Podcasts about MD

The Brandon Walker College Football show is BACK! Tune in every Monday, Thursday, and Saturday night during the season to listen to the #1 voice in College Football talk all things College Football. DraftKings - GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Please Gamble Responsibly. 888-789-7777/visit ccpg.org (CT), or visit www.mdgamblinghelp.org (MD), 1-800-981-0023 (PR). 21+ and present in most states. (18+ DC/NH/PR/WY). Void in CAN. Eligibility restrictions apply. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL. Opt-in req. 1 50% Profit Boost Token issued per customer per day, valid only for NFL and college football singles, parlays, and SGPs. Bet iterations criteria (select games, no. of legs req. total bet odds, etc.) and max. bet vary. Tokens are single-use and expire at the end of the final football game of the select game slate each day when offered. Must select token BEFORE placing bet. Boost only applies to winnings. Terms: sportsbook.draftkings.com/promos. Sponsored by DK. BlueChew - Visit https://BlueChew.com for more details and important safety information. RYOBI - Game On With RYOBI – 400+ cordless solutions you need for the house, garage, yard, tailgate and beyond - Only at The Home Depot and https://HomeDepot.com IQBAR - Text WALKER to 64000 to get twenty percent off all IQBAR products, plus FREE shipping. Message and data rates may apply. To keep up with all things BFW Show Follow us on TikTok: https://www.tiktok.com/@bfwshow Follow us on X: https://www.twitter.com/bfwshow Follow us on Instagram: https://www.instagram.com/thebfwshow Follow us on Facebook: https://www.facebook.com/thebfwshow And make sure to subscribe on YouTube: https://www.youtube.com/channel/UC9v6icpVdER0VGQpA3uUUsQ To keep up with all things Brandon Walker you can find him on TikTok: https://www.tiktok.com/@brandonfwalker?is_from_webapp=1&sender_device=pc on X: https://x.com/BFW?s=20 on Instagram: https://www.instagram.com/brandonfwalker?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== on Facebook: https://www.facebook.com/BrandonFWalkerYou can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/unnecroughness

Justin and Shaun invite Giants legend Tiki Barber onto the show to talk about the Giants 2026 seasonDownload the Fanatics Sports & Casino App now, the new all-in-one app for sports fans, bringing together ways to bet, trade, or play in one experience.Use our code for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/JOMBOY10. Sponsored by SeatGeek. *Restrictions apply. Max $20 discount00:00 Intro01:30 Tracy and Slayton at risk of being healthy scratches?03:30 Slow down on Najee Harris06:00 Will the team need Slayton on the active roster07:24 New practice squad signings11:15 Fanatics Fivo13:04 Tiki Barber joins the show14:40 This Giants team will be physical17:40 Growth we need to see from Dart as the season goes on19:20 We want to see competitive Giants football21:40 Winning is the most important thing25:00 Year 2 jump from Jaxson Dart27:00 Ways to improve for Dart28:00 Expectations of a dominant running game31:30 A frustrating training camp from Tyrone Tracy 36:00 Tracy could be a healthy scratch from game day roster?38:00 How FB Ricard affects the offense41:15 Cam Skattebo growth in year 245:21 The DT room is a huge concern on this team47:30 Dennard WIlson will be the most important addition to this defense49:50 Getting the best out of the talent on defense50:20 Paulson Adebo needs to step up52:40 Fields and Banks will be a difference maker on this team55:50 Next episode!Check out our Merch: https://shop.jomboymedia.com/collections/talkin-giantsSubscribe to JM Football for our NFL coverage: https://www.youtube.com/@JMFootballFollow all of our content on https://jomboymedia.com#giants #nygiants 21+ only. Availability differs by state. Terms apply. See app for details. Sportsbook: GAMBLING PROBLEM? Call 1-800-GAMBLER or 1-800-MY-RESET, CT call (888) 789-7777, MA call (800)-327-5050, NY call (877) 8-HOPENY, MD visit mdgamblinghelp.org. Markets: Event contract trading is offered by Morton St. Trading Investments, LLC, d/b/a Fanatics Markets, a CFTC-registered futures commission merchant and NFA member. Event contracts carry risk of total loss and changing prices. Not good for all investors. See app for important disclosures. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

High Noon: Visit https://highnoonspirits.com to find High Noon near you DraftKings: GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Call 888-789-7777/visit ccpg.org (CT), mdgamblinghelp.org (MD), 800-981-0023 (PR). Wagering offered by DK Sportsbook: 21+. Present in most states. (18+ DC/NH/PR/WY). Void in CAN. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL.Event Trading offered by DraftKings Predictions, CFTC-registered: 18+. Trading involves risk of loss. Market availability varies. NEW: 1 per new DraftKings customer. $5+ deposit req. Trade $5 get $200 Prediction Dollars (1-year expiry); or bet $5 get $200 in Bonus Bets (7-day expiry and stake removed from payout). Rewards issued in $50 increments every 7 days via click-to-claim for 21 days. Click-to-claims expire 7 days after issuance. Rewards are non-withdrawable. 7 days = 168hrs. Ends 9/20/26 at 11:59 PM ET. BOOST: Opt-in req. 1 Profit Boost issued per customer per day (10% for trades, 50% for bets), valid only for NFL/CFB football transactions on the platform for which it's been issued. Bet/Trade restrictions apply and vary when offered (e.g. market, bet/trade type, min./max. transaction, bet odds/market pricing req. etc.). Boosts are single-use and must be applied BEFORE placing bet/trade. Boost only applies to profit from qualifying bet/trade and expires at the end of the final football game of the select game slate when offered. Trade market must settle to receive boost. Predictions offer void in NY. Terms: dkng.co/offer. Sponsored by DK. -- Follow us on our socials: https://linktr.ee/sonofaboydad -- Merch: https://store.barstoolsports.com/collections/son-of-a-boy-dad -- SUBSCRIBE TO THE YOUTUBE #SonOfABoyDad #BarstoolSportsYou can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/sonofaboydad

Florida makes a dramatic move against vaccine mandates as Dr. Joseph Ladapo charts a new course for families.Then, Hollywood voices join the growing demand for a real investigation into COVID vaccine injuries, as Jefferey Jaxen follows new questions surrounding Fauci, the CIA, and the pandemic's darkest chapters.Plus, the avocado-oil scandal exposed just how little we may know about what is really in our “clean food.” Del sits down with food-brand powerhouses Robby Sansom, who founded Epic and Force of Nature, and Jason Karp, co-founder of Hu, for the conversation every health-conscious American needs to hear.Guests: Joseph Ladapo, MD, PhD, Jason Karp, Robby SansomAirdate: September 3, 2026Become a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.

Check Out Our Merch: https://shop.jomboymedia.com/collections/the-mlb-collection Stream MLB live on FOX One Find out how baseball hits different with T-Mobile at https://www.T-Mobile.com/MLB In the battle for bragging rights, one team always takes the lead. Ford F-Series® Trucks.For current offers, visit http://Ford.com/Local Use our code for 10% off your next set of MLB tickets on SeatGeek*: https://seatgeek.onelink.me/RrnK/YANKS2026. Sponsored by SeatGeek. *Restrictions apply. Max $20 discount Download the Fanatics Sports & Casino App now, the new all-in-one app for sports fans, bringing together ways to bet, trade, or play in one experience. Disclaimer: 21+ only. Availability differs by state. Terms apply. See app for details. Sportsbook: GAMBLING PROBLEM? Call 1-800-GAMBLER or 1-800-MY-RESET, CT call (888) 789-7777, MA call (800)-327-5050, NY call (877) 8-HOPENY, MD visit mdgamblinghelp.org. Markets: Event contract trading is offered by Morton St. Trading Investments, LLC, d/b/a Fanatics Markets, a CFTC-registered futures commission merchant and NFA member. Event contracts carry risk of total loss and changing prices. Not good for all investors. See app for important disclosures. ++++++Timestamps:0:00 Yankees Win the Series4:00 Roster Moves and Injury Updates7:55 Game 1 Was the Worst Game of the Year14:40 Yankees Bounce Back Game 222:45 Yankees Win Game 3 and the Series33:15 Pride of the Yankees: Cam Schlittler39:20 Pride of the Yankees: Cody Bellinger45:20 Yankee MFer48:50 So Happy with Austin Wells53:10 Spencer Jones is HOT1:00:05 JAZZ is Also HOT1:04:50 Amed Rosario and Paul Goldschmidt are Back1:10:00 Padres Series Preview Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

New Episodes out every Thursday during the Nascar Season.

Chapters: 00:00 - 11:09 - Intro 11:10 - 36:22 - Tate on Barstool NY & Surviving 36:23 - 53:19 - Brandon Walker interview 54:20 - 56:15 - Outro Pat and Kelly recap their weekends. Ohio's Tate joins the show to address the New York office drama that he created and his time on Surviving Barstool. Brandon Walker then joins the programs to discuss Surviving Barstool, his beef with Balls, the idol issue, and whether or not he'll do another competition show in the future. Like. comment, and subscribe! Support Our Sponsors DraftKings GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Call 888-789-7777/visit ccpg.org (CT), mdgamblinghelp.org (MD), 800-981-0023 (PR). Wagering offered by DK Sportsbook: 21+. Present in most states. (18+ DC/NH/PR/WY). Void in CAN. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL. Event Trading offered by DraftKings Predictions, CFTC-registered: 18+. Trading involves risk of loss. Market availability varies. Predictions offer void in NY. Opt-in req. 1 Profit Boost Token issued per customer when offered, valid only for platform for which it's been issued. Bet/Trade restrictions apply and vary (e.g., market, bet/trade type, legs req., min. bet odds/market pricing req.). Max. bet/trade and Boost amounts vary. Tokens are single-use, have no cash value, and must be applied BEFORE placing bet/trade. Boost only applies to profit from qualifying bet/trade specified in offer. Terms: sportsbook.draftkings.com/promos. Sponsored by DraftKings. Junkless JUNKLESS PROTEIN: LOSE THE JUNK, NOT THE FLAVOR. BUY NOW ON AMAZON - https://www.amazon.com/dp/B0G2GKLCG1?maas=maas_adg_31636DD1110D59F05EA1CA1F1CEEBA6A_afap_abs&ref_=aa_maas&tag=maas&th=1 Stella Blue JUNKLESS PROTEIN: LOSE THE JUNK, NOT THE FLAVOR. BUY NOW ON AMAZON - https://www.amazon.com/dp/B0G2GKLCG1?maas=maas_adg_31636DD1110D59F05EA1CA1F1CEEBA6A_afap_abs&ref_=aa_maas&tag=maas&th=1You can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/outandabout

