook! About Dr. Hunt: Dr. Courtney Hunt has spent the majority of her career as a board certified OBGYN helping women, mothers, and their children deal with 21st Century illnesses that current medical textbooks fail to address. Most of these illnesses arise from our changing, modern environment. After many years delivering babies, Dr. Hunt grew tired of seeing mother after mother, and woman after woman, come in feeling exhausted, foggy, achy, and sad. Worse yet, she grew concerned about the growing number of sick children these women were bringing in with them; children of all ages. Dr. Hunt herself was a busy delivering obstetrician and operating gynecologist and has spent years translating that expertise into figuring out how to make surgery and pharmaceuticals less necessary and lifestyle more important in the path to wellness. She began to study nutrigenetics many years ago when she started to realize that the majority of her pregnant patients were nutrient depleted and grew concerned over the impact this could have on the fetus. Since childhood, Dr. Hunt had a desire to become a physician, especially when at the age of 13 her grandmother developed ALS also known as Lou Gherig's disease. This motivated her at age 17 to attend The University of California at Berkeley as an integrative biology major with a focus on reproductive endocrinology, genetics, and neuroscience. She graduated from medical school at Loyola University Stritch School of Medicine at 25 and completed her residency at UCLA, ultimately administrative chief resident. After practicing for one year in California, at 29, she moved to Arizona. After working with a large OBGYN group, she opened her own practice, Desert Jewel OBGYN, in 2005 as the founder and medical director. It was in this practice that she saw an increase of patients that suffered from chronic fatigue, autoimmune disease, fibromyalgia, horrible perimenopausal symptoms, Hashimoto's, vertigo, migraines, memory disorders – and the more she saw, the more they came. These were patients who had previously been ignored by others, undiagnosed, misdiagnosed, or had only been given band-aids for their symptoms. In an attempt to better understand those patients and their symptoms, Dr. Hunt utilized her knowledge in genetics to develop a deeper understanding of human DNA how it interacts with environment, lifestyle, and food choices. In addition, her husband was diagnosed with Celiac Sprue shortly after they were married. A childhood disease that was missed in him despite numerous doctor's visits until well into adulthood with almost catastrophic ramifications. This spurred her to deepen her knowledge of the gastrointestinal tract and the affect our food choices as well as the microbiome have on it and it's connection to our brains. On this journey, Dr. Hunt was forced to look outside of what she had been taught in medical school and residency and look deeper for answers. This lead her to the pursuit of nutrigenetics. As an early adopter of BRCA cancer gene testing over 20 years ago, she realized that if we could see the genes that predict cancer we could also see the genes that will could heal us. A roadmap for healing, if you will, an instruction book for the body and it's environment. All of Dr. Hunt's Links/Book: www.instagram.com/courtneyhuntmd www.instagram.com/geneticprotocol www.courtneyhuntmd.com www.geneticprotocol.com www.geneticprotocol.store https://www.amazon.com/Your-Spark-Light-Mechanics-Creation-ebook/dp/B096NL1JW7 You can find out more about FDNthrive by going to www.fdnthrive.com.
Dr. Courtney Hunt has spent the majority of her career as a board certified OBGYN helping women, mothers, and their children deal with 21st Century illnesses that current medical textbooks fail to address. Most of these illnesses arise from our changing, modern environment. Dr. Hunt has spent years translating that expertise into figuring out how to make surgery and pharmaceuticals less necessary and lifestyle more important in the path to wellness. She began to study nutrigenetics many years ago when she started to realize that the majority of her pregnant patients were nutrient depleted and grew concerned over the impact this could have on the fetus. Dr. Hunt attended The University of California at Berkeley as an integrative biology major with a focus on reproductive endocrinology, genetics, and neuroscience. She graduated from medical school at Loyola University Stritch School of Medicine at 25 and completed her residency at UCLA, ultimately administrative chief resident. After practicing for one year in California, at 29, she moved to Arizona. After working with a large OBGYN group she then opened her own practice. It was in this practice that she saw an increase of patients that suffered from chronic fatigue, autoimmune disease, fibromyalgia, horrible perimenopausal symptoms, Hashimoto's, vertigo, migraines, memory disorders and more. These were patients who had previously been ignored by others, undiagnosed, misdiagnosed, or had only been given band-aids for their symptoms. In an attempt to better understand those patients and their symptoms, Dr. Hunt utilized her knowledge in genetics to develop a deeper understanding of human DNA how it interacts with environment, lifestyle, and food choices. Dr Hunt realizes that the environment is the key to our health and happiness. If we can modify our environments by changing diet, supplements, light, stress around our genetic weakness we can offload enough symptoms to allow our bodies to not only heal but thrive. We must see ourselves well. You can find her at https://geneticprotocol.com or IG:https://www.instagram.com/geneticprotocol/ This episode is hosted by Dr. Shawn Baker MD. Find him at https://shawn-baker.com Donate to the Carnivore Diet Clinical Trial: https://gofundme.com/f/carnivore-research
“As women, we’re told that we can have it all, but we still have to make a sacrifice. There may be a time when you’re sacrificing for your family and your career is on hold. But there’s always going to be that time to go back to your career. You can do it before, you can do it after, you can do it any way that works for you, you don’t have to be like anybody else. You don’t have to worry about what anyone else is doing.” -Dr. Paula Marfia In today’s episode, Dr. Jen Barna talks with Dr. Paula Marfia. You’ll get the real take on what it’s like to be a nocturnist, wife and mother. You’ll hear how Dr. Marfia makes it work and also get insight into being a nocturnist. It turns out that being a nocturnist is an amazing way to have your career and have time for family. That’s not to say that Dr. Marfia didn’t make sacrifices, because she did. Tune in to hear how she makes it all work. Dr. Marfia earned her Bachelor’s of Science in Biology from Bradley University. She earned her Master’s degree from the University of Illinois at Champaign-Urbana in Food Science and Human Nutrition. She attended medical school at Saint Louis University, then transferred to Loyola University Stritch School of Medicine which is where she earned her MD. She completed her Internal Medicine residency at Loyola and she is on staff at Loyola University Medical Center in Maywood, IL. Excerpts from the show: “Let’s dive right in. I'm curious to hear about your experience as a woman physician and a mom and how you made the choice to become a nocturnist.” “Sure, I kind of always knew that I wanted to be a doctor. I had this idea of service to others and I just remember when I was a little kid I had trouble learning to read. I didn't learn to read till I was in second grade and this idea of being smart really got to me. I felt like, when I went to the doctor, the doctor knew what was going on. They had the answers to everything. And so, that really appealed to me growing up. And then, at least I kind of learned what medicine was. As I found that I excelled in school, I thought that was the path for me. I liked the idea of getting some respect. What I found out is, medicine is a totally different world than what I thought it was going to be, especially being a mom. I only thought about being a doctor. I never thought that I was going to be a mom and get married. I'm not sure why I never thought about that, but I found myself in medical school and I found the love of my life, and so we got married and then it was just like, ‘Ok, well, now my road is going to be a little bit different.’ ” -Dr Paula Marfia “My husband was in the military, so we were in St. Louis and we ended up going up to Great Lakes Naval Base. My family is up here, so we were like, ‘Ok, fine.’ I got into Loyola, which was kind of a dream of mine. So I'm (accepted) here at Loyola and then we move. It was a big whirlwind and then all the sudden, ‘Well, I'm sorry. I need some time off, I’m gonna have a baby.’ So I was worried, but it was very enlightening and very nice that at Loyola, the first thing the dean said to me was not, ‘We just let you in and now you're going to need maternity leave?’ It was, ‘Well, would you like to take an extra year off? You could finish if you want, but what do you want to do? What do you want?’ So that was a really good experience. As I went through and finished medical school, I had extra time. My focus was, how am I going to raise my kids and be a doctor? I wanted to have another kid and I didn't want to have a child in residency, so I decided I would have a baby as soon as I was done with residency. I was like, ‘How am I going to have a job?’ So I would be asking was there any kind of part-time work? And they were like, ‘No, not really.’ That wasn't an option back in 2008 or so. But they said they were looking to hire people to work nights part-time and so I was like, ‘Ok.’ They said you have to admit three patients and just answer the nurses phone calls. I was like, ‘Heck that's nothing, residency was ten times worse than that.’ So I kind of just took it as an easy way to be able to work and keep up my skills and concentrate on my family. It ended up, that position flourished and it changed over time, and now it's just a much bigger position. So it allowed me to have that flexibility that I want, and be there for my children.” -Dr. Paula Marfia “How did you work your schedule so that you could actually work all night and then still be present for your kids during the day?” -Dr. Jen Barna “So the one key thing was just planning and scheduling appropriately. The nice part about being a nocturnist was I get to make my schedule. So there's three of us, and the three of us have to cover all the nights. It's ten nights a month, so there are lots of days that I'm home. The days that I'm home I'm free to do all the activities that I need to do with my kids. So then I just need to plan the days that I'm working. I was very lucky that my dad retired from teaching right around the time I needed him to start watching the kids. My mom started going to work and my dad stayed home. They helped me watch my kids. So I would come home, I would take the kids to my parents house and they would let me sleep at their house. I would get five or six hours of solid sleep and then I was able to get up and do things for a few hours and then go to work.” -Dr. Paula Marfia “We all only have a finite amount of time. So I started thinking about time. Really, there's 168 hours in a week. When you say it that way, it's like, ‘Ok, if I sleep eight hours a night that's still 112 hours left to do things. So, ok, what are the things that I have to do?’ I just took an assessment of what I'm spending my time on. What am I spending my time on that I don't want to spend my time on? How can I maximize the hours of the day that I do have so that I can do what I want to do? So really sitting down and actually planning. Having a planner, having an organizational system. You just have to find a few different things that work for you.” -Dr Paula Marfia Get One-on-One Coaching with Coach Gabriella Dennery MD Get One-on-One Coaching with Master-Certified Coach Jill Farmer DocWorking believes the time has come to prioritize the health and wellness of physicians. Professional coaching is transformational. Elite athletes, award-winning actors and top-performing executives all know this, which is why they embrace coaching to achieve such extraordinary success. Leading corporations also know this, which is why they encourage coaching for employees at every level. Smart leaders leverage the power of coaching to achieve outcomes that are meaningful, measurable, and attainable. Our Coaches Will Show You How! We have exciting news! Our live course, STAT: Quick Wins to Get Your Life Back is coming soon! Life is too short to be stretched so thin. Do you want more time to focus on what matters most to you? Our power packed plan fits easily into your busy day! Coaches Gabriella and Jill have taken all their best strategies from coaching hundreds of physicians over multiple years and folded them into one efficient course. You can easily practice these bite-sized strategies on your timeline: anytime, anywhere. Are you ready to invest in yourself, reclaim your time and minimize stress? Click here! To learn more about DocWorking, visit us here! Are you a physician who would like to tell your story? Please email Amanda, our producer at Amanda@docworking.com to apply. And if you like our podcast and would like to subscribe and leave us a 5 star review, we would be extremely grateful! We’re everywhere you like to get your podcasts! 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Listen to our episode on Cartilage Restoration as Dr. Nuelle gives us an excellent overview! www.naileditortho.com/cartilage Dr. Nuelle is a board certified orthopaedic surgeon, fellowship trained in sports medicine. He obtained his undergraduate degree from the University of Notre Dame, where he graduated with honors and was inducted into the Alpha Epsilon Delta Honor Society. He then moved to Chicago, where he earned his medical doctorate and graduated with honors from the Loyola University Stritch School of Medicine. He completed his Orthopaedic Surgery residency at the University of Missouri and was fortunate to receive many awards, including the Allen Menard leadership award, the Barry J. Gainor resident award in education, and the Missouri Orthopaedic Institute outstanding Orthopaedic resident award. During his residency, Dr. Nuelle gained the skills necessary to treat a vast array of orthopaedic injuries and patients of any age, but he discovered a special interest in treating athletic injuries. He completed a Fellowship in Sports Medicine at the University of Missouri, where he furthered his knowledge of arthroscopic surgical techniques for the shoulder, elbow, hip, knee, and ankle as well as partial knee replacements. He also served as a team physician for University of Missouri Athletics. Goal of episode: To develop a baseline knowledge on cartilage defects We cover: Microfracture Osteochondral allografts vs autografts MACI v ACI DeNovo +more
In this episode of Beyond the Scope, Loyola University Stritch School of Medicine second year student Emily Hagen (@EmilyHagen9) talks with Sam Ashworth (@SamuelAshworth), a writer and journalist. We'll hear their conversation about autopsy pathology, how autopsies have informed our understanding of COVID-19, and Mr. Ashworth's recent article on declining autopsy rates: The Slow, Troubling Death of the Autopsy Featured public domain music: US Army Blues, BugaBlue
MORE ABOUT DR. KHALILAH GATES: Khalilah Gates, MD, is a pulmonary and critical care specialist at Northwestern Memorial Hospital. Dr. Gates’ clinical interests include pulmonary infections, COPD, asthma, and sepsis. Her research interests relate to impairment of pulmonary host defense and immune mechanisms which contribute to pulmonary disease. She received her MD from Loyola University/Stritch School of Medicine where she also completed her residency in internal medicine. Dr. Gates then undertook a fellowship training in pulmonary and critical care medicine at Northwestern University, McGaw Medical Center where she now is the Assistant Dean of Medical Education and an Assistant Professor of Medicine (Pulmonary and Critical Care) and Medical Education.
