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In this informative discussion, Dr. Jill Carnahan and Brian Tuckey explore how Fascial Counterstrain can provide relief and healing by addressing the fascial systems within the body. Discover how this technique uniquely targets the arterial, venous, visceral, neural, lymphatic, and musculoskeletal components to alleviate chronic pain, inflammation, and improve function. Key Concepts/Questions:
Cathy spends time with Gina Fugate, computer science and technology educator, doctoral scholar, and teacher of the visually impaired. Gina, whose vision is impacted by Retinitis Pigmentosa, is the coach of the DOT5UDOGS, the robotics team at The Maryland School for the Blind. Gina remembers her early life and how changes in technology over the years have impacted her and the students that she works with. Cathy connects coding and robotics to early learning and basic concepts that benefit all. Gina shares her wisdom with families regarding technology and gives us a peek into what happens at robotics team meetings. Jenny, Cathy, and Paige demystify some computer science terms that may be new to our listeners. Jenny tells about a free program that makes literacy accessible for readers, and Paige shares more free resources that families can access. Gina's website: https://ginafugate.com/ Dolly Partin Imagination Library and American Printing House for the Blind (APH) collaboration (Braille Tales): https://www.aph.org/braille-tales/ https://www.aph.org/imagination-library-collaboration/ APH listing for Code and Go Mouse: https://www.aph.org/product/accessible-code-and-go-mouse/ Amazon listing for Code and Go Mouse: https://www.amazon.com/Learning-Resources-Robot-Activity-Pieces/dp/B01A5YMCH4/ref=sr_1_4?dib=eyJ2IjoiMSJ9.pNrgfjrwDzA3pq6I0C4QHpvi9QvxyK9-wiS4fKlfyTQP-CauncsPEos_fbBrbUIBebTcC3mrm87QmciC8Q5c9yL5h-oz2sMd82UeBbjW8si3NIVr2I15XGIknUZlZXS19PYjN92unvaFRbVYjf3hQLD5E8CmRU25vvqNsvt9ToSYTkXSTXAu6I3nfnwGWEn_idTQUKl31_FO51idhA8InYoH9w8jP35jWFMJBX_N1W73Jd0V0Nvq2cd-A5ygv2iCfiA31k8Dszc26qHPQYbGoq0kBL29y0Mgo_OYBLrFbEw.Oag3NzEObSy7QmBJavV86NagVRuu7wmOjYSXynF40fY&dib_tag=se&hvadid=617158356959&hvdev=c&hvlocphy=9014243&hvnetw=g&hvqmt=e&hvrand=7032082735960938102&hvtargid=kwd-373741283002&hydadcr=4120_13263594&keywords=code+%26+go+robot+mouse&mcid=701f6db9163b39e8bf25e4445f14f4b3&qid=1746114328&s=toys-and-games&sr=1-4 “Connecting Dots: A Blind Life” by Joshua A. Miele with Wendell Jamieson https://www.amazon.com/Connecting-Dots-Blind-Joshua-Miele/dp/030683278X?tag=googhydr-20&source=dsa&hvcampaign=books&gbraid=0AAAAA-byW6DVRTkFIq4qOZtXUOg5V4gEn&gclid=Cj0KCQjwt8zABhDKARIsAHXuD7Yvm8tNXIjM21hGLnZ95m44KpEuy9YwCvylUlaaFNky1onpy9ka1rwaAgiREALw_wcB National Library Service equipment and materials: https://www.loc.gov/nls/services-and-resources/equipment-for-nls-materials/ First LEGO League: https://www.firstlegoleague.org/ Dash Robot: https://store.makewonder.com/products/dash?srsltid=AfmBOor3MsMRYAATYxQ8ZlNcFuQ0ziavl3Kq-krKYz37BuPnNzxugdBV Blocks4All iOS app: https://apps.apple.com/us/app/blocks4all/id1446492589 Swift Playground iOS app: https://developer.apple.com/swift-playground/ Joy Player: https://www.aph.org/product/joy-player/ Seedings Book Angel Program: https://www.seedlings.org/free-programs/ Braille Institute Special Collection, referred to in this episode as Dots for Tots: https://www.brailleinstitute.org/library/special-collection/ Please give us your feedback using this survey link: https://educationutah.co1.qualtrics.com/jfe/form/SV_39OmBvMih6MlgNw Make a Donation to- VIPS: https://secure.vips.org/np/clients/vips/donation.jsp?forwardedFromSecureDomain=1&campaign=495 Get in touch with us! Follow us on Facebook @Feelingthislifepodcast and Instagram @Feelingthislife Email: feelingthislife@vips.org www.vips.org
Send us a textIn this episode of “The UMB Pulse,” we hear from Deborah Shlian, MD '72, MBA, an accomplished alumna of the University of Maryland School of Medicine. Shlian shares her career journey from being a medical doctor to becoming a successful writer in the medical thriller genre. She discusses her early inspirations, partnership with her husband, Joel, and their collaborative ventures in both medicine and writing. The conversation explores her transition to running a medical management consulting firm, establishing a niche in physician executive searches, and ultimately retiring to focus on her passion for writing. The episode also highlights her contributions to nonfiction literature, especially in spotlighting women leaders in STEM fields.00:00 Introduction to Dr. Deborah Shlian02:25 Early Life and Medical Education03:35 Career in Medical Management10:11 Transition to Writing11:40 Writing Medical Thrillers20:23 Women in STEM and Leadership26:44 Challenges and Future Projects32:19 Advice for Aspiring Physicians and Writers35:22 Conclusion and Final ThoughtsListen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.
This episode offers an overview of the recent ACS Leadership & Advocacy Summit, held in Washington, DC, including popular sessions on knowing your worth as a surgical leader and learning how to lead at every level. Michael J. Sutherland, MD, MBA, FACS, Senior Vice President of ACS Member Services, discusses these sessions and more with Kimberly M. Lumpkins, MD, MBA, FACS, the Dr. J. Laurance Hill Endowed Professor in Pediatric Surgery at the University of Maryland School of Medicine in Baltimore, and Joshua M. V. Mammen, MD, PhD, FACS, the Merle M. Musselman Centennial Professor of Surgery at the University of Nebraska Medical Center in Omaha. HOST: Michael J. Sutherland, MD, MBA, FACS, Senior Vice President, ACS Division of Member Services, Chicago, IL GUESTS: Kimberly M. Lumpkins, MD, MBA, FACS, Pediatric Surgeon-in-Chief at the University of Maryland Children's Hospital and the Dr. J. Laurance Hill Endowed Professor in Pediatric Surgery at the University of Maryland School of Medicine, Baltimore, MD Joshua M. V. Mammen, MD, PhD, FACS, Merle M. Musselman Centennial Professor of Surgery and Chief of the Department of Surgery at the University of Nebraska Medical Center, Omaha, NE Talk about the podcast on social media using the hashtag #HouseofSurgery
What if you could take control of your personal safety by strengthening your mind, body, and emotions? In this empowering episode, I speak with Stephanie Cyr, executive health coach and founder of Power Up Moves, about her holistic approach to personal safety. Stephanie explains how she blends self-defense techniques with mental and emotional strategies to help people feel confident and secure in any situation. She shares her journey from attorney to personal safety expert and offers powerful insights on situational awareness, setting intentions, and communicating with confidence. Tune in for practical tips on living fearlessly, building resilience, and taking charge of your well-being, both inside and out.Links Discussed in This Episode |Book: The Gift of FearBook: The Body Keeps the ScoreConnect with Stephanie:https://powerupmoves.com/https://www.instagram.com/powerupmoves/https://www.facebook.com/PowerUpMoves/About Stephanie|Stephanie Cyr (NBC-HWC) is the founder of PowerUp Moves, a personal development program focused on building strength, safety, and confidence through empowerment self-defense. With over 25 years of experience in violence prevention, she developed the first accredited minor in Empowerment Self-Defense at San Francisco State University and authored *The PowerUp Moves Notebook*. A seasoned martial artist and attorney, Stephanie also consults for organizations like PAVE Prevention and the Association of ESD Professionals, and serves with the Joyful Heart Foundation. She's contributed to K–12 and university self-defense education, and her work bridges personal safety, mental health, and public health. Stephanie holds degrees from Rutgers and the University of Maryland School of Law, and is a certified integrative nutrition health coach.Episode Sponsors |Clear Intentions would not be possible without the support of weekly sponsors. Choosing brands that I believe in is important to me. I only want to recommend brands that I believe may help you in your daily life. As always, never feel pressured into buying anything. Remember: if you don't need it, it's not a good deal!Enjoy the Podcast?Post a review and share it! If you enjoyed tuning into this podcast, then do not hesitate to write a review. You can also share this with your fellow mothers so that they can be inspired to think more and do with less. Order (or review) my book, Minimalist Moms: Living & Parenting With Simplicity.Questions |You can contact me through my website, find me on Instagram, Pinterest or like The Minimalist Moms Page on Facebook.Checkout the podcast storefront for recommendations from Diane.If you've been struggling with motivation to declutter or work through bad habits that keep you stuck, I'd love to help you achieve your goals! We'll work together (locally or virtually) to discover what areas in your life are high priority to get you feeling less overwhelmed right away. For more info on my processes, fees, and availability please contact!Our Sponsors:* Check out Happy Mammoth and use my code MINIMALIST for a great deal: https://happymammoth.comSupport this podcast at — https://redcircle.com/minimalist-moms-podcast2093/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Tre and Dr. Mac. They are both graduates of Howard; one is a she is a member of Alpha Omega Alpha Medical Honor Society, and the other is a leader in the research and development of innovative nutritional supplements and products. They are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. They created RAMP, Real, Authentic Media Physicians, promoting health literacy, holistic wellness, and sexual health education. Dr. Tre is an alumnus of Howard University College of Medicine and a Residency at the University of Maryland School of Medicine. She has three decades of experience connecting the dots between mind, body, and soul in medicine. As a game changer, she drops knowledge, bold tips, and tools for shattering the myths and stigma surrounding sexual health. She is a member of Alpha Omega Alpha Medical honor Society. She and Dr. Mac are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. #BEST #STRAW #SHMSSupport the show: https://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Tre and Dr. Mac. They are both graduates of Howard; one is a she is a member of Alpha Omega Alpha Medical Honor Society, and the other is a leader in the research and development of innovative nutritional supplements and products. They are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. They created RAMP, Real, Authentic Media Physicians, promoting health literacy, holistic wellness, and sexual health education. Dr. Tre is an alumnus of Howard University College of Medicine and a Residency at the University of Maryland School of Medicine. She has three decades of experience connecting the dots between mind, body, and soul in medicine. As a game changer, she drops knowledge, bold tips, and tools for shattering the myths and stigma surrounding sexual health. She is a member of Alpha Omega Alpha Medical honor Society. She and Dr. Mac are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. #BEST #STRAW #SHMSSee omnystudio.com/listener for privacy information.
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Tre and Dr. Mac. They are both graduates of Howard; one is a she is a member of Alpha Omega Alpha Medical Honor Society, and the other is a leader in the research and development of innovative nutritional supplements and products. They are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. They created RAMP, Real, Authentic Media Physicians, promoting health literacy, holistic wellness, and sexual health education. Dr. Tre is an alumnus of Howard University College of Medicine and a Residency at the University of Maryland School of Medicine. She has three decades of experience connecting the dots between mind, body, and soul in medicine. As a game changer, she drops knowledge, bold tips, and tools for shattering the myths and stigma surrounding sexual health. She is a member of Alpha Omega Alpha Medical honor Society. She and Dr. Mac are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. #BEST #STRAW #SHMSSteve Harvey Morning Show Online: http://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.
In hour 1 of The Mark Reardon Show, Mark discusses the Supreme Court hearing a case over LGBTQ books in Maryland school's. Is it a non-partisan issue? Mark is then joined by Brian Kilmeade, the Co-Host of FOX and Friends and the Host of One Nation with Brian Kilmeade and The Brian Kilmeade Show. They discuss the latest trending political news including how to handle Abrego Garcia's case, Larry David's op-ed calling out Bill Maher for meeting with the President, the continued ridiculous comparisons of Trump to Hitler, and more. In hour 2, Sue hosts, "Sue's News" where she discusses the latest trending entertainment news, this day in history, the random fact of the day, and much more. Mark and the crew are joined by Alex Rich who discuss his afternoon call to 9-1-1 and why, more lawn talk, his big announcement about where he will be performing this summer, and much more. In hour 3, Mark is joined by Missouri Attorney General Andrew Bailey who shares his own thoughts on the Abrego Garcia case as well as the SCOTUS Maryland case. Mark is then joined by Bethany Mandel, a Contributing Writer for Deseret News, a homeschooling mother of five and the author of "Stolen Youth: How Radicals Are Erasing Innocence and Indoctrinating a Generation." She shares her thoughts on this week's Supreme Court hearing of a Maryland school case that would not allow parents to opt their kids out of taking part in a teacher-led discussion of some controversial books. They wrap up the show with the Audio Cut of the Day.
