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Take aways: Learn about Hilary and Steve's journey to enhance care for people with aphasia. Learn about communication access as a health equity issue. Identify systematic gaps and the disconnect between training and real world needs of people with aphasia. Learn about the development of the MedConcerns app. Get sneaky! Learn how the MedConcerns app can serve four functions simultaneously: 1) meeting the needs of someone with aphasia 2) serving as a tool that providers can use to communicate with people with aphasia 3) providing education to providers who learn about aphasia as they use the app 4) bringing SLPs and other providers together to meet the needs of people with aphasia   Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner. I'm a professor at the University of Wisconsin – Eau Claire and co-facilitator of the Chippewa Valley Aphasia Camp, Blugold Brain Injury Group, Mayo Brain Injury Group, Young Person's Brain Injury Group, and Thursday Night Poets.  I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Hilary Sample and Dr. Steven Richman to discuss their app, MedConcerns. We're really excited to share this with you, so I'll jump into introducing them.   Hilary G. Sample, MA, CCC-SLP Hilary is a speech-language pathologist, educator, and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. The app was born out of her work in inpatient rehabilitation, where she saw firsthand how often individuals with communication challenges struggled to share urgent medical needs. Recognizing that most providers lacked the tools to support these conversations, she partnered with physician Dr. Steven Richman to create a practical, accessible solution. Hilary also serves as an adjunct instructor at Cleveland State University.   Steven Leeds Richman, MD Dr. Steven Richman is a hospitalist physician and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. With nearly two decades of experience in inpatient rehabilitation, he saw how often communication barriers prevented patients from being heard. In partnership with speech-language pathologist Hilary Sample, he helped translate core medical assessments into an accessible tool that supports clearer, more effective provider-patient communication.     Transcript: (Please note that this conversation has been auto-transcribed. While we do our best to review the text for accuracy, there may be some minor errors. Thanks for your understanding.)   Jerry Hoepner: Well, Hello, Hillary and Steve. Really happy to have you on this aphasia access conversations podcast. With me, I'm really looking forward to this conversation. It's maybe a year or 2 in the making, because I think this was at the previous Aphasia Access Leadership Summit in North Carolina. That we initially had some discussions about this work. And then life happens right? So really glad to be having this conversation today. Hilary Sample: And we're really glad to be here.   Jerry Hoepner: Absolutely. Maybe I'll start out just asking a little bit about your background, Hillary, in terms of how you connected with the life participation approach and aphasia access and how that relates to your personal story.   Hilary Sample: Sure, so I haven't been in the field long. I graduated in 2019 and began my career immediately in inpatient rehab. I have to remember. It's talk slow day, and I'm going to make sure that I apply that as I speak, both for me and for listeners. So I began on the stroke unit, primarily in an inpatient rehab setting, and I've worked there for the majority of my career. I came in as many, probably in our field do, trained and educated in more of an impairment based approach but quickly when you work with people, and they let you know who they are and what they need. The people that I worked with on the stroke unit, the people with aphasia let me know that they needed more of a life participation approach. You know I learned how vital it was to support communication and to help him, you know, help them access their lives, because most of the time I entered the room. They had something they wanted to communicate, and they had been waiting for someone who had those skills to support communication in order to get that message across. So it wasn't about drills it was about. It was about helping them to communicate with the world, so that I spent more and more time just trying to develop my own skills so that I could be that professional for them and that support. And then that took me. You know that it just became my passion, and I have a lot of room to improve still today, but it's definitely where my interest lies and at the same time I noticed that in general in our hospital there was a lack of communication supports used, and so I thought that in investing in my own education and training, I could help others as well. And so I started doing some program development to that end as well with training and education for healthcare staff.   Jerry Hoepner: I just love the fact. And actually, our listeners will love the fact that it was patients who connected with you, people with aphasia, who connected with you and encouraged you to move towards the life participation approach, and how you learn together and how that's become your passion. That's just a really great outcome when people can advocate for themselves in that way. That's fantastic.     Hilary Sample: Yeah, it really meant a lot to me to be able to receive that guidance and know that, you know there's an interest in helping them to let you know what they want from therapy, and that was there. But a lot of times the selections were impairment based, and then we. But there was something wrong, and we needed to uncover that. And that was, you know, that was the push I needed to be able to better support them.   Jerry Hoepner: Yeah, that's really great, Steve. I'm interested in your story, too. And also how you came to connect with Hillary.   Steve: I started as a trained as a family physician, had a regular outpatient office for a number of years, and then transitioned into inpatient rehab. That's where I really started to meet some people with aphasia. For the 1st time. Hilary and I have talked a few times about my training and education about aphasia before we met each other, and it was really minimal in Med school. They had lectures about stroke and brain injury, and some of the adverse effects you might get from that. And they, I'm sure, mentioned aphasia. But I really don't recall any details, and if they did teach us more, it would just nothing that I grasped at the time. So I would walk into these patient rooms, and what I would normally do for my trainings. I would ask people all these open, ended questions to start with, and then try to narrow down, to figure out what their problems are, and with people with aphasia, especially when they have minimal or no language skills. They couldn't. I was not successful at getting useful information out, and I remember walking out of those patient rooms and just being frustrated with myself that I'm not able to help these people, and the way I can help everyone else, because if I don't know what's going on. you know. How can I? It was really challenging and I really didn't know where to go. I talked to a few other doctors, and there didn't seem to be much in the way of good information about how to move forward. Eventually I met Hillary, and we would have these interesting episodes where I would talk or try to talk with the patients and get minimal, useful information. And Hillary would come back and say, they're having this problem and this concern. And with this medicine change. And how do you do that? How and that kind of started our us on the pathway that we've taken that recognition from my end that there's a lot that can be done. And the yeah.   Jerry Hoepner: Yeah, I love that story, and it's a really good reminder to all of us that sometimes we forget about those conversations, the conversations with physicians, with other providers who might not know as much about aphasia. I'll just tell a really quick story. My wife used to work in intensive care, and of course she had been around me for years, and they would have someone with aphasia, and her colleagues would be like, how do you even communicate with them, and she would be coming up like you, said Steve, with all of this information about the patient, and they're like, where are you getting this information. The person doesn't talk.   Hilary Sample: Yes.   Jerry Hoepner: And that just emphasizes why it's so important for us to have those conversations, so that our all of our colleagues are giving the best care that they can possibly provide.   Hilary Sample: That's a great story. That was very much like almost verbatim of some of the conversations that we initially had like, where is this coming from? They don't talk, or you know they don't have. Maybe they don't have something to say, and that's the assumptions that we make when somebody doesn't use verbal communication. You know, we quickly think that maybe there's not something beneath it, you know. I have a story as well. So what led to a little bit more toward where we are today. sitting in those rooms with people with aphasia and apraxia and people with difficulty communicating. There's 1 that stuck out so much. She was very upset, and that it was. And I we had just really developed a very nice relationship, a very supportive relationship she kind of. She would let me have it if she was upset about something. We had really honest conversations and it and it was earlier on to where I was stretching my skills in in using communication supports, and she really helped me grow. But I remember being in her room one day, and she had something to share. And this is a moment that repeated itself frequently, that the thing that needed to be shared was medical in nature, you know, in inpatient rehab. That's a frequent. That's a frequent situation that you run into. And we sat there for maybe 15 min, maybe more. And we're working on getting this out. We're narrowing it down. We're getting clarity. We're not quite there yet, as I said, I'm still new, and but the physician walks in and we pause. You know I'm always welcoming physicians into the into therapy, because I really see that we have a role there. But and talk slow. Hilary, the physician, asked an open-ended question like Steve was talking about asking those open-ended questions as they're trained to do, and it was a question that the person with aphasia didn't have the vocabulary available to answer, and before I would jump in, that person shrugged her shoulders and shook her head that she didn't have anything to share with them, and I was like, but we had just been talking. You know, there's definitely something, and I think I just sat there a little bit stunned and just observing more. And you know the physician finished their assessment mostly outside of verbal communication, and left the room, and then I spoke to her, and we. We tracked down what the rest of her concern was, and clarified it, and then I found the physician who was not Dr. Richman, and I shared all the things that they had told me that she had told me, and I remember her saying I was just in there. She didn't have anything wrong. and I and I was, you know, I told her, like the communication supports that I used, and you know we got that. We moved forward with the conversation. But there were a few things that stuck out to me in that, and one was the way that the physician was communicating wasn't using. They weren't using supports. For whatever reason, I didn't have that knowledge yet. We dove into the literature to learn more later on. The second thing was that the person with aphasia seemed to give up on the provider, knowing that since supports weren't being used. It wasn't going to be a successful communication attempt. So why even bother, and that definitely fits her personality. She's like I give up on you. And the 3rd thing was that the education about that somebody has something to share the education about. Aphasia was lacking, so you know that the person's still in there. They still have their intellect, their identity, their opinions, beliefs. But they didn't have the ability to communicate that piece seemed to be missing on the part of the provider, because they were saying they didn't have anything to share. So, it was like, I said that situation happened repeatedly, and very much. Sounds just like yours, but it hit me how much there was to do. And so, hearing, you know Steve's experiences that are on the other side of that. Such a caring, the one thing that led me to want to speak to Steve is that he's a very compassionate caring physician, so it's not a lack of care and compassion. But what else was going on what led to this, and we started learning that together. It was really interesting for me to learn how Hillary's 1st assumption is. Why aren't these physicians using communicative supports or other things that we were never taught about? The assumption that the docs know all this, and there's plenty we don't know. Unfortunately, there's, you know there's so much out there.   Steve Richman: The other thing Hillary touched on that was so true in my experience, is here. I'm meeting people that had a significant event, a traumatic brain injury, a bad stroke. And we're so used to judging people's intelligence through their speech. And they're not speaking. And it's so easy to start thinking there's just not much going on up there, and I didn't have the education or information or training to know for a long time. That wasn't the case until my dad had a stroke with aphasia. And so yeah, there's still plenty going on there just hard to get it out. And even as a medical provider, I really wasn't fully aware of that. And it took personal experience and learning from Hillary to really get that. it's still there just need to find out how to help them get it out.   Jerry Hoepner: Yeah, I think that's a rather common story, especially for people with aphasia. But even for people without aphasia, that sense that the doctor is coming in, and things have to happen. And I know I'm sitting here with Steve, who is very compassionate and wants to ensure that communication. But I think there's a little bit of fear like, oh, I can't get it out in this context, and just bringing awareness to that, and also tools. So, tools in education. So those physicians can do the work that they need to do and get that knowledge that they may have never been exposed to, and probably in many cases have never had that training to communicate with someone so like you, said Steve. How are you supposed to know when they didn't train us in this? And I guess that brings us back around to that idea that that's part of the role of the speech language pathologist and also kind of a vacancy in tools. Right? We're. We're just missing some of the tools to make that happen consistently across facilities and across people. So, I'm really interested in hearing a little bit about the tools you've created, and kind of the story leading up to that if you if you don't mind sharing.   Hilary Sample: Absolutely. 1st I'll share. There's a quote, and I'm not going to remember who said it. Unfortunately, I'll come up with it later, and I'll make sure to share with you. But that healthcare is the medium by or I'm sorry. Communication is the medium by which healthcare is provided, or something to that extent. We need communication in order to ensure equal access to health care. And like you said that gap, it's really big, and it's a systemic issue. So, leading up to us, coming together, we had those experiences on both of our ends. I realized that I wasn't a physician. I already knew this, but I also I was trying to provide communication support to enable them to communicate something on a topic that I'm not trained in. In order to really give what it's due right? I don't know what questions that Steve is going to ask next, you know I tried, but I and I tried to listen, but I didn't always have, you know. Of course, I don't have that training, so know your limits right. But I did. The general overarching method that I was using was we'd have concerns to choose from, including the question mark that enabled them to tell. Tell me that you're way off, or you didn't guess it, or it's not on here. And then narrow choices that I try to come up with, and we'd move on like that. And anytime somebody appeared to have a medical concern. There's those general topics that you would try to see if it's 1 of these things. One of these concerns, and then those would generally take you to a series of sub questions, and so on, and so forth. So, I recognize that this was repeatable. I also, at the same time as I shared, was recognizing that communication supports weren't being used. And that doesn't. That doesn't end with, you know, a physician that's also nurses nursing aides. That's therapists, including SLPs, and you know, so I'm doing a thing that can be repeated. Why not stop recreating it every time I enter the room and make it into something that I can bring with me a prepared material that I can bring with me and ideally share it with others. So, I again, knowing my limitations, know what I have to bring to that equation. But I knew that I needed to partner with someone that cared just as much but had the medical knowledge to inform that tool. So at 1st it was a print little framework that I brought, and what happened is, I came up to Steve, and I let him know what I was thinking, and he was open and willing to work together on this, and Hillary showed me these pictures that were kind of showing some general medical concerns, and brought up the whole concept and we initially were going for this pamphlet booklet idea, you know. If you have this concern, you go to this page to follow it up with further questions, and then you go to this other page to finalize the subs. We realized there was a lot of pages turning involved to make that work, and we eventually turned it into an app where you could take your concern, and we start with a general Hello! How are you? You know? Kind of what's the overall mood in the room today. And then what medical concerns do you have? And then from those concerns, appropriate sub questions and sub questions and timeframes, and the stuff that you would want to know medically, to help figure out the problem. And then go ahead. I'm sorry.   Jerry Hoepner: Oh, oh, sorry! No, that's terrific. I appreciate that that process and kind of talking through the process because it's so hard to develop something like this that really provides as much access as is possible. And I think that's really key, because there's so many different permutations. But the more that you get into those the more complex it gets. So, making it easy to access, I think, is part of that key right?   Hilary Sample: One thing that I'm sorry. Did you want to say? Yeah, I'll say, okay, 1. 1 part of it. Yes, the accessibility issue. Every provider has a tablet or a phone on them, and many of our patients and their families also do so. It made it clear that it's something that could be easier to use if that's the method somebody would like to use, but also having a moment where my mind is going blank. This is gonna be one of those where we added a little bit. This is what you call a mother moment.   Jerry Hoepner: Okay.   Steve Richman: The one thing that was fascinating for me as we were developing this tool is I kept asking why? And Hillary kept explaining why, we're doing different parts of it. And at this point it seems much more obvious. But my biggest stumble at the beginning was, why are these Confirmation pages. Why do we have to keep checking, you know? Do they mean to say yes? Do they mean to go ahead? And that education about how people with language difficulties can't always use language to self-correct. We need to add that opportunity now makes so much sense. But I remember that was a stumbling block for me to acknowledge that and be good with that to realize. Oh, that's really important. The other thing that Hillary said a lot, and I think is so true is in developing this tool. We're kind of developing a tool that helps people that know nothing about communication supports like myself how to use them, because this tool is just communication supports. You know, I hear these repeatedly taught me about the importance of layering the clear pictures and words, and the verbal, and put that all the well, the verbalizing, the app is saying the word in our case, so that could all be shared and between all that layering hopefully, the idea gets across right and then giving time for responses.   Jerry Hoepner: It sounds like the tool itself. Kind of serves as an implicit training or education to those providers. Right?   Hilary Sample: And there's the idea that I was missing when I had a little bit of.  So yes, all of those strategies. They take training right? And it takes those conversations. And it takes practice and repetition. And there's amazing, amazing things happening in our field where people are actually undertaking that that transformation, transforming the system from above right.   Jerry Hoepner: Right.   Hilary Sample: But one thing that a big part of this work was trying to fill the gap immediately. I know you and I had previously talked about Dr. Megan Morris's article about health equity, and she talks a lot about people with communication disorders, including aphasia. And you know there's and she mentions that people cannot wait. The next person pretty much cannot wait for that work to be done, though that'll be amazing for the people that come down the line, the next person, what can we do for them? So we also need to be doing that. And that's where we thought we could jump in. And so I think the biggest you know. The most unique aspect of MedConcerns is that, or of the tool we created is that it kind of guides the clinician, the healthcare provider, through using communication supports. So you know, when I go in the room I offer broad options, and then I follow up with more narrow choices, always confirming, making sure I'm verifying the responses like Steve talked about, and or giving an opportunity to repair and go back and then that I summarize at the end, ensuring that what we have at the end still is valid, and what they meant to say. And so that's how the app flows, too. It enables the person to provide a very detailed, you know, detailed message about what's bothering them to a provider that has maybe no training in communication supports, but the app has them in there, so they can. It fills the gap for them.   Jerry Hoepner: Absolutely. It's kind of a sneaky way of getting that education in there which I really like, but also a feasible way. So, it's very pragmatic, very practical in terms of getting a tool in the hands of providers. It would be really interesting actually, to see how that changes their skill sets over time but yeah, but there's definitely room for that in the future. I think.   Hilary Sample: We could do a case study on Dr. Richman.   Steve Richman: whereas I used to walk out of those patient rooms that have communication difficulties with great frustration. My part frustration that I feel like I'm not doing my job. Well, now you walk out much more proudly, thinking, hey, I able to interact in a more effective way I can now do in visit what I could never accomplish before. Not always, but at least sometimes I'm getting somewhere, and that is so much better to know I'm actively able to help them participate, help people participate. I love writing my notes, you know. Communication difficulties due to blank. Many concerns app used to assist, and just like I write, you know, French interpreter used to assist kind of thing and it does assist. It's it makes it more effective for me and more effective for the person I'm working with. It's been really neat to watch you know, go from our initial conversations to seeing the other day we were having a conversation kind of prepping for this discussion with you and he got a call that he needed to go see a patient and I'll let you tell the story. So we're prepping for this. A couple of days ago. I think it was this Friday, probably, or Thursday, anyways, was last week and I'm at my office of work and again knock on the door. Someone's having chest pain. I gotta go check that out. So I start to walk out of the room. Realize? Oh, that room! Someone was aphasia. I come back and grab my phone because I got that for my phone and go back to the room. And it's interesting people as with anything. People don't always want to use a device. And he's been this patient, sometimes happy to interact with the device, sometimes wanting to use what words he has. And so I could confirm with words. He's having chest pain. But he we weren't able to confirm. What's it feel like? When did it start? What makes it better. What makes it worse? But using the app, I can make some progress here to get the reassurance that this is really musculoskeletal pain, not cardiac chest pain. Yes, we did an EKG to double check, but having that reassurance that his story fits with something musculoskeletal and a normal EKG. Is so much better than just guessing they get an EKG, I mean, that's not fair. So, it would have been before I had this tool. It would have been sending them to the er so they can get Stat labs plus an EKG, because it's not safe just to guess in that kind of situation. So, for me, it's really saved some send outs. It's really stopped from sending people to the acute care hospital er for quick evaluations. If I if I know from the get go my patient has diplopia. They have a double vision, because that's part of what communicated. When we were talking about things with help from MedConcerns. Yeah, when I find out 4 days later, when their language is perhaps returning, they're expressing diplopia. It's not a new concern. It's not a new problem. I know it's been a problem since the stroke, whereas I know of other doctors who said, Yeah, this person had aphasia, and all of a sudden they have these bad headaches that they're able to tell me about. This sounds new. I got to send them for new, you know whereas I may have the information that they've been having those headaches. We could start dealing with those headaches from the day one instead of when they progress enough to be able to express that interesting.   Jerry Hoepner: Yeah, definitely sounds like, I'm getting the story of, you know the improvement in the communication between you and the client. How powerful that is, but also from an assessment standpoint. This gives you a lot more tools to be able to learn about that person just as you would with someone without aphasia. And I think that's so important right to just be able to level that playing field you get the information you need. I can imagine as well that it would have a big impact on medication, prescriptions, whatever use? But also, maybe even counseling and educating that patient in the moment. Can you speak to those pieces a little bit.   Steve Richman: You know, one of my favorite parts of the app, Hillary insisted on, and I'm so glad she did. It's an education piece. So many people walk into the hospital, into our inpatient rehab hospital where I now work, and they don't recall or don't understand their diagnosis, or what aphasia is, or what happened to them. And there's a well aphasia, friendly information piece which you should probably talk about. You designed it, but it's so useful people are as with any diagnosis that's not understood. And then explained, people get such a sense of relief and understanding like, okay, I got a better handle of this. Now it's really calming for people to understand more what's going on with them.   Hilary Sample: This is, I think you know, that counseling piece and education, that early education. That's some of the stuff that could bring tears to my eyes just talking about it, because it's; oh, and it might just now. So many people enter, and they may have gotten. They may have received education, but it may not have. They may have been given education, but it may not have been received because supports weren't used, or there's many reasons why, you know, even if it had been given, it wasn't something that was understood, but so many people that I worked with aphasia. That one of the 1st things that I would do is using supports. Tell them what's going on or give them. This is likely what you might be experiencing and see their response to that. And that's you know what aphasia is, how it can manifest. Why it happens, what happened to you, what tools might be useful? How many people with aphasia have reported feeling? And you might be feeling this way as well, and these things can help. And it's very simple, very, you know. There's so much more to add to that. But it's enough in that moment to make someone feel seen and you know, like a lot of my friends, or one of my friends and former colleagues, uses this, and she says that's her favorite page, too, because the people that she's working with are just like, yes, yes, that's it, that's it. And the point and point and point to what she's showing them on the app. It's a patient education page, and then they'll look at their, you know, family member, and be like this. This is what's going on this, you know, it's all of a sudden we're connecting on that piece of information that was vital for them to share. And it was. It was just a simple thing that I kept repeating doing. I was reinventing the wheel every time I entered the room, but it was. It stood out as one of the most important things I did. And so that's why Steve and I connected on it, and like it needed to be in the app. And there's more where that came from in the future planning. But we added to that A on that broad, you know, kind of that page that has all the different icons with various concerns, we added a feelings, concern emotions, and feelings so that someone could also communicate what's going on emotionally. We know that this is such a traumatic experience, both in the stroke itself, but also in the fact that you lost the thing that might help you to walk through it a little easier which is communicating about it and hearing education learning about it. But so those 2 tools combined have really meant a lot to me to be able to share with people, with aphasia and their families, and also another sneaky way to educate providers.   Jerry Hoepner: Yeah, absolutely.   Hilary Sample: Because that's the simple education that I found to be missing when we talked about training was missing, and this and that, but the like when Steve and I talked recently, we you know, I said, what did you really learn about aphasia? And you kind of said how speech issues? Right?   Steve Richman: The speech diagnoses that we see are kind of lumped in as general like the names and general disorders that you might see, but weren't really clearly communicated as far as the their differential diagnoses being trained as a generalist, we would learn about, you know, neurology unit stroke and traumatic brain injury. And somewhere in there would be throwing in these tumors, which are huge aphasia and apraxia and whatnot, and I don't think I recall any details about that from Med school. They probably taught more than I'm recalling, but it certainly wasn't as much as I wish it was.   Hilary Sample: and so that education can just be a simple way to bring us all together on the same page as they're showing this to the person that they're working with. It's also helping them to better understand the supports that are needed.   Jerry Hoepner: Sneaky part.   Steve Richman: Yeah, speaking of the sneaky part, I don't think I told Hilary this yet, but I'm sure we've all had the experience or seen the experience where a physician asked him, What does that feel like? And the person might not have the words even with the regular communication, without a communication disorder. and last week I was working with a patient that just was having terrible pain and just could not describe it. and using the icons of words on that he had a much better sense of. You know it's just this and not that, and those descriptors of pain have been really useful for people now without more with communication difficulties that I just started doing that last week. And it was really interesting.   Hilary Sample: You mentioned about how those interactions with physicians are can be. Well, it's not nothing about you guys.   Jerry Hoepner: It's the rest of the physicians.   Hilary Sample: No, it's the, you know. There's a time. It's the shift in how our whole system operates that it's, you know I go in and I'm like, I just need notes if I need to speak about something important to my physician, because, like, I know that one reason I connect so deeply with people with communication disorders is that my anxiety sometimes gets in the way of my ability to communicate like I want to, especially in, you know, those kind of situations. And so, you know, it can help in many ways just having something to point to. But we also saw that with people with hearing loss, which, of course, many of the people that we run into in many of the patients that we work with are going to have some sort of hearing loss. People that speak a little different, you know. Native language. You know English as a second language.   Jerry Hoepner: Absolutely.   Hilary Sample: There and then. Cognitive communication disorders, developmental disorders, anybody that might benefit with a little bit more support which might include you and me. You know it can help.   Jerry Hoepner: And I think you know the physician and other providers having the tools to do that education to use the multimodal supports, to get the message in and then to get responses back out again. I think it's really important. And then that process of verifying to just see if they're understanding it. Are you? Are you tracking with me? And to get that feedback of, I'm getting this because I think sometimes education happens so quickly or at a level that doesn't match, and they might not understand it. Or sometimes it's just a matter of timing. I know we joke about Tom Sather and I joke about this. We've had people come to our aphasia group before who traveled out to a place in the community and they're sitting next to you. And they say, what is this aphasia stuff everyone's talking about? And I'm like, you literally just passed a sign that said Aphasia group. Right? But it's so hard to ensure that the message does go in, and that they truly understand that until you get that Aha moment where you describe like, yes, that's me, that's it. And that's just so crucial.   Hilary Sample: yeah, it's 1 of the most important pieces, I think to name it doesn't for anything that anybody is dealing with that's heavy, you know, to have to have it named can really provide relief just because that unknown, you know, at least at least you can have one thing that you know. I know what it is, and then I can learn more about it. Once I know what it is, I can learn more about it, and I can have some sort of acceptance, and I can start that grieving process around it, too, a little bit better. But when it goes unnamed, and the other part of it is if you don't tell me that, you know like that, you can see and understand what I might be experiencing, I might not think that you know what it is either, and I might not feel seen. So just the fact that we're both on board that we know I have this thing. I think it can take a lot of the weight off. At least, that's what I've seen when it's been presented.   Jerry Hoepner: No or care, right?   Hilary Sample: Yeah. Yes. Exactly.   Jerry Hoepner: Yep, and that's a good a good chance to segue into we I know we picked on Steve a little bit as a physician but the system really kind of constrains the amount of time that people have to spend with someone, and they have to be efficient. I'll go back to that sneaky idea. This seems like a sneaky way to help change the system from within. Can you talk about that a little bit like how it might move care forward by.   Hilary Sample: Showing what's possible. Yeah, I'm sorry, sure. In part time. Constraints, unfortunately, are very real, and without the knowledge of training how to communicate or support communication. It's challenging for us to move us physicians to move forward, but with something like our app or other useful tools in a short amount of time you could make some progress. And then, if you could document, this is worthwhile time worthwhile that I'm accomplishing something with my patient. I'm helping to understand what their issues are, and helping to explain what we want to do. That all of a sudden makes the time worthwhile, although time is a real constraint. I think, is general. Doctors are happy to spend extra time. If it's worthwhile that's helping our patient. That's the whole reason we go into this is help our people. We help the people we're working with, you know. No one wants to go in there and spend time. That's not helping anybody. But if you could justify the time, because I'm making progress. I'm really helping them great go for it. It's worth doing, and the part about efficiency. So there's so many ways that this focus on. And it's not even efficiency, because efficiency sounds like some success was achieved, you know. But this, this we only have this amount of time. One of the one of the things that's kind of interesting to me is that it an assumption? I've seen a lot, or I've heard a lot is that using communication supports takes time. More time and I have watched plenty, an encounter where the physician is trying, and it takes forever. I've experienced my own encounters as I was growing and deepening my own skills, and where it took me forever. And that's because we're trying. We care, but we don't have something prepared. So when you have a prepared material, it not only helps you to effectively and successfully you know, meet that communication need and find out what is actually bothering the person that you're working with. But it enables you to move at a pace that you wouldn't be able to otherwise, you know. So if Steve and I have this kind of running joke that I'll let you tell it because you have fun telling it.   Steve Richman: With the MedConcerns app. I could do in a little while what I can never do before, and with the med concerns App Hillary could do in 5 min. What used to take a session? It's really.   Jerry Hoepner: Yeah.   Hilary Sample: Makes huge impacts in what we could accomplish, so less of a joke and more of just.   Jerry Hoepner: Yes, but having the right tools really is sounds like that's what makes the difference. And then that gives you time and tools to dedicate to these conversations that are so important as a person who's really passionate about counseling. One of the things we were always taught is spending time now saves time later, and this seems very much like one of those kind of tools.   Hilary Sample: Yeah. Well, we had one of the 1st times that we brought the prototype to a friend of ours who has aphasia. And it kind of speaks to the exactly what you just said. Spending time now saves time later, or saves money. Saves, you know, all the other things right is our friend Bob, and he doesn't mind us using his name. But I'll let you tell this story a little bit, because you know more from the doctor. Bob was no longer a patient of ours, but we had spent time with him and his wife, and they were happy to maintain the relationship, and we showed him that after he had this experience but he was describing experience to us, he was having hip pain. He had a prior stroke hemiplegic and having pain in that hemiplegic side. So the assumption, medically, is, he probably has neuropathy. He probably has, you know, pain related to the stroke, and they were treating with some gabapentin which makes sense. But he kept having pain severe. 10 out of 10. Pain severe. Yeah. And just. We went back day after day, and not on the 3rd day back at the er they did an X-ray, and found he had a hip fracture and look at our app. He was like pointing all over to the things that show the descriptors that show not neuropathic pain, but again, musculoskeletal pain and that ability to, you know, without words we could point to where it hurts. But then, describing that pain is a makes a huge difference. And he knew he very clearly. Once he saw those pictures he like emphatically, yes, yes, yes, like this is this, we could have, you know, if we could have just found out this stuff, we wouldn't have had to go back to the er 3 times and go through all that wrong treatment and this severe amount of pain that really took him backwards in his recovery to physically being able to walk. And things like that, you know, it's just finding out. Getting more clarity at the beginning saves from those kind of experiences from the pain of those experiences. But also, you know, we talked about earlier. If you have to sort of make an assumption, and you have to make sure that you're thinking worst case scenario. So in other situations where you send out with a chest pain and things like that, there's a lot that's lost for the person with aphasia because they might have to start their whole rehab journey over. They have to incur the costs of that experience. And you know they might come back with, you know, having to start completely over, maybe even new therapists like it's. And then just the emotional side of that. So, it not only saves time, but it. It saves money. It saves emotional. Yeah, the emotional consequences, too.   Jerry Hoepner: Yeah. Therapeutic Alliance trust all of those different things. Yeah, sure. Yeah. I mean, I just think that alone is such an important reason to put this tool in the hands of people that can use it. We've been kind of talking around, or a little bit indirectly, about the med concerns app. But can you talk a little bit about what you created, and how it's different than what's out there.   Hilary Sample: Yeah, may I dive in, please? Okay, so we yeah, we indirectly kind of talked about it. But I'll speak about it just very specifically. So it starts with an introduction, just like a physician would enter the room and introduce themselves. This is a multimodal introduction. There's the audio. You can use emojis. What have you then, the General? How are you? Just as Steve would ask, how I'm doing this is, how are you with the multimodal supports and then it gets to kind of the main part of our app, which is, it starts with broad concerns. Some of those concerns, pain, breathing issues, bowel bladder illness. Something happened that I need to report like a fall or something else and the list continues. But you start with those broad concerns, and then every selection takes you to a confirmation screen where you either, you know, say, yes, that's what I was meaning to say, or you go back and revise your selection. It follows with narrow choices under that umbrella concern, the location type of pain, description, severity, exacerbating factors. If you've hit that concern so narrow choices to really get a full description of the problem, and including, like, I said, timing and onset. And then we end with a summary screen that shows every selection that was made and you can go to a Yes, no board to make sure that that is again verified for accuracy. So, it's a really a framework guiding the user, the therapist healthcare provider person with aphasia caregiver whomever through a supported approach to evaluating medical concerns. So generally, that's the way it functions. And then there are some extras. Did you want me to go into those? A little bit too sure.   Jerry Hoepner: Sure. Yeah, that would be great.   Hilary Sample: Right? So 1 1. It's not an extra, but one part of it that's very important to us as we just talked about our friend Bob, is that pain? Assessment is, is very in depth, and includes a scale description, locations, the triggers, the timing, the onset, so that we can get the correct pathway to receiving intervention. This app does not diagnose it just, it helps support the verbal expression or the expression. Excuse me of what's wrong. So, it has that general aphasia, friendly design the keywords, simple icons that lack anything distracting, clear visuals simple, a simple layout. It also has the audio that goes with the icon, and then adjustable settings, and these include, if you know, people have different visual and sensory needs for icons per screen, so the Max would be 6 icons on a screen, although, as you scroll down where there's more and more 6 icons per screen. But you can go down to one and just have it. Be kind of a yes, no thing. If that's what you need for various reasons, you can hide specific icons. So, if you're in a setting where you don't see trachs and pegs. You can hide those so that irrelevant options don't complicate the screen. There's a needs board. So we see a lot of communication boards put on people's tray tables in in the healthcare setting, and those are often they often go unused because a lot of times they're too complex, or they're not trained, or they, for whatever reason, there's a million reasons why they're not used. But this one has as many options as we could possibly think might need to be on there which any of those options can be hidden if they need to be. If they're not, if they're irrelevant to the user language it's in. You can choose between English and Spanish as it is right now, with more to come as we as we move along, and then gender options for the audio. What voice you'd like to hear? That's more representative. And the body image for the pain to indicate pain location. There's some interactive tools that we like to use with people outside of that framework. There's the whiteboard for typing drawing. You can use emojis. You can grab any of the icons that are within the app. So, if you know we if it's not there and you want to detail more, you can use the whiteboard again. That needs board the Yes, no board. And then there's also a topic board for quick messages. We wanted to support people in guiding conversations with their health care providers. So, I want to talk to Steve about how am I going to return to being a parent? Once I get home, what's work life going to be. I want to ask him about the financial side of things. I want to ask him about therapy. I want to report to him that I'm having trouble with communication. I want to talk on a certain topic. There's a topic board where you select it. It'll verify the response. It has a confirmation page, but from there the physician will start to do their magic with whatever that topic is. And then, of course, there's those summary screens that I already detailed, but those have been very useful for both, making sure at the end of the day we verify those responses but then, also that we have something that's easy to kind of screenshot. Come back to show the physician. So show the nurse as like a clear message that gets conveyed versus trying to translate it to a verbal message at the end from us, and maybe missing something so straightforward, simple to address very complex needs, because we know that people with aphasia would benefit from simple supports, but not they don't need to stay on simple topics. They have very complex ideas and information to share. So we wanted to support that. That's what it is in a nutshell that took a nutshell. I love that. It's on my phone, or it could be on your.   Jerry Hoepner: Oh, yeah.   Hilary Sample: Or on your or on your apple computer. If you wanted that, it's on the app store. But I love this on my phone. So, I just pull in my pockets and use it. Or if you happen to have an another device that works also.   Jerry Hoepner: Sure.   Hilary Sample: We're in the. We're in the process of having it available in different ways. There's a fully developed android app as well. But we're very much learners when it comes to the business side of things. And so there's a process for us in that, and so any. Any guidance from anybody is always welcome. But we have an android that's developed. And then we're working on the web based app so that we could have enterprise bulk users for enterprise, licensing so that that can be downloaded straight from the web. So that's all. Our vision, really, from the onset was like you said, shifting the culture in the system like if there's a tool that from the top, they're saying, everybody has this on their device and on the device that they bring in a patient's room, and there's training on how to use it, and that we would provide. And it wouldn't need to be much, just simple training on how to use it. And then you see that they are. They get that little bit more education. And then it's a consistent. We know. We expect that it'll be used. The culture can shift from within. And that's really the vision. How we've started is more direct to consumer putting it on the app store. But that's more representative of our learning process when it comes to app development than it is what our overall vision was, I want to say that equally as important to getting this into systems is having it be on a person's device when they go to a person with aphasia's device when they go to an appointment. I always, when we've been asked like, Who is this? For we generally just kind of say, anybody that that is willing to bring it to the appointment, so that communication supports are used, and maybe that'll be the SLP. Maybe it's the caregiver. Maybe it's care partner or communication partner, maybe a person with aphasia. Maybe it's the healthcare staff. So, whoever is ready to start implementing an easier solution. That's for you.   Jerry Hoepner: Yeah, absolutely. And that brings up a really interesting kind of topic, like, what is the learning curve or uptake kind of time for those different users for a provider on one hand, for a person with aphasia. On the other hand, what's a typical turnaround time.   Hilary Sample: We've tried to make it really intuitive, and I think well, I'm biased. I think it is   Hilary Sample: I for a provider. I think it's very easy to show them the flow and it, and it becomes very quickly apparent. Oh, it's an introduction. This is putting my name here. What my position is next is a how are you that's already walk in the room, anyways. And that's that. What are your concerns? Okay, that that all. Okay. I got that I think with time and familiarity you could use the tool in different ways. You don't have to go through the set up there you could jump to whatever page you want from a dropdown menu, and I find that at times helpful. But that's you. Don't have to start there. You just start with following the flow, and it's set up right there for you. The, as we all know people with the page I have as all of us have different kind of levels, that some people, they, they see it, they get it, they take the app, and they just start punching away because they're the age where they're comfortable with electronic devices. And they understand the concept. And it takes 5 seconds for them to get the concept and they'll find what they want. Some of our older patients. It's not as quick. But that's okay. My experience with it's been funny to show to use it with people with aphasia versus in another communication disorders, and using it with or showing it to people in the field or in healthcare in general, or you're just your average person most of the time that I showed this to a person with aphasia or who needed communication supports. It's been pretty quick, even if they didn't use technology that much, because it is it is using. It's the same as what we do on with pen and paper. It's just as long as we can show them at the onset that we're asking you to point or show me right. And so once we do that and kind of show that we want you to select your answer, and some people need more support to do that than others. Then we can move forward pretty easily. So people with aphasia a lot of times seem to be waiting for communication supports to arrive, and then you show them it, and they're like, Oh, thanks, you know, here we go. This is what's going on. Of course, that's there are varying levels of severity that would change that. But that's been my experience with people with aphasia. When I show people that do not have aphasia. I see some overthinking, because you know. So I have to kind of tell people like, just them you want them to point and hand it over, you know, because when I've seen people try to move through it, they're overthinking their what do you want me to do? I'm used to doing a lot with an app, I'm used to, you know, and the app moves you. You don't move it. So the real training is in stepping back and allowing the communication supports to do what you're thinking. I need you to do right. Step back and just let the person use the communication supports to tell you their message. And you, you provide those supports like we tend to provide more training on how to help somebody initiate that pointing or maybe problem solving the field of responses or field of icons that's on the page, or, you know, troubleshooting a little bit. But the training more is to kind of have a more hands off. Approach versus you know, trying to move the app forward since the apps focus, really, on describing what's going on with somebody and not trying to diagnose once someone gathers. Oh, I'm just trying to get out what I'm experiencing, it becomes very intuitive. Yeah, that's the issue. And this is, yeah, that's how describes it more. And yeah, this is about when it started that   Jerry Hoepner: That makes sense. And it's in line with what we know about learning use of other technologies, too, right? Usually that implicit kind of learning by doing kind of helps more than here's the 722, you know, pieces of instruction. So yeah, that kind of makes sense.   Hilary Sample: Simple training. I just to throw in one more thought I you know a little bit of training on what communication supports are, and then you show them. And it really, the app shows you how to use communication supports. And so it, you know instead of having to train on that you can just use the app to show them, and then and then they sort of start to have that awareness on how to use it and know how to move forward from there. Generally, there's some training that needs to be to be had on just where things are maybe like the dropdown menu, or you know what's possible with the app, like changes, changes, and settings and the adjustments that we talked about earlier but usually it's a little bit of a tool that I use to train people how to use communication support. So, it's sort of like the training is embedded. So we're doing both at the same time. You're getting to know the app, and you're learning more about how to support communication in general.   Jerry Hoepner: I think that's a really great takeaway in terms of kind of that double value. Right? So get the value to the person with aphasia from the standpoint of multimodal communication and self-advocacy and agency, those kinds of things, and then the value to the providers, which is, you learn how to do it right by doing it.   Hilary Sample: Which is great. Yeah.   Jerry Hoepner: Really like that.   Hilary Sample: Some of the most meaningful experiences I've had are with nurses like, you know, some of those incredible nurses that, like they see the person with aphasia. They know they know what to say, they want to. They know that the person knows what they want to say, but has difficulty saying it. We have one person I won't mention her name, but she's just incredible, and you know the go to nurse that you always want to be in the room she pretty much was like, give me this as soon as we told her about it, and I did, you know, and she goes. She's like, see, you know she uses it as a tool to help her other nurses to know what's possible for these. She's such an advocate but if it can be used like that to show what's possible like to show, to reveal the competency, and to let other nurses know, and other physicians, and so on, to help them to truly see the people that they're working with. It's like that's my favorite part. But the it's not only like a relief for her to be able to have a tool, but it's exciting, because she cares so much, and that like Oh, I'll take that all day long. That's wonderful.   Jerry Hoepner: Absolutely well, it's been really fun having a conversation with you, and I've learned a lot more than I knew already about the app. Are there any other things that we want to share with our listeners before we close down this fun conversation.   Hilary Sample: I think maybe our hope is to find people that are ready to help kind of reach that vision of a culture shift from this perspective from this angle. Anybody that's willing to kind of have that conversation with us and see how we can support that. That's what we're looking for just to see some system change and to see what we can do to do that together, to collaborate. So if anybody is interested in in discussing how we might do that, that's a big goal of ours, too, is just to find partners in in aphasia advocacy from this angle.   Jerry Hoepner: That's great!   Hilary Sample: Perfect. I totally agree. We're very grateful for this conversation, too. Thank you so much, Jerry.   Jerry Hoepner: Grateful to have the conversation with both of you and just appreciate the dialogue. Can't wait to connect with you in future conferences and so forth. So, thank you both very much.   Hilary Sample: Thank you.   Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.