This episode offers a practical, case-based approach to one of the most common intraoperative challenges in GI surgery: constructing a stoma that just won't cooperate. The discussion covers preoperative marking and stoma siting in the obese and non-elective patient, technical maneuvers to gain length and reduce tension on the stoma, strategies for the foreshortened small bowel mesentery, and considerations for maturing a stoma in a massively dilated, thick-walled colon. Join Drs. Elissa Dabaghi, Jared Hendren, Joseph Trunzo, Ajaratu Keshinro, and David Rosen as they discuss this clinical challenge in colorectal surgery.Hosts: ·      Elissa Dabaghi, MD, Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio·      Jared Hendren, MD, Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio·      Joseph Trunzo, MD, Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, X/Twitter @joseph_trunzo·      Ajaratu Keshinro, MD, Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, X/Twitter- @AJKesh·      David Rosen, MD, Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, X/Twitter- @davidrrosenmdLearning Objectives: By the end of this episode, listeners will be able to:1.     Describe preoperative marking strategies and intraoperative technical adaptations for stoma siting and construction in obese and non-elective patients.2.     Apply strategies for managing a foreshortened small bowel mesentery when constructing an end or loop ileostomy.3.     Recognize technical considerations for maturing a stoma in a massively dilated, thick-walled colon and identify associated long-term risksSponsor Disclaimer: Visit https://www.goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Sign the petition: https://www.change.org/p/give-mister-ed-his-rightful-spot-on-the-hollywood-walk-of-fame?source_location=psf_petitions Bobbleheads: https://store.barstoolsports.com/products/mostly-sports-bobblehead-ii?variant=42353493114977 Mark Titus and Brandon Walker talking sports... mostly. Thanks to our sponsors: Modelo: Stock Up https://www.modelousa.com/pages/product-locator DraftKings: GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Please Gamble Responsibly. 888-789-7777/visit ccpg.org (CT), or visit www.mdgamblinghelp.org (MD), 1-800-981-0023 (PR). 21+ and present in most states. (18+ DC/NH/PR/WY). Void in CAN. Eligibility restrictions apply. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL. Opt-in req. 1 50% Profit Boost Token issued per customer per day, valid only for NFL and college football singles, parlays, and SGPs. Bet iterations criteria (select games, no. of legs req. total bet odds, etc.) and max. bet vary. Tokens are single-use and expire at the end of the final football game of the select game slate each day when offered. Must select token BEFORE placing bet. Boost only applies to winnings. Terms: sportsbook.draftkings.com/promos. Sponsored by DK. Shady Rays: Go to http://shadyrays.com and use code SPORTS for 50% off 2+ pairs of polarized sunglasses. BODYARMOR: Work hard and hydrate hard with BODYARMOR Flash I.V. Grab it at 7-Eleven EA Sports: Start the season strong with the Kickoff Bundle. Available now. Subscribe on YouTube: https://www.youtube.com/@MostlySportsTitusandWalker?sub_confirmation=1. Follow Mostly Sports on Twitter: https://twitter.com/MostlySports Follow Mark on Twitter: https://twitter.com/clubtrillion Follow Brandon on Twitter: https://twitter.com/bfw Follow Mostly Sports on Instagram: https://www.instagram.com/mostlysportsshow/ Follow Mark on Instagram: https://www.instagram.com/marktheshark34/ Follow Brandon on Instagram: https://www.instagram.com/bwalkersec/ Follow Mostly Sports on TikTok: https://www.tiktok.com/@mostlysportsshow?lang=en Follow Brandon on TikTok: https://www.tiktok.com/@brandonfwalker?lang=en Follow Mark on TikTok: https://www.tiktok.com/@marktituspod?lang=en

Credits: 0.75 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-500 Overview: To celebrate our 500th episode, each member of our team revisits a popular topic from the podcast's earlier installments—GLP-1s, cervical and breast cancer screening, diet and exercise, contraception, hypertension, and lipid management—to trace how the evidence and guidelines have changed since it was first covered. Whether you're catching up or reinforcing what you know, this milestone episode helps you bring the latest evidence into everyday patient care. Guest: Robert Baldor, MD, Alan Ehrlich, MD, Susan Feeney, DNP, FNP-BC; FAANP, Jillian Joseph, PA, Mariyan L. Montaque, DNP, FNP-BC, Jill Terrien PhD, ANP-BC, FAAN   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  Episode resource links:  Zhou H et al.  Evaluation and Comparison of the PREVENT and Pooled Cohort Equations for 10‐Year Atherosclerotic Cardiovascular Risk Prediction. Journal of the American Heart Association Volume 14, Number 4 Goff DC et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2014;129:S49–S73. Circulation. 2018 Jul 24;138(4):345-355.  eClinicalMedicine 2025: 103741. Curry, J. (2018). Screening for cervical cancer: US Preventive Services Task Force Recommendation Statement. JAMA.320(7):674-686. doi:10.1001/jama.2018.10897 https://www.ncbi.nlm.nih.gov/pubmed/30140884  Perkins RB, Wolf AMD, Church TR, et al. Self-collected vaginal specimens for human papillomavirus testing and guidance on screening exit: An update to the American Cancer Society cervical cancer screening guideline. CA Cancer J Clin. 2026;e70041. doi:10.3322/caac.70041   Screening for Cervical Cancer (2026). Obstetrics & Gynecology, 148(1), e63-e67. https://doi.org/10.1097/AOG.0000000000006257  Jad Zeitouni, Nosayaba Osazuwa-Peters, Yusuf Dundar, Gregory Zimet, Mark A. Varvares. (2025). Two decades of the HPV vaccine: its promise, progress, prospects, projections, and posterity, The Lancet Regional Health - Americas, (51), https://doi.org/10.1016/j.lana.2025.101243 Diabetes, Obesity and Metabolism 28, no. 6 (2026): 5043–5057, https://doi.org/10.1111/dom.70698.  Relationship of early rapid weight loss to efficacy and safety of tirzepatide and semaglutide for obesity: SURMOUNT-5 post hoc analysis. Am J Med. 2026 Jul;139(7):913-921. doi: 10.1016/j.amjmed.2026.03.010 US Preventive Services Task Force; Nicholson WK, Silverstein M, Wong JB, et al. Screening for breast cancer: US Preventive Services Task Force recommendation statement. JAMA. 2024;331(22):1918–1930.  Trentham-Dietz A, Chapman CH, Jayasekera J, et al. Collaborative modeling to compare different breast cancer screening strategies: a decision analysis for the US Preventive Services Task Force. JAMA. 2024;331(22):1931–1946. Giaquinto AN, Sung H, Miller KD, et al. Breast cancer statistics, 2022. CA Cancer J Clin. 2022;72(6):524–541.  Qaseem A, Harrod CS, Balk EM, et al. Screening for breast cancer in asymptomatic, average-risk adult females: a guidance statement from the American College of Physicians (Version 2). Ann Intern Med. 2026.:  American Cancer Society. Breast Cancer Facts & Figures 2022–2024. Atlanta, GA: American Cancer Society, 2022.  Hu X, Chehal PK, Kaplan C, et al. Racial differences in patient-reported symptoms and adherence to adjuvant endocrine therapy among women with early-stage, hormone receptor-positive breast cancer. JAMA Netw Open. 2022;5(8):e2225485.  Torres JM, Sodipo MO, Hopkins MF, Chandler PD, Warner ET. Racial differences in breast cancer survival between Black and White women according to tumor subtype: a systematic review and meta-analysis. J Clin Oncol. 2024;42(35):4225–4234.  Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–1463. Hypertension. 2026;83:00–00. DOI: 10.1161/HYPERTENSIONAHA.125.25787 Allen RH, Bartz D. Opill: The Over-the-Counter Contraceptive Pill. Obstet Gynecol. 2024;143(2):184-188. doi:10.1097/AOG.0000000000005455  Cahill EP, Kaur S. Advances in contraception research and development. Curr Opin Obstet Gynecol. 2020;32(6):393-398. doi:10.1097/GCO.0000000000000666  Charles DN, Nagarsheth M, Oshman L. Pain Management for IUD Insertion in Primary Care. Am Fam Physician. 2025;111(4):299-301.  Chen, C., Strasser, J., Banawa, R., Luo, Q., Bodas, M., Castruccio-Prince, C., Das, K., & Pittman, P. (2022). Who is providing contraception care in the United States? An observational study of the contraception workforce. American journal of obstetrics and gynecology, 226(2), 232.e1–232.e11. https://doi.org/10.1016/j.ajog.2021.08.015  Diedrich,J., Klein, D. Peipert, J.(2017). Long-acting reversible contraception in adolescents: a systematic review and meta-analysis, Am J Ob Gyn, April 2017. http://dx.doi.org/10.1016/j.ajog.2016.12.024  Li RHW, Lo SST, Gemzell-Danielsson K, Fong CHY, Ho PC, Ng EHY. Oral emergency contraception with levonorgestrel plus piroxicam: a randomised double-blind placebo-controlled trial. Lancet. 2023;402(10405):851-858. doi:10.1016/S0140-6736(23)01240-0  Mørch LS, Meaidi A, Corn G, Hargreave M, Wessel Skovlund C. Breast Cancer in Users of Levonorgestrel-Releasing Intrauterine Systems. JAMA. 2024;332(18):1578–1580. doi:10.1001/jama.2024.18575  Nguyen AT, Curtis KM, Tepper NK, et al. U.S. Medical Eligibility Criteria for Contraceptive Use, 2024. MMWR Recomm Rep. 2024;73(4):1-126. Published 2024 Aug 8. doi:10.15585/mmwr.rr7304a1  Paradise SL, Landis CA, Klein DA. Evidence Based Contraception: Common Questions and Answers. American Family Physician. 2022. https://www.aafp.org/afp/2022/0900/contraception The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

00:00 - Intro 03:29 - Taylor Talk 32:02 - DWTS Cast Breakdown & Pop Culture Catch Up 53:44 - Voicemails & DMs LEAVE US A VOICEMAIL OR MESSAGE: 347-450-0723 SUPPORT THE SHOW: JUNKLESS: JUNKLESS PROTEIN: LOSE THE JUNK, NOT THE FLAVOR. BUY NOW ON AMAZON - https://www.amazon.com/dp/B0G2GKLCG1?maas=maas_adg_31636DD1110D59F05EA1CA1F1CEEBA6A_afap_abs&ref_=aa_maas&tag=maas&th=1 DRAFTKINGS: GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Call 888-789-7777/visit ccpg.org (CT), mdgamblinghelp.org (MD), 800-981-0023 (PR). Wagering offered by DK Sportsbook: 21+. Present in most states. (18+ DC/NH/PR/WY). Void in CAN. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL.Event Trading offered by DraftKings Predictions, CFTC-registered: 18+. Trading involves risk of loss. Market availability varies. NEW: 1 per new DraftKings customer. $5+ deposit req. Trade $5 get $200 Prediction Dollars (1-year expiry); or bet $5 get $200 in Bonus Bets (7-day expiry and stake removed from payout). Rewards issued in $50 increments every 7 days via click-to-claim for 21 days. Click-to-claims expire 7 days after issuance. Rewards are non-withdrawable. 7 days = 168hrs. Ends 9/20/26 at 11:59 PM ET. BOOST: Opt-in req. 1 Profit Boost issued per customer per day (10% for trades, 50% for bets), valid only for NFL/CFB football transactions on the platform for which it's been issued. Bet/Trade restrictions apply and vary when offered (e.g. market, bet/trade type, min./max. transaction, bet odds/market pricing req. etc.). Boosts are single-use and must be applied BEFORE placing bet/trade. Boost only applies to profit from qualifying bet/trade and expires at the end of the final football game of the select game slate when offered. Trade market must settle to receive boost. Predictions offer void in NY. Terms: dkng.co/offer. Sponsored by DK. OUR MERCH: https://store.barstoolsports.com/collections/taylor-watch FOLLOW TAYLOR WATCH: Instagram: @taylor.watch Tik Tok: @taylor.watch FOLLOW US: Instagram: @gia.mariano Tik Tok: @gia.mariano Instagram: @kelly.keegs Tik Tok: @kellykeegs

