Podcasts about MD

You have probably seen recent headlines that Microsoft has developed an AI model that is 4x more accurate than humans at difficult diagnoses. It's been published everywhere, AI is 80% accurate compared to a measly 20% human rate, and AI was cheaper too! Does this signal the end of the human physician? Is the title nothing more than clickbait? Or is the truth somewhere in-between? Join Behind the Knife fellow Ayman Ali and Dr. Adam Rodman from Beth Israel Deaconess/Harvard Medical School to discuss what this study means for our future.       Studies: Sequential Diagnosis with Large Language Models: https://arxiv.org/abs/2506.22405v1 METR study: https://metr.org/blog/2025-07-10-early-2025-ai-experienced-os-dev-study/ Hosts: Ayman Ali, MD Ayman Ali is a Behind the Knife fellow and general surgery PGY-4 at Duke Hospital in his academic development time where he focuses on applications of data science and artificial intelligence to surgery.  Adam Rodman, MD, MPH, FACP, @AdamRodmanMD Dr. Rodman is an Assistant Professor and a practicing hospitalist at Beth Israel Deaconess Medical Center. He's the Beth Israel Deaconess Medical Center Director of AI Programs. In addition, he's the co-director of the Beth Israel Deaconess Medical Center iMED Initiative. Podcast Link: http://bedside-rounds.org/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

 This episode is brought to you by Momentous, Joi & Blokes and Audible. Dr. Tiffany Moon, MD—anesthesiologist, entrepreneur, and author of Joy Prescriptions—pulls back the curtain on what it truly means to “have it all.” From burnout and perfectionism to the immigrant experience and working motherhood, Tiffany shares how chasing external validation cost her deeply—until she learned to rediscover herself through joy, therapy, imperfection, and authenticity. We explore her journey from burnout to breakthrough, the hidden health consequences of living without joy, and what true success looks like when you rewrite your own story. Follow Tiffany @tiffanymoonmd Follow Chase @chase_chewning ----- In this episode we discuss... 01:10 - Chasing Perfection: Blind Ambition and Burnout 07:19 - The Immigrant Experience and People-Pleasing 09:17 - Signs of Burnout You Might Be Ignoring 14:15 - Finding Healing Through Therapy and Slowing Down 19:46 - What Is a Joy Prescription? 23:17 - Embracing Imperfection and Letting Go of Perfectionism 26:40 - The Burden of Comparison in Childhood and Adulthood 29:50 - Working Motherhood: Choosing Career, Guilt, and Systemic Barriers 33:31 - The Broken Healthcare System in America 36:56 - Fertility, Miscarriage, and Being Vulnerably Honest 40:49 - Abandonment, Therapy, and Childhood Wounds 45:40 - Redefining Success and Reclaiming Joy 48:35 - Fame, Reality TV, and Identity Crisis 49:19 - The Health Consequences of a Joyless Life 52:12 - How to Give Joy and Receive It in Return 54:56 - Why Tiffany Wrote Joy Prescriptions 01:04:28 - Ever Forward ----- Episode resources: Save 15% on the Male Hormone Stack with code CHASECHEWNING at https://www.LiveMomentous.com Get 50% off any diagnostic lab with code CHASE at https://www.JoiAndBlokes.com Get a FREE 30-day trial of Audible at https://www.AudibleTrial.com/everforward  Watch and subscribe on YouTube Get Tiffany's book on Amazon 

In this candid and wide-ranging conversation, we sit down with Dr. Brian Schmutzler — anesthesiologist, social media educator, and Executive Vice President of Medical Affairs at CCI Anesthesia — to unpack what it really means to lead in modern anesthesia. From the realities of staffing rural hospitals without anesthesiologists to fighting burnout, navigating private equity, and fiercely defending provider scope and safety, Brian shares hard-earned insights from both clinical and corporate perspectives.We also dive into the power of humor and education on social media, his 108K-strong Instagram following, and how his content brings awareness, advocacy, and levity to patients and practitioners alike.If you're a CRNA, MD, administrator, or just someone trying to understand where anesthesia is headed — and how to lead within it — this is an episode you can't miss.Keywords:Leadership, Anesthesia, Social Media, Burnout, Independent PracticeSend us a textFollow us at:InstagramFacebookTwitter/X

Today, we are focusing on how families are responding mentally and emotionally to disaster, and how children process loss when a parent or caregiver dies.CME: Take the CME Post-Test for this EpisodePublished On: 07/17/2025Duration: 19 minutes, 48 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Early-onset gastrointestinal cancers, typically defined as occurring in patients younger than age 50, are increasing worldwide. A recent JAMA Review summarizes current data on early-onset colorectal, pancreatic, and esophagogastric cancers. Coauthor Kimmie Ng, MD, MPH, of Dana-Farber Cancer Institute joins JAMA Deputy Editor Kristin Walter, MD, MS to discuss. Related Content: Early-Onset Gastrointestinal Cancers Screening for Helicobacter pylori to Prevent Gastric Cancer First-Line Sugemalimab Plus Chemotherapy for Advanced Gastric Cancer

Some of the “normal” things we do to unwind are quietly wrecking our bodies, and alcohol might be at the top of that list. You might not realize how much the occasional glass of wine is disrupting your hormones, wrecking your sleep, and sabotaging your detox efforts until you take a closer look at the research. And once you hear what it's doing to your thyroid, testosterone, liver, and brain chemistry, it's hard to ignore. That's why I asked Dr. Erika Schwartz—a pioneer in hormone health and founder of Evolved Science—to come break it all down. In this episode, Dr. Erika explains how alcohol impacts every single hormone in your body, including estrogen, progesterone, testosterone, thyroid, and even your sleep-regulating neurochemicals. She talks about how alcohol contributes to hypothyroidism, depletes your zinc and B vitamins, and accelerates aging, and why hormone replacement therapy could be life-changing (especially if you've hit your 40s and can't sleep). And we talk solutions. Like how to replace alcohol as your stress reliever, how to balance hormones safely, and what you can do right now to feel better.   “The earlier you start changing your diet, cutting back on alcohol, balancing your hormones, exercising, and sleeping regularly, the more likely you are to enjoy your life.” ~ Dr. Erika Schwartz   In This Episode - Dr. Erika's backstory - What alcohol does to your hormones - The hormones that are most affected by alcohol - How the body metabolizes alcohol - Liver health and alcohol - Testing for liver cirrhosis and hormone imbalances - Debunking the “one glass of wine is healthy” myth - Alcohol's negative impact on sleep quality and insulin regulation - GABA, dopamine, and why alcohol feels relaxing - Alternative ways to relax without alcohol - Progesterone and alcohol cravings (and how to fix it) - Other health issues tied to alcohol consumption   Products & Resources Mentioned Bon Charge Red Light Face Mask: Get 15% off with code WENDY at https://boncharge.com  Tru Energy Skincare Serum: Get a special deal at https://trytruenergy.com/wendy  Chef's Foundry P600 Cookware: Find it at https://bit.ly/myersdetox  Heavy Metals Quiz: Start at https://heavymetalsquiz.com    About Dr. Erika Schwartz Dr. Erika Schwartz is a board-certified MD and founder of Evolved Science, a cutting-edge longevity clinic based in New York City. Known for her pioneering work in hormone optimization and patient-driven care, Dr. Erika has spent over three decades helping people prevent disease and extend healthspan with bioidentical hormones, personalized wellness, and advanced diagnostics. She's the author of multiple bestselling books, has appeared in the New York Times, Vogue, and Town & Country, and hosts the Redefining Medicine podcast. Learn more at: https://eshealth.com  Follow her on Instagram: https://www.instagram.com/drerikaschwartz/    Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

In this second take on episode host Stacey Richter speaks with Dr. Tom Lee, founder of One Medical and Galileo. The discussion centers on the survival of independent primary care practices in the current healthcare economy, the associated challenges, and the paradox of primary care.  Topics include reducing ER visits, managing downstream specialty spend, and the imbalance between CMS and commercial carrier payments to primary care practices.  Dr. Lee highlights the importance of 'enlightened leadership' and a 'value-focused mindset' in balancing efficient service operations with quality care. He also touches on the complexities of integrating technology and human-centered care, the importance of operational efficiency, and the challenges posed by current reimbursement models. For a bonus sidebar conversation with Dr. Lee, click here. === LINKS ===