04-22-25 - Fascinated By All This Pope Stuff And Seeing News Show Guy Who Predicted Popes For 1000yrs - Maryland School Teaching Kids The Prince And The Knight A Gay FairytaleSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
04-22-25 - Fascinated By All This Pope Stuff And Seeing News Show Guy Who Predicted Popes For 1000yrs - Maryland School Teaching Kids The Prince And The Knight A Gay FairytaleSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this segment, Mark is joined by Sarah Parshall Perry, the Vice President and a Legal Fellow with the group, "Defending Education". She discusses today's Supreme Court hearing over a Maryland school books case.
Guest: Prajwal Ciryam, MD, PhD Traumatic brain injuries (TBIs) trigger a rapid transcriptional response in the choroid plexus, dominated by chemokines that attract neutrophils. Join Dr. Prajwal Ciryam, Assistant Professor of Neurology at the University of Maryland School of Medicine, as he explains how this early signaling may represent a critical window for modulating inflammation in the injured brain. Dr. Ciryam also spoke about this topic at the 2025 American Academy of Neurology Annual Meeting.
Guest: Prajwal Ciryam, MD, PhD Traumatic brain injuries (TBIs) trigger a rapid transcriptional response in the choroid plexus, dominated by chemokines that attract neutrophils. Join Dr. Prajwal Ciryam, Assistant Professor of Neurology at the University of Maryland School of Medicine, as he explains how this early signaling may represent a critical window for modulating inflammation in the injured brain. Dr. Ciryam also spoke about this topic at the 2025 American Academy of Neurology Annual Meeting.
Check out Dr. Mina's top picks for skin care here. In this episode, Dr. Mina and Dr. Rebecca Kazin discuss tear trough fillers, a popular cosmetic treatment to refresh the under-eye area. They explain the anatomy involved, who benefits most, and why careful diagnosis and precise techniques are so important. Dr. Kazin walks through each step of the filler procedure, discussing common side effects, what recovery looks like, and answering common questions about how long fillers last and concerns about filler shifting. She also stresses how important it is for patients to feel comfortable and to Whether you're thinking about getting fillers or just curious about cosmetic treatments, this episode gives clear advice to help you make informed decisions. Key Takeaways: - Tear trough fillers can be controversial and require skilled application. - Understanding the anatomy of the tear trough is crucial for effective treatment. - Not all under-eye issues can be resolved with fillers; proper diagnosis is key. - Candidates for fillers should primarily exhibit volume loss. - Bruising is a common side effect and often expected after treatment. - Using a cannula can reduce the risk of bruising during filler application. - Results from fillers can take up to two weeks to fully settle. - The bluish appearance of fillers can be due to light refraction, not the filler itself. - Concerns about filler migration are often exaggerated; proper technique minimizes risks. - Filler longevity varies, but hyaluronic acid is generally safe and well-tolerated. Patients can expect a thorough consultation before the filler procedure. -- Topical numbing gel is used to minimize discomfort during treatment. - The filler process is akin to live sculpture, allowing for real-time adjustments. - Post-treatment, patients can typically resume normal activities immediately. - Aesthetic treatments can significantly improve light reflection and overall appearance. - Choosing a qualified provider is crucial for successful outcomes. - Understanding the specific issues that filler can address is essential. - Complementary treatments can enhance the results of filler procedures. - Realistic expectations about results are important for patient satisfaction. - Referrals and personal recommendations can guide patients in selecting providers. Dr. Rebecca Kazin is a board-certified dermatologist and nationally recognized expert in cosmetic dermatology and cutaneous dermatologic surgery. Dr. Kazin attended the University of Maryland at College Park Honors Program (majoring in Biology) as an undergraduate prior to graduating summa cum laude from the University of Maryland School of Medicine where she served as president of the Alpha Omega Alpha medical honor society. She completed her residency in Dermatology at Johns Hopkins University where she was named chief resident. Dr. Kazin has been educating and training medical students, residents, fellows, and other physicians for over a decade. This began when she was faculty and medical director at Johns Hopkins University, and continues with her involvement in a variety of national societies. She also has a number of publications to her credit and continues to serve as Principal Investigator on FDA Phase III and IV clinical studies, in partnership with industry. Additionally, she has formulated and patented a medicated shampoo and conditioner system. Dr. Kazin is an active member of the American Academy of Dermatology, American Society for Laser Medicine and Surgery, American Society for Dermatologic Surgery, International Peel Society, and the Women's Dermatologic Society and has assumed leadership roles in these national societies. Follow Dr. Rebecca Kazi here: Website: www.icondermatology.com https://www.instagram.com/rebeccakazinmd/?hl=en Follow Dr. Mina here:- https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.
Send us a textShout out to guests who come back time after time! We had the best time catching up with cosmetic dentistry expert, Dr. Karla Soto
Welcome to part 2 of our special event, “The AI Competition: Public Policy Strategies”. The event, co-hosted by MIT Technology Review, brings together some of the leading voices in AI policy from the public and private sectors to role-play these complex issues. These AI leaders play roles in the US, China, and The EU, and enact policies that best align with their roles interests in the AI space. This episode contains the second and final phase of the game. We hope you enjoy this insightful episode. Our Players: US Government Players White House (NSA, AI & Crypto Czar, Assistant to Pres. For S&T) - Doug Calidas, Senior Vice President of Government Affairs for Americans for Responsible Innovation (ARI) Government research institutions (funding) - Stephen Ezell Standards and governance (NIST, DOS, etc.) - Vivek Wadhwa, Adjunct Professor at Carnegie Mellon's School of Engineering at Silicon Valley Regulatory and trade (DOS, Treasury, etc.) - Susan Ariel Aaronson, American author, public speaker, and GWU professor Department of Defense- Daniel Castro, vice president at the Information Technology and Innovation Foundation (ITIF) Commerce Department - Anupam Chander, Scott K Ginsburg Professor of Law at Georgetown University Law Center Intel Community and Cyber Defense - David Mussington, professor of the practice the University of Maryland School of Public Policy, and currently serves as the CISA Executive Assistant Director Congress/State Department - Cameron Kelly, Distinguished Visiting Fellow, Brookings Institutution China players Central Military Committee representatives - Rohit Talwar, founder of FastFuture Intelligence and cyber - Daniel Richardson, President of Indepth Global AI Public/Private Industry - Sarah Myers West, co-director at AI Now Ministry of Science and Technology (MOST)/Ministry of Industry and Information technology (MIIT) - David Lin, Senior Director for Future Technology Platforms at the Special Competitive Studies Project (SCSP) European Union Governance- Courtney Radsch, Director, Center for Journalism and Liberty at Open Markets Institute Military/Security - Gordon LaForge, senior policy analyst at New America Regulatory - Michelle Nie, EU Tech Policy Fellow at the Open Markets Institute Industrial and research policy - David Goldston, director of government affairs at the Natural Resources Defense Council Intelligence Agencies - Rumman Chowdhury, scientist, entrepreneur, and former responsible artificial intelligence lead at Accenture Civil Society Large players (ChatGPT, META, Amazon, Microsoft) - Cody Buntain, Assistant Professor; Affiliate Fellow, UMD Honors College – Artificial Intelligence Cluster Medium players - Ramayya Krishnan, Dean, Heinz College Of Information Systems And Public Policy at Carnegie Mellon University Open-source communities - Jay Lee, Clark Distinguished Chair Professor and Director of Industrial AI Center in the Mechanical Engineering Dept. of the Univ. of Maryland College Park Advocacy Organizations - David Goldston, director of government affairs at the Natural Resources Defense Council Legal Community - Kahaan Mehta, Research Fellow at the Vidhi Centre for Legal Policy Universities and academia Large universities - Nita Farahany, Robinson O. Everett Distinguished Professor of Law at Duke Law Smaller schools - Anand Patwardhan, professor in the School of Public Policy at the University of Maryland Medium Universities - Elizabeth Bramson-Boudreau, CEO and Publisher at MIT Technology Review Government laboratories (Defense, DOE, etc.) - Emily M. Bender, University of Washington Professor This material is distributed by TRG Advisory Services, LLC on behalf of the Embassy of the United Arab Emirates in the U.S.. Additional information is available at the Department of Justice, Washington, DC. Learn more about your ad choices. Visit megaphone.fm/adchoices
Welcome to part 2 of our special event, “The AI Competition: Public Policy Strategies”. The event, co-hosted by MIT Technology Review, brings together some of the leading voices in AI policy from the public and private sectors to role-play these complex issues. These AI leaders play roles in the US, China, and The EU, and enact policies that best align with their roles interests in the AI space. This episode contains the second and final phase of the game. We hope you enjoy this insightful episode. Our Players: US Government Players White House (NSA, AI & Crypto Czar, Assistant to Pres. For S&T) - Doug Calidas, Senior Vice President of Government Affairs for Americans for Responsible Innovation (ARI) Government research institutions (funding) - Stephen Ezell Standards and governance (NIST, DOS, etc.) - Vivek Wadhwa, Adjunct Professor at Carnegie Mellon's School of Engineering at Silicon Valley Regulatory and trade (DOS, Treasury, etc.) - Susan Ariel Aaronson, American author, public speaker, and GWU professor Department of Defense- Daniel Castro, vice president at the Information Technology and Innovation Foundation (ITIF) Commerce Department - Anupam Chander, Scott K Ginsburg Professor of Law at Georgetown University Law Center Intel Community and Cyber Defense - David Mussington, professor of the practice the University of Maryland School of Public Policy, and currently serves as the CISA Executive Assistant Director Congress/State Department - Cameron Kelly, Distinguished Visiting Fellow, Brookings Institutution China players Central Military Committee representatives - Rohit Talwar, founder of FastFuture Intelligence and cyber - Daniel Richardson, President of Indepth Global AI Public/Private Industry - Sarah Myers West, co-director at AI Now Ministry of Science and Technology (MOST)/Ministry of Industry and Information technology (MIIT) - David Lin, Senior Director for Future Technology Platforms at the Special Competitive Studies Project (SCSP) European Union Governance- Courtney Radsch, Director, Center for Journalism and Liberty at Open Markets Institute Military/Security - Gordon LaForge, senior policy analyst at New America Regulatory - Michelle Nie, EU Tech Policy Fellow at the Open Markets Institute Industrial and research policy - David Goldston, director of government affairs at the Natural Resources Defense Council Intelligence Agencies - Rumman Chowdhury, scientist, entrepreneur, and former responsible artificial intelligence lead at Accenture Civil Society Large players (ChatGPT, META, Amazon, Microsoft) - Cody Buntain, Assistant Professor; Affiliate Fellow, UMD Honors College – Artificial Intelligence Cluster Medium players - Ramayya Krishnan, Dean, Heinz College Of Information Systems And Public Policy at Carnegie Mellon University Open-source communities - Jay Lee, Clark Distinguished Chair Professor and Director of Industrial AI Center in the Mechanical Engineering Dept. of the Univ. of Maryland College Park Advocacy Organizations - David Goldston, director of government affairs at the Natural Resources Defense Council Legal Community - Kahaan Mehta, Research Fellow at the Vidhi Centre for Legal Policy Universities and academia Large universities - Nita Farahany, Robinson O. Everett Distinguished Professor of Law at Duke Law Smaller schools - Anand Patwardhan, professor in the School of Public Policy at the University of Maryland Medium Universities - Elizabeth Bramson-Boudreau, CEO and Publisher at MIT Technology Review Government laboratories (Defense, DOE, etc.) - Emily M. Bender, University of Washington Professor This material is distributed by TRG Advisory Services, LLC on behalf of the Embassy of the United Arab Emirates in the U.S.. Additional information is available at the Department of Justice, Washington, DC. Learn more about your ad choices. Visit megaphone.fm/adchoices
American Journal of Infection Control: Science Into Practice
How can nursing homes stop the spread of deadly infections without isolating residents? In this episode, the hosts, Jess and Nicki, dive into Enhanced Barrier Precautions (EBP) with experts Dr. Mary-Claire Roghmann and Stephanie Mayoryk. They explore real-world strategies for implementing EBP, overcoming staff challenges, and balancing infection control with resident quality of life. Don't miss this insightful discussion on protecting both patients and healthcare workers! With special guests: Stephaie Mayoryk, BSN, President and Infection Prevention Consultant, Mayoryk Consulting Services LLC and Mary-Claire Roghmann, MD, MS, Professor, Infectious Disease Physician, and Hospital Epidemiologist, University of Maryland School of Medicine
The idea that the government should be run more like a business isn’t new. But with two businessmen, Donald Trump and Elon Musk, now taking a proverbial chainsaw to the federal bureaucracy all in the name “efficiency,” this theory is being put to the test. While it’s an appealing idea, Philip Joyce, professor of public policy at the University of Maryland School of Public Policy, said governments can’t afford to take risks the way businesses can. On the show today, Joyce explains the origins of the idea that the government should be run like a business, how we define “success” differently for the two entities, and how the way Trump and Musk do business is showing up in the White House. Then, we’ll break down the high stakes of today’s special elections in Wisconsin and Florida. Plus, reflections on serendipitous moments in walkable communities and what we gain by admitting we were wrong. Here’s everything we talked about today: “Why Running the Government Like a Business Would Be a Disaster” from The New York Times “The US Government Is Not a Startup” from Wired “The US Postal Service has been struggling for years. Now Trump’s talking about privatizing it” from AP News “DOGE wants businesses to run government services ‘as much as possible'” from The Washington Post “UPDATE: RECOVER Long COVID pathobiology grants restored” from The Sick Times “NIH restores some long COVID grants” from C&EN “What to Watch in Wisconsin's Supreme Court Election and Florida's Special Elections” from The New York Times “What to watch for Tuesday in Wisconsin's high-stakes Supreme Court race and special elections in Florida” from CNN Politics “Control of the Wisconsin Supreme Court is at stake in race that’s drawn powerful political interests” from AP News “Volume 52 | Issue 1 | February 2025” from the American Ethnological Society Got a question or comment for the hosts? Email makemesmart@marketplace.org or leave us a voicemail at 508-U-B-SMART.
