Podcasts about Mayo Clinic

Welcome back to our BTK/ASGBI Series! During this series, BTK fellow Agnes Premkumar and ASGBI hosts Jared Wohlgemut and Gita Lingam compare and contrast various aspects of surgery between the United States and the United Kingdom, debating who does what better.  In this episode, we delve into all things artificial intelligence (AI) within surgery. Both the US and the UK have unique approaches to managing AI within healthcare and our experts help break down these key similarities and differences. We will discuss what AI and machine learning means, what does regulation look like in both these regions, and how is AI being used in both these countries.  We are fortunate to have two representatives, Dr. Nelson and Dr. Larson, representing the US side. Dr. Nelson is a surgical oncologist working at the Brook Army Medical Center in San Antonio, he's very interested in expanding the role of AI within surgical education and beyond. Dr. Larson is a general surgery resident at the Mayo Clinic. She's currently in her research time and finishing up her master's degree in AI and studying the role of machine learning within surgical practice. We are fortunate to have Dr. Mukherjee representing the UK side. Dr. Mukherjee is a surgeon scientist alongside an Honorary Consultant General & Major Trauma Surgeon in Liverpool, England. He has a strong track record in research that spans the translational spectrum, with strengths in discovery science related to acute pancreatitis pathophysiology and mitochondrial injury, novel in vitro and in vivo experimental assay development and clinical translational research, including novel biomarker studies and clinical trials. He has won multiple awards, most recently the Hunterian Professorship 2024 from the Royal College of Surgeons of England. Take a listen and let us know what you think- what do you think is the best way to promote and regulate AI within healthcare?  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this episode, host David Mandell welcomes Dr. Paul Lynch, a double board-certified anesthesiologist and pain management specialist, entrepreneur, and business leader. Dr. Lynch shares his remarkable journey from aspiring psychiatrist to pain medicine innovator—a shift inspired by his mother-in-law's battle with cancer and the discovery of interventional pain treatments that could transform patients' lives. His early experiences at the Mayo Clinic shaped his belief in comprehensive, integrated care—a philosophy that became the foundation for his first practice, Arizona Pain, which quickly became one of the nation's leading pain management centers. Dr. Lynch details how entrepreneurial thinking, coupled with strategic use of digital tools, drove his success. His story of launching a medical website during fellowship—eventually ranking number one on Google before opening his doors—illustrates how physicians can use education-based marketing to reach patients and grow responsibly. As his career evolved, Dr. Lynch founded U.S. Pain Care, intentionally designed to avoid the mistakes of his first venture. Through introspection and what he calls his "Manifesto of 53 Errors," he now builds companies around lessons learned, focusing on empowering other physicians with ownership, autonomy, and ethical profitability. The discussion also delves into real estate, private equity, and long-term business strategy in medicine. Dr. Lynch explains how owning medical real estate can be one of the most impactful and ethical ways for physicians to build wealth—separate from clinical care—highlighting the benefits of property ownership, long-term leasing, and physician-owned REITs. He closes with advice to doctors: never make fortunes "on the backs of patients." Instead, focus on providing excellent care while building wealth through smart business decisions, integrity, and surrounding yourself with expert advisors in law, finance, and real estate. Learn more, including additional show notes, links, and detailed key takeaways, by visiting physicianswealthpodcast.com. Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!

Last month the Food and Drug Administration announced that it would remove its warning on hormone-based products used to treat menopause symptoms.  As women age, most will experience changes linked to the stop of their monthly menses, including hot flashes, bone density loss and sleep problems. But in the past two decades a strong “black-box warning” has scared many women off from seeking relief in hormone creams, patches, pills and other treatments. The warning was added following a landmark study that linked hormone therapy to an increased risk for cancer and cardiovascular problems. Now the FDA says the risks were overblown for most women. MPR News guest host Catharine Richert talks about the FDA's change, the risks and benefits of hormone therapy and what women should consider as they decide whether to try it. Guest: Dr. Jissy Cyriac is a primary care physician trained in internal medicine. She sees patients at the Menopause and Women's Sexual Health Clinic at Mayo Clinic in Rochester and is also a certified practitioner through The Menopause Society.  

Host: Darryl S. Chutka, M.D. Guest: Andrew R. Jagim, Ph.D. Nutritional supplements are very popular with our patients. They are supposed to provide benefits that may not be present in our typical diet. Vitamins and minerals are the most common supplements taken, followed closely by sports nutrition products such as protein powders and energy drinks. Consumers buy supplements because they're readily available, relatively low cost and they believe that supplements will help them achieve health benefits. Patients often assume that supplements are safe, yet some can cause significant health problems, especially when taken in higher doses. Some have the potential to interact with various prescription medications. Are there nutritional supplements our patients should be taking? Which ones are potentially harmful? How safe are these products and do supplements have any regulatory oversight? These are questions I'll be asking my guest, Andrew R. Jagim, Ph.D., Director of Sports Medicine Research at the Mayo Clinic as we discuss “Nutritional Supplements”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

This interview took place on a historic day: the FDA removed the black box warning for HRT (hormone replacement therapy) after 20 years. My guest, Dr. Mariza Snyder, author of The Perimenopause Revolution, explains why this matters and why women have been suffering needlessly for decades while doctors dismissed their symptoms as "just aging" or "just stress." Perimenopause is the 4 to 10-year transition where hormones wildly fluctuate before menopause, and Dr. Snyder calls it "the window of vulnerability." She uses a powerful metaphor: imagine estrogen as your brain's master CEO who shows up like clockwork from 9 AM to 6 PM for 30 years. Then, suddenly, without warning, it shows up at 2 PM one day and leaves at 11 PM, then shows up at 6 AM the next day and leaves at 11 AM. Your brain scrambles trying to regulate energy, neurotransmitters, sleep, mood, and cravings. The most compelling insight of our conversation is a Mayo Clinic study that found 84% of menopausal women don't seek care. Why? Because they feel judged in the doctor's office.  Dr. Snyder wrote her book as the roadmap she desperately needed when she started her own perimenopause journey, connecting symptoms to future health outcomes and providing practical solutions beyond just "you're getting older."  

This is Part 2 of our conversation with Dr. Zwade Marshall and the final episode for a while as Dr. Disha begins a new chapter, opening her own Direct Primary Care practice. Dr. Zwade Marshall is an Emory and Harvard trained anesthesiologist, interventional pain specialist, CMO of Regenerative Spine and Pain Specialists, and co-founder and CEO of Doc2Doc Lending, a lending platform created by doctors for doctors. In this closing installment, Dr. Marshall explains what it truly means for physicians to make empowered decisions when opening, financing, and building their own practice. He shares the financial pitfalls many doctors overlook, the importance of understanding market demographics, and how tools such as Tenant Improvement Allowance and ownership-based tax benefits can significantly shape long-term wealth for private practice physicians. If you are planning to open a clinic, transition into DPC, or simply want to understand practice financing more clearly, this episode offers practical guidance that medical training rarely covers. Key Topics Covered: 1. How empowered doctors make empowered decisions Why physicians must learn to evaluate risk, financing, long-term ROI, and operational decisions with the same confidence they use in clinical care—and how that mindset shift changes everything. 2. Financing your own medical practice Understanding budget allocations, startup capital, cost projections, and what you should (and shouldn't) take on debt for when building your practice from scratch. 3. The Market Demographic Survey What a demographic report actually tells you, how it affects patient volume and payer mix, and why it's one of the most critical early steps in choosing your practice location. 4. Tenant Improvement Allowance (TIA) What TIA is, how landlords use it to attract medical tenants, how much you can negotiate, and how it reduces upfront buildout costs for new practice owners. 5. Why owning your medical practice building is a long-term wealth strategy The tax benefits, equity growth, and stability that come with being your own landlord—and why many physicians only realize these advantages too late in their careers. 6. Financing (How do doctors get capital?) Especially when they don't have revenue yet. Listener Takeaways: The mindset shifts required to become an empowered, financially confident physician How to allocate budget and financing when opening a practice Why demographic surveys are essential for choosing the right location How Tenant Improvement Allowances work and how to negotiate them The long-term tax benefits and wealth advantages of owning your practice property How platforms like Doc2Doc support physicians with smarter, physician-centered lending Real-world financial advice every doctor should know before launching a private practice or DPC model Connect with Us: Host: Dr. Disha Spath, The Frugal Physician Guest: Dr. Zwade Marshall, CEO of Doc2Doc Lending   This episode is brought to you by Doc2Doc Lending. Doc2Doc Lending offers personal loans up to $100,000 for doctors — designed to help you consolidate debt, invest in your goals, or get ahead financially. Founded by doctors for doctors, we make funding simple, transparent, and tailored to the medical community. Visit their website at: https://www.doc2doclending.com/personal-loans-for-physicians/?utm_source=FrugalPhysician&utm_medium=podcast&utm_campaign=FP   This episode is brought to you by Black Swan Real Estate, led by physician-investor Dr. Elaine Stageberg.  Dr. Stageberg, a Mayo Clinic–trained physician, together with her husband Nick, has spent years building Black Swan Real Estate into a diversified, large-scale portfolio now approaching half a billion dollars across 2,000 doors.  Now, through their Secure Freedom Fund, a 10% fixed rate of return offering, you can invest alongside them. The Secure Freedom Fund offers institutional-quality real estate opportunities—designed to deliver strong cash flow, long-term growth, and remarkable tax advantages.  This fund is uniquely structured so that each investor can tailor it to their own individual goals: a minimum investment of just $25,000, the ability to choose monthly cashflow distributions or to elect the compounding option for higher overall growth, the option to exit the fund on your timing, the flexibility to invest in your personal name, a trust, an LLC, or a retirement account, and so much more.  If you're an accredited investor who's ready to diversify beyond Wall Street and invest with experienced, trust worthy operators who've been exactly where you are, visit SecureFreedomFund.com today to learn more. From there, you can review the slides, watch the webinar, and even a book a call directly 1:1 with Dr. Elaine Stageberg.  That's SecureFreedomFund.com.

In this episode, Guy talked with Dr. Nisha Manek. She challenges conventional understandings of consciousness and delves into the intersection of science and spirituality. Emphasizing that consciousness is not a product of the brain, Nisha discussed the latent capacities of human beings and the need to elevate our levels of conscious awareness. Through her experiences as a medical doctor and her studies with physicist William Tiller, she explored the potential of intention to affect physical reality, the limitations of modern medicine, and the importance of inner work. Nisha also shared practical advice on meditation and the transformative power of silence. About Dr. Nisha: Nisha Manek is an internally recognized leader in the field of integrative medicine. Nisha's humble background from Kenya propelled her to transcend limitations: gender, ethnicity, and financial status. From Case Western Reserve University in Cleveland, Ohio, where she graduated Summa cum laude, to the University of Glasgow School of Medicine in Scotland, Nisha's uncommon tenacity has driven her to ask difficult questions and pursue answers beyond traditional medical paradigms.  Nisha began her career in rheumatology at the Mayo Clinic in Rochester, Minnesota. Recognized as Teacher of the Year in the School of Medicine, she brings storytelling as a core skill to bedside medical teaching and on the plenary stage.  But she didn't stop there. Nisha partnered with one of the world's most innovative physicists, Emeritus Professor William A. Tiller of Stanford University, and pushed the boundaries of what is possible in medicine. She is the preeminent doctor of information medicine, which intersects consciousness, biofield science, and rheumatology to improve human health.  She has authored a one-of-a-kind book, Bridging Science and Spirit, which closes the gap between two seemingly separate areas of knowledge. She is a fellow of the American College of Physicians and a fellow of the Royal College of Physicians of the United Kingdom. Key Points Discussed:  (00:00) - The Hidden Science of Consciousness They Never Taught Us! (00:41) - Welcome to the Podcast (01:11) - The Seeker of Truth (01:43) - Straying from the Truth (02:57) - The Invisible Essence of Consciousness (04:46) - Bridging Science and Spirit (07:25) - The Role of Intention in Medicine (08:07) - The Human Behind the Technology (09:42) - The Power of Consciousness and Intention (12:59) - Meeting William Tiller (22:59) - The Experiment with Water (26:40) - The Unique Feel of Different Spaces (27:13) - The Sacredness of Tiller's Lab (27:49) - Bridging Science and Spirit (29:11) - The Power of Intention and Energy (32:11) - The Potential of Human Consciousness (39:51) - Daily Practices for Consciousness (49:05) - Reflections and Personal Journey (51:09) - Final Thoughts and Book Information How to Contact Dr. Nisha Manek:www.nishamanekmd.com   About me:My Instagram: www.instagram.com/guyhlawrence/?hl=en Guy's websites:www.guylawrence.com.au www.liveinflow.co''

Published Dec. 4, 2025In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, is joined by William Morice II, M.D., Ph.D., president and CEO of Mayo Clinic Laboratories, to discuss Protecting Access to Medicare Act (PAMA) reform and the first reported death from alpha-gal syndrome. Later, Dr. Pritt welcomes Chris Garcia, M.D., Mayo Clinic Laboratories' chief digital innovation officer and medical director of BioPharma Diagnostics, to explore how biopharma diagnostics advance research and development. PAMA reform update (00:33): Get the latest on where reform to PAMA stands following the federal government's reopening.Alpha-gal syndrome case (03:22): Learn about the first known death from alpha-gal syndrome and diagnostic testing for this tick-bite-triggered red meat allergy.Biopharma's role in research and development (07:52): Discover how biopharma diagnostics fuel innovation and how digital tools are expanding its future impact.  Note: Information in this post was accurate at the time of its posting.ResourcesBioPharma Diagnostics: Connecting pharma and biotechTick-borne disease: An expanding geographic threat