In this episode, we interview Dr. Nate Kittle, a family medicine faculty member at The Wright Center National Family Medicine Residency program at HealthPoint. Combining his passions for community health and bioethics, Dr. Kittle is especially interested in treating patients with opioid use disorders. Tune in to learn about the different approaches that Dr. Kittle utilizes to humanistically and ethically treat such patients and the associated challenges. This episode is a follow-up to Dr. Kittle’s talk called, “Treating Patients with Opioid Use Disorder” that he gave to third year medical students at the Loyola University Stritch School of Medicine earlier this month. It was also an Ethics Grand Rounds talk and celebrated the 20th anniversary of Loyola’s Neiswanger Institute for Bioethics & Healthcare Leadership. Dr. Kittle can be reached at: nathankittle@gmail.com. He is very willing to email with students about their questions regarding family medicine or addiction medicine, or other related topics. Episode produced by: Emily Hagen & Josh Lewis (interviewers), Brendan Connolly (interview preparation), Shawn Choe (podcast editor) www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate
Dr. Carson Felkel is the System Medical Director of Behavioral Health for Bon Secours Mercy Health in Greenville, SC. A graduate of Wake Forest University and Loyola University Stritch School of Medicine, he completed his residency in Adult Psychiatry and a fellowship in Child and Adolescent Psychiatry at Wake Forest Baptist Hospital, where he served as chief of both programs. Dr. Felkel is board certified in Psychiatry and in Child and Adolescent Psychiatry. A resident of Greenville, Dr. Felkel is a member of the American Psychiatric Association, South Carolina Psychiatric Association, and the American Academy of Child and Adolescent Psychiatry. For more information: www.stigmatizedpodcast.com Dr. Carson Felkel... Linkedin: www.linkedin.com/in/w-carson-felkel-ii-md-fapa-a9a28ba8 Our Team... Production & Music: Gwynne Sound - gwynnesound.com Artwork: Neltner Small Batch - www.neltnersmallbatch.com Photography: Jon Willis – www.jonbob.com and Lindsey Steinhauser - www.facebook.com/lindsey.hamelsteinhauser Find us on Social Media... Facebook: www.facebook.com/StigmatizedPodcast Twitter: www.twitter.com/the_rev_trev Instagram: @stigmatizedpod Pinterest: www.pinterest.com/StigmatizedP National Suicide Prevention Lifeline 1-800-273-8255 We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.
Hormones and Simple Changes to Feel SO Much Better with Functional Medicine Expert, Dr. Jill Carnahan Jeremiah 30:17 (a) NIV “But I will restore you to health and heal your wounds,' declares the LORD," Dr. Jill Carnahan completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. She received her medical degree from Loyola University Stritch School of Medicine in Chicago and her Bachelor of Science degree in Bio-Engineering at the University of Illinois in Champaign-Urbana. She is dually board-certified in Family Medicine and Integrative Holistic Medicine. In 2008, Dr. Carnahan's vision for health and healing resulted in the creation of Methodist Center for Integrative Medicine in Peoria, IL where she served as the Medical Director for 2 years. In 2010, she foundedFlatiron Functional Medicinein Boulder, Colorado where she practices functional medicine with medical partner, Dr. Robert Rountree, author and expert speaker. Dr. Carnahan is also 10-year survivor of breast cancer and Crohn's disease and passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is also committed to teaching other physicians how to address underlying cause of illness rather than just treating symptoms through the principles of functional medicine. She is a prolific writer, speaker, and loves to infuse others with her passion for health & healing! Dr. Jill's Website Environmental Working Group Website IQ Air Austin Air Dr. Jill's ProteinSmoothie Recipe: · Approximately 1 cup ice cubes · ½ - 1 ripe banana (frozen and sliced works best; slice and freeze your ripe bananas for smoothies) · ½ - 1 cup organic frozen berries or other frozen fruit · 1 scoop protein powder (recommended protein powder: Thorne Vegalite) · 2 tablespoon of ground flaxseed or Salba Seed · Handful of fresh spinach or kale (optional) · Liquid stevia drops to taste (optional) · Enough water or coconut milk (or other dairy substitute) to cover all the other ingredients – more or less depending on desired consistency. o For a lower calorie option use ½ water and ½ coconut milk Process everything in a heavy-duty blender until you get a thick, velvety, and smooth milkshake and enjoy! Thank You to Our Sponsors: Chewbeads Enter code “SAVVY” at checkout to enjoy 15% off your order! Thank you to Our Other Sponsor: Night In Boxes Order your box here! Connect with The Savvy Sauce on Facebook or Instagram or Our Website Please help us out by sharing this episode with a friend, leaving a 5-star rating and review, and subscribing to this podcast! Also, check out our Patreon Page to find out how to gain access to additional podcasts and freebies! Gospel Scripture: (all NIV) Romans 3:23 “for all have sinned and fall short of the glory of God,” Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.” Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.” Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.” Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.” Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.” John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.” Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.” Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus” Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.” Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.” Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“ Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“ Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”