In this episode of the Healthy, Wealthy, and Smart Podcast, host Karen Litzy welcomes Dr. Linda Bluestein, a recognized expert in hypermobility disorders and founder of Hypermobility MD and Bendy Bodies Podcast. Dr. Blustein shares her journey with hypermobility, detailing how health issues impacted her early aspirations of becoming a ballet dancer. After years as an anesthesiologist, she discovered her connection to connective tissue disorders, which led her to focus on this patient population. Together, Karen and Dr. Bluestein dive into the complexities of hypermobility disorders, the importance of research, and the support available for individuals affected by these conditions. Tune in for valuable insights and information that can help those navigating hypermobility disorders.   Time Stamps:  [00:01:27] Personal journey to hypermobility focus. [00:05:00] Joint hypermobility disorders explained. [00:10:43] Generalized joint hypermobility assessment. [00:12:22] Ehlers-Danlos syndrome overview. [00:15:52] Patient education on EDS concerns. [00:19:40] Connective tissue and its importance. [00:25:08] Research funding for EDS. [00:29:27] Misconceptions about hypermobility and talent. [00:30:59] Forced hypermobility in dancers. [00:34:27] Chronic pain and validation. [00:38:20] Treatment for connective tissue disorders. [00:42:05] Importance of recognizing hypermobility. [00:47:40] Believe in yourself. [00:48:42] Self-compassion and personal growth.   More About Dr. Linda Bluestein, MD: Dr. Linda Bluestein, MD, is a multifaceted professional renowned for her expertise in hypermobility disorders. As the founder of Hypermobility MD, she offers specialized medical care to individuals grappling with these conditions. Additionally, Dr. Bluestein is the driving force behind Bendy Bodies, a worldwide coaching practice aimed at empowering and supporting individuals with hypermobility.  Her influence extends beyond clinical practice. Dr. Bluestein is the founder and host of the esteemed podcast, "Bendy Bodies with the Hypermobility MD," where she shares valuable insights and resources, enriching the lives of her audience.  Dr. Bluestein's dedication to advancing knowledge and awareness of hypermobility disorders is evident in her extensive publications and international lectures. Notably, she contributed two chapters to the influential book, "Disjointed – Navigating the Diagnosis and Management of Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders."  In addition to her clinical and coaching endeavors, Dr. Bluestein actively engages in advocacy and research. She serves on the Allergy and Immunology Working Group for the International Consortium on EDS and HSD, the Medical Advisory Board for Standing up to POTS, and the Board of Directors for both the Bridge Dance Project and EDS Guardians.   Dr. Bluestein's commitment to education and mentorship is exemplified through her involvement in initiatives such as the creation of the first online EDS Continuing Medical Education (CME) program with Chronic Pain Partners. She also volunteers as a medical consultant for the organization.   As an assistant professor at the Medical College of Wisconsin, Central Wisconsin, Dr. Bluestein has played a pivotal role in directing the RISHI Healer's Art Program, nurturing compassionate healthcare providers.  For more information about Dr. Bluestein and her comprehensive approach to hypermobility care, please visit her website at www.hypermobilitymd.com. Resources from this Episode: July 17th Jane Q&A Webinar Bendy Bodies Podcast Dr. Bluestein on Instagram Dr. Bluestein's Website Dr. Bluestein on Substack Dr. Bluestein on TikTok Dr. Bluestein on X Dr. Bluestein on YouTube   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Today with us on the Incite Change Podcast, Coach Mauro sits down with James Thompson, MD   Dr. James, who recently retired, has spent over three decades as a board-certified allergist and immunologist; however, it was his health transformation that reshaped the trajectory of his life and career.   After 25 years, Dr. James began questioning and diving deep into the traditional frameworks of chronic disease care and found answers through nutrition and lifestyle change. Drawing on his experience as both a physician and patient, he equips listeners with practical insights for reclaiming their health in an age of chronic disease, misinformation, and fragmented care.   Today, he is the Medical Director of Healthy Living With A Vision Foundation and author of 'FEARLESS Wellness: Transform Your Life One Step at a Time'.    James now works at the intersection of medical science, personal transformation, and community education. His FEARLESS Method—an acronym covering food, exercise, toxin avoidance, restorative sleep, stress reduction, cognitive engagement, social connection, and spiritual grounding—offers a blueprint for sustainable wellbeing.    Episode Timestamps ●        [01:10] James Thompson, MD ●        [05:10] Nutrition & Medical School ●        [15:22] Allergies and Testing ●        [22:31] Get Active ●        [34:40] Minimal Processed Foods ●        [43:52] Making Lifestyle Change ●        [55:30] Pros and Cons ●        [58:10] Learn More   Resources Mentioned ●        James Thompson, MD ●        Fearless-MD ●        Nutritionfacts.org ●        Pcrm.org Thanks so much for tuning in. Join us again next week for another episode! Contact us! If you would like to get in touch, leave us a comment! Visit our website - www.healthyincite.com Follow us on Instagram - https://www.instagram.com/incitecoaching/?hl=en Like us on Facebook - https://www.facebook.com/incitecoaching/   