The idea that the government should be run more like a business isn’t new. But with two businessmen, Donald Trump and Elon Musk, now taking a proverbial chainsaw to the federal bureaucracy all in the name “efficiency,” this theory is being put to the test. While it’s an appealing idea, Philip Joyce, professor of public policy at the University of Maryland School of Public Policy, said governments can’t afford to take risks the way businesses can. On the show today, Joyce explains the origins of the idea that the government should be run like a business, how we define “success” differently for the two entities, and how the way Trump and Musk do business is showing up in the White House. Then, we’ll break down the high stakes of today’s special elections in Wisconsin and Florida. Plus, reflections on serendipitous moments in walkable communities and what we gain by admitting we were wrong. Here’s everything we talked about today: “Why Running the Government Like a Business Would Be a Disaster” from The New York Times “The US Government Is Not a Startup” from Wired “The US Postal Service has been struggling for years. Now Trump’s talking about privatizing it” from AP News “DOGE wants businesses to run government services ‘as much as possible'” from The Washington Post “UPDATE: RECOVER Long COVID pathobiology grants restored” from The Sick Times “NIH restores some long COVID grants” from C&EN “What to Watch in Wisconsin's Supreme Court Election and Florida's Special Elections” from The New York Times “What to watch for Tuesday in Wisconsin's high-stakes Supreme Court race and special elections in Florida” from CNN Politics “Control of the Wisconsin Supreme Court is at stake in race that’s drawn powerful political interests” from AP News “Volume 52 | Issue 1 | February 2025” from the American Ethnological Society Got a question or comment for the hosts? Email makemesmart@marketplace.org or leave us a voicemail at 508-U-B-SMART.
Welcome to a very different episode of Siliconsciousness. Today, we are taking a creative new approach to discussing the future of AI. This episode comprises the first part of our special event, “The AI Competition: Public Policy Strategies”. The event, co-hosted by MIT Technology Review, brings together some of the leading voices in AI policy from the public and private sectors to role-play these complex issues. These AI leaders play roles in the US, China, and The EU, and enact policies that best align with their roles interests in the AI space. This first episode contains the first phase of the game, as well as introductions from the editor in chief of MIT Technology Review Mat Honan as well as game controller Ed McGrady. We hope you enjoy. Our Players: US Government Players White House (NSA, AI & Crypto Czar, Assistant to Pres. For S&T) - Doug Calidas, Senior Vice President of Government Affairs for Americans for Responsible Innovation (ARI) Government research institutions (funding) - Stephen Ezell Standards and governance (NIST, DOS, etc.) - Vivek Wadhwa, Adjunct Professor at Carnegie Mellon's School of Engineering at Silicon Valley Regulatory and trade (DOS, Treasury, etc.) - Susan Ariel Aaronson, American author, public speaker, and GWU professor Department of Defense- Daniel Castro, vice president at the Information Technology and Innovation Foundation (ITIF) Commerce Department - Anupam Chander, Scott K Ginsburg Professor of Law at Georgetown University Law Center Intel Community and Cyber Defense - David Mussington, professor of the practice the University of Maryland School of Public Policy, and currently serves as the CISA Executive Assistant Director Congress/State Department - Cameron Kelly, Distinguished Visiting Fellow, Brookings Institutution China players Central Military Committee representatives - Rohit Talwar, founder of FastFuture Intelligence and cyber - Daniel Richardson, President of Indepth Global AI Public/Private Industry - Sarah Myers West, co-director at AI Now Ministry of Science and Technology (MOST)/Ministry of Industry and Information technology (MIIT) - David Lin, Senior Director for Future Technology Platforms at the Special Competitive Studies Project (SCSP) European Union Governance- Courtney Radsch, Director, Center for Journalism and Liberty at Open Markets Institute Military/Security - Gordon LaForge, senior policy analyst at New America Regulatory - Michelle Nie, EU Tech Policy Fellow at the Open Markets Institute Industrial and research policy - David Goldston, director of government affairs at the Natural Resources Defense Council Intelligence Agencies - Rumman Chowdhury, scientist, entrepreneur, and former responsible artificial intelligence lead at Accenture Civil Society Large players (ChatGPT, META, Amazon, Microsoft) - Cody Buntain, Assistant Professor; Affiliate Fellow, UMD Honors College – Artificial Intelligence Cluster Medium players - Ramayya Krishnan, Dean, Heinz College Of Information Systems And Public Policy at Carnegie Mellon University Open-source communities - Jay Lee, Clark Distinguished Chair Professor and Director of Industrial AI Center in the Mechanical Engineering Dept. of the Univ. of Maryland College Park Advocacy Organizations - David Goldston, director of government affairs at the Natural Resources Defense Council Legal Community - Kahaan Mehta, Research Fellow at the Vidhi Centre for Legal Policy Universities and academia Large universities - Nita Farahany, Robinson O. Everett Distinguished Professor of Law at Duke Law Smaller schools - Anand Patwardhan, professor in the School of Public Policy at the University of Maryland Medium Universities - Elizabeth Bramson-Boudreau, CEO and Publisher at MIT Technology Review Government laboratories (Defense, DOE, etc.) - Emily M. Bender, University of Washington Professor Learn more about your ad choices. Visit megaphone.fm/adchoices
Welcome to a very different episode of Siliconsciousness. Today, we are taking a creative new approach to discussing the future of AI. This episode comprises the first part of our special event, “The AI Competition: Public Policy Strategies”. The event, co-hosted by MIT Technology Review, brings together some of the leading voices in AI policy from the public and private sectors to role-play these complex issues. These AI leaders play roles in the US, China, and The EU, and enact policies that best align with their roles interests in the AI space. This first episode contains the first phase of the game, as well as introductions from the editor in chief of MIT Technology Review Mat Honan as well as game controller Ed McGrady. We hope you enjoy. Our Players: US Government Players Doug Calidas, Senior Vice President of Government Affairs for Americans for Responsible Innovation (ARI) Stephen Ezell, Vice President, Global Innovation Policy, and Director, Center for Life Sciences Innovation Vivek Wadhwa, Adjunct Professor at Carnegie Mellon's School of Engineering at Silicon Valley Susan Ariel Aaronson, American author, public speaker, and GWU professor Daniel Castro, vice president at the Information Technology and Innovation Foundation (ITIF) Anupam Chander, Scott K Ginsburg Professor of Law at Georgetown University Law Center David Mussington, professor of the practice the University of Maryland School of Public Policy, and currently serves as the CISA Executive Assistant Director Cameron Kelly, Distinguished Visiting Fellow, Brookings Institutution China players Rohit Talwar, founder of FastFuture Daniel Richardson, President of Indepth Global AI Sarah Myers West, co-director at AI Now David Lin, Senior Director for Future Technology Platforms at the Special Competitive Studies Project (SCSP) European Union Courtney Radsch, Director, Center for Journalism and Liberty at Open Markets Institute Gordon LaForge, senior policy analyst at New America Michelle Nie, EU Tech Policy Fellow at the Open Markets Institute David Goldston, director of government affairs at the Natural Resources Defense Council Rumman Chowdhury, scientist, entrepreneur, and former responsible artificial intelligence lead at Accenture Civil Society Cody Buntain, Assistant Professor; Affiliate Fellow, UMD Honors College – Artificial Intelligence Cluster Ramayya Krishnan, Dean, Heinz College Of Information Systems And Public Policy at Carnegie Mellon University Jay Lee, Clark Distinguished Chair Professor and Director of Industrial AI Center in the Mechanical Engineering Dept. of the Univ. of Maryland College Park David Goldston, director of government affairs at the Natural Resources Defense Council Kahaan Mehta, Research Fellow at the Vidhi Centre for Legal Policy Universities and academia Nita Farahany, Robinson O. Everett Distinguished Professor of Law at Duke Law Anand Patwardhan, professor in the School of Public Policy at the University of Maryland Elizabeth Bramson-Boudreau, CEO and Publisher at MIT Technology Review Emily M. Bender, University of Washington Professor This material is distributed by TRG Advisory Services, LLC on behalf of the Embassy of the United Arab Emirates in the U.S.. Additional information is available at the Department of Justice, Washington, DC. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textIn this episode of "The UMB Pulse" podcast, hosts Charles Schelle, MS, and Dana Rampolla chat with Wilbur Chen, MD, MS '08, the Frank M. Calia, MD Endowed Professor of Medicine at the University of Maryland School of Medicine (UMSOM) and chief of the adult clinical studies section at UMSOM's Center for Vaccine Development and Global Health.Chen highlights the importance of federally funded research and the importance of global health efforts for local stability. In addition, Chen addresses current concerns such as the resurgence of measles in the United States and the avian flu outbreak, emphasizing the need for widespread vaccination and sustained research. The episode provides a comprehensive overview of how the University of Maryland, Baltimore is driving forward public health initiatives that have both local and global implications.00:00 Introduction to UMB's Mission00:42 Meet Dr. Wilbur Chen02:59 Dr. Chen's Journey into Infectious Disease Research09:59 The Importance of Indirect Costs in Research18:16 Current Research and Global Health Impact25:12 Measles Outbreaks in the U.S.35:45 Avian Flu and Its Implications47:55 Global Health Challenges and Future Pandemics58:11 Conclusion and Final ThoughtsListen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.
This Week's Guests: Rabbi - Kenneth Block Episode 351 Kenneth B Block graduated from Boston College in 1968 and was ordained at the Hebrew Union College-Jewish Institute of Religion in 1974, and is a member of the Central Conference of American Rabbis. Rabbi Block retired after 40 years as an addiction Chaplain for the Veterans Administration Maryland Health Care Systems, as the Chaplain for the Bel Air, Maryland Volunteer Fire Company, as Adjunct Assistant Professor of medicine at the University of Maryland School of Medicine, as Chaplain for the Maryland State Firemen's Association, as a volunteer for the Jewish Council for the Aging of Greater Washington and, as a volunteer Chaplain for Capital Caring Hospice. He is now Rabbi Emeritus at Temple Beth Torah in Chantilly. And lifetime member of the Bel Air Volunteer Fire Company. To learn more visit his website RabbiOnTheGo.com He can be seen on his YouTube Channel “The Rabbi and I” and you can listen to his podcasts “The Rabbi and I” and “The Wisdom of Rabbi Block” on Apple Podcasts or your favorite platform. And if you are really brave you can watch him live every Wednesday night at 8 on TikTok. Remember to buy his book “How to be Jewish in 30 Seconds”, available at Amazon, Barnes & Noble, and at your local independent book store. "Rethink Production presents "Live From America Podcast" - a weekly show that combines political commentary with humor. Hosted by the comedy cellar owner Noam Dworman and producer Hatem Gabr, the show features expert guests discussing news, culture, and politics with a blend of knowledge and laughter. Follow Live From America YouTube @livefromamericapodcast twitter.com/AmericasPodcast www.LiveFromAmericaPodcast.com LiveFromAmericapodcast@gmail.com Follow Hatem Twitter.com/HatemNYC Instagram.com/hatemnyc/ Follow Noam Twitter.com/noam_dworman #Rabbikenblock #gaza #quran
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Tre and Dr. Mac. They are both graduates of Howard; one is a she is a member of Alpha Omega Alpha Medical Honor Society, and the other is a leader in the research and development of innovative nutritional supplements and products. They are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. They created RAMP, Real, Authentic Media Physicians, promoting health literacy, holistic wellness, and sexual health education. Dr. Tre is an alumnus of Howard University College of Medicine and a Residency at the University of Maryland School of Medicine. She has three decades of experience connecting the dots between mind, body, and soul in medicine. As a game changer, she drops knowledge, bold tips, and tools for shattering the myths and stigma surrounding sexual health. She is a member of Alpha Omega Alpha Medical honor Society. She and Dr. Mac are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. #BEST #STRAW #SHMS Support the show: https://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Tre and Dr. Mac. They are both graduates of Howard; one is a she is a member of Alpha Omega Alpha Medical Honor Society, and the other is a leader in the research and development of innovative nutritional supplements and products. They are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. They created RAMP, Real, Authentic Media Physicians, promoting health literacy, holistic wellness, and sexual health education. Dr. Tre is an alumnus of Howard University College of Medicine and a Residency at the University of Maryland School of Medicine. She has three decades of experience connecting the dots between mind, body, and soul in medicine. As a game changer, she drops knowledge, bold tips, and tools for shattering the myths and stigma surrounding sexual health. She is a member of Alpha Omega Alpha Medical honor Society. She and Dr. Mac are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. #BEST #STRAW #SHMS See omnystudio.com/listener for privacy information.
