Podcasts about Lymphedema

In this episode of O&P Clinical Care Insiders: Industry Partners Edition, host Seth O'Brien, CP, FAAOP(D), speaks with Lindsay E. Ryback, director of lymphology & phlebology at Thuasne, and Lesleigh Sisson, CFo, CFm, vice president and general manager of O&P Insight. Recorded live at the 51st Academy Annual Meeting in Atlanta, the conversation explores lymphedema, a chronic condition caused by abnormal lymph fluid buildup. Lindsay and Lesleigh discuss treatment options, including Complete Decongestive Therapy and compression therapy, and break down the impact of the newly passed Lymphedema Treatment Act. They highlight the power of patient advocacy in shaping this legislation and what it means for coverage, reimbursement, and O&P practices looking to integrate lymphedema care. Lindsay also shares how Thuasne's products and resources support clinicians in delivering effective treatment. This episode is sponsored by Thuasne and O&P Insight       Show notes The following links were mentioned during this podcast episode. Lymphedema Compression Treatment Items (from CMS.gov) Lymphedema Advocacy Group Lymphedema Compression Treatment Items: Implementation (from CMS.gov) O&P Clinical Care Insiders: Industry Partners Edition is produced by Association Briefings.

Lymphedema is a chronic, often misunderstood condition affecting the lymphatic system, leading to painful swelling and long-term health complications. In this episode of LymphCast, we uncover the truth about lymphedema, its connection to wound care, and why lymphatic health is crucial. Dr. Mary Hanley shares expert insights on treatment, compression therapy, and patient advocacy.

Interview with Lauren Buck, DPT

Maureen McBeth, Senior Medical Affairs Liaison for ImpediMed, a company that develops bio-impedance spectroscopy technology for the early detection and monitoring of lymphedema. This swelling, a common side effect of breast cancer surgery, is often overlooked until it impacts the quality of life of the patient. Using this advanced diagnostic technology,  objective data on the risk and progression enables personalized intervention at the mild stage to prevent progression to severe, irreversible stages. Maureen explains, "Breast cancer-related lymphedema is an underappreciated side effect. Most people think that it's not an issue anymore because we do sentinel node biopsy. Still, we know that any time lymph nodes are removed, damaged, or radiated, they can cause problems with the plumbing system in that area of the body. And inflammation starts, and that's the first thing. People don't feel that, but over time, it starts to impact the lymphatic vessels, and those lymphatic vessels don't pump as well, and a fluid buildup starts to occur. Finally, a patient may start to have symptoms like an aching or a fullness, or they notice things don't fit right, and by the time they notice it, they're likely well into stage one lymphedema, which has noticeable symptoms." "And 20 years ago, when we didn't have these methods to detect it early, we often didn't see patients even with that at stage one. We wouldn't see them until the arm got really big and noticeable. If you can imagine, the guidelines said that the arm had to be 10% larger than the other side before we would diagnose it with lymphedema. Imagine your arm being 10% bigger on one side."  "One of the important things about our technology is that it's about a 30-second test. In terms of non-invasive, the patient doesn't feel it. It gives us this L-Dex score, and we can get other things like body composition. And so, at the start of someone's treatment, it can be used not only for surveillance of lymphedema but also for other side effects of cancer treatment." #ImpediMed #EarlyDetectionMatters #LymphedemaAwarenessMonth #Survivorship #SurvivorshipCare #PatientEmpowerment impedimed.com Download the transcript here

Maureen McBeth, Senior Medical Affairs Liaison for ImpediMed, a company that develops bio-impedance spectroscopy technology for the early detection and monitoring of lymphedema. This swelling, a common side effect of breast cancer surgery, is often overlooked until it impacts the quality of life of the patient. Using this advanced diagnostic technology,  objective data on the risk and progression enables personalized intervention at the mild stage to prevent progression to severe, irreversible stages. Maureen explains, "Breast cancer-related lymphedema is an underappreciated side effect. Most people think that it's not an issue anymore because we do sentinel node biopsy. Still, we know that any time lymph nodes are removed, damaged, or radiated, they can cause problems with the plumbing system in that area of the body. And inflammation starts, and that's the first thing. People don't feel that, but over time, it starts to impact the lymphatic vessels, and those lymphatic vessels don't pump as well, and a fluid buildup starts to occur. Finally, a patient may start to have symptoms like an aching or a fullness, or they notice things don't fit right, and by the time they notice it, they're likely well into stage one lymphedema, which has noticeable symptoms." "And 20 years ago, when we didn't have these methods to detect it early, we often didn't see patients even with that at stage one. We wouldn't see them until the arm got really big and noticeable. If you can imagine, the guidelines said that the arm had to be 10% larger than the other side before we would diagnose it with lymphedema. Imagine your arm being 10% bigger on one side."  "One of the important things about our technology is that it's about a 30-second test. In terms of non-invasive, the patient doesn't feel it. It gives us this L-Dex score, and we can get other things like body composition. And so, at the start of someone's treatment, it can be used not only for surveillance of lymphedema but also for other side effects of cancer treatment." #ImpediMed #EarlyDetectionMatters #LymphedemaAwarenessMonth #Survivorship #SurvivorshipCare #PatientEmpowerment impedimed.com Listen to the podcast here

A very informative workshop on Lymphatic Health with special guest Hillary Gooden. She is very inspiring and gives us some simple tools for our health. Then the second half of the workshop Bev & Paul teach you the Bio-Touch sets to best address Lymphatic Health.

Lymphedema causes swelling in the legs, arms, feet, and hands. In this video, learn about the connection between hypothyroidism and the development of lymphedema.What you will learn: Lymphedema 101 Different types of lymphedema How hypothyroidism affects your lymphatic system Treatment options for lymphedema‍Check out our blog and read the full article here: https://www.palomahealth.com/learn/lymphedema-hypothyroidismAbout Paloma Health:⁠⁠Paloma Health⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused exclusively on treating hypothyroidism. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you. Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout. Become a Paloma Member:https://www.palomahealth.com/pricing-hypothyroidismPaloma Complete Thyroid Blood Test Kit:https://www.palomahealth.com/home-thyroid-blood-test-kit

Welcome to LymphCast Episode 64, where we dive deep into Lymphedema, Lymphedema Awareness, and Lipedema Surgery with renowned Norwegian plastic surgeon Dr. Kirsten E. Schjelderup Kleppe.

Love the episode? Send us a text!In this episode of Breast Cancer Conversations, I had the pleasure of speaking with Dr. Kohli, the Director of Breast Surgery at Monmouth Medical Center in New Jersey. We delved into the multifaceted journey of breast cancer survivorship, emphasizing the importance of treating the whole person, not just the disease.Dr. Kohli shared her insights on the increasing incidence of breast cancer in younger women and the importance of focusing on the quality of life for long-term survivors. We discussed the initial overwhelming phase of diagnosis and treatment decisions, and how crucial it is to consider mental and emotional health alongside physical health.One of the key topics we explored was the decision-making process regarding surgery options—lumpectomy, mastectomy, and double mastectomy.  We also touched on the long-term management of side effects, particularly lymphedema. Dr. Kohli explained what lymphedema is, its risks, and the importance of early detection and proactive management. She introduced the use of bioimpedance spectroscopy for early detection and shared her approach to monitoring and managing this condition.SURVIVINGBREASTCANCER.ORGAttend a free virtual SurvivingBreastCancer.org event:https://www.survivingbreastcancer.org/eventsFollow us on InstagramSurvivingBreastCancer.org: https://www.survivingbreastcancer.org/Breast Cancer Conversations: https://www.instagram.com/breastcancerconversations/About SurvivingBreastCancer.org: SurvivingBreastCancer.org, Inc. (SBC) is a federally recognized 501(c)(3) non-profit virtual platform headquartered in Boston with a national and global reach. Through education, community, and resources, SurvivingBreastCancer.org supports women and men going through breast cancer. We provide a sanctuary of strength, compassion, and empowerment, where those diagnosed with cancer unite to share their stories, learn invaluable coping strategies to manage wellness and mental health, and find solace in the unbreakable bond that fuels hope, resilience, and the courage to conquer adversity.Support the show

Dr. Joseph Dayan is a board-certified plastic and reconstructive surgeon at the Institute for Lymphatic Surgery and Innovation, a division of the Institute for Advanced Reconstruction. Doctors have traditionally focused on treating cancer rather than long-term effects such as lymphedema, a swelling condition caused by dysfunction of the lymphatic system. New surgical techniques such as lymph node transplants and lymphovenous bypasses can help reconstruct the lymphatic system and reduce lymphedema symptoms. Joseph explains, "Lymphedema is swelling, usually most often in the arms or legs, that's permanent and often gets worse over time caused by dysfunction of your lymphatic system. The lymphatic system is basically the sewage system of the body. It clears out fluid waste from your body's tissues and channels that waste into your lymph nodes, which are part of your immune system that has billions of immune cells that kill bacteria and purify that waste. That fluid then goes back into your veins and back in the bloodstream. When that's not functioning, that fluid can get backed up, causing swelling in all parts of the body, but also infection, sometimes even life-threatening infections. It is currently incurable, and generally, it gets worse over time, as chronic diseases tend to do." "There are some types of chemotherapy that do cause problems with the lymphatic system, the taxane therapies like Cytoxan, but most commonly for patients undergoing removal of their lymph nodes, the removing of the lymph nodes or radiation to the lymph nodes or both are the most common cause of cancer-related lymphedemas." "I think there are two reasons. Historically, lymphedema was not something typically seen by a doctor or treated by an MD. It's a disease typically sent to a physical therapist or occupational therapist specializing in lymphedema therapy without being able to offer treatment. I think doctors focus on those things that they can help with. And so one part I think in the MD's mind is that there's not a whole lot you can do for it. The other part is at the time of the cancer diagnosis, understandably, the cancer is number one, two, and three priorities, and the consequences of cancer treatment fall a distance second."  #Lymphedema #Cancer #LymphedemaAwareness #BreastReconstruction #LymphovenousBypass #LymphNodeTransplant #LymphaticSurgery #LymphedemaTreatmentAct #GLP1 advancedreconstruction.com/lymphedema Listen to the podcast here

Dr. Joseph Dayan is a board-certified plastic and reconstructive surgeon at the Institute for Lymphatic Surgery and Innovation, a division of the Institute for Advanced Reconstruction. Doctors have traditionally focused on treating cancer rather than long-term effects such as lymphedema, a swelling condition caused by dysfunction of the lymphatic system. New surgical techniques such as lymph node transplants and lymphovenous bypasses can help reconstruct the lymphatic system and reduce lymphedema symptoms. Joseph explains, "Lymphedema is swelling, usually most often in the arms or legs, that's permanent and often gets worse over time caused by dysfunction of your lymphatic system. The lymphatic system is basically the sewage system of the body. It clears out fluid waste from your body's tissues and channels that waste into your lymph nodes, which are part of your immune system that has billions of immune cells that kill bacteria and purify that waste. That fluid then goes back into your veins and back in the bloodstream. When that's not functioning, that fluid can get backed up, causing swelling in all parts of the body, but also infection, sometimes even life-threatening infections. It is currently incurable, and generally, it gets worse over time, as chronic diseases tend to do." "There are some types of chemotherapy that do cause problems with the lymphatic system, the taxane therapies like Cytoxan, but most commonly for patients undergoing removal of their lymph nodes, the removing of the lymph nodes or radiation to the lymph nodes or both are the most common cause of cancer-related lymphedemas." "I think there are two reasons. Historically, lymphedema was not something typically seen by a doctor or treated by an MD. It's a disease typically sent to a physical therapist or occupational therapist specializing in lymphedema therapy without being able to offer treatment. I think doctors focus on those things that they can help with. And so one part I think in the MD's mind is that there's not a whole lot you can do for it. The other part is at the time of the cancer diagnosis, understandably, the cancer is number one, two, and three priorities, and the consequences of cancer treatment fall a distance second."  #Lymphedema #Cancer #LymphedemaAwareness #BreastReconstruction #LymphovenousBypass #LymphNodeTransplant #LymphaticSurgery #LymphedemaTreatmentAct #GLP1 advancedreconstruction.com/lymphedema Download the transcript here