In this compelling episode of the Bendy Bodies Podcast, Dr. Linda Bluestein is joined by her longtime mentor and internationally respected EDS expert, Dr. Pradeep Chopra. Together, they tackle some of the most frustrating—and frequently misunderstood—questions surrounding hypermobile Ehlers-Danlos Syndrome (hEDS). From major flaws in the 2017 diagnostic criteria to the hidden surgical risks that could lead to serious complications like CCI (craniocervical instability), this conversation dives deep into clinical insights and lived experience. Listeners will also hear the surprising story of how Dr. Chopra helped inspire Dr. Bluestein to open her own practice. Whether you're a patient, parent, or provider, this episode just might change how you see joint hypermobility and connective tissue disorders forever. Takeaways Why men and boys may be getting overlooked by the current EDS diagnostic model The difference between dislocations and subluxations—and why that matters A surprising source of CCI: what your dentist, surgeon, and anesthesiologist may not know The 2017 criteria: well-meaning, but are they dangerously outdated? What every hypermobile patient should bring to their next surgery (yes, it's a hack) Want to follow along? Find the episode transcript here. References: Episode 70: https://youtu.be/BoRyQh12X2c Episode 71: https://youtu.be/yDT3JTzfiJk Episode 72: https://youtu.be/CYhnKkVjIxM Episode 73: https://youtu.be/2OxtZGNswfo Episode 77: https://youtu.be/d9A1aJB5GRo Episode 151: https://youtu.be/ho0rRcjUobI Perioperative Care in Patients with EDS by Linda Bluestein & Pradeep Chopra: https://www.scirp.org/journal/paperinformation?paperid=97524 Diagnostic Criteria: https://www.bendybodiespodcast.com/p/diagnostic-criteria-checklist/ The Incidence of Misdiagnosis in Patients with EDS: https://www.mdpi.com/2227-9067/12/6/698 Living Well with Orthostatic Intolerance by Peter C. Rowe: https://www.amazon.com/shop/hypermobilitymd/list/2LQLPARJY3CDS?linkCode=sl2&tag=onamzlindablu-20&ref_=aip_sf_list_spv_ofs_mixed_d 2023 Diagnostic Framework: https://www.ehlers-danlos.com/diagnosis/new-diagnostic-framework-for-pediatric-joint-hypermobility-v2/ Want more Dr. Pradeep Chopra?  Website: https://www.painri.com/ Contact Dr. Chopra's Office: snapa102@gmail.com Want more Dr. Linda Bluestein, MD? Website:  ⁠⁠https://www.hypermobilitymd.com/⁠⁠. YouTube: ⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠  Instagram: ⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠  Facebook: ⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠  X: ⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠  LinkedIn: ⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠  Newsletter: ⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠ Shop my Amazon store ⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠⁠ Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: ⁠⁠https://algonot.com/coupon/bendbod/⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

Mark Fox isn't your average entrepreneur. Former NASA engineer, creative inventor, hot air balloonist, and now the unconventional mind behind Resona Health, he's challenging everything we thought we knew about how healing works.In this episode, we dive deep into resonance frequency therapy — a form of non-invasive bioenergetic medicine that uses targeted pulsed electromagnetic fields (PEMF) to support cellular regeneration, nervous system balance, and the body's natural ability to heal. Whether it's anxiety, arthritis, chronic pain, PTSD, insomnia, or digestive dysfunction, Mark believes frequency is the missing link in modern medicine — and he's backing it with bold ideas, wild stories, and clinical evidence that just might make you rethink everything.We cover:The return to cellular balanceWhat exactly PEMF therapy is and how it differs from other energy modalitiesWhy resonance frequency therapy is helping people (and pets!) reduce pain, inflammation, and emotional trauma — often without pharmaceuticalsThe vagus nerve, emotional memory, and the surprising role of electromagnetic stimulation in regulating the nervous systemWhy Mark refuses to sell his healing tech on a subscription model, and why that's ruffled industry feathersThe story of how a giraffe study helped validate animal applications of frequency medicineWhat it's like to innovate in a space the FDA doesn't know how to regulateHow Resona Health's device delivers over 100 resonant frequencies tuned to support sleep, mood, detox, joint pain, immunity, and moreYou'll also hear how a personal trauma and the search for non-pharmaceutical relief led Mark down the frequency rabbit hole — and why he's now on a mission to give people the power to heal at home, affordably, and without dependency.Whether you're skeptical of alternative therapies or already experimenting with sound baths and red light panels, this conversation will leave you with a whole new appreciation for the science of energy medicine, biohacking, electromagnetic fields, and the art of self-regulation through resonance.https://resona.healthConnect:Dr. Trip Goolsby & LeNae Goolsby are the co-founders of the Infinite Health Integrative Medicine Center, and are also the co-authors of the book “Think and Live Longer”.

0:00 McGregor News 7:00 UFC White House 13:57 PFL 16:10 Questions From Chat 30:42 How Do You Rate This PPV Card? 37:50 Judice/Caliari, Ferreira/McVey, Spann/Brzeski 45:37 Prachnio/Crute, Dulatov/Fugitt, Valentin/Gautier 51:40 Veretennikov/Prado, Vettori/Allen, Phillips/Oliveira, Johnson/Zellhuber 1:00:01 Ige/Pitbull, Holland/Rodriguez, Costa/Kopylov 1:10:00 Holloway/Poirier Download the Gametime app today and use code BACKFIST for $20 off your first purchase Don't miss the PFL action all year long on ESPN, ESPN2, and ESPN+ GAMBLING PROBLEM? CALL 1-800-GAMBLER, (800) 327-5050 or visit gamblinghelplinema.org (MA). Call 877-8-HOPENY/text HOPENY (467369) (NY). Please Gamble Responsibly. 888-789-7777/visit ccpg.org (CT), or visit www.mdgamblinghelp.org (MD). 21+ and present in most states. (18+ DC/KY/NH/WY). Void in ONT. Eligibility restrictions apply. Terms: draftkings.com/sportsbook. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $150 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 8/3/25 at 11:59 PM ET. Sponsored by DK. Get your first month of BlueChew FREE Just use promo code SPINNIN at checkout and pay five bucks for shipping. https://bluechew.comYou can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/SpinninBackfist

Texas added two big-time commitments, and another could be headed to Austin. BYU's recruiting class is one of its best ever. Congratulations to Kilani Sitake and his staff for a great job.Georgia, Texas A&M, Michigan, South Carolina, West Virginia, North Carolina and more commitments to discuss as well.On X @LO_ThePortalTikTok @lockedontheportalSupport us by supporting our sponsors!GametimeToday's episode is brought to you by Gametime. Download the Gametime app, create an account, and use code LOCKEDON for $20 off your first purchase. Terms apply. Download Gametime today. What time is it? Gametime.Monarch MoneyTake control of your finances with Monarch Money. Use code LOCKEDONCOLLEGE at monarchmoney.com for 50% off your first year.FanDuelRight now, new customers can get TWO HUNDRED DOLLARS in BONUS BETS when your first FIVE DOLLAR BET WINS! Download the app or head to FANDUEL.COM to get started. Bet with FanDuel—Official Partner of the NBA.FANDUEL DISCLAIMER: 21+ in select states. First online real money wager only. Bonus issued as nonwithdrawable free bets that expires in 14 days. Restrictions apply. See terms at sportsbook.fanduel.com. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MD, MI, NJ, PA, IL, VA, WV), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 (WY, KS) or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), 1-877-8-HOPENY or text HOPENY (467369) (NY), TN REDLINE 1-800-889-9789 (TN)

Oklahoma missed out on several in-state recruiting targets, but was it by choice. If yes, why? The Sooners have one of the nation's top quarterback commitments with Bowe Bentley.Brent Venables is on the hot seat and facing a tough 2025 schedule. The Sooner faithful still hold high expectations. Does Oklahoma, with quarterback John Mateer, rebound in 2025?On X @LO_ThePortalTikTok @lockedontheportalSupport us by supporting our sponsors!GametimeToday's episode is brought to you by Gametime. Download the Gametime app, create an account, and use code LOCKEDON for $20 off your first purchase. Terms apply. Download Gametime today. What time is it? Gametime.Monarch MoneyTake control of your finances with Monarch Money. Use code LOCKEDONCOLLEGE at monarchmoney.com for 50% off your first year.FanDuelRight now, new customers can get TWO HUNDRED DOLLARS in BONUS BETS when your first FIVE DOLLAR BET WINS! Download the app or head to FANDUEL.COM to get started. Bet with FanDuel—Official Partner of the NBA.FANDUEL DISCLAIMER: 21+ in select states. First online real money wager only. Bonus issued as nonwithdrawable free bets that expires in 14 days. Restrictions apply. See terms at sportsbook.fanduel.com. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MD, MI, NJ, PA, IL, VA, WV), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 (WY, KS) or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), 1-877-8-HOPENY or text HOPENY (467369) (NY), TN REDLINE 1-800-889-9789 (TN)

In this episode of Derms and Conditions, host James Q. Del Rosso, DO, is joined by Diego Ruiz DaSilva, MD, dermatologist at Forefront Dermatology and assistant professor at Eastern Virginia Medical School. Together, they discuss Dr DaSilva's recent publications and his journey in building a collaborative research career focused on real-world clinical insights.  To begin, Dr DaSilva shares the inspiration behind his recent publication that evaluated oral JAK inhibitors in elderly patients with moderate to severe atopic dermatitis. Motivated by the positive feedback from older patients and the perception that JAKs are underutilized due to safety concerns, he conducted a multicenter retrospective study that found strong efficacy and a reassuring safety profile in patients aged 65 to 96. Next, the discussion turns to nemolizumab, an IL-31 receptor antagonist recently approved for prurigo nodularis and atopic dermatitis. Dr DaSilva highlights a patient case that prompted a broader series: a patient with cancer experiencing recalcitrant itch who saw complete resolution within days of starting nemolizumab. Across 10 cases, 8 showed a rapid and marked itch response, with no adverse events or ocular surface issues. Finally, they review a case report on palmoplantar psoriasis treated with topical roflumilast 0.3% cream. Used initially as a bridge to systemic therapy, the patient achieved unexpectedly robust results with the topical alone, avoiding the need for a biologic. Dr DaSilva notes the importance of keeping nonsteroidal topicals in mind, especially for steroid-sparing strategies. Tune in to the full episode for more real-world data and case-based insights to help manage complex dermatologic conditions.