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Tre and Dr. Mac. They are both graduates of Howard; one is a she is a member of Alpha Omega Alpha Medical Honor Society, and the other is a leader in the research and development of innovative nutritional supplements and products. They are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. They created RAMP, Real, Authentic Media Physicians, promoting health literacy, holistic wellness, and sexual health education. Dr. Tre is an alumnus of Howard University College of Medicine and a Residency at the University of Maryland School of Medicine. She has three decades of experience connecting the dots between mind, body, and soul in medicine. As a game changer, she drops knowledge, bold tips, and tools for shattering the myths and stigma surrounding sexual health. She is a member of Alpha Omega Alpha Medical honor Society. She and Dr. Mac are joining forces to create a community dedicated to health literacy and holistic wellness that breaks the stigma and myths about sexual health and sexual satisfaction. #BEST #STRAW #SHMS See omnystudio.com/listener for privacy information.
Send us a textIn this episode of The UMB Pulse, Jody Olsen, PhD, MSW '72, a distinguished leader in global public service and former Peace Corps director shares her journey from aspiring social worker to influential advocate for women's empowerment, cross-cultural understanding, and global citizenship.Olsen, an alumna of the University of Maryland School of Social Work, shares in detail about her experiences leading transformative Peace Corps programs, overcoming challenges, and her ongoing contributions to the University of Maryland, Baltimore community.00:00 Introduction to Dr. Jody Olsen02:37 Early Life and Career Beginnings05:09 Navigating Leadership Challenges09:04 Impact of the Peace Corps in Eastern Europe17:20 Women's Empowerment and Mentorship36:36 Global Community Building and UMB's Role43:33 Memorable Moments and Reflections49:31 Advice to the Younger GenerationListen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.
Virology vanguard Dr. Bob Gallo is far from ready to slow down. Now in his seventh decade as one of America's top scientists, he could easily sit back and enjoy the fruits of his numerous and pioneering achievements. His groundbreaking work began in the 1970s with research into human retroviruses, including the discovery of the T-cell growth factor (IL-2) and the identification of the Human T-Cell Lymphotropic Virus (HTLV-1) in 1980, earning him his first Lasker Award, often referred to as “America's Nobel Prize.” His subsequent research led to the identification of HIV-1 as the cause of AIDS, securing him a second Lasker Award. In the 1980s, he was the world's most cited scientist. Along with his team, he developed the first HIV blood test, crucial for understanding the spread of AIDS and managing HIV patients. In the mid 1990's Gallo and his collaborators discovered chemokines, naturally occurring compounds that were essential for understanding how HIV infects cells. Dr. Gallo later founded the Institute of Human Virology at the University of Maryland School of Medicine in 1996 and co-founded the Global Virus Network (GVN) in 2011 to enhance global virus detection and management. Recently, Dr. Gallo and his team moved to Tampa, the new global headquarters for GVN, where he now serves as director of the University of South Florida (USF) Virology Institute and Head of the Microbial Oncogenesis Program at the Cancer Institute at Tampa General Hospital (TGH). In the first part of this wide-ranging interview, Dr. Gallo shares insights into his entry into virology and his initial research into the etiology of certain cancers. This work included crucial discoveries around T cell growth factors, paving the way for identifying HTLV-1. He discusses his collaboration with CDC epidemiologists, which led to recognizing AIDS as being caused by a retrovirus. Once the HIV virus was identified as the cause, creating the first blood test for HIV had profound impacts on the epidemic and patient care. In the second segment, Dr. Gallo discusses the origins of the HIV virus and its early global spread. He also reflects on the COVID-19 pandemic, why the focus on its origins is irrelevant and reflects on how to rebuild public trust in science and medicine, which may have been damaged during the pandemic. In the concluding segment, Dr. Gallo talks about his reasons for joining USF Health and TGH and the research areas he finds most promising going forward. He speculates on the prospects for an HIV vaccine, the impact of artificial intelligence on virology, and why he doesn't necessarily worry about the threat of the next global pandemic. Finally, Dr. Gallo opens up about how the early loss of his young sister deeply affected his life and his desired legacy. Dr Vega would like to thank her friend Job Meiller, her YES Man, for the wonderful musical contributions and coming through on every idea she has. This time he contributes his renditions of Bruce Springsteen's "Streets of Philadelphia" and "Your Song," by Elton John. Thank you Job! Thanks also to Dr. Ana Velez, our artistic contributor, for her painting, "HIV," used in our episode thumbnail.
In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Jennifer L. Hopp, MD, FAAN, FAES, FACNS, who served as the guest editor of the Continuum® February 2025 Epilepsy issue. They provide a preview of the issue, which publishes on February 3, 2025. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Hopp is a professor in the department of neurology at the University of Maryland School of Medicine in Baltimore, Maryland. Additional Resources Continuum website: ContinuumJournal.com Subscribe to Continuum: shop.lww.com/Continuum More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @JenHopp71 Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology, clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum who are the leading experts in their fields. Subscribers to the Continuum Journal have access to exclusive audio content not featured on the podcast. If you're not already a subscriber, we encourage you to become one. For more information, please visit the link in the show notes Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, Lifelong Learning in Neurology. Today I'm interviewing Dr Jennifer Hopp, who recently served as Continuum's guest editor for our latest issue on epilepsy. Dr Hopp is a professor and executive vice chair in the Department of Neurology at the University of Maryland School of Medicine, where she's also director of the Epilepsy Center. Dr Hopp, welcome. Thank you for joining us today. Why don't you introduce yourself to our listeners? Dr Hopp: Hi, Dr Jones. Thank you so much for having me on this podcast. I really had so much fun working with you and other authors of this issue and serving as editor. I feel like it was yesterday that I was author of an article in the past. And so, it's really a pleasure to take on this new role and create the content for the issue of Continuum for Epilepsy and really particularly to work with the stellar group of experts and authors that we were able to have us join this year. Dr Jones: I want to thank you for, really, it's a remarkable issue. And we usually don't get into this a lot with our guest editors, but our last issue on epilepsy came out in 2022. Fantastic issue, guest edited by Dr Natalie Jette. When you were designing the table of contents and article topics for this issue, you had some great ideas. Walk us through your thought process on what was most important to convey in this issue. Dr Hopp: Sure, I'm happy to do so. I think one of the things about Continuum that is so accessible to everybody is that it really is, to me, preeminent format of updating and educating, whether it's epileptologist, neurologist, trainees in every area of epilepsy, which is obviously an enormous task to really pull together all of these data to make updates and then to make it accessible to all of these different levels of learners as well as people like myself. I really read and always look forward to all the Continuum issues outside of my field. I use it to update my knowledge base, get ready for boards. I also read it as an educator because I want to know what my trainees are reading during their rotations and I want to be able to share materials with them. So, I really tried to go back and look at other issues and think about how we could make it fresh. So, I think one of the first challenges is just making sure that we're updating the content of each article based on the literature and the data we have. That really becomes the task of the authors. And so first of all, selecting the authors was both fun but also really important to me. But the second aspect of it to me was really the question of, how could we make this fresh this year? I think Continuum is always fresh and that it has new data, but I wanted to really think outside the box and I appreciate being able to take a few risks. One of them was really headed by Dave Clarke, who provides this incredibly thoughtful and comprehensive review of access to care and epilepsy. I think for anyone who wants a primer on the issues and language used in discussions of diversity or social determinants of health---you first of all do not have to be in the field of epilepsy to read this. So, you should check that out. But I also thought it was really critical to shed more light on these issues. So, we tried to be mindful of this in threading that through as best as we could each article, but also have a stand-alone section that he headed. And so, he addresses issues of how to think about access to care for people with epilepsy, but actually, interestingly, also thinking about the investigators, providers, and researchers, and how we think about diversity in those viewpoints as well. I think we can always do better. Dave concludes with a wonderful focus on hope in this area with next steps for our community. So, I think that that was certainly one area that I wanted to take a risk and I think it was quite successful. Dr Jones: Totally agree. I very much enjoyed that article. We have an article on implementation of guidelines and quality measures by Dr Christina Baca. I thought that was a great choice from your perspective, not only because Dr Baca is an expert on this, but it felt very practical, right? Dr Hopp: Exactly. Exactly. And that was the other area that I thought really is always covered so well by the Academy of Neurology. There's so much work in updating the guidelines, whether it's the guideline that just was updated on people with epilepsy of childbearing potential or others outside of the field of epilepsy. And I thought that we could use Continuum to help educate all of the readers on how to take those guidelines and measures and then really bring them into practice. I think there's a whole field of implementation science that I think shines a light on the gap between the guidelines and the measures and then really what we do with them in practice. And that's actually what's most important for our patients and for the providers. And so Christine does just an amazing job as an expert, not only walking us through the guidelines that are relevant for epilepsy, but then helping us and providing, essentially, a toolkit to take those measures and guidelines and use them in a very feasible, accessible way in day-to-day practice. And I would suggest that it's relevant for anyone from a student level resident to an epileptologist who's been in practice, like me, for many years. And so I hope that's relatable and useful to the reader. Dr Jones: I think it will be. And let's get right into it. So, I always enjoy talking to the guest editor. You're already an expert and now you've just read a bunch of articles and edited a bunch of articles from people who are really the premier experts in their area of the field, right? They're niche within epilepsy. So, as you've read these articles across the issue, if there were one biggest practice-changing recommendation that you would want to convey to our listeners, what would that be? Dr Hopp: I think that's a fabulous question because again, each of these articles, I think, is designed and written by the author to stand alone. But ideally, they need to all be incorporated in practice. And I think what each author was able to really successfully do is not only review the data, but really take us to the next level with practice of epilepsy. For example, I think as we embark on the next couple of decades, clearly increased technology, AI, personalized medicine are all buzzwords and taking the lead. In reality, with advances, we still have to make sure our care is personalized. And we have to remember seizures are really the symptom, but epilepsy is the disease. What I think our authors do well is make sure that our care is personalized to the patients. You could take that from the first article that Roohi Katyall writes about how to approach the patient with epilepsy, which is still, I think, the seminal way to start to think about these patients. But we need to ask issues pertaining to people with epilepsy of childbearing potential; screen for mood, other comorbidities. Mark Keezer does a great job talking about these. And then as we discussed, Christine Baca, PCU, talks about how to then incorporate those practical considerations into practice. Each author also, I think, emphasizes the need to utilize technology and testing and evaluation to make sure that our care is personalized for our patient. For example, we have a focus on certain special populations. Some patients who we see from the diagnosis of epilepsy end up not having seizures. They may have nonepileptic events. And so, Adriana Bermeo-Ovalle and her co-author talk about how to address those patients. Well, Meriem Bensalem-Owen talks about gender based issues in epilepsy as well. And, and that particular article also was updated and refreshed to really address gender and sex-based issues beyond treating the woman with epilepsy. So, I think in summary, each of them really helps us make sure that we're personalizing the care for patients by emphasizing a very thorough and individualized approach to each of our patients that we see with seizures. Dr Jones: Now that you put it that way, that really did come across as a consistent theme essentially in every article, right? All the way from the evaluation of the patient suspected of having epilepsy to the treatment options to the context of care. Personalization is really kind of a continuous thread throughout the issue. So, I think that's a great one. Dr Hopp: I think it's still aspirational in some sense, but hopefully practical in another. For example, we certainly are going to make a medication selection when we see each individual patient based on their comorbidities, perhaps genetic considerations, and how they may respond to medications or have risks of rash. But there are certainly still guidelines that we need to approach and think about when thinking about populations of people who have epilepsy as a whole. I think that what's interesting in the field of epilepsy is that we still don't have as much consensus as I think we could on the best way to treat, for example, a drug-resistant patient with epilepsy. One of, I think, the biggest areas of opportunity in terms of personalized medicine as we move forward is that there's such variability on patient care based on the epilepsy center, the tools that we have on how to treat these patients. And I think an aspiration is for us to, in the future, be able to see a patient who has seizures or a person who has seizures, maybe put an FDA-approved device, as Dan Friedman talks about in his article, to help detect the seizures. Use AI with EEG to detect abnormalities in their studies. And then use imaging processing and genetic or metabolic markers to really end up stratifying the risk and creating a treatment plan much akin to what's done in the world of cancer care. I think what's so exciting in epilepsy is that we have made so many advances in terms of our treatments, but I think there's so much to do to really stratify and personalize care for our patients that we really could take a lot of lessons from the world of cancer and in other fields of medicine to really be able to apply to our area of specialization. Dr Jones: And I guess that's one of the common tensions in neurology---and medicine, really---is the pull between standardizing and