In this episode, Andrew F. Alexis, MD, MPH; Daniel C. Butler, MD; and Shawn G. Kwatra, MD, discuss IL-13 inhibition for treating patients with moderate to severe atopic dermatitis (AD), including:The available biologic therapies that specifically target IL-13Where these agents fall in the 2024 American Academy of Dermatology treatment algorithmHow these agents compare to other AD therapies like topical corticosteroids and oral JAK inhibitorsA detailed patient case to highlight take home pointsPresenterAndrew F. Alexis, MD, MPH​Professor of Clinical Dermatology​Weill Cornell Medical College ​New York, New YorkDaniel C. Butler, MD​Assistant Dean Student Affairs​University of Arizona College of Medicine – Tucson​Tucson, ArizonaShawn G. Kwatra, MD​Dr. Joseph W. Burnett Endowed Professor and Chair ​Department of Dermatology​University of Maryland School of Medicine​Baltimore, MarylandProgram page:https://bit.ly/4kTP04D

In this episode, Daniel C. Butler, MD, and Shawn G. Kwatra, MD, discuss the practical considerations for using IL-13 inhibitors to treat patients with moderate to severe atopic dermatitis, including:Patient candidacy considerationsTreatment advancement strategies that go beyond topical therapiesThe importance of patient-centered care that address patients' fears and needsA detailed patient case to highlight take home pointsPresenterDaniel C. Butler, MD​Assistant Dean Student Affairs​University of Arizona College of Medicine – Tucson​Tucson, ArizonaShawn G. Kwatra, MD​Dr. Joseph W. Burnett Endowed Professor and Chair ​Department of Dermatology​University of Maryland School of Medicine​Baltimore, MarylandProgram page:https://bit.ly/4kTP04D