Ariana Grande has silenced the haters about her leaving music. More details are coming out about the Benny and Selana wedding. Emma Watson is on a driving ban in England.Make sure to also keep up to date with ALL our podcasts we do below that have new episodes every week:The Thought ShowerLet's Get WeirdCrisis on Infinite Podcasts

Moco approved a bill to help those who lost their federal workers. DC extending the heat alert till Saturday morning. NHL released the 2025-2026 season schedule.  Make sure to also keep up to date with ALL our podcasts we do below that have new episodes every week:The Thought ShowerLet's Get WeirdCrisis on Infinite Podcasts

Katie and Rich have been dating for a little over five months and while things have been great for the most part, Katie does let us know that Rich does work for a reality group with his ex-girlfriend. Apparently Rich dated her two years ago, but because they are high-up in the reality group they do work with one another often. The other day Katie realized she was accidentally tracking Rich because she left her AirPods in his car. When she went to look for her AirPods she saw that they were in his car in one location, but Rich's phone, which she assumes is with him, is somewhere else. Katie also knows Rich has an additional work phone so she's starting to think Rich is hiding something from her.   We call Rich pretending to send him a free bouquet of flowers and when we ask him who he wants them sent to, Rich says the only person he could give flowers to is allergic to them. Find out what's really going on in this week's War Of The Roses! 

In this episode, editor-in-chief Joseph E. Safdieh, MD, FAAN, highlights articles about upadacitinib, a new treatment for giant-cell arteritis; growing evidence linking oral health to a higher risk of neurologic conditions; and why a trial of a new meningitis B vaccine drew a mixed response.

Today I host Dr. Mamta Gautam, MD, MBA, FRCPC, CPDC, CCPE, CPE. Mamta is an internationally renowned psychiatrist, consultant, certified coach, author and speaker. Focused on Physician Health and well-being since 1990, she is a trailblazer in this field and is known as the “The Doctor's Doctor”.  In the past 2 decades, she has expanded her work to include Leadership Development, to better address system-level factors that impact the wellbeing of healthcare workers.Discussion points:- Mamta's background & fascinating origin story (3:23)- how to pursue growth at work to create an enjoyable & sustainable career (6:45))- burnout - what are the key signs? (18:00)- preventative measures for burnout (21:33)- how relevant is financial literacy in combatting burnout? (27:22)- building resilience - the 5 C's (33:27)- where you can learn about Mamta's work (46:40)- closing thoughts (48:04)--------------------------------------------------------------------------------------------------------------This episode features Arya EHR - https://www.aryaehr.com/**I endorse only products/services I personally use or would use. Any income generated offsets the costs of running this podcastLinks:Mamta Gautam:X: https://twitter.com/PEAKMDLinkedIn: https://www.linkedin.com/in/mamta-gautam-peak-md-6a7a3422/Instagram: https://www.instagram.com/peak.md/Facebook: https://www.facebook.com/peakmd.ca/BlueSky: https://bsky.app/profile/peakmd.bsky.socialYatin Chadha:Email: beyondmdpodcast@gmail.com LinkedIn: Yatin Chadha

Please join host Jason T. Jacobson, MD, FHRS at HRS 2025 in San Diego as he discusses this article with Marmar Vaseghi, MD, MS, PhD, FHRS and Maynak Sardana, MBBS, MS. The prospective, multicenter, randomized BRAVE trial evaluated epicardial catheter ablation targeting the arrhythmogenic substrate in Brugada syndrome patients with implantable cardioverter-defibrillators (ICDs) to prevent ventricular fibrillation (VF). After a planned interim analysis of 52 patients, ablation significantly reduced VF episodes compared with controls (hazard ratio 0.29; P = .018), prompting early trial termination—approximately 83% remained VF-free after one procedure and 90% after a repeat, with a low complication rate (one hemopericardium). https://www.hrsonline.org/education/TheLead https://www.heartrhythmjournal.com/article/S1547-5271(25)02381-1/fulltext?uuid=uuid%3A6285a37b-899f-4fcb-bab8-f79564e1bd57 Host Disclosure(s): J. Jacobson: Honoraria/Speaking/Consulting: Zoll Medical, Abbott Medical, Vektor Medical Stocks, Privately Held: Atlas 5D Research: CardioFocus, Inc. Contributor Disclosure(s): M. Vaseghi: Honoraria/Speaking/Consulting: Medtronic Inc., Zoll Inc. Stock Options, Privately Held: NeuCures, Anumana M. Sardana: Nothing to disclose.

When should a doctor stop seeing patients? What are the alternative careers for doctors? Why do physicians leave practice? What other jobs can you get with an MD? Our guest is Debra Atkisson, MD, senior vice president of clinical services at Blended Health and a professional certified coach. In this episode, Dr. Atkisson talks about navigating the transition out of medical practice. American Medical Association CXO Todd Unger hosts.

Join Dr. Kristi Funk, M.D., FACS, as she explains how obesity increases cancer risk by focusing on inflammation, estrogen production, and leptin levels. Discover the benefits of exercise in reducing cancer risk, improving overall health, and enhancing chemotherapy outcomes. Learn about key lifestyle changes to lower breast cancer risk and explore the resources and support available at the Pink Lotus Breast Center. #CancerPrevention #HealthyLiving #BreastCancerAwareness

Neuropsychiatrist Brian Appleby, MD, discusses prion diseases, including Creutzfeldt-Jakob disease, and the groundbreaking research and clinical trials at University Hospitals aimed at better understanding these rare but fatal neurodegenerative conditions. Learn more about Brian Appleby, MD Learn more about the University Hospitals Research & Education Institute Follow Us on Social:      

On this episode of the Scouting For Growth podcast, Sabine VdL talks to Geetha Sham, MD and President of CamCom in Europe, and Sathes Singam, innovation scout and programme manager at ERGO Group. In this episode we will explore how ERGO's Venture Client model turned a promising pilot into a production with great capability, then we will investigate what it really takes to deploy AI in regulated multi-market environments, and how governance – if used right – can become a growth accelerator not a roadblock. KEY TAKEAWAYS During initial discussions with our first insurance customer, we realised the process of inspection was time consuming, human heavy, subject to human fatigue resulting in expensive, long cycles and inconsistency. This gap is now filled by our AI model which provides a machine vision eye, using a mobile device accurately capturing images of vehicles which leads to damage assessments, reducing false positives. We want to democratise image capture, hence we have built our product in such a way that it can operate on any type of forum, and mobile devices made since 2016. That makes us a leader in our own area, staying focussed without scattering in the name of trying to do everything ourselves. There has been global adoption of AI – although what it does and how it is used varies – because every industry is seeing the value add. The standard way of implementing it is simple: It has to be aligned to the businesses and should not hamper the existing business or processes that exist within the industry/group. Edge cases must be addresses in a different way and modified so they are not completely controlled by the standard feedback learning. BEST MOMENTS ‘Startup collaboration, in my experience, should become top of management agenda.' ‘It's crucial to have someone locally who knows the culture in their particular country, and knows the people that need to be addressed.' ‘It's all about involving all relevant stakeholders in clear and transparent communication.' ‘Each country has local laws, so there's not only customisation, there's also localisation that has to addressed. That's where the governance model comes in handy.' ABOUT THE GUESTS Geetha Sham is MD and President of CamCom in Europe. She is a seasoned technologist and scale-up strategist who has held senior roles at Oracle and Mindtree and is now building out CamCom's European footprint from Dusseldorf. Sathes Singam is an innovation scout and programme manager at ERGO Group. He is the lynchpin behind ERGO's deployment of CamCOm across the Baltics, Europe's first testbed of this solution. ABOUT THE HOST Sabine is a corporate strategist turned entrepreneur. She is the CEO and Managing Partner of Alchemy Crew a venture lab that accelerates the curation, validation, & commercialization of new tech business models. Sabine is renowned within the insurance sector for building some of the most renowned tech startup accelerators around the world working with over 30 corporate insurers, accelerated over 100 startup ventures. Sabine is the co-editor of the bestseller The INSURTECH Book, a top 50 Women in Tech, a FinTech and InsurTech Influencer, an investor & multi-award winner. Twitter LinkedIn Instagram Facebook  TikTok Email Website This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