protocolizing. And usually we do better when we're standardized in our care versus that personalization, doing the right thing for that individual person. And I guess expertise lies in the middle, which is why we want people to read these articles, right? Dr Hopp: Exactly. I think you've hit the nail on the head, and I think the takeaway here is really that we need to do both. There's no question that we can't reinvent the wheel for every person who we see in the office who has epilepsy and not apply the knowledge that we've gained based on all of the research and work that's been done in the field of epilepsy. So, for example, we know that if someone is almost 25 years old, Quantum Brody published that shows that if someone does not respond to a few drugs, anti-seizure medicines, the likelihood that they're not going to respond, it is quite high. So, we need to apply data that we have to patients as a whole. But then, I think, what has changed and evolved over the past twenty-five years is our ability to potentially personalize some of that decision making. And that's where I think the field of epilepsy is right now, and hopefully where it's going to go in the next decade or so. Dr Jones: So, what do you think the next big thing in epilepsy diagnosis or management will be? Dr Hopp: I think that technology is really going to play a role. Technology, I think, will take many forms. We hear a little bit about some of the new advances in technology in several articles in this issue. One, for example, is in the ability to manage even emergent seizures or clusters of seizures in patients. The ability to provide a nasal spray that works very quickly is so different than the tools that we had to treat seizures even 10 years ago. I think that technology will likely thread through many different areas of epilepsy care, whether it's in the treatment and availability of different medications or in the ascertainment of epilepsy itself. I think that one of the very exciting areas in technology is in pharmacogenomics and genetics, which hopefully will allow us to close the gap in selecting one of the better medications or best medication for a patient earlier in their diagnosis and in their treatment plan. If we are able to get patients treated more quickly, whether it's with medication or in selection of the best surgical treatment, hopefully we will close the gap in reducing the possibility of drug resistant epilepsy, but also have impact in quality of life and getting patients and people with epilepsy and doing that, doing the things that they want to do such as driving, going to work, getting engaged in the things that make them happy. And so, I think our ability to use technology, whether it's in using a watch to make a diagnosis of seizures or pharmacogenomics to make a good medication selection, hopefully this will allow us to speed up our algorithm in making a diagnosis and getting an effective treatment plan for patients earlier. And ultimately that's our goal. Our goal for patients is ideally to have no seizures and no side effects with a good quality of life. Dr Jones: Yeah, the technology has really been breathtaking. You know, one of the commonalities between your practice and my practice is electrophysiology. I do neuromuscular electrophysiology, which is much simpler than what you do with cerebral electrophysiology. And whenever I sit down next to a colleague who is about to review forty-eight hours' worth of EEG recordings, I always think what a massive amount of data and I always feel sympathy for them. What, about AI? What about automated processing tools? Is that something that our listeners should look forward to in the future? Dr Hopp: I think so. And I hope it's a blend. I hope that---and I always actually talk about this with trainees because I love EEG so much and I love translating the principles of physics and neurophysiology when we're sitting in front of an EEG with our trainees. I am excited about AI and technology. I will admit that I hope that it doesn't replace human readers because I do think that there is an importance in threading history and semiology and thoughtfulness in a human way with the interpretation of EEG. However, you're absolutely right that the amount of data is just becoming overwhelming for epileptologists and for EEG-ers to be able to synthesize in a reasonable and feasible amount of time. So, we already are seeing the applicability of the AI to, for example, prescreen large, large amounts of EEG data and try to at least give us tools for the ability to screen EEG in a more efficient way. I think some of the more exciting areas of EEG that are coming are in the background, which is in the network analysis in high-density EEG. There are very, very smart mathematicians that currently I'm collaborating with in utilizing network analysis of EEG that will hopefully allow us to apply these algorithms to EEGs that even look normal to the naked eye, but actually may have signals that help us predict who may or may not have seizures. I agree with you wholeheartedly. I think there's so much to come and our collaboration and integration with engineers and mathematicians, I think, is going to be paramount. Dr Jones: Dr Hopp, what was your path to epilepsy? Dr Hopp: Dr Jones, that is a great question. It was not linear and it really evolved over time, but basically went something like this. I majored in behavioral biology in college, and I was fascinated by the brain and how behavior was controlled by either physiology or anatomy or abnormalities in brain function. And as I moved along in my career and education, I really had a passion for neurology and for behavioral science. But I went to medical school and absolutely loved most of the rotations I did. And in fact, I loved OBGYN so much that I changed my entire career path with the goal of becoming an OBGYN and delivering babies. And I was really torn between two specialties of going into neurology or OB. And I went to a very sage advisor, Greg Kane up at Jefferson. And I said, I really don't know what field to go into. I love aspects of both. I like doing testing. I like making immediate impact. But I also love neurology. And he gave me some of the best advice, I think, that I have ever heard. And I try to share with our trainees all the time. He said, Jenny, I think you'll be successful at either, but which do you like reading about? And I had a relative epiphany at the time, and it was no question that I loved reading about neurology. It was very clear to me that reading about neurology and learning about the brain was just fascinating and led me to do a neurology residency where I was exposed to patients with epilepsy. And it really just continued to pique my interest to read about a field that I felt I could have such an impact. I really could help patients make a diagnosis relatively quickly and have a significant impact, maybe as I would in OBGYN but in a little bit different way. And it really has been, to me, the best choice that I could have made. And on a day-to-day basis, I still love reading about neurology. So, it was some of the best advice that I was given and I try to share that with others. Dr Jones: What a great question for a mentor to ask. And I wonder if he was really thinking, if she likes to read, she probably should be a neurologist to begin with. You like to read, don't we? Dr Hopp: I think so. I think he was spot on. I think he knew the answer before he asked the question. Dr Jones: Dr Hopp, thank you for joining us today. Thank you for such a thorough and fantastic discussion on caring for patients with epilepsy and our recent issue on epilepsy for Continuum. Dr Hopp: My pleasure. Thank you for having me. Dr Jones: Again, we've been speaking with Dr Jennifer Hopp, guest editor of Continuum 's most recent issue on epilepsy. Please check it out. 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 this link in the episode notes to learn more and subscribe. Thank you for listening to Continuum Audio.
Live Greater | A University of Maryland Medical System Podcast
Learn how scoliosis is diagnosed in children, the treatment options available, and what parents can do to support their child through this journey from Dr. Julio J. Jauregui, a Spine Surgeon at University of Maryland Medical System and R Adams Cowley Shock Trauma Center, and an assistant professor in the Departments of Orthopedics and Neurosurgery at University of Maryland School of Medicine.
Pursuing Passion in Medicine: Dr. Neda Frayha's Journey from Academia to Audio StorytellingIn this episode, Christine hosts Dr. Neda Frayha, who shares her journey from the University of Maryland School of Medicine and her work in academic medicine to a career in audio storytelling. With a deep passion for humanizing medicine through education and storytelling, Neda discusses her transformative experience at an audio storytelling workshop and her fulfilling role as a Senior Medical Editor at HIPPO Education and host of the Primary Care Reviews and Perspectives Podcast. The conversation delves into the importance of following personal passion, the significance of caring and listening in medicine, and how setting healthy boundaries (also check out Only Human - the Boundaries episode! on Spotify, Apple Podcasts, or Hippo Education) and prioritizing self-awareness can significantly impact one's professional and personal life.00:00 Introduction and Guest Welcome00:04 Dr. Neda Frayha's Background and Achievements01:50 Journey into Audio Journalism03:50 Transition to Freelance Reporting and Career Change04:40 Lessons Learned from Career Shift06:19 Challenges and Reflections in Medicine10:43 Importance of Caring in Medicine15:48 Balancing Personal and Professional Life24:02 Final Thoughts and Conclusion
Learn the business and management skills you need by enrolling in the University of Tennessee Physician Executive MBA program at nonclinicalphysicians.com/physicianmba. Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== In this week's episode, Dr. Nicole Rochester returns to the podcast. It's been 5 years since she described how she was inspired to create her health navigation consulting business. Since then she has expanded her business and is now working with healthcare organizations to provide her services. She is also teaching other physicians to create their own consulting businesses. Dr. Nicole Rochester obtained her undergraduate degree from Johns Hopkins University and her medical degree from the University of Maryland School of Medicine. She is a Clinical Assistant Professor of Pediatrics at the George Washington University School of Medicine. During today's interview, Nicole describes why she began working as a coach and consultant for patients with complex medical problems who needed help making decisions and navigating their healthcare journey. She also explains how she began providing these services on behalf of large health systems and hospitals, which is a much more sustainable model. She also shares her ideas for other healthcare coaching and consulting businesses to use a similar strategy. Finally, she invites physicians to contact her about learning to be a healthcare navigator by joining her group training program. All of her resources can be found at yourgpsdoc.com. You'll find links mentioned in the episode at nonclinicalphysicians.com/fantastic-b2b-business/
HAPPY DAYS - “Fonzie Moves in Over the Cunninghams Garage” - The Fonz - YouTubeInside Trader Joe's PodcastOur Food Keeps Getting Recalled. Here's What to Do. - Chasing Life with Dr. Sanjay Gupta - Podcast on CNN AudioOur Food Keeps Getting Recalled. Here's What to Do. - YouTubeFood safety concerns rise ahead of Thanksgiving after recent outbreaks - Good Morning AmericaMcDonalds Food SafetyFood science expert shares tips to avoid eating contaminated food | Morning in AmericaMorning in America - WikipediaTV giant known for rightwing disinformation doubles down on its national news agenda | US news | The GuardianHome - SciLineWD Hueston - Google ScholarRobert CribbAdvancing Food Animal Innovation and Talent Development Grants | North Carolina Food Animal InitiativeAbout the National Outbreak Reporting System (NORS) | NORS | CDCBEAM Dashboard | CDCArthur LiangJoe Rogan: Just an average Joe? - Decoding the GurusMark Robinson, NC GOP nominee for governor, called himself a ‘black NAZI!,' supported slavery in past comments made on porn forum | CNN PoliticsOpinion | How to Talk About Fluoride, Vaccines and Raw Milk - The New York TimesOpinion | What R.F.K. Jr. Might Do on Vaccines - The New York TimesRobert Califf - WikipediaMichael C. Rogers, M.S., Associate Commissioner for Inspections and Investigations (ACII) | FDAJoe Reardon - NASDADr. Lynette Johnston - Assistant Professor and Food Safety Extension SpecialistAFDO team – Association of Food and Drug OfficialsTimothy D. Lytton - College of LawInternational Food Information CouncilScience-Based Information on Health, Nutrition, Food Safety, and AgricultureWhat's Going on With All of These Food Recalls? - The New York Times696. Thawing a Turkey in the Garage — Risky or Not?We Who Wrestle with God by Jordan Peterson review — rambling, hectoring and madBird flu detected in raw milk sold in California, health officials sayCalifornia Acts to Protect Public Health: CDPH Warns Against Drinking Single Lot of Raw Milk Following Bird Flu Detection; Secures Voluntary RecallResearcher Warns Pet Cats Risk Getting Bird Flu and Possibly Infecting People | University of Maryland | School of Public HealthAirPods Max - AppleDiscover the World's First Temperature Control Mug®| Ember®Hologram – Counter Culture CoffeeBeastie Boys - Body Movin' - YouTube
This brief episode offers an update from Mary Lynn McPherson, PharmD, PhD, FAAHPM and Alexandra L. McPherson, PharmD, MPH. Listen for an update on the patient discussed in Episode 38. Related Resources: Episode 38: Discharged to Airport: Navigating Complex Symptom Management Down on the Pharm: Contemporary Issues in Pharmacopalliation About the Speakers: Mary Lynn McPherson, PharmD, PhD, FAAHPM Dr. McPherson has practiced hospice and palliative care as a clinical pharmacist her entire career. She is a professor at the University of Maryland and executive program director of the online Graduate Studies in Palliative Care (Graduate Certificates, MS, PhD) program. She has served as a resource to medical staff for pain and symptom consultations, opioid conversion calculations, methadone dosing and other medication-related issues. McPherson is particularly interested in assuring patients with a serious illness receive goal-concordant medication therapy. She has authored five books including the popular Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing and numerous peer-reviewed articles and chapters. Alex McPherson, PharmD, MPH Dr. McPherson received her Bachelor of Science in International Business from the University of Maryland in College Park, MD, followed by her Master of Public Health (MPH) with a dual certificate in International Health and Pharmaceutical Assessment, Management, and Policy from Boston University in Boston, MA. She went on to receive her Doctor of Pharmacy from the University of Maryland School of Pharmacy in Baltimore, MD. Subsequently she completed a Pharmacy Practice Residency at Einstein Medical Center in Philadelphia, PA and Pain Management and Palliative Care Specialty Residency at the University of Maryland School of Pharmacy/MedStar Health. She is currently a Palliative Care Clinical Pharmacy Specialist at MedStar Washington Hospital Center in Washington, DC, where she serves as faculty in the interdisciplinary Hospice and Palliative Medicine Fellowship program. In addition, she serves as a faculty member for the nation's first M.S. in Medical Cannabis Science and Therapeutics (University of Maryland School of Pharmacy), and M.S. in Palliative Care (University of Maryland Graduate School) programs. She is an active member of the American Academy of Hospice and Palliative Medicine and the Society of Pain and Palliative Care Pharmacists and has published and presented internationally on topics pertaining to pain management and palliative care. Her academic interests include early integration of palliative care in advanced illness, navigating transitions of care at the end-of-life, and the pharmacologic management of symptoms in serious illness. Her newest interest includes the integration of narrative medicine practices as a tool for reducing burnout and improving resiliency among palliative care providers.
