Podcasts about MD

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    Latest podcast episodes about MD

    This Past Weekend w/ Theo Von
    #606 - Lainey Wilson

    This Past Weekend w/ Theo Von

    Play Episode Listen Later Aug 28, 2025 97:15


    Lainey Wilson is a country singer and songwriter from Baskin, Louisiana. The deluxe version of her latest album “Whirlwind” is streaming now everywhere. Lainey returns to reminisce about Louisiana upbringings, getting her own exhibit at the Country Music Hall of Fame, and the time Hardy took her whole crew to a strip club in Alabama.  Lainey Wilson: https://www.instagram.com/laineywilson/  ------------------------------------------------ Tour Dates! https://theovon.com/tour New Merch: https://www.theovonstore.com ------------------------------------------------- Sponsored By: Celsius: Go to the Celsius Amazon store to check out all of their flavors. #CELSIUSBrandPartner #CELSIUSLiveFit https://amzn.to/3HbAtPJ  JackPocket: Download the Jackpocket Lottery app today to start ordering Powerball and Mega Millions tickets right on your smartphone. New customers opt in and use code TVON for $5 in lottery credits. http://jkpt.co/4lOvTIG Helix Sleep: Go to https://helixsleep.com/theo to get 27% off sitewide. Acorns: Sign up now and boost your new account with a $20 bonus investment at https://acorns.com/THEO See America's Team: The Gambler and His Cowboys streaming now only on Netflix! Shopify: Go to http://shopify.com/theo to build start building your business.  BoomBoom: Get BoomBoom at http://BoomBoom.com and use code THEO for 20% off or you can find them at Walmart or CVS nationwide. Perplexity AI: Ask anything at https://pplx.ai/theo and download their new web browser Comet at https://comet.perplexity.ai/ ------------------------------------------------- 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $200 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/29/25 at 11:59 PM ET. Sponsored by DK. ------------------------------------------------- Music: “Shine” by Bishop Gunn Bishop Gunn - Shine ------------------------------------------------ Submit your funny videos, TikToks, questions and topics you'd like to hear on the podcast to: tpwproducer@gmail.com Hit the Hotline: 985-664-9503 Video Hotline for Theo Upload here: https://www.theovon.com/fan-upload Send mail to: This Past Weekend 1906 Glen Echo Rd PO Box #159359 Nashville, TN 37215 ------------------------------------------------ Find Theo: Website: https://theovon.com Instagram: https://instagram.com/theovon Facebook: https://facebook.com/theovon Facebook Group: https://www.facebook.com/groups/thispastweekend Twitter: https://twitter.com/theovon YouTube: https://youtube.com/theovon Clips Channel: https://www.youtube.com/c/TheoVonClips Shorts Channel: https://bit.ly/3ClUj8z ------------------------------------------------ Producer: Zach https://www.instagram.com/zachdpowers Producer: Trevyn https://www.instagram.com/trevyn.s/  Producer: Nick https://www.instagram.com/realnickdavis/ Learn more about your ad choices. Visit megaphone.fm/adchoices

    KFC Radio
    Tommy Smokes Responds To Rone Calling Him Schtick Poisoned - Full Episode

    KFC Radio

    Play Episode Listen Later Aug 28, 2025 82:53


    Timecodes: 00:00 Start 00:25 Rone accuses Tommy of too many bits 14:11 Taylor Swift & Travis Kelce engagement 26:04 Should KFC rebrand OMM to Boy Gossip? 38:03 Different generarations of Barstool 42:52 Howard Stern resurfaced clip 45:49 Mascots episode 2 thoughts 58:00 Mascots behind the scenes 01:05:35 KB's big performance 01:07:37 Tommy's interruption 01:08:41 More Mascots behind the scenes 01:13:51 Feits' new life hacks 01:16:16 Can Ben Shapiro bench 200 lbs? 01:19:45 Beach House final weekend +++++++++++++++++++++++++++++++ DraftKings: 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. JackPocket: GAMBLING PROBLEM? CALL 1-800-GAMBLER, Call 877-8-HOPENY/text HOPENY (467369) (NY). Jackpocket is a lottery courier and not affiliated with any State Lottery. NO PURCHASE NECESSARY. Void where prohibited. Eligibility restrictions apply. 18+ (21+ in AZ, 19+ in NE). AZ, AR, CO, D.C., ID, ME, MN, MT, NE, NH, NJ, NY, OH, OR, or WV only. Limit 3 entries per person per drawing. 11 drawings total. Entries must be made during the Drawing Specific Entry Period (as defined in the Official Rules) for a particular drawing or rolled over from a prior drawing in order to be eligible. Ends 8/29 @ 10:00 AM ET. See Official Rules, Drawing Specific Entry Periods, and free method of entry at jkpt.co/Winnerverse. Sponsored by Jackpocket LLC. Max. $100 issued in non-withdrawable Lottery Credits that expire in 365 days (8,760 hours). Sponsored by Jackpocket. BlueChew: Get your first month of BlueChew FREE Just use promo code KFC 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/kfcr

    Something You Should Know
    How Smart People Can Make Dumb Choices & The Serious Dangers of Social Media