When a crisis hits, you don't get a practice round, you get a choice. In this episode, Dr. Richard Winters, Mayo Clinic emergency physician and Director of Leadership Development, breaks down how exceptional leaders move between rapid-fire crisis decisions and group problem-solving. He shares frameworks that help you decide when to call an expert, when to lead from the front, and when to slow down and get the room aligned. We also talk about how to run better meetings, end toxic back channels, spot and prevent burnout, and create engagement that keeps people showing up.  In This Episode, You Will Learn How to MAP DECISIONS using the Cynefin Framework. When to CALL an expert and when to BRING A GROUP TOGETHER to build a shared reality. How to run BETTER MEETINGS with breakouts and report-outs. Why the powerful LEADER does less. Ways to IDENTIFY & COUNTER BURNOUT before cynicism spreads. How to TURN BACK CHANNELS into FORWARD CONVERSATIONS. A COACHING APPROACH to help people problem-solve. STEPS to AMPLIFY ENGAGEMENT so people feel seen, aligned, and purposeful. Check Out Our Sponsors: Shopify - Sign up for a one-dollar-per-month trial period at shopify.com/monahan Quince - Step into the holiday season with layers made to feel good and last from Quince. Go to quince.com/confidence Timeline - Get 10% off your first Mitopure order at timeline.com/CONFIDENCE. Northwest Registered Agent - protect your privacy, build your brand and get your complete business identity in just 10 clicks and 10 minutes! Visit https://www.northwestregisteredagent.com/confidencefree Resources + Links Learn more about Dr. Richard Winters HERE Call my digital clone at 201-897-2553!  Visit heathermonahan.com Sign up for my mailing list: heathermonahan.com/mailing-list/  Overcome Your Villains is Available NOW! Order here: https://overcomeyourvillains.com  If you haven't yet, get my first book Confidence Creator Follow Heather on Instagram & LinkedIn Dr. Richard on LinkedIn

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com When people gain access to their own brain data and personalized guidance, they can significantly improve their sleep, focus, stress levels, and long-term cognitive health. In this episode, Ariel Garten, neuroscientist, psychotherapist, and co-founder of MUSE, explains how real-time brain tracking is transforming both personal wellness and clinical care. She describes how MUSE's soft, low-profile headband uses EEG and fNIRS to measure brain activity and blood oxygenation, enabling accurate sleep tracking, attention training, and cognitive insight. Ariel highlights the company's strong research foundation, including 200+ published studies and multiple Mayo Clinic trials showing reduced stress, improved fatigue, and a 54% decrease in burnout among clinicians using MUSE for just five minutes a day. She also details new features like the Digital Sleeping Pill, deep sleep stimulation, and an AI sleep coach, and shares how researchers, clinicians, and pharma teams are using MUSE to power distributed studies and measure neurophysiological responses to interventions. Tune in and learn how personalized brain insights could transform sleep, cognition, and the future of preventive health! Resources Connect with and follow Ariel Garten on LinkedIn. Follow MUSE on LinkedIn and visit their website! Email the MUSE team directly here.

This week on Health Matters, Courtney sits down with Dr. Braden Kuo, Chief of the Division of Digestive & Liver Diseases at NewYork-Presbyterian and Columbia. Dr. Kuo covers common gut problems during the holiday season, a time of indulgent meals and treats. From bloat to heartburn to travel-related stomach issues, Dr. Kuo is a trove of information and practical tips for navigating holiday festivities with good choices for your gut.  ___ Dr. Braden Kuo is a leading neurogastroenterologist specializing in gastrointestinal motility and the relationship between the brain, nervous system and digestive system. He is the Chief of the Division of Digestive and Liver Diseases at NewYork-Presbyterian/ColumbiaUniversity Irving Medical Center and Columbia University Vagelos College of Physicians andSurgeons. Dr. Kuo received his medical degree from Jefferson Medical College and completed his residency at the University of Texas Southwestern Medical Center before arriving at Massachusetts General Hospital, where he served as director of the Center for Neurointestinal Health. He also completed formal training in clinical research, earning a Master of Science from the Harvard T.H. Chan School of Public Health, and subspecialty training in neurogastroenterology and motility at Mayo Clinic.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org

Bariatric Surgery Reversal? Chuck Shares His Next Steps at the Mayo Clinic | The Maxime Sigouin Podcast Ep. #417Join Chuck's new Newsletter: https://chuckcarroll.com Interested in working with our world class team, Book your application call here: http://book.fitvegancoaching.com/podcastJoin our Free Fit Vegan weekly newsletter: https://fitvegancoaching.com/newsletterTry out the Superfood Adaptogenic Protein Blend from Nutrigazm. Use the code FitVegan15 to save 15% off any one time order and use code FitVegan20 to save 20% off all subscription orders over at www.nutrigazm.comIn today's episode of The Maxime Sigouin Podcast, Chuck returns to share an update on his health journey as he prepares for a hopeful next step—a hiatal hernia surgery at the Mayo Clinic that could finally bring major relief. We talk about managing stress, staying grounded through uncertainty, and the power of real data and a whole food plant-based lifestyle when you're trying to heal. We also touch on community, self-care, and what it really takes to stay resilient through setbacks.In This Episode, We Cover: [00:00–12:04] Chuck's Current Health Update, Gym Progress, And Personal Reflections[12:05–28:44] Preparing For Surgery, Medical Insights, Weight-Loss Conversations, And Dealing With Negativity[28:45–39:44] The Real Benefits Of A Whole Food Plant-Based Lifestyle, Cooking, And Building Enjoyable Meals[39:45–44:18] New Newsletter Launch, Community Updates, And Closing ThoughtsKey Quotes“You make the most out of what you possibly can.” -Chuck.“Eating plan base is not a miracle solution that will solve all your problems, but it will greatly reduce your risk of dealing with some of those issues..”-Maxime.My name is Maxime Sigouin. I am the founder of Fit Vegan Coaching and Empire Builders Agency. I have a passion for serving and helping people live to their fullest potential.Book Your FREE Consultation Call Here: http://book.fitvegancoaching.com/podcast- Follow me on Instagram: https://www.instagram.com/maximesigouinofficial/- Join our FREE Fit Vegan Community: www.freefitvegancommunity.com- Youtube Channel : https://linktw.in/AyNrSW

In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Maisha T. Robinson, MD, MSHPM, FAAN, FAAHPM, who served as the guest editor of the December 2025 Neuropalliative Care issue. They provide a preview of the issue, which publishes on December 2, 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. Robinson is the Chair of the Division of Palliative Medicine and an assistant professor of neurology at Mayo Clinic in Jacksonville, Florida. Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @neuropalldoc Full episode transcript available here Dr Jones: Most of us who see patients with chronic progressive neurologic disease are aware of the value of palliative care. The focus on symptom management and quality of life is a key aspect of helping these patients. But how many of us are comfortable starting the conversation about palliative care or care at the end of life? Today we have the opportunity to speak with a leading expert on neuropalliative care, Dr Maisha Robinson, about how we can better integrate neuropalliative care into our practices. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today I'm interviewing Dr Maisha Robinson, who is Continuum's Guest Editor for our latest issue of Continuum on neuropalliative care, and our first-ever issue fully dedicated to this topic. Dr Robinson is an assistant professor of neurology at Mayo Clinic in Florida, where she is Chair of the Division of Palliative Medicine, and she also serves on the AAN Board of Directors as Chair of the Member Engagement Committee. Dr Robinson, welcome. Thank you for joining us today. Why don't you introduce yourself to our listeners? Dr Robinson: Well, Dr Jones, thank you for having me. Really a pleasure to be here. I'm Maisha Robinson at the Mayo Clinic in Jacksonville, Florida. I spent my time as a neurohospitalist, a general palliative care physician, and a neuropalliative care physician. Dr Jones: So, this is a topic that at Continuum, we have heard about from subscribers for a long time requesting a fully dedicated issue to palliative care. And we've titled this neuropalliative Care. So, we want to respond to our subscribers and bring them content that they're interested in. I also think that palliative medicine is a big education gap in our specialty of neurology and something that we have room to improve on. So, let's start with the basics, Dr Robinson. Palliative medicine has been around for a long time, but this concept of "neuropalliative care" feels relatively new. What is neuropalliative care? Dr Robinson: That's a great question. Generally, what I would say is palliative care, first of all, is really just a specialty that focuses on trying to improve quality of life for people that have a serious or advanced medical condition. And neuropalliative care is really palliative care for people with neurologic conditions. And you'll see a number of neurologists doing neuropalliative care, but also there are internists as well, and people from other specialties, who focus on patients with neurologic disease and really trying to improve their quality of life. Dr Jones: Got it. And so, it's really the principles of palliative medicine in a specialty-specific context, which I think is important for us given the prevalence of chronic disease in our specialty. And I was obviously reading through these articles in this issue, and in the really wonderful articles, there are some themes that came up multiple times in various different articles. And one of them was obviously the importance of communication with patients and families. I think, and I'm speaking a little bit from personal experience here, many physicians feel uncomfortable bringing up the discussion of palliative care. And I'm sure that is something that reflects on your practice, too. How often do you have a patient who shows up to clinic and they ask you, why am I here? Dr Robinson: It happens all the time, because colleagues who are referring patients are nervous to tell them that they're sending them to palliative care. But we try to tell people it's really just to normalize it, to say that the palliative care team is going to see you, they're going to help with some symptoms, they're going to help you think about big picture, and they're going to be sort of an added layer of support to your team. And I think if people approach it from that standpoint, then patients and family members will say, that sounds great, I need a little extra support. Dr Jones: So, I think most neurologists have a threshold at which they would feel more comfortable having specialty support, having a palliative medicine specialist to help them in symptom management with the patient. For the palliative care that they provide themselves---and we want our subscribers to read this issue and feel more comfortable with delivering some palliative care on their own---how would you encourage them to begin that conversation? How should they initiate that conversation with a patient about working more toward palliative management of symptoms? Dr Robinson: So, one of the things we recommend is really introducing an approach to palliative care very early in the disease process. So, discussions about big picture and goals of care, discussions about who might help make medical decisions if the person can't make them for themselves. Those kinds of things can be discussed very early on. And in fact, that's palliative care. And then they can talk to patients more about the fact that as the disease progresses, there may be an additional team that can help walk along alongside the neurologist in helping you prepare for what's to come. You know, I think it's very important for patients and family members who feel like you're not abandoning them, but you're adding additional resources. And so, I like the way that we often will suggest to people to say partner or collaborate or bring in extra resources with the palliative care team. I think patients and family members will respond to that. Dr Jones: Yeah. So, by talking about it early, you kind of, at least, help to avoid that problem of the patient perceiving the introduction of palliative care as the quote-unquote "giving-up problem." Is that right? Dr Robinson: Correct. Because we also don't want to see people who are just being referred to us for end-of-life care. Palliative care is about much more than that. But if patients will Google palliative care, they may see hospice come up. And so, introducing the concept early and discussing some palliative topics early will allow the patient and family members to think that, okay, this isn't because I'm at the end of life. This is just because my clinician wants to make sure that I have all the bases covered. Dr Jones: This was also mentioned in several of the articles, the studies that have shown how frequently palliative care is initiated very near the end of life, which is usually, I think, perceived as a missed opportunity, right? To not wait so long to take advantage of what palliative care has to offer. Dr Robinson: That's correct. And the benefit of palliative care is that oftentimes we work alongside an interdisciplinary team, a team that could be quite helpful to patients and their support systems throughout the course of the disease. So, we have chaplains, we have nurses, we often have other clinicians, advanced practice providers as well, who work with us. We have spiritual advisors as well. And the patients and family members could benefit from some of those resources throughout the course of the disease. Who they might need to meet with may vary depending on what the disease is and how they're doing. But there's definitely some benefit to having a longitudinal relationship with the palliative care team and not just seeking them out at the end of life. Dr Jones: So- that's very helpful. So, it'll obviously vary according to an individual provider's level of comfort, right, where they're comfortable providing certain palliative management care versus when they need to have some assistance from a specialist. Are there types of care or are there certain thresholds that you say, wow, this patient really should go see a specialist in palliative medicine or neuropalliative care? Dr Robinson: So, I think that if there are, for instance, refractory symptoms, where the neurologist has been working with a patient for a while trying to manage certain symptoms and they're having some challenges, that person may benefit from being referred to palliative care. If patients are being hospitalized multiple times and frequently, that may suggest that a good serious-illness conversation may be necessary. If there are concerns about long-term artificial nutrition, hydration, or functional and cognitive decline, then some of those patients have benefited from palliative care. Not only the patient, but also the caregiver, because our team really focuses on trying to make sure that we're walking through the course of disease with these patients to ensure that all of the needs are managed both for the patient and the family member. Dr Jones: Got it. And that's very helpful. And I know that we talk about a lot of these decisions happening in an ideal environment when there's good access to the neurologist and good access to a palliative medicine specialist or even a neuropalliative medicine expert. In your general sense, I- and maybe we'll talk a little bit here in a minute or two about the growing interest in neuropalliative care. But in terms of access, in terms of availability of really, truly neuropalliative expertise, what is your sense of how widely available that is in the US? Dr Robinson: There's a shortfall of palliative care clinicians in the United States. Everybody who needs a palliative care clinician won't have access to one. And I think your point about the primary palliative care is so important. That's really what we encourage all clinicians, neurologists, neurosurgeons, even, physiatrists, the neurology care team members need to be comfortable with at least initiating some of these conversations. Because, to your point, not everyone's going to have access to a palliative care physician. But by reading issues such as this one, attending some courses---for instance at the American Academy of Neurology meetings---, doing some online trainings, those types of things can be helpful to bring any neurology clinician up to speed who certainly may not have access to a palliative care physician. Dr Jones: So, I know---and this is in part from my own conversations with patients in my own practice---there are a number of fears that patients have when they have a chronic disease, something that's progressive or something that we don't have a curative treatment for. But I think one of, if not the most common fear among patients is pain, and pain that can't be managed adequately during the course of chronic illness or at the end of life. One of the interesting concepts that I saw mentioned in a few of the articles in this issue is this concept of total pain. So, not just the somatic pain that I think we tend to think of as clinicians and patients tend to think of as patients, but a more holistic definition of pain. Walk us through that and how that relates to palliative medicine. Dr Robinson: So, Dame Cicely Saunders, the modern-day founder of palliative medicine, really described this biopsychosocial model for pain. And so, you're right, it's not just physical pain, but it's psychological pain, it's spiritual pain. And oftentimes when we are taking care of patients with neurologic disease, they may have some physical pain, but a lot of them are thinking about, for instance, the things that they will miss, which may cause some internal discomfort. Things that they're grieving, the life they thought they were going to have, the person that they used to be, the life they used to have, and what they anticipated their life as being. And some of that can cause people to have not only the spiritual discomfort, but also some psychological discomfort as well. And so, when we're thinking about how to provide rehensive care to these patients, we have to be thinking about all of these aspects. Dr Jones: It's really helpful. And I guess the more you can identify those, the more you can either help yourself or find the right expert to help the patient. I thought that was an interesting expansion of, of my view of how to think about pain. And another observation that came up in several of the articles was a lack of high-quality clinical trial evidence to inform a lot of the interventions in neuropalliative care. Some of them are common-sense, some of them are based on clinical experience or expert advice. In your own practice, if there was one key knowledge gap to close---in other words, if there was one pivotal trial that we could do to answer one question in helping patients with chronic neurologic disease---what would you say is the main gap? Dr Robinson: I think the real gap is, who needs palliative care and when? That seems very simple. We have tried things such as automatic triggers for palliative care, for instance, in patients with ALS, or we've said that maybe all glioblastoma patients should see palliative care. But is that true? Are we utilizing the resources in the best possible way that we can? We're not sure. And so, you'll see these practices doing things all a little bit different because we don't have a best practice and it's not really standardized about when people should see palliative care, or why, for instance, they should see palliative care, or who should see palliative care. And I think if we could help drill that down, we can provide some better guidance to our colleagues about when and why and who should see palliative care. Dr Jones: It's a really kind of a fundamental, foundational, who needs the service to begin with or who needs to care. Okay, that's- that is a big gap. So, one of the interesting concepts that I read- and it was in Benzi Kluger's article on neuropalliative care for patients who have movement disorders. I think it's a concept that is interesting, really, maybe in the management of patients with a lot of different chronic, progressive neurologic diseases. And it's this idea of stealing victories or bringing joy to patients. In other words, not just managing or trying to minimize some of the negative aspects or symptoms of disease, but looking for opportunities to bring something positive to their experience or improving their quality of life. Tell us a little more about that, because I think that's something patients would appreciate, but I think neurologists would appreciate that, too. Dr Robinson: Dr Kluger loves to talk about sustaining and finding joy in patients who have really serious or advanced neurologic conditions. He likes to talk about stealing victories, which can relate to the fact that patients and their loved ones can find even some benefit despite having a serious or advanced neurologic condition. Neurologists and neurology clinicians also can steal victories in their patients when they notice, for instance, that they've gained a new skill, and they've lost a skill that they used to love because of the advancing disease. And this is just an opportunity for not only the patients and family members, but also the care providers to recognize that in the midst of decline, there are positive things to be found. Dr Jones: I think it gives patients a sense of maybe reclaimed autonomy when they can say, well, there's maybe nothing I can do to cure this disease in the conventional sense, but I can maybe go on this trip with my family, which has been something I've always wanted to do. Or, I can do these things, so I can attend certain events that I want to. And I think that autonomy and independence aspect of that, I think that I think that was really meaningful and something that I'm going to bring back to my own practice in my care of patients who have ALS, for example. When you think about neuropalliative care---and you've been a leader in this area, Dr Robinson---what do you think the biggest change in neuropalliative care has been over the last few years? Dr Robinson: I think there's a growing cohort of people who are recognizing that there is some benefit in having dedicated specialists who focus on palliative care for patients with neurologic disease. When I said I was going to do neuropalliative care, somebody asked me, why would a neurologist be interested in palliative care? Over the last decade and a half, we've seen that shift. And not only are our colleagues recognizing the benefit, but also patients and caregivers are. Some are even asking for palliative care. I think people are recognizing that not only having their primary neurologist or neurology clinician taking care of them, they have this extra layer of support, and this extra team really focused on quality-of-life issues can be beneficial. Dr Jones: So, one of the things that I think you and I have both seen, Dr Robinson, is a growing interest among neurology trainees in palliative medicine. And maybe that's anecdotal, but in my own practice, I've seen more and more trainees express an interest in this. For neurology residents who are interested in this as a component of or maybe a focus of their career, what would you recommend to them? How should they go about this? Dr Robinson: Yes, it used to be that every neurology resident interested in palliative care would call me or email me or send me a message, but now there are so many that I can't keep up. We're excited about the growing number of people interested in neuropalliative care. What I would say to those people is that you can really try to hone your skills by, for instance, doing a rotation with the palliative care team at your hospital, if there is one. If there isn't one, you might even ask to spend some time with the local hospice agency, which may be helpful to you. If you're attending some of the national meetings---for instance, the American Academy of Neurology meeting---you may want to go to a course and learn a little bit about palliative care. There are a couple that are offered every year. There is an education opportunity for education in palliative and end-of-life care as well. And so, there are a number of resources that you can find in addition to this issue of Continuum as well. Dr Jones: I find it gratifying that trainees ask about this. And I'm sorry, I think I've probably sent a bunch of trainees your way for advice about this, and you've been incredibly generous with your time and expertise. So, I find it very gratifying that our neurology trainees are interested in this area, because it's an important area of medicine. It's also probably a challenging practice just from the cognitive load and the emotional load of caring for patients who are moving through a progressive illness. What is your thinking about how to have a sustainable career in palliative medicine? What is your approach to that? Is it for everyone? Dr Robinson: Yeah, the issue with palliative care is that we do see some very challenging situations, and frankly some very sad situations. But I actually love what I do because I think that we're helping patients and their family members during very, very difficult times. I feel like this is why I went to medical school, to try to be there for people when they need me the most. The way that I think about it is, the patients and family members will be going through this anyway. We're trying to help improve their quality of life as they're going through it. And what you might find interesting is that these patients are so grateful. And their loved ones, they're so grateful. Even if they're nearing the end of life, just to have someone who's helping them see that, for instance, the pain could be better, or that they have more resources for the loved ones to be able to take care of them. And so, I think that helps sustain us, realizing that we are really having a positive benefit on the patients and also their family members. Dr Jones: Well, I think that's a great point to end on. And these are patients who need help. Even if we don't have a curative therapy, they do need support. And that's an important service and a function and an important facet of our profession. So, Dr Robinson, I want to thank you for joining us, and I want to thank you for such a great discussion of neuropalliative care. I learned a lot from our conversation today. I've learned a lot reading the articles and the experts that you put together. This is an important topic. I'm really grateful to you to having assembled this team of expert authors and put together an issue that I think will be really important for not only our junior readers, but also our more experienced subscribers as well. Dr Robinson: Thank you, Dr Jones, for the opportunity. Dr Jones: Again, we've been speaking with Dr Maisha Robinson, Guest Editor of Continuum's most recent issue and first issue fully dedicated to neuropalliative care. 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 the link in the episode notes to learn more and subscribe. Thank you for listening to Continuum Audio.