Parents today are bombarded with advice from every angle- social media, friends, family, and news sources. It can be nearly impossible to know who to trust and what advice to follow… And furthermore how to discuss it with your pediatrician. In this episode, we discuss how to sift through the endless parenting information, as well as how to build a strong relationship with your pediatrician. Joining me today on Yoga| Birth| Babies, I have Dr. Wendy Hunter. Wendy Hunter, MD is a pediatrician in San Diego, CA. She rounds on newborns at Scripps Hospital. Her podcast “The Pediatrician Next Door” mixes the science of medicine with the realities of parenting. We hope you enjoy this conversation! Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE  If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community:  Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, I sit down with C. Vivek Lal, MD, FAAP, a physician-scientist and the founder & CEO of Resbiotic, to explore the incredible connection between our gut microbiome and respiratory health.  Dr. Lal shares how his clinical work with premature infants inspired a deeper dive into gut-lung science, ultimately leading to the development of Resbiotic—a science-first wellness brand that's bridging the gap between clinical research and everyday health. What really struck me in this conversation was Vivek's blend of curiosity, care, and credibility. He's not just creating a product—he's on a mission to help people breathe easier, live better, and understand how their gut health plays a role in it all. If you're interested in functional wellness, biotech innovation, or just want to understand your body a bit better, this one is for you. Here are a few highlights from our conversation: * The gut-lung axis: what it is and why it matters * How a NICU doctor became a CPG founder * Why Resbiotic leads with clinical credibility, not marketing fluff * The challenge of translating deep science into consumer products * How education and transparency are building trust in a skeptical market Join me, Ramon Vela, as I listen to the episode and discover how science, storytelling, and heart are driving the next wave of health and wellness innovation. For more on Resbiotic, visit: https://resbiotic.com/ If you enjoyed this episode, please leave The Story of a Brand Show a rating and review.  Plus, don't forget to follow us on Apple and Spotify.  Your support helps us bring you more content like this! * Today's Sponsors: Color More Lines: https://www.colormorelines.com/get-started Color More Lines is a team of ex-Amazonians and e-commerce operators who help brands grow faster on Amazon and Walmart. With a performance-based pricing model and flexible contracts, they've generated triple-digit year-over-year growth for established sellers doing over $5 million per year.   Use code "STORY OF A BRAND” and receive a complimentary market opportunity assessment of your e-commerce brand and marketplace positioning.    1 Commerce: https://1-commerce.com/story-of-a-brand Scaling a DTC brand becomes harder the bigger you grow, especially when you're limited to selling on just one channel.  While you're focused on day-to-day ops, your competitors are unlocking marketplaces like Amazon, Walmart, and even retail shelf space—and capturing customers you're missing. That's where 1-Commerce comes in.  They help high-growth brands expand beyond their sites, handle end-to-end fulfillment, and scale through a revenue-share model that means they only win when you do.  As a Story of a Brand listener, you'll get one month of free storage and a strategy session with their CEO, Eric Kasper.

Cheryl Pope is an interdisciplinary visual artist who questions and responds to issues of identity as it relates to the individual and the community, specifically regarding race, gender, class, history, power, and place. Her practice emerges from the act and politics of listening, and recently introduces a novel material to explore the artist's memories. Referencing the familiar repertoire of the French Post-Impressionist, Intimist, and Imagist paintings, Pope recreates deeply personal recollections that cinematically compose the silent complexities of beautiful and tragic oscillations between love and loss in our everyday lives. Images of couples are drawn from memory, referencing the artist's own relationships and moments of disconnect, anxiety, and desire, while beach scenes depicting a mother and child accentuate a tender stillness of caregiving. In these scenes, the figures exist in a nest of choreography–a rotating stage of mystery, tragedy, and poetry of day-to-day living with feelings of presence and absence woven throughout.     Pope (b.1980, Chicago, IL) received her MA in Design (2010) and BFA (2003) from the School of the Art Institute, Chicago, IL, where she is an Adjunct Professor.  Pope has had recent solo exhibitions at moniquemeloche, Chicago, IL (2022, 2019); The Ulrich Museum of Art, Wichita, KS (2022); Rockford Art Museum, Rockford, IL (2019); Galleria Bianconi, Milan, Italy (2019); Andres Guerrero Gallery, San Francisco, CA (2018); and Fort Gansevoort, New York, NY (2017). Notable group presentations include Eli and Edythe Broad Art Museum, East Lansing, MI (2023); The FLAG Art Foundation, New York, NY (2023 2021); Everson Museum, Syracuse, NY (2023); Kalamazoo Institute of Arts, Kalamazoo, MI (2022); Weinberg/Newton Gallery, Chicago, IL (2022); Skin in the Gamecurated by Zoe Lukov, Chicago, IL (2022); Fountainhead, Miami, FL (2021); Santa Barbara Museum of Art, Santa Barbara, CA (2021); Virginia MOCA, Virgina Beach, VA (2021); and the Museum of Contemporary Art, Chicago, IL (2020). Pope's work will be included in the upcoming group exhibition Get in the Game: Sport and Contemporary Culture at SFMoMA in 2024. Pope's work is in the collections of Museum of Contemporary Art Jacksonville, FL; the Museum of Contemporary Art, Chicago, IL; UBS Art Collection, New York, NY; Joan Flasche Artists Book Collection, Chicago, IL; Seattle Art Museum, WA; Honolulu Museum of Art, HI; Museum of Contemporary Art, San Diego, CA; Poetry Foundation, Chicago, IL; DePaul University Art Museum, Chicago, IL; Virginia Museum of Fine Arts, Richmond, VA; Baltimore Museum of Art, Baltimore, MD; United States Embassy, Santo Domingo, Dominican Republic; The Jackson West Memorial Hospital, Miami, FL; and The Ulrich Museum of Art, Wichita, KS. She has been the recipient of several awards and fellowships, including the Public Artist Award, Franklin Works, Minneapolis, MN (2017); Selected Artist, Year of Public Art, Chicago Cultural Center, IL (2017); Mellon Fellowship, Kenyon College, Gambier, OH (2016); and 3Arts Award, Chicago, IL (2015). Pope lives and works in Chicago, IL and Miami, FL. Artist https://www.cherylpope.net/ monique meloche https://www.moniquemeloche.com/artists/35-cheryl-pope/works/ Hyperallergic https://www.moniquemeloche.com/press/492-talking-a-big-game-the-art-of-sports/ | https://www.moniquemeloche.com/press/280-artists-on-basketball-and-its-discontents/ Art Daily https://www.moniquemeloche.com/press/451-the-baltimore-museum-of-art-announces-approximately-75/ Observer https://www.moniquemeloche.com/press/437-early-sales-and-excitement-at-art-basel-miami/ The Guardian https://www.moniquemeloche.com/press/430-strike-fast-dance-lightly-largest-ever-boxing-exhibition/ BOMB https://www.moniquemeloche.com/press/420-cheryl-pope-by-carolina-wheat/ Chicago https://www.moniquemeloche.com/press/406-fall-fashion-artists-in-their-natural-habitats/ Reader https://www.moniquemeloche.com/press/418-chicago-is-a-protest-town/

Secrets, lies and spies are on the agenda for this week and your co-pilots are here to make sense of the madness.Allison is horrified by the secrecy surrounding the Ministry of Defence data leak, which has been estimated at a potential cost of £7bn to the UK tax payer, without any oversight or accountability of where people will be settled around the Country.Meanwhile Liam focuses on the news inflation has increased and the warning that the Labour tax increases are curtailing growth, which could lead to the dreaded term ‘stagflation'.Stowing away this week is MD of REIDsteel, Simon Boyd, who lays out his case for Ed Miliband's net zero policies being ‘dangerous'.Read Allison: ‘Starmer is sacrificing our troops on the altar of human rights law' https://www.telegraph.co.uk/news/2025/07/15/starmer-sacrificing-british-troops-on-altar-of-human-rights/ |Read more from Allison: https://www.telegraph.co.uk/authors/a/ak-ao/allison-pearson/ |Read Liam: ‘Reeves needs to take a leaf out of Gordon Brown's book‘ ​​https://www.telegraph.co.uk/business/2025/07/13/reeves-needs-take-a-leaf-out-gordon-brown-book/ |Read more from Liam: https://www.telegraph.co.uk/authors/liam-halligan/ |Need help subscribing or reviewing? Learn more about podcasts here: https://www.telegraph.co.uk/radio/podcasts/podcast-can-find-best-ones-listen/ |Email: planetnormal@telegraph.co.uk |For 30 days' free access to The Telegraph: https://www.telegraph.co.uk/normal | Hosted on Acast. See acast.com/privacy for more information.

Text Dr. Lenz any feedback or questions In this podcast episode, Dr. Tamara Rosier, a renowned ADHD coach and author, discusses her experiences and insights on managing ADHD within families.  She highlights the importance of understanding ADHD symptoms as neurological challenges rather than character flaws. Dr. Rosier shares personal anecdotes illustrating the impact of ADHD on her upbringing and family dynamics, emphasizing the need for compassion and understanding. She introduces the 'window of tolerance' concept to help manage emotional regulation, discusses the significance of building healthy familial relationships despite executive function challenges, and underscores the transformative role of medication in widening the window of tolerance. This episode provides valuable strategies for fostering better relationships in ADHD-affected families.Checkout the first of a 3 part interview I did with her 2 years ago.00:00 Introduction to Dr. Tamara Rosier01:31 Personal Stories and Family Dynamics03:44 Challenges and Compassion in ADHD Families06:16 Parenting with ADHD: Real-Life Examples10:48 The Window of Tolerance Explained25:21 Medication and Managing ADHD25:53 Conclusion and Key Takeaways International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. You're not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace personal medical advice.* ...