    Something You Should Know

    Play Episode Listen Later Aug 28, 2025 50:25


    UPGRADE TO SYSK PREMIUM! To unlock ad-free listening to over 1,000 episodes plus receive exclusive bonus content, go to ⁠⁠⁠ https://SYSKPremium.com  Chances are, your home is full of things you don't use, don't need, and maybe don't even recognize. Listen to the start of this episode and you'll discover a simple list of household items you can toss out today — without a second thought. Clearing them out will free up space and make room for what truly matters. https://www.huffpost.com/entry/things-in-your-home-to-get-rid-of_n_4748455 Even the brightest minds can make surprisingly poor choices — sometimes with disastrous results. Panic plays a role, but there are also subtle psychological traps and quirks of human behavior that push smart people toward bad choices. Here to talk about this is Christopher J. Ferguson, professor of psychology at Stetson University in Florida and author of the book Catastrophe!: How Psychology Explains Why Good People Make Bad Situations Worse (https://amzn.to/3VKFHaF). Spending hours on social media can slowly reshape how you see the world — and it can even become addictive. That's exactly what happened to Dr. Brian Boxer Wachler, MD, a social media influencer and author of Influenced: The Impact of Social Media on Our Perception (https://amzn.to/3EnuzsM). In this eye-opening conversation, Brian shares his personal journey through social media addiction and explains what happens in your brain every time you click “Like.” This is an essential listen for anyone worried about their own screen time — or concerned about how much time their kids spend online. What happens to your pets if you pass away before they do? The answer may surprise you — and it's not as simple as putting it in your will. Listen and discover the essential steps to ensure your furry friends are cared for exactly as you wish, no matter what happens to you. http://pettrustlawyer.squarespace.com/ PLEASE SUPPORT OUR SPONSORS!!! SHOPIFY: Shopify is the commerce platform for millions of businesses around the world! To start selling today, sign up for your $1 per month trial at⁠⁠⁠⁠⁠⁠⁠ https://Shopify.com/sysk⁠⁠⁠⁠⁠⁠⁠ INDEED: Get a $75 sponsored job credit to get your jobs more visibility at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://Indeed.com/SOMETHING⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ right now! QUINCE: Keep it classic and cool with long lasting staples from Quince! Go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://Quince.com/sysk⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for free shipping on your order and 365 day returns! HERS: Whether you want to lose weight, grow thicker, fuller hair, or find relief for anxiety, Hers has you covered. Visit ⁠⁠⁠⁠⁠⁠⁠https://forhers.com/something⁠⁠⁠⁠⁠⁠⁠ to get a personalized, affordable plan that gets you! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Lights Camera Barstool
    Who Would You Trade Lives With? (The Bracket, Vol. 187)

    Lights Camera Barstool

    Play Episode Listen Later Aug 28, 2025 90:07


    Who Would You Trade Lives With? Welcome to VOLUME 187 of The Bracket. Kenjac is host alongside KBnoswag, Rudy, White Sox Dave, Gooch and Robbie Fox Follow The Bracket ►TWITTER - https://twitter.com/BracketPod ►INSTAGRAM - https://www.instagram.com/thebracket/ Follow Kenjac ►TWITTER - https://twitter.com/JackKennedy ►INSTAGRAM - https://www.instagram.com/jackennedy/ ►TIKTOK - https://www.tiktok.com/@ken_jac Intro - (0:00) Golden Retriever v Guy Fieri - (5:08) Harry Styles v John Mayer - (14:49) Savannah v Corenswet - (24:39) Cheah in - (32:27) Glenny Balls v Tom Ackerly - (44:59) Elon v Legolas - (51:58) Myspace v Rainbolt - (58:21) iShowSpeed v Tony Hawk - (1:04:25) Chalamet v Statham - (1:09:16) Playoffs - (1:17:38) Finals - (1:25:41) Download the Gametime app and use code BRACKET for $20 off your first purchase. Get your first month of BlueChew FREE Just use promo code BRACKET at checkout and pay five bucks for shipping. https://BlueChew.com 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. #TradeLives #TimotheeChalamet #BarstoolSportsYou can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/lightscamerabarstool

    A New Untold Story
    Serval feat. Brandon Walker - A New Untold Story: Ep. 463

    A New Untold Story

    Play Episode Listen Later Aug 28, 2025 74:07


    Brandon Walker joins the show to talk cereal and serval. Ads: Gametime - Download the Gametime app today and use code UNTOLD for $20 off your first purchase Rocket Money - Cancel your unwanted subscriptions and reach your financial goals faster at https://RocketMoney.com/untold Draft Kings - 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. Kraken - Go to https://kraken.com/barstool to learn more Bleecker Street - See SPINAL TAP II: THE END CONTINUES in theaters and IMAX starting September 12You 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/anuspodcast

    Son of a Boy Dad
    Tie-Dye Fax Machine | Son of a Boy Dad #330

    Son of a Boy Dad

    Play Episode Listen Later Aug 28, 2025 83:27


    Tie-Dye Fax Machine | Son of a Boy Dad #330 -- #Ad: Download the Gametime app today and use code BOYDAD for $20 off your first purchase -- #Ad: Go to https://vuori.com/BOYDAD for 20% off your first purchase. Exclusions apply. Visit the website for full terms and conditions. -- #Ad: 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. -- Follow us on our socials: https://linktr.ee/sonofaboydad -- Merch: https://store.barstoolsports.com/collections/son-of-a-boy-dad -- SUBSCRIBE TO THE YOUTUBE #SonOfABoyDad #BarstoolSportsYou can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/sonofaboydad

    Comeback Szn
    FULL WEEK 1 COLLEGE FOOTBALL PREVIEW

    Comeback Szn

    Play Episode Listen Later Aug 28, 2025 105:42


    College Football podcast on Barstool sports hosted by Brandon Walker and Kayce Smith presented by Twisted Tea In today's episode we get right into College Football week 1. We give you our game of the week picks, under the radar games, players to watch, and which teams are on upset watch. ++++++++++++++++++++++++ DraftKings - 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. Twisted Tea - Grab a refreshing Twisted Tea today https://www.twistedtea.com/locations Firehouse Subs - Order Firehouse Subs through the app and get up to $10 off your first order. Hot Subs. Easy ordering. Game day, handled. Order Firehouse Subs now! Chubbies - Your new wardrobe awaits! Get $10 off @chubbies with the code UR at https://www.chubbiesshorts.com/ur #chubbiespod 00:00 Intro 05:20 Week 1 is officially here 08:55 Texas vs Ohio State 30:30 LSU vs Clemson 42:05 Notre Dame vs Miami 57:45 Game of the Week 01:09:30 Under the Radar Game of the Week 01:18:45 Who's on Upset Alert? 01:23:45 Unnecessary Roughness Dog Parlay