Please join Dr. Walton Taylor, Elaine Fielding from Impedimed and Mary Rose Gill, RN as we discuss:What is lymphedema? How does SOZO help with early detection of lymphedema?What do the L-Dex scores mean? What are the risk factors for developing lymphedema?What are some ways to minimize lymphedema? Dr. Walton Taylor is a general surgeon specializing in the care of patients with breast cancer and melanoma.  Dr. Taylor is a former President of the American Society of Breast Surgeons. During his term as president, he oversaw the development of national guidelines for genetic testing and mammography.  He continues to speak nationally on breast cancer, genetics, melanoma, and genomic testing.An active educator for fellow health care professionals, Dr. Taylor serves on Continuing Medical Education committees for the Texas Medical Association, the Accreditation Council for Continuing Medical Education, and is a member of Texas Health Physician Group's Board of Trustees and Credentialing Committee. He also aids in developing educational tools for surgeons.Stay Connected with Dr. Deepa Halaharvi:TikTok: @breastdoctorInstagram: @drdhalaharviTBCP Instagram: @thebreastcancerpodcastWebsite: https://drdeepahalaharvi.com/YouTube: https://www.youtube.com/@deepahalaharvi5917Instagram: @thebreastcancerpodcast

Send us a textThis week on The Less Stressed Life, I'm excited to welcome Jean LaMantia, a registered dietitian, cancer survivor, and expert in lymphedema, lipedema, and oncology nutrition. Jean sheds light on these often-overlooked but common conditions, sharing the key differences between lymphedema and lipedema, the emotional challenges they bring, and how an anti-inflammatory diet can help manage symptoms and improve quality of life.She also shares her personal journey with lymphoma at 27 and offers advice on how women can advocate for themselves, find the right resources, and take action to feel heard and supported in their health journeys.Find Jean's books here: https://jeanlamantia.com/product-category/jeans-nutrition-books/Find Jean's FREE DOWNLOADS on her website: https://jeanlamantia.com/Lymphedema Nutrition School begins January 21, 2025 Lipedema Nutrition School begins January 22, 2025Find Jean's courses here: https://justwellness.thinkific.com/KEY TAKEAWAYS:What lymphedema and lipedema are and how they differLymphedema affects 10 million Americans—more than Alzheimer's and Parkinson's combinedLipedema impacts 1 in 10 women but is often misdiagnosed as obesity or celluliteAn anti-inflammatory diet reduces inflammation and supports lymphatic healthProtein intake is essential for muscle health and lymphatic flowSeek out a certified lymphedema therapist for support and guidanceEarly intervention is key to managing symptoms and slowing progressionA diagnosis brings relief but can also come with emotional challengesABOUT GUEST:Jean LaMantia is a registered dietitian, cancer survivor, and author of three books on lymphedema, cancer, and intermittent fasting. She created Lymphedema Nutrition School and Lipedema Nutrition School, online programs designed to help individuals improve their health through diet and self-care. Jean also offers professional CE courses, short programs, and webinars to educate dietitians, lymphedema therapists, and individuals on managing lymphedema, lipedema, and cancer. Based in Toronto, Canada, she runs a virtual private practice and shares valuable resources on her blog, https://jeanlamantia.com/cancer-bites-diet-blog/.WHERE TO FIND:Website: https://jeanlamantia.com/Instagram: https://www.instagram.com/cancer_lymphedema_dietitian/WHERE TO FIND CHRISTA:Website: https://www.christabiegler.com/Instagram: @anti.inflammatory.nutritionistPodcast Instagram: @lessstressedlifeYouTube: https://www.youtube.com/@lessstressedlifeLeave a review, submit a questions for the podcast or take one of my quizzes here: ****https://www.christabiegler.com/linksSPONSOR:  Thanks to Jigsaw Health for sponsoring this episode! Try their MagSoothe or MagSRT for better sleep and less stress. Use code LESSSTRESSED10 at JigsawHealth.com for 10% off—unlimited use!

Lymphedema primarily affects the lymphatic system, which is part of the body's immune system and helps maintain the correct balance of fluids. It transports immune cells and nutrients and filters out germs and waste. Join Chris Curry as he learns more about Lymphedema from Dr. Hari Kashyap and his patient, Naomi Nieves

In this episode, we delve into the world of Frequency Specific Microcurrent (FSM) therapy and its applications in treating various conditions. Dr. Carol and Kim Pittis discuss their observations, the importance of understanding tissue characteristics, and share detailed case studies, including the treatment of an Ironman athlete with bilateral lateral knee pain and a patient with chronic lymphedema and cellulitis. They also touch upon the genetic aspects of fibromyalgia and the critical role of proper sleep and nutrition in recovery.  00:14 Understanding Frequency Specific Microcurrent (FSM) 02:04 Case Study: Ironman Athlete 04:36 FSM Treatment Strategies 15:39 Case Study: Pelvic Radiation and Lymphedema 20:12 Case Study: Atopic Dermatitis and Vitamin Deficiency 27:07 Discussion on Fibromyalgia 28:05 Understanding Celiac and Fibromyalgia 29:08 Genetic Factors in Fibromyalgia 31:54 Diagnosing Fibromyalgia: Challenges and Changes 44:20 Upcoming Events and Seminars 51:07 The Role of Sleep in Health and Healing A Deep Dive with Kim Pittis Kim Pittis delves into a reflective conversation on her journey with frequency specific microcurrent, shedding light on the intricate world of body mechanics and the profound role FSM plays. She recounts her encounters with clients who express surprise at her depth of knowledge – a testament to the continuous research and learning demanded by FSM. It's more than just recognizing the existence of body tissues; it's about understanding their intricate fibrous and cartilaginous structures, how they interact with their surroundings, and how they are affected by various factors, including inflammation and wear.   Real-Life Scenarios: The Case of the Ironman In the realm of high-performance sports, Kim shares a captivating narrative of an Ironman athlete who uses FSM religiously. This athlete, determined to compete in two Ironmans within three weeks, presents a unique challenge – bilateral lateral knee pain misdiagnosed as IT band syndrome. Kim walks us through her thought process, highlighting the importance of identifying the true cause of pain – the meniscus, not the IT band – and tailoring FSM treatment to facilitate recovery and healing.    Addressing the Root Causes The conversation transitions into a broader discussion about understanding and treating the underlying causes of medical conditions. Whether dealing with radiation-induced lymphedema or atopic dermatitis, the emphasis remains on identifying and addressing the root cause rather than merely managing symptoms. Kim underscores the critical role of vitamins and nutrients, like Vitamin D, C, and B12, in supporting health and healing – an insightful reminder of the often-overlooked aspects of wellness.   Fibromyalgia: Unpacking the Complexity With a focus on fibromyalgia, Kim and her colleagues embark on a dialogue about its potential genetic components and the diverse factors that contribute to its manifestation. The discourse navigates through various familial tendencies and potential environmental influences, shedding light on the multifaceted nature of this condition. As they explore genetic predispositions, food sensitivities, and neurotransmitter pathways, the conversation emphasizes the importance of viewing fibromyalgia through a comprehensive lens.   Collaborative Healthcare: The Path Forward Kim concludes with a powerful message about the value of collaborative healthcare. She emphasizes the necessity for healthcare professionals to network and collaborate, drawing on each other's expertise to create holistic and effective care plans for patients. It's about understanding limitations, leveraging collective knowledge, and always asking the right questions to uncover the paths to healing. As we continue to explore the potential of FSM, let us be inspired by the transformative stories shared by practitioners like Kim Pittis. The journey of frequency specific microcurrent is one of continuous learning, compassion, and a commitment to improving lives, one patient at a time.  

Download Healing Holiday Gift Guide: https://www.katiedeming.com/born-to-heal-holiday-gift-guide/Are unexplained health issues holding you back from living your best life? Dr. Katie sits down with cancer survivor and functional health coach Freddie Kimmel. He reveals how the lymphatic system impacts everything from your immune function to your body's natural detoxification process.Freddie shares his personal journey from stage 2B testicular cancer to optimal health. You'll discover why movement doesn't always have to be intense to be effective, and how something as simple as changing your breathing pattern could make a significant difference in how you feel.Chapters:05:53 - Your lymph nodes16:41 - Integrate these changes for holistic modern living29:31 - What causes lymphatic system issues37:51 - Dental issues linked to cancer45:34 - Cancer spread vs. immune supportPlus, you'll learn about new advanced tools and techniques that can support your body's natural healing processes, from simple at-home practices to advanced therapeutic options.Listen, learn, and discover how to recognize signs of lymphatic congestion and what you can do about it.Connect with Freddie: https://www.beautifullybroken.world/Send us a text (include your phone number)50% Off 6 Pillars of Healing Cancer Workshop Series - Click Here to EnrollUse Code: 6pillars24 Transform your hydration with the system that delivers filtered, mineralized, and structured water all in one. Spring Aqua System: https://springaqua.info/drkatieMORE FROM KATIE DEMING M.D. Free Guide - 3 Things You Need to Know About Cancer: https://www.katiedeming.com/cancer-101/6 Pillars of Healing Cancer Workshop Series - Click Here to EnrollWork with Dr. Katie: www.katiedeming.comFollow Dr. Katie Deming on Instagram: The.Conscious.Oncologist Take a Deeper Dive into Your Healing Journey: Dr. Katie Deming's Linkedin Here Please Support the Show Share this episode with a friend or family member Give a Review on Spotify Give a Review on Apple Podcast DISCLAIMER:The Born to Heal Podcast is intended for informational purposes only and is not a substitute for seeking professional medical advice, diagnosis, or treatment. Individual medical histories are unique; therefore, this episode should not be used to diagnose, treat, cure, or prevent any disease without consulting your healthcare provider.