Send us a textIn this episode of the UMB Pulse podcast, co-hosts Charles Schelle and Dana Rampolla interview Ret. Maj. Gen. Margaret "Peggy" Chamberlain Wilmoth, PhD, MSS, MS' 79, BSN ‘75, FAAN, a distinguished alumna of the University of Maryland School of Nursing. She is currently a professor at the University of North Carolina at Chapel Hill School of Nursing.Known as Peggy, she shares her inspiring journey as the first U.S. Army nurse to command a medical brigade and her dual career in nursing and military service. Peggy discusses her experiences, challenges, and accomplishments, including policy development and research contributions. She emphasizes the significance of mentorship, the importance of inclusiveness in the military, and her passion for psychosocial oncology.00:00 Introduction00:05 Discussing Veterans Day and "The Women"01:28 Introducing General Margaret Chamberlain Wilmoth03:55 General Wilmoth's Early Life and Career09:34 Balancing Military and Academic Careers12:12 Leadership and Policy Contributions20:08 Challenges and Research in Military Health26:51 Inclusivity and Psychosocial Oncology35:29 Advice for Future Generations41:56 Conclusion and Final ThoughtsListen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.
For decades, scientists thought that placebos only worked if patients didn't know they were taking them. Not anymore: You can give patients placebos, tell them they're on sugar pills, and they still might feel better. No one is sure how this works, but it raises a question: Should doctors embrace placebos in mainstream medicine? (First published in 2021.) Guests: Ted Kaptchuk, professor at Harvard Medical School; Darwin Guevarra, professor of psychology at Miami University; Luana Colloca, professor at the University of Maryland School of Nursing For show transcripts, go to vox.com/unxtranscripts For more, go to vox.com/unexplainable And please email us! unexplainable@vox.com We read every email. Support Unexplainable by becoming a Vox Member today: vox.com/members Learn more about your ad choices. Visit podcastchoices.com/adchoices
Orofacial pain comprises many disorders with different etiologies and pathophysiologies. A multidisciplinary approach combining medication, physical therapy, and procedural and psychological strategies is essential in treating patients with orofacial pain. In this episode, Teshamae Monteith, MD, FAAN, speaks with Meredith Barad, MD; Marcela Romero-Reyes, DDS, PhD, authors of the article “Orofacial Pain,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Barad is a clinical associate professor of anesthesiology, perioperative and pain medicine, and neurology and neurological sciences and codirector of the Stanford Facial Pain Program at Stanford Medicine in Stanford, California. Dr. Romero-Reyes is a clinical professor and director of the Brotman Facial Pain Clinic and Department of Neural and Pain Sciences at the University of Maryland in Baltimore, Maryland. Additional Resources Read the article: Orofacial Pain 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 @ContinuumAAN Host: @headacheMD Guest: @meredith_barad facebook.com/continuumcme Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum 's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. Today I'm interviewing Drs Meredith Barad and Marcela Romero-Reyes about their article on oralfacial pain, which appears in the October 2024 Continuum issue on pain management and neurology. Welcome to the podcast, ladies. How are you? Dr Barad: Excellent. Dr Romero-Reyes: Fine, happy to be here. Dr Monteith: I am so happy to see you. I mean, I think both of you I've known for like ten years. Dr Romero-Reyes: Yeah. Dr Barad: Yes. Dr Monteith: So why don't you introduce yourselves? While I know you, our audience, some of them, may not know you. Dr Romero-Reyes: I'm Dr Marcella Romero Reyes. I am a neuropathial pain specialist, clinical professor, and director of the Provident Special Pain Clinic here in the University of Maryland School of Dentist. Dr Monteith: Excellent. Dr Barad: My name is Meredith Barad. I'm a clinical associate professor at Stanford and I work- I'm the codirector of our headache and facial pain clinic in the Stanford pain management clinic. Dr Monteith: Well, first of all, thank you for writing this article. It is extremely detailed and up-to-date and very informative. And in neurology, I think we don't get enough pain management. I'm interested in both of your backgrounds and, you know, what led you even to become an expert in this area? And both of you have complementary areas. I think we can see in the quality of this article. But why don't we start with you, Dr Romero-Reyes? Dr Romero-Reyes: Well, for me to get interested in orofacial pain, I will say more than an interest was like a calling that I wanted to take care of this patient population. So, as you know, my background is dentistry and at that time I was very interested in patients with complex medical issues. And was the time I was- I started to be interested in temporomandibular disorders. But what really picked completely my attention was the first time I saw a patient with trigeminal neuralgia. This was my last year in dental school. This patient already had, like, almost a full upper quadrant of teeth extracted where pain was not resolved. So when the patient came to us and I did my exam and, you know, and I triggered the pain, the sharp shoot electrical pain, that really broke my heart. And I took an x-ray and I didn't find anything that will explain it was something wrong until I talked to my professor and he said, no, this is medical. There's nothing wrong with it, with that tooth and needs to be, you know, followed with proper management and medication. And for me, that was like, wow, what a proper diagnosis and proper management can take care of these of these patients. And when the patient got better, that really said, oh, you know, I want to do this. Dr Monteith: That's a crazy story. It's always that last patient of the day. Dr Romero-Reyes: And you know, think about it, at least in dentistry at that time, I learned about trigeminal neuralgia from a book, right, my classes. But when you see the patient, this is it. That completely, you know, made me say yes, I want to study this. Dr Monteith: Yeah. And unfortunately, that's not an uncommon scenario where patients with trigeminal neuralgia get, you know, their extractions and pain can sometimes be more complicated. What about you, Dr Barad? Dr Barad: Well, I guess I'm sort of like the opposite. So as a neurologist and a trained pain physician, I saw a lot of patients with neuralgic pain and headache pain, but I also saw many patients who would say, I have TMJ. And as, as Dr Romero has educated us, that's like saying I have shoulder or I have knee. But I quickly realized that I needed to work with a multidisciplinary team to really understand more about orofacial pain. It's not just neuralgic. There are other ideologies. And so that's how we started working together and that's how we practice in our clinic at Stanford. Dr Monteith: So, why don't you tell us about the objectives of this article? Dr Barad: I think our objectives were to help the neurologist broaden the differential diagnosis on facial pain to encompass below the nose, the oral cavity, the temporal mandibular joint. And to just think more broadly about facial pain and to understand some of the more recent diagnostic criteria that have been developed for facial pain and to- how to diagnose properly and how to begin treatment for some of the other conditions that are non-neurologic. Dr Romero-Reyes: And I think I will ask about what Dr Barad say that also to bring awareness to the neurologist about the vast classification of oral facial pain disorder, craniofacial and orofacial. I think that was also a key thing too. And also, to show how well we can work together, you know, the multi-disciplinary management that is indicated for these cases. Dr Monteith: Cool. And you mentioned some of the new diagnostic criteria. I want to talk just briefly about the new international classification of orofacial pain, ICOP. When did that come out and what was the process there in really fine-tuning the diagnosis of orofacial pain disorders? Dr Romero-Reyes: So, in 2019 the orofacial head pain especially interest group of the International Association for the Study of Pain, the International Network for Orofacial Pain and Related Disorders methodology and the American Academy of Orofacial Pain and the International Headache Society. They partnered together to develop to develop this international classification of orofacial pain. And these, I think- it's such a great effort, you know, all the main people doing pain about this area, and goes very well together with the international classification of headache disorders. So, for example, you know, some disorders that International Classification of Headache Disorders doesn't present such as and the ICOP, International Classification of Orofacial Pain, presents, like the persistent idiopathic dental Viola pain. You have it in the ICOP. It's not, you know, mentioned in the in the International Classification of Headache Disorders, as well as, also we have the- I think it's item number five, the orofacial representations headache disorder or primary headache disorder. The ICOP gives you a nice, clean diagnostic criteria. Dr Monteith: So, I guess I would ask Dr Barad with this classification in mind, how useful is it in neurology practice? And I know obviously you see patients with pain, but how useful even in managing patients with headache? Dr Barad: I think it's great because I've had a lot of dentists and ENT doctors who have started referring patients to me because they've realized that they've increased their awareness about orofacial pain and realized that pain in the sinuses, for example, accompanied by light sensitivity and sound sensitivity and rhinorrhea, may not be a recurrent monthly sinus infection. And so that kind of broadens our awareness of these of these disorders. And it's been, it's brought new patients into my clinic that we can help and treat. So that's been exciting. Dr Monteith: And what about in the world of dentistry? Obviously, I think people in orofacial pain worlds are highly attuned to this, but I would hope this would hopefully have been disseminated into dentists and regular practice at C patients with trigeminal neuralgia. Dr Romero-Reyes: Going back for the, what you were discussing about the ICOP. So, it's what we're trying now as a new specialty. Well that we have been for the last four years, but finally in 2020 we have been recognized by the American Mental Association to disseminate this knowledge. But also, you know, can you imagine in in the realm in orofacial pain or dentistry have a patient with this recurrent pain, phonophobia, photophobia, throbbing dental pain is throbbing, but it's nothing wrong with your tooth. And that did they tell you that actually you have an orofacial or facial migraine or a neurovascular or facial pain. How crazy, right? And that is managed with migraines therapy. So it really, you know, to make you think like that. Wow, so these weird tooth things that used to come every week or these with facial pain, it's nothing to deal with, you know, with my teeth or any structure, you know, inside my mouth. Dr Barad: It sounds to me like what you're saying is that we've, this has encouraged patient education as well, not only interdisciplinary education, but really helping provide an explanation for the patient about what is going on with them. So rather than just getting sent away to another tertiary specialist, the patient is getting a more robust understanding of what's going on. Dr Romero-Reyes: And going back to what you were saying about trigeminal neuralgia, you know, at least in dentistry also we're teaching now a new awareness like for two things, right? What about from the neurology setting? The patient has captured electrical pain. The trigger is intraoral. If it's pain inside your mouth, the first practitioner you're going to see who will be maybe the dentist that the dentist knows that could be a possibility of a disorder that doesn't deal with teeth, but also, it's important and we discussed that in our paper. What about that actually that weird trigger actually, it's not a general. What about if it's a cracked tooth has that singing sensation too. So, you see, it's two ways; one, to teach dentist to learn about this disorder and you know, we have learned, but you know, it's much more awareness now that this is great that, you know, these disorders you're not going to treat with dental procedures. Right? It's medical and vice versa, that the neurologist also has the awareness that oh, central trigger. Have you gone to the to the dentist? Have you checked that out? Dr Monteith: So what should neurologist know about dental sources of pain? Dr Barad: Well, maybe they should read the paper? Dr Romero-Reyes: Yeah. Yeah, you need to read the paper. Yeah. Dr Monteith: Top three, don't treat this with gabapentin. Dr Romero-Reyes: Like well, dental pain is not going to be resolved with gabapentin. That would need to make a diagnosis if and you know it's that examination that come comes with a radiographic evidence that shows that maybe could be a cavity or could be a problem. You know in the in the practical tissues of the tooth that is given a symptomatology. Not only dental could be a lot of different disorders inside there now that can produce pain that also the readers can check our paper and learn about and see the wonderful interesting pictures that we have added there. Dr Monteith: Yeah. And so why don't we talk a little bit about TMD disorders and what is the new thinking around these conditions? Dr Romero-Reyes: Well, I will say for the last decade, maybe a little bit more has been a change in the evidence. They evidence based understanding of the theologia pathophysiologist and for mandibular disorders. Imagine that what's the shift in the in the paradigm that in dentistry prevails for a long, long time. That is that really focus and I will call it the pathological mechanistic point of view. What I mean by that I was focusing your bite, your occlusion, how the relation between in your maxilla mandible. That was the only issues that would create in temporomandibular disorders. So now we know that temporomandibular disorders are complex, are multifactorial and you need to understand them and see them within a biopsychosocial framework. And this dictate the main way to management for the primary way that we start will be conservative, reversible and basing evidence that the best evidence available that we have. Dr Monteith: And what about for trigeminal neuralgia? Is there newer kind of classification around trigeminal neuralgia? and what are some key points that we should consider when diagnosing these patients and treating these patients, Dr Barad? Dr Barad: There haven't been any new diagnostic criteria, but I would say that there's been an increased awareness that classical trigeminal neuralgia is more likely than not related to neurovascular compression or we should say, maybe I should say neurovascular contact or compression. There is a developing grading system of that. That's an evolution as we speak. I think it's an exciting time for facial neuralgia because it's opened the door for us to look at other neuralgia also as vascular compressions and to think about how we can treat them with decompression or possibly with peripheral nerve stimulation or medicine or Botox. Or who knows what's the future is going to hold? But it is I think a change in the way we are thinking about the definition of neuralgia of, of trigeminal neuralgia in that is caused by a compression which is different than other neuralgia in other parts of the body. I should, I just want to classify there's about maybe ten twelve percent of people who present with classical trigeminal neuralgia who there is not evidence on imaging of a vascular contact or compression. But the majority of cases do seem to have some somewhere in the spectrum from contact to compression. Dr Monteith: Even contact I find to be a bit vague sometimes say, well, thanks for letting me know that they're touching. But and then some of the neurosurgeons have different perspective when you open the patient up. So, I didn't know about the grading. Dr Barad: Yeah, I think you've hit on it exactly like