This JCO Podcast provides observations and commentary on the JCO article “Dose-Adjusted EPOCH-R Compared to R-CHOP as Frontline Therapy for Diffuse Large B Cell Lymphoma: Clinical Outcomes of the Phase III Intergroup Trial CALGB 50303 (Alliance)” by Bartlett et al. My name is Patrick Stiff, and I am Division Director of Hematology-Oncology at Loyola University Stritch School of Medicine in Maywood, Illinois. My oncologic specialty is hematologic malignancies and stem cell transplantation. CHOP has remained the chemotherapy backbone of choice for the treatment of diffuse aggressive non-Hodgkin lymphoma since the 4 arm randomized SWOG study was performed 25 years ago1. Since then, only the addition of rituximab has improved patients' outcome2. Investigators have tried to improve outcomes by employing other strategies like increasing drug intensity, shortening the interval between cycles, adding newer agents, changing the method of administration, and adding transplantation, but none clearly demonstrated a survival advantage. Among these strategies is an infusional one designed to increase apoptosis and inhibit BCL6 and p-glycoprotein in resistant cells. While SWOG tested infusional CHOP in 2001 and found no difference in outcomes, compared to bolus CHOP3, the NCI group has explored a modified CHOP infusional regimen known as EPOCH consisting of etoposide, vincristine, and doxorubicin given simultaneously as a continuous 4 day infusion with a bolus dose of cyclophosphamide at the end of the 4 days along with daily oral prednisone Combined with aggressive dose escalations based on nadir myelosuppression, they tested this regimen with rituximab, EPOCH-R, reporting an impressive 5 year PFS of 79% in an unselected study of 72 patients from 3 centers4. Based on this, 18 CALGB institutions treated 69 patients with dose adjusted EPOCH-R, demonstrating a similar 62 month TTP of 81%, with an impressive 100% TTP for the germinal center B cell subgroup as defined by the Hans algorithm, all seemingly superior to R-CHOP5. Equally impressive was a Phase II study in mediastinal B cell NHL with a 5-yr EFS of 93% administered without consolidative radiotherapy, added frequently to R-CHOP6. Therefore, a head-to-head comparison was the natural next step. The trial that accompanies this podcast was designed to compare the PFS and OS at 3 years between patients treated with 6 cycles of dose adjusted EPOCH-R to the standard R-CHOP. The trial opened in 2005 and enrolled 524 patients with either DLBCL, primary mediastinal BCL or intravascular large cell NHL over an 8+ year period to its close in 2013. Seventy-four % had stage III/IV disease and 12% high IPI disease. Eighty-eight percent of the R-CHOP and 82% of the dose adjusted EPOCH-R cycles were administered with 75% of the dose adjusted EPOCH-R patients receiving initial dose escalations per protocol. At a median follow-up of 5.2 years the 5 year PFS and OS were 66 and 85% for the R-CHOP treated patients no different from the 68 and 77.5% for the dose adjusted EPOCH-R patients. Prognostic factors for PFS were age > 60, IPI, and double expressers (15.6% of the 270 with complete data) for MYC, BCL-2 and BCl-6. There were a number of post hoc subgroup analyses performed. Of these, the PFS for the combined High and High intermediate IPI group was higher for the dose adjusted EPOCH-R group (p = 0.041) but no difference in OS was noted. In none of the other subgroups was a benefit seen for dose adjusted EPOCH-R including CNS relapses, mediastinal B cell NHL, double expressors or those with MYC positivity although percentages of these subgroups were small. There were however significantly increased grade III-IV myelotoxic and non-myelotoxic complications for the infusional regimen. Should we take these results as the final word on the lack of a benefit of dose adjusted EPOCH-R in the treatment of DLBCL? In other words is this a case of "déjà vu all over again"?. This trial recruited slowly, 524 patients over more than 8 years, with < 5% of US eligible patient enrolled. The reasons seem obvious. Encouraging enrollment on a trial comparing a familiar outpatient regimen administered over hours, versus a 4+ day in-patient regimen was at best difficult. Recall also that this trial took place during the Great Recession, with patients/families fearful of losing their jobs dealing with an in-pt regimen. Slow accrual in and of itself should not have been impacted outcome. But these were not a unselected group as the authors concluded. First by design, all who had an ECOG PS of > 2 (20% of the phase II study5) were excluded. Second there was the requirement for submission of fresh/frozen material including a second biopsy if needed thereby likely eliminating mostly patients with rapidly progressing disease. Together possibly with some investigator bias, given the promising Phase II data, there was a decrease in High IPI enrollment of only 12% versus the 20% in the Phase II study, which extended to other high risk patients including double expressors, C-Myc positive, and mediastinal B cell disease. Combined these led to the 3 year PFS for R-CHOP of 72%, 17% better than the planned outcome. However, considering the trial exclusions, and ultimately a PFS similar to that of other recent R-CHOP experiences7,8 one could argue that the 3-yr 55% PFS endpoint for this trial was far too conservative. While the R-CHOP PFS was 17% better than planned, the dose adjusted EPOCH-R 5-yr PFS was 7% worse than the Phase II results, which is difficult to explain considering the earlier studies, in which the more favorable patients did better5. A lower administered dose intensity compared to prior studies4,5 was not apparent with the incidence of grade III/IV febrile neutropenia and neurotoxicity similar to the Phase II trial. However 82% vs 91% of those in the Phase II study completed all dose adjusted EPOCH-R cycles with the decrease mostly due to on treatment deaths and AEs, suggesting that when used in a more 'real world setting' this regimen is more toxic than initially seen. Might those who completed therapy also have had dose reductions or delays that could also have impacted PFS? Finally, this report does not include PFS based on cell of origin(COO), which for patients with germinal center B cell of origin in the Phase II study was 100%. Perhaps the germinal B cell percentage was lower than in the Phase II studies as well. So what can be concluded about these negative results? The authors conclude that there was a "potential patient selection bias", at least partially explainable by trial design, and that this "may preclude generalizibility….to specific subgroups". I would conclude that given the outcome and toxicity data, for the low and low intermediate IPI patient, R-CHOP remains the treatment of choice. The post hoc PFS improvement for the high risk subgroup might argue for dose adjusted EPOCH-R, but the lack of an OS advantage in this subgroup needs to be acknowledged. However, other compelling phase II studies in high risk subsets, e.g double hit, underrepresented in this trial, still makes the efficacy of dose adjusted EPOCH-R in certain circumstances an open question. This concludes this JCO Podcast. Thank you for listening.