The lymphatic system is often the unsung hero of our immune health, yet it's responsible for so much of our body's ability to detoxify, fight disease, and stay resilient. Dr. Jennifer Gramith, a leading figure in lymphatic therapy and holistic health, joins us to share her expert insights on how this often overlooked system acts as your body's natural filtration and repair mechanism—and what happens when it gets congested.  In this episode, she takes us through practical methods to support your lymphatic system, from dry brushing and rebounding to assisted lymphatic therapy devices.  Discover the link between lymphatic health and common issues like fatigue, bloating, and even emotional health, and learn how this intricate system plays a role in regulating everything from immune responses to detoxification.   "Most symptoms that you deal with—headaches, bloating, gut issues, anywhere on the body that you squeeze and you have tenderness—that's congested lymph." ~ Dr. Jennifer Gramith   In This Episode - Dr. Gramith's journey into lymphatic health - Understanding the lymphatic system and symptoms of poor lymphatic function - How mold exposure affects your lymphatics - How exercise and movement improve the lymphatic system - The XP2 assisted lymphatic therapy device - Lymphedema and conventional medical approaches - The liver-lymphatic connection - Emotional and physical health connection - Lifestyle changes for improving lymphatic flow - Rebounding, essential oils, and dry brushing for lymphatic health - Juice fasting and cleansing the lymphatics - The EVOX system for emotional trauma release - The link between emotional trauma and physical health issues - Finding certified assisted lymphatic therapy practitioners For more information, visit https://www.myersdetox.com    Ready to discover your body's toxic burden and how it affects your health? Take my quiz to find out! http://www.heavymetalsquiz.com    Products Mentioned in this Episode: - Pure Body Extra Zeolite: Check it out at https://myersdetox.thegoodinside.com/  - Spooky2 Rife: Explore the future of energy medicine at https://www.spooky2-mall.com/?ref=66  - XP2 Assisted Lymphatic Therapy Device: Available at https://rightwayhealthandwellness.com/    About Dr. Jennifer Gramith Dr. Jennifer Gramith is a leading figure in holistic healthcare with over 25 years of experience. She holds a doctorate in naturopathy and a certification in functional medicine. As the founder of RightWay Health and Wellness, Dr. Gramith is renowned for her expertise in manual lymphatic drainage and complete decongestive therapy. She is also the creator of the XP2 Assisted Lymphatic Drainage Device and a passionate advocate for holistic approaches to health and wellness. Dr. Gramith combines her extensive knowledge of lymphatic health with a deep understanding of the mind-body connection, offering a comprehensive approach to healing.   Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Solutions often begin with a conversation. When faced with the task of planning your surgery, it is the goal of the DiepCJourney podcast to provide a pathway to workable solutions for those affected by breast cancer. My guest is Dr. Andrew Elkwood, an international expert in advanced reconstruction and a highly skilled microsurgeon. Dr. Elkwood is the founder of The Plastic Surgery Center and Institute for Advanced Reconstruction (IFAR) in New Jersey. You can also visit www.advancedreconstruction.com or call 954-218-5137 to schedule a consultation with a surgeon on these advanced and specialty conditions. The surgeons in the IFAR network perform breast reconstruction surgery due to loss of breast after mastectomy from breast cancer. They also perform the following surgery addressing conditions that arise due to breast cancer treatment, many of which are nerve related. ·       Neuropathy ·       post mastectomy pain syndrome ·       lymphedema surgery ·       radiation-induced brachial plexopathy (numbness, tingling, weakness in the shoulder and/or arm Watch the interview on YouTube: Pathways to Care Due to Secondary Issues from Breast Cancer Treatment Follow IFAR on Social Media: Instagram Facebook YouTube      

Welcome to Episode 61 of LymphCast! In this episode, we're joined by Cynthia Shechter, a leading expert in lymphedema and breast cancer rehabilitation. Cynthia discusses the importance of individualized treatment for lymphedema, the challenges of working with patients post-surgery, and the evolving role of manual therapy in patient care.

It's time for the Comic Talk Headlines with Generally Nerdy!LOTS of new musicNetflix bows out of gaming... kindaElon sued AGAINJoe Rogan to interview Donald TrumpAnd so much more...Plus, don't forget to subscribe for more fresh content. MusicNew Music/VideoROSÉ & Bruno Mars - APT. https://youtu.be/ekr2nIex040 CATCHY AF!! But that is par for the course with Bruno Mars. Apparently the lyrics (and title) are a play on words for a Korean drinking game. Rose from Blackpink.Cradle of Filth - Malignant Perfection https://www.youtube.com/watch?v=FiF-PAt6N9U surprisingly restrained for a Cradle song. Trying to rekindle Nymphetamine? Video is VERY fitting for the season.Dead Icarus - 1 Million Days https://youtu.be/EjBGU-hF4js MUCH more Atreyu than anything previously released. This has Curse vibes all over it, even the video.Better Lovers - Love as an Act of Rebellion https://youtu.be/5qCT4puiPJY I almost like these guys as much as Miss Machine era Dillinger… almost. What is with the 4:3 aesthetic these days?Bloodywood - Nu Delhi https://youtu.be/A3C9NwGKgq4?si=k5I2p2CYtUofhYfE A little less on the NU sound. Still well put together, if slightly forgettable.Breaking Benjamin - Awaken https://youtu.be/cHj8PtRdMQk Decent breakdown/solo section, but don't believe the hype. NOT extra heavy.Loss Becomes - Broken Mirrors Feat Jesse Leach https://youtu.be/_dTIV7xI9jM THIS is how you use a Jesse Leach vocal spot.Tours/FestivalsJerry Cantrell - Runs from Jan 31 through March 9. Support from Filter.https://jerrycantrell.com/ Claudio Simonetti's Goblin - Oct 31 through Dec 15. Screening Demons in select cities.https://goblinsimonetti.com/tour-dates Reg ‘ol NewsIron Maiden - Paul Di'anno passed at 66. The band's first vocalist on their debut “Iron Maiden” and “Killers.” His years long battle with Lymphedema seems to have ended. Official documentary coming in 2025.https://blabbermouth.net/news/ex-iron-maiden-singer-paul-dianno-dead-at-66 https://blabbermouth.net/news/official-paul-dianno-documentary-coming-in-2025 Papa Roach - Jacoby Shaddix says the next record “makes sense” to be a heavy record. The heaviest record they have ever done he claims. Seems like another trend hop to me.https://blabbermouth.net/news/jacoby-shaddix-says-it-feels-natural-for-papa-roach-to-lean-into-heavy-sound-on-next-album As I Lay Dying - Bassist and vocalist Ryan Neff has left the band, with a very curt exit statement on his socials. This can't be an issue with Lambesis' past, this has to be just Tim being difficult to work with at this point.https://blabbermouth.net/news/bassist-vocalist-ryan-neff-quits-as-i-lay-dying Static-X - Hoping to release the documentary “Evil Disco: The Rise, Fall, and Regeneration of Static-X” in 2025. https://blabbermouth.net/news/static-x-is-hoping-to-release-evil-disco-the-rise-fall-and-regeneration-of-static-x-documentary-in-2025 SuggestsKorn - Self TitledReleased in ‘94.  From the haunting intro of “Blind” to the twisted, primal aggression in “Clown” and “Daddy,” the album is a sonic trip through the dark corners of the mind. Its themes of isolation, fear, and inner torment align perfectly with the spooky season. Gaming/TechFollow-ups/CorrectionsNetflix - Closing their AAA gaming studio. Team Blue has been shuddered with 90 projects in various stages of development, and with staff that included Joseph Staten (Halo) and Rafael Grassetti (God of War). https://www.gamefile.news/p/netflix-team-blue-socal-studio Phasmophobia - Set for Xbox Series and Playstation 5/ VR2 Oct 29th. Multi-player horror FINALLY making its way onto consoles. https://www.engadget.com/gaming/aaaaaah-phsamophobia-haunts-consoles-this-month-182546124.html https://youtu.be/BLCwws1HnYA Reg ‘ol NewsHalo 2 - Project Cartographer (MOD) is rolling out a Spooky event for Halloween. You can now play as a skeleton in Halo 2.https://www.cartographer.online Elon VS Bladerunner - Alcon Entertainment has accused Elon of copyright infringement over an image included in the Cybercab/Robotaxi event earlier this month. Calling the image “nearly identical” to images from the movie.https://www.cnbc.com/2024/10/21/elon-musk-tesla-wbd-blade-runner-ai-robotaxi-.html Ford X Tesla - The free Ford adapter the company gave out to connect to Tesla chargers. There is a long term issue with the current adaptors that will negatively affect charge times over time. They will be issuing replacements “in the coming weeks.”https://www.engadget.com/transportation/evs/ford-tells-ev-owners-to-stop-using-its-free-tesla-supercharger-adapters-120023623.html Nintendo Beta - The strange beta test for Nintendo has gone live for people on the beta list. Seems that Nintendo is trying their hand at an MMORPG, with their unique twist. Kinda seems like Second Life meets Starfield. You are basically populating a planet.https://playtest-p.nintendo.com/en-us SuggestsMK1 - Halloween Towers running all week.Comic Books/BooksReg ‘ol NewsBatman: Hush 2 - Jim Lee and Jeph Loeb confirmed at NYCC the sequel to one of the classic all-time Batman stories will be coming out in 2025. Set to happen within the ongoing Batman series.https://cosmicbook.news/dc-comics-announces-batman-hush-2-peacemaker-godzilla-vs-justice-league-2 DC Vertigo - The Vertigo imprint is set to return to DC. Jim Lee also announced that they would be reviving the imprint, this time for creator-owned projects. https://cosmicbook.news/dc-comics-announces-batman-hush-2-peacemaker-godzilla-vs-justice-league-2 Peacemaker Presents: The Vigilante/Eagly Double Feature - New 5 issue mini written by Tim Seeley and Mitch Gerads. James Gunn will be story consultant as this will be a tie-in to the Peacemaker show on Max. Release before season 2 of the show.https://cosmicbook.news/dc-comics-announces-batman-hush-2-peacemaker-godzilla-vs-justice-league-2 Justice League VS Godzilla VS Kong 2 - the second book will add Ghidorah, Rodan, Mothra and “titanized” super-villains from the Justice League's rogue's gallery. No release date yet. Series one is STILL going.Spider-verse VS Venomverse - New multiverse arc starting in May 2025.https://comicbook.com/marvel/news/marvel-spider-verse-venomverse-teaser-nycc/ Suggests"The Haunting of Hill House" by Shirley Jackson – A classic haunted house story that's deeply psychological, unsettling, and atmospheric. It's all about the creeping dread and ambiguous horrors that make you question reality. 1959.TV ShowsFollow-ups/CorrectionsDaredevil - Born Again begins March 4 on Disney+.Starfleet Academy - Renewed for a second season before season 1 airs. NYCCGod Of War - The live action series has just left 3 EPs, including showrunner Rafe Judkins. Now starting the project from scratch. https://deadline.com/2024/10/god-of-war-sony-executive-producers-depart-new-writers-joining-1236118075/ Joe Rogan - CONFIRMS THAT TRUMP WILL BE ON THE SHOW THIS WEEK!TrailersThe Office (AUS) - https://youtu.be/MIEVoulYZM0 on Prime right now unless you're in the US. Fans are NOT pleased. Gender swapped roles. This is approximately the 15th time this has happened… why is it that big of a deal?Goosebumps: The Vanishing - https://youtu.be/-NsYcYtDBtc I kinda love this… David Schwimmer as the villain… maybe? Jan 10 Hulu and Disney+Creature Commandos - https://youtu.be/VdahDEpqPA8 NYCC looks good. Dec 5 on MaxStar Trek: Strange New Worlds - https://youtu.be/llvMv5-ydyQ Season 2 clip. Rhys Darby guest.Walking Dead: Dead City - https://youtu.be/ddRY0tocRzY Spring 2025 release. Yellowstone - https://youtu.be/n17AZkUXy58 Season 5B. Costner footage?? Dutton civil war.Reg ‘ol NewsTim Pool - Canceling his IRL show as it currently exists. Blames staff for the issues, when really its a management issue. THIS is why you hire STAFF and not FRIENDS!https://www.youtube.com/live/YXY0pMEI9-o?si=1PyA-3y28PvjfYD5 Carrie - Mike Flanagan's first offering to the Amazon audience appears to be a Carrie adaptation.https://www.hollywoodreporter.com/tv/tv-news/carrie-series-mike-flanagan-amazon-stephen-king-1236040179/ SuggestsGoosebumps - Season 1 2023. Streaming on Hulu. a group of five high schoolers embark on a shadowy and twisted journey to investigate the tragic passing three decades earlier of a teen named Harold Biddle — while also unearthing dark secrets from their parents' past.MoviesFollow-ups/CorrectionsStar Trek: Section 31 - Paramount+ original movie set for Friday, Jan 24 2025.TrailersThe Electric State  - https://youtu.be/9gUDaPTPxwo Russo Brothers directed, Chris Pratt and Millie Bobby Brown, and A BUNCH MORE starring. Post apocalyptic family movie. March 14 on Netflix.Love Hurts - https://youtu.be/y7_gi1-bIJs?si=55yawApS8ZuAkhO1 Ky Huy Quan in a John Wick adaptation.Street Trash - https://youtu.be/N5yLRQBVNTw zombies as social commentary… weird. Seriously though, looks interesting.Reg ‘ol NewsDisney - Bob Iger set to leave the company in 2026. THIS time there will not be an extension like there was in ‘23. Disney has said they WILL name a new CEO.https://cosmicbook.news/bob-iger-leaving-disney-2026-new-chairman-announced Lord of the Rings - New live-action movie in the early stages of development according to Philippa Boyens, co-writer of the original trilogy of movies, as well as the Hobbit movie. She clarified confusion around the Hunt For Gollum movie, that it will NOT be a multi-part series. Gandalf WILL be part of the narrative though. It also will tie into the Peter Jackson series of movies.https://www.empireonline.com/movies/news/lord-of-the-rings-hunt-for-gollum-wont-be-two-films-second-philippa-boyens-exclusive/ American Psycho - Remake from director Luca Gaudagnino (Challengers). Being billed by Lionsgate as a “reimagining” of the novel. Just remember the first film was directed by a woman…https://deadline.com/2024/10/american-psycho-movie-luca-guadagnino-1236120177/ John Wick - Prequel anime movie revealed to be in the works at NYCC from director Chad Stahelski.https://www.hollywoodreporter.com/movies/movie-features/john-wick-co-creator-chad-stahelski-1236041550/ SuggestsParaNorman - Norman Babcock, a young boy who can communicate with ghosts, is given the task of ending a 300-year-old witch's curse on his Massachusetts town. 2012STREAMING: PlutoRumor MillConfirmations/RefutationsCONFIRM: Joe Rogan - Rogan has confirmed that TRUMP will be on the show this week.New SourcesNew RumorsBlade - Canceled? Well more like postponed AGAIN! Bumped again for scripting concerns. Removed from the release slate for 2025.Secret Wars - Thanos returning to fight God Emperor Doom.Big Bang Theory - Stuart-centric spinoff series about the comic book shop. ALSOPossible Penny-centric spinoff possible.American Psycho - Timothee Chalamet rumored to be playing Patrick Bateman.SPECULATIONBlade - This bump MIGHT actually be advantageous. IF they are bringing Wesley Snipes back for another Blade movie, this will keep the confusion down. You can support this show by visiting our merch store, or by leaving us an Apple Podcasts review.