    We Gotta Believe
    Mets Sweep Phillies: McLean Makes History, Vientos Stays Hot

    We Gotta Believe

    Play Episode Listen Later Aug 28, 2025 52:16


    Follow along as Kevin Clancy (aka KFC Barstool) and Clem (aka The Clem Report) battle through another season with The New York Mets. Will the Mets finally make history with Uncle Stevie (Steve Cohen) at the helm of the franchise? Or did the Wilpons curse the team and ruin all hope of ever winning a World Series? We can't think that way. Uncle Stevie is the bright light in the middle of the dark. We're going to be an amazing (or at the very least respectable) team this team. We Gotta Believe. Subscribe to the youtube here: https://barstool.link/WGB Get Coors Light delivered straight to your door. Visit https://coorslight.com/BELIEVE Download the Gametime app today and use code BELIEVE for $20 off your first purchase 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. Follow along on social: Twitter: https://twitter.com/GottaBelievePod Instagram: https://www.instagram.com/wegottabelieve/ Facebook: https://www.facebook.com/groups/3611081542306391 Tik Tok: https://www.tiktok.com/@wegottabelieveYou 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/wegottabelieve

    Mostly Sports With Mark Titus and Brandon Walker
    Is Ryen Russillo Our Coworker? + Brandon Gives His Doris Burke Take | Mostly Sports EP 478 | 8.28.25

    Mostly Sports With Mark Titus and Brandon Walker

    Play Episode Listen Later Aug 28, 2025 91:52


    Sign the petition: https://www.change.org/p/give-mister-ed-his-rightful-spot-on-the-hollywood-walk-of-fame?source_location=psf_petitions NEW HATS ARE LIVE: https://store.barstoolsports.com/collections/mostly-sports Mark Titus and Brandon Walker talking sports... mostly. Thanks to our sponsors: Jägermeister: Check Jägermeister out at https://us.jagermeister.com/. Drink Responsibly, Jägermeister Liqueur 35% alcohol by volume. Imported by Mast Jägermeister US, White Plains. NY. Shady Rays: Head to shadyrays.com and use code: MOSTLYSPORTS for 35% OFF polarized sunglasses. http://shadyrays.com DraftKings: 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. Pardon My Cheesesteak: Go to pardonmycheesesteak.com to order with code PMC20 for 20% off. Subscribe on YouTube: https://www.youtube.com/@MostlySportsTitusandWalker?sub_confirmation=1. Follow Mostly Sports on Twitter: https://twitter.com/MostlySports Follow Mark on Twitter: https://twitter.com/clubtrillion Follow Brandon on Twitter: https://twitter.com/bfw Follow Mostly Sports on Instagram: https://www.instagram.com/mostlysportsshow/ Follow Mark on Instagram: https://www.instagram.com/marktheshark34/ Follow Brandon on Instagram: https://www.instagram.com/bwalkersec/ Follow Mostly Sports on TikTok: https://www.tiktok.com/@mostlysportsshow?lang=en Follow Brandon on TikTok: https://www.tiktok.com/@brandonfwalker?lang=en Follow Mark on TikTok: https://www.tiktok.com/@marktituspod?lang=en

    Relentless Health Value
    Take Two: EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell

    Relentless Health Value

    Play Episode Listen Later Aug 28, 2025 35:47


    Right up front here, let me just state loudly that there are some amazing independent TPAs (third-party administrators) out there who have the expertise, the scrappy willfulness, and the deep desire to do right by their clients, their self-insured employer clients. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. And look, they may be facing some of the same headwinds that plan sponsors themselves face, like anticompetitive contracts, brokers who are up to no good, etc. So, just keep that in mind as you listen. And the main point of all of this if you are a plan sponsor is, find a good TPA partner, which, as Bryce Platt has said about consultants but same rules apply about TPAs here, the difficulty is being informed enough to tell the difference. So, the goal of this show is to help with that, the “be informed enough to tell the difference.” All of this being said, this is technically a Take Two; but we trimmed it down and welcome to a whole new intro. So, call this a refresher and an update about a really, really important topic from last year that is becoming extremely (maybe even more) relevant this year. Really relevant. Consider, for example, the show with Claire Brockbank (EP453) about carrier/TPA RFPs (requests for proposal) and all of the landmines that are really expensive, that are buried in some of these contracts. Then there was the Cynthia Fisher show (EP457) from last year about the millions, maybe billions of dollars in aggregate going missing in medical (ie, TPA or ASO [administrative services only]) spread pricing. We had “The Mystery of the Weekly Claims Wire” show with Justin Leader (EP433), again, revealing money that's being disappeared when the TPA is withdrawing dollars from plan sponsor checking accounts. And then there's the payment integrity episode with Kimberly Carleson (EP480) from a few weeks ago with just another wrinkle on this, namely TPAs or ASOs who insist on auditing themselves and how that turns out for members and plan sponsors. Oh, and last, but certainly not least, is the whistleblower show with Ann Lewandowski (EP476) on how a TPA arm of an EBC (employee benefit consultant) allegedly pocketed $20 million—$20 million of their client's pharma rebates—and used that $20 million to fund their executive bonus pool. What a time to be alive! All of this just highlights the huge stakes for plan sponsors to really understand what their TPA is all about. And when I say high stakes, I mean from both a legal standpoint and also just vast dollars in play here. But this episode with Elizabeth Mitchell is also, I'm gonna say, extremely relevant given just a few ripped from the headlines and news articles such as these. I'm gonna start actually with a post from Kimberly Carleson, and I like the comment by Jeff Evans, who wrote, “How does $8,710 equal $104,266?” Spoiler alert, it doesn't. Lots of missing dollars there. Someone's hands are in the cookie jar. Oh, look, the TPA has entered the chat. In a nutshell, and I'm quoting something Peter Hayes wrote, he wrote, “TPAs have received relatively little public attention. [There's an article in Health Affairs] that describes how TPAs impose hidden fees, benefit from their own form of spread pricing, and otherwise prioritize their own financial interests over those of their plan clients.” Also, here's a totally other issue. Let me quote Luke Prettol highlighting something Jason Shafrin had written about a paper by Jeff Marr, Daniel Polsky, and Mark Meiselbach. Let me slightly rephrase what Luke said. He wrote, “Employers pay, on average, a 4.7% [so almost 5%] price markup when hospitals are in their TPA's [Medicare Advantage] network.” Right? Dr. Eric Bricker talked about this in that episode (EP472) just how TPAs with MA (Medicare Advantage) business negotiate their commercial clients to pay higher rates so that then they can pay lower rates for their own MA members. As Luke wrote, “On its face, this overpayment does not appear to be solely in the interest of participants.” No kidding. Now, let's spin the wheel here. There are barriers for TPAs themselves, even the ones who have a deep desire to do the right thing. As Patrick Moore wrote, “Most TPAs still can't do [many of the things that employers might want because there are] PPO contracts.” So, is it a rock in a hard place situation? I mean, if the TPA has no other options than using a carrier's PPO (preferred provider organization) network with all its attendant contractual issues, then yeah, that is one definite challenge. Along these lines, let me read a post by Rina Tikia, because I think she sums up this really well. “When independent TPAs … push for transparency, they're blocked under the banner of ‘fiduciary risk.' “Meanwhile, the largest carriers and PBMs, with Cayman shell subsidiaries, DOJ kickback probes, [huge] hedge fund ties, [$10 million-plus] lobbying budgets, and antitrust violations continue unchecked. They are not only allowed to operate but celebrated as mainstream options. “Why the double standard? Political donations? Foundation smokescreens? Nonprofit status as a PR shield?” These are excellent questions. And here's another challenge: brokers. Ramesh Kumar Budhani wrote about this one, just how hard it is sometimes to find—for TPA, an independent TPA, trying to do the right thing—to find brokers who prioritize doing the right thing for employers and helping their clients save money. The summary of all of this: There are TPAs and there are ASOs who aren't even trying. They are going to ride the flywheel, the gravy train, and catch all of the dollars flying off of it for as long as they can manage to cling to it with all 10 of their fingers. Then there are TPAs, mostly indies, trying super hard to do the right thing. But how successful they are is going to depend on how boxed in they are by the PPO networks or the carriers that the brokers or even plan sponsors may insist on. Just how courageous they are and just how smart they are and experienced they are about the market and how it actually operates. So, the show that follows is about all of this, including how we can inspire TPAs, which, in the show that follows, subsumes ASOs kind of into it. But in the show that follows, I hope it's inspiring to create an environment so that the market demands TPAs that do all of the things, and we make inertia not a viable business strategy. Elizabeth Mitchell, my guest today, currently serves as the president and CEO of the Purchaser Business Group on Health. Also mentioned in this episode are Purchaser Business Group on Health; Bryce Platt; Claire Brockbank; Cynthia Fisher; Justin Leader; Kimberly Carleson; Ann Lewandowski; Jeff Evans; Peter Hayes; Luke Prettol; Jason Shafrin; Jeff Marr; Daniel Polsky; Mark Meiselbach; Eric Bricker, MD; Tom Nash; Patrick Moore; Rina Tikia; Ramesh Kumar Budhani; Mark Cuban; Harold Miller; Chris Deacon; Moby Parsons, MD; Benjamin Schwartz, MD, MBA; Mishe Health; Rik Renard; and Cora Opsahl. You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), advances its strategic focus areas of advanced primary care, functional markets, and purchasing value. She leads PBGH in mobilizing health care purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts on outcomes and affordability. At PBGH, Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health (the Maine Health Management Coalition), worked within an integrated delivery system (MaineHealth), and was elected to the Maine State Legislature, serving as a State Representative. Elizabeth served as vice chairperson of the U.S. Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's “Vital Signs” Study Committee on core metrics, and a guiding committee member for the Health Care Payment Learning & Action Network. Elizabeth holds a degree in religion from Reed College and studied social policy at the London School of Economics.   08:06 What is the overarching context for health plans in healthcare purchasing? 11:31 Why is it important to reestablish a connection between the people paying for care and people providing care? 13:47 What are the needs of a self-insured employer when managing employee benefits? 19:00 Is it doable for employers to set their own contracts? 21:24 Is transparency presumed? 22:39 Will the new transparency upon us actually expose wasted expense? 24:23 EP408 with Chris Deacon. 25:58 “This is not about individual bad actors. … The systems … that is not aligned.” 27:39 Are there providers who want to work directly with employers? 30:53 Why is it important that incentives need to be aligned? 32:42 EP427 with Rik Renard. 33:51 What's missing from the conversation on changing health plans?   You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   @lizzymitch2 of @PBGHealth discusses #TPA and #healthplan vs. #jumboemployer inertia on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander, Dr Tom X Lee (Take Two: EP445), Dr Tom X Lee (Bonus Episode), Dr Benjamin Schwartz, Dr John Lee (Take Two: EP438), Kimberly Carleson, Ann Lewandowski (Summer Shorts)  

    Pharmacy Podcast Network
    Moving Toward Better Metrics: Can We Do Better Than BMI? | Novonordisk

    Pharmacy Podcast Network

    Play Episode Listen Later Aug 28, 2025 22:41


    Join panelists Robert Kushner, MD, Jamy Ard, MD, and Jaime Almandoz, MD, to learn about BMI as a measure of excess adiposity, exploring both its strengths and limitations. Speakers:  -          Bob Kushner, MD  -          Jamy Ard, MD, FTOS -          Jaime Almandoz, MD, MBA, MRCPI, FTOS   This podcast is sponsored by Novo Nordisk and is intended for clinicians. Novo Nordisk is a registered trademark of Novo Nordisk A/S. All other trademarks, registered or unregistered, are the property of their respective owners. © 2025 Novo Nordisk All rights reserved. US24OB00077 June 2025