On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Dr. Ryan J. Lingor, MD and Michelle Cummings, PA on the show to discuss HSS Ortho Injury Care. Dr. Lingor serves as an Assistant Attending Physician at Hospital of Special Surgery, faculty at Weill Cornell Medical College, Medical Director for HSS Ortho Injury Care, and Team Physician for the New York Rangers. Michelle is a physician’s assistant who enjoys helping patients get back to their active lifestyles while also providing them with a thorough understanding of their orthopedic diagnosis. In this episode, we discuss: -The unique offerings of HSS Ortho Injury Care -Expanding patient’s access to quick and affordable medical care with the HSS Ortho Injury Care business model -How to market your services and gain trust with your community -And so much more! Resources: HSS Ortho Injury Care For more information on Dr. Lingor: Dr. Lingor serves as an Assistant Attending Physician at Hospital of Special Surgery, faculty at Weill Cornell Medical College, Medical Director for HSS Ortho Injury Care, and Team Physician for the New York Rangers. Upon graduating from St. John's University in Minnesota, Dr. Lingor obtained certifications as a Registered Dietitian, Certified Athletic Trainer, and Strength and Conditioning Specialist. He went on to complete athletic training internships with the New England Patriots and Miami Dolphins and was named Head Athletic Trainer of NFL-Europe's Hamburg Sea Devils. Dr. Lingor graduated from medical school at Loyola University Stritch School of Medicine and completed his residency in family medicine at Illinois Masonic in Chicago and his sports medicine fellowship at the University of Notre Dame. He is board certified in family medicine and obesity medicine with a subspecialty in sports medicine. His previous experience includes working as an Assistant Team Physician for the New York Jets as well several local high schools and colleges. Having professional passions in weight management and comprehensive sports medicine, Dr. Lingor utilizes his background in nutrition, athletic training, and strength and exercise training to provide a comprehensive, personalized approach to help his patients achieve their health and performance goals. At HSS, Dr. Lingor utilizes musculoskeletal ultrasound for diagnostic and therapeutic purposes, performs and conducts research on biological treatments for chronic tendon problems, provides comprehensive concussion management, and employs dry needling for muscle and tendon problems. He is active as a researcher and regularly presents at national conferences in primary care sports medicine. Outside of medicine, he enjoys traveling, cooking, and being active outdoors, having competed in several marathons and three Ironman Triathlons, including the Hawaii Ironman World Championships. For more information on Michelle: Michelle Cummings graduated magna cum laude from the University of South Carolina with an undergraduate degree in Exercise Kinesiology. During her studies, she spent three years as an undergraduate research assistant working on a study which focused on implementing health and nutrition programs into churches. Michelle then earned her Masters Degree in Physician Assistant Studies at the Massachusetts College of Pharmacy and Health Sciences. Prior to going to HSS, she worked as a PA for a private orthopedic and sports medicine practice focusing on upper extremity injuries. Michelle enjoys helping patients get back to their active lifestyles while also providing them with a thorough understanding of their orthopedic diagnosis. In her spare time, Michelle enjoys running, cycling, hiking, traveling, and crossword puzzles. Read the full transcript below: Karen Litzy: 00:01 Hi, Doctor Lingor and Michelle welcome to the podcast. I'm really happy to have you guys on today to talk about the HSS Ortho Injury Care. So thanks for coming on. Alright, so let’s sort of start from the beginning. All right, so what is the goal of this new clinic? What is the why behind it? Dr. Lingor: 00:27 It just has always been a good place for orthopedic and sports medicine conditions. One of the problems that we've had at the hospital is getting appropriate access early on when patients need to be seen. So our providers tend to be pretty busy. So what we wanted to do is create a resource for patients to be able to go for their acute sports medicine and orthopedic needs. Karen Litzy: 00:55 So that takes me to the next question is why sports medicine over other specialties? Obviously there was a hole to fill, right? So why this over others? Dr. Lingor: 01:08 For myself, I really enjoyed helping keep people active and I think somebody’s activity correlates with their quality of life. And so if we can help, you know, people when they get injured or something to hold them back from, from being active on a daily basis, that's kind of where I wanted to help out. Michelle Cummings: 01:33 For me, It's two fold. One because I'm so passionate about sports in general and secondly, the specialty itself, you can actually make people better a lot quicker than in other specialties. So that's what drew me to sports. Karen Litzy: I agree. I think with those sports injuries, I know coming from the physical therapist’s perspective, you kind of see this progression, right? So regardless of the age of the patient you kind of see from injury and you can really follow them through to recovery, which is really exciting from my standpoint and now, what are the commonly treated injuries seen in the clinic? Dr. Lingor: 02:14 So we see all sorts of musculoskeletal injuries, the common stuff if somebody has a shoulder injury or just shoulder pain, we see a lot of knee injuries after athletic event, hip pain, all sorts. So any of the extremity injuries we do specialize in. And for patients that have back pain, fortunately we are a suited at HSS to have a back pain clinic. So we direct those patients to the right, the right place. Karen Litzy: 02:47 And so why should a patient come to this Ortho care clinic versus going to the ER? What is the difference? Michelle Cummings: So the difference? Well, the ER you'll always have long wait times and they're not always apt to treat just orthopedic and sports injuries. So here we have an x ray onsite. Quick access to films as well as splinting and casting availability here. And what's Nice is you can actually schedule appointments online or call directly and we schedule same day and next day appointments. So if a patient sprains their ankle, you know, a night at basketball, they can go on and schedule an appointment early the next morning. So to try to shorten the wait time to the ER. Karen Litzy: So you alluded a little bit to the splinting and casting, but you know, as non-operative clinicians, what types of conservative treatment are you providing for these patients as they come in? Dr. Lingor: 03:49 So a lot of this stuff, you know, fortunately for us and most patients just don't want it to be checked out to see if they have something that they need to be more concerned about and kind of be directed in the right area. And fortunately we're kind of at a good position to give them access to all the resources that we have at the hospital for special surgery for those patients that need it. For stuff that we can take care of in the office here, we do have, as Michelle said, the x rays, we can do injections into different areas as necessary and we have the use of ultrasound to make sure that we are accurate with the injections and the care that we're providing. Karen Litzy: 04:36 So this is how new? It's pretty new, right? When did you guys first open? Michelle Cummings: Yeah, we first opened in November of 2018 so it's been a couple of months now. Karen Litzy: And as with everything new, every new venture, right, it has its ups and downs. So what are some of the challenges that have come up since this clinic opened? Dr. Lingor: 05:02 Well, the biggest challenge is just getting our name out there and letting people know that we exist. We've been very fortunate to have a lot of interest both in our hospital and in the community to get people in the door when they need to be seen and get them moving in the right direction. So there's been a lot of positive energy that we've been able to benefit from in our first few months and we're still working out some kinks and not everything is smooth as you mentioned when you first get going. But, we've been very blessed to have a great staff around here that, that are all interested in, in doing what's best for the patient and providing exceptional patient care. Karen Litzy: 05:46 And so you have some challenges, I'm sure there's also been some pros, right. So what have you found since opening the clinic have been a real positive or maybe even things you didn't even expect? Dr. Lingor: 06:03 I think one of the nicest things is that our patients generally are in a pretty good mood when they come here because they're oftentimes patients, they're looking to go to the ER and they anticipate, you know, waiting for a couple hours and may have been told to follow up with her orthopedist at that time. And so patients are, excited when they come to a very reputable hospital