It's time for the Comic Talk Headlines with Generally Nerdy!LOTS of new musicNetflix bows out of gaming... kindaElon sued AGAINJoe Rogan to interview Donald TrumpAnd so much more...Plus, don't forget to subscribe for more fresh content. MusicNew Music/VideoROSÉ & Bruno Mars - APT. https://youtu.be/ekr2nIex040 CATCHY AF!! But that is par for the course with Bruno Mars. Apparently the lyrics (and title) are a play on words for a Korean drinking game. Rose from Blackpink.Cradle of Filth - Malignant Perfection https://www.youtube.com/watch?v=FiF-PAt6N9U surprisingly restrained for a Cradle song. Trying to rekindle Nymphetamine? Video is VERY fitting for the season.Dead Icarus - 1 Million Days https://youtu.be/EjBGU-hF4js MUCH more Atreyu than anything previously released. This has Curse vibes all over it, even the video.Better Lovers - Love as an Act of Rebellion https://youtu.be/5qCT4puiPJY I almost like these guys as much as Miss Machine era Dillinger… almost. What is with the 4:3 aesthetic these days?Bloodywood - Nu Delhi https://youtu.be/A3C9NwGKgq4?si=k5I2p2CYtUofhYfE A little less on the NU sound. Still well put together, if slightly forgettable.Breaking Benjamin - Awaken https://youtu.be/cHj8PtRdMQk Decent breakdown/solo section, but don't believe the hype. NOT extra heavy.Loss Becomes - Broken Mirrors Feat Jesse Leach https://youtu.be/_dTIV7xI9jM THIS is how you use a Jesse Leach vocal spot.Tours/FestivalsJerry Cantrell - Runs from Jan 31 through March 9. Support from Filter.https://jerrycantrell.com/ Claudio Simonetti's Goblin - Oct 31 through Dec 15. Screening Demons in select cities.https://goblinsimonetti.com/tour-dates Reg ‘ol NewsIron Maiden - Paul Di'anno passed at 66. The band's first vocalist on their debut “Iron Maiden” and “Killers.” His years long battle with Lymphedema seems to have ended. Official documentary coming in 2025.https://blabbermouth.net/news/ex-iron-maiden-singer-paul-dianno-dead-at-66 https://blabbermouth.net/news/official-paul-dianno-documentary-coming-in-2025 Papa Roach - Jacoby Shaddix says the next record “makes sense” to be a heavy record. The heaviest record they have ever done he claims. Seems like another trend hop to me.https://blabbermouth.net/news/jacoby-shaddix-says-it-feels-natural-for-papa-roach-to-lean-into-heavy-sound-on-next-album As I Lay Dying - Bassist and vocalist Ryan Neff has left the band, with a very curt exit statement on his socials. This can't be an issue with Lambesis' past, this has to be just Tim being difficult to work with at this point.https://blabbermouth.net/news/bassist-vocalist-ryan-neff-quits-as-i-lay-dying Static-X - Hoping to release the documentary “Evil Disco: The Rise, Fall, and Regeneration of Static-X” in 2025. https://blabbermouth.net/news/static-x-is-hoping-to-release-evil-disco-the-rise-fall-and-regeneration-of-static-x-documentary-in-2025 SuggestsKorn - Self TitledReleased in ‘94.  From the haunting intro of “Blind” to the twisted, primal aggression in “Clown” and “Daddy,” the album is a sonic trip through the dark corners of the mind. Its themes of isolation, fear, and inner torment align perfectly with the spooky season. Gaming/TechFollow-ups/CorrectionsNetflix - Closing their AAA gaming studio. Team Blue has been shuddered with 90 projects in various stages of development, and with staff that included Joseph Staten (Halo) and Rafael Grassetti (God of War). https://www.gamefile.news/p/netflix-team-blue-socal-studio Phasmophobia - Set for Xbox Series and Playstation 5/ VR2 Oct 29th. Multi-player horror FINALLY making its way onto consoles. https://www.engadget.com/gaming/aaaaaah-phsamophobia-haunts-consoles-this-month-182546124.html https://youtu.be/BLCwws1HnYA Reg ‘ol NewsHalo 2 - Project Cartographer (MOD) is rolling out a Spooky event for Halloween. You can now play as a skeleton in Halo 2.https://www.cartographer.online Elon VS Bladerunner - Alcon Entertainment has accused Elon of copyright infringement over an image included in the Cybercab/Robotaxi event earlier this month. Calling the image “nearly identical” to images from the movie.https://www.cnbc.com/2024/10/21/elon-musk-tesla-wbd-blade-runner-ai-robotaxi-.html Ford X Tesla - The free Ford adapter the company gave out to connect to Tesla chargers. There is a long term issue with the current adaptors that will negatively affect charge times over time. They will be issuing replacements “in the coming weeks.”https://www.engadget.com/transportation/evs/ford-tells-ev-owners-to-stop-using-its-free-tesla-supercharger-adapters-120023623.html Nintendo Beta - The strange beta test for Nintendo has gone live for people on the beta list. Seems that Nintendo is trying their hand at an MMORPG, with their unique twist. Kinda seems like Second Life meets Starfield. You are basically populating a planet.https://playtest-p.nintendo.com/en-us SuggestsMK1 - Halloween Towers running all week.Comic Books/BooksReg ‘ol NewsBatman: Hush 2 - Jim Lee and Jeph Loeb confirmed at NYCC the sequel to one of the classic all-time Batman stories will be coming out in 2025. Set to happen within the ongoing Batman series.https://cosmicbook.news/dc-comics-announces-batman-hush-2-peacemaker-godzilla-vs-justice-league-2 DC Vertigo - The Vertigo imprint is set to return to DC. Jim Lee also announced that they would be reviving the imprint, this time for creator-owned projects. https://cosmicbook.news/dc-comics-announces-batman-hush-2-peacemaker-godzilla-vs-justice-league-2 Peacemaker Presents: The Vigilante/Eagly Double Feature - New 5 issue mini written by Tim Seeley and Mitch Gerads. James Gunn will be story consultant as this will be a tie-in to the Peacemaker show on Max. Release before season 2 of the show.https://cosmicbook.news/dc-comics-announces-batman-hush-2-peacemaker-godzilla-vs-justice-league-2 Justice League VS Godzilla VS Kong 2 - the second book will add Ghidorah, Rodan, Mothra and “titanized” super-villains from the Justice League's rogue's gallery. No release date yet. Series one is STILL going.Spider-verse VS Venomverse - New multiverse arc starting in May 2025.https://comicbook.com/marvel/news/marvel-spider-verse-venomverse-teaser-nycc/ Suggests"The Haunting of Hill House" by Shirley Jackson – A classic haunted house story that's deeply psychological, unsettling, and atmospheric. It's all about the creeping dread and ambiguous horrors that make you question reality. 1959.TV ShowsFollow-ups/CorrectionsDaredevil - Born Again begins March 4 on Disney+.Starfleet Academy - Renewed for a second season before season 1 airs. NYCCGod Of War - The live action series has just left 3 EPs, including showrunner Rafe Judkins. Now starting the project from scratch. https://deadline.com/2024/10/god-of-war-sony-executive-producers-depart-new-writers-joining-1236118075/ Joe Rogan - CONFIRMS THAT TRUMP WILL BE ON THE SHOW THIS WEEK!TrailersThe Office (AUS) - https://youtu.be/MIEVoulYZM0 on Prime right now unless you're in the US. Fans are NOT pleased. Gender swapped roles. This is approximately the 15th time this has happened… why is it that big of a deal?Goosebumps: The Vanishing - https://youtu.be/-NsYcYtDBtc I kinda love this… David Schwimmer as the villain… maybe? Jan 10 Hulu and Disney+Creature Commandos - https://youtu.be/VdahDEpqPA8 NYCC looks good. Dec 5 on MaxStar Trek: Strange New Worlds - https://youtu.be/llvMv5-ydyQ Season 2 clip. Rhys Darby guest.Walking Dead: Dead City - https://youtu.be/ddRY0tocRzY Spring 2025 release. Yellowstone - https://youtu.be/n17AZkUXy58 Season 5B. Costner footage?? Dutton civil war.Reg ‘ol NewsTim Pool - Canceling his IRL show as it currently exists. Blames staff for the issues, when really its a management issue. THIS is why you hire STAFF and not FRIENDS!https://www.youtube.com/live/YXY0pMEI9-o?si=1PyA-3y28PvjfYD5 Carrie - Mike Flanagan's first offering to the Amazon audience appears to be a Carrie adaptation.https://www.hollywoodreporter.com/tv/tv-news/carrie-series-mike-flanagan-amazon-stephen-king-1236040179/ SuggestsGoosebumps - Season 1 2023. Streaming on Hulu. a group of five high schoolers embark on a shadowy and twisted journey to investigate the tragic passing three decades earlier of a teen named Harold Biddle — while also unearthing dark secrets from their parents' past.MoviesFollow-ups/CorrectionsStar Trek: Section 31 - Paramount+ original movie set for Friday, Jan 24 2025.TrailersThe Electric State  - https://youtu.be/9gUDaPTPxwo Russo Brothers directed, Chris Pratt and Millie Bobby Brown, and A BUNCH MORE starring. Post apocalyptic family movie. March 14 on Netflix.Love Hurts - https://youtu.be/y7_gi1-bIJs?si=55yawApS8ZuAkhO1 Ky Huy Quan in a John Wick adaptation.Street Trash - https://youtu.be/N5yLRQBVNTw zombies as social commentary… weird. Seriously though, looks interesting.Reg ‘ol NewsDisney - Bob Iger set to leave the company in 2026. THIS time there will not be an extension like there was in ‘23. Disney has said they WILL name a new CEO.https://cosmicbook.news/bob-iger-leaving-disney-2026-new-chairman-announced Lord of the Rings - New live-action movie in the early stages of development according to Philippa Boyens, co-writer of the original trilogy of movies, as well as the Hobbit movie. She clarified confusion around the Hunt For Gollum movie, that it will NOT be a multi-part series. Gandalf WILL be part of the narrative though. It also will tie into the Peter Jackson series of movies.https://www.empireonline.com/movies/news/lord-of-the-rings-hunt-for-gollum-wont-be-two-films-second-philippa-boyens-exclusive/ American Psycho - Remake from director Luca Gaudagnino (Challengers). Being billed by Lionsgate as a “reimagining” of the novel. Just remember the first film was directed by a woman…https://deadline.com/2024/10/american-psycho-movie-luca-guadagnino-1236120177/ John Wick - Prequel anime movie revealed to be in the works at NYCC from director Chad Stahelski.https://www.hollywoodreporter.com/movies/movie-features/john-wick-co-creator-chad-stahelski-1236041550/ SuggestsParaNorman - Norman Babcock, a young boy who can communicate with ghosts, is given the task of ending a 300-year-old witch's curse on his Massachusetts town. 2012STREAMING: PlutoRumor MillConfirmations/RefutationsCONFIRM: Joe Rogan - Rogan has confirmed that TRUMP will be on the show this week.New SourcesNew RumorsBlade - Canceled? Well more like postponed AGAIN! Bumped again for scripting concerns. Removed from the release slate for 2025.Secret Wars - Thanos returning to fight God Emperor Doom.Big Bang Theory - Stuart-centric spinoff series about the comic book shop. ALSOPossible Penny-centric spinoff possible.American Psycho - Timothee Chalamet rumored to be playing Patrick Bateman.SPECULATIONBlade - This bump MIGHT actually be advantageous. IF they are bringing Wesley Snipes back for another Blade movie, this will keep the confusion down. You can support this show by visiting our merch store, or by leaving us an Apple Podcasts review.