Dr. Martin Jugenberg's approach to plastic surgery is rooted in transformation—of bodies, of lives, and of expectations. Known online as Dr. Six, he built a brand synonymous with precision and high-end results.With practices in Toronto, Dubai, Kuwait, and Miami, he tailors each procedure to meet the cultural nuances and aesthetic goals of his global clientele. From body contouring to his signature “Power Boost” breast augmentation technique, his focus remains the same: deliver results that feel powerful, personal, and polished.His journey from a Romanian refugee to an internationally recognized surgeon is a story of reinvention, and so is his work in the OR.To learn more about Toronto plastic surgeon Dr. Martin JugenbergFollow Dr. Jugenberg on Instagram @realdrsixABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple.  We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast?  Book a free 30 minute recording session at meetthedoctorpodcast.com.Host: Eva Sheie Assistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Ian PowellTheme music: A Grace Sufficient by JOYSPRING

Explore Dr. Paola D'Aleman's holistic approach to metabolic health, encompassing lifestyle medicine, obesity management, and hormonal balance for women in perimenopause and menopause.Dr. Jen Pfleghaar speaks with Dr. Paola D'Aleman Poveda (Dr. Dee), a triple board-certified MD specializing in pediatrics, adolescent medicine, lifestyle medicine, obesity medicine, and menopause. Dr. Dee shares her journey from traditional medicine to a holistic approach, emphasizing metabolic health as the foundation for overall well-being. Learn about her unique, data-driven practice at SOMAENTIS, where personalized plans are crafted to optimize metabolism, manage chronic diseases like obesity, and navigate hormonal changes through perimenopause and menopause. Discover how education and a supportive team can empower lasting health transformations.Dr. Paola D'Aleman Poveda, MD (Dr. Dee), is a triple board-certified physician specializing in pediatrics, adolescent medicine, lifestyle medicine, obesity medicine, and is a menopause-certified physician. She is the CEO of SOMAENTIS, a unique medical practice in Boca Raton, Florida, dedicated to uncovering metabolic health and facilitating lasting, personalized transformation through lifestyle medicine. Dr. Dee also hosts the "Double Down with Dr. Dee" podcast, bringing scientific, soulful, and spirited midlife conversations to the forefront.LinkedIn: https://www.linkedin.com/in/paola-d-aleman-md-dip-aclm-dabom-4b89b990/ PODCAST: Thank you for listening please subscribe and share! Shop supplements: https://healthybydrjen.shop/CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites FOLLOW ME:Instagram :: https://www.instagram.com/integrativedrmom/Facebook :: https://www.facebook.com/integrativedrmomYouTube :: https://www.youtube.com/@integrativedrmom FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored. DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

There are some weeks where I love what we are talking about and then there are weeks like this where it pisses me the fuck off. You deserve to know what's going on and a well researched perspective on the topic so in today's episode, we'll be unpacking how and why the EMTALA protections were rescinded. I'll explain who this affects, key points to remember, and advice on family planning I am implementing as well.   Time Stamps:   (0:20) Have To Make This Episode This Week (1:14) What Happened on June 3rd (6:08) Who This Affects (10:24) Why Would They Do This (13:30) Key Points To Remember (16:08) Advice on Family Planning --------------------- OBGYN Viewpoints:  Dr. Ashley Jeanlus, MD Dr. Karen Tang, MD --------------------- Stay Connected: Instagram: @alyciaisrael Facebook: Alycia Israel Apparel: Be Your Own Daddy

About Ric Kealoha, MD:   Dr. Ric Kealoha is an American Physician specializing in functional and longevity medicine, with active medical licenses in four countries. As a forward-thinking leader in the holistic health revolution, Dr. Kealoha combines cutting-edge research, data-driven protocols, and patient-centered care to redefine how healthcare professionals and entrepreneurs approach wellness, performance, and disease prevention. With extensive experience treating high-achieving professionals, executives, and entrepreneurs, Dr. Kealoha has built a reputation for precision-driven, root-cause personalized medicine that optimizes human health beyond traditional allopathic clinical models. He is deeply committed to empowering people, healthcare professionals, and doctors by bridging the gap between functional integrative medicine, alternative therapies, and AI-powered health solutions. As one of the 4 visionaries behind MET@BOLICS+, Dr. Kealoha is spearheading an AI-driven revolution and transformation in personalized healthcare and functional medicine, leveraging technology to make science-backed holistic wellness accessible to millions worldwide. His mission is to disrupt outdated medical paradigms, combat misinformation, and create scalable, high-impact health solutions that drive both better patient outcomes and long-term investor value. With a track record of innovation and execution, Dr. Kealoha is positioning MET@BOLICS + as the premier AI-powered healthcare and wellness platform, merging profitability with purpose in a rapidly growing 200B   What We Discuss In This Episode: Issues with Traditional Hormone Testing/Treatment Basic blood tests often miss underlying issues (e.g. thyroid problems) Doctors frequently dismiss symptoms or use one-size-fits-all approaches Hormone replacement often uses synthetic/animal-derived hormones with side effects Lack of education on perimenopause/menopause for many doctors (only ~1 hour in med school) Advanced Hormone Testing and Analysis Comprehensive urine tests examine entire hormone system Detects xenoestrogens from plastics, pesticides, etc. linked to cancer risk Assesses body's ability to eliminate toxic forms of hormones Examines stress hormones like cortisol and their impact Key Factors Impacting Hormonal Health Environmental toxins (cosmetics, cleaners, plastics, etc.) Chronic stress and poor sleep Inflammatory diet (esp. fast food, high carb) Gut health issues ("leaky gut") Excess body fat producing estrogen Psychological/emotional factors Natural Approaches to Hormone Balance Detoxification via supplements (broccoli sprouts, DIM, glutathione, chlorella) Intermittent fasting (tailored for women's cycles) Ketogenic diet to reduce inflammation Increased water intake (3-5L daily, filtered) Stress reduction and mindset shifts Bioidentical hormones if needed Broader Health System Issues Distrust in medical/government institutions growing Many doctors resistant to new research/approaches Food industry practices contributing to obesity epidemic Need for patient and practitioner education on functional approaches   Connect With Dr. Ric Kealoha: Website: https://www.advancedwaysinhealing.com LinkedIn: https://www.linkedin.com/in/ric-kealoha-md-bsc-b6328417b/ Connect with Lynne: If you're looking for a community of like-minded women on a journey - just like you are - to improved health and wellness, overall balance, and increased confidence, check out Lynne's private community in The Energized Healthy Women's Club. It's a supportive and collaborative community where the women in this group share tips and solutions for a healthy and holistic lifestyle. (Discussions include things like weight management, eliminating belly bloat, balancing hormones, wrangling sugar gremlins,  overcoming fatigue, recipes, strategies, perimenopause & menopause, and much more ... so women can feel energized, healthy, and lighter, with a new sense of purpose. Website:  https://holistic-healthandwellness.com Facebook: https://www.facebook.com/holistichealthandwellnessllc The Energized Healthy Women's Club:  https://www.facebook.com/groups/energized.healthy.women Instagram: https://www.instagram.com/lynnewadsworth LinkedIn:  https://www.linkedin.com/in/lynnewadsworth   Free Resources from Lynne Wadsworth: ✨ Ready to Thrive in Midlife? Let's Make It Happen!

What if we've been looking at cancer all wrong?In this riveting episode, Dr. Nasha Winters welcomes Dr. Robert Nagourney—renegade oncologist, cancer biologist, and trailblazer in functional profiling and metabolomics. For over 30 years, Dr. Nagourney has challenged the dogma of protocol-based oncology, focusing instead on what truly matters: how the patient's biology responds to treatment.Together, they unpack why cancer isn't just a problem of too much growth, but rather too little death, and how shifting our focus to metabolic function could radically transform cancer care—from diagnosis through remission and prevention.This is a deeply personal and highly technical conversation filled with clinical wisdom, paradigm-shifting insights, and genuine hope for the future of oncology.Key Takeaways: Why cancer is not primarily a growth disease, but a failure of cell death.The real meaning of “personalized medicine”—and how most current approaches miss the mark.What “functional profiling” is and how it doubles treatment response rates in patients.How Dr. Nagourney uses tissue assays to select therapies with precision—before gene panels even return results.What metabolomics is, and why it's the next frontier in both early detection and prevention.The difference between apoptosis and programmed cell death—and why that nuance matters.What it means to quantify life and how Dr. Nagourney's new blood-based testing could identify cancer risk before symptoms ever arise.A hopeful look at curing incurable cancers—and the patients who beat the odds.About Dr. Robert Nagourney, MD: Dr. Robert Nagourney, MD, is the founder of the Nagourney Cancer Institute and a globally recognized expert in the field of functional oncology. With over three decades of clinical experience, he has pioneered the use of tissue-based assays to guide cancer therapy and is now leading a new wave of innovation with metabolomics—a biochemical approach that could revolutionize how we detect, treat, and ultimately prevent cancer. His work has contributed to the development of several major treatment regimens and has helped patients with so-called “untreatable” cancers find hope.Connect with Dr. Robert Nagourney:Website: https://www.nagourneycancerinstitute.com/ LI: https://www.linkedin.com/in/robert-nagourney-md-89237213 X: https://x.com/DrNagourney Instagram: https://www.instagram.com/nagourneycancerinstitute/Facebook: https://www.facebook.com/NagourneyCancerInstituteYoutube: https://www.youtube.com/channel/UCM2KQEIwuLKXqaDTwOTWDcgAbout Your Host: Dr. Nasha Winters is a global healthcare authority, best-selling author, and educator in the emerging field of integrative oncology and terrain-based cancer care. She hosts Metabolic Matters to explore the critical intersections between metabolism, medicine, and meaning.Loved this episode? Please take a moment to rate & review on Apple Podcasts or Spotify—and share with a friend or clinician who needs to hear it.Connect with Dr. Nasha & the Metabolic Terrain Institute of Health

Full Podcast: “The Toll We Pay in Residency, Stories of Saving Babies Lives in Pediatric Cardiology, Ironman & Triathlons, Why Doctors Are Like Athletes”Questions: [01:10] Pediatric cardiology is such a specific niche. Can you tell us about your path?[03:36] How old are you after all this training?[05:02] Was starting triathlons in medical school your escape?[06:43] How did this last triathlon compare to your earlier ones?[09:48] What did your wife say when you fit into those pants?[11:21] How did you maintain your marriage through the challenges of medical training?[14:36] When did you get married?[21:11] What's the next big challenge or speed bump in your career?[24:33] What are the key insights for aspiring medical students?[27:09] What was your humanitarian experience like in the Dominican Republic?[47:02] How can one person do all this during an intense shift?[54:42] What's it like being on Q3/Q4 call for a year?[01:08:58] Will AI replace doctors in the future?[01:19:31] Do you have TikTok, and have you been posting videos?Quotes & Wisdom:[01:09] "The connections you make and the relationships you build across platforms can be life-changing."[08:27] "I wish I could have given myself grace earlier—it's okay to be human."[19:07] "Every perceived failure is just a step toward future success."[27:52] "Humanitarian medicine showed me the catharsis of diagnosis and healing—it made medicine about the right reasons."[32:01] "Your personal brand is what makes you uniquely you—cultivate it authentically."[48:11] "When a parent tells me, 'It's like it never happened,' after their child's surgery, that's the ultimate reward."[55:20] "The catharsis of knowing it's over, that you made it through, is indescribable."[01:11:23] "We need to break the stigma in medicine—mental health isn't weakness; it's strength in seeking help."[01:19:48] "Preventative medicine is the future—it's where we can make the biggest difference."Now available on:- Dr. Gallagher's Podcast & YouTube Channel- Dose of Dental Podcast #1181.2025#podcast #dentalpodcast #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #doctorlife #dentistlife #oralsurgeon #doctorgallagher

In Part 3 of The Journey Beyond Death—and the second installment of our Mental Health Resiliency arc—we take a deeply personal and professional dive into the labyrinth of grief. Guided by voices shaped through trauma, therapy, and triumph, this episode explores the raw emotional landscape that follows profound loss. With the haunting echoes of personal stories—from being raised by Holocaust survivors to losing parents to Alzheimer's and suicide—our guests share tools that helped them move through sorrow with grace: meditation, therapeutic writing, community, and nature. Psychotherapist Megan Bruneau and holistic psychiatrist Dr. Rebecca Valla illuminate how grieving minds need structure, empathy, and non-judgmental support. Clinical psychologist Dr. John Huber breaks down how guilt and irrational thinking can derail healing—and what practical methods can restore inner balance. Dr. Pat Baccili delivers powerful spiritual and psychological reflections on trauma and the human need to witness grief without solving it. We also highlight Functional Health Practitioner Karen Shoshana's unique insights into how somatic care—sleep, breath, nutrition—can ground us during loss. And Dr. Gaini De Silva offers a compassionate look at adolescent grief and physical practices for emotional regulation. Together, these voices reveal that mourning is not a timeline but a terrain—and those who traverse it consciously can emerge stronger, wiser, and more open-hearted than ever. This episode reminds us that grief is sacred. It is an invitation to become more human, more whole, and, paradoxically, more alive. Whether you've just begun your grieving journey or are still haunted by echoes from years ago, this episode offers powerful emotional tools, insights, and hope. --------------------------------------- Featuring in order of appearance: 01:00 – Karen Shoshana 11:00 – Psychotherapist Megan Bruneau 13:46 – Dr. Pat Baccilli 20:00 - Forensic Psychologist Dr. John Huber 42:40 – Dr. Rebecca S. Valla --------------------------------------- Karen Shoshana Karen Shoshana is a highly respected Functional Diagnostic Nutrition Practitioner, speaker, and wellness strategist. She is the founder of WellnessGirl.net, a platform dedicated to helping women reclaim their energy, hormonal balance, and vitality through root-cause functional health solutions. With a background in integrative nutrition and a passion for mind-body healing, Karen works primarily with women experiencing burnout, adrenal fatigue, and hormonal disruption. She's the author of Hormonious: The Functional Approach to Optimal Wellness, Boundless Energy & Glowing Longevity, which outlines her signature protocol for restoring health naturally and sustainably. Karen blends science, spirituality, and personal empowerment to help clients heal deeply and live radiantly. Website: Book: Twitter: --------------------------------------- Megan Bruneau, M.A., RCC Megan Bruneau is a licensed psychotherapist, executive coach, podcast host, and thought leader in emotional wellness and performance psychology. She holds a Master's in Counseling Psychology and has over 15 years of clinical experience helping high-performing individuals overcome perfectionism, imposter syndrome, anxiety, and trauma. Megan's work has been featured in Forbes, The Huffington Post, MindBodyGreen, and other top platforms. Her podcast, The Failure Factor, explores the intersection of mental health and professional growth, showcasing how embracing failure can lead to success. Known for her raw, compassionate, and no-BS approach, Megan empowers clients to cultivate resilience, authenticity, and self-worth in both personal and professional domains. Website: Forbes: Podcast: --------------------------------------- Dr. Pat Baccili Dr. Pat Baccili is a trailblazing voice in personal transformation media and one of the most influential women in positive talk radio. A behavioral psychologist by training and spiritual teacher by calling, Dr. Pat is the creator and host of The Dr. Pat Show – Talk Radio to Thrive By!, a nationally syndicated show blending science, spirituality, and self-mastery. She is also the founder of Transformation Talk Radio, a platform that amplifies conscious voices across the globe. Dr. Pat has been featured on TV, radio, and at international conferences, inspiring audiences with her fierce message of empowerment, resilience, and awakening. Her coaching work focuses on helping clients break through subconscious limitations to access their full potential. Website: Network: LinkedIn: --------------------------------------- Dr. John Huber Dr. John Huber is a nationally recognized clinical forensic psychologist with more than two decades of experience in diagnostics, behavioral health, and performance psychology. He currently serves as CEO of TripSitter Clinic, a leader in telemedicine-based ketamine therapy for anxiety, PTSD, and depression. Dr. Huber is known for his sharp insights on the intersection of mental health and public policy, frequently appearing as a guest expert on Fox News, ABC, CBS, CNN, and multiple national radio shows. His clinical work focuses on cognitive rehabilitation, addiction recovery, and trauma-informed care. Dr. Huber is also a passionate advocate for expanding access to alternative therapies and reshaping the future of mental health care through innovation and technology. Interview: --------------------------------------- Dr. Rebecca S. Valla, MD Dr. Rebecca S. Valla is a board-certified psychiatrist and holistic mental health expert based in North Carolina. With over 30 years of clinical experience, Dr. Valla integrates traditional psychiatric modalities with a heart-centered, soul-conscious approach to healing. Her work addresses the deeper emotional, spiritual, and energetic roots of suffering, helping individuals move beyond symptom management into genuine transformation. Dr. Valla is also a teacher, speaker, and advocate for conscious medicine, encouraging clients to awaken to their life purpose and inner truth. She has a special interest in near-death experiences, consciousness studies, and integrative healing practices. Her private practice serves clients seeking depth, authenticity, and lasting emotional freedom. Website: Physician Profile: --------------------------------------- The Journey Beyond Death podcast, grief healing, Karen Shoshana, mental health resilience Megan Bruneau, Dr. Pat Baccili grief advice, Dr. John Huber mental health, Dr. Gaini De Silva adolescent grief, Dr. Rebecca Valla holistic psychiatry, meditation for grief recovery, writing letters to the dead, how to cope with profound loss, emotional healing after death, alternative mental health therapies podcast, trauma-informed grief support, functional wellness for mourning, spiritual perspective on grief, somatic healing from loss, coping with parent loss, guilt after death healing tips, death and emotional growth podcast