Alcohol and comedy clubs go together very well - which can lead to drama! And not all drama is because someone is drunk. Here's a quick story about a night where alcohol caused drama in the front row . . . but not how you would think.  https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Host: Darryl S. Chutka, M.D. Guest: Cory Ingram, M.D. There are a couple outcomes in taking a medical history. Obviously, one is information gathering. You need to hear the patient's symptoms to help form your differential diagnosis. The second, and equally important, is to help establish a relationship with that patient. There are several reasons a good provider-patient relationship is important. The patient is more likely to feel positive about their medical encounter, they're more likely to be adherent to your recommendations regarding their health conditions, and they tend to be more forgiving if they experience an adverse event. What makes up a good provider-patient relationship? What can we do as clinicians to help establish a good relationship with our patients? Can we still establish a good relationship when we practice telemedicine? These are questions I'll be asking my guest, Cory Ingram, M.D., a palliative care physician at the Mayo Clinic as we discuss “Provider-Patient Relationship Skills”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

In this powerful and deeply personal episode of Walk and Roll Live – Disability Stories, hosts Doug Vincent and Addie Rich sit down with Donald Allison, who shares his lifelong journey from growing up in Fontana, California, to living today in Yucca Valley near Joshua Tree National Monument. Donald opens up about the early signs of a rare and progressive muscle disease called Inclusion Body Myositis (IBM)—a condition that first affected his hands, then his mobility, and ultimately placed him in a wheelchair. Diagnosed at the Mayo Clinic, Donald explains what it's like to live with constant muscle weakness, chronic pain, immune system complications, and the everyday challenges of personal care and independence. He also pays tribute to the pivotal role his mother played in his life, including the legacy she left behind to ensure he could continue living safely in his home after her passing in 2021. This episode is a raw, honest, and educational look at life with a rare neuromuscular condition, filled with resilience, vulnerability, and the power of family and adaptability. Walk and Roll Live 

Presentation, Evaluation, and Management of Premature Ventricular Contractions   Guest: Alan M. Sugrue, M.B., B.Ch., B.A.O. Host: Anthony H. Kashou, M.D.   In this episode, Dr. Anthony Kashou and Dr. Alan Sugrue cover a practical, evidence-based approach to premature ventricular contractions (PVCs), from incidental findings to high-burden, high-risk presentations. Listeners will gain tools to differentiate benign from pathologic PVCs, understand when to monitor versus refer, and recognize the role of catheter ablation in improving outcomes.   Topics Discussed: PVCs show up on Holters and ECGs all the time — how do you decide when they matter? How often do PVCs cause cardiomyopathy, and when should we act? When should we consider ablation even if the patient is asymptomatic? What's the biggest misconception about PVC ablation today? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

On today's Good Day Health Show - ON DEMAND…Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with new research on early Alzheimer's warnings, particularly for those with hearing loss. This news continues to emphasize the importance of getting your hearing tested, especially if your loved ones point out you aren't hearing them (since many don't want to acknowledge hearing issues themselves). Additionally, a study suggested listening to music may lower your rate of dementia. Because there is no cure for dementia, prevention is important. Listening to music is helpful, and playing an instrument is even better. Next up, a new blood test can help diagnose the severity of head trauma when a concussion occurs, good news out of the Mayo Clinic looking at a minor procedure to get a stint in a blood vessel instead of a major surgery with the carotid artery, and the benefits of a low-dose aspirin for heart health in some (it is no longer universally recommended), and how it is also being shown to help diabetic patients specifically.Moving on, there's new data on coffee consumption, looking at drinking one cup of caffeinated coffee per day may significantly lower a person's risk of recurrent A-Fib episodes by as much as 39%. Rounding out the conversation, Doug and Dr. Ken answer listener questions, including colitis flare ups post-Thanksgiving indulgence, as well as causes and symptoms, in addition to foods that have microplastics in them at a higher rate than ever before. Those foods include sea salt, beer, shellfish, rice, apples, carrots, even tea. Now, the question begs, is this enough to be causing harm, or is this just a measurement used as a scare tactic. Doug and Dr. Ken discuss.  Website: GoodDayHealthrShow.com Social Media: @GoodDayNetworks

A fully implantable cochlear implant isn't just a technical milestone—it's a fundamentally different way of living with hearing loss. In a candid conversation, Gael Hannan speaks with Michael Seufer, one of the first recipients of the Envoy Medical Acclaim, an investigational fully implanted cochlear implant that eliminates external hardware. Michael shares how his hearing loss, first identified in childhood, shaped his life—from academic challenges to finding refuge in hockey—and how traditional hearing aids eventually stopped providing the benefit he needed.Michael describes the moment he decided to pursue the Acclaim after years of discouraging experiences with amplification. Motivated by wanting to fully hear his young son, he enrolled in the clinical trial at Mayo Clinic and embraced the risks of cutting-edge technology. He explains that the fully internal system allows him to hear 24/7 without putting anything on, removing daily barriers common to hearing aid and CI users. From waking up able to converse immediately to showering, exercising, and using headphones normally, he says the experience feels “transparent,” allowing him to simply go about his life without thinking about hearing loss.He also details the device's internal rechargeable battery, its wireless charging system, and the notable sound quality he experiences—without feedback or the limitations of microphones and speakers. Michael emphasizes that he isn't a spokesperson, just someone whose life has changed dramatically and wants others to know what may be possible. Above all, he says, the Acclaim represents something deeper for him: “It's what hope sounds like.”Learn more about Michael's story: https://www.echoesofamiracle.com/For more information on the Acclaim and Envoy Medical's other products, visit: https://www.envoymedical.com/Be sure to subscribe to our channel for the latest episodes each week and follow This Week in Hearing on LinkedIn, Instagram and X.- https://x.com/WeekinHearing- https://www.instagram.com/thisweekinhearing/- https://www.linkedin.com/company/this-week-in-hearingVisit us at: https://hearinghealthmatters.org/thisweek/

What if gratitude is the gate that leads you into the presence of God… and the key to deeper healing, joy, and spiritual wholeness? In this message, Pastor Jason Daughdrill walks through Luke 17:11–19, where Jesus heals ten lepers — but only one returns. This one moment reveals a truth that medical research is only now catching up to: gratitude transforms you from the inside out.In this sermon, you'll learn: • Why gratitude is spiritual before it's emotional • How remembering where God found you fuels fresh worship • Why entitlement kills gratitude • The reason Jesus expects us to return, not just receive • How gratitude actually brings you closer to Jesus • Why gratitude makes you whole, not just healedModern research from Harvard, UCLA, and Mayo Clinic confirms what Scripture has said for 2,000 years: gratitude renews your mind, strengthens your heart, and changes your life.Be the one who returns.Be the one who remembers.Be the one who gives thanks.