Dean's Chat hosts, Drs. Jensen and Richey, interview the hosts of "The Frank & Lizzie Show", Frank Aviles and Elizabeth Faust. "The Frank and Lizzie Show" is a dedicated YouTube channel focusing on wound and lymphedema care, providing valuable information and support to those in need. Frank Aviles and Elizabeth Faust leverage their expertise and personal experiences to educate viewers, share practical tips, and foster a community around these critical health issues. With their fun and relatable approach and commitment to advocacy, they aim to improve the lives of the wound and lymphedema care community one episode at a time.  https://www.youtube.com/c/thefranklizzieshow  https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/ https://higherlearninghub.com/  

Dr. Dionisia Quiroga discusses emerging approaches to personalizing locoregional treatment for breast cancer with Drs. Walter Paul Weber and Charlote Coles, who share insights on tailoring axillary surgery, escalating lymphatic surgery, and implementing hypofractionated radiotherapy. TRANSCRIPT Dr. Dionisia Quiroga: Hello, I'm Dr. Dionisia Quiroga, your guest host of the ASCO Daily News Podcast today. I'm a breast medical oncologist and assistant professor in the Division of Medical Oncology at the Ohio State University Comprehensive Cancer Center. On today's episode, we'll be discussing emerging approaches to personalize locoregional treatment for patients with breast cancer, including many of the latest updates on axillary surgical staging, lymphatic surgery, and evidence-based radiotherapy in the treatment of breast cancer. We're very fortunate to have joining me today for this discussion Dr. Walter Paul Weber, a professor and head at the Division of Breast Surgery at the University Hospital Basel in Switzerland, and Dr. Charlotte Coles, a professor of cancer clinical oncology and the deputy head of the Department of Oncology at the University of Cambridge in the United Kingdom. Our full disclosures are available in the transcript of this episode. Dr. Weber and Dr. Coles, it's very wonderful to have you on the podcast and thank you so much for being here. Dr. Walter Paul Weber: Thank you very much for having us. Dr. Charlotte Coles: Thank you. Dr. Dionisia Quiroga: Now, for many decades prior, axillary lymph node dissection has very much been our standard of care. But recently, axillary surgeries have been able to be gradually deescalated to spare some of our patients from relative and relevant long-term morbidity. There are still some indications in which axillary lymph node dissection still remain. And therefore, we still see breast cancer-related lymphedema, a well-known sequela of the axillary surgery to continue to be prevalent. And I think it's important also to acknowledge that today there's about an estimated 1.5 million cancer survivors who deal with breast cancer-related lymphedema. Now, Dr. Weber, at the recent ASCO Annual Meeting, you and your co-presenters discussed tailoring axillary surgery, escalating lymphatic surgery and implementing evidence-based hypofractionated radiotherapy to really personalize locoregional treatment for people who've been diagnosed with breast cancer. And in addition to that, you and Dr. Coles have also published this work in the 2024 ASCO Educational Book. Can you tell us about some of the recent advances in axillary surgery and what are really the current indications for axillary dissection? Dr. Walter Paul Weber: Yes, I'm happy to do so. So as you've said, we've known for a while that we can omit axillary dissection in patients with clinically known negative breast cancer and negative sentinel nodes. We've known for about 10-15 years that we can omit axillary dissection in patients with one or two positive sentinel nodes in many patients. But what we've learned recently is that we can omit axillary dissection also in patients with one or two positive sentinel nodes who have larger primary tumors who undergo mastectomy or who have extranodal extension. This is a landmark trial that was published just a few months ago, the SENOMAC trial that established this. The remaining indications for axillary dissection are situations where you expect a heavy tumor load in the axilla. For example, when you have more than two positive sentinel nodes or you have a patient with clinically node-positive breast cancer who undergoes upfront surgery and has palpable disease or significant disease on imaging. Patients with locally advanced breast cancer, who are considered by some to be not eligible for nodal downstaging, such as patients with CN2, CN3 disease or CT4 breast cancer. And then the big group of patients who have residual disease after neoadjuvant chemotherapy in the nodes, standard of care is still axillary dissection. But we now have some real-world evidence that it's safe for selected patients with low volume nodal disease left in the nodes, mostly isolated tumor cells, to not undergo axillary dissection. So these are the remaining indications today. Dr. Dionisia Quiroga: Can you speak to situations where maybe even sentinel lymph node biopsies might be omitted? I know you spoke a little bit about the use of imaging in your work. Dr. Walter Paul Weber: Yes, this is correct. So, we started about maybe 7 or 8 years ago to omit sentinel lymph node biopsy in older patients above 70 years of age who have luminal disease, according to recommendations from the Choosing Wisely initiative. And now indeed there are several ongoing randomized trials that investigate if axillary imaging can replace surgical staging of the axilla. And the first of these trials was published recently, the SOUND trial with almost 1,500 patients, who underwent breast conserving surgery and had small tumors and all had a negative ultrasound of the axilla. And then they were randomized into a sentinel lymph node biopsy versus no axillary surgery. And that trial showed non-inferiority of the omission of sentinel lymph node biopsy in these patients. Now, it's a bit early to roll out the Choosing Wisely recommendation to all patients who have a negative ultrasound. The SOUND trial showed that about 14% had a false-negative ultrasound. So, in the control arm, they actually did have a positive sentinel node. And in patients where that one missed sentinel node makes a big difference in terms of systemic therapy, most experts would still recommend sentinel biopsy, and these are patients mainly with HER2-positive or triple-negative breast cancer or premenopausal patients or those who have G3 biology. Dr. Dionisia Quiroga: I think you bring up a very important point. Coming from the side of a breast medical oncologist, we're also very interested to see what these studies show because many of our practices are based on what we find out from our lymph node biopsies. So, I think a lot of interesting prospective studies to look at in the future. Dr. Walter Paul Weber: Absolutely. Dr. Dionisia Quiroga: One other topic we wanted to discuss was local regional management of stage four disease and particularly oligometastatic disease. And this is not a new topic of interest. We've been speaking about this for a long time in breast cancer management, but can you address some of the axillary management strategies that you currently use for stage 4 disease? Dr. Walter Paul Weber: Yes, it depends on your intention. If your intention is to cure the patient, then you would apply all the locoregional standards that apply in the curative setting, which means lymph node biopsy with or without axillary dissection. Now in a palliative situation, it's individualized. Very often you don't touch the axilla and sometimes you open it and just remove palpable disease, trying to minimize morbidity. The question of which intent you should follow is controversial; three out of the four randomized trials did not show a benefit for locoregional surgery in patients with de novo stage 4 disease. However, experts seem to disagree. The last St. Gallen consensus recommendation was in favor of the curative intent in such a patient with oligometastatic disease; 85% favored the curative intent. So there's a bit of discrepancy there, but everybody would agree, and this is what has been done in all of these trials, that if you try to cure the patient, then you should apply the curative standards of sentinel and axillary dissection that you use also in early-stage breast cancer. Dr. Dionisia Quiroga: Thank you. Now, moving on from surgical axillary management and more into lymphedema prevention and treatment. Can you speak to some of the promising advances that have happened in this field? Dr. Walter Paul Weber: Yes, so the best way to prevent lymphedema still is not to perform axillary dissection, which is the number 1 risk factor, which is all the axillary surgery de-escalation research that we've just discussed is all about. Prevention of lymphedema is one major aim of this. Now, once you indicate axillary dissection and you expect the patient to be at high risk – for example, if there are other risk factors such as obesity or neoadjuvant chemotherapy or extended regional nodal radiotherapy, then indeed there are emerging techniques that really seem to work. There is some evidence supporting it, which is categorizable as immediate lymphatic repair basically or bypass. And that is usually in a patient who undergoes axillary dissection, and also undergoes axillary reverse mapping. That allows the identification of the lymph nodes that are probably most relevant to the drainage of the lymphatic fluid from the arm. And then you can try to spare these. But if you decide, and this is effective, there is a consistent body of evidence, not phase 3 trials, but pretty consistent evidence that axillary reverse mapping works just by sparing the identified nodes. But if you decide that you have to remove these nodes as part of the radical concept of axillary dissection, then immediate lymphatic repair is also increasingly being done and is also supported by consistent evidence, even some single center randomized trials, low volume, but all consistently showing quite a striking benefit of this immediate lymphatic repair technique. There are different ways you can do it. You can either use it the microscope, and it's being done by the plastic surgeons, but it's also a simplified technique described that can be used by specialized general and breast surgeons. Both techniques seem to really work based on what we know from the studies, but also based on our common sense. Dr. Dionisia Quiroga: You talked about the procedures that can be offered to patients at time of breast surgery. And unfortunately, many of our patients maybe did not have the availability of those techniques when they undergo their initial breast cancer treatment. Once lymphedema is developed in a limb following breast cancer diagnosis, can you speak to other interventions that can be done to potentially help mitigate lymphedema? Dr. Walter Paul Weber: Right, so for patients who no longer benefit from or wish to further undergo conservative treatment of lymphedema, there are emerging procedures that are now out of my personal comfort zone because they're being performed by plastic surgeons; they use the microscope. There are two groups, the lymphovenous anastomosis and then the real vascular lymph node transfer as a free flap. And both of these procedures (there are no randomized trials yet published), but some really good ones are on the way and currently recruiting based on the evidence we have, which is over 20 observational studies all consistently again showing a benefit in terms of what you can measure in terms of centimeters or with a bioimpedance spectroscopy, or also when you ask the patients, you see quite some dramatic improvements by both of these techniques. And it's increasingly being done. Personally, I strongly believe that it works based on everything we know and understand from lymphedema development, but also prevention and treatment. So I am quite sure that in 5-10 years, we will see much more surgical treatment of patients with lymphedema by highly specialized plastic surgeons. Dr. Dionisia Quiroga: That's my hope as well. Now, another important component of local regional treatment we know is of course radiotherapy. And there have been many incredible advances in breast radiotherapy over the past decades, which has really improved cancer control and decreased side effects in our patients. Dr. Coles, you've led practice changing radiotherapy trials in the past and your research has really influenced international hypofractionation policy. Can you expand upon the emergence of hypofractionated radiation for breast cancer and the effects that it can have on our patient care? Dr. Charlotte Coles: Yes, so thank you very much, Dr. Quiroga. So I think the first thing to say is that radiotherapy hypofractionation isn't a new concept. And in fact, the breast radiotherapy hypofractionation trial started around three decades ago. And the rationale for this was the hypothesis that breast cancer is as sensitive to fraction, which is the treatments that we give, we split it into fractions, is sensitive as late responding tissue. So what does this mean? It means that the small traditional 2 Gy fraction spare tumor and normal tissues equally, so there's no advantage. So therefore, fewer fractions with a larger dose per fraction are worth testing. The problem is there's a concern that hypofractionation might increase the risk of side effects, and that includes the really important one we've been talking about, lymphedema. But we can reduce this risk by reducing the total radiotherapy dose over the whole course. But the question was by how much. So that's why randomized trials were needed. And there's been really high-quality trials with robust radiotherapy quality assurance, and they've been designed in partnership with patients. So just a very quick run through: A landmark trial was the UK START B trial. And this was a pragmatic design that compared 50 Gy in 25 fractions, which was commonly used in the south of the country with 40 Gy in 15 fractions, which was used at that time in the north [of the UK]. And this recruitment was around in the late 1990s and early 2000s. What we knew was that the three-week regimen was actually radiobiologically lower dose. And therefore the results that we got, it wasn't surprising that the 40 Gy was actually gentler on the normal tissue. So that's an advantage for patients. But what was surprising was it wasn't gentler on the tumor and non-inferiority was proven. So this suggests that overall treatment time is important for local control. So this fits with hypofractionation. Way back in 2009, 40 Gy in 15 fractions to both the breast and regional nodes became standard of care in the UK. But five-week nodal and actually breast as well remained standard of care in many countries for many years after that, a little bit to do with the fact that there were few patients treated in the START trial in terms of treating the node. So more recently we've had more randomized trials, particularly for nodal radiotherapy. And this includes the recently reported Danish SKAGEN 1 trial and also the French HypoG-01 trial, which was actually presented at ESMO in Barcelona a couple of weeks ago. So we've now got data for over 5,800 participants in really high-quality randomized trials testing three weeks and five weeks of nodal radiotherapy. And there's no statistically significant difference in late normal tissues for any of these, including lymphedema. So certainly, in my opinion and reflecting in many of the European guidelines, five-week radiotherapy is no longer indicated and three-week nodal radiotherapy is the international standard of care. So, in conclusion, the question is can we hypofractionate even further? So the UK FAST-Forward trial tested three weeks with two different dose levels of one week for the whole breast. Primary endpoint was ipsilateral breast tumor response. More than 4,000 patients participated and this was reported in 2020 with a median follow -up of six years and this was very timely because this is a time of COVID and the results showed non-inferiority for local control with similar late normal tissue side effects and we've also had other results from the UK IMPORT HIGH trial which shows that we can safely deliver a small, highly targeted team of boost simultaneously with the whole breast in all in three weeks. Finally, these two landmark trials have come together for the design of the UK FAST-Forward Boost Study led by my colleague Dr. Anna Kirby. And this is going to test three-week simultaneous integrated boost with two levels of one-week simultaneous integrated boost. And it's also going to test the safety of 5 fraction nodal radiotherapy, including the internal mammary node. Primary endpoint is ipsilateral breast tumor response, multiple normal tissue endpoints, including patient-reported outcomes of course, and the target recall is large with 4,800 participants. So, in summary, I would say that hypofractionation is efficacious, has similarly reduced toxicity. Importantly, it reduces patient burden and that's incredibly important because it means that people can get back on with their life quicker. It reduces health system costs, and also increases equity of access. So we really do need to continue to recruit and design high quality trials in this area. Dr. Dionisia Quiroga: Thank you, Dr. Coles. I think you highlight that there really aren't any downsides to looking into hypofractionated radiotherapy at this point. So excited to see what those future trials yield. And I want to thank you so much, Dr. Weber and Dr. Coles for sharing your valuable insights with us today on the ASCO Daily News Podcast. Dr. Walter Paul Weber: Thank you very much. Dr. Charlotte Coles: Thank you. Dr. Dionisia Quiroga: And thank you to our listeners for joining us today. Our listeners will find a link to our guests' article from the ASCO Educational Book in the transcript of this episode, as well as a link to their presentation from the most recent ASCO Annual Meeting. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcast. Disclaimer:   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  Find out more about today's speakers:   Dr. Dionisia Quiroga @quirogad Dr. Walter Paul Weber Dr. Charlotte Coles Follow ASCO on social media:     @ASCO on Twitter    ASCO on Facebook    ASCO on LinkedIn    Disclosures: Dr. Dionisia Quiroga: No relationships to disclose Dr. Walter Weber: Honoraria: MSD Dr. Charlotte Coles: No relationships to disclose