and then being able to get an appointment the same day or the next day. And so they're pretty excited about that, about that opportunity. And so that's just kind of fun to work in that kind of environment where everyone is in a good mood off the bat. Karen Litzy: 06:44 Yeah, that sounds amazing. And I would also have to think that, you know, when you go, if you have an orthopedic injury or like you said, it's soft tissue ortho injury and you go to the ER, you're not guaranteed to get an orthopedic specialist to treat you in the ER. Would you say that's correct. So is that how this kind of differs? Dr. Lingor: 07:04 That's exactly right. If you go to the emergency room, they have the resources for, you know, taking care of the life threatening or really serious things. And that's perfectly appropriate for the ER because we don't treat those sorts of things. And with patients that go to the ER and have a lot more of the, you know, 90% of the orthopedic injuries where it's appropriate for us. And so this is a way for us to cut down on patient’s wait times and their costs as you know, an emergency room bill. Get them moving in the right direction right from the beginning. Karen Litzy: 07:50 Do you guys take insurance? Michelle Cummings: It's actually listed on our website. So if a patient had questions about the insurances we take, it's all listed on the website, but we take all major insurances. Dr. Lingor: 08:04 And that's pretty easy to find if you just Google HSS ortho injury care, you'll see it pops right up and you can see the insurances that we take and you can book yourself online and really booking an appointment is about a three minute process. Karen Litzy: 08:19 Nice. And is this something that you patterned after? Like is there another clinic like this somewhere else in the country or is this one of a king clinics? Dr. Lingor: 08:33 To our knowledge, this is one of the first ones in the region. I think a lot of other orthopedic places that have walk in clinics and stuff like that. I think this is the first stand alone clinic that operates, kind of how we do and you know, something we saw as a need and it's been a wildly successful in our first few months. Karen Litzy: 09:01 Which is amazing. Dr. Lingor, I have a question for you. So aside from being an orthopedic physician, you also have a nutrition background, which I find really interesting. So are you able to infuse any of that within this clinic or do you see that as maybe something that you might want to infuse into in the future? Dr. Lingor: 09:23 Well, with the sports medicine and medicine in general, being a field of nutrition in its other fields, it is something that I really enjoy learning about and trying to keep up with. In the clinic right now, it just helps me to better counsel patients and answer questions that they have, about nutrition and things that they can do to optimally heal and prevents some of the chronic conditions. And so I utilize it that way. And fortunately at HSS we do have a nutrition and dietetics team that we call upon as well as physicians who specialize in nutrition. We need more help. So it's not, I don't solely practice in the field of nutrition now, but kind of more as a complement to what we offer at the clinic. Karen Litzy: 10:16 Yeah, I think that's great. Where do you see this going? Where do you see this, you know, that old question, where do you see this going in five years? Dr. Lingor: 10:29 Yeah, so we're kind of looking at the hospital for special surgery as branching out to a couple of different other sites around the city, as well as a couple of places throughout the country in Las Vegas and in Florida. And so we're looking at kind of making this, you know, this being the flagship and then kind of model after the places just because it has seemed to do so well for our patients and for our physicians as well to get patients in. So by that I mean that when patients call other doctor's offices and they can't be seeing those to us, and then if necessary, then we get that patient back at an appointment that's a little bit more expedited then what the other physician would have been able to originally see them. Karen Litzy: 11:26 Yeah. So you're sort of like, that patient could come in to you guys and if you feel like a referral is necessary, then you can kind of help streamline the process for the patient, which is amazing for patients because that's what they want. Because they come to you, they don't know what's going on. Dr. Lingor: 11:41 Yeah, that's exactly right. And often times when they call one of our surgeons office, it may be a day at the surgeon just happens to be in the operating room and you know, regardless of how bad they want to see that patient, if they just don't have the ability to get them in. So, that's why I always say that we are here when the patient needs us and kind of get them moving in that right direction. Karen Litzy: 12:01 And you know, and looking on the website, you have Michelle, a physician assistant and then a couple of other orthopedic physicians. How do you guys all kind of work together to make this clinic run? Michelle Cummings: Now that’s a good question. So Dr. Lingor is here more than anyone else as the medical director. So He's here usually five to six days of the week. We are closed on Sundays and I come in later in the morning and cover the night shifts and then we have the other providers that will cover sometimes on the Thursdays and also on Saturdays they cover in the need to fill in the gaps. Karen Litzy: Got It. And this will be kind of like you said, your flagship operation and then hopefully kind of move this model throughout the country. I guess my question is from where you are now then from where you started, I mean, you obviously see this as something that's sustainable, right? Because I think a lot of people, when new things kind of move into their communities, there are always a little hesitant. What do you do for the community? And New York City's a big community, right? Like you said, getting the word out is part of it. But do you have any plans on kind of being part of like really being part of maybe even smaller communities, New York is gigantic, but really kind of getting into the community to get people to trust? Dr. Lingor: 13:39 Yeah, I think that's really great point. And that's one of the things that just in our area, we're located on 65th street and second avenue. And so we see a lot of patients just in our area with, you know, a few block radius of patients walking by who have seen the signs a little bit and then come in and check it out to see what it is and say, Oh yeah, I have this knee issue. I wonder if you guys can take a look at it. We do welcome Walk-in's we prefer patients to make an appointment just to decrease their own waiting time. But we do see a lot of that and just providing that access to patients when they need it. I think has really helps build our name in our own little community that we serve right now. Karen Litzy: 14:22 Yeah. I have my own practice and that's always the hardest thing, like you said, is getting the word out, letting people know you're there. What other marketing things, have you guys done that you've found successful so that if people are listening, they're like, wow, I really wish we had something like that in our community. Maybe they want to start it. What would your best advice be? Dr. Lingor: 14:49 Well, one of the things that fortunately New York City has a plethora of is sporting events around being open during those times. So, like for instance, when the New York City Marathon is going on, you know, on that Sunday will be open that day to provide, access and for again, people in the area just to kind of get our name out a little bit more that people are walking by and having, you know, welcoming people in if they need to be seen by one of our providers that day and not, you know, that for the runners. Cause they're a little busy that day. Right? Yeah, exactly. Hopefully not too many of them. But we are just one block off the race course over the edge of some of those special events and volunteering with those groups. It's something we look forward to. Karen Litzy: 15:48 Yeah. So kind of making partnerships within the community so they know you're there and they can refer to you and all that fun stuff. Dr. Lingor: 15:56 Yeah. So we have several of our positions that do volunteer in past years with those events. And so we see when patients come in for the marathon Monday that they host after the New York City Marathon. Those patients, you know, they're seen by a medical professional that then if they need to get further testing done now we can provide that access to people. Karen Litzy: 16:24 Fantastic. I mean, it sounds like you've got a great, a great niche over there and that you've definitely found a way to kind of plug that hole, right. You've found a way, you saw this sort of lack of accessibility and have made something a lot more accessible. So is there anything that we missed or anything that, you know, you want to the listeners to kind of remember about the clinic? Dr. Lingor: 16:53 Yes. Things come up and unfortunately musculoskeletal injuries come up unexpectedly at the worst