Why can you feel almost functional one day and completely wrecked the next with hypermobile EDS, HSD, POTS, or MCAS? And how do you know whether you need more treatment, more rest, more movement, or an entirely different approach? In this special episode of Bendy Bodies with the Hypermobility MD, producer Aron Korney turns the tables on Dr. Linda Bluestein, asking questions submitted by the hypermobility community about some of the most frustrating and misunderstood parts of living with hypermobile Ehlers-Danlos syndrome (hEDS), hypermobility spectrum disorder (HSD), mast cell activation syndrome (MCAS), POTS/dysautonomia, joint instability, chronic pain, and related conditions. Dr. Bluestein breaks down why symptoms can fluctuate so dramatically from day to day and explains the physiology that may be driving those changes. Sleep quality, hormones, hydration, immune and mast cell activation, physical activity, cumulative stress, and other factors can all influence how someone feels from one day to the next. The conversation also tackles something that is rarely discussed enough: the shame, guilt, and self-doubt that can come with unpredictable chronic illness. Dr. Bluestein shares practical ways family members, partners, and friends can offer support without minimizing symptoms, giving advice that wasn't requested, or assuming they know what the person needs. They also explore two professionals who are often missing from a hypermobility care team: pelvic floor physical therapists and mental health professionals who truly understand chronic illness. Drawing from The Book of Questions: Living with Chronic Illness by Brianna Greenspan and Dr. Gregory Stock, Dr. Bluestein discusses a powerful self-advocacy question: “Despite how I'm feeling in this exact moment, what can I do to best support myself starting now?” Sometimes the most useful intervention isn't a complicated new treatment. It may be drinking water, eating something, changing position, putting on compression, asking for help, modifying an activity, or simply doing one small thing that moves you forward. And then things get rapid-fire. Dr. Bluestein reveals some of her favorite and most underrated treatments for hypermobility, the misconceptions about joint instability she encounters most often, and what she considers one of the most dangerous myths in EDS and HSD care: that surgery is always the answer for an unstable joint. They discuss why joint stability is more complicated than ligaments alone, how systemic issues such as mast cell activation may influence symptoms and stability, and why optimizing the entire person before pursuing surgery can matter. The episode closes with a simple strategy for anyone who feels overwhelmed by a long list of health problems: don't try to fix everything at once. Start small, build momentum, and keep moving in the right direction. Whether you're living with hEDS, HSD, POTS, MCAS, chronic pain, dysautonomia, or another complex connective tissue disorder, this episode offers practical strategies for understanding symptom variability, building a better care team, advocating for yourself, and making progress without needing a perfect plan. Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network Go http://www.AquaTru.com now for 20% off (your purifier) using promo code BENDY. FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Chapters: 00:00 Fatigue Battery Analogy 01:15 Episode Goals and Community 04:08 Family and Friends Variability 06:26 Why Symptoms Fluctuate 12:26 Spoon Theory and Energy 15:14 Supportive Accommodations 30:38 Care Team Unsung Heroes 33:24 Micro Massive Self Support 36:38 AI Tools And Privacy 38:55 Rapid Fire Myths And Treatments 47:36 One Next Step Hack 53:20 Goodbye And Final Resources Learn more about your ad choices. Visit megaphone.fm/adchoices

The business wasn't missing ambition. It was missing the structure to sustain it. What happens when a rapidly growing business starts demanding more from its founder than one person can give? In this case study, Dr. Jesse Jacobs of Freeform Chiropractic shares how he transformed a fast-growing franchise organization from founder-dependent momentum into a scalable enterprise built on accountability, structure, and leadership. As Free Form Chiropractic expanded from seven locations to a growing multi-unit organization, Jesse discovered that the next stage of growth required more than vision. It demanded operational discipline, clear systems, and a business that could thrive without depending on him to save the day. The result wasn't just a stronger company. It gave him more freedom with his family, greater confidence as a CEO, and a clearer path toward the future he set out to build. In This Case Study You Will: Follow how Free Form Chiropractic evolved from founder-driven growth to a business built for long-term scale. Discover why accountability and organizational clarity became the missing pieces behind rapid expansion. Hear what changed when Jesse stopped white-knighting every challenge and stepped fully into the CEO role. Explore how leadership systems created greater freedom both inside the business and at home. Take away the framework that helped transform growth into durability and optionality. Episode Highlights 01:33 – A fast-growing franchise looked successful on paper, but behind the scenes the founder was carrying far more than the business could sustainably demand. 02:56 – The realization wasn't knowing exactly what needed to change. It was recognizing that growth had exposed problems that couldn't be solved alone. 03:56 – Personal vision became the foundation for business vision, creating clarity that reached far beyond opening more locations. 05:48 – Looking beyond the bank account and into meaningful business metrics transformed how every location was measured and improved. 07:12 – Standards stopped drifting once accountability and clear ownership became part of the organization's operating rhythm. 08:55 – Building a world-class team started with a simple commitment: only world-class people would shape the future of the company. 12:06 – The pursuit of freedom gave way to something even more valuable: building a business durable enough to create lasting optionality. 17:20 – Growth wasn't measured only by opening more locations but by creating businesses that could thrive without depending on the founder. 20:58 – Reclaiming intentional time with family became one of the clearest signs that the business was finally serving the life it was meant to support. 24:30 – The greatest breakthroughs didn't come from having all the answers, but from surrounding the business with people who understood the journey. 28:12 - Technology should make running a chiropractic practice easier, not more complicated. Dr. Bobby sits down with Sam Ogutucu from Success Partner Medic Cloud to explore how specialized IT support and in-house digital X-ray solutions help practices improve efficiency, enhance the patient experience, protect retention, and create stronger long-term profitability. Resources Mentioned Learn more about the TRP Remarkable Practice Immersion Oct 1 - 3, 2026 in National Harbor, MD and Nov 13 - 14, 2026 in Adelaide, AUS - https://theremarkablepractice.com/upcoming-events/   To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo For more information about Medic Cloud please visit: https://mediccloud.com.au/ Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1 To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

In this episode, Rhiannon Doherty, DHA, APRN, Director of Usability and Clinical Optimization at Baptist Health, shares how human-centered design, change management and frontline engagement helped drive adoption during a major EHR communication transition. Moderated by Stephanie Lahr, MD, Chief Medical Officer at uPerform, the conversation explores turning resistance into insight and putting users first.This episode is sponsored by uPerform.

In this episode, Hannah Galvin, MD, FAAP, FAMIA, CHCIO, CDH-E, Chief Health Information Officer at Cambridge Health Alliance, discusses the shift from AI pilots to enterprise-wide implementation, including governance, evaluation, patient trust and equity. She also shares lessons from Cambridge Health Alliance's AI initiatives and advice for emerging healthcare technology leaders.

Dr. Cynthia Li joins us to talk about her new book, The Medicine of Flow. Trained as an internist, Cynthia developed an autoimmune condition and then chronic fatigue and dysautonomia, illnesses largely dismissed at the time as being in her head. Her own body pushed her out of the paradigm she was trained in and into functional medicine, qigong, and intuitive healing. A decade later, a second crisis took her back to housebound and taught her what all her effort hadn't: coherence, and what she calls embodied flow. We talk about surrender that isn't passivity, why nervous system regulation is only part of the picture, and how coherence moves between bodies. Guest Cynthia Li, MD, is a physician who moved from public health to integrative medicine and intuitive healing, with earlier work at Kaiser Permanente's HIV/AIDS group, San Francisco General Hospital, St. Anthony Clinic, and Doctors Without Borders in rural China. A certified qigong teacher and healer since 2014, she has served as faculty for Rachel Remen's Healer's Art program at UCSF, and her story appeared in Dr. Kelly Turner's Radical Remission documentary. She is the author of Brave New Medicine and The Medicine of Flow (May 2026). Timestamps 00:00 Introduction 00:01 From internist to patient: the first illness 00:05 Intuitive medicine, and learning to rule things in 00:07 The second health crisis and the turn to surrender 00:09 What coherence is, and why it isn't just relaxation 00:14 Too many apps: the body in incoherence 00:23 Breath, spiritus, and the nondual 00:27 Physics 101: why we are electromagnetic beings 00:31 Coherence in a time of polycrisis 00:34 Overlapping fields, and the living mandala 00:40 Why the collective comes sixth 00:47 Bamboo in the wind, and whether the future of medicine is ancient Books and practices The Medicine of Flow: Harmonizing Your Inner State for Effortless Healing (Reveal Press, May 2026) Brave New Medicine: A Doctor's Unconventional Path to Healing Her Autoimmune Illness (New Harbinger, 2019) Embodied Flow Methods, free guided audio and video for the practices in the book, including coherent breathing and a downloadable 30-day worksheet Find Cynthia cynthialimd.com Instagram LinkedIn Facebook Psychology Today Her New York Times piece on the pandemic, poverty, and homelessness Going deeper Awakin Call with Michael Lerner, July 2026, on The Medicine of Flow Her first Awakin Call, 2020, on healing from the first crisis HeartMath Institute, the heart coherence and HRV research referenced in the conversation Contact SAND podcast@scienceandnonduality.com Support the mission of SAND and the production of this podcast by becoming a SAND Member

0:00 Intro 1:54 Song Yadong UFC Shanghai Upset Recap / Upset of the Year? 10:45 332 Main Event Discussion 14:03 Contender Series Recap / Bella Mir Loss Discussion 14:30 Alex Apodaca Interview Plug / Dana White Interview Plug 24:25 Delphine Benouaich vs. Sofia Montenegro 26:20 Matthieu Duclos vs. Luis Felipe Dias 29:01 Nora Cornolle vs. Klaudia Syguła 31:58 Fabia Sintes vs. Michael Aljarouj 32:42 Nathaniel Wood vs. Pavel Andrusca 35:04 Oumar Sy vs. Modestas Bukauskas 36:01 Mario Pinto vs. Ryan Spann 37:39 Morgan Charrière vs. Felipe Lima 39:15 Losene Keita vs. Muhammad Naimov 40:43 Kurtis Campbell vs. Trevor Peek 43:16 Anthony Smith / GameBread FC Discussion 45:18 Punahele Soriano vs. Daniil Donchenko 47:00 Michael Page vs. Nursulton Ruziboev 48:22 Farès Ziam vs. Axel Sola 50:18 Dan Hooker vs. Salahdine Parnasse 52:20 Outro Go to http://shadyrays.com and use code BACKFIST for 50% off 2+ pairs of polarized sunglasses. GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Call 888-789-7777/visit ccpg.org (CT), mdgamblinghelp.org (MD), 800-981-0023 (PR). Wagering offered by DK Sportsbook: 21+. Present in most states. (18+ DC/NH/PR/WY). Void in CAN. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL. Event Trading offered by DraftKings Predictions, CFTC-registered: 18+. Trading involves risk of loss. Market availability varies. General: 1 per new DraftKings customer. $5+ deposit req. Trade $5 get $200 Prediction Dollars (1-year expiry) or bet $5 get $200 in Bonus Bets (7-day expiry and stake removed from payout). Rewards issued in $50 increments every 7 days via click-to-claim for 21 days. Click-to-claims expire 7 days after issuance. Rewards are non-withdrawable. 7 days = 168hrs. Predictions offer void in NY. Terms: dkng.co/offer. Ends 9/20/26 at 11:59 PM ET. Sponsored by DK.You can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/SpinninBackfist

The terms “low-carb” and “ketogenic” are often used interchangeably, but are they the same thing?Not quite.A low-carb diet can be a powerful tool for improving blood sugar, triglycerides, insulin levels, inflammation, and overall metabolic health. Ketogenic diets, on the other hand, involve a deeper level of carbohydrate reduction that shifts the body into nutritional ketosis, where ketones become a significant source of fuel for the brain and body.That metabolic shift can be especially relevant when ketosis itself is part of the therapeutic goal.In this video, Dr. Bret Scher walks through:How low-carb and ketogenic diets are typically definedThe amount of carbohydrate that may support nutritional ketosisWhat changes in the body once ketone production increasesHow each approach may be used for different metabolic goalsWhy ketosis is being studied for serious mental illness and other brain-based conditionsHow clearer terminology can help people set more realistic expectationsThe right level of carbohydrate reduction depends on the person, the condition being addressed, and the intended outcome. Someone looking to improve general metabolic health may do very well with a low-carb approach. Someone using ketogenic therapy for a clinical purpose may need closer monitoring, greater precision, and support from an experienced healthcare team.Understanding which approach you're following gives you a clearer way to track progress, interpret results, and discuss next steps with your clinician.