    Bendy Bodies with the Hypermobility MD
    Truth Bombs & Backlash with Kate Colbert (Ep 159)

    Bendy Bodies with the Hypermobility MD

    Play Episode Listen Later Aug 28, 2025 75:33


    After a wave of passionate listener feedback sparked intense conversations behind the scenes, The Bendy Bodies Podcast returns with a candid and heartfelt follow-up. In this episode, Dr. Linda Bluestein is joined by author and communications expert Kate Colbert to openly address the concerns raised about recent content and to set the record straight. From questions about language and lived experience to the emotional cost of being misunderstood, Dr. Bluestein and Kate hold nothing back. Together, they unpack what went wrong, what they stand by, and what they'll do differently moving forward. This is the episode that proves growth is messy, but worth it. Takeaways What sparked intense pushback from listeners this season Why language matters more than ever in the chronic illness community Why science isn't always black and white  The frustrations of medical and scientific uncertainty   What happens when a podcast decides to grow in public Want more Kate Colbert? Linkedin: https://www.linkedin.com/in/katecolbert/ 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

    Life Time Talks
    S11 E10: Hormone Optimization: The Women's Guide to Vitality With Greg Pippert, MD (Performance & Longevity Series)

    Life Time Talks

    Play Episode Listen Later Aug 28, 2025 29:07


    This conversation is all about what's behind the rise of hormone issues in women of all ages, the symptoms that often signal hormonal imbalance, and what women can do to take back control of this aspect of their health. Greg Pippert, MD, is our expert guest, also discussing the role of lifestyle strategies, supplements, and bioidentical hormone replacement therapy.   This episode of Life Time Talks is part of our series on Performance and Longevity with MIORA.   Find the episode highlights, get related resources and view the transcript for this episode at https://experiencelife.lifetime.life/hormone-optimization-the-womens-guide-to-vitality-performance-longevity-series   Have thoughts you'd like to share or topic ideas for future episodes? Email us at lttalks@lt.life — we'd love to hear from you!   Follow us on Instagram: @lifetime.life   The information in this podcast is intended to provide broad understanding and knowledge of healthcare topics. This information is for educational purposes only and should not be considered complete and should not be used in place of advice from your physician or healthcare provider. We recommend you consult your physician or healthcare professional before beginning or altering your personal exercise, diet or supplementation program. 

    College Football Smothered and Covered
    TRENDING: Penn State 5-Stars Visiting Rival | Quarterback Recruiting

    College Football Smothered and Covered

    Play Episode Listen Later Aug 28, 2025 33:02


    The Penn State Nittany Lions have two 5-star class of 2027 commitments, but are they really committed to James Franklin and his squad? The latest on Kemon Spell and Khalil Taylor are recruits we must discuss.Penn State's quarterback recruiting is heading into a critical stretch. Will PSU add highly regarded Keegan Croucher to their future roster?@fbscout_florida On X @LO_ThePortal TikTok @lockedontheportalSupport us by supporting our sponsors!Rugiet150,000 men have made the switch →https://Rugiet.com/LOCKEDONCOLLEGE Use code LOCKEDONNFL to get 15% off your order!DripDropRight now, DripDrop is offering Locked On listeners 20% off your first order. Just head to https://dripdrop.com and use promo code LOCKEDONCOLLEGE. Stock up now before the heat hits hard. PrizePicksDownload the PrizePicks app today and use code LOCKEDONMLB to get $50 in lineups after you play your first $5 lineup.PrizePicks — Run Your Game.Click Link Here: https://prizepicks.onelink.me/LME0/LOCKEDONCOLLEGEOpenPhoneStreamline and scale your customer communications with OpenPhone. Get 20% off your first 6 months at www.openphone.com/lockedonmlbGametimeToday'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)

    Oncology Overdrive
    Healio's 2025 Disruptive Innovators Awards Reception, Presented at ASCO

    Oncology Overdrive

    Play Episode Listen Later Aug 28, 2025 36:29


    In this special edition episode, recorded live at the ASCO Annual Meeting, hosts Shikha Jain, MD, and Edward Kim, MD, honor Healio's 2025 Disruptive Innovators for their positive disruption in the field of hematology/oncology, and for pushing the status quo to improve clinical practice.  •    Welcome to the fourth annual Healio Disruptive Innovator Awards in hematology/oncology. 1:00 •    VK Gadi, MD PhD, presents the Health Equity Award. 3:56 •    The Health Equity Award winner, Ana Velázquez Mañana, MD, makes a speech. 6:00 •    Morgan Collier presents the Woman Disruptor of the Year Award. 7:38 •    Betty S. Pace, MD, accepts the Woman Disruptor of the Year Award. 9:19 •    The Social Media Influencer Award, presented by Eleonora Teplinsky, MD. 11:53 •    Amani Jambhekar, MD, also known as @ajvictorymd on Instagram and TikTok, accepts the Social Media Influencer Award. 13:13 •    Brenda M. Nevidjon, MSN, RN, FAAN, presents the Advanced Practice Trailblazer Award. 14:40 •    Ashley Leak Bryant, PhD, RN, OCN, FAAN, delivers her acceptance speech for the Advanced Practice Trailblazer Award. 16:19 •    Kamal Jethwani, MD, MPH, presents the Patient Voice Award. 18:44 •    Founder Kimberly Richardson, MA, accepts the Patient Voice Award for the Black Cancer Collaborative. 20:44 •    Healio's chief content officer, Joan-Marie Stiglich, ELS, presents the NextGen Disruptor Award to Nazli Dizman, MD. 22:22 •    The Clinical Innovation Award goes to UNC Lineberger Comprehensive Cancer Center for their at-home symptom reporting, led by Ethan Basch, MD, MSc. 24:18 •    Hope S. Rugo, MD, wins the Lifetime Disruptor Award. 26:48 •    The Industry Breakthrough Award goes to Breyanzi (lisocabtagene maraleucel, or liso-cel) from Bristol Myers Squibb. 30:57 •    On behalf of Bristol Myers Squibb, Amy Corrao, MSN, NP-C, accepts the Industry Breakthrough Award. 32:33 •    Thanks to all of the winners, nominees and sponsors! 35:39 •    Thanks for listening. 36:21 We'd love to hear from you! Send your comments/questions to Dr. Jain at oncologyoverdrive@healio.com. Follow Healio on X and LinkedIn: @HemOncToday and https://www.linkedin.com/company/hemonctoday/. Follow Dr. Jain on X: @ShikhaJainMD. Read the full coverage from Healio's Disruptive Innovators here.