that is a big problem in the field right now. How do we understand what patients will be the best patients for surgery? And it used to be that you have the classical trigeminal neurologist symptomology plus some imaging that shows something versus nothing. And now we're getting into parsing out the imaging and trying to understand who's the best candidate for that with the imaging. Dr Monteith: Dr Romero, anything to add? Dr Romero-Reyes: No, that I agree about that, you know, and I think now maybe for the patients that I have seen with that, because under partial pain settings, sometimes we're the ones that, oh, actually what you have is trigeminal neuralgia idea, you know, so we start to have our small disciplinary management, but you know, when they come out, I already have an MRI doctor, but, and they say that these are compression, but what degree? And some patients that they don't have symptoms can have a compression. And I'm thinking maybe right that later on when we have more time and maybe nicer imaging, we're going to really find out or if it's the development angle is the measurement has some other characteristics, who knows. So, I think for trigeminal neuralgia, the things is still evolving, right? For our understanding. I have to help us to make a more- I will not say definitive diagnosis, but maybe some parameters will change in the future. Dr Monteith: So now we have a lot of people listening, international folks listening, and they always want some treatment, a tip, some clinical tips. So, can you give us a little bit of clinical insight to how to treat patients with trigeminal neuralgia and when you're seeing patients for second and third opinions, what might you see that may explain why their pain is not well controlled? We all get into interdisciplinary care, but in terms of pharmacology? Dr Barad: I think people are a little reluctant to use some of these medications that neuromodulating medications because, in general, it's an older population and they're rightly worried about falls and dizziness and confusion and low sodium. And so, I think they hesitate to go to the doses that are needed to help with pain control. So, a lot of our, my initial management is gingerly and gently titrating that to try to get to see if we can get control of the pain. Dr Monteith: Dr Romero? Dr Romero-Reyes: I could add, for example, one thing that I in the realm of facial pain addition to pharmacology. Let's say that we have a patient with that intraoral trigger and we were able to localize that intraoral trigger. Sometimes we can even also use topical medication. And in the topical medication we can use, for example, an anticonvulsant, let's say gabapentin, oxcarbazepine for example, to add in the cream. And we use, we call it a neurosensory stent in my looks like a Nygard, but it's not a Nygard that can cover that area. So, the patient can add that cream very delimited in that area. And that helps, you know, can help with the pain sometimes. What we can find is that, at least in my, in my experience, and that when we add a topical, maybe we don't need to increase as much. The systemic medication, of course, depends from case to case. Dr Monteith: So those are two great tips. Not being afraid to push those doses up in a safe manner and maybe with monitoring as well as of maybe utilizing more topicals. And I think we could probably hear a lot more from you on topicals at some other point. But thank you also for the table. I think it's, it's really nice the way all the treatments are laid out. So what other cranial neuralgia advances have there been? Dr Barad: I would say the main advancements have been in applying the knowledge that neurosurgeons have learned from microvascular decompression of the trigeminal nerve, to the glossopharyngeal nerve, to the geniculate nerve, and really trying to optimize imaging and optimize neurosurgical techniques to try to treat these neuralgias. If the patient has failed medicine, if the patient is a good candidate for surgery and if the patient desires that. Dr Monteith: Great. So now let's talk about multidisciplinary approaches. I know both of you are big fans of that, and you may do things a little bit differently at your institution, especially with your background. So maybe Dr Romero, do you want to tell us about your experience? And then we'll have Dr Brad. Dr Romero-Reyes: But in my experience from study management, let's say depend, of course, also the started we're talking about. But let's say for example about temporomandibular disorders, you know that for TMD is one of these overlapping pain conditions and we know that TMD is common with primary headache disorders, especially migraine. So, if we're able to utilize, you know, the expertise of neurologist specializing headache. With me, for example, or a facial pain person that is that is helping you manage a patient with this comorbidity. This is super effective because we know the presence of TMD in a migraineur can help the disorder to, to progress some more chronic form. So, you see, this is super important and effective to provide, you know, optimal care for the patient. For example, in the patients that I do see with neuralgias, like in addition to trigeminal neuralgia, let's say nervous intermediates neuralgia, that sometimes they can come to me like, oh, the pain is in my ear and my EMT or, or I think maybe it's my TMJ and for the pain is charged shooting inside the ear doesn't follow the for the diagnosis of temporomandibular disorders. And I can maybe help the patient to get a proper imaging or already penalize it with a neurologist to make sure. And maybe at least my way will be maybe I'm the one that can catch those disorders and help, you know, the patient to go for the next step. Dr Barad: I think Marcella, Dr Romero-Reyes, hit on a nice point that maybe this group is not as familiar with and that is that temporal mandibular dysfunction TMD is a, is one of the disorders that we call chronic overlapping pain conditions or COCPs. And those include headache. it's not, it's not specified fibromyalgia, irritable bowel syndrome, chronic pelvic pain and several other chronic pain syndromes. And they suggest a central sensitization to one's pain. And the way that we treat centrally sensitized pain is not just through medications, it's in a biopsychosocial framework because we see much higher rates of depression and anxiety in this group. And so, using a pain psychologist to help the patient develop coping strategies to help them manage their pain, using a physical therapist to help them learn this, the stretching exercises and using medications to help with not only with their pain syndrome, but also sometimes with their psych comorbidities. And then additionally, procedures sometimes play a role in the process to help usually turn down the pain. Interestingly, when we look at trigeminal neuralgia, we see much less overlapping pain disorders. It's much rarer to see somebody with TN who has other COCPs or the kind of chronic levels of depression and anxiety that we see in these patients. So, the approach is very different, and I think it requires the use of a multidisciplinary team to help guide the treatment pathways for these patients. Dr Monteith: Today, I've been interviewing Drs Meredith Barad and Marcelo Romero-Reyes, whose article on orofacial pain appears in the most recent issue of Continuum on pain management and neurology. 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 this 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.
In this episode, Desirée Duncan is joined by Yvette Conyers, Associate Dean of Equity Diversity, and Inclusion at the University of Maryland School of Nursing, and Chelsea Rice, Associate Vice President of Engagement at BPD to discuss the critical themes of health equity and the power of storytelling in nursing. We learn about Yvette's personal journey in nursing, the importance of understanding social determinants of health, and how storytelling can foster deeper connections and understanding in healthcare.
Arrhythmias are on the rise, coinciding with an increase in stroke cases. In this interview, Karolyn A. Gazella talks with conventionally trained cardiologist Benjamin Remo, MD, who also recently completed a fellowship in integrative medicine. Dr Remo is a cardiologist with CHRISTUS Health in New Mexico and employs a more holistic approach to treating arrhythmias. About the Author Benjamin Remo, MD, is a cardiologist and electrophysiologist with the Lovelace Health System in Albuquerque, NM, and CHRISTUS Health in Santa Fe, NM. Dr Remo received his medical degree from the University of Chicago Pritzker School of Medicine. He completed his internal medicine residency and cardiology fellowship at the New York University School of Medicine, followed by a fellowship in electrophysiology at the University of Maryland School of Medicine. More recently, he completed a fellowship in integrative medicine at the University of Arizona Andrew Weil Center for Integrative Medicine.
In this episode, Mary Lynn McPherson, PharmD, PhD, FAAHPM and Alexandra L. McPherson, PharmD, MPH discuss a complicated case involving a patient in her mid-50s from East Africa who is suffering from metastatic cancer. The conversation highlights the challenges of complex pain & symptom management while supporting a patient's goals of care. Related Resources: Down on the Pharm: Contemporary Issues in Pharmacopalliation About the Speakers: Mary Lynn McPherson, PharmD, PhD, FAAHPM Dr. McPherson has practiced hospice and palliative care as a clinical pharmacist her entire career. She is a professor at the University of Maryland and executive program director of the online Graduate Studies in Palliative Care (Graduate Certificates, MS, PhD) program. She has served as a resource to medical staff for pain and symptom consultations, opioid conversion calculations, methadone dosing and other medication-related issues. McPherson is particularly interested in assuring patients with a serious illness receive goal-concordant medication therapy. She has authored five books including the popular Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing and numerous peer-reviewed articles and chapters. Alex McPherson, PharmD, MPH Dr. McPherson received her Bachelor of Science in International Business from the University of Maryland in College Park, MD, followed by her Master of Public Health (MPH) with a dual certificate in International Health and Pharmaceutical Assessment, Management, and Policy from Boston University in Boston, MA. She went on to receive her Doctor of Pharmacy from the University of Maryland School of Pharmacy in Baltimore, MD. Subsequently she completed a Pharmacy Practice Residency at Einstein Medical Center in Philadelphia, PA and Pain Management and Palliative Care Specialty Residency at the University of Maryland School of Pharmacy/MedStar Health. She is currently a Palliative Care Clinical Pharmacy Specialist at MedStar Washington Hospital Center in Washington, DC, where she serves as faculty in the interdisciplinary Hospice and Palliative Medicine Fellowship program. In addition, she serves as a faculty member for the nation's first M.S. in Medical Cannabis Science and Therapeutics (University of Maryland School of Pharmacy), and M.S. in Palliative Care (University of Maryland Graduate School) programs. She is an active member of the American Academy of Hospice and Palliative Medicine and the Society of Pain and Palliative Care Pharmacists and has published and presented internationally on topics pertaining to pain management and palliative care. Her academic interests include early integration of palliative care in advanced illness, navigating transitions of care at the end-of-life, and the pharmacologic management of symptoms in serious illness. Her newest interest includes the integration of narrative medicine practices as a tool for reducing burnout and improving resiliency among palliative care providers.
Dr. Harlyn Susarla joins Newly Erupted and host Dr. Joel Berg to discuss the importance of embracing leadership opportunities, along with strategics risks, for early career pediatric dentists to effect positive change. She shares her firsthand experiences with exiting her comfort zone and how those situations built up her confidence in her own expertise and ability to ask the right questions – including one that saved a child's life. Guest Bio: A board-certified pediatric dentist, Dr. Harlyn K. Susarla is committed to preserving, protecting, and promoting high quality, equitable healthcare for every child. Dr. Susarla is currently part of a multi-disciplinary team at Seattle Children's Hospital, where her clinical practice focuses primarily on children with complex medical conditions, developmental or behavioral differences, as well as those requiring emergency care. Dr. Susarla is also an Affiliate Assistant Professor of Pediatric Dentistry at the University of Washington School of Dentistry. She previously worked in a private practice environment, and at the Seattle Children's Odessa Brown Children's Clinic, which provides medical, dental, behavioral health and nutrition services to children, regardless of a family's ability to pay. Dr. Susarla completed her undergraduate education at Wellesley College. She then completed a Master of Public Health degree at Boston University, dental degree at the Harvard School of Dental Medicine, and pediatric dental residency at the University of Maryland School of Dentistry. She is a Fellow of the American Academy of Pediatric Dentistry (AAPD), the Pierre Fauchard Academy, and the American College of Dentists. Dr. Susarla has had the privilege of being an advocate for pediatric dentistry and public health at the local, regional, and national levels. She is Immediate Past President of the Seattle-King County Dental Society and serves on the Washington State Dental Association's Diversity, Equity, and Inclusion Workgroup and Nominations Committee. A past president of the Washington State Academy of Pediatric Dentistry, Dr. Susarla is President-Elect of the Western Society of Pediatric Dentistry, a Trustee of the American Academy of Pediatric Dentistry Foundation, Vice President of the College of Diplomates of the American Board of Pediatric Dentistry, Chair of the AAPD Committee on Early Career Pediatric Dentists, the Western Representative for the AAPD Council on Scientific Affairs, and a consultant on the AAPD Consumer Review Committee. Dr. Susarla is also involved in her local community. She is a member of the Junior League of Seattle and serves on the board of her children's school.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
This episode is sponsored by AdventHealth Cancer Institute. In honor of Breast Cancer Awareness month, we're honored to have Dr. Simy Elder on the show. Dr. Elder is a board-certified medical oncologist and hematologist at AdventHealth Medical Group Hematology Oncology at Shawnee Mission. We discuss the latest breast cancer statistics, the importance of mammograms, and what to do if you're breastfeeding when your mammogram is due. Meet Dr. Simy Elder Dr. Simran Elder, MD, is a Board-certified medical oncologist and hematologist at AdventHealth Medical Group Hematology Oncology at Shawnee Mission. She also serves as the medical director for the AdventHealth High Risk Breast Clinic. Dr. Elder earned her medical degree from the University of Missouri-Kansas City School of Medicine. She also completed her residency in internal medicine and pediatrics at UMKC, during which time she was twice named Internal Medicine Consultant of the Year. She then went on to complete a fellowship in medical oncology-hematology at the University of Maryland School of Medicine. Dr. Elder has lectured and published extensively on various topics related to oncology, internal medicine and pediatrics, with a research focus on breast cancer. She has earned a number of professional honors, including being selected for the Arnold P. Gold Humanism Honor Society, a peer-nominated honor bestowed on physicians who display exceptionally compassionate care to patients. A native of the Kansas City area, Dr. Elder is happy to be able to care for patients right here in her hometown. When she's not at the office, she enjoys spending time with her husband, two children and two German shepherds. Connect with Megan and Sarah We would love to hear from you! Send us an e-mail or find us on Instagram or Facebook!