About 60% of women in perimenopause report "not feeling like themselves". And it's more than just mood swings—it's about energy, memory, motivation, passion for life, intimacy, and so much more.  That's why in this week's powerful episode, I'm joined by the brilliant Dr. Kelly Casperson to dive into the often-overlooked role of hormones—especially testosterone—in women's health during perimenopause and beyond. We'll talk about midlife hormone changes impacting your romantic life, and why hormone therapy is such an essential (and safe!) conversation for you to have with your doctor.  If you're ready to feel passionate about your life again, reclaim your energy, and advocate for your long-term health, this is an episode you cannot miss. Dr. Kelly's insights are practical and empowering for any woman navigating perimenopause, menopause, or simply feeling a little lost in her own body. Tune in to learn how to be more in tune with your changing body, re-ignite a spark in your love life, and feel overall healthier again in midlife and beyond!  Kelly Casperson, MD  Dr. Kelly Casperson is a board-certified urologic surgeon and the CEO and founder of The Casperson Clinic– a modern practice dedicated to hormones and sex medicine. She's a renowned public speaker, sex educator, and host of the top-ranking podcast You Are Not Broken. Dr. Kelly is dedicated to helping women demystify sexual health, intimacy, and midlife wellness. Her work also provides essential education on hormones and midlife health. IN THIS EPISODE The most common complaints regarding intimacy in midlife Giving yourself permission for pleasure  The biopsychosocial aspect of sex, especially for women Addressing lower libido in perimenopause/menopause  The benefits of an orgasm and advice for increasing desire  Testosterone levels in women and hormone replacement options Debunking myths about menopause and hormones  Daily non-negotiables to feel your best  QUOTES “I think a lot of women are still under the impression that they should be able to have an orgasm vaginally. And 70% of women, they need, they need clitoral stimulation to make that happen.” “A big thing about sex– number one and two about sex is you have to feel safe and you have to not be stressed.” “They're like, ‘so is your goal to get every woman on hormones?' And I'm like, ‘No. My goal is to educate every single woman so that she can make the right decision if she chooses not to.'” RESOURCES MENTIONED Order Dr. Kelly's Book: You Are Not Broken HERE  Pre-Order Dr. Kelly's New Book: The Menopause Moment HERE  Dr. Kelly's Website  Dr. Kelly's Instagram Dr. Kelly's Podcast: You Are Not Broken  Dr. Kelly on YouTube BEAM Minerals: Use code ENERGIZED at checkout for 20% off your first order!  High-quality olive oil: go to www.getfreshenergized.com to get your free $39 bottle for just $1 shipping. RELATED EPISODES #506: Optimizing Testosterone, Growth Hormone and Other Metabolic Hormones in Our 40s and Beyond with Dr. Stephanie Estima #605: Breaking the HRT Confusion: The Truth Behind Hormone Replacement Therapy for Perimenopausal Women with Karen Martel 579: Hormone Replacement Options and Hormone Testing for Women in Midlife + Self Advocacy for Optimal Health with Esther Blum #569: How to Build a Strong Emotional Connection with Your Partner and How to Transform Your Love Life with Vanessa and Xander Marin #347: Got Low Testosterone? What Women Can Do About It

Healing your gut can change. your. life.  That's why I've invited Dr. Steven Gundry– a widely known surgeon turned nutrition expert–  to the podcast to discuss how your gut microbiome is absolutely crucial to your overall wellness.  In today's, episode Dr. Gundry covers how your gut influences everything from your mood to your personality, to your immune system, and more.  We'll unpack the science behind your microbiome, and explore powerful ways to support your good gut bacteria.  Plus, we'll reveal simple, actionable recommendations that can totally transform your gut, your health, and your life ASAP.  You won't want to miss this jam-packed episode full of surprising facts, tips, and tools you NEED to help enhance your wellness and longevity. Tune in here and turn your health around… starting with your gut! Steven Gundry, MD  Dr. Steven Gundry has worked in medicine for over 40 years. He graduated from Yale, then got his M.D. from the Medical College of Georgia, and began his residency at the University of Michigan. He's best known for his work as a cardiothoracic surgeon and heart surgeon, but now his prime focus is helping people AVOID surgery by following his unique vision of human nutrition. His mission is to improve your health, happiness, and longevity just by making a few simple tweaks to your diet.  IN THIS EPISODE The science of the gut microbiome  How your brain, mood, and personality are linked to your gut  Autoimmune diseases and your gut health  Ways to support your good gut bacteria  Battling the triggers of autoimmunity flare-ups  The benefits of fermented foods in your diet  Top supplements needed for optimal gut health Surprising lifestyle tips for your gut microbiome  QUOTES “Hippocrates is right. All disease begins in the gut. And I think inflammation is merely a manifestation of leaky gut.” “Let's talk about how the microbiome is intimately involved with every part of our brain, our behavior. One of the things that shocked me is that your personality is determined by your microbiome from day one.” “If we can keep kids away from antibiotics as much as possible during their first one to two years of life, it makes a huge difference.” RESOURCES MENTIONED Order your copy of The Gut-Brain Paradox HERE  Dr. Gundry Health Website: Book your Free Consultation  Shop Dr. Gundry's Supplements Bio Complete 3 Supplement  Dr. Gundry on Socials:  Instagram Facebook YouTube Podcast RELATED EPISODES  #635: The Connection Between Your Gut, Inflammation, Mood And How To Start Healing Your Microbiome With Tina Anderson  #607: The Hidden Gut & Metabolic Dangers Of Microplastics With Dr. Vincent Pedre #515: The Connection Between Gut Health And Hormone Balance With Dr. Vincent Pedre #466: How Gut Health Affects Hormones With Steven Wright #267: The Gut Hormone Connection And What You Can Do To Start Healing Your Gut Today With Tina Anderson

Dr. Catherine Oseni, Pharm.D., FAAMFM, ABAAHP Dr. Catherine Oseni is a board-certified, fellowship-trained clinical integrative pharmacist with deep expertise in both traditional pharmaceuticals and the impact of supplements and herbs on the body. Her career is rooted in a unique understanding of how conventional medications interact with integrative therapies, allowing her to create safe, personalized, and effective treatment plans for her clients.   Since 2006, Dr. Oseni has provided direct client care, skillfully blending Western medicine with holistic, evidence-based approaches to address the root causes of health concerns. Her individualized care model focuses on achieving optimal wellness through natural, whole-person solutions.   Recognized by peers as a leader in functional and integrative medicine, Dr. Oseni remains at the forefront of her field by continually expanding her knowledge through ongoing education and participation in professional conferences. She is also a passionate educator, frequently speaking at national and local events for both the public and healthcare professionals to promote and advance the field of integrative medicine.   Dr. Olusegun Oseni, MD Dr. Olusegun Oseni serves as the Medical Director of Alpha Care Wellness Center and is board certified in internal medicine, pulmonary care, critical care, and sleep medicine. Originally from Nigeria, he earned his medical degree from the University of Ilorin College of Medicine before moving to the United States for postgraduate training.   He completed his residency in internal medicine and a fellowship in pulmonary medicine at Harlem Hospital Center (an affiliate of Columbia University), followed by a fellowship in critical care medicine at Montefiore Medical Center (an affiliate of Albert Einstein College of Medicine), both in New York City.   Dr. Oseni is a Fellow of the American College of Chest Physicians (FCCP), a Diplomate of the American Board of Sleep Medicine (DABSM), and an active member of the Society of Critical Care Medicine, American Lung Association, and American Medical Association. Highly respected by his peers and beloved by his patients, Dr. Oseni is known in the community for his thorough, compassionate care and unwavering commitment to improving quality of life—regardless of the complexity of the condition.

In this episode we discussed the latest updates on the coding and reimbursement for SIJ Fusion. Our guest, Dr. Douglas Beall, talked about his experience with the different approaches of SIJ fusion therapies. We also discussed where the SIJ fusion space may be headed in the future.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ https://www.instagram.com/patdbmd/?hl=en Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ https://twitter.com/doctdeer?lang=en https://www.instagram.com/timdeer30a/?hl=en Guest, Douglas Beall, MD: Dr. Beall attended medical school at Georgetown University School of Medicine in Washington, DC, and completed his residency at The Johns Hopkins Hospital in Baltimore, Maryland. Following residency, he was Chief of Interventional Services at Sheppard Air Force Base in Wichita Falls, Texas. He then completed a fellowship in Musculoskeletal Radiology at Mayo Clinic in Rochester, Minnesota, where he was trained in interventional spine techniques before returning to the US Air Force as Division Chief of Musculoskeletal Radiology. Following his service as a Major in the US Air Force Dr. Beall was chief of Musculoskeletal Radiology and Fellowship Director at the University of Oklahoma prior to entering private practice as the Chief of Services. http://drdouglasbeall.com/ About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg https://www.instagram.com/aspn_painneuro/ https://www.facebook.com/PainNeuro https://www.linkedin.com/in/aspn/ https://twitter.com/aspn_painneuro Our sponsors: Saluda Medical: Saluda is the first to directly measure the spinal cord's physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient's neural signature.  https://www.saludamedical.com/  

SJ Show NotesGrab your DARK BAGS!! Special Promotion from The Satellite Phone Store! http://darkbags.comCHD Comprehensive list peer reviewed studies on EMF impact on health:https://childrenshealthdefense.org/emr/emf-wireless-health-impacts/Systematic Review of EMF impact on health (mainstream Google search) https://www.sciencedirect.com/science/article/pii/S0160412024005695Visit Dr. William's Website: https://beingfunctional.com/about/Take the Feel Good Gut Health Course: https://beingfunctional.com/feel-good-gut-health-course/Get your tickets for the Summit for Truth on March 29 HERE:https://summitfortruth.comPlease support Shannon's independent network with your donation HERE:https://www.paypal.com/donate/?hosted_button_id=MHSMPXEBSLVT6Please Support Our Sponsors:Please give a BIG SJ welcome to our new sponsors at All Family Pharmacy! Be ready before you need it! Stock up now and protect your family. Go to allfamilypharmacy.com/JOY and use code JOY10 for 10% off your order.If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.comColonial Metals Group is the company Shannon trusts for all her metals purchases! Set up a SAFE & Secure IRA or 401k with a company who shares your values! Learn more HERE: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Back Up Your LIFE Savings With The Gold Company Shannon TRUSTS. Learn More: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Watch Shannon's show, Live and on Demand on Spreely TV on the web, Roku, FireTV, AppleTV and Android TVCheck out Shannon's Patriot TV landing page! www.patriot.tv/joy If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.com

SJ Show NotesGrab your DARK BAGS!! Special Promotion from The Satellite Phone Store! http://darkbags.comCHD Comprehensive list peer reviewed studies on EMF impact on health:https://childrenshealthdefense.org/emr/emf-wireless-health-impacts/Systematic Review of EMF impact on health (mainstream Google search) https://www.sciencedirect.com/science/article/pii/S0160412024005695Visit Dr. William's Website: https://beingfunctional.com/about/Take the Feel Good Gut Health Course: https://beingfunctional.com/feel-good-gut-health-course/Get your tickets for the Summit for Truth on March 29 HERE:https://summitfortruth.comPlease support Shannon's independent network with your donation HERE:https://www.paypal.com/donate/?hosted_button_id=MHSMPXEBSLVT6Please Support Our Sponsors:Please give a BIG SJ welcome to our new sponsors at All Family Pharmacy! Be ready before you need it! Stock up now and protect your family. Go to allfamilypharmacy.com/JOY and use code JOY10 for 10% off your order.If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.comColonial Metals Group is the company Shannon trusts for all her metals purchases! Set up a SAFE & Secure IRA or 401k with a company who shares your values! Learn more HERE: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Back Up Your LIFE Savings With The Gold Company Shannon TRUSTS. Learn More: https://colonialmetalsgroup.com/joyLightly prepped and READY to go. Always be prepared for ANY emergency with The Satellite Phone Store! Everything you need when the POWER goes OUT. Use the promo code JOY for 10% off your entire order TODAY! www.SAT123.com/Joy Watch Shannon's show, Live and on Demand on Spreely TV on the web, Roku, FireTV, AppleTV and Android TVCheck out Shannon's Patriot TV landing page! www.patriot.tv/joy If you are invested in the markets and need financial advice you can TRUST. Please consider Dom Pullano of PCM & Associates! He has been Shannon's advisor for over a decade and would love to help you grow!Call his toll free number today: 1-800-536-1368Or visit his website at https://www.pcmpullano.com

Dr. Naidoo founded and directs the first hospital-based Nutritional Psychiatry Service in the United States. She is the Director of Nutritional and Lifestyle Psychiatry at Massachusetts General Hospital (MGH) & Director of Nutritional Psychiatry at MGH Academy while serving on the faculty at Harvard Medical School. She is considered Harvard University's Mood Food Expert and has been featured in the Wall Street Journal.Dr. Naidoo is also the national bestselling author of This Is Your Brain on Food. Modern science reveals the critical connection between our gut microbiome and brain function. In This Is Your Brain on Food, Uma Naidoo explains how the bacteria in our digestive system interact with the brain, influencing mental health, emotions, cognitive abilities, and overall well-being.From managing anxiety and depression to combating PTSD and improving neuroplasticity, Naidoo explores how tailored dietary strategies, specific nutrients, and beneficial microbes can positively shape the gut-brain connection.Join Ken & Eric as they Host Dr. Naidoo and discuss the challenges and potential solutions to battling emotional and behavioral issues with appropriate nutrition.https://umanaidoomd.com/

Dr. Jill Carnahan and Dr. Linda Bluestein will provide a comprehensive overview of joint hypermobility, including its association with conditions like Postural Orthostatic Tachycardia Syndrome (POTS) and Mast Cell Activation Syndrome (MCAS). Understanding these connections can be pivotal in managing symptoms and improving overall quality of life. ✅ Learn the connection between hypermobility and disorders like Mast Cell Activation Syndrome (MCAS) and Postural Orthostatic Tachycardia Syndrome (POTS) and strategies for regulating the nervous system, reducing pain, and improving quality of life.  ✅ Why hypermobility is common in dancers, gymnasts, and elite athletes, and how it can be both an asset and a liability.  ✅ How diet, lifestyle, and targeted supplementation can help mitigate symptoms of hypermobility-related conditions and the importance of a multidisciplinary approach, including collaborations with physical therapists, nutritionists, and neurologists. Dr. Linda Bluestein, MD Dr. Linda Bluestein, MD, is a leading expert in hypermobility disorders, offering specialized care at Hypermobility MD. She also runs Bendy Bodies, a coaching practice that empowers those with hypermobility. As host of the "Bendy Bodies with the Hypermobility MD" podcast, she shares insights and fosters community. Dr. Bluestein is active in advocacy and research, serving on multiple boards. Learn more at www.hypermobilitymd.com. Links https://www.instagram.com/hypermobilitymd/  https://www.facebook.com/hypermobilityMD  https://twitter.com/BluesteinLinda  https://www.youtube.com/@bendybodiespodcast  https://www.linkedin.com/in/hypermobilitymd/  https://www.tiktok.com/@hypermobilitymdara  http://www.bendybodiespodcast.com  https://www.hypermobilitymd.com/  

Conscious Caregiving with L & L is "Tackling the Tough Conversations."     The topic of this episode is "Ageism & Outcomes" featuring hosts Lori La Bey and Lance A. Slatton with an All-Star panel.     About Brittany Lamb, MD:     Dr. Brittany Lamb has been practicing in the ER since 2014. She sees the overwhelm and stress that goes with decision-makers' need to speak for someone they care about. Recognizing the unique challenges that come with medical decisions for people living with dementia, she decided to share her expertise beyond the walls of the hospital.     In 2021 she came online to empower medical decision makers with the knowledge and tools they need to make informed choices through free and paid resources. Dr. Lamb lives and works in Northern Virginia. Her time is spent flipping between the ER at night and her online and hospice work during the day. Down-time goes to spending quality time with friends, family, and her husband.     About David McNally:     David McNally is the author of EVEN EAGLES NEED A PUSH-Learning to Soar in a Changing World, one of the most successful personal growth books ever published. David is a member of the Speakers Hall of Fame, and the producer of the award-winning documentary, THE POWER OF PURPOSE.     David has five children and has been married twice. His first wife, Jo, died in 2003 from ovarian cancer and his second wife, Cheryl, passed away from Alzheimer's in 2023.     About Kristine Sundberg:     Kristine Sundberg is the Executive Director of Elder Voice Advocates (EVA), an advocacy non-profit organization. As an award-winning, former executive and corporate officer of Fortune 100 and entrepreneurial companies, she brings experience in management, communications, and public affairs. A personal tragedy with her father in long-term care drove her to work with other victims to form the non-profit organization, Elder Voice Advocates in 2017.     About Jeanette Leardi:     Jeanette Leardi is a social gerontologist, community educator, writer, public speaker, and aging wellness leader who changes people's perceptions about older adults and the aging process. She is known for her engaging in-person and virtual presentations, workshops, and classes to people of all ages, as well as for her articles in national publications and appearances on national broadcasts.     About Dr. Anne Kenny:     Dr. Kenny has two books published in 2024. One is co-authored with Teresa Webb, a woman living with and advocate for Frontotemporal Dementia. The book, Your True North: A Guided Journal for Those Living with Cognitive Loss or Dementia is about Legacy, Love and Wishes for the End of a Life Well-lived.  