Send us a textWhat if you could transform your oncology specialty exam prep from overwhelmingly stressful to confidently strategic? Well, that's exactly what we're diving into today! I'm thrilled to introduce you to Dr. Candace Alexander, PT, who just passed her Oncology Specialty Certification Exam earlier this year. In today's episode, we're going behind the scenes on her specialty certification journey, how she had to REWRITE her case report just days before the deadline, & how she prioritized the resources to best support her studying. Today you'll hear about:05:51 The common ground Lymphedema & Oncology share in specialty prep09:40 The Importance of Community in Preparing for Your Specialty Certification11:54 Navigating the Studying Process (AKA how to study for your exam)17:44 Study Strategies and Resources for Success23:31 Candace's Textbook Recommendations for Specialty Prep29:40 The Role of Oncology Specialist Bootcamp in Exam Preparation35:36 Building Confidence Through Knowledge41:38 Reflections on the Certification Journey47:33 Celebrating Success and Future GoalsFor the full show notes & complete list of links from today's episode, visit TheOncoPT.com/316._______________Writing your oncology specialty exam case report is a huge undertaking.And it's easy to make silly mistakes that can derail your entire writing process.That's why you need my brand new FREE masterclass: The 3 Step Framework for a Finished Case ReportSave your seat at TheOncoPT.com/frameworkFollow TheOncoPT on Instagram.Follow TheOncoPT on TikTok.Follow TheOncoPT on Twitter.

Welcome to our latest episode focusing on the evolving world of lymphedema management. In this video, we dive deep into the latest research and treatment methods, including non-pneumatic compression therapy, advanced surgical options, and patient lifestyle strategies for managing lymphedema. Join our expert panel as they discuss recent studies, share patient experiences, and offer insights into the future of lymphedema care. THIS EPISODE IS SPONSORED BY KOYA MEDICAL Koya Medical was founded through encounters with unmet needs for people with chronic lymphedema. The company began researching treatment options after observing that traditional at-home therapies, while effective, restricted patient mobility and movement and were difficult to adhere to. Koya Medical has since developed Dayspring® - the first active compression solution designed to enable movement, mobility, and personalized care. Built on a mobile platform using Flexframe® technology, Dayspring provides patients with a portable and easy-to-use treatment option. Visit https://www.koyamedical.com Experience a new level of freedom when treating venous disease or lymphedema

View Powerpoint Slides: Understanding your Lymphatic SystemAre you unknowingly neglecting a crucial part of your body's defense system?Dr. Katie Deming welcomes Lymphatic expert Desiree De Spong who reveals simple, daily practices that can boost your body's natural healing abilities and help prevent complications like lymphedema.Discover the secrets of the lymphatic system and how it can transform your health, especially after breast surgery or during cancer recovery. Desiree shares easy-to-understand explanations of how this complex system works and why it matters for everyone, not just those recovering from illness or surgery.Chapters:05:17 - Lymph nodes: Pathogen managers and immunity agents14:58 - Retraining body: Balance lymphatic, enhance relaxation26:43 - Right bra fit - freedom, movement, relief36:14 - Daily drainage routine45:43 - Yoga pose: relaxation, energy boost, thyroid aidDiscover practical tips you can start using today to improve your lymphatic flow. From breathing techniques to gentle self-massage, you'll discover how small changes in your daily routine can make a big difference in how you feel. Whether you're dealing with swelling, fatigue, or just want to boost your immune system, this episode has something for you.Listen, learn, and  unlock the power of your lymphatic system and start your journey to better wellness today!Connect with guest, Desiree De SponSend us a textHelp us spread the word about holistic healingPlease leave a review for Born to Heal: https://podcasts.apple.com/us/podcast/born-to-heal-holistic-healing-for-optimal-health/id1585725298 Take a screenshot, share it on your Instagram Stories, and tag @the.conscious.oncologist Don't Face Cancer Alone"The 6 Pillars of Healing Cancer" workshop series provides you valuable insights and strategies to support your healing journey - Click Here to Enroll MORE FROM KATIE DEMING M.D. Free Guide - 3 Things You Need to Know About Cancer: https://www.katiedeming.com/cancer-101/6 Pillars of Healing Cancer Workshop Series - Click Here to EnrollWork with Dr. Katie: www.katiedeming.comFollow Dr. Katie Deming on Instagram: The.Conscious.Oncologist Take a Deeper Dive into Your Healing Journey: Dr. Katie Deming's Linkedin Here Please Support the Show Share this episode with a friend or family member Give a Review on Spotify Give a Review on Apple Podcast DISCLAIMER:The Born to Heal Podcast is intended for informational purposes only and is not a substitute for seeking professional medical advice, diagnosis, or treatment. Individual medical histories are unique; therefore, this episode should not be used to diagnose, treat, cure, or prevent any disease without consulting your healthcare provider.

Early detection of lymphedema, the abnormal build-up of fluid that causes swelling, is key to treatment and prevention. In this episode, Ashley Railsback, a certified lymphedema therapist, shares the importance of managing lymphedema symptoms during and after breast cancer treatment.