The conflict in Sudan, which erupted in April 2023, primarily involves the Sudanese Armed Forces (SAF) led by General Abdel Fattah al-Burhan and the Rapid Support Forces (RSF) under General Mohamed Hamdan Dagalo, known as Hemedti. While the fighting began in the country's capital, Khartoum, it has since spread to other regions, including Darfur. The conflict has resulted in thousands of deaths and injuries, with estimates of 15,000 killed and more than 20,000 injured. The humanitarian crisis is dire, with millions facing severe food shortages. Around 25 million people are in need of assistance, 8.1 million are internally displaced, and 2.9 million people have crossed the border since April 2023. Recent discussions at the United Nations General Assembly highlighted the urgent need for international intervention and support. Meanwhile, the most recent clashes in Khartoum suggest a possible shift in the balance of power, as both sides continue to vie for control amid an increasingly fragmented landscape.Co-hosting this episode is Just Security Executive Editor Matiangai Sirleaf. Matiangai is the Nathan Patz Professor of Law at the University of Maryland School of Law.Joining the show to discuss the conflict's origins and its impact, and the international community's response are Laura Beny, Nisrin Elamin, and Hamid Khalafallah. Laura is a Professor of Law at the University of Michigan Law School, Nisrin is an Assistant Professor in the Department of Anthropology at the University of Toronto, and Hamid is a Researcher at the University of Manchester. Show Notes: Laura Nyantung BenyNisrin Elamin (@minlayla77)Hamid Khalafallah (@HamidMurtada)Matiangai V.S. Sirleaf (@matiangai)Paras Shah (@pshah518) Just Security's Sudan coverageMusic: “Broken” by David Bullard from Uppbeat: https://uppbeat.io/t/david-bullard/broken (License code: OSC7K3LCPSGXISVI)
“Why am I so itchy?” If you have itchy skin without rash, including issues like eczema, psoriasis, or chronic hives, you might have neuropathic itch.Though itch is caused primarily by inflammation, neuropathic itch is actually caused by dysfunction of your nervous system!Put simply, this type of itch has no primary skin rash, so you won't see inflamed dry patches or welts. You'll only feel itchy.It is often localized to certain areas of the body. For example, you could have an itchy scalp, back, or arms. The itchy skin can sometimes be mild, but is unfortunately usually quite intense, leading to scratching, which can damage the skin.And because there's no treatment for neuropathic itch, despite it being very common, you might start to feel like there's no hope. Yes, what's causing this is not yet well understood, but it sounds like experts are digging into this.Joining me to discuss neuropathic itch is returning guest Dr. Shawn Kwatra. He is the Chair of Dermatology at the University of Maryland School of Medicine. He specializes in medical dermatology areas of clinical expertise, including atopic dermatitis, psoriasis, chronic itch of unknown origin and dermatology for ethnic skin. Dr. Kwatra also runs a basic science laboratory and clinical trials unit and is funded by the National Institutes of Health and multiple foundations.He currently serves as the National Secretary/Treasurer of the Skin of Color Society. He is a member of the National Eczema Association's Scientific and Medical Advisory Council.Dr. Kwatra has been an author or co-author on over 200 publications and author of the book Living with Itch.In This Episode:What is neuropathic itch (aka. itchy skin without rash)?How could your brain cause itchy skin without rash?Itch intensity of different examples of neuropathic itchTreatment options for neuropathic itchWhich inflammatory cytokines are involved?Could Low Dose Naltrexone help itchy skin without rash?Alternative therapies for neuropathic itchQuotes“[Neuropathic itch is] initiated or caused by dysfunction of the nervous system…so it actually is caused by the nerves. And the core symptoms here are that you have normal skin, or skin only with some secondary skin changes or signs of scratching, excoriation, and it oftentimes favors a localized distribution. And so the scalp is actually a very common site where folks itch.”“Unfortunately, a lot of the medications we use to treat this condition are very sedating. They're drugs that are focusing on the transmission of itch in the central nervous system and spinal cord like gabapentin or anticonvulsants. So those are the type of drugs that we're giving for this condition.”LinksFind Dr. Shawn Kwatra online here and here | TwitterHealthy Skin Show ep. 275: Why You're So Itchy (HINT: It's Probably Not Histamine) w/ Dr. Shawn KwatraHealthy Skin Show ep. 302: What Is Prurigo Nodularis: Triggers, Body Connections + Crazy Itch w/ Dr. Shawn KwatraHealthy Skin Show ep. 331: Eczema Symptoms-Skin Color Connection: Why Skin Tone May Make Certain Symptoms WORSE w/ Dr. Shawn KwatraHealthy Skin Show ep. 03
Today's episode is all about the vaginal microbiome, and I'm joined by Dr. Jacques Ravel, a leading expert in microbiology and immunology. Dr. Ravel has been deeply involved in research on the vaginal microbiome and co-chairs the Seed Health Scientific Advisory Board. We dive into the science behind Seed's new VS-01™, a vaginal symbiotic probiotic that introduces Lactobacillus crispatus to promote a healthy vaginal environment. Dr. Ravel explains why vaginal acidity is key to preventing infections and how a balanced microbiome can help prevent common issues like bacterial vaginosis and UTIs. We also touch on how everyday practices like douching, lubricants, and even antibiotics can disrupt the delicate balance of the microbiome. Dr. Ravel also explains how supporting the vaginal microbiome during and after pregnancy can offer long-term benefits. I'm so grateful to Dr. Ravel for pioneering safer, more effective treatments for women's health!We also cover:(00:01:39) Vaginal Microbiome 101(00:10:08) The Most Common Vaginal Health Disruptors(00:21:10) A New Approach to Preventing UTIs & Yeast Infections(00:35:26) VS-01™: A Breakthrough in Vaginal Health & Microbiome Balance(00:53:18) Research Behind VS-01™ & How it Supports Vaginal Health Pre & Post PregnancyResources:• Click here for full show notes• Visit seed.com/bewell and use code 25BEWELL for 25% off you first month on any Seed product• Website: ravel-lab.net• X: @jacquesravel• Website: Seed Health• Website: Ravel, Jacques | University of Maryland School of MedicineConnect with Kelly:• kellyleveque.com• Instagram: @bewellbykelly• Facebook: www.facebook.com/bewellbykelly* Content from this podcast is provided for information and education purposes only, and is not intended as a substitute for the advice provided by your physician or other healthcare professional. The use of information from this podcast is at the user's own risk. Always speak with your healthcare professional before taking any medication, nutritional or herbal supplement.Be Well By Kelly is produced by Crate Media.Mentioned in this episode:OneSkin | Get 15% off OneSkin with the code BEWELL at oneskin.co.LMNT | Go to DrinkLMNT.com/Kelly to receive a free Sample Pack with any LMNT drink mix purchase!Be Well By Kelly Protein Powder & Essentials | Get $10 off your order with PODCAST10 at bewellbykelly.com.AG1 | Get a FREE 1-year supply of Vitamin D3+K2 AND 5 free AG1 Travel Packs with your first subscription at drinkAG1.com/BEWELL.
Hello and welcome to another conversation about conflict on an Angry Planet. Thanks for letting us kick up our heels this August, it was a rough one. We may not have been releasing, but we WERE recording.The first episode upon our return is with terrorism and vice presidency expert Aaron Mannes. Mannes is lecturer at the University of Maryland School of Public Policy and was one of the first people to use big data sets to study terrorist group behavior. These days he's really into vice presidents. We sat down with him for a wide-ranging conversation that covered everything from Aaron Burr to the Bonus Army.Why are America and Israel all-in on assassination?International relations versus the domestic tensionsStats out of dead bodiesAssassination: Obama StyleThe terrorist's dilemmaMatthew immediately figures out how wrong he isThe case for Aaron BurrThe Bonus ArmyTaking a shot at the vice presidentAnalyzing Assassination Plots Against VPsSupport this show http://supporter.acast.com/warcollege. Hosted on Acast. See acast.com/privacy for more information.
For this podcast episode, I had the opportunity to sit down with Steven Clark, a courageous survivor of childhood sexual abuse, and his legal team, attorneys Aaron Blank and Guy D'Andrea. Steven's case has garnered significant attention, as it has reached the Maryland Supreme Court, raising critical questions about the constitutionality of the Child Victims Act.In our conversation, Aaron and Guy provide an in-depth explanation of the legal battle they've been fighting on Steven's behalf. They discuss the recent hearing in Hartford County where they successfully defended the validity of the Child Victims Act against a motion to dismiss by the Board of Education. This law, which extends or eliminates deadlines for survivors to bring claims, is being challenged as unconstitutional.Now, with the Maryland Supreme Court taking up the case, the stakes couldn't be higher. The Court's decision will not only impact Steven's pursuit of justice but could also influence the future of many others who have suffered similar trauma. The outcome will determine whether the Child Victims Act stands as a beacon of hope for survivors or if it will be struck down, closing the door on their opportunity for legal redress.Join us as we delve into the complexities of this case, explore the potential implications of the Supreme Court's ruling, and hear from Steven himself about his journey and fight for justice.✖️✖️✖️Support the Show: Patreon.com/PreacherBoys✖️✖️✖️If you or someone you know has experienced abuse, visit courage365.org/need-help✖️✖️✖️CONNECT WITH THE SHOW:preacherboyspodcast.comhttps://www.youtube.com/@PreacherBoyshttps://www.facebook.com/preacherboysdoc/https://twitter.com/preacherboysdochttps://www.instagram.com/preacherboyspodhttps://www.tiktok.com/@preacherboyspodTo connect with a community that shares the Preacher Boys Podcast's mission to expose abuse in the IFB, join the OFFICIAL Preacher Boys Facebook Group: https://www.facebook.com/groups/1403898676438188/This episode is sponsored by/brought to you by BetterHelp. Give online therapy a try at betterhelp.com/PreacherBoys and get on your way to being your best self.Support this podcast at — https://redcircle.com/preacher-boys-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Do you want to have better sex?Or even know how often you should be having sex – according to research?Today, Dr. Rena Malik, MD is in the house to answer all of your uncomfortable sex questions.Dr. Malik is an absolute powerhouse who is known for her viral, no-shame, straight-to-the-point advice on how to have the best sex of your life. She is a top urologist, pelvic surgeon, and sexual health expert – and she's here today giving you the truth, based on medical research, on things like G-spots, orgasms, libido, and even erectile dysfunction. You'll also learn the single biggest thing that you are getting wrong in your sex life, according to one of the top urologists in the country.Dr. Malik is an assistant professor at the University of Maryland School of Medicine and the Director of Female Pelvic Medicine & Reconstructive Surgery. She is also a researcher who has published over 100 peer-reviewed research articles, multiple review articles, and book chapters.You're going to want to share this conversation and all the juicy details with every one of your friends, and most importantly, your significant other.Great sex starts today.For more resources, including links to Dr. Rena Malik's research, website, and social media, click here for the podcast episode page. If you liked this research-packed episode, you'll love listening to this episode next: The #1 Neuroscientist: After Listening to This, Your Brain Will Not Be the Same.Connect with Mel: Watch the episodes on YouTubeGo deeper with Mel's free video course, Make It HappenFollow Mel on Instagram The Mel Robbins Podcast InstagramMel's TikTok Sign up for Mel's personal letter Disclaimer
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