possible times. And there's a lot that can be done if when patients have that time of need, whether they're going on vacation or have a major life events. That's our primary goal is to provide access for the patients when they need it and help them sort through some of the frustrations. And difficulties that come along with musculoskeletal and sports injuries and you know, get them back to their level of health and quality of life that they're used to enjoying. Karen Litzy: 17:38 Awesome. And Michelle, how about you? Anything that we didn't touch upon or any closing thoughts that you want to share? Michelle Cummings: No, I think just thank you for having us on the show and helping us get the word out. It's very helpful from different aspects to get out the word out in New York. So thank you for having us. Karen Litzy: Yeah, you're welcome. And you know, I think it's also important, like now as a physical therapist, this is great for me to know because you know, we see patients directly now, so someone comes to me and I'm not sure, then for me it's great to say, Hey, there's a clinic that specializes in this. And then what it does for me is it kind of builds up my credibility with the patient because I'm sending them to a place where they're going to get the help that they need. Dr. Lingor: 18:25 I’m very excited that physical therapists have the direct access, so through the physical therapy and find that, you know, the physical therapists that we commonly work with. It's been a great relationship with that. We look forward to expanding on that. And again, thank you very much. Karen Litzy: 18:46 My pleasure. My pleasure. Thank you so much for coming on. So again, if you want to find out more information, you can go to hss.edu/ortho-injury-care. Is that right? Dr. Lingor: 19:06 The easiest thing is just go to Google and type in Ortho injury care. Karen Litzy: 19:14 Or you can go to podcast.healthywealthysmart.com and we'll have the link right there for you so you can just click on the link and go right to it. And hopefully we see more and more of these types of clinics popping up around the country because it certainly does fill a gap. So thank you guys for all that you do to help people with sports injuries, musculoskeletal injury. So thank you. And everyone, thanks so much for listening. Have a great couple of days and stay healthy, wealthy and smart. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
Dr. Jill Carnahan returns to the podcast this week to discuss the importance of gut health in order to heal from chronic illnesses. She offers an insight into candida and it's role in "Gut Dysbiosis." Don't miss this one! About Jill C. Carnahan, MD, ABFM, ABIHM, IFMCP Dr. Carnahan completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. In 2006 she was voted by faculty to receive the Resident Teacher of the Year award and elected to Central Illinois 40 Leaders Under 40. She received her medical degree from Loyola University Stritch School of Medicine in Chicago and her Bachelor of Science degree in Bio-Engineering at the University of Illinois in Champaign-Urbana. She is dually board-certified in Family Medicine and Integrative Holistic Medicine. In 2008, Dr. Carnahan’s vision for health and healing resulted in the creation of Methodist Center for Integrative Medicine in Peoria, IL where she served as the Medical Director for 2 years. In 2010, she founded Flatiron Functional Medicine in Boulder, Colorado where she practices functional medicine with medical partner, Dr. Robert Rountree, author and expert speaker. Dr. Carnahan is also 10-year survivor of breast cancer and Crohn’s disease and passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is also committed to teaching other physicians how to address underlying cause of illness rather than just treating symptoms through the principles of functional medicine. She is a prolific writer, speaker, and loves to infuse others with her passion for health & healing! If you would like to read more about Dr. Carnahan, visit www.drcarnahan.com.
Pursuing Health in the New Year with Functional Medicine Expert, Dr. Jill Carnahan Psalm 46:10 (NKJV) “Be still, and know that I am God; I will be exalted among the nations, I will be exalted in the earth!” Dr. Jill Carnahan completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. She received her medical degree from Loyola University Stritch School of Medicine in Chicago and her Bachelor of Science degree in Bio-Engineering at the University of Illinois in Champaign-Urbana. She is dually board-certified in Family Medicine and Integrative Holistic Medicine. In 2008, Dr. Carnahan's vision for health and healing resulted in the creation of Methodist Center for Integrative Medicine in Peoria, IL where she served as the Medical Director for 2 years. In 2010, she founded Flatiron Functional Medicine in Boulder, Colorado where she practices functional medicine with medical partner, Dr. Robert Rountree, author and expert speaker. Dr. Carnahan is also 10-year survivor of breast cancer and Crohn's disease and passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is also committed to teaching other physicians how to address underlying cause of illness rather than just treating symptoms through the principles of functional medicine. She is a prolific writer, speaker, and loves to infuse others with her passion for health & healing! If you would like to read more about Dr. Carnahan, visit www.drcarnahan.com. Dr. Jill's Website Thank You to Our Sponsor: Midwest Food Bank Connect with The Savvy Sauce on Facebook or Instagram or Our Website Please help us out by sharing this episode with a friend, leaving a 5-star rating and review, and subscribing to this podcast! Also, check out our newly launched Patreon Page to find out how to gain access to additional podcasts and freebies! Gospel Scripture: (all NIV) Romans 3:23 “for all have sinned and fall short of the glory of God,” Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.” Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.” Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.” Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.” Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.” John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.” Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.” Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus” Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.” Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.” Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“ Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“ Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”
Dr. Linda Ho worked as a medical science liaison in hematology -oncology. She’s worked at AbbVie, where she served as Team Lead, and at Ipsen Biopharmaceuticals and Bayer. She is a seasoned healthcare professional with a diverse background that includes industry experience, direct patient care, and pathology. Linda earned her BA from Case Western Reserve University and her MD from Loyola University Stritch School of Medicine. She trained in pathology at Northwestern and Case Western Reserve University. You must listen to the entire interview. We start out speaking about Linda’ transition from her clinical career to her career as a medical science liaison. She describes why she likes the job, and also gets into some of the challenges. And towards the end of our conversation, Linda mentions several very important principles to keep in mind when considering a pivot to any nonclinical career. Here are some of topics she touched on: The importance of networking in her initial job search, and again when looking for subsequent jobs, What she wished she had done in residency that could have helped her, Why she recommends that you use a professional resume writer, An association that she found extremely helpful called the Healthcare Businesswoman’s Association, Her recommendation of the book The 2-Hour Job Search: Using Technology to Get the Right Job Faster by Steve Dalton, Her thoughts on the travel required for a job as an MSL, and Why you should forget about online job applications You can connect with Linda on LinkedIn – just search for Linda Ho, MD. Show notes and a transcript can be found at vitalpe.net/episode051
Dr. Kevin Passero and his special guest Dr. Jill Carnahan will be discussing mast cell activation syndrome (MCAS) – when histamine goes haywire. Dr. Jill Carnahan received her medical degree from Loyola University Stritch School of Medicine in Chicago and completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. She is dually board-certified in Family Medicine (ABFM) and Integrative Holistic Medicine (ABIHM). She was part of the first 100+ healthcare practitioners to be certified through the Institute of Functional Medicine (IFMCP), and recently opened a new medical clinic with a broad range of services in Louisville, Colorado. Dr. Carnahan is also a 14-year survivor of breast cancer and Crohn’s disease and is passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is committed to teaching other physicians how to address underlying causes of illness through the principles of functional medicine, rather than just treating symptoms.