This special episode is brought to you by Zoll RespicardiaIn this episode of SleepTech Talk, we explore the newest breakthroughs in treating Central Sleep Apnea (CSA).Our guest, Timothy Morgenthaler, MD, Professor and Vice Chair, Quality and Affordability at the Mayo Clinic, and past President of the American Academy of Sleep Medicine (AASM), helps explain the updated AASM treatment guidelines and how Transvenous Phrenic Nerve Stimulation (TPNS) is now recognized as an effective therapy for CSA.We also dive deep into the Remede implant, an FDA-approved TPNS device that stimulates the phrenic nerve to help patients breathe normally during sleep. Dr. Morgenthaler breaks down how it works, which patients may benefit most, and what the AASM's new recommendations mean for clinicians and patients going forward.⭐ Main topics we cover:What's new in the AASM guidelines for Central Sleep Apnea (2025 update)Why TPNS is now an accepted therapy for CSAHow the Remede implant works and who it helpsDifferences between obstructive, central, and complex sleep apneaReal-world impact of the updated guidelines on patient careWhere TPNS fits among PAP therapy, ASV, oxygen, medications, and other treatmentsWhether you're a sleep clinician, technologist, or someone affected by sleep apnea, this episode provides a clear, practical breakdown of the latest evidence-based options for CSA.Learn more about Remede athttps://remede.zoll.com/ ABOUT SLEEPTECH TALKSleepTech Talk brings together leaders in sleep medicine, technology, and innovation to explore the tools and trends shaping the future of sleep health.Catch the show on most podcast platforms or on YouTubewww.youtube.com/@sleeptechtalk Don't forget to Like, Share, and Comment! Subscribe to SleepTech Talk for more insights into sleep apnea, CPAP therapy, and innovations shaping the future of sleep care.Whether you're a sleep professional or a healthcare innovator, this episode explores the intersection of technology, patient care, and sleep medicine.Learn more about the show at https://www.sleeptechtalk.com/thetechroomCredits:Audio/ Video: Diego R Mannikarote; Music: Pierce G MannikaroteHosts: J. Emerson Kerr, Robert Miller, Gerald George MannikaroteCopyright: ⓒ 2025 SleepTech Talk ProductionsEpisode 112The views and opinions expressed by guests on SleepTech Talk are their own and do not necessarily reflect those of the podcast hosts or SleepTech Talk as a whole. This podcast is intended for educational and informational purposes only and should not be considered medical advice. Listeners are encouraged to consult with a qualified healthcare professional for any medical concerns or questions.Sleep apnea, obstructive sleep apnea, oral sleep appliance, inspire, surgery, sleep surgery, CPAP, AI, Artificial Intelligence

Top Stories for November 29th Publish Date: November 29th PRE-ROLL: SUGAR HILL ICE SKATING From the BG AD Group Studio Welcome to the Gwinnett Daily Post Podcast. Today is Saturday, November 29th and Happy Birthday to Vin Scully I’m Peyton Spurlock and here are your top stories presented by Gwinnett KIA Mall of Georgia. Piedmont Oncology Opens Early Detection Pancreatic Cancer Clinic, First of Its Kind in Georgia You can now use a digital driver’s license to buy beer, cigarettes in Georgia Musical events, attractions to get into the magical spirit of the holiday season All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe! Break 1: Kia Mall of Georgia STORY 1: Piedmont Oncology Opens Early Detection Pancreatic Cancer Clinic, First of Its Kind in Georgia Piedmont Oncology just opened Georgia’s first Early Detection Pancreatic Cancer Clinic, and honestly, it’s a big deal. Pancreatic cancer is brutal—13% five-year survival rate, no screening test, vague symptoms that sneak up on you. But this clinic? It’s here to change that. Dr. Andrew Page, the clinic’s medical director, says early detection is everything. “Education about risk factors is critical,” he explained. The clinic will focus on genetic counseling, research collaborations with NIH and Mayo Clinic, and, hopefully, developing a much-needed screening test. None of this would’ve happened without donors like Purple Pansies. Their support is saving lives. STORY 2: You can now use a digital driver’s license to buy beer, cigarettes in Georgia Big news for Georgians: you can now use a digital driver’s license to buy alcohol, tobacco, and other age-restricted items. Yep, your phone just got even more useful. The Georgia Department of Driver Services (DDS) announced the update Monday, calling it a “major step forward” in modernizing IDs. But here’s the catch: it’s up to individual businesses to accept them. No guarantees. Oh, and don’t try using a screenshot—doesn’t count. Retailers need a special mDL reader to scan the license, and staff still have to verify your age. Progress? Sure. Perfect? Not quite yet. STORY 3: Musical events, attractions to get into the magical spirit of the holiday season It’s that time again—holiday magic is everywhere, and Atlanta’s got no shortage of ways to celebrate. From concerts to tree lightings, here’s what’s happening: Holiday Shows at the FOX Theatre: Lauren Daigle’s Behold Christmas Tour (Dec. 4): Grammy-winning magic. Christmas Together (Dec. 6): Amy Grant, Cece Winans, and Michael W. Smith. A Drummer Boy Christmas (Dec. 8): for King + Country’s festive storytelling. Elf the Musical (Dec. 16–20): Buddy’s heartwarming journey. Nutcracker! Magical Christmas Ballet (Dec. 23–24): Ballet meets acrobatics. Festive Attractions: Stone Mountain’s Flight to the North Pole (Nov. 8–Jan. 4): Help Santa save Christmas. Garden of Lights (Nov. 15–Jan. 11): Stroll through dazzling displays. Georgia Aquarium Holidays (Nov. 14–Jan. 2): Twinkling lights, Santa, and sea life. Don’t miss these great events! We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We’ll be right back Break 2: Ingles Markets - DTL HOLIDAY STORY 4: Student loan change could drain nurse pipeline, Ga. dean warns Nursing is no longer considered a “professional degree” by the U.S. Department of Education, and nurses are, understandably, furious. The change, tied to the “One Big Beautiful Bill”, means nursing students can’t access the $200,000 loan cap reserved for professional programs. Instead, they’re stuck with a $100,000 limit—less than what many need to cover tuition. Linda McCauley, dean of Emory’s Nursing School, didn’t hold back: “In a time when we desperately need more nurses, why make it harder? It feels like they didn’t think this through.” The fallout? Fewer nurses, more debt, and a lot of frustration. STORY 5: Flight delays: Here are your rights when flying over the holidays in 2025 Stuck at the airport? Here’s a tip: if your flight’s delayed more than three hours (domestic) or six hours (international), you’ve got rights. Travel expert Katy Nastro says airlines must offer a refund or rebook you—your choice. But here’s the catch: no double-dipping. You can’t get both. And meal vouchers? Only if the delay’s the airline’s fault, like staffing or mechanical issues. Hotels? Depends on the airline. The Department of Transportation even published a guide for what airlines owe you. Pro tip: screenshots of your license don’t count for ID. Break 3: BUFORD HOLIDAY FESTIVAL STORY 6: Forsyth school board approves use of same alarm system in place at Apalachee High School Forsyth County schools are stepping up safety with a $2.4 million Centegix alarm system, approved by the Board of Education this week. You’ve probably heard of these “panic alarms”—they’re the same system credited with the quick response during the tragic Apalachee High School shooting last year. Teachers and staff wear a button they can press in emergencies, instantly alerting law enforcement without fumbling for a phone. The system also includes color-coded strobe lights for visual alerts, ensuring ADA compliance. The first year’s cost? $420,000, with the rest spread over five years. Safety, it seems, is getting an upgrade. STORY 7: Recall alert: Honda recalls 256K vehicles for loss of power software error Honda’s recalling over 256,000 vehicles—specifically 2023–2025 Accord Hybrids—because of a software glitch that could cause the car to lose power mid-drive. Not ideal, right? The issue? The integrated control module’s CPU might reset itself while you’re cruising along. Dealers will fix it for free, though, so there’s that. Honda says owners will get a heads-up by mail starting Jan. 5, but if you’re the impatient type (or just worried), you can call them at 888-234-2138. Oh, and if you’re curious, the recall number is TN2. Stay safe out there! We’ll have closing comments after this Break 4: THE SUGAR HILL HOLIDAY Signoff – Thanks again for hanging out with us on today’s Gwinnett Daily Post Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.gwinnettdailypost.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: www.ingles-markets.com www.kiamallofga.com 2025 Buford Holiday Festival & Parade All-In-One Flyer Holiday Celebration 2025 – City of Sugar Hill Ice Rink – Downtown Sugar Hill NewsPodcast, CurrentEvents, TopHeadlines, BreakingNews, PodcastDiscussion, PodcastNews, InDepthAnalysis, NewsAnalysis, PodcastTrending, WorldNews, LocalNews, GlobalNews, PodcastInsights, NewsBrief, PodcastUpdate, NewsRoundup, WeeklyNews, DailyNews, PodcastInterviews, HotTopics, PodcastOpinions, InvestigativeJournalism, BehindTheHeadlines, PodcastMedia, NewsStories, PodcastReports, JournalismMatters, PodcastPerspectives, NewsCommentary, PodcastListeners, NewsPodcastCommunity, NewsSource, PodcastCuration, WorldAffairs, PodcastUpdates, AudioNews, PodcastJournalism, EmergingStories, NewsFlash, PodcastConversations See omnystudio.com/listener for privacy information.

On this Make A Difference Minute, Cary Grant shares about the serious health challenges he is facing as he waits for a heart and double-lung transplant at the Mayo Clinic. His wife, Karen, opens up about the support, faith, and strength carrying their family through this difficult season. Sponsor: Hydration Lounge HydrationL.com

===== MDJ Script/ Top Stories for November 28th Publish Date:  November 28th    Commercial: From the BG AD Group Studio, Welcome to the Marietta Daily Journal Podcast.    Today is Friday, November 28th and Happy Birthday to Dave Righetti I’m Keith Ippolito and here are the stories Cobb is talking about, presented by Times Journal Flight delays: Here are your rights when flying over the holidays in 2025 Holiday lights on display in metro Atlanta ‘Elf The Musical’ coming to Fox Theatre for the Christmas season Plus, Leah McGrath from Ingles Markets on soy and oat milk All of this and more is coming up on the Marietta Daily Journal Podcast, and if you are looking for community news, we encourage you to listen and subscribe!  BREAK: INGLES 2 STORY 1: Flight delays: Here are your rights when flying over the holidays in 2025 Ever been stuck at the airport, staring at the departure board, wondering what your rights are? Turns out, there’s a “magic number” for delays: 3 hours for domestic flights, 6 for international. Hit that threshold, and airlines have to help—refund, rebook, your call. But here’s the catch: no extra compensation in the U.S. Some airlines, like Delta or Alaska, will throw in meal vouchers or even a hotel if it’s their fault (think staffing, not weather). Others? Not so generous. Pro tip: check your airline’s policy before you fly. And pack snacks. Always.  STORY 2: Holiday lights on display in metro Atlanta  The holidays are here, and metro Atlanta is lighting up—literally. Whether you’re cruising through a drive-thru wonderland or strolling under glowing canopies, there’s magic everywhere. Candy Rush at Six Flags (Marietta): A mile of lights, candy canes, and a gingerbread village. Sweet tooth? Satisfied. Nov. 14–Jan. 4. $39.99 per car. Fantasy in Lights at Callaway Gardens: Seven miles, 10 million lights, and Santa. Forbes loves it, and so will you. Nov. 14–Jan. 4. Tickets start at $24.99. Lanier Islands’ Magical Nights of Lights: Six miles of twinkling displays. Pure nostalgia. Nov. 15–Jan. 4. From $25. WildWoods: AGLOW at Fernbank: Glowing gardens, luminous dandelions, and interactive magic. Nov. 14–Feb. 28. From $16.95. Go make some memories! STORY 3: ‘Elf The Musical’ coming to Fox Theatre for the Christmas season Buddy the Elf is in town, and he’s bringing the holiday cheer! “Elf The Musical” is hitting the Fox Theatre stage Dec. 16-21, but Buddy’s not waiting till then to spread some Christmas magic. Catch him around Atlanta this weekend: Friday night at The Blind Elf Parlour Bar (5:30-7:30 p.m.), or Saturday at the Children’s Museum (10 a.m.-noon), the Georgia Festival of Trees (2-4 p.m.), and Atlantic Station’s Light the Station event (4-7:30 p.m.). So, grab your syrup and get ready—it’s gonna be festive! We have opportunities for sponsors to get great engagement on these shows. Call 770.799.6810 for more info.  We’ll be right back. Break: STRAND THEATRE STORY 4: Piedmont Oncology Opens Early Detection Pancreatic Cancer Clinic, First of Its Kind in Georgia  Piedmont Oncology just opened Georgia’s first Early Detection Pancreatic Cancer Clinic (EDC) at Piedmont Atlanta Hospital, and honestly, it’s a game-changer. Pancreatic cancer is brutal—only 13% of patients survive five years—but this clinic is here to change that. Why’s it so hard to catch early? No screening test exists, symptoms are vague, and many high-risk patients don’t even know they’re at risk. That’s where the EDC steps in: genetic counseling, cutting-edge research with NIH and Mayo Clinic, and a team laser-focused on early detection. “This is about saving lives,” said Dr. Andrew Page, the clinic’s medical director. STORY 5: More than 4 million expected to pass through Atlanta airport during Thanksgiving season Thanksgiving travel is in full swing, and Hartsfield-Jackson is bracing for over 4 million passengers. “It’s like our Super Bowl,” said General Manager Ricky Smith, half-joking but clearly ready for the chaos. The busiest day? Dec. 1, with 375,000 travelers expected—though that’s slightly down from last year, thanks to folks opting for road trips during the recent government shutdown. Still, the airport’s pulling out all the stops: new info totems, real-time TSA wait times, and extra security (some visible, some not). Smith’s advice? Arrive early, stay patient, and if something feels off, speak up. And now here is Leah McGrath from Ingles Markets on soy and oat milk We’ll have closing comments after this. Break: Ingles Markets 2 Signoff-   Thanks again for hanging out with us on today’s Marietta Daily Journal Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at mdjonline.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: www.ingles-markets.com Strand Marietta – Earl and Rachel Smith Strand Theatre See omnystudio.com/listener for privacy information.