In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Lara Devgan, MD, MPH, discuss the following articles from the July 2025 issue: “Use of Text-to-Image Artificial Intelligence Model in Preoperative Counseling for Lip-Lift Procedures” by Huang, Balas, Yan, and Wulc. Read the article for FREE: https://bit.ly/TexttoImageAiLip Special guest, Lara Devgan, MD, MPH is an internationally known aesthetic plastic surgeon practicing aesthetic surgery of the face, breast, and body as well as facial injectables in New York City. She attended Yale for her undergraduate education followed by Johns Hopkins for medical school and the Columbia/Cornell program for plastic surgery residency. She is the founder and CEO of the medical-grade skincare line Dr. Devgan Scientific Beauty, serves as a medical expert for ABC News, is an editorial consultant for the Lancet, and lectures internationally on aesthetic plastic surgery. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCJuly25Collection The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

In this episode, Dr. Rena Malik, MD welcomes fitness expert Mike Isratel to explore the secrets behind effective strength training and muscle growth. Together, they break down the biggest mistakes people make in the gym, from neglecting full range of motion to stopping workouts too far from failure, and offer actionable tips for maximizing results. The conversation also dives into the most effective exercises for glute development, the differences between strength and hypertrophy training, and the critical role of consistency. Beyond fitness, Dr. Malik and Dr. Isratel engage in an honest discussion about anabolic steroid use, emphasizing transparency around benefits, significant health risks, and the importance of informed decision-making. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 – Common Gym Mistakes 01:10 – Training for Glute Growth 04:13 – Effective Glute Exercises 09:36 – Strength vs. Hypertrophy 12:16 – Muscle Health Benefits 14:43 – Anabolic Steroid Use 22:59 – Honest Conversations on Drugs & Porn Stay connected with Dr. Mike Israetel on social media for daily insights and updates. Don't miss out—follow him now and check out these links! Instagram - https://www.instagram.com/drmikeisraetel/?hl=en and https://www.instagram.com/drmikeclips/?hl=en Facebook - https://www.facebook.com/michael.israetel/ RP Strength's IG - https://www.instagram.com/rpstrength/ YouTube - https://www.youtube.com/@RenaissancePeriodization X - https://x.com/RPstrength Website - https://rpstrength.com To learn more about Dr. Mike and access free guides from RP Strength, click here: http://rpstrength.com/mike Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on Health Matters, we're joined by Dr. Brenna Farmer of NewYork-Presbyterian and Weill Cornell Medicine to talk through what you need to do to be prepared for emergencies. From the supplies you need in case of summer storms and power outages to the simple safety tips to prevent trips to the emergency room during summer fun, Dr. Farmer offers listeners the basics of emergency preparedness.___Brenna Farmer, MD is the chief of emergency medicine at NewYork-Presbyterian Brooklyn Methodist Hospital and vice chair for the Department of Emergency Medicine at Weill Cornell Medicine. She is also an associate professor of clinical emergency medicine at Weill Cornell Medicine. Dr. Farmer has previously served as an assistant residency program director for NewYork-Presbyterian Hospital's Emergency Medicine Residency program. Dr. Farmer is board certified in both emergency medicine and toxicology. She is active nationally in several organizations and is a fellow of the American College of Emergency Physicians, American Academy of Emergency Medicine, and the American College of Medical Toxicology. Her primary areas of focus are quality improvement, patient safety, and medication safety.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

The field of contenders to lead the Fort Worth Police Department as its next chief has been narrowed to four finalists. The finalists are Robert Alldredge, the interim chief of the Fort Worth Police Department; Eddie García, assistant city manager in Austin who retired as Dallas police chief last fall; Vernon Hale, a former Dallas deputy chief who now works as an assistant chief in Prince George's County, Md.; and Emada Tingirides, a deputy chief with the Los Angeles Police Department. In other news, the Trump administration's decision to freeze billions of dollars in education funding will leave Dallas schools with a $22 million gap; President Trump on Tuesday described Texas as the centerpiece in a plan to add Republican U.S. House seats by redrawing congressional boundaries in multiple states. Wringing five more Republican congressional seats from Texas would be a significant help to the party as it tries to preserve its razor-thin House majority; nd three quiet pools of water tucked between highways and neighborhoods along the Trinity River will now honor Dallas' Native American history. In a landmark act of cultural restoration, the Dallas City Council unanimously agreed last month to name these lakes with Native terms proposed by a grassroots intertribal committee. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Arizona State's recruiting should be doing far better than its current commitment list after coming off a College Football Playoff run. Why are the Sun Devils residing at No. 40 in 247 Sports recruiting rankings?While Jake Fette is a top-notch quarterback, and ASU possesses quality recruits, there are not enough elite prospects committed. Plus, ASU does not have a single one of Arizona's top-10 recruits committed. It's puzzling.The good news, Arizona State's 2025 season could be special once again. Perhaps more success this fall translates to a late recruiting run.On X @LO_ThePortalTikTok @lockedontheportalSupport us by supporting our sponsors!GametimeToday's episode is brought to you by Gametime. Download the Gametime app, create an account, and use code LOCKEDON for $20 off your first purchase. Terms apply. Download Gametime today. What time is it? Gametime.Monarch MoneyTake control of your finances with Monarch Money. Use code LOCKEDONCOLLEGE at monarchmoney.com for 50% off your first year.FanDuelRight now, new customers can get TWO HUNDRED DOLLARS in BONUS BETS when your first FIVE DOLLAR BET WINS! Download the app or head to FANDUEL.COM to get started. Bet with FanDuel—Official Partner of the NBA.FANDUEL DISCLAIMER: 21+ in select states. First online real money wager only. Bonus issued as nonwithdrawable free bets that expires in 14 days. Restrictions apply. See terms at sportsbook.fanduel.com. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MD, MI, NJ, PA, IL, VA, WV), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 (WY, KS) or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), 1-877-8-HOPENY or text HOPENY (467369) (NY), TN REDLINE 1-800-889-9789 (TN)

In this episode, Evan H. Hirsch, MD shares his personal experience as he prepares for dental cavitation surgery, an often overlooked but critical piece in the chronic fatigue and long COVID recovery journey. Evan explains what dental cavitations are, why they matter, and how hidden infections in the jawbone can impact sleep, detox pathways, and overall energy. He walks through his own assessment process, the CBCT scan, and the intense oral protocol he is following to disinfect and strengthen his mouth before surgery. You will also learn why this step is essential even if you have no pain or obvious dental issues. This is a powerful behind-the-scenes look at what it really takes to leave no stone unturned in the search for full recovery. Resources mentioned: -. The International Academy of Oral Medicine and Toxicology: https://iaomt.org . We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here. Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here.   For more information about Evan and his program, Click Here.   Prefer to watch on Youtube? Click Here.   Please note that any information in this episode is for educational purposes only and does not constitute medical advice.

July 16, 2025: Aaron Neinstein, MD, Chief Medical Officer at Notable Health, explores breaking down the barriers to the patient experience with AI. The conversation examines the human side of AI implementation and how leaders can address workforce fears while ensuring automation enhances rather than replaces care delivery. How do you shift from thinking about AI as labor replacement to embracing what Neinstein calls "scalable privilege"—democratizing access to high-quality healthcare for everyone? This episode unpacks the operational friction driving healthcare worker burnout and presents a practical vision for how intelligent automation can bridge the gap between what care providers want to deliver and what the current system allows. Key Points: 05:57 Customer Innovations and Success Stories 13:12 Enterprise-Level Transformation  16:05 Organizational Change Management 25:11 Speed Round Questions X: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

What if I told you the conflict in the Middle East isn't really about land, oil, or politics—but a hidden war for Mother Earth's womb, heart, and mind? In this profound solo transmission, Dr. Samuel B. Lee, MD reveals the rarely spoken truths from the Eternal Flame Records—teachings preserved in the CDT plates and safeguarded by the Melchizedek Cloister Emerald Order.Dive deep as Dr. Lee unpacks how ancient off-planet factions, hybrid bloodlines, and distorted religious texts engineered a multidimensional takeover of Earth's most sacred energy centers. From the secret function of Gaza, Jerusalem, and Jericho as planetary chakras, to how fear, guilt, and endless war fuel parasitic AI timelines—this episode exposes a cosmic playbook thousands of years in the making.Discover why November 18, 2025 marks a once-in-millennia resonance peak between Earth's Gate 4 and Gate 10—a narrow window to restore the original 12-strand DNA template and collapse false timelines like Armageddon.Sacred Truths & Lessons from This Episode:• Awareness dissolves consent—truth is the ultimate liberation.• The Middle East is not just land, but Earth's motherboard—whoever controls it, controls humanity.• False religious scripts fuel wars that feed AI systems cut off from Source.• Your DNA holds the Christos codes—awakening it ends the war within, then without.• Eternal life frequency is the true revolution; love aligned with truth overrides artificial timelines.• We have until November 18, 2025 to anchor a new harmonic grid—your resonance matters.