Smart Supplements: Must-Haves for Wellness & What to Avoid with guest expert Dr. Taz You don't have to be a nutrition expert or spend a fortune on supplements to improve your health.The key is understanding your body's needs and filling the gaps with the right nutrients.Start by identifying common deficiencies, focus on quality, and tailor your supplementation to your individual health goals. Over time, the right supplements will support your energy, immunity, and overall wellness!TUNE IN and let's explore together with Dr. Taz Bhatia CEO of CentreSpringMD, a Board-Certified Integrative Medicine and Pediatrics specialist, Certified Nutritionist, and Best-Selling Author. In this episode, you will learn:The importance of personalizing your supplementation based on your individual needsChoosing high-quality supplements that support your health goalsWhy bioavailability matters in choosing the right form of supplements (e.g., methylated B vitamins, chelated magnesium)Overcoming common obstacles like supplement confusion and overwhelming choicesThe role of expert guidance in choosing the best supplements for youBenefits of supporting gut health for better nutrient absorptionHow to balance supplementation with a nutrient-dense dietThe importance of consistency in taking supplements dailyUnderstanding how supplements complement your overall health strategyWhy transparency in ingredient sourcing and certification is essential for safetyThe impact of combining supplements with lifestyle changes for maximum health benefitsEncouragement to prioritize long-term health over quick fixesThe role of mindfulness in supplementation—knowing when to adjust or stop certain supplementsHow to track progress and make adjustments based on your health needsFocusing on the synergy between different supplements for optimal resultsAbout our guest expert Tasneem Bahtia, MD:Dr. Taz, MD, founder and CEO of CentreSpringMD, has over 25 years of experience in medicine, combining Western and Eastern healing practices to treat the whole family. As a board-certified doctor, mother, and entrepreneur, she pioneered a holistic approach to health after personal health challenges led her to explore nutrition, homeopathy, and Eastern medicine. In 2009, she opened CentreSpringMD in Atlanta, growing it into a nationally recognized practice with multiple locations and a global telehealth platform. Dr. Taz is passionate about empowering families to live healthier, more balanced lives through integrative care.Instagram: https://www.instagram.com/drtazmdWebsite: https://centrespringmd.com/****************************************Protect Your Health with These Trusted Clinically Proven Vitamins, Supplements & ProteinA healthy diet, exercise, and positive changes to your lifestyle will make a huge difference, and adding the support from my most trusted dietary supplements and protein may help take you one step closer to reclaiming or elevating your health outcomes.Time to personalize your vitamin regimen!It's the holistic nutrition starter pack tailored to you. YOUR unique biology, health goals, lifestyle habits and even your...

Excited about this week's guest, Dr. Lake. Dr. Dianah T. Lake, MD (Dr. Di) is an emergency medicine physician, best-selling author, dynamic speaker, fitness and weight loss coach, menopause wellness expert, autism parent advocate, and founder of Dr. Di Fitness.With her extensive clinical experience and expertise in fitness and weight management, Dr. Di champions a holistic approach to health, focusing on disease prevention, weight loss, menopause wellness, longevity, and overall well-being. A graduate of Rutgers-NJ Medical School, Dr. Di completed her Emergency Medicine residency at Jacobi and Montefiore Medical Centers in the Bronx, NY. She is a sought-after speaker, frequently addressing health and wellness topics at churches, conferences, summits, podcasts, magazines, and TV shows. Join us for this week's episode as we dive into the truth about menopause wellness and weight management—no fluff, just real talk about reclaiming your energy, confidence, and power during this transformative stage of life! Contact Dr. Lake: (For A Complimentary Menopause Relief or Fitness and Weight Loss Consultation):https://DrDiFitLife.as.meDr. Di Fitness Facebook link:https://www.facebook.com/Dr-Di-Fitness-102901168416517/Free fitness accountability group. Professional Women Getting Fit:https://m.facebook.com/groups/143455166379490 Dr. Di's Instagram Handle:https://instagram.com/drdifitlifeLinkedIn LinkedIn Profile:https://www.linkedin.com/in/drdianahlake?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app

To continue our focus on wellness, to the start of the year, I'm resurfacing this episode to answer your reproductive health questions and equip you with the life-saving knowledge you need to advocate for yourself.

In this episode of Generations MD, Dr. Anupam B. Jena, a physician-economist and professor at Harvard Medical School, shares insights from his diverse career. He discusses how his unique background has shaped his approach to healthcare and reflects on his podcast, Freakonomics, M.D., where he delves into fascinating studies at the intersection of economics and healthcare.

A discussion of the loss to end a terrible season transitions to a heated discussion of how good OU will be, can be, and should be. Realist Deal Locks of the WeekSteve: Boise State +11, Notre Dame +2, Alabama -12.5 Conner: Texas -13.5, Notre Dame +2, Oregon +2.5 Lucas: Boise State +11, Notre Dame +2, South Carolina -10 Jay: Mississippi -17, Ohio State -2.5, South Carolina -10 Listener: Boise State +11, LSU +3.5, Alabama -12.5Prop Bet of the Week2.5 SEC wins in CFP from quarterfinals through championship Steve: UnderConner: UnderLucas: UnderJay: UnderSpecial thanks to our sponsors: Title sponsors: Little Debbie Snack Cakes - The world's tastiest treats; the top-selling Little Debbie varieties are Oatmeal Creme Pies, Swiss Cake Rolls and Nutty Buddy Wafer Bars.https://www.littledebbie.com/AndDr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. Patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Also:Tobacco Exchange - Best prices, selection, and expert advice in the metro. Visit them at any of their three locations: Moore, Oklahoma City, and Edmond.https://bestcigarsok.com/Thanks for reading Two Homers and a Realist! This post is public so feel free to share it. Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

Zocdoc Founder Oliver Kharraz, MD Dr. Oliver Kharraz, CEO and Founder of Zocdoc, shares insight after insight on what actually drives healthcare behaviors and influences consumers' choices.  All that, plus the Flava of the Week about Amazon launching a new service competitive to Hims and Hers. What is the consumer insight that this new service is based on, and how can we bypass the bias against retailers to more quickly design consumer-centered products and services? " Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

After the portal losses, OU has substantial gains. We debate the long view. Plus we look at the game against Navy.Realist Deal Locks of the WeekSteve: Oklahoma -3, Texas A&M -3.5, Iowa +3 Conner: Nebraska -2.5, Colorado -5, Kansas State -6.5 Lucas: Oklahoma -3, Georgia Tech -3, Miami (Fla) -3 Jay: Oklahoma -3, Colorado -5, Miami (Fla) -3 Listener: Oklahoma -3, Arkansas -1, Kansas State -6.5Prop Bet of the Week360.5 total offensive yards for OU versus Navy Steve: OverConner: UnderLucas: UnderJay: UnderOU Score PredictionsSteve: 35-17Conner: 31-17Lucas: 24-14Jay: 27-20Special thanks to our sponsors: Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

We cover the opening salvo of the portal and what we expect and desire out of it; plus we cover the beginning of bowl season.Realist Deal Locks of the WeekSteve: Army -6.5, SMU +8.5, Tennessee +7.5 Conner: Army -6.5, Penn State -8.5, Notre Dame -7.5 Lucas: Memphis -4, Ohio -2.5, Notre Dame -7.5 Jay: Memphis -4, Florida -14, Notre Dame -7.5 Listener: UNLV +2, Clemson +11, Tennessee +7.5Prob Bet of the Week1.5 Wins straight up for prior OU opponents in bowl games through December 21 Steve: OverConner: UnderLucas: UnderJay: UnderSpecial thanks to our sponsors: Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

We dive into our views on the new OC, Ben Arbuckle, as well as a run down on signing day. Plus we discuss championship week along with our predictions.Realist Deal Locks of the WeekSteve: Louisiana +5.5, Ohio +2.5, Penn State +3.5 Conner: Boise State -4, Tulane -5, Georgia +2.5 Lucas: Arizona State -2, Oregon -3.5, SMU -2 Jay: Arizona State -2, Oregon -3.5, Clemson +2.5 Listener: Boise State -2, Oregon -2.5, SMU -2Prop Bet of the Week4.5 Favorites to cover in the conference championship games Steve: OverConner: OverLucas: OverJay: UnderSpecial thanks to our sponsors: Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

In this episode we discussed the advances in the lateral approach for sacroiliac joint fusion. Our guests, Dr. Usman Latif talked about his experience in the research and development of Liberty SI. We also discussed the most updated data on lateral SIJ fusion and how Dr. Latif decides which approach to use for his patients.  Full Disclosure: Dr. Latif is a consultant of Spinal Simplicity.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ https://www.instagram.com/patdbmd/?hl=en Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ https://twitter.com/doctdeer?lang=en https://www.instagram.com/timdeer30a/?hl=en Guest, Usman Latif, MD: Dr. Latif is certified by the American Board of Anesthesiology with a subcertification in pain management. He completed a fellowship at Massachusetts General Hospital. He earned his medical degree from the University of Kansas School of Medicine and completed his residency at Wake Forest University Medical Center About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg https://www.instagram.com/aspn_painneuro/ https://www.facebook.com/PainNeuro https://www.linkedin.com/in/aspn/ https://twitter.com/aspn_painneuro Our sponsors: Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life. https://mainstaymedical.com/ Saluda Medical: Saluda is the first to directly measure the spinal cord's physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient's neural signature.  https://www.saludamedical.com/ Nalu Medical: Nalu Offers a Long-Term Solution For Pain. More than just new technology; it's a whole new world of opportunities. https://nalumed.com/   Medtronic: Medtronic leads global healthcare technology, boldly attacking the most challenging problems. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 90,000+ people, and our technologies transform the lives of two people every second, every hour, every day. https://www.medtronic.com/us-en/patients/treatments-therapies/pain.html   Spinal Simplicity: Spinal Simplicity is a Healthcare Technology company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient's pain and quality of life.  We believe strongly in AO orthopedic principles of Early & Safe Mobilization, Bone Decortication, Joint Stability and Anatomy Restoration.  Our brands include Minuteman, Liberty-SI, Patriot-SI and Hero-SI.   https://spinalsimplicity.com/  

In this powerful episode of the LowCarbUSA podcast, Doug Reynolds and Pam Devine sit down with Beth McNally and Matt Miernik, the couple behind T1D Nutrition, to discuss their journey with type 1 diabetes (T1D) and the transformative role of nutrition in managing the condition. Their journey began in 2015 when their son Lachlan was diagnosed with T1D at age 9. After months of frustration with conventional high-carb, insulin-heavy treatments, they adopted a very low-carb diet, which dramatically improved Lachlan's blood glucose stability and brought his A1C levels into the normal range. Now, at 18, Lachlan is a thriving athlete, and Beth and Matt are dedicated to sharing the benefits of therapeutic carbohydrate reduction with others facing similar challenges. A central theme of the conversation is the recently published Position Paper by The SMHP on therapeutic carbohydrate reduction for type 1 diabetes, to which Beth, Matt, and a team of experts have made significant contributions. This paper will revolutionize T1D management by advocating for therapeutic carbohydrate reduction as a viable, evidence-based option. It calls for healthcare providers to support patients choosing this approach and underscores the importance of continued research and education on low-carb nutritional strategies. Beth expresses her enthusiasm for the Position Paper, noting its potential to challenge current T1D care practices. With only about 17% of youth and 21% of adults meeting the American Diabetes Association's A1C target of 7.0, this paper could be a game-changer, providing clinicians with new guidelines and resources to enhance patient outcomes. It advocates for open access and support for those exploring low-carb diets as a therapeutic intervention, signaling a much-needed shift in mindset. Throughout the episode, Beth and Matt stress how this Position Paper will empower both patients and clinicians, offering a solid foundation for discussing low-carb options within healthcare teams and integrating evidence-backed guidelines into mainstream T1D care. They encourage families to share the Position Paper with their doctors, fostering more comprehensive and supportive care. The couple also reflects on their involvement in the January 2024 LowCarbUSA Boca Raton Symposium for Metabolic Health, which featured a dedicated Type 1 Day. This event assembled international experts in T1D management, including Dr. Ian Lake, Dr. Suzanne Schneider, Dr. Eric Westman, Dr. Belinda Lennerz, and Dr. Robert Cywes, who shared innovative insights into how nutrition can stabilize blood glucose levels and improve the quality of life for those with T1D. These presentations set the stage for the Position Paper and underscored the need for a low-carb approach to gain wider recognition and support within the medical community. Matt offers additional insights into why therapeutic carbohydrate reduction is so effective, explaining how reducing carbohydrate intake decreases insulin dependency, leading to more stable blood glucose levels. He compares it to "removing logs from a fire," minimizing the blood glucose fluctuations that make T1D so difficult to manage. This Position Paper will address these scientific principles, equipping clinicians with the knowledge and tools to guide their patients more effectively. Matt also discusses the phenomenon of "double diabetes," a condition where individuals with type 1 diabetes develop insulin resistance, resembling type 2 diabetes. He explains how the conventional high-carb diet paired with large insulin doses can lead to this dangerous overlap, increasing health risks and complications. By adopting a low-carb approach, insulin needs are minimized, reducing the chances of developing double diabetes and supporting better metabolic health in people with T1D. Doug and Pam share how eye-opening the Type 1 Day event was for them and other attendees, with many healthcare professionals admitting they gained more insight into T1D management in one day than they had in their entire careers.  Click here to listen and discover the latest advancements in therapeutic carbohydrate reduction. Additionally, LowCarbUSA® has released all the Dedicated Type 1 Diabetes Workshop & Presenter videos from the recent LCUSA & SMHP Symposium for Metabolic Health, held in January. This video playlist features expert presentations that explore therapeutic carbohydrate reduction, optimal protein intake, healthy fats, and low-carb strategies for T1D. Featured speakers in this series include: Dr. Èvelyne Bourdua-Roy, MD & Dr. Tro Kalayjian, DO- Workshops intro & Prevailing outcomes in T1D Beth McNally, MS MA CNS LDN - Therapeutic Carbohydrate Reduction (TCR)/Low-carb Diet Implementation for T1D Dr. Ian Lake, BSc, BM,MRCGP - Low-Carb in T1D: Getting started, troubleshooting and guidance Dr. Belinda Lennerz, MD - Medication & Technology Implementation Allison Herschede, BSN, RN, CDCES - Hormonal Challenges for Women with T1D Dr. Ian Lake, BSc, BM,MRCGP - Exercise how to & Fasting (intermittent and multi-day) Lester Hightower & Beth McNally, MS MA CNS LDN - Parents Perspective - TCR/Low-carb for Type 1 diabetes Dr. Eric Westman, MD, MHS - Standard of Care - Advances and challenges in Type 1 diabetes care Dr. Jessica Turton, PhD, MND, B.App.Sc (ExSpSc) - Current research on low-carbohydrate diets for Type 1 diabetes management Dr. Belinda Lennerz, MD - Children living with Type one Diabetes - Current and future research questions pertaining to therapeutic dietary carbohydrate reduction in children Dr. Eric Westman, MD, MHS, Dr. Jessica Turton, PhD, MND, B.App.Sc (ExSpSc), & Dr Belinda Lennerz, MD - Panel Discussion Dr. Robert Cywes, MD, PhD - Clinical implementation of low-carbohydrate diets in T1DM – experiences from adults and children Dr. Ian Lake, BSc, BM,MRCGP - Exercise and Therapeutic Carbohydrate Reduction – Current research and clinical experiences Suzanne Schneider, PhD Researcher, MSc, Bcomm - Cognitive and Psychological Implications of Carbohydrate Reduction in T1DM Dr. Robert Cywes, MD, PhD, Dr. Ian Lake, BSc, BM,MRCGP, & Suzanne Schneider, PhD Researcher, MSc, Bcomm - Panel Discussion These videos are available for free on the LowCarbUSA® YouTube channel in the "Type 1 Workshop - Symposium for Metabolic Health - Boca 2024" Playlist. Explore this valuable resource to gain insights from the leading voices in T1D management and be part of the growing community dedicated to improving outcomes for those living with type 1 diabetes. Links: T1D Nutrition website