As a property management business owner, you likely work with seasoned investors who are always looking for new ways to build and preserve their wealth and assets. In this episode of the #DoorGrowShow, property management growth expert Jason Hull sits down with Alan Porter to discuss how to reveal the powerful financial strategies the wealthy and large financial institutions use and how you can apply them. You'll Learn [01:09] Alan's Inspiration for Uncovering Financial Secrets [08:38] Learning Financial Planning Strategies 90% of People Don't Know [12:25] How to Get Started on the Path to Tax-Free Retirement [15:43] Strategies For Property Managers and Their Clients Quotables "The one thing you can always trust is for everybody to look out for their own self-interest." "If your own self-interest is in alignment with their interests, then that's a win-win. Otherwise, someone's gonna lose." "If you don't have a plan, make one. But you've got to have a plan and improve on it all the time." Resources DoorGrow and Scale Mastermind DoorGrow Academy DoorGrow on YouTube DoorGrowClub DoorGrowLive Transcript Alan Porter (00:00) I teach people to think outside the box, conventional financial planning, and show them the strategies that the wealthy and banking institutions have been using for years. Now, I show people how to become their own bank. Jason Hull (00:10) All right, welcome everybody. I am Jason Hull, the founder and CEO of DoorGrow, the world's leading and most comprehensive coaching and consulting firm for long-term residential property management entrepreneurs. For over a decade and a half, we have brought innovative strategies and optimization to the property management industry. We have spoken to thousands of property management business owners, coached, consulted, cleaned up hundreds of businesses. Alan Porter (00:26) Thank Jason Hull (00:35) helping them add doors, improve pricing, increase profit, simplify operations. And we run the leading property management mastermind in the industry. At DoorGrow, we believe good property managers can change the world and that property management is the ultimate high trust gateway to real estate deals, relationships, and residual income. We are on a mission to transform property management business owners and their businesses. We want to transform the industry. eliminate the BS, build awareness, change perception, expand the market, and help the best property management entrepreneurs win. Now, let's get into the show. So my guest today is Alan Porter of Strategic Wealth Strategies. Welcome, Alan. Alan Porter (01:16) Well, thank you for having me on. Jason Hull (01:18) Yeah, glad to have you. And we're going to be talking about, he's going to be sharing how to reveal the powerful financial strategies, the wealthy use, how you can apply them to. Alan will be uncovering the IRS approved playbook for retiring completely tax free, explain the millionaire tax strategies business owners use to keep more of what they earn and break down Wall Street myths to show how to build lasting wealth without market volatility. So Alan. Again, welcome to the show and why don't we kick things off by give us a little bit of background on you. How did you get into entrepreneurism, into business and give us a little bit of backstory so we understand how this all came to be. Alan Porter (02:00) Well, I never thought I'd be doing this. I retired from the military back in 1993. I was a Blackhawk instructor pilot and I told everybody I had a safe landing for every takeoff and I dodged all the bullets and I had a great career. And I got enrolled in the real estate mortgage business after that up till about 2008. I've had some tragic things happen to my family. In 2009, live in Little, mean Fayetteville, North Carolina. My son lived in Little Rock, Arkansas with his wife, Lynn. She was 39 and they had two little girls that were seven and four. Jason Hull (02:19) in 2009. Alan Porter (02:28) Well, we went down there for Christmas in 2009, but my son had been 100 % disabled for three years and still not getting the disability. And January 5th changed my entire life. His wife, Lynn, called me up. said, Alan, I've been diagnosed with stage four pancreatic cancer and they've given me six months to live. Of course we were all devastated, but there's a huge financial problem that's developed in my son's family because there's no money coming in. Jason Hull (02:28) Well, we went down there for business in 2009, but my son had been 100 % disabled for three years and still not in a disability. Wow. And January 5th changed my entire life. His wife Lynn called me up, she said, Alan, I've been diagnosed with stage 4 pancreatic cancer and they've given me six months to live. Of course, we were all devastated. Yeah, I bet. there's huge financial problem that's developed in my son's family because of the money coming in. Alan Porter (02:55) I'm helping them out, but I don't know for how long Jason Hull (02:55) I'm helping him out, but I don't help him. Alan Porter (02:56) until I'm gonna have to sell my house or do something. But I was like 99 % of the people out there, Jason, that thought life insurance was a death product that you had to die to benefit from it. Well, little did I know she had a terminal illness right or her life insurance policy that she could access within one year of diagnosis of this deadly disease and was completely tax free, which I knew nothing about. It was hundreds of thousands of dollars. Jason Hull (02:58) Yeah. Really? Alan Porter (03:21) And if it had not been for that, my son would be bankrupt and it took a huge financial strain off of me. Jason Hull (03:25) Yeah. Well, long story short, died a year later, so I moved my son back here to Fayetteville, North Carolina. But about a year after that, my daughter's an oncology nurse, and her husband's a doctor at Woodbrook and Raleigh, North Carolina, and just gave birth to my third grandson. And she was diagnosed with breast cancer, and it was very bad. We didn't think she was going to live. Well, now in 2023, she's been 12 years cancer free, but she also was diagnosed with Graves' disease, thyroid eye condition. Alan Porter (03:26) Well, to a long story short, she died a year later. So I moved my son back here to Fayetteville, North Carolina. But about a year after that, my daughter, who's an oncology nurse and her husband's a doctor, they live up in Raleigh, North Carolina, had just given birth to my third grandson. And she was diagnosed with breast cancer and it was very bad. We didn't think she was going to live. Well, now in 2023, she'd been 12 years cancer free, but she also was diagnosed with Graves disease and thyroid eye condition. There's only one treatment for it. It's not a cure-all for anything, but Jason Hull (03:51) And there's only one treatment for it. It's not a cure-all. Alan Porter (03:55) it's a treatment. It's an infusion, eight infusions of this drug is called Tepezza I believe. The first one was like $32,000. The last one was almost a quarter of a million dollars. That was in May of 2023. On January of 2024, the thyroid eye condition came back. In February, she went to the doctor. The doctor said, Nicole, I'm sorry, there's nothing we can do until you go blind and then we can operate. I'm thinking, man, what a prognosis. Jason Hull (03:55) my Yeah. ⁓ Alan Porter (04:21) So we tried to get her a study at Duke. She didn't qualify for that because she had already taken the Tepezza But April did get her into the Mayo Clinic in Rochester, Minnesota. But basically there's nothing they can do for her. She was up there for about four days for testing and consultation. But basically, like I said, there's nothing they can do for her. They got a drug that may be 50 % effective. It's not improved by insurance. And believe it or not, it's even more expensive than the Tepezza is. And it's just, I mean, so. Jason Hull (04:39) Yeah. Yeah. Alan Porter (04:51) So both of my kids are living day to day in misery. And when I got started in this, knew, like I said, these things, because I was to have a very successful real estate mortgage business. And I said, these financial strategies that the insurance companies have, why don't people know about this? These are the greatest financial vehicles out there. People tell me, well, listen to Suzy Orman and Dave Ramsey, insurance is not a good investment. Well, first off, it's not an investment. Jason Hull (04:54) When I got started in this, knew, like I said, these things, because I was very successful in estate in my early years. I said, these financial strategies that the insurance companies have, why don't people know about this? These are the greatest financial vehicles out there. People tell me, listen, as soon as you arm it today, Ramsey, insurance is not a good investment. Well, first off, it's not an investment. Alan Porter (05:18) It's an asset class all of its own. There's no other financial product that can Jason Hull (05:19) It's an asset class all of itself. There's no other financial product that... Alan Porter (05:23) provide the protection, performance, and benefits of cash value life insurance when properly structured and fixed and fixed indexed annually. And I'll give you one big point. They eliminate or mitigate the risk in retirement that a stock portfolio only compounds. That's absolutely... Let me ask you this. Have you ever heard of sequence of returns risk? Jason Hull (05:23) could provide the protection, performance, and benefits of cash, money, or life insurance. Yeah. if you have one big point, they eliminate or mitigate the risk in retirement that a stock portfolio only compacts. That's absolutely, let me ask you this, have you ever heard of sequence of returns risk? Sequencing returns? Sequence of returns risk. No.   Alan Porter (05:46) Sequence of returns risk. Well, don't feel lonely because 99 % of the people I talk to, to include multi-millionaires that have fee-based advisors. And let's say that you're 65 years of age and you go to retire and you got a million dollars in your stock portfolio. They used to say a 4 % distribution rate was a safe distribution rate to last for 30 years, index for inflation at 3%. Well, my plans go to age 120. They don't cut off in 30 years. Jason Hull (05:50) Well, don't feel lonely because 99 % of the people I talk to include multi-millionaires that have fee-based advisors. let's say that you're 65 years of age and you go to retire. You have a million dollars in your stock portfolio. They used to say a 4 % distribution rate was a safe distribution rate to last for 30 years, index for inflation at 3%. Well, my plans go at age 120. They don't cut off in 30 years. But the problem with that 4 % distribution rate Alan Porter (06:15) But the problem is that 4 % distribution rate, that's Jason Hull (06:19) That's $40,000 a year. And that stock portfolio, that's not guaranteed. What if you have a 10 % loss the first year? now your million dollars goes down to $900,000 minus the $40,000 you took out minus the fees you paid on financial advisor whether you make money or not. And then the next two to three years, 2008 happens again, where you lost 38 to 52%. You never got the money in the fifth year. And when I tell people about this, they're financial advisors, Alan Porter (06:19) $40,000 a year. And that stock portfolio, that's not guaranteed. What if you have a 10 % loss the first year? So now your million dollars goes down to 900,000 minus the $40,000 you took out minus the fees you pay that financial advisor, whether you make money or not. And then the next two to three years, 2008 happens again, where you lost 38 to 52%. You're going to be out of money in the fifth year. And when I tell people about this and their financial advisors, Don't tell them, I mean, they're said, I said, why do you think that is? Jason Hull (06:45) don't tell them. I made letters, I said, why do you think that is? Alan Porter (06:48) It's because they make a fee whether you make money or not. The number one fear in retirement is running out of money before you run out of money. I can eliminate that. Jason Hull (06:49) Because they make a fee, well, if you make money or not. The number one fair return is 20,000 dollars. Yeah, compensation structures are incentive models. And so if their incentive is not to tell you, it's because they're getting paid to not tell you. Well, they're supposed to be fiduciary looking out for their best interest clients. I'm a certified financial financial advisor. Yeah, but regardless, the one thing you can always trust is for everybody to look out for their own self-interest. Oh, you're right there. Alan Porter (06:59) Yeah, exactly right. Well, they're supposed to be fiduciaries looking out for their best interest clients. I'm a certified financial fiduciary. you're right there. Jason Hull (07:18) So if your own self-interest is in alignment with their interests, then that's a win-win. Otherwise, someone's gonna lose. Yeah. It's always the clients. Yeah. Yeah. Okay, well, that's quite the story. how is everybody doing now? Alan Porter (07:26) Yep. And it's always the client. My son looks like he's 85 years old and my daughter's living day to day in pain. Jason Hull (07:43) Yeah, yeah. So you have this burden of trying to figure out how do I take care of them? How do I make sure that, you know, taking care of your kids and, you know, nothing's more stressful emotionally or more motivating for us as a parent than our own kids having it going through a tough time. Yeah. I remember my oldest daughter, she was born with a birth defect that there was a rotation in her gut and she was just always sick, throwing up, stuff like this. Well, she almost died. We didn't know this. got, went and got a scan. Everything was inflamed. They're like, we have to do emergency surgery immediately. And yeah, it was pretty scary as a parent. And they had to like pull her guts out, do surgery, put them back in. And she was a little kid, you know? Now she's my oldest. I mean, she's still my oldest, but now she works for me. and in DoorGrow which is great. But yeah, I remember those times. That's really scary. And I can imagine that's just really a big load on your shoulders. So did this kind of spark you creating the strategic wealth strategies then? Alan Porter (08:30) No. Absolutely, that's my passion for this. I'm very passionate about what I do. It's all about education because people don't know. Jason Hull (08:49) Explain the passion, like what gets you excited about this? Alan Porter (08:53) Well, educating people. That's what I did in the Army. I was an educator. I taught people how to fly. it's just like this, educating people. I teach people to think outside the box, conventional financial planning, and show them the strategies that the wealthy and banking institutions have been using for years. Now, I show people how to become their own bank. I've been doing this for a decade and a half. And why don't everybody doesn't do this? I don't know why. mean, you borrow money from yourself, you pay yourself back compound interest. Jason Hull (09:16) you Alan Porter (09:20) and not the financial institutions and you eliminate the effective interest cost that you pay on the money that you borrow. And people, are you aware of what effective interest cost is? Banks love it. I had a gentleman who wanted to do my debt free for life plan. And I said, well, how much debt do you have? He says, well, we bought a new house a couple of months ago, a couple of car payments, a loan and a credit card. I said, what's the interest rate on your mortgage? He said 2.75. Jason Hull (09:20) Yeah. And people, are you aware? No, what is that? Alan Porter (09:46) I said, what's your effective interest cost on that? He says, well, I don't know what you're talking about, Alan. I said, don't fill it, only most people don't. Fill out my form, we'll do a Zoom conference the following week. I said, you got $461,000 in debt. That's not your problem. The problem is the 49.76 effective interest cost, you're paying on that 2.75 % mortgage. His eyes got real big and he said, Alan, how is that possible? I said, it's not going to get down to the 2.75 until the last couple of months of the mortgage. Jason Hull (10:10) Yeah. ⁓ Alan Porter (10:14) You've got a credit card here that's over 90 % effective interest cost. And even though you've got great credits, your average effective interest cost is over 46%. So my next question to him was, what financial vehicle are you investing in, your 401k or anything else, that gives you a 46 % return on your money? Because 46 cents of every dollar that you pay out goes to compound interest for some financial institution, and that money's gone for you forever. Jason Hull (10:17) and ⁓ Alan Porter (10:38) He said, well, nothing. In fact, I lost 10 % of my 401k. Jason Hull (10:40) Yeah, that'd be hard to find that much. And then my last question was how long does it you to your debts off? I said with my cap three buck of money and a whole lot of insurance policy, 14.17 years past, saving $73,000. And in the 10th year it would be 52 years of bids, and there's over $149,000 in cap Alan Porter (10:43) And then my last question was, how long can it take you to pay your debts off the way you're doing it? I 20 some years. I said, with my tax-free bucket of money and a whole life insurance policy and our software, we're paying all your debts off 14.17 years faster, saving you $73,000 in interest. And in the 10th year, you'll be 52 years of age and there's over $139,000 in a tax-free bucket of money that you can use ⁓ to buy a new car, whatever, college education for your kids. Jason Hull (11:06) you can use uh buy a new car whatever college education for your kids at that point your debt benefits will be $400,000 in tax-free money from the federal bank but think about this you don't have to any more money in this by the time you're 65 there'll be over $400,000 in tax-free money that you can use to supplement your income that does not affect the taxation of social security or the tax and community care part which will be in the thousands per year Alan Porter (11:13) At that point, your debt benefits over $400,000 of tax-free money to protect your family. Think about this. You don't have to put any more money in this. By the time you're 65, there'll be over a quarter of a million dollars in a tax-free bucket of money that you can use to supplement your income that does not affect the taxation of Social Security or the means testing for Medicare Part B, which will be in the thousands per year. You're protected from lawsuits, liens, and judgments, and it eliminates or mitigates all the risk in retirement. This is absolutely great for real estate investors. Jason Hull (11:35) Yeah. Yeah ⁓ Alan Porter (11:42) Because once they build that money up in the cash value of their policy, they can take it, go buy a property, and pay themselves back. I do this all the time. I just bought two new cars in last two years. I pay myself back. I'm going to have tens of thousands of dollars more because I compounded interest for me instead of some financial institution. Jason Hull (12:03) So you said multiple times, like why aren't people doing this? Well maybe you could answer your own question, why aren't people doing this? Alan Porter (12:10) It's lack of education. It ought to be taught in high school, but it's not. I've got college professors with PhD degrees in accounting and finance. They have no idea what I'm talking about. They ask me to teach their classes. Jason Hull (12:20) Yeah, got it. So it was just a lack of education on this. Alan Porter (12:24) That's exactly what it is. Jason Hull (12:25) So, yeah, well, I mean, it sounds like something that everybody should be doing. So how does somebody get started with this or how do they become aware of this or what would you say are the first steps? Alan Porter (12:38) Well, give me a call. I don't charge for my consultation services. That's free. It's an education. I think everybody needs to know these things because it will change their financial future, not only for them, but for their family also and possibly generations to come. at 9-8-5. Jason Hull (12:52) So Alan, it sounds like you've kind of found a passion in this. You really enjoy helping people to be able to figure this out and do this. Alan Porter (13:00) Absolutely. Jason Hull (13:01) So yeah, I think that's noble. I think this is pretty awesome. So for those that are listening to this point, I'm going to read a quick word from our sponsor and then Alan, I'm going have you share your phone number so they can get in touch with you and we can keep talking about it. So this episode is sponsored by KRS Smart Books. So if you're a property manager, are you tired of getting tangled up in numbers? KRS Smart Books has your back. They specialize in property bookkeeping. for small to mid-sized managers who'd rather focus on, well, managing. With over 15 years of experience in real estate accounting, their pros in AppFolio, Yardi, and all the top property management software, trust them to make your monthly reports hassle-free so you can get back to what really matters running your business. Head over to krsbooks.com to book your free discovery call. All right, so Alan, what's the number that they should get? to get in touch with you or to reach you to find out about this. Alan Porter (13:59) You can call me at 910-551-1046, email me at strategicwealth, the number zero at gmail.com. And you can always go to my website, which is www.strategicwealthstrategies.com and you can book appointment there. And I've got a plethora of information on that website. Jason Hull (14:18) What? Great, thanks for sharing. So for those that are listening, some people might listen to this and go, well, that's nice, but Alan probably can only work with people that maybe have a million dollars or that are ultra wealthy or have lots of savings. People will listen to this and say, that's probably not for me. What would you say to that? Alan Porter (14:39) Well, quite frankly, bull I work with everybody. know, I'm for the military. Military people don't make a lot of money. Okay. And I work with them, but I work with regular, regular working people that I mean, I'll give you a perfect example. I asked people, said, why do you contribute to a 401k? They said, well, it's a tax deduction. I said, no, it's a tax compounder. And I thought you don't think tax is going to be higher when you retire. I got another thing coming for you. Jason Hull (14:43) Okay. Right. Alan Porter (15:07) But see, thing is people don't understand. 1 % of people out there don't even think there's a fee in a 401k. A 1 % fee over a 30-year period will reduce your income by one-third. The average fee in a 401k is 2.99%. Now that's by Forbes Magazine and the Laptimes. People have less than two-thirds of their money and then they get hit with taxes anywhere from 20 to over 55%. And they're not prepared for it. They're not prepared for long-term care, which costs right now between $50,000 to $200,000 a year. I can get money for that's tax free for pennies on the dollar. It's just a matter of education. Jason Hull (15:43) So for the property management business owners listening, a lot of them will have sometimes hundreds of clients that are investors and they're wanting to maximize their investments, how would this maybe benefit the property management business owners to be better educated on this and have a strategic partner like you? Alan Porter (16:03) Well, the thing is, you've to have a plan.   If you don't have a plan, make one. But you've got to have a plan and improve on it all the time. But it's just like, you know, building up your cash value and borrowing from yourself to buy a property and paying yourself back. That's an absolutely great thing for a real estate investor. And these property managers, I've got health and wellness programs. If you've got employees over 10 employees, understand this. The employer will save anywhere from $500 to $700 a year in FICA taxes. The employee and the employer have 1,100 drugs, prescription drugs, at zero copay. That's 20 to 30 % of healthcare costs. Jason Hull (16:37) Yeah Alan Porter (16:50) I mean, and they also have an accidental indemnity program and that's not for the employer, but they have a revolution health app. They've got the number one telehealth app according to JD Power and associates. It's a plethora of benefits. We have legal club, we have identity shield. It's just all at no net cost to employer and no net cost to the employee. It's the section 125 of the tax program. Jason Hull (17:06) This is all at no net cost reported at no net cost reported. Got it. Got it, interesting. Okay, well cool. Well what else would people generally ask about this or should we make sure that the listeners are aware of related to this? Well, are you... Alan Porter (17:26) Well, are you risk averse? Are you conservative? You know, it's just like when you go to retire and you've got that million dollars in stock portfolio, a 4 % distribution rate, $40,000. If you had a property constructed fixed indexed annuity at, say, age 65, you'd only need approximately $650,000 of that stock portfolio to give you the same $40,000 a year. That's guaranteed for the rest of your life. we're guaranteed. Jason Hull (17:53) New York Heat. ⁓ Alan Porter (17:53) Never to have a loss through the market because we're not tied to the market for our gain. We use indexing strategies and every time that indexing strategy goes up we have increasing income and the older you get the higher the distribution rate is. You can't do that with a stock portfolio. It's not even comparable. Jason Hull (17:59) And every time that index of strategy goes up, we have increasing income. And the older you get, the Yeah, yeah. Well, Alan, I appreciate you coming on to the DoorGrow show and bringing this to light for those listening that are not aware you're doing your purpose of educating. So appreciate that. And to wrap up what final words do you have? And then again, why don't you go and share how people can get in touch with you one more time. Alan Porter (18:31) Okay, well I've got a best-selling book out right now on Amazon. It's called Tax-Free Retirement Solution. Again, Tax-Free, Tax-Free Retirement Solution. Jason Hull (18:38) It's called tax, tax free. Retirement solution, okay. Got it. Alan Porter (18:45) And again, you can call me at 910-551-1046. My email is strategicwealth, the number zero at gmail.com. And you can go to my website, which has a plethora. I've got videos, I've got blogs, I've got everything there. And you can book an appointment there at www.strategicwealthstrategies.com. Jason Hull (18:51) email is strategicwealth0 at gmail.com and you can go to my website which has a cluster. I've got videos, I've got blogs. book an appointment there at www.strategicwellscladagy.com. Awesome. Alan, appreciate you being on the show and thanks for your service. You mentioned your former military. Yeah, I appreciate it. So for those watching, if you've ever felt stuck or stagnant in your property management business, you want to take it to the next level, reach out to us at doorgrow.com. Also be sure to join our free Facebook community, Just for Property Management Business Owners at doorgrowclub.com. Alan Porter (19:13) Well, I appreciate it. Jason Hull (19:31) And if you would like to get the best ideas in property management, join our free newsletter at doorgrow.com slash subscribe. And if you found this even a little bit helpful, don't forget to subscribe and leave us a review. We'd really appreciate it. And until next time, remember the slowest path to growth is to do it alone. So let's grow together. Bye everyone.  