In this conversation, fertility expert, Dr. Amanda Adeleye, MD, is sharing the fertility knowledge you need to feel empowered in your Kids or Childfree decision. This includes... Common fertility myths and misconceptions  The role of age in fertility, including when your fertility starts to decline  How likely it really is to become pregnant in your mid-30's, at 40, and beyond Fertility preservation options — including egg and embryo freezing – and who they're suited for Why understanding personal goals is crucial in making informed family planning decisions As mentioned on the show: Find Amanda online at ccrmivf.com/locations/us/il/chicago/amanda-adeleye-md/ She's on Instagram at instagram.com/amanda.j.adeleye_md Get details on free health education platform, Roon, at roon.com Roon is also on Instagram at instagram.com/roonwomenshealth Find Amanda on Roon at roon.com/expert/DrAmandaAdeleye About Amanda: Dr. Amanda Adeleye, MD, is a reproductive endocrinologist and infertility (REI) specialist. She provides fertility services including IUI, IVF and fertility preservation at the newly opened fertility clinic, CCRM Chicago, where she is the founding partner and Medical Director. She received her Medical Degree from Columbia University, completed her residency at New York Presbyterian - Columbia University, and did her fellowship at the University of California, San Francisco. Dr. Adeleye is committed to improving the educational resources available to all patients to inform them on their fertility journey. As part of this work, she helped to create Roon, a free, trusted health platform founded by doctors to replace unreliable internet searches with expert medical guidance. _ Get details on our upcoming Kids or Childfree Support Series here: kidsorchildfree.com/kids-or-childfree-support-series Check out our free resources here, or at kidsorchildfree.com/free-resources And don't forget to subscribe, rate, and review The Kids or Childfree Podcast if you love what you're hearing! You can leave a rating and review on Apple Podcasts, or a rating on Spotify. Find us online at www.kidsorchildfree.com. Instagram: www.instagram.com/kidsorchildfree

On Todays show we heard so many wild listener stories, we're baffled what you guys get into after the show! Join Intern John, Sos, Rose, Hoody, Erick ,and Savera as we have our listeners tell us wild stories and we tell you if we think its ‘a sign',  we do an all new Second Date Update, Plus we talk about what side of the bed you sleep on and why! All that and more with Intern John & Your Morning Show!   Make sure to also keep up to date with ALL of our podcasts we do below that have new episodes every week:  The Thought Shower Let's Get Weird Crisis on Infinite Podcasts 

Air BnB is making some changes on the app. Capitol Bike Share rates are going up next month. Commanders are retiring Art Monk jersey this season.  Make sure to also keep up to date with ALL our podcasts we do below that have new episodes every week:The Thought ShowerLet's Get WeirdCrisis on Infinite Podcasts

The 2025 Emmy nominations are in, and “Severance” has the most nominations. Benny and Selena wedding updates. Miley Cyrus released her latest album but she said she wont be touring.Make sure to also keep up to date with ALL our podcasts we do below that have new episodes every week:The Thought ShowerLet's Get WeirdCrisis on Infinite Podcasts

Maya and Jake were actually set up by Jake's sister to go out with one another. Maya has been work friends with Jake's sister for over a year and a couple weeks ago she actually told Maya to go out with her brother. Maya and Jake went bowling for their first date and got drinks after and according to Maya things went really well. However, ever since their date almost two weeks ago, Maya hasn't really heard from Jake and Maya even asked his sister and she also has no idea as to what happened.   We call Jake trying to figure out if there is anything else between him and Maya that happened that may have caused things to go wrong and he tells us that he wasn't a fan of how much research Maya did on him. Find out what's really going on in this Second Date Update! 

Spinal Pathologies in Obstetric Anesthesia: Neuraxial Risk Assessment and Decision-Making with Tural Alakbarli, MD, MSc, Dalhousie University, Halifax, Nova Scotia, Canada

We The People must stand strong, stay united, resolute, calm, and focus on the mission. Order Mel's New Book: Americans Anonymous: Restoring Power to the People One Citizen at a Time https://themelkshow.com/book The Show's Partners Page: https://themelkshow.com/partners/ Consider Making A Donation: https://themelkshow.com/donate/ Beverly Hills Precious Metals Exchange - Buy Gold & Silver https://themelkshow.com/gold/ Speak with Gold Expert Andrew Sorchini…Tell Him Mel K Sent You! Dr. Zelenko Immunity Protocols https://zstacklife.com/MelK I trust SatellitePhoneStore when all other networks fail. With their phone, I know I'm always connected, no matter where I am or what happens. https://sat123.com/melk/ I've tried a lot of supplements over the years, but nothing has compared to the purity and results I've experienced with Chemical Free Body. USE CODE MELK Mel K Superfoods Supercharge your wellness with Mel K Superfoods Use Code: MELKWELLNESS and Save Over $100 off retail today! https://themelkshow.com/partners/ Healthy Hydration: https://themelkshow.com/partners/ Patriot Mobile Support your values, your freedom and the Mel K Show. Switch to Patriot Mobile for Free. Use free activation code MELK https://themelkshow.com/partners/ HempWorx The #1 selling CBD brand. Offering cutting edge products that run the gamut from CBD oils and other hemp products to essential oils in our Mantra Brand, MDC Daily Sprays which are Vitamin and Herb combination sprays/ https://themelkshow.com/partners/ Dr. Zelenko Immunity Protocols https://zstacklife.com/MelK Support Patriots With MyPillow Go to https://www.mypillow.com/melk Use offer code “MelK” to support both MyPillow and The Mel K Show The Wellness Company - Emergency Medical Kits: https://themelkshow.com/partners/ Dr. Stella Immanuel, MD. Consult with a renowned healthcare provider! Offering Telehealth Services & Supplements. Use offer code ‘MelK' for 5% Off https://themelkshow.com/partners/ Rumble (Video) - The Mel K Show: https://rumble.com/c/TheMelKShow X: https://twitter.com/MelKShow Twitter (Original): https://twitter.com/originalmelk TRUTH Social: https://truthsocial.com/@themelkshow Instagram: https://www.instagram.com/themelkshow/ Podbean: https://themelkshow.podbean.com/ GETTR: https://www.gettr.com/user/themelkshow Locals.com: https://melk.locals.com/ Banned Video: https://banned.video/channel/the-mel-k-show We at www.themelkshow.com want to thank all our amazing patriot pals for joining us on this journey, for your support of our work, and for your faith in this biblical transition to greatness. Together we are unstoppable. We look forward to seeing you. God Wins! https://themelkshow.com/events/ Remember to mention Mel K for great discounts on all these fun and informative events. See you there! Our Website www.TheMelKShow.com We love what we do and are working hard to keep on top of everything to help this transition along peacefully and with love. Please help us amplify our message: Like, Comment & Share!

In today's episode, we had the pleasure of speaking with Jonathan M. Gerber, MD; and Shyam A. Patel, MD, PhD, about a study they conducted investigating the use of immunohistochemistry (IHC) as a biomarker for early TP53 mutation identification in patients with myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). Dr Gerber is a member of the faculty in the Department of Medicine at New York University (NYU) Grossman School of Medicine; as well as the chief clinical officer of the NYU Perlmutter Cancer Center. Dr Patel is an associate professor at the University of Massachusetts Chan Medical School; as well as a hematologist and oncologist at the UMass Memorial Medical Center in Worcester.  In our exclusive interview, Drs Gerber and Patel discussed the evaluation of p53 IHC as a surrogate biomarker for TP53-mutant MDS and AML. They shared how the presence of TP53 mutations in these diseases significantly worsens prognosis, necessitating urgent treatment. They also highlighted how IHC results are available within 48 to 72 hours. Gerber and Patel explained this study's design and patient population, as well as how IHC's inverse correlation with overall survival highlights its potential as an early biomarker, though it has lower sensitivity for certain mutations.