Welcome to Part 2 of my conversation with Claire Margit. Claire is a lymphatic specialist trained in all things lymphedema.Today we do a deep dive into what causes lymphedema, simple steps to help prevent it, and ways to manage it if you are diagnosed. Claire has some incredible resources for you for even more information...-Children's Hospital Colorado has an incredible intro video that helps explain the lymphatic system really well.  (https://www.youtube.com/watch?v=MfALHzheD-g )-Perry Nicholson, DC @stopchasingpain on IG. Great resource, addresses the emotion behind the systems in a meaningful way.-Leah Levitan @lymphloveclub on IG. She's a wonderful educator!-Chikly institute: https://chiklyinstitute.com/find-a-therapistKlose Institute: https://directory.klosetraining.com/-There is a 45min educational offering on her website (prism-body.com --> Book Now—> School's In Session) in case people feel like they need more support for self care and maintenance. She's made it available to practitioners as well as patientsSchedule a free 15 minute consultation with Claire at https://prism-body.comFollow Claire on IG @prism_bodyPlease let me know any takeaways you've gotten from this episode or any other. I want to hear from you! You can reach me on IG @melissagrosboll, email me at drmelissagrosboll@gmail.com, or text me at 720-201-4292.

On the phone-in: Automotive expert Doug Bethune answers our listeners' questions about car repair. And off the top, we speak with Karen Bingham who's the president of the Lymphedema Association of Nova Scotia. She talks about the lack of care for patients.

1 in 5 women who have had breast cancer surgery and treatment are at risk for developing a potentially detrimental side effect of breast cancer – breast cancer-related lymphedema – a condition in which lymphatic fluid gets trapped in lymph vessels and causes chronic arm swelling leading to reduced quality of life for many. We are joined today by Tina Tsan, a certified lymphedema therapist and the Founder of Harmony Lymphatics. Tina is dedicated to providing the highest quality of care to her patients and is excited to be here today to share her wealth of knowledge and expertise about managing lymphedema during and after breast cancer treatment.

Welcome to Episode 59 of our podcast, where we dive deep into crucial topics like lymphedema, wound care, and diabetic foot management. Join our esteemed panel, including Dr, John Chuback, Paul Reeves, Dr. Emily Iker, Dr. Monika Gloviczki, Dr. David Armstrong, and Dr. Mark Melin, as they discuss the latest advancements in managing lymphedema, particularly in patients with chronic conditions such as diabetes. Lymphedema, a condition characterized by localized fluid retention and tissue swelling, can significantly impact a patient's quality of life. In this episode, we explore innovative approaches to improve lymphatic function, manage edema, and promote wound healing. Our experts share valuable insights into how to enhance patient outcomes through comprehensive care strategies, including the role of bioflavonoids and the importance of addressing lymphatic dysfunction. Don't miss this informative discussion that sheds light on the complexities of lymphedema and its management in clinical practice. Be sure to subscribe for more episodes covering a range of health topics!

In this enlightening episode of GynoCurious, host Dr. Amy Novatt welcomes back physical therapist Keri Gill Smith to delve deeper into the conditions of lymphedema and lipedema. Dr. Novatt and Keri provide a detailed overview of lymphedema, a condition resulting from damage to the lymphatic system leading to chronic swelling. They dispel common misconceptions and share up-to-date research, offering listeners a better understanding of lymphedema's risks and management strategies. The discussion then transitions to lipedema, a lesser-known yet equally impactful condition characterized by painful fat accumulation predominantly affecting women. Keri sheds light on the symptoms, challenges, and treatment options for lipedema, emphasizing the differences between the two conditions. Listeners gain valuable insights into the complexities of these diseases, learning how to seek appropriate medical advice and support. Finally, the episode pivots to the crucial topic of exercise for everyone, including from the perspective of individuals dealing with these conditions. Dr. Novatt and Keri emphasize the importance of incorporating physical activity into daily routines, outlining practical strategies for achieving fitness goals. They address common barriers to exercise and offer motivational tips to help listeners stay committed to a healthier lifestyle. The episode concludes with a reminder of the holistic benefits of movement, encouraging everyone to prioritize their physical well-being. Links: https://www.linkedin.com/in/keri-gill-smith-673628218/ https://www.choosept.com/find-a-pt/g/i/keri-a.-gill-smith-pt-dpt https://www.healthgrades.com/providers/keri-gill-smith-3x7nd Questions of comments? Call 845-307-7446 or email comments@radiofreerhinecliff.org Produced by Jennifer Hammoud and Matty Rosenberg @ Radio Free Rhiniecliff

Join Steven L. Chen, a breast surgeon, as we delve into the advancements in breast cancer treatments and the challenges of managing breast cancer-related lymphedema (BCRL). As survival rates improve, the focus is shifting to addressing the long-term side effects, particularly lymphedema, which significantly impacts patients' quality of life. Steven will discuss the difficulties in early detection, innovative technologies like bioimpedance spectroscopy (BIS), the importance of patient education, and personalized exercise programs. We'll explore the financial burden of BCRL, the effectiveness of compression garments, and advanced imaging techniques for early diagnosis. Steven L. Chen is a breast surgeon. He discussed the KevinMD article, "Navigating the challenges of breast cancer-related lymphedema." Our presenting sponsor is Nuance, a Microsoft company. Together, Microsoft and Nuance are leveraging their rich digital technology and advanced AI capabilities to tackle some of health care's biggest challenges. AI-driven technology promises to revolutionize patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled solution that automatically captures patient encounters securely and accurately at the point of care. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 85 percent of patients say their physician is more personable and conversational. Discover AI-powered clinical documentation that writes itself. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://www.kevinmd.com/cme I'm partnering with Learner+ to offer clinicians access to an AI-powered reflective portfolio that rewards CME/CE credits from meaningful reflections. Find out more: https://www.kevinmd.com/learnerplus

In this episode Dr. Tiwari and I talk with Physical Therapist, Jodi Diestler from ReVital Cancer Rehab to learn how prehab and rehab can help a patient through oncology treatment.  We discuss:They discuss:•Prehab before breast cancer surgery •Cancer rehab after breast cancer diagnosis •Limitations after breast reconstruction •Lymphedema, fatigue, exercise and more.  Learn more about Revital Cancer Rehab or to find a location near you, click here. Instagram: @thebreastcancerpodcast

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast where we explore the fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta, your host, and today's episode features an enlightening discussion with the esteemed Dr. George Oreopoulos, a renowned vascular surgeon and interventional radiologist.In this episode, Dr. Oreopoulos provides insight into the high-stakes world of vascular surgery, discussing the urgency of aortic aneurysm ruptures and the low survival rates in community settings. We delve into the complexities of managing varicose veins and venous diseases, the evolution of vein treatments, and the crucial role of specialists like Dr. Oreopoulos in addressing traumatic vascular situations.Join us as we explore the future of vascular surgery, from the potential impact of artificial intelligence and nanotechnology to the delivery of biologic therapies through interventional radiology. We also discover the intricacies of endovascular repair, the challenges of managing different types of vascular injuries, and the critical role of randomized control trials in determining treatment efficacy.Stay tuned for an insightful conversation that's both engaging and informative. And remember, while we're here to provide knowledge, always seek professional medical advice for your health concerns. Let's "ditch the lab coat" and embark on this enlightening journey!04:09 Specialist trains surgeons and radiologists, discusses surgery.09:24 What to do if someone is injured?12:53 Specialized hospital treats complex medical procedures efficiently.15:24 Vein clots may require catheter-wire treatment.17:18 Vascular surgery focuses on treating vein issues.22:46 Modern vein treatments available in Ontario. Insurance coverage.24:19 Vein surgery has evolved to outpatient treatment.28:15 Aortic aneurysm rupture risks and outcomes.32:21 Minimally invasive aneurysm treatment under local anesthetic.38:17 AI improves aneurysm prediction, but needs personalization.42:02 Interventional radiology: innovative, effective treatments for patients.44:49 Interventional procedures and accessing arteries, minimal invasiveness48:53 Innovative technology aims to improve medical procedures.50:55 Vascular surgery, veins, arteries, future, family tree.54:58 Medical expert shares fascination and future predictions.

In this episode of the DiepCJourney podcast I am joined by another podcaster. What I am most excited about is that he is one of our international guests this year. We have known each other for some time. Not trying to age either one of us but I have enjoyed knowing him, having robust conversations, and learning so much about the world of plastic surgery and microsurgery from him. We will talk about these topics in the podcast in a cross-continental discussion with my guest Mr. Vimal Gokani. Notice I said, “Mister.” That is because he is a well-respected microsurgeon in the UK and rather than Dr. as we refer to physicians in the U.S. they are bestowed the honor and title “Mr..” Mr. Gokani is a consultant plastic reconstructive surgeon at Imperial College Healthcare NHS Trust with expertise in: ·       Lymphoedema surgery ·       Skin cancer surgery ·       reconstructive surgery following breast cancer and other types of cancer. ·       body contouring following weight loss. ·       abdominal wall reconstruction and… ·       aesthetic surgery of the breast, body, and face. We are going to find out in this interview how he became interested in plastic surgery, and we will discuss some of my preferred topics to talk about: ·       Diep Flap ·       Lymphedema treatment service and surgery ·       Neurotized breast… restoring sensation to the breast. ·       And robotics surgery… where are we and what does the future look like in robotics. Please be sure to go to Spotify and check out his podcast: PRS GLOBAL OPEP DEEP CUTS where he interviews notable colleagues in his field. Mr. Gokani Social Media Links: LinkedIn: https://www.linkedin.com/in/vimal-gokani-251b3336/ Instagram: https://www.instagram.com/vimal.gokani/  

This episode of the Female Athlete Nutrition podcast is with two great friends and physical therapists, Dr. Bobbie and Dr. Jess. They also co-host the Two Gals and a Glass Half Full Apple Podcast. Dr. Bobbie is a former competitive gymnast who now works with gymnasts, amongst other sport athletes, as a physical therapist at Level Up Osteopractic and Wellness in Naperville, IL. While Dr. Jess is the owner and founder of Core Essentials Physical Therapy & Wellness in Jacksonville Beach, FL, and specializes in breast cancer recovery and complex musculoskeletal disorders. They both believe in a holistic approach to mental and physical health and wellbeing. We speak to the complexity and nuance of pain science and management, as well as the role of psychology here. As two doctors of physical therapy, Dr. Bobbie and Dr. Jess explain the education pathway to becoming a physical therapist, alongside other healthcare professions like dietitians. We discuss some of the challenges and shortcomings of the current healthcare model, and the role of speciality providers in the diagnosis and management of specific problems.  Dr. Jess highlights the importance of physical therapy during and following treatment for breast cancer. She helps women regain strength and mobility in their upper body, as well as reducing and managing swelling through lymphedema therapy. While Dr. Bobbie works with athletes recovering from injuries, keeping them in their sport at the highest level possible. She explains what manual therapy actually is, when and why it might be useful,  Believe it or not, physical therapy can be an effective approach to treating migraines and headaches, and Dr. Bobbie explains why and how. We end with both Dr. Bobbie and Dr. Jess answering the end of the podcast questions. TOPIC TIMESTAMPS: 6:15 The importance of a holistic approach to health and well-being  8:50 Pain science and psychology  13:40 Dr. Bobbie and Dr. Jess' friendship through grad school and beyond 16:00 Pathway to becoming a physical therapist; healthcare professions and certifications 18:20 Challenges with the current healthcare system; the role of physical therapists 25:00 PT and breast cancer 36:00 Lymphedema therapy to reduce swelling 44:10 Understanding manual therapy, joint and spinal manipulation, and other PT approaches 52:55 Treating headaches with physical therapy 55:20 Tips for athletes seeing physical therapists 59:50 End of the podcast questions Check out Dr. Bobbie and Dr. Jess here: Website: www.2-gals.com Apple Podcasts: Two Gals and a Glass Half Full Apple Podcasts Spotify: Two Gals and a Glass Half Full Spotify Podcast YouTube: Two Gals and a Glass Half Full YouTube Podcast Facebook: https://www.facebook.com/twogalsandaglasshalffull Instagram: @twogalsandaglasshalffull  Follow your host, Lindsey Cortes, on Instagram @female.athlete.nutrition  Natural Cycles: Check out Natural Cycles here and 20% off subscription plus free thermometer! Our NEW Website is NOW LIVE! Check it out here: https://www.femaleathletenutritionpodcast.com/  Support the podcast with a financial contribution: https://www.patreon.com/femaleathletenutrition   THANK YOU TO OUR SPONSORS: Practice Better Click the link below to view plans and get a 14-day free trial. Then use the code RISEUP20 for 20% off your first 4 months: https://practicebetter.grsm.io/runp  Previnex: https://www.previnex.com/ use code RISEUP for 15% off at checkout InsideTracker: www.insidetracker.com use code LINDSEYCPRO25 for 25% off the entire store  THIS PODCAST IS ALSO SUPPORTED BY: Orgain, head to www.orgain.com and use the code RISEUP30 for 30% off your first order. Repeat customers can use the code OA2203 for 25% off future orders. Practice Better Click the link below to view plans and get a 14-day free trial. Then use the code RISEUP20 for 20% off your first 4 months: https://practicebetter.grsm.io/runp  Jen & Keri: https://jenandkeri.com/ use code RISEUP10 for $10 off your order