Award of Distinction recipient Sarah Hoerler has a unique role at the Mayo Clinic.  Listen to her story and how she introduces students to the system that makes a difference with hospitalized patients.

About Ariel Garten:Ariel Garten is a visionary neuroscientist, entrepreneur, and thought leader best known as the co-founder and chief evangelist of Muse, the brain-sensing headband that makes meditation easier through real-time neurofeedback. With a foundation in neuroscience from the University of Toronto, Ariel's early research at the Krembil Neuroscience Centre focused on Parkinson's disease and hippocampal neurogenesis. Her work bridges science, art, and mental wellness, a fusion evident in Muse's elegant design and its mission to help users strengthen their minds through technology.Before founding InteraXon, the parent company of Muse, in 2009, Ariel worked as a therapist in private practice, helping clients uncover clarity and overcome self-limiting beliefs. Her interest in brain-computer interfaces began in 2003 in Dr. Steve Mann's lab, where she explored thought-controlled technologies—an experience that later inspired InteraXon's debut project, Bright Ideas, which allowed participants at the 2010 Winter Olympics to control the lights on the CN Tower and Niagara Falls with their minds.Things You'll Learn:Daily brain tracking gives individuals and clinicians the kind of insights previously only available in labs, making brain health far more accessible.MUSE's new AI sleep coach and Digital Sleeping Pill adjust audio in real time to help users fall asleep faster and return to sleep when they wake.The device's dual EEG and fNIRS sensors measure electrical activity and blood oxygenation, enabling both sleep analysis and cognitive training.Research from the Mayo Clinic indicates that just five minutes of daily use resulted in a 54% reduction in burnout among healthcare professionals.Pharmaceutical companies, clinicians, and researchers are turning to MUSE for distributed sleep studies, cognitive data, and medication response tracking.Resources:Connect with and follow Ariel Garten on LinkedIn.Follow MUSE on LinkedIn and visit their website.Email the MUSE team directly here.

There are some groups in comedy clubs that comedians dread . . . Bacherlorette parties rank right up there around number 1. I've had to deal with my fair share of them but one club owner actually had a brilliant idea for marketing to them to make extra money. Check out my short story here.  https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Host: Darryl S. Chutka, M.D. Guests: William J. Casey III, M.D. and Andrea L. Cheville, M.D. There are numerous reasons a patient may develop swelling of an extremity. One of the less common reasons, but often misdiagnosed or undiagnosed is lymphedema. What is lymphedema, why does it occur and who's at risk for it? Early recognition is important to prevent complications and primary care providers play a crucial role in identifying patients with lymphedema, coordinating their care and providing follow-up. How can we differentiate lymphedema from other causes of swelling? What are the potential complications if lymphedema is not correctly diagnosed and finally, what are some of the latest treatments available for the management of lymphedema? The topic for this podcast is “Lymphedema: Challenges and Success” and my guests include Andrea L. Cheville, M.D., a physician in the Department of Physical Medicine and Rehabilitation and William J. Casey, III, M.D., a physician in the Department of Plastic Surgery, both at the Mayo Clinic. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts  To hear more about this series: https://ce.mayo.edu/content/mayo-clinic-talks-vascular-medicine-series

In this episode of HALO Talks, host Pete Moore sits down with Reka Gobis from Kisaco Research. They discuss how their Connected Health & Fitness Conference is evolving to bring together industry leaders—from boutique gyms and major brands like Nike and Adidas, to healthcare giants like Mayo Clinic and Cleveland Clinic. They discuss the importance of creating actionable, science-backed insights and meaningful connections in an intimate setting, all designed to help operators deliver tech-enabled solutions and drive real change in the HALO sector. If you're looking for fresh ideas, strategic partnerships, and inspiration for 2026 and beyond, this episode is a great guide to why you should be at next year's Connected event in LA on Feb 18-20! Gobis states, "At Kisako, and especially at our Connected event, we focus on content all of which is based in hours and hours of research with the industry and most importantly the primary market. The gyms, boutiques, wellness clubs, hotels, spas, longevity clinics we spoke to . . . are based on the key challenges that they are experiencing in the industry, and what we're trying to do over the year is find potential solutions to these key challenges." Key themes discussed Evolution of the Connected Health & Fitness Conference. Integrating the health, wellness, fitness, and technology sectors. Senior-level industry attendance and networking opportunities. Science-backed, actionable conference content and research. Partnerships between operators, brands, and healthcare providers. Dedicated focus on women's health and longevity. Emphasis on community, member experience, and practical takeaways. A Few Key Takeaways:  1.Evolution and Focus of the Connected Event: Rika explained how the Connected Health & Fitness event has evolved over seven years, expanding beyond just connected fitness to now fully encompass health, wellness, fitness, and tech. The goal is to create an ecosystem that enables operators to deliver science-backed, holistic, and tech-enabled solutions for the industry. 2. High-Level Attendees and Diverse Ecosystem: One of the distinctive aspects of the event is its seniority of attendees—50-60% are C-level executives. The audience isn't limited to traditional fitness operators but also includes hotels, spas, healthcare providers (like Mayo Clinic and Cleveland Clinic), insurance, pharma, and big brands like Nike and Adidas. This diversity encourages powerful partnerships and networking across adjacent industries. 3. Research-Driven, Actionable Content: The programming is based on extensive industry research, focusing on real, current challenges faced by operators, boutiques, hotels, and clinics. The format emphasizes rapid-fire, specific sessions (typically 20-30 minutes) driven by data and science, not just generic panel discussions. Rika personally ensures all sessions deliver tangible ROI and actionable takeaways. 4. Special Emphasis on Emerging Topics: Women's Health & Longevity: A unique aspect of the 2026 event is a multi-hour Women's Health Symposium—a significant step up from the usual short panels—tackling issues like hormones, fertility, training around the menstrual cycle, and case studies from operators leading in this space. There's also a significant focus on longevity and how fitness operators can position themselves as preventive health "hubs" in partnership with healthcare. 5. Opportunities for Hands-On Learning, Networking & Fun: Attendees will have access to workshops, a workout room, media lounge for podcasts, workout/recovery pop-ups, and the chance to try the latest in equipment and wellness experiences. Rika guarantees not just actionable business insights, but meaningful connections and enjoyable experiences that can reshape attendees' strategic plans for 2026 and beyond. Resources:  Reka Gobis: https://www.linkedin.com/in/r%C3%A9ka-g%C3%B3bis-business-management-and-marketing   Connected Fitness: https://connectedhealthandfitness.com/events/connected-health-fitness-summit-2026  Integrity Square: https://www.integritysq.com Prospect Wizard: https://www.theprospectwizard.com Promotion Vault: https://www.promotionvault.com HigherDose: https://www.higherdose.com

Tricuspid Regurgitation: New Insights and Implications for Clinical Practice   Guest: Vidhu Anand, M.B.B.S. Host: Kyle Klarich, M.D.   This episode of Mayo Clinic's “Interviews With the Experts,” explores new insights into tricuspid regurgitation and its implications for clinical practice. Dr. Vidhu Anand discusses the dynamic nature of TR, its impact on prognosis, and the importance of close monitoring even when the condition appears to improve. The conversation highlights evolving guideline considerations, patient risk stratification, and how AI and machine learning may soon support earlier, more personalized interventions. Listeners will gain practical takeaways on when to escalate care and how to optimize long-term outcomes for TR patients.   Topics Discussed: How has our understanding of the natural history of tricuspid regurgitation changed, and what does this mean for the way we monitor and counsel patients? What are the current indications for intervention in isolated TR? How is TR currently classified? Are there any novel classifications based on patient's risk profile, since comorbidities play an important role in TR? Review of Mayo Clinic study using AI/machine learning and outcomes in TR.   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode.   Podcast episode transcript found here.