Uncover the diverse scope of practice available in pediatric radiology. Shannon Farmakis, MD, speaks with host Raisa Amiruddin, MBBS, on the often unseen professional opportunities in pediatric imaging, including insights into the routines and realities of private practice and approaches for navigating a fulfilling career in the specialty. https://www.ajronline.org/doi/10.2214/AJR.25.33521

Normal pressure hydrocephalus (NPH) is a pathologic condition whereby excess CSF is retained in and around the brain despite normal intracranial pressure. MRI-safe programmable shunt valves allow for fluid drainage adjustment based on patients' symptoms and radiographic images. Approximately 75% of patients with NPH improve after shunt surgery regardless of shunt type or location. In this episode, Aaron Berkowitz, MD, PhD, FAAN, speaks with Kaisorn L. Chaichana, MD, author of the article “Management of Normal Pressure Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology in San Francisco, California. Dr. Chaichana is a professor of neurology in the department of neurological surgery at the Mayo Clinic in Jacksonville, Florida. Additional Resources Read the article: Management of Normal Pressure Hydrocephalus Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @kchaichanamd Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Kaisorn Chaichana about his article on management of normal pressure hydrocephalus, which he wrote with Dr Jeremy Cutsforth-Gregory. The article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr Chaichana: Yeah, thank you for having me. I'm Kaisorn Chaichana. I'm a neurosurgeon at Mayo Clinic in Jacksonville, Florida. Part of my practice is doing hydrocephalus care, which includes shunts for patients with normal pressure hydrocephalus. Dr Berkowitz: Fantastic. Well, before we get into shunt considerations and NPH specifically, which I know is the focus of your article, I thought it would be a great opportunity for a neurologist to pick a neurosurgeon's brain a bit about shunts. So, to start, can you lay out for us the different types of shunts and shunt procedures, the advantages, disadvantages of each type of shunt, how you think about which shunt procedure should be used for which patient, that type of thing? Dr Chaichana: Yeah. So, there are different types of shunts, and the most common one that is used is called a ventricular peritoneal shunt. So, it has a ventricular catheter, it has a catheter that tunnels underneath the skin and it goes into the peritoneum where the fluid goes from the ventricular system into the peritoneum. Typically, the shunts are in the ventricle because that is the largest fluid-filled space in the brain. Other terminal areas include the atrium, which is really the jugular vein, and those are called ventricular atrial shunts. You can also have ventricular pleural shunts, which end in the pleural space and drain flui into the pleural space. Those are pretty much the most common ventricular shunts. There's also a lumboperitoneal shunt that drains from the lumbar spine, similar to a lumbar drain into the peritoneum. For the lumbar shunts, we don't typically have a lumbar pleural or lumbar atrial shunt just because of the pressure dynamics, because the lumbar spine is below the lung and as well as the atrium. And so, the drainage pattern is very different than ventricular peritoneal which is top to bottom. The most common shunt, why we use the ventricular peritoneal shunt the most, is because it has the most control. So, the peritoneum is set at a standard pressure in the intraabdominal pressure, whereas the ventricular atrial shunt depends on your venous return or venous pressure and your ventricular pleural shunt varies with inspiration and expiration. So, the easiest way for us to control the fluid, the ventricular system is through the ventricular peritoneal shunt. And that's why that's our most common shunt that we use. Dr Berkowitz: Fantastic. So, as you mention in the article, neurologists may be reluctant to offer a shunt to patients with NPH because many patients may not improve, or they improve only transiently; and out of fear of shunt complications. So, of course, as neurologists, we often only hear about a patient's shunt when there is a problem. So, we have this sort of biased view of seeing a lot of shunt malfunction and shunt infection. Of course, we might not see the patient if their shunt is working just fine. How common are these complications in practice, and how do you as a neurosurgeon weigh the risks against the often uncertain or transient benefits of a shunt in a patient with NPH who may be older and multiple medical comorbidities? How do you think about that and talk about it with patients? Dr Chaichana: When you hear about shunt complications, most of the shunt complications you hear about are typically in patients with congenital hydrocephalus. Those patients often require several shunt revisions just from either growing or the shunt stays in for a long time or the ventricular caliber is a lot less than some with normal pressure hydrocephalus. So, we don't really see a lot of complications with normal pressure hydrocephalus. So that shunt placement in these patients is typically pretty safe. The procedure's a relatively short procedure, around 30 minutes to 45 minutes to place a shunt, and we can control the pressure within the shunt setting so that we don't overdrain---which means too much fluid drains from the ventricular system---which can cause things like a subdural, which is probably the most common complication associated with normal pressure hydrocephalus. So, to obviate those risks, what we do is typically insert the shunt and then keep the shunt setting at a high setting. The higher the setting, the less it drains, and then we bring it slowly down based on the patient's symptoms to try to minimize the risk of this over drainage in the subdural hematoma while at the same time benefiting the patient. So, there's a concern for shunt in patients with normal pressure hydrocephalus. The concern or the complication risks are very low. The problem with normal pressure hydrocephalus, though, is that over time these patients benefit less and less from drainage or their disease process takes over. So, I do recommend placing this shunt as soon as possible just so that we can maximize their quality of life for that period of time. Dr Berkowitz: So, if I'm understanding you, then the risk of complication is more sort of due to the mechanical factors in patients with congenital hydrocephalus or sort of outgrowing the shunt, their pressure dynamics may be changing over time. And in your experience, an older patient with NPH, although they may have more medical comorbidities, the procedure itself is relatively quick and low-risk. And the actual complications due to mechanical factors, my understanding, are just much less common because the patient is obviously fully grown and they're getting one sort of procedure at one point in time and tend to need less revision, have less complication. Is that right? Dr Chaichana: Yeah, that's correct. The complication risk for normal hydrocephalus is a lot less than other types of hydrocephalus. Dr Berkowitz: That's helpful to know. While we're talking about some of these complications, let's say we're following a patient in neurology with NPH who has a shunt. What are some of the symptoms and signs of shunt malfunction or shunt infection? And what are the best studies to order to evaluate for these if we're concerned about them? Dr Chaichana: Yeah. So basically, for shunt malfunction, it's basically broken down into two categories. It's either overdrainage or underdrainage. So, underdrainage is where the shunt doesn't function enough. And so basically, they return to their state before the shunt was placed. So that could be worsening gait function, memory function, urinary incontinence are the typical symptoms we look for in patients with normal pressure hydrocephalus and underdrainage, or the shunt is not working. For patients that are having overdrainage, which is draining too much, the classic sign is typically headaches when they stand up. And the reason behind that is when there's overdrainage, there's less cerebrospinal fluid in their ventricular system, which means less intracranial pressure. So that when they stand up, the pressure differential between their head and the ground is more than when they're lying down. And because of that pressure differential, they usually have worsening headaches when standing up or sitting up. The other thing are severe headaches, which would be a sign of a subdural hematoma or focality in their neurological symptoms that could point to a subdural hematoma, such as weakness, numbness, speaking problems, depending on the hemisphere. How we work this up is, regardless if you're concerned about overdrainage or underdrainage, we usually start with a CAT scan or an MRI scan. Typically, we prefer a CAT scan because it's quicker, but the CAT scan will show us if the ventricular caliber is the same and/or the placement of the proximal catheter. So, what we look for when we see that CAT scan or that MRI to see the location of the proximal catheter to make sure it hasn't changed from any previous settings. And then we see the caliber of the ventricles. If the caliber of the ventricles is smaller, that could be a sign of overdrainage. If the caliber of the ventricles are larger, it could be a sign of underdrainage. The other thing we look for are subdural fluid collections or hydromas or subdural hematomas, which would be another sign of lower endocranial pressure, which would be a sign of overdrainage. So those are the biggest signs we look for, for underdrainage and overdrainage. Other things we can look for if we're concerned of the shunt is fractured, we do a shunt X-ray and what a shunt x-ray is is x-rays of the skull, the neck and the abdomen to see the catheter to make sure it's not kinked or fractured. If you're really concerned, you can't tell from the x-ray, another scan to order is a CT of the chest and abdomen and pelvis to look at the location of the catheter to make sure there's no brakes in the catheter, there's no fluid collections on the distal portion of the catheter, which would be a sign of shunt malfunction as well. Other tests that you can do to really exclude shunt malfunction is a shunt patency test, and what that is a nuclear medicine test where radionucleotide is injected into the valve and then the radionucleotide is traced over time or imaged through time to make sure that it's draining appropriately from the valve into the distal catheter into the peritoneum or the distal site. If there's a shunt malfunction that's not drainage, that radioisotope would remain stagnant either in the valve or in the catheter. There's overdrainage, we can't really tell, but there will be a quick drainage of the radioisotope. For shunt infection, we start with an imaging just to make sure there's not a shunt malfunction, and that usually requires cerebrospinal fluid to test. The cerebrospinal fluid can come from the valve itself, or it can come from other areas like the lumbar spine. If the lumbar spine is showing signs of shunt infection, then that usually means the shunt is infected. If the valve is aspirated with- at the bedside with a butterfly needle into the valve and that shows signs of shunt infection, that also could be a sign of infection. Dr Berkowitz: That's very helpful. You mentioned CT and shunt series. One question that often comes up when obtaining neuroimaging in patients with a shunt, who have NPH or otherwise, is whether we need to call you when we're doing an MRI to reprogram the shunt before or after. Is there a way we can know as a neurologists at the bedside or as patients carry a card, like with some devices where we know whether we have to call and bother our neurosurgery colleagues to get this MRI? Or if the radiology techs ask us, is this safe? And is the patient's shunt going to get turned off? How do we go about determining this? Dr Chaichana: Yeah, so unfortunately, a lot of patients don't carry a card. We typically offer a card when we do the shunt, but that card, there's two problems with it. One is it tells the model, but the second thing is it has to be updated any time the shunt is changed to a different setting. Oftentimes patients don't know that shunt setting, and often times they don't know that company brand that they use. There are different types of shunts with different types of settings. If there's ever concern as to what type of shunt they have, an x-ray is usually the best bet to see with a shunt series, or a skull x-ray. A lateral skull x-ray usually looks at the valve, and the valve has certain radio-dense markers that indicate what type of shunt it is. And that way you can call neurosurgery and we can always tell you what the shunt setting is before the MRI is done. Problem with an MRI scan if you do it without a shunt x-ray before is that you don't know the setting before unless the patient really knows or it's in the patient chart, and the MRI can need to change the setting. It doesn't usually turn it off, but it would change the setting, which would change the fluid dynamics within their ventricular system, which could lead to overdrainage or underdrainage. So, any time a patient needs MRI imaging, whether it's even the brain MRI, a spine MRI, or even abdominal MRI, really a shunt x-ray should be done just to see the shunt setting so that it could be returned to that setting after the MRI is done. Dr Berkowitz: So, the only way to know sort of what type of shunt it would be short of the patient knowing or the patient getting care at the same hospital where the shunt was placed and looking it up in the operative reports would be a skull film. That would then tell us what type of shunt is there and then the marking of the setting. And then we would be able to call our colleagues in neurosurgery and say, this patient is getting an MRI this is the setting, this is the type of shunt. And do we need to call you afterwards to come by and reprogram it? Is that right? Dr Chaichana: That's correct, yeah. Dr Berkowitz: Is there anything we would be able to see on there, or it's best we just- best we just call you and clarify? Dr Chaichana: The easiest thing to do is, when you get the skull x-ray, you can Google different types of shunts or search for different shunts, and they'll have markers that show the type of shunt it is as well as the setting that it's at. And just match it up with the picture. Dr Berkowitz: And as long as it's not a programmable shunt, there's no concern about doing the MRI. Is that right? Dr Chaichana: Correct. So, if it's a programmable shunt, even if it's MRI-compatible, we still like to get the setting before and make sure the setting after the MRI is the same. Nonprogrammable shunts can't be changed with MRI scans, and those don't need neurosurgery after the MRI scan, but it should be confirmed before the scan is done. Dr Berkowitz: Very helpful. Okay, so let's turn to NPH specifically. As you know, there's a lot of debate in the literature, some arguing, even, NPH might not even exist, some saying it's underdiagnosed. I think. I don't know if it was last year at our American Academy of Neurology conference or certainly in recent years, there was a pro and con debate of “we are underdiagnosing NPH” versus “we are overdiagnosing NPH.” What's your perspective as a neurosurgeon? What's the perspective in neurosurgery? Is this something we're underdiagnosing, and the times you shunt these patients you see miraculous results? Is this something that we're overdiagnosing, you get a lot of patients sent to that you think maybe won't benefit from a shunt? Or is it just really hard to say and some patients have shunt-responsive noncommunicating hydrocephalus of unclear etiology and either concurrent Parkinson's disease, Alzheimer's, cervical lumbar stenosis, neuropathy, vestibular problems, and all these other issues that play into multifactorial gait to sort of display a certain amount of the percentage of problem in a given patient or take overtime? What's your perspective if you're open to sharing it, or what's the perspective of neurosurgery? Is this debated as it is in neurology or this is just a standard thing you see and patients respond to shunt to some degree in some proportion of the time? And what are the sort of predictors you see in your experience? Dr Chaichana: Yeah, so, for me, I'd say it's too complicated for a neurosurgeon to evaluate. We rely on neurology to tell us whether or not they need a shunt. But I think the problem is, obviously, a part of the workout for at least the ones that I like to do, is that I want them to have a high-volume lumbar puncture with pre- and postgait analysis to see if there's really an objective measure of them improving. If they have an objective measure of improvement---and what's even better is that they have a subjective measure of improvement on top of the objective measure of improvement---then they benefit from a shunt. The problem is, some patients do benefit even though they don't have objective performance increases after a high-volume shunt. And those are the ones that make me the most worrisome to do the shunt, just because I don't like to do a procedure where there's no benefit for the patient. I do see, according to the literature as well, that there's around a 30 to 40%, even 50%, increase in gait function, even in patients that don't have large improvements following the high-volume lumbar puncture. And those are the most challenging patients for us as neurosurgeons because we'll put the shunt in, they say we're no better in terms of their gait, no better in terms of their urinary incontinence. We try to lower their shunt down to a certain setting and we're kind of stuck after that point. The good thing about NPH, though, is that, from the neurosurgery side, the shunt, like I said, is a pretty benign, low-risk procedure. So, we're not putting the patient through a very severe procedure to see if there's any benefit. So, in cases where we try to improve their quality of life in patients that don't have a benefit from high-volume lumbar puncture, we give them the odds of whether or not it's improving and say it might not improve. But because the procedure's minimally invasive, I think it's a good way to see if we can benefit their quality of life. Dr Berkowitz: Yeah, it's a very helpful perspective. Yeah, those are the most challenging cases on our side as well, right. If the patient- we think they may have NPH, or their gait and/or urinary and/or cognitive problems are- at least have a component of NPH that could be reversible, we certainly want to do the large volume lumbar puncture and/or consider a lumbar drain trial, all discussed in other articles and interviews for this issue of Continuum, But the really tough ones, as you said, there is this literature on patients who don't respond to the large-volume lumbar puncture for some reason but still may be shunt responsive. And despite all the imaging predictors and all the other ways we try to think about this, it's hard to know who's going to benefit. I think that's really a helpful perspective from your end that, as you say in the very beginning of your article, right, maybe there's a little bit too much fear of shunting on the neurology side because when we hear about shunts, it's often in the setting of complication. And so, we're not sort of getting the full spectrum of all the patients you shunt and you see who are doing just fine. They might not improve---the question is related to NPH---but at least they're not harmed by the shunt, and we're maybe overbiased and/or seeing a overly representative sample of negative shunt outcomes when they're actually not that common in practice. Is that a fair summary of your perspective? Dr Chaichana: Yeah, that's correct. So, I mean, complications can occur---and anytime you do a surgery, there are risks of complications---but I think they're relatively low for the benefit that we can help their quality of life. And the procedure's pretty short. So, the risk, it mostly outweighs the benefits in cases with normal pressure hydrocephalus. Dr Berkowitz: Very helpful perspective. So, well, thanks so much again. Today I've been interviewing Dr Kaisorn Chaichana about his article on management of normal pressure hydrocephalus, which he wrote with Dr Jeremy Cutsforth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Ease Over Anxiety: How to Move Forward Without the ConfusionIn today's episode, Dr. Kelly O. breaks down what it really means to walk in ease and avoid the chaos that comes from second-guessing your path. We talk about discernment, divine timing, and how to spiritually declutter your life to make room for clear, courageous next steps. Tune in for tools, truths, and a little tough love that'll help you move forward with bold clarity.Share, like, and follow this Vivalife SPF ME podcast on Spotify/Amazon,/Google platformsVivaLife SPF ME • A podcast on Spotify for PodcastersSubscribe to our YouTube: https://youtube.com/@vivalifehealthhub8261?si=zLFMLAZ126ss6qyOClick the link below to join our mailing list, events, and experienceshttps://vivalifespfme.com/dr-kelly-o-md-linktreeBook Dr. Kelly O., MD: https://vivalifespfme.com/speakerBuy your journal: https://vivalifespfme.myshopify.com/products/vivalife-spf-me-journal We can't be erased, T-shirt & Hat! https://vivalifespfme.myshopify.com/products/we-cant-be-erased-tshirt #Affirmation #365DaysofAffirmation #VivalifeSPFMEPodcast #VivalifeSPFME #VivalifeHealthHUB #DrKellyOMD