    Your Morning Show's War Of The Roses
    The Bachelor Party NDA

    Your Morning Show's War Of The Roses

    Play Episode Listen Later Aug 28, 2025 14:13 Transcription Available


    Mel and Steve have been together for a little over three months and while things have been great, two weeks ago Mel went out for a girls night and bumped into Steve's ex. Mel tells us that Steve's ex pulled her aside and warned her about Steve's location because he often uses his multiple devices to lie about being home when he really isn't. At the same time, Mel went through Steve's phone and saw that Steve had written an NDA for his friend's bachelor party that he is the Best Man for and made everyone sign that has her worried about their relationship.   We call Steve pretending to be the entertainment group booked for Steve's friend's bachelor party asking for any requests and see what Steve actually has planned for the weekend. Find out what's really going on in this week's War Of The Roses! 

    Your Morning Show On-Demand
    3Things You Need To Know:: Lower Gas Prices

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 28, 2025 8:12 Transcription Available


    Trump Admin is ready to take over Union Station. Heart break news out of Minnastoa yesterday from a mass shooting. MD Drivers get ready for some lower gas coming  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

    Your Morning Show On-Demand
    SOS Entertainment Report:: Update on Taylor and Travis

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 28, 2025 8:40 Transcription Available


    We have an update from the Taylor Swift terror attack from last year in Europe. Travis Kelcee jersey saw a huge spike in his jersey sale after the engagement announcement Followers of the “Summer I turned Pretty” are very passionate about this last 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

    Your Morning Show On-Demand
    The Bachelor Party NDA - War Of The Roses

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 28, 2025 14:14 Transcription Available


    Mel and Steve have been together for a little over three months and while things have been great, two weeks ago Mel went out for a girls night and bumped into Steve's ex. Mel tells us that Steve's ex pulled her aside and warned her about Steve's location because he often uses his multiple devices to lie about being home when he really isn't. At the same time, Mel went through Steve's phone and saw that Steve had written an NDA for his friend's bachelor party that he is the Best Man for and made everyone sign that has her worried about their relationship.   We call Steve pretending to be the entertainment group booked for Steve's friend's bachelor party asking for any requests and see what Steve actually has planned for the weekend. Find out what's really going on in this week's War Of The Roses! 

    Your Morning Show On-Demand
    That Time We Let Teachers Rant

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 28, 2025 115:16 Transcription Available


    School is in session, and we let the teachers let EVERYTHING off their chest! Join Intern John, Sos, Rose, Hoody, Erick and Savera as we talk to teachers and find out who at FCPS needs a bodyguard?!, We hear about your in-law horror stories with Bad In-Law Poker, Plus we do an all NEW War Of The Roses ! 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 

    Time to Transform with Dr Deepa Grandon
    Science Said “Impossible,” God Said Otherwise, Here Are Their Stories w/ Susan Toor and Janet Joseph Selvanathan | Ep 37