This month we are joined by Dr. Karen Meagher, Assistant Professor of Health Justice and Bioethics at the Lewis Katz School of Medicine at Temple University. Recently, Dr. Meagher was the Associate Director of public engagement in the Biomedical Ethics Research Program at the Mayo Clinic. Her research focuses on public health ethics and social implications of advances in microbial and human genetics. She has a PhD in philosophy from Michigan State University. From 2012-2016 she worked as a senior policy and research analyst on the staff of president Barak Obama's Presidential Commission for the study of bioethical issues.Listen in as Dr. Meagher shares her career journey starting with her undergraduate interest in the philosophy of science and social influences of how science gets done. She describes how she was drawn to the growing field of public health ethics, which blossomed in the early 2000s with increasing publications and dedicated journals. Dr. Meagher describes her Virtue Ethics orientation to public health ethics and shares the inside scoop on what it is like to serve on a Presidential Commission.Later in her career, embedded with Mayo clinic biobank, Dr. Meagher describes her experiences with public engagement with community and how bioethicists can be a bridge between basic scientists and the community when grappling with difficult ethical dilemmas like those dealing with broad consent for future research with banked specimens.Finally, we delve into a discussion of how Dr. Meagher's work on antimicrobial resistance led her to engage in concepts of One Health Policy, which recognizes the interdependence of people, animals and the environment. She highlights the importance of breaking down silos between researchers in different sectors and how bioethics can bridge disciplines and create shared moral language, while also centering engagement of communities to help define these problems from different perspectives. Selected publications of Dr. Meagher's which were referenced in the podcast can be found here:Meagher KM. Can One Health Policy Help Us Expand an Ethics of Interconnection and Interdependence? AMA J Ethics. 2024 Feb 1;26(2):E162-170. doi: 10.1001/amajethics.2024.162. PMID: 38306206.https://pubmed.ncbi.nlm.nih.gov/38306206/Meagher KM, Curtis SH, Gamm KO, Sutton EJ, McCormick JB, Sharp RR. At a Moment's Notice: Community Advisory Board Perspectives on Biobank Communication to Supplement Broad Consent. Public Health Genomics. 2020;23(3-4):77-89. doi: 10.1159/000507057. Epub 2020 May 12. PMID: 32396907.https://pubmed.ncbi.nlm.nih.gov/32396907/Meagher KM. Considering virtue: public health and clinical ethics. J Eval Clin Pract. 2011 Oct;17(5):888-93. doi: 10.1111/j.1365-2753.2011.01721.x. Epub 2011 Aug 11. PMID: 21834841.https://pubmed.ncbi.nlm.nih.gov/21834841/Meagher KM, Lee LM. Integrating Public Health and Deliberative Public Bioethics: Lessons from the Human Genome Project Ethical, Legal, and Social Implications Program. Public Health Rep. 2016 Jan-Feb;131(1):44-51. doi: 10.1177/003335491613100110. PMID: 26843669; PMCID: PMC4716471.https://pubmed.ncbi.nlm.nih.gov/26843669/

How often do you think about the air your projects are asking people to breathe? In this episode of I Hear Design, host Robert Nieminen unpacks why indoor air quality (IAQ) has become a frontline design issue—from post-pandemic health concerns and wildfire smoke to rising expectations for healthier workplaces. Unpacking insights from articles published in interiors+sources and BUILDINGS, along with recent research, Robert walks through breakthrough initiatives like ARPA-H's BREATHE program and Mayo Clinic's HAIQU project, as well as the new Global Commission on Healthy Indoor Air launched at the United Nations, and explains what they mean for architects, interior designers, and facilities professionals. You'll learn practical strategies for improving IAQ across planning, building systems, interiors, and existing building retrofits along with real-world scenarios and key questions to bring to your next client meeting. If you're looking to connect wellness, resilience, and performance in your projects, this episode is your IAQ playbook.

Sex is generally synonymous with pleasure, but sometimes it can bring on headaches that are unpleasant at best. They're known as sex headaches or orgasm headaches, but the scientific term is “primary headache associated with sexual activity”. And they don't just kill the mood in the bedroom. The resulting pain usually lasts at least a few minutes according to The Mayo Clinic, but it can be a matter of hours or even days. These headaches can happen regularly, occasionally, or even just once in a lifetime. A case report published in Medical Principles and Practice in 2013 estimated the prevalence of sex-related headaches at 1% to 1.6%, meaning they're pretty rare all things considered. What do people typically experience? Do we know what causes them? What should I do if I start getting sex headaches then? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: ⁠Is sex without feelings ever a good idea?⁠ ⁠Could using lube help you get more pleasure from sex?⁠ ⁠How is grounding helping women to have more orgasms?⁠ A podcast written and realised by Joseph Chance. First Broadcast: 26/10/2024 Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Brenna T. Loufek, Director of AI Regulatory and Quality at Mayo Clinic, discusses how the organization safely translates AI innovations into clinical practice. She explains governance frameworks, ethical considerations, and strategies for deploying AI tools to support both administrative efficiency and clinical decision-making while maintaining trust and patient safety. - The views expressed are Brenna's personal views, and do not necessarily reflect the policy or position of Mayo Clinic.

In today's episode, Dr. Disha Spath sits down with Dr. Zwade Marshall—Emory- and Harvard-trained anesthesiologist, interventional pain specialist, CMO of Regenerative Spine and Pain Specialists, and co-founder/CEO of Doc2Doc Lending, a lending platform built by doctors for doctors. Dr. Marshall shares the real story behind why traditional banks misunderstand early-career physicians, how his own relocation struggle sparked Doc2Doc, and how their proprietary underwriting finally evaluates doctors based on potential, not current cash flow. Whether you're an early-career doctor trying to get approved for a loan, or an experienced physician thinking about launching your own practice, this episode is full of practical, real-world financial advice that medical training never covered. Key Topics Covered: 1. Why traditional banks undervalue physicians How big student loans and low early income distort our financial picture and why banks overlook our recession-proof earning potential. 2. How Doc2Doc Lending was born The moment Dr. Marshall realized the system was broken and how he built a lending model that evaluates physicians prospectively, not punitively. 3. What makes Doc2Doc underwriting different NPI verification, training stage, specialty, geography, cash-flow behaviors, and machine-learning insights that actually reflect physician realities. 4. When using leverage makes sense Why personal loans can be powerful tools for practice start-up costs, fix-and-flips, or bridging SBA delays and why they shouldn't be used for consumption. 5. Understanding loan types, rates, and flexibility How Doc2Doc's unsecured personal loans work, the monthly rate model, no-prepayment-penalty structure, and common use cases among physicians. 6. Credit scores, shame, and starting from scratch A discussion especially relevant for immigrants and young physicians with thin credit files plus why your early FICO score doesn't define your financial future. Listener Takeaways: How Doc2Doc evaluates doctors differently than banks Why physicians are statistically low-risk borrowers (even with $300K+ in loans) What new attendings need to know about credit scores, debt, and loan approvals Accessing fair and fast personal loans as a resident, fellow, or new attending How physicians can use lending to start a medical practice The most common mistakes new practice owners make and how to avoid them Why private practice and cash-based care models are creating new physician freedom Connect with Us: Host: Dr. Disha Spath, The Frugal Physician Guest: Dr. Zwade Marshall, CEO of Doc2Doc Lending   This episode is brought to you by Doc2Doc Lending. Doc2Doc Lending offers personal loans up to $100,000 for doctors — designed to help you consolidate debt, invest in your goals, or get ahead financially. Founded by doctors for doctors, we make funding simple, transparent, and tailored to the medical community. Visit their website at: https://www.doc2doclending.com/personal-loans-for-physicians/?utm_source=FrugalPhysician&utm_medium=podcast&utm_campaign=FP   This episode is brought to you by Black Swan Real Estate, led by physician-investor Dr. Elaine Stageberg.  Dr. Stageberg, a Mayo Clinic–trained physician, together with her husband Nick, has spent years building Black Swan Real Estate into a diversified, large-scale portfolio now approaching half a billion dollars across 2,000 doors.  Now, through their Secure Freedom Fund, a 10% fixed rate of return offering, you can invest alongside them. The Secure Freedom Fund offers institutional-quality real estate opportunities—designed to deliver strong cash flow, long-term growth, and remarkable tax advantages.  This fund is uniquely structured so that each investor can tailor it to their own individual goals: a minimum investment of just $25,000, the ability to choose monthly cashflow distributions or to elect the compounding option for higher overall growth, the option to exit the fund on your timing, the flexibility to invest in your personal name, a trust, an LLC, or a retirement account, and so much more.  If you're an accredited investor who's ready to diversify beyond Wall Street and invest with experienced, trust worthy operators who've been exactly where you are, visit SecureFreedomFund.com today to learn more. From there, you can review the slides, watch the webinar, and even a book a call directly 1:1 with Dr. Elaine Stageberg.  That's SecureFreedomFund.com.

In this episode of The Modern Facilities Management Podcast, Griffin Hamilton sits down with Nick Queensland, a a healthcare facilities leader with more than 25 years of experience at Mayo Clinic, Luminis Health, and Johns Hopkins. Griffin and Nick dig into the realities of change management in hospital facilities—why buy-in matters, how to communicate effectively with stakeholders, and why reinforcing change is just as important as implementing it. Nick also reflects on the evolving expectations in healthcare facilities and the importance of engaging teams at every level.If you're looking to grow your career or lead change in facilities management, this episode is packed with practical insights and hard-earned lessons.Key Topics CoveredNavigating a 25+ year career in hospital facilitiesThe importance of understanding your role in healthcareLeadership philosophies and developing future FM talentChange management: buy-in, communication, and reinforcementEngaging stakeholders across clinical and non-clinical teamsHow expectations in hospital facilities have evolvedBuilding team culture during times of changeEnjoy!

In this episode of “Answers From the Lab,” host Bobbi Pritt, M.D., chair of the Division of Clinical Microbiology at Mayo Clinic, is joined by William Morice II, M.D., Ph.D., president and CEO of Mayo Clinic Laboratories, to discuss recent news about Protecting Access to Medicare Act (PAMA) reform. Then, Dr. Pritt welcomes Trish Simner, Ph.D., a clinical microbiologist at Mayo Clinic, for an in-depth conversation about metagenomics. PAMA reform update and new RESULTS Act (00:30): Hear about options under consideration for PAMA reform, including the Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act.When cerebrospinal fluid (CSF) metagenomics benefit patient care (06:04): Explore how CSF metagenomics work and when it is appropriate to use this advanced diagnostic tool in clinical practice.Advancement and innovation in metagenomics (18:15): Discover how recent and upcoming innovation is expanding metagenomic testing capabilities. Note: Information in this post was accurate at the time of its posting.ResourcesAnswers From the Lab podcast: Developments for LDT Regulation and Laboratory Reimbursement: Bill Morice, M.D., Ph.D.Metagenomics: Identifying elusive pathogenic microorganisms

Paul J. Hampel, MD, Mayo Clinic, Rochester, MN Recorded on November 4, 2025 Paul J. Hampel, MD Assistant Professor of Medicine Division of Hematology, Department of Medicine Mayo Clinic Rochester, MN In this episode, Dr. Paul Hampel from Mayo Clinic Rochester takes a comprehensive look at hairy cell leukemia (HCL). He reviews the current diagnostic work-up, including immunophenotypic and molecular testing, and highlights key clinical features that distinguish HCL from related disorders. Dr. Hampel also discusses approved frontline therapies and evidence-based approaches for relapsed or refractory disease, with attention to infection risk and supportive care. The conversation explores emerging agents, novel combinations, and clinical trials shaping the next wave of HCL management. Join us for this expert discussion, offering practical insights to enhance care and outcomes for patients with HCL.