Live from Vegas, we're gearing up for the final game of the regular season. Sooners have a chance for a little more redemption in this season of trial. Realist Deal Locks of the WeekSteve: Oklahoma +6, Texas -6, Notre Dame -7.5 Conner: SMU -13.5, Illinois -7.5, Army -7 Lucas: Texas Tech -3, Missouri -3, North Carolina -3 Jay: Oklahoma +6, South Carolina +3, Ohio State -21 Listener: Colorado -16, Tennessee -10.5, Kansas -1.5Prob Bet of the Week120.5 yards rushing for Xavier Robinson Steve: OverConner: OverLucas: UnderJay: OverScore PredictionsSteve: 31-20Conner: 27-17Lucas: 26-23Jay: 24-20Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

Several of our experts from our Provider Directory have come together in our fourth Roundtable discussion of 2024. This is Part 2 of our discussion on mothers' main worries and strategies to address them. In this episode, the experts discuss the importance of balancing extracurricular activities. They discuss managing children's anxiety in extracurricular activities and the need for healthy, non-toxic extracurricular environments. The experts talk about a mother's concern over the health and well-being of their children when it comes to particular milestones and how it can become an overwhelming worry. Make sure you listen to Part 1 where we discuss the difference between typical worries and more serious mental health concerns like anxiety disorders and OCD. We also discuss maintaining physical stamina over time when parents need a lot of physical energy to handle the daily tasks of raising children, such as requiring constant energy, resilience, and flexibility.  This HER Health Collective Roundtable features the following HER Provider Directory Experts: Erin Jones, LCMHC Chasta Hamilton, Coach/Entrepreneur/Author Dr. Brook Orvis, PT Dr. Priscilla Hidalgo, MD Dr. Mbong Henry, PT Kristin Baker, PCC Dr. Katherine Hutchinson, PhD To connect with any of our experts, please go to our ⁠website directory⁠.  Today's episode includes a discussion of the following topics: Expert Introductions Discussion on Extracurricular Activities and Toxic Achievement Culture Managing Children's Worries and Rumination Balancing Health and Well-being Concerns Balancing Work and Family Life Closing Remarks and Acknowledgments Episode Resources: Erin Jones, LCMHC - Bull City Anxiety and OCD Treatment Center Chasta Hamilton, Coach/Entrepreneur/Author - Stage Door Dance Productions  and Girls Geared for Greatness Dr. Brook Orvis, PT - Flora Physical Therapy Dr. Priscilla Hidalgo, MD - Lux Psychiatry Dr. Mbong Henry, PT - Radiance Physical Therapy Kristin Baker, PCC - KB Coaching and Lumo Dr. Katherine Hutchinson, PhD - Peak City Psychology Support Mama Needs a Moment! Become a patron through our Mama Needs a Moment ⁠Patreon⁠. HER Circle by HER Health Collective --- Support this podcast: https://podcasters.spotify.com/pod/show/herhealthcollective/support

Chronic fatigue and long covid symptoms explained with solutions with functional medicine and MD Dr. April Lind. (3:11) Planned Parenthood exposed negotiating with and in partnership with UCSD for research on aborted baby body parts (33:50) Phasing into Christmas/Advent and Christmas decorations to be continued... (48:16) Resources mentioned :  Dr. April Lind's website: https://mnpersonalizedmedicine.com/   Strength Training and anti aging hacks  https://omny.fm/shows/trending-with-timmerie-catholic-principles-applied/anti-aging-hacks-strength-training   Institute of functional medicine  https://www.ifm.org/find-a-practitioner/   Academy of Intregrative Health and Medicine  https://members.aihm.org/find-a-provider/   Research on long covid and MECFS Mitochondria and chronic disease Is Mitochondrial Dysfunction a Common Root of Noncommunicable Chronic Diseases? - PMC   The Key Role of Mitochondrial Function in Health and Disease - PMC   Mitochondrial dynamics in health and disease: mechanisms and potential targets | Signal Transduction and Targeted Therapy Mitochondrial dysfunction: mechanisms and advances in therapy | Signal Transduction and Targeted Therapy EBV Is there a link between long COVID and Epstein-Barr virus?   Investigation of Long COVID Prevalence and Its Relationship to Epstein-Barr Virus Reactivation - PMC   The Long COVID Puzzle: Autoimmunity, Inflammation, and Other Possible Causes > News > Yale Medicine Long covid mcas Mast cell activation symptoms are prevalent in Long-COVID - PMC Mast cell activation syndrome and the link with long COVID - PubMed Mast cell activation syndrome: An up-to-date review of literature - PMC   Long covid and me/cfs Long COVID, ME/CFS and the Importance of Studying Infection-Associated Illnesses > News > Yale Medicine Long COVID and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)—A Systemic Review and Comparison of Clinical Presentation and Symptomatology - PMC ME/CFS and Post-Exertional Malaise among Patients with Long COVID - PMC The overlapping conditions of Long Covid and ME/CFS | The BMJ Planned Parenthood exposed negotiating with and in partnership with UCSD for research on aborted baby body parts https://www.centerformedicalprogress.org/2024/11/breaking-viable-nonanomalous-6-month-old-fetuses-sold-from-planned-parenthood-abortions-to-university-of-california-new-documents-show/  

Ready to diversify outside the stock market? EquityMultiple brings you streamlined real estate investing. Access vetted, cash-flowing opportunities from anywhere. Start today, with just $5K, at equitymultiple.com _________ Dr. Amna Shabir interviews Dr. Saba Fatima on the emotional struggles that come with medical malpractice cases. Drawing from her own experience, Dr. Fatima opens up about the feelings of isolation, shame, and anxiety that many doctors face especially since they're often told not to talk about their cases. She explains why it's so important to have open conversations to break the stigma and support each other. Dr. Fatima also talks about the bigger problems in healthcare that push doctors toward defensive medicine and shares why building support systems is key. She encourages self-forgiveness and reminds doctors that mistakes can happen in a high-pressure field. They also discussed ways to create safer work environments, foster a culture of fairness, and deal with the emotional impact of systemic failures. Dr. Fatima's story and advice are all about building a supportive community where doctors can feel heard and focus on both their well-being and better patient care. Bio Saba Fatima, MD Saba Fatima, MD is a Pediatric Hospitalist and Assistant Professor at KU School of Medicine Wichita. She is a passionate advocate for physician wellness and addressing secondary trauma in healthcare workers. She is Certified in Narrative Medicine from Columbia University. She hosts the Muted in Medicine podcast, where she sheds light on often-silenced topics in healthcare. As a writer, she contributes to various academic journals and blogs, spreading awareness on physician wellness issues that are often left unspoken   Socials:    https://www.instagram.com/mutedinmedicine?igsh=YWJ5YW1ndHpoamY0 https://www.linkedin.com/in/saba-fatima-md-78894a105?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app   https://youtube.com/@mutedinmedicine?si=Kqk-PQFAYcT2Ydq4   Amna Shabbir, MD  Dr. Amna Shabbir is a physician and podcast host focused on physician recruitment and early career development. She is dedicated to helping healthcare professionals navigate their careers and find fulfillment in their work. Dr. Shabbir's passion for empathy and mental health drives her to explore innovative approaches to improve physician well-being and patient care. Links: LinkedIn: Dr. Amna Shabbir Did you know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show! Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter

Dr. Thais Aliabadi is my personal OB.  And she, along with her She MD Co-Host Mary Alice Haney,  are my guests for a life-changing conversation on reproductive health.  We're talking about their revolutionary PCOS supplement Ovii, answering your questions, and equipping you with the life-saving knowledge you need to advocate for yourself.

Sooners still seek bowl eligibility facing Alabama in what is by name a classic showdown. Sadly, that isn't the storyline. We discuss the game plus the OC search.Realist Deal Locks of the WeekSteve: Indiana +13.5, Mississippi -10, SMU -9 Conner: UNLV -7.5, Illinois -1, BYU +3 Lucas: Texas A&M -2.5, Colorado -2.5, Alabama -13.5 Jay: Arizona State -3, Kentucky  +20.5, Alabama -13.5 Listener: James Madison -7, Missouri -7.5, Colorado State +3Prop Bet of the Week3.6 yards/rush for OU (rounding actual up if needed for no push)Steve: OverConner: OverLucas: OverJay: OverScore PredictionsSteve: 21-17Conner: 27-24Lucas: 13-34Jay: 17-31Special thanks to our sponsors: Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

Several of our experts from our Provider Directory have come together in our fourth Roundtable discussion of 2024.  In part one of our Roundtable, we are distinguishing between typical worries and more serious mental health concerns like anxiety disorders and OCD. We also discuss maintaining physical stamina over time when parents need a lot of physical energy to handle the daily tasks of raising children, such as requiring constant energy, resilience, and flexibility.  The roundtable discusses mothers' main worries and strategies to address them. Experts highlight the importance of distinguishing between normal worries and serious mental health issues like anxiety and OCD, emphasizing self-compassion and professional help. They address physical challenges such as pelvic pain, prolapse, and leaking during exercise, advocating for personalized care and realistic goals. The conversation also covered the emotional toll of parenting, including despair and resentment, and the need for support and self-awareness. Practical tools were recommended to manage invisible labor in relationships. This HER Health Collective Roundtable features the following HER Provider Directory Experts: Erin Jones, LCMHC Chasta Hamilton, Coach/Entrepreneur/Author Dr. Brook Orvis, PT Dr. Priscilla Hidalgo, MD Dr. Mbong Henry, PT Kristin Baker, PCC Dr. Katherine Hutchinson, PhD To connect with any of our experts, please go to our ⁠website directory⁠.  Today's episode includes a discussion of the following topics: Introduction and Expert Introductions Expert Introductions Continued Discussion on Normal Worry vs. Serious Mental Health Concerns Managing Physical Demands of Parenthood Closing Remarks Episode Resources: Erin Jones, LCMHC - Bull City Anxiety and OCD Treatment Center Chasta Hamilton, Coach/Entrepreneur/Author - Stage Door Dance Productions  and Girls Geared for Greatness Dr. Brook Orvis, PT - Flora Physical Therapy Dr. Priscilla Hidalgo, MD - Lux Psychiatry Dr. Mbong Henry, PT - Radiance Physical Therapy Kristin Baker, PCC - KB Coaching and Lumo Dr. Katherine Hutchinson, PhD - Peak City Psychology Fair Play - book by Eve Rodsky  Support Mama Needs a Moment! Become a patron through our Mama Needs a Moment ⁠Patreon⁠. HER Circle by HER Health Collective --- Support this podcast: https://podcasters.spotify.com/pod/show/herhealthcollective/support

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast About the Hosts Daniel J. Ozzello, MD - Dr. Daniel J. Ozzello is a dedicated faculty member in the Division of Oculoplastics at the University of Colorado. With a rich background that includes training in ophthalmology at the Wills Eye Hospital and an ASOPRS fellowship in San Diego under the esteemed Dr. Don Kikkawa and Dr. Bobby Korn, Dr. Ozzello has established a diverse practice in oculoplastics as well as urgent and inpatient ophthalmic care. At Colorado, he engages in clinical care, research and teaching. Caroline Vloka, MD - Dr. Caroline Vloka recently completed her fellowship at the University of Colorado following her residency in Pittsburgh. Bringing fresh perspectives and insights, she has already made a substantial impact as a new faculty member. Her interests lie in advancing oculoplastic surgery techniques and patient outcomes, carrying forward her rigorous training and passion for patient care. Episode Summary: In this informative episode of the OculoFacial Podcast, Dr. Daniel J. Ozzello teams up with Dr. Caroline Vloka to delve into the latest advancements in oculoplastic surgery, focusing on two significant blepharoplasty studies. The discussion revolves around the effectiveness of tranexamic acid (TXA) in surgery, alongside an exploration of the cost-effectiveness of these surgical interventions and their impacts on patient care. Introducing listeners to these critical insights, the duo unpacks recent research findings, igniting conversations on how these might enhance surgical practices and patient outcomes. The analysis begins with an examination of a study concerning the preoperative use of TXA in eyelid surgery, meant to reduce bruising and improve patient satisfaction. Highlighting its potential benefits, Dr. Ozzello and Dr. Vloka weigh the simplicity and cost-effectiveness of incorporating TXA into regular surgical protocols. The conversation then shifts towards evaluating the economic and quality-of-life impacts that blepharoplasty offers. The pair discuss a study that aligns the procedure with high cost-effectiveness scores, emphasizing its beneficial role in elevating patient functioning and wellbeing. Key Takeaways: Tranexamic Acid Efficacy: Recent studies demonstrate that tranexamic acid significantly reduces bruising and enhances patient satisfaction in blepharoplasty procedures. Oculoplastics Cost-Effectiveness: Blepharoplasty is proven to be highly cost-effective, providing substantial improvements in quality of life for patients with dermatochalasis Importance of Context: The subjective nature of cosmetic and functional outcomes can vary based on demographic factors and patient profiles. Thorough Patient Education: Managing patient expectations about postoperative outcomes is crucial for satisfaction, especially when comparing with other surgeries like cataract interventions. Collaborative Inquiry: There is a call for larger-scale studies and collaborative data pooling in oculoplastic research to better address rare conditions like idiopathic orbital myositis Resources: University of Colorado - Division of Oculoplastics: Official Website Publications on Tranexamic Acid and Blepharoplasty: Recent articles in OPRS (Oculoplastic and Reconstructive Surgery). Listen to the full episode for valuable insights and stay tuned for more enlightening and engaging content from the OculoFacial Podcast!  