    Time to Transform with Dr Deepa Grandon

    Play Episode Listen Later Aug 28, 2025 65:59


    For most modern believers, miracles feel like stories locked in the pages of scripture. Science explains almost everything today, and medicine is the first place we turn when sickness strikes.  What if some healings can't be explained by scans, surgeries, or prescriptions?  What if, in an age of data and diagnostics, God is still doing what only He can do, restoring, reversing, and renewing in ways science cannot? That's exactly what this episode of Time to Transform explores. From asthma disappearing overnight, to infertility reversed against all medical odds, to a stroke reversed after an hour of unconsciousness, these aren't vague testimonies. These are healings measured, documented, and confirmed, living reminders that God's power is not confined to ancient times. My guests are women who straddle both worlds: faith and medicine. Susan, a church leader who once lived with chronic asthma and infertility, shares multiple decades-long healings that even doctors admitted defied explanation. Janet is a nurse who doubted miracles after watching her brother live with cerebral palsy. She tells the story of her own medically verified healing when a fibroid disappeared, proof that God's hand still moves, even when doubt clouds belief. In this episode, we explore what happens when faith collides with science, and what it means to trust a God who is still able to do the impossible.   Things You'll Learn In This Episode  -Asthma gone overnight without prayerful expectation Could a casual, half-hearted prayer really end decades of hospital visits, inhalers, and wheezing attacks instantly? -Infertility reversed with “zero chance” reports What happens when a couple told they had no viable sperm count ends up conceiving not once, but twice? -When prayer outruns the “golden hour” of stroke treatment How does a man collapse with textbook stroke symptoms, miss the critical 60-minute window for treatment, and still walk away without a trace of damage? -Healing in the face of hereditary disease Why did a nurse, genetically predisposed to gynecological illness, see her fibroid vanish on scans without surgery or medication? -From doubt to undeniableHow did years of watching her brother live with cerebral palsy convince Janet that healing wasn't real? What finally shattered her unbelief when she experienced a miracle herself? Guest Bio Susan Toor is a committed church leader whose life was deeply shaped by the burden of chronic asthma and persistent infertility. Despite years of medical care, neither condition abated, until a seemingly casual prayer brought both breathing and conception. Today, Susan serves as a bridge between spirituality and science, offering medically documented stories of sustained healing that defy medical explanation and invite a reconsideration of what faith and divine intervention can look like in our modern world. Janet Joseph Selvanathan is a Malaysian Wound and Stoma Care Nurse with over 15 years of experience in critical care, wound management, and patient education. She began her career as an ICU nurse in Malaysia before moving to Abu Dhabi in 2015, where she has since served at Cleveland Clinic Abu Dhabi. Over the past decade, she has become a trusted specialist in advanced wound therapies, stoma care, and pressure injury prevention, while leading hospital-wide audits and quality improvement initiatives. Beyond her professional achievements, Janet is a born-again Christian whose faith drives her passion for spirit-led healthcare transformation. Actively serving in her local church as part of the welcome team, she brings warmth, encouragement, and compassion both inside and outside the hospital. She believes in combining clinical excellence with dignity and hope-bringing healing that touches both body and soul.     About Your Host Hosted by Dr. Deepa Grandon, MD, MBA, a triple board-certified physician with over 23 years of experience working as a Physician Consultant for influential organizations worldwide. Dr. Grandon is the founder of Transformational Life Consulting (TLC) and an outspoken faith-based leader in evidence-based lifestyle medicine.   Resources Feeling stuck and want guidance on how to transform your spiritual, mental and physical well being? Get access to Dr Deepa's 6 Pillars of Health video! Visit drdeepa-tlc.org to subscribe and watch the video for free. ‌ Work with Me Ready to explore a personalized wellness journey with Dr. Deepa? Visit drdeepa-tlc.org and click on “Work with Me” to schedule a free intake call. Together, we'll see if this exclusive program aligns with your needs!  Want to receive a devotional every week From Dr. Deepa? Devotionals are dedicated to providing you with a moment of reflection, inspiration, and spiritual growth each week, delivered right to your inbox. Visit https://www.drdeepa-tlc.org/devotional-opt-in to subscribe for free. Ready to deepen your understanding of trauma and kick start your healing journey? Explore a range of online and onsite courses designed to equip you with practical and affordable tools. From counselors, ministry leaders, and educators to couples, parents and individuals seeking help for themselves, there's a powerful course for everyone. Browse all the courses now to start your journey.   ​​TLC is presenting this podcast as a form of information sharing only. It is not medical advice or intended to replace the judgment of a licensed physician. TLC is not responsible for any claims related to procedures, professionals, products, or methods discussed in the podcast, and it does not approve or endorse any products, professionals, services, or methods that might be referenced. Check out this episode on our website, Apple Podcasts, or Spotify, and don't forget to leave a review if you like what you heard. Your review feeds the algorithm so our show reaches more people. Thank you!

    The PQI Podcast
    S9 E1: Head & Neck Cancer Care: Clinical Progress & Compassionate Practice

    The PQI Podcast

    Play Episode Listen Later Aug 28, 2025 38:40


    We are thrilled to open Season 9 of the PQI Podcast with a powerful episode featuring Deborah Wong, MD, PhD, Associate Clinical Professor at UCLA and Director of the Head and Neck Medical Oncology Program.This conversation spans the full spectrum of oncology care — from groundbreaking trial data to the everyday realities of supporting patients, families, and care teams. Dr. Wong offers a timely look at what's new in head and neck cancer while also sharing her thoughtful approach to compassionate care.In this episode, Dr. Wong discusses:The Keynote-689 trial and FDA approval of pembrolizumab for resectable head and neck cancer.Tailoring treatment for HPV-positive vs. HPV-negative disease.Emerging therapies such as antibody-drug conjugates.Quality of life challenges, including speech, swallowing, and survivorship.Supporting caregivers as the “unsung heroes” of cancer care.Strategies for preventing burnout and fostering resilience in oncology practice. 

    The Joe Rogan Experience
    #2371 - Fedor Gorst

    The Joe Rogan Experience

    Play Episode Listen Later Aug 27, 2025 140:28


    Fedor Gorst is a professional pool player whose career highlights include championship wins at the World Nine-Ball Championship, the U.S. Open Pool Championship, and the Derby City Classic.www.fedorgorst.com 50% off your first box at https://www.thefarmersdog.com/rogan! Don't miss out on all the action - Download the DraftKings app today! Sign-up at https://dkng.co/rogan or with my promo code ROGAN. 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/29/25 at 11:59 PM ET. Sponsored by DK. Learn more about your ad choices. Visit podcastchoices.com/adchoices

    Barstool Pick Em
    DAVE PORTNOY ADDRESSES HIS BAN FROM OHIO STATE | PICK EM WEEK 1

    Barstool Pick Em

    Play Episode Listen Later Aug 27, 2025 63:18


    Dave Portnoy, Big Cat, and Rico Bosco are back for the 2025 Pick Em season. Dave addresses his ban from Ohio State, Rico gets questioned about his alliances, a special guest is teased for week 2, and more. DRAFTKINGS: 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. Download the DraftKings Sportsbook app and use code PICK. That's code PICK for ALL customers to a special profit boost on the college Game of the Week! In Partnership with DraftKings Sportsbook - The Crown Is Yours. HEYDUDE: Visit heydude.com/barstool and use code: PICKEM20 to get 20% off the HEYDUDE Barstool collection.You can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/barstoolpickem

    Picks Central
    Picks Central Podcast: Wed Aug 27, 2025

    Picks Central

    Play Episode Listen Later Aug 27, 2025 49:35


    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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK.You can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/pickscentral

    The Pat Bev Podcast with Rone
    Kevin Durant vs Larry Bird, NBA Offseason Drama, and Why is Russ Still a Free Agent? - Episode 147