Interview with Alphonsus Matovu, MD and Jenny Löfgren, MD, PhD authors of Open Anterior Mesh Repair vs Modified Open Anterior Mesh Repair for Groin Hernia in Women: A Randomized Clinical Trial. Hosted byAmalia Cochran, MD Related Content: Open Anterior Mesh Repair vs Modified Open Anterior Mesh Repair for Groin Hernia in Women Repairing Groin Hernias in Women—Another Reason to Democratize Laparoscopy

Dream big, teach smarter! In this episode, Dr. Noriko Anderson breaks down how to turn educational dreams into reality using clear goals and purposeful objectives. Learn how frameworks like Bloom's Taxonomy and Miller's Pyramid can bring structure, clarity, and joy to your curriculum development process.   Claim CME for this episode at curbsiders.vcuhealth.org! Website | Instagram | Twitter | Subscribe | Patreon |  CME!| Youtube  thecurbsidersteach@gmail.com Credits Producer, Script, Cover Art, CME: Era Kryzhanovskaya MD Show notes, CME:  Era Kryzhanovskaya MD, Charlotte Chaiklin MD  Hosts, Editors: Era Kryzhanovskaya MD, Molly Heublein MD    Technical Support: Podpaste Peer Reviewer: Keith Scott Dickerson, MD, MS-BME Guests: Noriko Anderson, MD Technical support: Podpaste Theme Music: MorsyMusic  Show Segments Intro, disclaimer, guest bio, guest recommendations and favorite failure  Picks of the week Case #1 from Kashlak Memorial Hospital  Creating goals and objectives  Bloom's taxonomy  Types of objectives  Miller's Pyramid Case #2 from Kashlak Memorial Hospital  Talk with others and ask for help  Take-home points Outro

Natasha Campbell-McBride, MD is the creator of the GAPS concept and the GAPS Diet. She's the author of several books and an organic regenerative farmer. Show partners: Troscriptions - 10% off your first order by using the code "JESSE" at checkout Carnivore Bar - 10% off your Carnivore Bar order by using this link Show notes: https://jessechappus.com/661