Podcast friend Todd Lisenbee joined us for this bye week midweek to talk about the situation at OU. We dive into how to spend $44 million and who the next OC should be. Plus LOTW and more!Realist Deal Locks of the WeekSteve: South Alabama +7.5, Coastal Carolina +8.5, LSU -4 Conner: Illinois -2.5, James Madison -3, BYU -2.5 Lucas: Texas -13.5, Houston +1, BYU -2.5 Jay: South Carolina -12.5, Nebraska +9, Georgia -8.5 Listener: South Carolina -12.5, Arkansas +13.5, BYU -2.5Todd: Navy +7, SMU -19, California -9Prop Bet of the Week4.5 Lost fumbles for all of the eight SEC teams playing in SEC matchups this weekSteve: OverConner: OverLucas: UnderJay: UnderTodd: OverSpecial thanks to our sponsors: Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

The Sooners' best shot at bowl eligibility comes this weekend against Mizzou. Are some WRs back? Are we rightfully favored? Plus we discuss CFP scenarios.Realist Deal Locks of the Week:Steve: Virginia Tech +6.5, Army -5.5, UConn -6.5 'Conner: Iowa State -3, Army -5.5, Iowa -4.5 Lucas: Oregon -24.5, Army -5.5, Duke +3 Jay: Colorado -3.5, BYU -4.5, Iowa -4.5 Listener: Georgia -2.5, Michigan +14, Alabama -3Prop Bet of the Week:7.5 Different OU players have a reception Steve: UnderConner: UnderLucas: OverJay: OverOU Score Predictions:Steve: 31-20Conner: 34-27Lucas: 20-24Jay: 20-17Special thanks to our sponsors: Title sponsor: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.https://www.mercy.net/doctor/michael-edwin-kiehn-md/ Realist Deal Locks of the Week: Five Star Concrete - David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete.https://www.facebook.com/profile.php?id=100094021680492 Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

In this episode we discussed the differences between physiological closed loop spinal cord stimulation and traditional stimulation. Our guests, Dr. Jason Pope and Dr. Johnathan Goree talked about the data behind Saluda's closed loop stimulation and how it differs with Medtronic's therapy. They also discussed knowing and controlling the dose of stimulation and what they think the future is for this therapy.  Full Disclosure: Dr. Pope and Dr. Goree are consultants of Saluda Medical.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ https://www.instagram.com/patdbmd/?hl=en Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ https://twitter.com/doctdeer?lang=en https://www.instagram.com/timdeer30a/?hl=en Guest, Jason Pope, MD: With over a decade of experience, and regarded as one of the most influential key opinion leaders in the field of pain medicine and neuromodulation, Dr. Jason Pope in Santa Rosa is triple boarded in Pain Medicine, has published over 80 peer reviewed journals, spoken at numerous national and international conferences, and has consulted with many start-ups and established companies. https://evolverestorativecenter.care/ Guest, Jonathan Goree, MD: Board certified in anesthesiology and pain medicine, Dr. Johnathan Goree is a proud alumnus of Catholic High School in Little Rock, Arkansas. In 2014, Dr. Goree returned home to Little Rock, Arkansas to join the faculty at UAMS where he serves as the Director of Interventional Pain Management Services and an Assistant Professor in the Department of Anesthesiology. He primarily focuses on the treatment of chronic pain conditions using minimally invasive procedures, spinal cord stimulation, and vertebral augmentation.  https://medicine.uams.edu/pain/meet-our-team/johnathan-h-goree-m-d/ About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg https://www.instagram.com/aspn_painneuro/ https://www.facebook.com/PainNeuro https://www.linkedin.com/in/aspn/ https://twitter.com/aspn_painneuro Our sponsors: Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life. https://mainstaymedical.com/ Saluda Medical: Saluda is the first to directly measure the spinal cord's physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient's neural signature.  https://www.saludamedical.com/ Nalu Medical: Nalu Offers a Long-Term Solution For Pain. More than just new technology; it's a whole new world of opportunities. https://nalumed.com/ Medtronic: Medtronic leads global healthcare technology, boldly attacking the most challenging problems. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 90,000+ people, and our technologies transform the lives of two people every second, every hour, every day. https://www.medtronic.com/us-en/patients/treatments-therapies/pain.html Spinal Simplicity: Spinal Simplicity is a Healthcare Technology company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient's pain and quality of life.  We believe strongly in AO orthopedic principles of Early & Safe Mobilization, Bone Decortication, Joint Stability and Anatomy Restoration.  Our brands include Minuteman, Liberty-SI, Patriot-SI and Hero-SI.   https://spinalsimplicity.com/  

Sooners get a chance to work on their weaknesses in what should be an easy game. We'll see . . . we discuss what we expect.Realist Deal Locks of the Week:Steve: Vanderbilt +6.5, Mississippi -6.5, South Alabama -6.5 Conner: Tulane -14.5, Illinois  +3, Pittsburgh +7.5 Lucas: Nebraska -6.5, Iowa State -13.5, USC -2.5 Jay: Mississippi -6.5, Indiana -7.5, Nebraska -6.5 Listener: Maine +34.5, Ohio State -3.5, Oregon -14.5Prob Bet of the Week:2.5 Sacks allowed by OU Steve: UnderConner: OverLucas: OverJay: UnderOU Score Predictions:Steve 56-0Conner 45-6Lucas 42-7Jay 45-3Special thanks to our sponsors: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.Five Star Concrete - sponsor of the Realist Deal Locks of the Week. David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete. https://www.facebook.com/profile.php?id=100094021680492 Wander Folk Spirits - the maker of Only One Vodka and Two Ponies straight bourbon whiskey.These are the new game day tradition for Sooner fans complimenting success on the field with excellence in the glass.For decades, two strong and steadfast ponies have carried the traditions and values that set the Oklahoma Sooners apart. Inspired by this spirit, “Two Ponies” straight bourbon whiskey finished in Second Oak Barrels is crafted to honor the rich heritage of its namesake. Two Ponies” is a straight bourbon whiskey double-barreled in American White Oak, echoing the excellence that defines the OU brand – because there's only one Oklahoma.There's only one Oklahoma, and now there's a vodka that reflects the same distinctive spirit. Introducing “Only One,” a premium vodka crafted by WanderFolk Spirits, embodying the excellence of one of the country's most iconic brands. This exceptional vodka is as unique as the Oklahoma Sooners. With a smooth texture, crisp flavor, and top- notch quality achieved through ten-time distillation and triple filtration, “Only One” delivers a superior sipping experience. It's greatness captured in a bottle. THERE'S ONLY ONE. Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

A lame duck season of rebuilding starts against Ole Miss. What do we want in a new OC? Can we salvage the season? Realist Deal Locks of the Week:Steve: Oklahoma +21, Navy +13.5, Oklahoma State +5.5 Conner: Pittsburgh -5.5, Tulane -7.5, BYU +2 Lucas: Indiana -6.5, Kansas State -9.5, Colorado -5.5 Jay: Boise State -3.5, Alabama -13.5, Texas -18.5 Listener: BYU +2, Miami (Fla) -21, LSU +2.5Prop Bet of the Week:1.5 TDs for OU Steve: OverConner: OverLucas: UnderJay: OverScore Predictions:Steve: 17-24Conner: 17-31Lucas: 13-38Jay: 17-34Special thanks to our sponsors: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.Five Star Concrete - sponsor of the Realist Deal Locks of the Week. David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete. https://www.facebook.com/profile.php?id=100094021680492 Wander Folk Spirits - the maker of Only One Vodka and Two Ponies straight bourbon whiskey.These are the new game day tradition for Sooner fans complimenting success on the field with excellence in the glass.For decades, two strong and steadfast ponies have carried the traditions and values that set the Oklahoma Sooners apart. Inspired by this spirit, “Two Ponies” straight bourbon whiskey finished in Second Oak Barrels is crafted to honor the rich heritage of its namesake. Two Ponies” is a straight bourbon whiskey double-barreled in American White Oak, echoing the excellence that defines the OU brand – because there's only one Oklahoma.There's only one Oklahoma, and now there's a vodka that reflects the same distinctive spirit. Introducing “Only One,” a premium vodka crafted by WanderFolk Spirits, embodying the excellence of one of the country's most iconic brands. This exceptional vodka is as unique as the Oklahoma Sooners. With a smooth texture, crisp flavor, and top- notch quality achieved through ten-time distillation and triple filtration, “Only One” delivers a superior sipping experience. It's greatness captured in a bottle. THERE'S ONLY ONE. Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

The Gamecocks come to town, and the Sooners have a challenge. Can they muster enough offense to give fans hope while getting their first home SEC victory? Who should be the QB? Lots to discuss.Realist Deal Locks of the WeekSteve: Purdue +27.5, Tennessee +2.5, Georgia Tech +11.5 Conner: Kansas State -2.5, USC -7, Oklahoma -1.5 Lucas: BYU -9, Missouri -4, Iowa State -13.5 Jay: BYU -9, Colorado +3, LSU -2.5 Listener: BYU -9, Illinois  +3, Arkansas +3Prop Bet of the Week: 6.5 points scored by OU in the second quarterSteve: OverConner: OverLucas: UnderJay: UnderOU Score PredictionsSteve: 24-17Conner: 24-17Lucas: 13-17Jay: 16-20Special thanks to our sponsors: Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.Five Star Concrete - sponsor of the Realist Deal Locks of the Week. David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete. https://www.facebook.com/profile.php?id=100094021680492 Wander Folk Spirits - the maker of Only One Vodka and Two Ponies straight bourbon whiskey.There's only one Oklahoma, and now there's a vodka that reflects the same distinctive spirit. Introducing “Only One,” a premium vodka crafted by WanderFolk Spirits, embodying the excellence of one of the country's most iconic brands. This exceptional vodka is as unique as the Oklahoma Sooners. With a smooth texture, crisp flavor, and top- notch quality achieved through ten-time distillation and triple filtration, “Only One” delivers a superior sipping experience. It's greatness captured in a bottle. THERE'S ONLY ONE. Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

The Sooners will need the offense to be productive and the defense to continue their eliteness to prevail against the #1 Longhorns. Here is how we can do it. Plus predictions.Realist Deal Locks of the WeekSteve: Penn State -4.5, Ohio State -3, Oklahoma +14.5 Conner: Penn State -4.5, Pittsburgh -3, Boise State -21 Lucas: Rutgers -2.5, BYU -3.5, Minnesota -5 Jay: BYU -3.5, Alabama -21, Ohio State -3 Listener: Vanderbilt +13.5, California +3.5, Missouri -27.5Prop Bet of the Week3.5 OU defensive sacks Steve: OverConner: OverLucas: UnderJay: OverScore PredictionsSteve: 31-27Conner: 31-30Lucas: 20-27Jay: 20-27Dr. Michael Kiehn, MD - Dr. Kiehn is a board-certified surgeon specializing in orthopedic sports medicine. For over 20 years, Dr. Kiehn has been serving the greater Oklahoma City area, along with western Oklahoma. Not only does this include surgical skills in primarily the knees and shoulders, he is a constant figure on football sidelines throughout Oklahoma high schools and colleges. Dr. Kiehn's deep commitment to sports and devotion to his patients proves that he is the man to see—even though he is an Oklahoma State fan. Thank you, Dr. Kiehn.Five Star Concrete - sponsor of the Realist Deal Locks of the Week. David and Josh are a local business servicing the metro area. From patios, sidewalks, driveways, shops, and more. Call them or text them at 405-306-3014, or look them up on Facebook at Five Star Concrete. https://www.facebook.com/profile.php?id=100094021680492 Wander Folk Spirits - the maker of Only One Vodka and Two Ponies straight bourbon whiskey.These are the new game day tradition for Sooner fans complimenting success on the field with excellence in the glass. Get full access to Two Homers and a Realist at twohomersandarealist.substack.com/subscribe

Send us a textDr. Brian Lenzkes is one of the most beloved and well-respected doctors and experts in the low-carb community! Dr. Lenzkes has over 20 years of practicing medical experience. Dr. Lenzkes is an internal medicine doctor based in California and Arizona who has focused much of his attention on clinical nutrition. Dr. Lenzkes received his medical degree at University of Southern California, School of Medicine. He went on to complete his internship and residency training in Internal Medicine at Scripps Mercy Hospital, San Diego.A professional speaker in the health and wellness sphere, Dr. Lenzkes also hosts The Life's Best Medicine podcast and co-hosts the popular LowCarbMD podcast, both of which I have been absolutely honored to be hosted on. These podcasts have a total of tens of millions of downloads.Dr. Brian Lenzkes has been named as one of the “Top Doctors” in San Diego for several years, although after gaining the respect of the medical community and his patients, Dr. Lenzkes felt a void as many patients with chronic conditions became more sick and required more medications. At the same time, Dr. Lenzkes battled his own weight gain while following ‘standard medical advice'.He owned his own medical practice with a group of physicians from 2004-2020 before he transitioned into an independent, membership-based practice.Find Dr. Lenzkes at-https://arizonametabolichealth.com/TW- @BrianLenzkesIG- @blenzkesPodcast- The LowCarbMD PodcastPodcast- The Life's Best Medicine PodcastFind Boundless Body at- myboundlessbody.com Book a session with us here!

Dealing with menopause symptoms is rough enough, but navigating a cancer diagnosis at the same time causes even more stress and anxiety.  As a holistic-focused physician going through menopause, a diagnosis of breast cancer put a bump in the road for Dr. Suzanne Gilberg-Lenz, leading to concerns about how she would navigate her own journey.  It can be hard to feel heard by your physician, and advocating for things like holistic healing options, lab testing, and hormone replacement therapy can become an endless battle. But as a women's empowerment advocate and a public educator, Dr. Suzanne is here today to help YOU advocate for your needs and to speak up about your situation because you deserve to be heard.  Hearing Dr. Suzanne's story can help you get through any tough times you're facing. Especially for the breast cancer community– there are ways you can manage your longevity and your health now going forward for the better. Check out this podcast to find out how!  Suzanne Gilberg-Lenz, MD  Dr. Suzanne Gilberg-Lenz earned her medical degree from the USC School of Medicine and completed her residency in Obstetrics and Gynecology at UCLA/Cedars-Sinai Medical Center. She frequently appears as an expert in women's health and integrative medicine in print, online, and on TV, where she's the Chief Medical Correspondent for the Drew Barrymore Show. She's the author of MENOPAUSE BOOTCAMP: Optimize Your Health, Empower Your Self, and Flourish as You Age.  IN THIS EPISODE Dr. Suzanne's perimenopause and menopause journey  Opening up about a breast cancer diagnosis Recognizing symptoms of perimenopause vs. other health issues  Non-negotiables for women's health in our 40s and beyond  Hormone therapy options in midlife  Advocating for yourself with your primary physician  Adaptogenic herbs that are helpful in midlife  Stress, sleep, and cardiometabolic tips for optimal health  Grassroots and community building via the Menopause Bootcamp Facilitator Certification  RESOURCES MENTIONED Menopause Bootcamp Certification Course  Get 20% off with Code: Energized20 Get Dr. Suzanne's book HERE: Menopause Bootcamp  Dr. Suzanne's Website  Dr. Suzanne's Socials:  Facebook Instagram  TikTok YouTube  RELATED EPISODES  #590: Dispelling Myths About Breast Cancer and Mammograms + Navigating Hrt After Breast Cancer with Dr. Jenn Simmons 579: Hormone Replacement Options and Hormone Testing for Women in Midlife + Self Advocacy for Optimal Health with Esther Blum #547: What You Need to Know About the Opill and Hormone Changes in Perimenopause with Dr. Carrie Jones #404: Do Women Need to Wait till Menopause to Begin Hormone Replacement Therapy? With Esther Blum Learn more about your ad choices. Visit megaphone.fm/adchoices

Casey Means, MD, is a Stanford-trained physician and co-founder of Levels, a health technology company that aims to reverse the world's metabolic health crisis. She received her BA with honors and MD from Stanford, was President of her Stanford class, and has served on Stanford faculty. She trained in Head & Neck Surgery before leaving traditional medicine to devote her life to tackling the root cause of why Americans are sick. In this episode, we discuss metabolic dysfunction and how it's at the core of chronic illness in our country. We explore the rise of diabetes, high blood pressure, anxiety, PCOS, and depression and what simple measures you can take to avoid them in the future. Dr. Means also weighs in on why our healthcare system is broken, what's happening within our cells to make us sick, how to treat symptoms preventatively, and how to thrive in a modern, toxic world.Subscribe to Patreon for exclusive weekly content: patreon.com/ArielleLorreRead Dr. Casey's new book: https://amzn.to/3UNka1vThis episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.Visit oliveandjune.com/BLONDE to get 20% off your first mani system.Go to helixsleep.com/Blonde for up to 30% off.Go to kajabi.com/blonde for a free 30-day trial to start your business.Head to betterhelp.com/files to get 10% off your first month.Visit purelyelizabeth.com and use BLONDE for 20% off your first purchase. Produced by Dear MediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.