LSU faces SEC controversy as rumors swirl about a possible expulsion—could financial power and college football history protect the Tigers? The conversation focused on Lane Kiffin's influence, transfer portal maneuvering, potential postseason implications, and why LSU is under scrutiny while teams like Texas and Missouri escape the spotlight. Key topics include the fallout from temporary restraining orders, allegations of recruiting NFL training camp players, and the SEC's business priorities. The discussion explored posturing in upcoming Week 1 matchups, with LSU hosting Clemson, Notre Dame versus Wisconsin, Georgia Tech hosting Colorado, and Louisville playing Ole Miss. Injury updates for Louisville, Miami, Auburn, and other key games. Don't miss the insights on SEC politics, college football playoff strategies, and whether expelling a powerhouse like LSU could ever make sense. Support us by supporting our sponsors! Poncho Outdoors Go to https://ponchooutdoors.com/LOCKEDON and enter your email to get $10 off and free shipping on your first order. KALSHI For a limited time, download the Kalshi app and use code [LOCKEDON] to get $10 when you trade $10. Indeed Listeners of this show get a $75 Sponsored Job Credit to help give your job the premium placement it deserves at http://Indeed.com/podcast. Wayfair Patio season is here and these deals won't last! Head to https://wayfair.com right now to get your outdoor space ready for way less. Wayfair. Every style. Every home. LARINECO Give Larine a try. Right now, Larine Co is offering our listeners up to 50% off at https://BUYLARINE.com/LOCKEDONCOLLEGE. Odoo Great organizations win because operations matter. And that's why you should get Odoo. Try for free today at https://Odoo.com/lockedon. 5-Hour ENERGY Bring on the sweetness with Cotton Candy 5-hour ENERGY®️ shots—available online now at https:/5hourENERGY.com or on Amazon. Gametime Today's episode is brought to you by Gametime. Download the Gametime app, create an account, and use code LOCKEDON for $20 off your first purchase. Terms and conditions apply. FanDuel Today's episode is brought to you by FanDuel. Join all the action at https://FANDUEL.COM to play Daily Dingers and make your free pick on who's hitting a homer this MLB season. FANDUEL DISCLAIMER: 21+ in select states. First online real money wager only. Bonus issued as nonwithdrawable free bets that expire in 14 days. Restrictions apply. See terms at sportsbook.fanduel.com. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MD, MI, NJ, PA, IL, VA, WV), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 (WY, KS) or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), 1-877-8-HOPENY or text HOPENY (467369) (NY), TN REDLINE 1-800-889-9789 (TN) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, editor-in-chief Joseph E. Safdieh, MD, FAAN, highlights articles about new migraine prevention guidelines, the use of plasmapheresis for acute MOGAD attacks, and how sabbaticals can help neurologists avoid burnout.

I am very excited to present to you faithful listeners of Necronomicast a wide ranging and fascinating conversation with Jonathan Kendall, MD! Jonathan Kendall is a board-certified medical doctor in internal medicine and nephrology. As a physician, he is in a relatively unique position to evaluate potential medical and psychological explanations for paranormal encounters. He is well-versed in ufology literature, physical research, quantum mechanics, and theoretical physics. The worlds of paranormal activity, metaphysics, religious studies, and science has always fascinated him. We are discussing his incredible new book "The Metaphysics of UFOs". The evidence he presents has implications that could lead to revolutionary breakthroughs in communications, energy use, medicine, interstellar travel, religion, and the nature of reality. This eye-opening book investigates the connection between UFOs and kindred phenomena like monsters, Men in Black, and poltergeists. It also explores the harrowing world of UFO abductions and why the aftereffects are so similar to those of both near-death experiences and encounters with mystical realms. These case studies shatter conventional views of reality and prove that far more is at stake than answering the question, "Are we alone in the universe?" Official Website of Jonathan Kendall, MD. Jonathan Kendall, MD at Llewellyn Books. Support Necronomicast at "Buy Me A Coffee"  Thank you!   "Phantom from Space" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 http://creativecommons.org/licenses/by/4.0/

This week on The PQI Podcast, we are joined by Manojkumar Bupathi, MD and Matthew Garmezy,MD genitourinary oncology experts and hosts of the Oncology Decoded podcast. Dr. Bupathi is President and Managing Partner of Rocky Mountain Cancer Centers and Executive Chair of the Genitourinary Research Program at Sarah Cannon Research Institute. Dr. Garmezy serves as Associate Director of the Genitourinary Oncology Research Program and Associate Director of the Drug Development Unit at Sarah Cannon Research Institute Oncology Partners. Together, they bring perspectives spanning community oncology, clinical research, drug development, and real-world cancer care. In this episode, we discuss recent updates in prostate cancer and, just as importantly, how oncology teams can take new data and translate it into decisions that make sense in everyday practice. We also talk about Oncology Decoded, their approach to breaking down new research and treatment advances, and why understanding how to actually use emerging evidence is just as important as knowing the latest data. Listen to Oncology Decoded: https://www.cancernetwork.com/podcasts/oncology-decoded

In this soul-centered episode of Vivalife, we explore the powerful truth: I am everything God created me to be.Through reflection, scripture, forgiveness, affirmations, gratitude, and spiritual grounding, this episode invites you to stop striving for worthiness and start accepting the divine identity already planted within you. Like trees, flowers, plants, and fruit, we all began as seeds—carrying purpose, beauty, strength, and possibility from the very beginning.As I step confidently, boldly, gracefully, happily, and excitedly into my 50th year of existence, I am taking inventory of why I was created, why I am here, and why I am surrounded and filled with blessings. This episode is an invitation for you to do the same.You are not behind.You are not empty.You are not a mistake.You are everything God created you to be.Stay Connected with VivaLife SPF ME If this episode resonated with you, please like, share, and follow the VivaLife SPF ME Podcast on Spotify, Amazon, and Google Podcasts to help us spread the message of healing, empowerment, and intentional living.Subscribe to our YouTube Channelhttps://www.youtube.com/@vivalifespfmeJoin our communityGet access to our mailing list, upcoming events, and transformational experiences:https://drkellyomd.com/join-our-newsletterBook Dr. Kelly O., MD for your next event or speaking engagement:https://drkellyomd.com/book-for-an-eventPurchase your VivaLife SPF ME Journalhttps://vivalifespfme.com/vivalife-spfme-product-details/product/67ef31d160ab281de2e01b05Shop “We Can't Be Erased” MerchandiseT-shirts & hats that speak truth and strength:https://vivalifespfme.com/vivalife-spfme-product-details/product/67da338b44eafa3985031064/#Affirmation #365DaysofAffirmation #VivaLifeSPFMEPodcast #VivaLifeSPFME #DrKellyOMD

SEEN & HEARD: It Starts With Listening to WomenWelcome to the first episode of SEEN & HEARD, a new special series from Perimenopause WTF?We are launching SEEN & HEARD during Perimenopause Awareness Month with a message we believe needs to be at the center of this month:Awareness starts with listening to women.For too long, women have been telling us what is happening to their bodies.They have talked about the anxiety that seemingly came out of nowhere. The sleep that suddenly changed. The brain fog, exhaustion, changes in their periods, libido, mood and sense of self. They have asked whether these symptoms could be connected. And too often, they have been dismissed, treated symptom by symptom, or simply told that they are too young for perimenopause.SEEN & HEARD starts somewhere different: by listening to women.Because women's lived experiences are not an afterthought to the healthcare conversation. They are where the conversation should begin.In our first episode, we meet Kristin Cohen, Perry Community Manager, who was just 37 when she first began experiencing symptoms of perimenopause.At 37, perimenopause wasn't the obvious explanation. Kristin's experience represents something we hear again and again in the Perry community: women know when something has changed in their bodies, even when they don't yet have the language to explain what is happening.Kristin shares her story with Dr. Alyssa Dweck, MS, MD, FACOG, MSCP, practicing gynecologist and Chief Medical Officer of Bonafide Health.And importantly, the conversation begins with Kristin.Her experience. Her questions. What she noticed. What she needed.Dr. Dweck brings the clinical expertise to help put that lived experience into context.That is the soul of SEEN & HEARD.Listen to the woman first. Then bring in the science, expertise and care.Because if we want to build better healthcare for women, we have to get better at hearing what women have been telling us all along.Kristin and Dr. Dweck explore:• What it can feel like when perimenopause begins in your 30s• Why women may not recognize that seemingly unrelated symptoms could be connected• What happens when women feel their concerns aren't being heard• The questions women are really asking inside the Perry community• How lived experience can help inform better clinical conversations• Why listening to women has to be part of improving perimenopause careThis episode also marks a broader collaboration between Perry and Bonafide Health built around making trusted perimenopause education more accessible to women.Together, we are launching Perry Shorts with Dr. Alyssa Dweck: short, digestible educational videos that take the real questions we hear from women and bring them directly to a trusted healthcare expert.The principle is the same:Start with what women are asking. Start with what women are experiencing. Start by listening.Dr. Alyssa Dweck, MS, MD, FACOG, MSCP is a practicing gynecologist, Menopause Society Certified Practitioner and Chief Medical Officer of Bonafide Health. She has decades of experience caring for women, with a particular focus on menopause and female sexual health.At Perry, listening to women is only the beginning.What we hear from women also needs to make its way back into healthcare.Through Perry Academy, we bring the lived realities of perimenopause together with multidisciplinary, evidence-based healthcare professional education. The goal is to help more healthcare professionals recognize the whole-person experience of perimenopause and have better, more informed conversations with the women sitting in front of them.That connection matters.Listen to women.Learn from women.Bring their experiences into healthcare education.And ultimately, change the way women are cared for.That is what SEEN & HEARD is about.