Dr. Kevin Passero and his special guest Dr. Jill Carnahan will discuss mold toxicity and Chronic Inflammatory Response Syndrome (CIRS). Dr. Carnahan received her medical degree from Loyola University Stritch School of Medicine in Chicago and completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center. She is dually board-certified in Family Medicine (ABFM) and Integrative Holistic Medicine (ABIHM). She was part of the first 100+ healthcare practitioners to be certified through the Institute of Functional Medicine (IFMCP), and recently opened a new medical clinic with a broad range of services in Louisville, Colorado. Dr. Carnahan is also a 14-year survivor of breast cancer and Crohn’s disease and is passionate about teaching patients how to “live well” and thrive in the midst of complex and chronic illness. She is committed to teaching other physicians how to address underlying causes of illness through the principles of functional medicine, rather than just treating symptoms.
Why You Should Listen: In this episode, you will learn about Mast Cell Activation Syndrome (MCAS), what triggers it, and how it may be treated. About My Guest: My guest for this episode is Dr. Jill Carnahan, MD. Dr. Carnahan is board certified in both Family Medicine and Integrative Holistic Medicine. She completed her residency at the University of Illinois Program in Family Medicine at Methodist Medical Center and received her medical degree from Loyola University Stritch School of Medicine in Chicago. She received her Bachelor of Science degree in Bio-Engineering at the University of Illinois in Champaign-Urbana. Dr. Carnahan moved to Boulder Colorado in 2010 joining medical partner, Dr. Robert Rountree. She opened her own practice, Flatiron Functional Medicine in Louisville CO to expand the services that she offers to her patients. Dr. Jill Carnahan uses functional medicine to help you find answers to the cause of your illness and the nutritional and biochemical imbalances that may be making you feel ill. Functional medicine is personalized medicine that deals with root cause of disease instead of just treating symptoms. Dr. Jill will search for underlying triggers that are contributing to illness through cutting edge lab testing and tailor the intervention to the specific needs of an individual. She may use diet, supplements, lifestyle changes or medication to treat illness but will seek the most gentle way to help the body restore balance. She seeks to promote wellness and create hope, health and healing. Dr. Carnahan walks her talk. She is both a cancer survivor and recovered CIRS patient after she encountered mold in her practice. Key Takeaways: - What are mast cells and what do they do? - What does a mast cell produce when over-activated? - What are the symptoms of MCAS? - What triggers overactivation of mast cells? - What is the role of environmental toxins and MCAS? - Is there a connection between MCAS and POTS? - What role do food reactions and leaky gut play? - What is the link between MCAS and CIRS? - How is MCAS treated? - Are some probiotics bad for people with MCAS? - What mind-body tools may be helpful with MCAS? Connect With My Guest: http://www.jillcarnahan.com Related Resources: Umbrellux DAO - http://umbrelluxdao.com/ Interview Date: April 7, 2017 Disclaimer: The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority.
Today on Small Change Big Shifts I am speaking with functional medicine expert Dr. Jill Carnahan. Jill was diagnosed with aggressive breast cancer at 25. At the time of her diagnosis life was grand. She was a third year medical student at Loyola University Stritch School of Medicine in Chicago. Life was just beginning. And then she found the lump. It was that day, that she learned how to harness the incredible healing power of food.
Have you been wondering if your child has food allergies, food sensitivities, or intolerances? Perhaps you are confused as to what exactly makes something an allergy versus an intolerance? In today’s show, I interview Dr. Cynthia Libert, MD. Together, we will walk you through the confusing world of food allergies and intolerances in terms you can understand. We will explain why it is important to figure out if something is bothering your child (or you!) and what you need to know about it. Dr. Libert is board certified in family medicine and is a diplomat of the American Board of Integrative Holistic Medicine. She completed her residency training at Mountain Area Health Education Center (MAHEC), affiliated with UNC Chapel Hill at Mission Hospitals in Asheville, North Carolina. She received her medical degree from Loyola University Stritch School of Medicine in Chicago and did her undergraduate work at Saint Louis University. Dr. Libert is a member of the American Academy of Family Physicians and the Christian Medical & Dental Associations. Cynthia is passionate about helping patients achieve optimal health. She practices a holistic approach to health and wellness utilizing the best of modern medicine and evidence based complementary therapies. She has a special interest in natural approaches to healing and disease prevention through nutrition, physical fitness, stress-management, and mind-body modalities. She enjoys running, cooking, and spending time in nature. She resides in Blairsville, Georgia with her husband and three daughters. Dr. Libert practices at the Life Wellness Center for Integrative Medicine in Blairsville, Georgia, where she serves patients both in the north Georgia and southwestern North Carolina mountain region. For more information or to contact Dr. Cynthia Libert, MD, visit www.DrLibert.org.