In today's episode, host, Laura Carfang speaks with breast cancer survivor Briana Rickertsen. Briana was diagnosed with invasive ductal carcinoma in July 2020 at age 35. She underwent chemotherapy, surgery, radiation, and additional treatments due to a HER2 positive tumor. Briana discovered she has a BRCA2 mutation, leading to further preventive measures, including ovary removal.Pre-Diagnosis, Briana was an active person, engaging in activities like yoga, cycling, hiking, and running.  During Treatment Briana used the Peloton app daily for mental health and physical activity, adapting her routine based on her energy levels and treatment schedule. Post-Treatment, Briana emphasizes the importance of movement in managing fatigue and overall well-being, advocating for small, consistent efforts.Timestamps: [00:03:23] Breast cancer diagnosis in 30s.[00:09:44] Bone health and treatment decisions.[00:11:45] Discussing fertility options during treatment.[00:14:17] Genetic testing and surprises.[00:19:01] Coping through daily exercise.[00:23:41] Exercise in cancer treatment.[00:25:18] The power of walking during treatment.[00:29:15] Exercise dosing in cancer treatment.[00:34:24] Strength training for beginners.[00:38:06] Lymphedema and strength training.[00:41:13] Weightlifting and health journey.[00:45:03] Finding joy in exercise.[00:45:53] Reframing approach to daily activities.Support the Show.

Today, I'm sharing an excerpt from an interview with Dr. Paula Stewart from our 2017 Lipedema & Keto Worldwide Summit. Dr. Stewart, board-certified in Physical Medicine & Rehabilitation, specializes in general physical rehabilitation, neurologic rehabilitation, and comprehensive care for patients with cancer and lymphedema. In this excerpt, Dr. Stewart discusses how she utilizes the unique properties of water and aquatic exercise to benefit her patients with lymphedema and lipedema.

In January 2017, Dr. Melissa Garcia Caballero joined Prof. Peter Carmeliet's prestigious laboratory in Leuven, Belgium, to investigate the therapeutic role of ketone body supplementation in lymphedema.The exciting findings from this study garnered interest among clinicians and led to the initiation of a collaborative translational clinical Phase II trial (KetoLymph) to test the ketogenic diet's therapeutic potential in cancer patients who develop lymphedema.Dr. García Caballero, co-author of over 35 scientific publications, is also a professor at the University of Málaga in Spain.

Aron Porter Jr. talks with Gam and Mz Gogetta about being diagnosed with Lymphedema for the past 6-7 years. As Aron did not know what was going on with him at the time he managed to walk around and enjoy life enduring the pain and lots of swelling. Aron states that the Lymphedema is in both of his legs however the left appears to be much larger. Aron has support of his family as he is immobile and is mostly in his home and confined to his bed. Aron encourages the men to go and get checked out by a doctor and not to let your pride get in the way.Support the Show.

- Today's episode features a highlight from my presentation at the Heart 2 Heart virtual event held on March 31 through April 2, 2023.- In this segment, I discuss Complete Decongestive Therapy (CDT), the premier approach for the conservative treatment of lipedema and lymphedema.

On this episode od The Breast Podcast Ever, Dr. Tiwari and Dr. Halaharvi chat with physical therapist Jodi Deistler.   They disucss: Prehab before breast cancer surgery  Cancer rehab after breast cancer diagnosis  Limitations after breast reconstruction  Lymphedema, fatigue, exercise and more.    Connect with Midwest Breast Website Instagram 

“I'm looking for a guy in finance…” Okay, while that's the start of a recent viral song, I spoke with an SLP who *was* in finance. Fred Stahl is a second-career medical SLP who shares how he went from hedge fund management to voice and dysphagia management for head and neck cancer survivors. Together we discuss why he left finance for speech pathology, his learning experience, his involvement in a research study on swallowing (and the unexpected findings), and the incredibly dynamic nature of our field. From embracing opportunities to learning from failures, Fred's insight is both eye-opening and incredibly motivating! Tune in and get inspired. Get show notes here: https://syppodcast.com/332 Fred Stal is a Speech-Language Pathologist and Certified Brain Injury Specialist. He completed his initial training and clinical fellowship through Cleveland Clinic Rehabilitation Hospital. Currently, Fred works in the outpatient setting as well as per diem in the acute care setting. He recently published research as a co-author with the NYU Swallowing Research Lab, which was presented by the incredible lead author at the 2024 Dysphagia Research Society conference in Puerto Rico. His main areas of clinical interest include dysphagia management, upper airway disorders, and most of all… all things related to the head and neck cancer population. Research Link mentioned:  https://pubmed.ncbi.nlm.nih.gov/9513300/ Timestamps: Fred's Journey into Speech-Language Pathology (00:01:45) Fred's Clinical Experience and Career Path (00:02:29) Passion for Head and Neck Cancer Patients (00:05:47) Learning and Implementing New Techniques (00:07:59) Specialized Field within Speech-Language Pathology (00:08:46) Manual Therapy and Lymphedema in Head and Neck Patients (00:11:36) Presentation at ASHA and Case Studies (00:13:47) Continuous Learning and Adapting in the Field (00:16:41) The research publication (00:18:02) Learning from failures (00:21:26) Instrumental assessment and patient outcomes (00:25:28) Challenges in patient recovery (00:28:20) Value of long-term patient relationships (00:31:38) Advocacy and improvement in skilled nursing facilities (00:33:30) The power of basic tools in dysphagia therapy (00:34:17) Wada testing and awake craniotomy (00:35:15) Exploring new areas in speech pathology (00:36:16) The post 332 – From Hedge Funds to Head & Neck Cancer: Fred Stal's Unique Journey as an SLP appeared first on Swallow Your Pride Podcast.

In this episode, Kelly Bell recounts his journey of developing lymphedema throughout his body as a result of a treatment for reflux, which inadvertently introduced a plastic polymer into his lymphatic system. He discusses how he effectively manages his condition with a ketogenic diet, allowing him to reclaim his life. In addition to being a lymphedema patient, Kelly Bell is a staunch advocate for lymphedema patients with LE&RN, serving as Chairperson of the NC LE&RN Chapter. A retired Coast Guard veteran with over 25 years of service, he has found success in utilizing a ketogenic diet to address his lymphatic disorder and is passionate about assisting others in adopting a similar lifestyle.

Jaclyn Chung of San Diego is a licensed marriage & family therapist who was diagnosed at 33 with breast cancer and the BRCA2 gene. In this episode, Jaclyn reads her essay “The Aftermath: Facing Lymphedema” from the 2021 “Grief & Acceptance” issue of Wildfire. Jaclyn's piece is about dealing with the effects of lymphedema resulting from cancer treatment. April and Jaclyn will talk about the evolving stages of acceptance and grief, update on Jaclyn's lymphedema journey, lymphedema and pregnancy, and holding both reality and hope at the same time. They will also discuss what Jaclyn's biggest challenge has been in her survivorship currently, and what role writing plays in her survivorship today. Connect with Jaclyn: https://www.jaclynchung.com/https://www.instagram.com/sumnercatherine/Purchase the “Grief & Acceptance” issue here: https://www.wildfirecommunity.org/shop/p/mbc23If you liked this episode, you might like this one too:Writing Stories in Lymphedema with Desi Maldonadohttps://player.captivate.fm/episode/0cc3a053-d550-4ed1-97ea-b0f4d687c3f4Buy the Wildfire book Igniting the Fire Within: Stories of Healing, Hope & Humor, Inside Today's Young Breast Cancer Community: https://www.amazon.com/dp/B0BJVJ629F?ref_=pe_3052080_397514860Get the free Wildfire “Hot Flashes” email newsletter: https://www.wildfirecommunity.org/newsletter?rq=newsletterLearn about Wildfire writing workshops: https://www.wildfirecommunity.org/workshopsShop Wildfire merch & more: https://www.wildfirecommunity.org/shop*Free* Get Wildfire and The Burn freebies here: https://www.wildfirecommunity.org/freeMore about Wildfire Magazine: https://www.wildfirecommunity.orghttps://www.instagram.com/wildfire_bc_magazine/https://www.facebook.com/wildfirecommunityInformation on submitting your story for consideration to be published in Wildfire Magazine: https://www.wildfirecommunity.org/submissions

Margot, a 53-year-old woman, presents to physical therapy with bilateral, symmetrical enlargement of her legs extending from her hips to her ankles, sparing the feet. She reports the condition is painful and has worsened over several years. Skin texture is normal, and there is no pitting edema. Which condition is MOST consistent with these findings? A) Chronic venous insufficiency B) Obesity-related lymphedema C) Primary lymphedema D) Lipedema LINKS MENTIONED: PT Hustle Phone Number: (727) 732-4573 Get Your Episode Cheatsheet HERE NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Mike interviews Physical Therapist Kelly Sturm about lymphedema. Kelly became a Certified Lymphedema Therapist (CLT) through Klose Training and is certified by the Lymphology Association of North America (LANA). Kelly has clinical expertise in the rehabilitation treatment of oncology diagnoses, primary and secondary lymphedema, and pelvic health. Kelly is the owner of Cancer Rehab PT with, educating, empowering, and bringing awareness on lymphedema, oncology rehabilitation, and physical therapy. Kelly's Website: https://www.cancerrehabpt.com/ Kelly's YouTube Video's on Lymphedema 1. Leg Lymphedema Playlist: https://www.youtube.com/playlist?list=PLEMlEDKDlobnQkrc2zSsWRQWLQWMFx5Xs 2. Arm Lymphedema Playlist: https://youtube.com/playlist?list=PLEMlEDKDloblvCsikD9iQF0TnkX6kJ2wf&si=KgPTq3jAZwi7KVmT --- Support this podcast: https://podcasters.spotify.com/pod/show/bobandbrad/support