Download the Fanatics Sports & Casino App now, the new all-in-one app for sports fans, bringing together ways to bet, trade, or play in one experience. Book your next trip at https://www.bestwestern.com Booking.com the easiest way from where you are to where you want to be. Go on, book that trip - it's easy. https://www.booking.com Be sure to check out Ball in Play: Concrete Cricket on the Warehouse Games YouTube Channel releasing on 9/1! https://www.youtube.com/@WarehouseGames Sign up at heydaze.com by September 8th at midnight ET to lock in your early access! Willie, Mickey & "The Duke" – Talkin' Baseball® - Written & Recorded by Terry Cashman, and other recordings involving baseball, are available to purchase on Lifesong Records Coach Trev and Talkin' Jake discuss the BEST players THROUGH August throughout MLB! Do you agree or disagree with their picks? The Talkin' Baseball® trademark is exclusively owned by PKM Productions LLC for sound recordings. PKM Productions LLC and Lifesong Records are not associated with Jomboy Media Disclaimer: 21+ only. Availability differs by state. Terms apply. See app for details. Sportsbook: GAMBLING PROBLEM? Call 1-800-GAMBLER or 1-800-MY-RESET, CT call (888) 789-7777, MA call (800)-327-5050, NY call (877) 8-HOPENY, MD visit mdgamblinghelp.org. Markets: Event contract trading is offered by Morton St. Trading Investments, LLC, d/b/a Fanatics Markets, a CFTC-registered futures commission merchant and NFA member. Event contracts carry risk of total loss and changing prices. Not good for all investors. See app for important disclosures. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Sign the petition: https://www.change.org/p/give-mister-ed-his-rightful-spot-on-the-hollywood-walk-of-fame?source_location=psf_petitions Bobbleheads: https://store.barstoolsports.com/products/mostly-sports-bobblehead-ii?variant=42353493114977 Mark Titus and Brandon Walker talking sports... mostly. Thanks to our sponsors: Modelo: Stock Up https://www.modelousa.com/pages/product-locator BODYARMOR: Work hard and hydrate hard with BODYARMOR Flash I.V. Grab it at 7-Eleven DraftKings:GAMBLING PROBLEM? CALL 1-800-GAMBLER or 1-800-MY-RESET, 800-327-5050/visit gamblinghelplinema.org (MA). Call 888-789-7777/visit ccpg.org (CT), mdgamblinghelp.org (MD), 800-981-0023 (PR). Wagering offered by DK Sportsbook: 21+. Present in most states. (18+ DC/NH/PR/WY). Void in CAN. On behalf of Boot Hill Casino (KS). Pass-thru of per wager tax may apply in IL. Event Trading offered by DraftKings Predictions, CFTC-registered: 18+. Trading involves risk of loss. Market availability varies. Predictions offer void in NY. Opt-in req. 1 Profit Boost Token issued per customer when offered, valid only for platform for which it's been issued. Bet/Trade restrictions apply and vary (e.g., market, bet/trade type, legs req., min. bet odds/market pricing req.). Max. bet/trade and Boost amounts vary. Tokens are single-use, have no cash value, and must be applied BEFORE placing bet/trade. Boost only applies to profit from qualifying bet/trade specified in offer. Terms: sportsbook.draftkings.com/promos. Sponsored by DraftKings. Stella Blue: Go to the store locator on https://stellabluecoffee.com to find a store near you. EA Sports: Start the season strong with the Kickoff Bundle. Available now. Subscribe on YouTube: https://www.youtube.com/@MostlySportsTitusandWalker?sub_confirmation=1. Follow Mostly Sports on Twitter: https://twitter.com/MostlySports Follow Mark on Twitter: https://twitter.com/clubtrillion Follow Brandon on Twitter: https://twitter.com/bfw Follow Mostly Sports on Instagram: https://www.instagram.com/mostlysportsshow/ Follow Mark on Instagram: https://www.instagram.com/marktheshark34/ Follow Brandon on Instagram: https://www.instagram.com/bwalkersec/ Follow Mostly Sports on TikTok: https://www.tiktok.com/@mostlysportsshow?lang=en Follow Brandon on TikTok: https://www.tiktok.com/@brandonfwalker?lang=en Follow Mark on TikTok: https://www.tiktok.com/@marktituspod?lang=en

Sign up at heydaze.com by September 8th at midnight ET to lock in your early access! Thanks to Bear Mattress for sponsoring this video! Visit http://bearmattress.com/bakers and use CODE: BAKERS to get 40% off your Bear mattress! Download the Fanatics Sports & Casino App now, the new all-in-one app for sports fans, bringing together ways to bet, trade, or play in one experience. Disclaimer: 21+ only. Availability differs by state. Terms apply. See app for details. Sportsbook: GAMBLING PROBLEM? Call 1-800-GAMBLER or 1-800-MY-RESET, CT call (888) 789-7777, MA call (800)-327-5050, NY call (877) 8-HOPENY, MD visit mdgamblinghelp.org. Markets: Event contract trading is offered by Morton St. Trading Investments, LLC, d/b/a Fanatics Markets, a CFTC-registered futures commission merchant and NFA member. Event contracts carry risk of total loss and changing prices. Not good for all investors. See app for important disclosures. ++++ 0:00 Jolly Olive is Back 4:20 The Playoff Landscape 5:45 AL Central Teams 12:30 Matchups We Want to See 18:10 Who Gets the Last AL Spot? 24:10 AL Matchups that are Juicy 28:55 NL Matchups We Want to See 49:40 Most Exciting World Series Matchup Would Be....? 1:01:10 Predictions Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

About this episode:   Wild pollinators like bees and hoverflies play a direct role in human health. A recent study in Nepal shows that flourishing pollinator populations lead to higher agricultural yields, bolstering both human economic wellbeing and access to ample, nutrient-rich foods. In this episode: Dr. Samuel Myers of the Johns Hopkins Institute for Planetary Health details the link between biodiversity and human health and the risk that mankind's ecological footprint poses to this complex and essential relationship. Guest:  Sam Myers, MD, MPH, is the founding director of the Planetary Health Alliance and the faculty director at the brand new Johns Hopkins Institute for Planetary Health. Host:  Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content:  Pollinators support the nutrition and income of vulnerable communities—Nature Why Pollinators Matter for Human Health: Five Questions With Samuel Myers—Johns Hopkins Bloomberg School of Public Health The Case for Planetary Health—Can We Change?—Public Health On Call (April 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

The mates sit down with Philip Johnston and Matt Pines to discuss humanity's first star probe, Architect Labs outperforming NVIDIA by 3.4x, Musk's plan to use satellites to cool Earth, OpenAI blocking Elon, Sam Altman's four-month AGI timeline, and the first fully AI-designed chip. Sign up for our AMA at ⁠http://Moonshots.com/ama Get access to metatrends 10+ years before anyone else - https://qr.diamandis.com/metatrends   Peter H. Diamandis, MD, is the Founder of XPRIZE, Singularity University, ZeroG, and A360 Salim Ismail is the founder of Open ExO, a GP at Exponential Venture Capital/The Organizational Singularity Fund and a sought after global speaker and thought leader. Dave Blundin is the founder & GP of Link Ventures Dr. Alexander Wissner-Gross is a computer scientist and founder of Reified Philip Johnston is the co-founder and CEO of Starcloud, a space technology company building orbital data centers to meet the growing energy demands of AI. Matt Pines is the CEO of Physical Superintelligence (PSI) and a national security and emerging technology expert focused on the intersection of AI, geopolitics, cybersecurity, and strategic policy.  – My companies: Apply to Dave's and my new fund:https://qr.diamandis.com/linkventureslanding   Get the blueprint for generative media https://goo.gle/startupgenmedia  Go to Blitzy to book a free demo and start building today: https://qr.diamandis.com/blitzy   Your body is incredibly good at hiding disease. Schedule a call with Fountain Life to add healthy decades to your life, and to learn more about their Memberships: https://www.fountainlife.com/peter  _ Connect with Peter: X Instagram Substack Website Xprize A360 Connect with Dave: Web X LinkedIn Instagram TikTok Connect with Salim: LinkedIn X Join Salim's 10X Shift Subscribe to Salim's YouTube channel Exponential Venture Capital Connect with Alex Website LinkedIn X Email Substack  Spotify Threads Connect with Philip Website LinkedIn X Instagram Connect with Matt Website X LinkedIn Listen to MOONSHOTS: Apple YouTube Follow MOONSHOTS:  Instagram TikTok X Threads – *Recorded on September 1st, 2026 *The views expressed by me and all guests are personal opinions and do not constitute Financial, Medical, or Legal advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Beth Ricanati, MD, and I made challah together in my kitchen in L.A. eight years ago — and filmed it. Since then, our lives continue to intersect from the podcast to the bookstore to her being part of the On Being Jewish Now anthology. In this conversation recorded at Zibby's Bookshop, we covered health benefits to baking, her suggestions as a physician for how to live more healthfully, and the windy path to her second book. (If you want to watch our original film, click here!) Hosted on Acast. See acast.com/privacy for more information.

Chris Rose and Trevor Plouffe discuss the hottest stories in baseball Monday through Friday! Thanks to our partners at T-Mobile for sponsoring today's episode. Use our code for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/BASEBALL2026 . Sponsored by SeatGeek. *Restrictions apply. Max $20 discount Booking.com the easiest way from where you are to where you want to be. Go on, book that trip - it's easy. https://www.booking.com Try Gusto and get three months free when you run your first payroll: gusto.com/TODAY #ad Download the Fanatics Sports & Casino App now, the new all-in-one app for sports fans, bringing together ways to bet, trade, or play in one experience. Disclaimer: 21+ only. Availability differs by state. Terms apply. See app for details. Sportsbook: GAMBLING PROBLEM? Call 1-800-GAMBLER or 1-800-MY-RESET, CT call (888) 789-7777, MA call (800)-327-5050, NY call (877) 8-HOPENY, MD visit mdgamblinghelp.org. Markets: Event contract trading is offered by Morton St. Trading Investments, LLC, d/b/a Fanatics Markets, a CFTC-registered futures commission merchant and NFA member. Event contracts carry risk of total loss and changing prices. Not good for all investors. See app for important disclosures Shop your favorite gear from the Jomboy Media store. Click here to shop today! https://shop.jomboymedia.com/ 00:00 INTRO 03:22 Rank these AL teams 13:11 Angels sold for $4 billion 21:55 The NL Wild Card race 27:20 How disappointed are you in the Pirates? 35:05 Quick hitters 41:56 OUTRO Follow us on X/Instagram: @ChrisRoseSports Chris Rose on X/Instagram: @ChrisRose Trevor Plouffe on X/Instagram @TrevorPlouffe Follow all of our content on https://jomboymedia.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of *Pediatric Perspectives*, I was joined by Kari Bundy, a health freedom advocate whose son Mason died three days after his four-month vaccines, and by Polly Tommey, who turned the interview around to ask me about pertussis, the DTaP/Tdap vaccine, and SIDS. Kari's story is a hard one, but it's the kind of story parents deserve to hear before they're standing in an exam room being told their baby needs a shot right now.