Modern medicine can treat almost anything. Yet it often misses the root of what makes us sick.   Dr. Ravi Kumar is a neurosurgeon who trained at the Mayo Clinic and spent years in operating rooms before realizing he needed to step away. He sold everything and moved his family to India, where he worked in mission hospitals under the most basic conditions.   Those experiences changed the way he views medicine, aging, and what it really means to heal. In this episode, Dr. Kumar shares what he's learned about the lifestyle choices that support our long-term health.   How Ravi's experience in India reshaped his understanding of care and gratitude Why stress can affect our health long before we notice What we should know about our metabolic health How nutrition plays a major role in longevity and energy Why movement matters more than prescriptions   Resources: Dr. Kumar DiscoveryThe Dr. Kumar Discovery Podcast   Social Media: Connect on FacebookConnect on InstagramConnect on TikTokDr. Kumar on YouTubeConnect on LinkedIn  

In this podcast episode, Paul Limburg, MD, MPH, discusses the movement from academics to industry, developments in colorectal cancer screening tools and more. •    Intro 1:11 •    Paul Limburg, MD, MPH  1:17 •    How did your early influences and childhood years lead you to become interested in gastroenterology and the career you have today?  1:34 •    Who were your early inspirations?  2:14 •    How did you transition from a career in academics and sciences to a life on the commercial side? 3:34 •    How did your role at Exact Sciences come about? 5:58 •    Was it a hard decision to take a new position? 7:47 •    Chey and Limburg on the joy of advancing science and innovation. 9:03 •    Were there any cultural differences that shocked you about the ways work is done in your previous and current positions? 10:10  •    Do you see Exact outsourcing scientific research as the company grows? 12:12 •    What does a typical day look like for you at Exact? […] What are you responsible of as the leading physician? 13:28 •    From a product standpoint, what is ahead on the roadmap for Exact Sciences? […] What are you most excited about regarding next-generation multi-target stool testing and its impact? 15:14 •    How do you respond to gastroenterologists' skepticism and concerns surrounding stool-based screening? 21:15 •    What about addressing the concerns surrounding how we can ensure patients with a positive FIT test go in for a colonoscopy? 23:22 •    How much of an issue are language barriers when it comes to screening tools? 28:11 •    Can you talk about how Exact Sciences are using AI and the evolution of the microbiome internally or in product development? 29:42 •    Do you see a future for stool-based testing in between/in combination with colonoscopies? 32:59 •    Have you noticed differences in sensitivity and specificity based on age? 34:07 •    What are your thoughts on making these tools available in a direct-to-consumer offering? […] How do you make these screening tools more readily available while weighing the usage risks? 35:08 •    What is the rate of patients who have a positive stool-based test getting a colonoscopy? 38:44 •    If you were talking to a GI fellow deciding to make the jump to industry, what do you tell them? 41:58 •    Thank you, Paul 44:55 •    Thanks for listening 45:21 Paul J. Limburg, MD, MPH, is chief medical officer for screening at Exact Sciences and emeritus professor of Medicine at Mayo Clinic.     We'd love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on X @HealioGastro @sameerkberry @umfoodoc. For more from Dr. Limburg, follow @limburg_paul and @ExactSciences on X. Disclosures: Chey and Berry report no relevant financial disclosures. Limburg reports he is an employee of Exact Sciences.

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by 4th year general surgery resident Joe El Badaoui (@JosephBadaouiMD), JVS editor Dr. Audra Duncan (@ADuncanVasc), and JVS-VS editor Dr. John Curci (@CurciAAA) to discuss two great articles in the JVS family of journals. The first article discusses an extensive experience using cryopreserved arterial allografts for vascular reconstruction after major oncologic surgery. The second article sheds light on nanoplastics in atherosclerotic plaques.  This episode hosts Dr. Sebastian Cifuentes, Dr. Randall DeMartino (@randydemartino), Dr. Pierce Massie, and Dr. Ross Clark, the first and senior authors of these two papers. Articles: Part 1:Ten-year experience using cryopreserved arterial allografts for vascular reconstruction during major oncologic surgery (Drs. Cifuentes & DeMartino) Part 2: Micro- and nanoplastics are elevated in femoral atherosclerotic plaques compared with undiseased arteries (Drs. Clark & Massie) Show Guests  Dr. Sebastian Cifuentes is a first year integrated vascular surgery resident at University of Michigan in Ann Arbor, MI Dr. Randall DeMartino is a Professor of Surgery and the chair of the Division of Vascular and Endovascular Surgery at the Mayo Clinic in Rochester, MN Dr. Pierce Massie is a general surgery resident in his research time at the University of New Mexico School of Medicine in Albuquerque, NM Dr. Ross Clark is an Assistant Professor of Vascular Surgery and Assistant Professor of Cell Biology and Physiology at the University of New Mexico School of Medicine in Albuquerque, NM Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

This episode recorded live at the 10th Annual Health IT + Digital Health + RCM Annual Meeting features Henry Stokman, Principal, ECG Management Consultants, and Edwina Bhaskaran, MSN, RN, Chief Clinical Systems and Informatics Officer, Mayo Clinic. They discuss how health systems can balance innovation and risk in AI adoption, evaluate vendor partnerships, and build sustainable strategies for automation and digital transformation.This episide is sponsored by ECG Management Consultants.

Host: Darryl S. Chutka, M.D. Guest: Martin G. Ellman, D.P.M. We don't really appreciate our feet until they hurt and then we become extremely aware of every step we take. Plantar fasciitis, bunions, metatarsalgia; all foot disorders which can result in foot pain and represent common reasons for an outpatient visit. What's the role of the primary care clinician in the evaluation of foot pain? How should these conditions be managed? I'll be reviewing common causes of foot problems as well as the management of foot pain with Martin G. Ellman, D.P.M., a podiatrist at the Mayo Clinic as we discuss “The Agony of De-Feet”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Peripheral neuropathy affects approximately 1% of adults worldwide and can be associated with significant disability. Author Michelle Mauermann, MD, of the Mayo Clinic in Minnesota joins JAMA Deputy Editor Mary M. McDermott, MD, to discuss diagnosis and optimal management of peripheral neuropathy. Related Content: Peripheral Neuropathy

In this episode, we explore a groundbreaking Mayo Clinic algorithm that revolutionizes antipsychotic selection for first-episode psychosis. Should the presence of violence completely change your medication choice strategy? Faculty: Oliver Freudenreich, M.D. Host: Richard Seeber, M.D. Learn more about our membership here Earn 0.75 CME: Quick Take Vol. 75 Schizophrenia Algorithm: Selecting an Antipsychotic for First Episodes

This week on the Reiki Lifestyle Podcast we welcome our dear friend and colleague, Dr. Martha Lacy—retired physician, Reiki Master Teacher, astrologer, and gifted potter. After 40 years in medicine, including 33 years at Mayo Clinic specializing in hematology and oncology, Martha now shares her wisdom through Reiki, astrology, and creative practice. In this inspiring conversation, Martha takes us inside her journey from the medical world into Reiki and spiritual practices, and how she now teaches self-care as a vital skill for everyday life. She shares stories from her work with multiple myeloma patients, including how Reiki empowered them with peace and relief, and how mindfulness, meditation, connection with nature, and creativity support both healing and wholeness. We also explore the balance of left brain and right brain awareness, how Reiki supercharges self-care practices, and Martha's insights into the current astrological cycles shaping our collective experience. Highlights from this episode: ●      Martha's story of transitioning from physician to Reiki Master Teacher ●      How Reiki enhances mindfulness, meditation, and creative flow ●      Simple, accessible self-care practices for daily life ●      The role of right brain consciousness in healing stress and anxiety ●      Real patient stories from her time leading Reiki studies at Mayo Clinic ●      Astrology insights on today's planetary shifts and what they mean for us ●      Pottery as a Reiki-infused creative outlet for beauty and balance Whether you're navigating personal healing, exploring Reiki, or simply looking for ways to bring more peace and flow into your life, this conversation will leave you inspired. Listen Now and join the conversation on the Reiki Lifestyle Podcast! Guest Info:Find Martha Lacy for Reiki, astrology, and pottery offerings. Website: MarthaLacy.com https://www.marthalacy.com Instagram: @Pathfinder Ceramics Facebook: at Pathfinder Pottery ✨Connect with Colleen and Robyn  Classes: https://reikilifestyle.com/classes-page/ FREE Distance Reiki Share: https://reikilifestyle.com/community/  Podcast: https://reikilifestyle.com/podcast/ (available on all major platforms too) Website: https://reikilifestyle.com/ Colleen Social Media: Facebook: https://www.facebook.com/ReikiLifestyle Instagram: https://www.instagram.com/reikilifestyleofficialempo **DISCLAIMER** This episode is not a substitute for seeking professional medical care but is offered for relaxation and stress reduction which support the body's natural healing capabilities. Reiki is a complement to and never a replacement for professional medical care. Colleen and Robyn are not licensed professional health care providers and urge you to always seek out the appropriate physical and mental help professional health care providers may offer. Results vary by individual.

It's YOUR time to #EdUpIn this episode, President Series #422, powered by ⁠⁠⁠Ellucian⁠⁠⁠, & sponsored by the 2026 InsightsEDU Conference in Fort Lauderdale, Florida, February 17-19,YOUR guest is Dr. Michael Horowitz, Chancellor, The Community Solution Education SystemYOUR host is ⁠⁠Elvin Freytes⁠⁠⁠⁠⁠⁠⁠⁠How does a 6 university system serve 13,500 students through shared infrastructure instead of each institution maintaining separate marketing & finance departments?What happens when a clinical psychologist becomes a chancellor & launches a podcast about breaking convention in higher education?How does a "high adoption model" for AI in healthcare programs beat doctors only diagnosis while increasing radiologist positions at Mayo Clinic?Listen in to #EdUpThank YOU so much for tuning in. Join us on the next episode for YOUR time to EdUp!Connect with YOUR EdUp Team - ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Elvin Freytes⁠⁠⁠⁠⁠⁠⁠⁠⁠ & ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Dr. Joe Sallustio⁠⁠⁠⁠● Join YOUR EdUp community at The EdUp ExperienceWe make education YOUR business!P.S. Want to get early, ad-free access & exclusive leadership content to help support the show? Then ⁠​subscribe today​⁠ to lock in YOUR $5.99/m lifetime supporters rate! This offer ends December 31, 2025!

Good morning, afternoon, and evening, fellow real estate gladiators! Ever wondered if those sweet Airbnb profits are just a myth, or if you can actually turn a rental into a cash-flowing beast? Well, get ready, because Scott is joined by the Twin Cities' own rockstar investor, Mike Swenson! Mike's not just an amazing investor, he's a realtor-broker, a multifamily maven, and he's mastered the art of short-term rental (STR) arbitrage. We're diving deep into his journey from a foreclosed townhouse to building a robust real estate empire, including some juicy stories from the front lines of STR management. If you're looking to boost your cash flow, scale your portfolio, or just avoid cleaning up after a wild party, this episode is your golden ticket!In this episode, you'll learn:Arbitrage & Strategic Market Shift: Discover Mike's strategic pivot from Minneapolis/St. Paul's complex regulations and tenant-friendly policies to the growth potential of Southern Minnesota (hello, Mayo Clinic!). Learn how STR arbitrage became his "air game" – a brilliant way to gain experience and quick cash flow without the huge capital commitment of "slow-flip" apartment buildings.Nailing STR Profitability: The 2X Rule & Smart Due Diligence: Forget the 1% rule for traditional rentals; Mike shares how he aims for 2X the conventional rent for his short-term rentals. Get his insider tips on using tools like AirDNA for market analysis, spotting "notch above" properties (think updated kitchens & baths!), and why consistent year-round demand (near airports, attractions like the Mall of America, and business hubs) trumps seasonal "cabin country" for stable income.Landlord Hacks & Ironclad Insurance: Mike reveals his secret sauce for convincing landlords to embrace STR arbitrage – frame it as a "corporate rental" and highlight the benefits of consistent property oversight, proactive maintenance, and reliable rent. Plus, understand the crucial role of specialized landlord insurance and the necessity of your own STR policy to protect against those inevitable "hiccups" (like, say, a drug lab or a wild party!).The Unfiltered Truth of STR Operations: Cleaners, Guests & The Occasional Chaos: Prepare for the unfiltered truth about STR management! Mike breaks down the biggest operational challenges: finding and managing reliable cleaning crews (a major expense!), handling demanding guests (some expect the Four Seasons, bless their hearts!), and the constant battle against wear and tear (RIP that toilet paper holder!). Learn why banning one-night and same-day local bookings became his hard-earned golden rule to dodge party animals and less-than-desirable tenants.Scaling Smart: From Side Hustle to Empire & Your Next Steps: Mike reflects on his journey, explaining why arbitrage was his training ground and how he eyes future growth by owning STR properties for long-term appreciation or scaling into hospitality ventures. He offers crucial advice: truly understand your numbers (margins can shrink!), don't scale too fast, and always include lease clauses to protect yourself from changing STR regulations. Remember, it's not truly passive until you build the right leverage!So there you have it, folks! Mike Swenson's deep dive into the dynamic world of short-term rentals and multifamily investing proves that with strategy, resilience, and a good sense of humor, you can navigate the ups and downs of real estate. From dodging party planners to mastering landlord relations, his insights are pure gold. Ready to grab some of that cash flow for yourself and maybe even build an apartment empire? Connect with Mike and let his journey inspire your own. Go out, take some action, and let's turn those properties into cash cows (preferably without the weed smokers!). We'll see you at the top!Watch the Original VIDEO HERE!Connect with Mike Here!Book a Call With Scott HERE!Sign up for the next FREE One-Day Note Class HERE!Sign up for the WCN Membership HERE!

Join us for this exciting episode as Dr. Debbie Ozment, DDS shares practical, simple, and valuable strategies for enhancing life and maximizing vitality. As the host of the Vitality Made Simple podcast, Dr. Ozment is an expert in the early diagnosis and intervention of periodontal disease.  By taking the stress out of being healthy, she addresses key concerns such as chronic inflammation, toxins, and emotional anxiety — issues known to drain people of their energy and wellbeing… This discussion outlines: How small, sustainable lifestyle habits can significantly extend your vitality span. The connection between oral health, systemic inflammation, and chronic disease prevention. Simple ways to lower stress and improve overall wellbeing through an integrative, preventive approach. Dr. Debbie Ozment has been a private-practice dentist since 1985. A graduate of the University of Oklahoma College of Dentistry, she also served as adjunct faculty there for seven years. Dr. Ozment earned a Master's degree in Metabolic and Nutritional Medicine from the University of South Florida Morsani College of Medicine and is a Diplomate of the American Academy of Anti-Aging Medicine. Trained at the Mayo Clinic, she is also a National Board-Certified Health and Wellness Coach. Want to discover how Vitality Made Simple provides listeners with sustainable solutions for maximizing their vitality span? Tune in now to hear Dr. Ozment's refreshing Integrative Medicine approach, which unites physical, mental, and emotional wellbeing into one cohesive and actionable framework. Follow Dr. Ozment on Instagram @drdebbieozment for her latest updates and insights