Even highly capable leaders with clear strategies and strong skills can find themselves stuck, frustrated, or in recurring conflict often because their own brains are quietly working against them beneath the surface. In this episode of Marketer of the Day, executive coach and neuroleadership expert Carlos Davidovich, author of Five Brain Leadership, explains how understanding your “five brains” can radically improve the way you lead, communicate, and build teams that actually think for themselves. Carlos draws on his unique background as both an MD and a business coach to bridge hard neuroscience with real-world leadership challenges. Instead of drowning in theory, he shows how instinct, emotion, intuition, rational thinking, the heart, and the gut all act like different “voices” in our internal leadership team, and how knowing which one is running the show in any moment can be the difference between conflict and collaboration, burnout and growth, bottlenecks and scalable success. You'll hear how many leaders unintentionally create the very problems they complain about like micromanaging teams that constantly come to them for decisions, or “bully” managers who get short-term results while shutting down their team's creativity and rational thinking. Carlos explains how the reptilian (survival) brain can hijack meetings, trigger fear, and cause teams to do the bare minimum, while the rational and intuitive brains sit on the sidelines. Through practical reframing techniques, he helps leaders stop taking everything personally, recognize their own role in unhealthy patterns, and reset expectations so their teams can finally step up. Carlos also shares why change in leadership behavior almost always triggers resistance, and why that's actually a sign you're on the right track, not proof you should revert to old habits. He walks through how to introduce new rules around autonomy (“bring me your proposal, not just your problem”), what to expect when some people choose to leave rather than grow, and how that natural filtering process leads to stronger, more proactive teams over time. https://youtu.be/CNGRyb3sB4E?si=9Ci-ABJ4oWYiNKNz If you've ever wondered why your team seems dependent on you, why tension escalates so quickly, or why your best ideas never quite translate into consistent behavior, this conversation will give you a new mental model for leadership. By learning to speak the other person's “brain language,” recognizing which of your five brains is in charge, and leaving a little room for “magic” instead of over-controlling every outcome, you can create a culture where people think, decide, and lead alongside you, not just follow orders. Quotes: "If I leave everything to my reptilian brain, you will be fighting all day, and hardly you will get to a positive outcome." "Remember that communication is your ability or capacity to speak the other person's language, not yours." "Many times we are generating situations that, in the end, we don't like, and we don't see that we were the ones generating the situation at the beginning." Contact Details: Ready to Take Your Leadership to the Next Level? Book a Session with Carlos Davidovich Unlock Your Leadership Potential: Connect with Carlos Davidovich on LinkedIn Unlock Your Potential: Follow Carlos Davidovich on Facebook Five Brain Leadership on Amazon

How safe is your child when they're online - and do you really know what they're seeing?  This week, I'm sharing an episode from my colleague Elise Fallucco, MD, child and adolescent psychiatrist and host of ADHD, Anxiety and More: Child Mental Health for Pediatrics. She talks with a tech-industry insider about the online risks parents may not realize their children are encountering.  Learn how to balance the benefits of technology with risks like cyberbullying, violent content, and grooming; how to create a practical family tech contract; and why keeping screens out of the bedroom may be the single most important rule for online safety.  This is Part 1 of a two-part conversation. For Part 2 - including parental controls, hidden app risks, and alternatives to smartphones – listen to episode Keeping Kids Safer Online with Tech-Insider Ashley of ADHD, Anxiety and More: Child Mental Health for Pediatrics.      Send your questions to hello@pediatriciannextdoorpodcast.com or message me online here.  Find products from the show on the shop page.   *As an Amazon Associate, I earn commission from qualifying purchases.    More from The Pediatrician Next Door:    Website: Pediatrician Next Door Podcast  Instagram: @the_pediatrician_next_door  Facebook: facebook.com/wendy.l.hunter.75  TikTok: @drwendyhunter  LinkedIn: linkedin.com/in/drwendyhunter    This is a Redd Rock Music Podcast  IG: @reddrockmusic  www.reddrockmusic.com Learn more about your ad choices. Visit megaphone.fm/adchoices

The new NFL season is almost here! Join us live as we break down every team, top storylines, breakout candidates, and bold predictions before Week 1 kicks off. Whether you're here for stats, hot takes, or just good football talk — this is the show for you. In this stream, we cover:

This episode isn't really about kissing—it's about the small, repeated moments of connection that create the culture of a marriage. Small moments of connection can have a surprisingly powerful impact on the quality of a marriage. In this episode of The Intimate Marriage Podcast, Alexandra Stockwell, MD explores the research behind kissing your spouse before leaving for work and reveals why she believes the kiss itself isn't actually what makes the difference. Instead, it's the culture of connection, attention, and affection that makes these small rituals so meaningful. Alexandra shares simple ways to build more moments of intimacy into everyday life, from saying good morning and greeting your spouse when you come home to making time for connection before bed. Because over time, these seemingly small moments become the nourishment that keeps emotional connection, intimacy, and passion alive.Resources Mentioned:Research on kissing and marital connection referenced in the episodeConnect With Alexandra Stockwell, MD:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Get your copy of “Uncompromising Intimacy” by Alexandra Stockwell, MD here:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/2ymI3Hl⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Download the first chapter of Dr. Alexandra's bestselling book, “Uncompromising Intimacy,” here:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.alexandrastockwell.com/book⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Cultivate your intimacy skills (without compromise) in Aligned & Hot Marriage, Alexandra's proven method for smart couples ready to love more fully:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.alignedhotmarriage.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join Alexandra's email list to stay connected. She shares inspiring stories, her latest insights, and opportunities to learn with her:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.alexandrastockwell.com/subscribe⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

AI can process enormous amounts of clinical information in seconds, but it has never seen a patient, built a clinical relationship, or developed clinical judgment through experience. This episode examines how AI can support treatment planning without replacing the clinician's reasoning.Enroll now in: Clinical Applications of AI: A Competency-Based Masterclass for Integrative and Functional Medicine Practitioners, with Sunjya Schweig, MD at https://pages.kharrazianinstitute.com/schweig-ai-functional-medicine TIMESTAMPS: 00:00 Analyzing sleep data with custom GPT03:05 Iterative refinement with AI07:34 Creating a Fast Food Diet Plan10:30 Evaluating AI in Clinical Diagnosis16:23 AI's impact on clinical expertise20:06 AI error vigilance in clinical notes22:27 Discussing AI in clinical practice25:26 Outro and resources for listenersSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.

In this episode, Benjamin M. Schwartz, MD, MHCM, President, Academic Delivery, Banner Health, discusses the future of academic medicine, the opportunities and risks of AI in clinical care, and how Banner is improving outcomes, accelerating clinical trials, and strengthening the physician workforce. He also shares leadership lessons on servant leadership, purposeful hiring, and building high-performing teams.

In this episode, Ezekiel Emanuel, MD, PhD, Architect, ACA, and Miriam Paramore, Health Tech CEO of RxUtility, discuss strategies to make prescription drugs more affordable, including generic drug access, price transparency, PBM reform and direct-to-consumer pricing. They also explore how healthcare can reduce administrative complexity while improving access, adherence and outcomes.

In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, FCCM, speaks with Tarek El Halabi, MD, who leads acute neurology services at the American University of Beirut Medical Center, about his Currents article, "Neurocritical Care in Lebanon: Progress Within Constraint." El Halabi didn't build a neuro ICU from the ground up. He joined an already established mixed medical-surgical unit and worked to change it from within, winning over colleagues and standardizing care for the emergencies that arise most often, including stroke, status epilepticus and bleeds. He and Koffman talk through what that took, from identifying the right people to lead each effort to investing heavily in nursing and resident training. While technical skills can be learned relatively quickly, building a lasting culture takes much longer. They also dig into what "resource-limited" really means in a country with highly trained physicians and advanced medicine. In Lebanon, El Halabi explains, the constraint isn't expertise, but financial access and consistency, since a patient's care can depend heavily on their insurance and where they happen to present. He describes how his team redesigned stroke workflows to meet AHA/ASA benchmarks despite these limits, as well as where the program goes from here, including adding more faculty, developing a neuro ICU fellowship, strengthening research ties with NCS's MENA region colleagues, and eventually expanding telemedicine outreach beyond Beirut. To read the full article, visit NCS Currents. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

Healing is rarely a straight line. Sometimes we experience a breakthrough only to discover another question waiting for an answer. Sometimes the greatest progress comes from slowing down, listening to our bodies, and being willing to question what we thought we already understood. Over the past 6 months, I have continued researching, asking questions, exploring different perspectives, and learning more about my own health journey. I've also learned that becoming our own MD, “Medical Detective,” isn't always easy. It can be discouraging when you bring your research and questions to a doctor and feel dismissed rather than heard. But that will not stop me from being curious simply because someone doesn't agree with my research. I'm back from my break and ready to share where I am today, what I've learned, what has surprised me, and what I believe we can all learn from navigating our own healing journeys. Now you can listen commercial free at your leisure…Click here and let's grow together: Lillian McDermott, Update on My Healing Journey If you love this podcast episode, share it with a friend. The Lillian McDermott Radio Show/Classroom ~ When You Need a Friend… PREMIERE:  Telegram, Facebook, YouTube, WhenYouNeedaFriend.com SUBSCRIBE, LIKE, & FOLLOW:    Facebook, Instagram, X, Website, Odysee, BitChute, YouTube! LISTEN:  Amazon Podcast, Apple Podcasts, YouTube Music, Spotify, Pandora, TuneIn, iHeartRadio! CALL or TEXT: 407-373-5959 “You can take a pill, or You can take Responsibility!” ®

USC Trojans face a make-or-break season as Lincoln Riley's high-priced era demands Playoff results. With fifth-year senior quarterback Jayden Maiava, a powerful offensive line, and a dynamic freshman class featuring Mark Bowman and Trent Mosley, the pieces are in place—but can USC conquer its history of late-season collapses and defensive lapses? Is this finally the year the Trojans outmuscle Big Ten powerhouses like Ohio State, Indiana, and Oregon? Brian Smith breaks down USC's strengths in the trenches and skill positions, while questioning their secondary depth and resilience under pressure. Key discussion points include Maiava's turnover tendencies, the impact of freshmen starters, and how a tougher schedule could either forge a contender or expose old weaknesses. Are the Trojans ready to shed their “soft” reputation and return to college football's elite? Tune in for sharp analysis as the playoff-or-bust stakes reach a fever pitch in Los Angeles. Support us by supporting our sponsors! Poncho Outdoors Go to https://ponchooutdoors.com/LOCKEDON and enter your email to get $10 off and free shipping on your first order. KALSHI For a limited time, download the Kalshi app and use code [LOCKEDON] to get $10 when you trade $10. Indeed Listeners of this show get a $75 Sponsored Job Credit to help give your job the premium placement it deserves at http://Indeed.com/podcast. Wayfair Patio season is here and these deals won't last! Head to https://wayfair.com right now to get your outdoor space ready for way less. Wayfair. Every style. Every home. LARINECO Give Larine a try. Right now, Larine Co is offering our listeners up to 50% off at https://BUYLARINE.com/LOCKEDONCOLLEGE. Odoo Great organizations win because operations matter. And that's why you should get Odoo. Try for free today at https://Odoo.com/lockedon. 5-Hour ENERGY Bring on the sweetness with Cotton Candy 5-hour ENERGY®️ shots—available online now at https:/5hourENERGY.com or on Amazon. Gametime Today's episode is brought to you by Gametime. Download the Gametime app, create an account, and use code LOCKEDON for $20 off your first purchase. Terms and conditions apply. FanDuel Today's episode is brought to you by FanDuel. Join all the action at https://FANDUEL.COM to play Daily Dingers and make your free pick on who's hitting a homer this MLB season. FANDUEL DISCLAIMER: 21+ in select states. First online real money wager only. Bonus issued as nonwithdrawable free bets that expire in 14 days. Restrictions apply. See terms at sportsbook.fanduel.com. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MD, MI, NJ, PA, IL, VA, WV), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 (WY, KS) or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), 1-877-8-HOPENY or text HOPENY (467369) (NY), TN REDLINE 1-800-889-9789 (TN) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Indiana Hoosiers eye a repeat national championship as bold transfer moves fuel their title defense. Can Josh Hoover, Turbo Richard, and Nick Marsh power Indiana football past Big Ten giants Ohio State and Michigan? Jacob Goins and Brian Smith break down the Hoosiers' No. 1-ranked transfer portal class, the impact of returning weapon Charlie Becker, and Curt Cignetti's strategic overhaul. Is 10 wins the floor for Indiana, or could quarterback play shift their trajectory? The episode also tackles game-changing NCAA rule moves, with the Big Ten leading the charge against pro players returning to college football. What ripple effects will this have on roster management and competitive balance across the sport? Get expert insight on playoff scenarios, schedule challenges, and why this season could redefine the landscape in the Big Ten and beyond. Don't miss this must-listen preview of Indiana's high-stakes campaign. Support us by supporting our sponsors! Poncho Outdoors Go to https://ponchooutdoors.com/LOCKEDON and enter your email to get $10 off and free shipping on your first order. KALSHI For a limited time, download the Kalshi app and use code [LOCKEDON] to get $10 when you trade $10. Indeed Listeners of this show get a $75 Sponsored Job Credit to help give your job the premium placement it deserves at http://Indeed.com/podcast. Wayfair Patio season is here and these deals won't last! Head to https://wayfair.com right now to get your outdoor space ready for way less. Wayfair. Every style. Every home. LARINECO Give Larine a try. Right now, Larine Co is offering our listeners up to 50% off at https://BUYLARINE.com/LOCKEDONCOLLEGE. Odoo Great organizations win because operations matter. And that's why you should get Odoo. Try for free today at https://Odoo.com/lockedon. 5-Hour ENERGY Bring on the sweetness with Cotton Candy 5-hour ENERGY®️ shots—available online now at https:/5hourENERGY.com or on Amazon. Gametime Today's episode is brought to you by Gametime. Download the Gametime app, create an account, and use code LOCKEDON for $20 off your first purchase. Terms and conditions apply. FanDuel Today's episode is brought to you by FanDuel. Join all the action at https://FANDUEL.COM to play Daily Dingers and make your free pick on who's hitting a homer this MLB season. FANDUEL DISCLAIMER: 21+ in select states. First online real money wager only. Bonus issued as nonwithdrawable free bets that expire in 14 days. Restrictions apply. See terms at sportsbook.fanduel.com. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MD, MI, NJ, PA, IL, VA, WV), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 (WY, KS) or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), 1-877-8-HOPENY or text HOPENY (467369) (NY), TN REDLINE 1-800-889-9789 (TN) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Good research questions may be hiding in everyday clinical work. Marco Francone, MD, PhD, and Daniel Pinto dos Santos, MD, speak with host Amit Gupta, MD, about transforming clinical intuition, recurring gaps, and diagnostic challenges into focused, testable, and clinically impactful research. Listen to their discussion in episode 2 of The Early-Career Researcher's Playbook, an AJR Podcast Series. https://www.ajronline.org/doi/10.2214/AJR.26.35769 *Key Takeaways Questioning the Routine: Meaningful research often begins by simply asking "why" established practices exist. For example, questioning the necessity of a non-contrast series prior to contrast media administration when looking for abdominal hemorrhage may lead to a publishable study.   The Prospective Shift: Retrospective research may be limited by biased intuitions and imperfect hypotheses. The specialty should move toward prospective models, carefully considering the clinical impact and cost-effectiveness of potential interventions.   The "Tool-First" Trap: Pushed by a publish-or-perish academic culture, researchers may make the mistake of starting with an AI model or radiomics pipeline and then searching for a problem to which to apply it. True clinical impact more likely comes with starting with the patient problem and finding the appropriate method to solve it.   Combating Confirmation Bias: When researchers firmly believe their own clinical intuition, they risk designing studies solely to confirm their preconceived notions. To maintain scientific credibility, you should assign a colleague the specific role of opposing your views to actively try and prove your hypothesis wrong.  *Chapters 0:00 - Introduction 2:07 - What Clinical Intuition Means 6:47 - Daniel's Routine to Research 9:23 - Ideas Hiding in Workflow 11:32 - From Observation to Study Plan 14:28 - Marco's Prospective CT Example 18:26 - Avoiding Confirmation Bias 23:20 - AI Tool First Trap 29:53 - Quick Fire Takeaways 33:34 - Final Advice and Closing Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

The radiologist shortage is real, and international medical graduates (IMGs) are already helping solve it. Sohrab Afshari Mirak, MD, speaks with cohosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about his path from Tehran to UCLA, the American Board of Radiology Alternate Pathway, visa hurdles, and what IMGs bring to patient care. Listen to their discussion in episode 3 of Difficult Conversations, an AJR Podcast Series. *Key Takeaways Beyond the Step Score: Residency programs should not filter IMG applicants based on USMLE scores or graduation gaps; letters of recommendation and other application components offer additional important information.   The ABR Alternate Pathway: Recent changes by the American Board of Radiology now allow internationally trained radiologists to complete their four required fellowship years non-consecutively within an eight-year window, significantly reducing a source of uncertainty.    Clinical Diversity: IMGs bring unique proficiencies and skill sets developed in healthcare systems with workflows that differ from in the United States. *Chapters 0:00 - Welcome and Intro 0:54 - Impact of Radiologist Shortage 3:43 - Dr. Mirak's IMG Journey 6:07 - Residency Screening Pitfalls 10:02 - Letters and Observerships 12:14 - Research and Networking Tips 15:21 - ABR Alternate Pathway 18:52 - Visa Choices and Waivers 25:44 - Cultural Support for IMGs 28:38 - Global Models and IMG Value 35:56 - One Policy Change  38:05 - Closing Thoughts Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social

Insomnia affects neurologic health, quality of life, and daily functioning, but effective treatments are available. In this episode, Dr. Brandon Peters-Mathews discusses a practical approach to evaluating chronic insomnia, highlights the importance of identifying contributing conditions such as sleep apnea and mood disorders, and reviews cognitive behavioral therapy for insomnia (CBT-I), the recommended first-line treatment. Learn how addressing sleep can improve outcomes across a wide range of neurologic disorders. In this episode, Katie Grouse, MD, FAAN, speaks with Brandon R. Peters-Mathews, MD, FAAN, FAASM, author of the article "Insomnia" in the Continuum® August 2026 Sleep Neurology issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California, San Francisco in San Francisco, California. Dr. Peters-Mathews is the Section Head of Sleep Medicine at Virginia Mason Franciscan Health in Seattle, Washington. Additional Resources Read the article: Insomnia Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @BrandonPetersMD Full episode transcript available here Dr Grouse: Insomnia may be one of the most common medical issues experienced by patients, yet our knowledge about how to manage it remains limited. Today, I have the opportunity to speak with one of the world's leading experts on sleep disorders, Dr. Brandon Peters-Mathews, about the latest issue of Continuum on Neurology of Sleep.  Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Grouse: This is Dr. Katie Grouse. Today, I'm interviewing Dr. Brandon Peters-Mathews about his article on insomnia. This article appears in the August 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, and please introduce yourself to our audience.  Dr Peters-Mathews: It's my pleasure to join you, and I'm happy to talk about this article. I think it's an interesting one for most folks. I am a board-certified sleep neurologist. I practice at Virginia Mason Franciscan Health in Seattle. I did my neurology training back at the University of Minnesota and my sleep training at Stanford University. I've been in practice for more than thirteen years at this point. It's hard to believe, but it's exciting to be able to speak with you today.  Dr Grouse: This is definitely an important topic for everybody. Certainly, sleep and the lack of it affects all of our patients, and I can't imagine there's a single clinical neurologist who doesn't have to answer questions and help evaluate patients with this problem, so very high-yield topic for everyone. Now, having read your article, I'm curious if you had to choose one key point that you want the readers of your article to take away after reading it, what would it be?  Dr Peters-Mathews: Emphasize for my patients that insomnia is a condition that we can work through and resolve, that if we really can understand the underlying contributing causes and resolve those issues, we can typically improve sleep. It's a process. It takes time. It takes some attention and, and sometimes even testing to figure out what's going on. But if we can dial into these root causes, we can typically help somebody to sleep much better. As part of that, we often employ a therapy called CBT-I, which we'll talk about here a little bit later. But that also helps us to identify some of these contributing factors that are leading to the poor sleep.  Dr Grouse: And I definitely want to talk more about CBT, it's such an important topic. But even before we get into that, I'd love it if you could just walk us through a hypothetical case of a patient with insomnia. I think the type of patient that I think we've all seen in our clinical practice and somebody who says, "You know, I've had poor sleep. I've had insomnia for many years. I've tried all of the things you're supposed to try. You know, I've tried sleep hygiene. I've tried this. I've tried that. I've tried medications. Nothing seems to work." Could you walk us through how you would evaluate a patient like this and start to consider what to recommend? Dr Peters-Mathews: So, some simple information that we can gather, would be information about when they're trying to go to bed, how long it's taking them to fall asleep initially. If they wake in the night and have trouble getting back to sleep, how often they wake in the night. If they're experiencing early morning awakenings, their final wake time, and when they actually get out of bed in the morning. That gives me a sense of the structure of their sleep pattern and whether or not they might be spending an excessive amount of time in bed for their own sleep need at their current age. The other factors that we might consider are sleep disorders, and typically, I would assess for other symptoms that would point me towards sleep apnea or restless legs and occasionally other disorders of sleep. We wanna make sure we're not missing comorbid conditions that might be affecting that person. These often include mood disorders. Sleep and mood walk hand in hand, and so anxiety and depression are important to identify and treat if present. We also want to make sure someone's not suffering from chronic pain or other conditions that might be impacting their sleep. So, I take a broad approach. I ask the same questions to each patient that comes to see me. I wanna make sure I'm not missing some of these details. And then some of these folks will require testing to further understand their sleep. Others may move on to a different therapy, and long-term may require even other interventions, including medications, to fully resolve their condition.  Dr Grouse: You mentioned in your article circadian rhythm sleep disorders. How often are these really a factor in patients with chronic insomnia? And do you think that's something that we as kind of first-line clinicians should be screening for as well?  Dr Peters-Mathews: So delayed sleep phase syndrome is the most common circadian disorder, and these are folks who are night owls by nature. They often develop their sleep patterns, as teenagers, if not before, and they may fade away in the working years but come back in retirement age. I would say that's a very common condition. It may affect as many as one in ten people. The other circadian disorders are pretty uncommon, so advanced sleep phase syndrome, where somebody is sleepy early and waking too early, that may only affect one in three hundred people. There are other conditions that affect specific populations, like non-twenty-four circadian pattern affects blind people. Typically, half of blind people have that condition. There are conditions that affect the regularity of sleep, so an irregular sleep-wake pattern that might occur more in folks with maybe an advanced dementia. So, there are populations where these conditions can be fairly common, but among the general population, that night owl tendency is by far the most common.  Dr Grouse: That's really helpful. And just taking a step back, why is insomnia bad for us? So, we worry about this in our patients. We know it can make neurologic issues worse. But in general, like, what are the reasons that having poor sleep can affect our health? Dr Peters-Mathews: Yeah, and it's not enough hours, certainly quantity, but also quality of sleep that matters. And I tell people that sleep is a pillar of health, just like nutrition and exercise. It's the other main contributor to our health and well-being. And so, it has its fingers in almost every aspect of our health. Insomnia on its own is a risk factor for other psychiatric conditions, including depression, anxiety, even disorders like bipolar and schizophrenia. Folks with insomnia are more likely to have alcohol or drug abuse issues and are at higher risk for things like chronic pain, suicide and, and social and occupational dysfunction. So, it's a disorder that has a really profound effect on how someone functions during the day, and again, may take a toll on their health over time.  Dr Grouse: That makes sense, and I would assume that there are certain populations within our neurology practices where we should really be attuned to the risk of insomnia. Are there specific populations you'd recommend really make it a habit of screening for insomnia?  Dr Peters-Mathews: I was joking with someone recently that anyone with a neurological nervous system can have issues, impacted by poor sleep. There are certain groups, so chronic headache patients are perhaps one that might warrant a further evaluation and management. Folks with multiple sclerosis or Parkinson's may have physical conditions that lead to more discomfort in sleep, fewer movements of their body in sleep, issues around nocturia that would disturb their sleep. Certainly, those with dementia, Alzheimer's disease and other dementias. Parkinson's and Lewy body dementia overlap a lot, as does multiple system atrophy. That can point us towards other conditions like REM sleep behavior disorder, but also insomnia can be an important feature of those disorders as well. And then folks with stroke often have disturbance to their sleep and may develop insomnia after experiencing a stroke. So those are specific populations where I think the yield is high to be looking for insomnia and other sleep disorders.  Dr Grouse: Yeah, that makes sense. I think a lot of us think of insomnia as almost like, make sure we're not missing this as sort of a mimic of the problem, when in fact it's probably just more part and parcel of the problem and something we need to be thinking about treating as part of their disorder. So helpful to think about it in that light, at least in my own mind. Now, I want to get a little bit back to some of the therapies you've recommended, and I think first just stopping again at sleep hygiene. Your article has a really great list, I think, of sort of like a checklist of actions that people should be taking to make sure that they are managing their sleep hygiene well. And I definitely recommend our listeners look to that. How often do you think that focusing on sleep hygiene helps when you get a patient who says, "Hey, I have got terrible sleep. You know, what do I do?"  Dr Peters-Mathews: It's pretty common for people to have access to this information through their own reading online, and most folks have worked through this by the time they've come to see me, and often a primary care provider or specialist may have given some of this guidance as well. It's pretty rare for them to not recognize something as obvious as having caffeine too late in the day by the time they're coming to my attention. The sleep hygiene generally is used as a control when we do research to look at how something like medication is working or CBT-I might be working. It's the comparative control. It's almost like the null intervention. So, it's not highly effective, and if folks are not finding it helpful, they've made those adjustments to their sleep environment or their habits, and they're continuing to have issues, there's typically more that needs to be done, and that's where CBT-I really comes in as a strong intervention for those people.  Dr Grouse: And then getting on the topic of CBT-I, so helpful. I'm really glad that your article spent a lot of time talking about it as really a truly high-yield, great intervention for insomnia. And I really felt that the question shouldn't be: When is cognitive behavior therapy for insomnia helpful? But like, when isn't it helpful? What are your thoughts about that?  Dr Peters-Mathews: Yeah. I always point out that the American College of Physicians has recommended CBT-I for adult patients as the initial treatment for chronic insomnia even before the use of a medication for nearly ten years. That recommendation came out in July of 2016. So, there are folks who may not be good candidates for it, who may be screened out because of other conditions that they have, and there certainly are folks who don't do as well with CBT-I. And adherence is important. Somebody needs to be able to follow the instructions and apply that to their lives. And certainly, there are a number of things that could interfere with that compliance. I would say untreated anxiety and pain are two things that often trip people up. It's like running a race with a broken leg. Despite their best efforts, if those are not addressed, they will continue to have issues around insomnia. And then one thing that often is unrecognized and may be missed is untreated sleep apnea. That is a common contributor to a chronic insomnia, especially in older folks, women beyond the age of menopause and men even starting in middle age, thirties and forties. We don't want to miss sleep apnea. Even insomnia that's, "I can't fall asleep at the beginning of night," that could still be sleep apnea, so that's something I really emphasize with my patients.  Dr Grouse: Really great reminder about sleep apnea for sure. Something that always is beneficial to make sure we are not missing. Oftentimes I'll bring up a CBT for insomnia, and what is that? Like, what would we actually do, and what is a high-level overview of what happens with CBT-I?  Dr Peters-Mathews: Yeah. So, I generally tell my patients that this is a six-week program. It's a structured program, almost like a boot camp for sleep, in which we are addressing underlying causes, recognizing what those are and, and working through those underlying causes. There is often tracking using a sleep log or sometimes wearable data.To guide decisions that are made in the program. It's very goal-directed, science-based therapy. We often introduce concepts around sleep drive, circadian rhythm dealing with a busy mind at night. There's concepts of mindfulness and relaxation training that are introduced. People often are able to taper or stop using sleeping pills as part of this therapy. And the nice thing is they walk away with a set of skills that they can apply the rest of their lives to sleep more normally. And so, there's good research that suggests even years after someone's completed a CBT-I course, they continue to sleep more normally. They have the tools that they need to sleep better even years beyond that education.  Dr Grouse: You know, this just sounds so great. It almost sounds like why wouldn't someone benefit from this? But of course, like I would imagine many institutions experience, I've definitely run into difficulties with access for my patients for CBT-I, and we have long wait lists. And I imagine there's many places where there just aren't even any specialists that patients can get to, to help with this. What are the resources that our listeners can take advantage of for their patients to get access to these types of therapies?  Dr Peters-Mathews: So, one thing I tried to really emphasize in the article is that there are resources that can be drawn in. I'll give you some examples. So, at our institution, we have three sleep specialists, full-time sleep specialists, who trained at Stanford to become CBT-I specialists, and so we have more resources than probably most institutions would have. We do shared medical appointment workshops so that we can manage the number of patients that we have to see. And, and unfortunately, not everybody has that opportunity. You might plug into resources in your community, and one of the resources I point to in the article is the International Directory that's managed by the University of Pennsylvania that has eight hundred and seventy-five CBT-I specialists listed with contact information, et cetera. And I think that's an amazing opportunity to access this therapy. Unfortunately, there are countries and certainly states that do not have a specialist, that there's no one in the state that provides this therapy. And then we need to extend other resources, and that could be online treatment programs that can be done independently, bibliotherapy, so accessing books that could guide people through the therapy, even accessing other apps and maybe even wearables that pair with an app that could provide some of this guidance. The Veterans Administration worked with Stanford and worked with the National Center for PTSD and developed an app called CBT-I Coach that is free and can be downloaded and, and gives, I think, good education, good guidance. So, there are resources that exist. It's somewhat finding what might work for your individual patient, how they're preferring to access this or their learning preferences. Do they want to read a book or not? And getting them into the right pathway.  Dr Grouse: And I think that gets me into a whole other Pandora's box of the fact that they're already out there in the world are tons of different apps, wearable devices, all sorts of things that promise that they can help us with sleep, some that may have more, I think, data and evidence behind them than others. Do any of these apps or wearables in your mind show promise in our patients helping our patients track and diagnose and manage their insomnia?  Dr Peters-Mathews: Yeah, there's a lot out there, and unfortunately, some of these devices actually can make sleep worse. People can develop a condition called orthosomnia or straight sleep, where they're trying to perfect their sleep and their sleep numbers, their metrics, and the wearables feeding them data that they continue to try to improve upon. And that fixation on those metrics can actually make their sleep quite a bit worse. A lot of these wearables and apps and other resources have not been well-studied. There's not research trials showing outcomes comparing to other standards of care. I would say the basic guidance of CBT-I, which many of these programs are based on, I think will be helpful to the majority of folks who are able to engage and complete that education. A lot of these are not dependent on that sort of framework or structure so that we may not actually be using the standards of CBT-I to try to improve sleep. They may be connecting you with other resources, like listen to this sleep story or this relaxation file or do some meditation, et cetera, which again, may be of some benefit, but it is not the same as a structured CBT-I experience. So, I think there are a few good resources that we highlight within the article, and I think there are probably others coming that may give individuals a more individualized, directed approach to managing their sleep issues. But it's almost like going to the App Store and there's thousands of apps. It's hard to know which one might be most based on science or the most beneficial to that individual.  Dr Grouse: Well, I really appreciate in your article that you did have a great list of apps and things along those lines to try, so I do encourage our listeners to check that out as well. Some really, really great resources there in the article in many different areas. Now, I wanted to turn the conversation to a slightly different thing, which is medications for insomnia. Now, when are medications appropriate for treating insomnia? When should we be thinking about turning to these for our patients?  Dr Peters-Mathews: So again, we would suggest that CBT-I would be first, and that failing improvement with CBT-I, that medications would be extended to a person affected by insomnia. And over-the-counter options as well as prescription medications might be used. Unfortunately, that's not how things unfold in the real world. Many people are jumping to medications first, whether that be an over-the-counter supplement or other medication, or they're seeing primary care and other specialists who's providing them a prescription for sleep aid. So there's data from the CDC going back to twenty twenty that suggests that about six point three percent of adults were taking a sleeping medication every day in the months prior to the survey. And women who were older than sixty five, white women, were more likely to be using a sleeping medication every day. That number was 13.5 percent of those surveyed. So, lots of folks are on medications, and certainly melatonin is widely used. Unfortunately, it's not regulated by the FDA in a sense that we don't have exact concentrations controlled. So, people can take melatonin that has no melatonin in it. They might take melatonin that's forty or more times the dose. There's variance within lots from the same manufacturer. There's a lot of trouble knowing exactly what you're getting when you try to take something like melatonin over the counter. Other sleep aids that we might reach to over the counter, like variants of diphenhydramine or doxylamine, and these are often the PM drugs that we think about. They have risks associated with population-based studies which suggest risk of dementia, risk of falling, risk of mortality with these drugs, especially in older populations. So again, that would give us potentially pause. The prescription medications that we go to, there are some that the American Academy of Sleep Medicine would recommend as more beneficial than harmful, and some are good for both initiating and maintaining sleep. Some have such a short half-life that they're really best as initiation drugs. And then others are better for maintenance of sleep, so reducing awakenings and wakefulness in the night. My own individual take, often people are coming to me on medications, typically over the counter, but often prescriptions, and have even tried and failed many of those medications before they finally come to see a specialist. And so, I don't often reach to medications until I've exhausted CBT-I, until we've completed a sleep test to make sure we're not missing something like sleep apnea, until we've ruled out some other potential contributing causes. But there are patients I have who really will not sleep without medication support and sometimes even multiple medications that work in complementary ways to try to normalize their sleep. And so, in some cases it is necessary, but it is not meant to be a first line for anyone.  Dr Grouse: Yeah, and I think all of our listeners can relate to the fact that we often see patients who've been on sleep medicines for many, many years and take them every night. It's good to know that there is sort of a procedure here to consider and perhaps again, back to the plug to CBT-I as being the right starting point to see if there's some that we can help get off of these meds, although, as you mentioned, maybe not always going to be successful. Well, I really appreciate our conversation about this. It's been really great to read this article about insomnia. Again, I encourage our listeners to check it out. Some really great resources for many different therapies, thinking about other alternative diagnoses and different medical conditions where insomnia really needs to be considered. And I really appreciate you writing this article. It's been a pleasure to talk with you today.  Dr Peters-Mathews: It's my pleasure to share this information with folks, and I hope that you find it useful in your clinical practice or even your personal life as the need arises.  Dr Grouse: Again today, I've been interviewing Dr. Brandon Peters-Mathews about his article on insomnia. This article appears in the August 2026 Continuum issue on Neurology of Sleep. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audiocme. Thank you for listening to Continuum Audio. 

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