    The Pat Bev Podcast with Rone

    Play Episode Listen Later Aug 27, 2025 94:43


    Welcome back to another episode of The Pat Bev Podcast with Rone. The NBA Offseason continues and we talk about where Russ will end up, the future of Joel Embiid and the Sixers, and bring back some generation comparisons from last week. Pat gets a new dog, Taylor Swift and Travis Kelce are engaged, and we debate what we would do if given the chair. Make sure to subscribe to the pod, luv gang. ADS:' -- DraftKings: 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. -- Vuori: Go to https://vuori.com/patbev for 20% off your first purchase. -- BlueChew: Get your first month of BlueChew FREE Just use promo code PATBEV at checkout and pay five bucks for shipping. https://BlueChew.com -- New Amsterdam Vodka: Find your wins with New Amsterdam Vodka -- BodyArmor: Hydrate Hard with BODYARMOR FLASH I.V. and grab yours today at your local 7-Eleven convenience store.You can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/patbevpod

    Mostly Sports With Mark Titus and Brandon Walker
    Chase Budinger Joins The Family + Ranking Old NFL Quarterbacks | Mostly Sports EP 477 | 8.27.25

    Mostly Sports With Mark Titus and Brandon Walker

    Play Episode Listen Later Aug 27, 2025 95:53


    Sign the petition: https://www.change.org/p/give-mister-ed-his-rightful-spot-on-the-hollywood-walk-of-fame?source_location=psf_petitions NEW HATS ARE LIVE: https://store.barstoolsports.com/collections/mostly-sports Mark Titus and Brandon Walker talking sports... mostly. Thanks to our sponsors: Jägermeister: Check Jägermeister out at http://barstoolxjagermeister.com. Drink Responsibly, Jägermeister Liqueur 35% alcohol by volume. Imported by Mast Jägermeister US, White Plains. NY. Sport Clips: Sport Clips. It's a Game Changer. https://sportclips.com DraftKings: 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK. Pardon My Cheesesteak: Go to pardonmycheesesteak.com to order with code PMC20 for 20% off. PorkRinds.com: Visit @porkrindsdotcom on Instagram and share the weekly Crunch Time Hero post. Subscribe on YouTube: https://www.youtube.com/@MostlySportsTitusandWalker?sub_confirmation=1. Follow Mostly Sports on Twitter: https://twitter.com/MostlySports Follow Mark on Twitter: https://twitter.com/clubtrillion Follow Brandon on Twitter: https://twitter.com/bfw Follow Mostly Sports on Instagram: https://www.instagram.com/mostlysportsshow/ Follow Mark on Instagram: https://www.instagram.com/marktheshark34/ Follow Brandon on Instagram: https://www.instagram.com/bwalkersec/ Follow Mostly Sports on TikTok: https://www.tiktok.com/@mostlysportsshow?lang=en Follow Brandon on TikTok: https://www.tiktok.com/@brandonfwalker?lang=en Follow Mark on TikTok: https://www.tiktok.com/@marktituspod?lang=en

    Wake N Jake
    Why Your Team Will Not Win the World Series

    Wake N Jake

    Play Episode Listen Later Aug 27, 2025 55:29


    Read Jim Bowden's article alongside us: https://www.nytimes.com/athletic/6577911/2025/08/27/mlb-playoff-contenders-concerns-questions/Go to kushydreams.com and use Promo Code JOMBOY at checkout to get 20% off your next order!Connect with a provider at http://ro.co/wakenjake to find out if prescription Ro Sparks are right for you!Download the DraftKings Sportsbook app and use promo code JMBASEBALLGAMBLING 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/7/25 at 11:59 PM ET. Sponsored by DK.++++Timestamps:0:00 Intro1:15 Jolly Olive  2:30 New York Yankees Defense (Volpe) and Facing Winning Teams  7:20 Fried & Rodon Haven't Been Their Best and are Both Left Handed  10:10 Seattle Mariners  11:20 Realignment Theories and Stats  15:55 Are the Mariners Too Right-Handed?18:00 Boston Red Sox Rotation Depth  21:50 Houston Astros vs. Health  25:40 Toronto Blue Jays Bullpen & Inexperience28:55 Detroit Tigers Not Being Pushed Down the Stretch  32:50 Reds Probably Won't Even Make the Playoffs  33:55 Mets Bridge to Edwin Diaz and Lineup Depth  38:50 San Diego Padres Starting Rotation  41:20 Kyle Tucker's Slump & Chicago Cubs Pitchers  44:05 LA Dodgers vs. Health, Bullpen, and the Pressure  47:55 Philadelphia Phillies Lost Zack Wheeler  50:40 Milwaukee Brewers Lack of Power 

    WarDocs - The Military Medicine Podcast
    Navigating the Frontlines of Military Neurosurgery: Innovations and Challenges- LTC Ryan Morton, MD

    WarDocs - The Military Medicine Podcast

    Play Episode Listen Later Aug 27, 2025 45:44


        Army neurosurgeon LTC Ryan Morton, MD, takes us on an extraordinary journey through his military medicine career, sharing insights and personal stories that shaped his path. From the influence of his father's military service and choosing the ROTC HPSP route to fund his education at Notre Dame, to his pivotal decision to pursue neurosurgery over cardiology, Dr. Morton's narrative is both inspiring and enlightening. His experiences in building a neuro-neurosurgery program and witnessing the advancements in trauma and stroke care over the past decade provide a unique perspective on both the challenges and triumphs in military medicine.     Discover the groundbreaking work at Brooke Army Medical Center, where Dr. Morton played a key role in expanding stroke care capabilities and performed the center's first thrombectomies. His dedication to maintaining his skills through moonlighting and exploring endovascular techniques for battlefield applications underscores the complexity of military neurosurgery. One particularly impactful case involving an active-duty pilot with a large arterial venous malformation highlights the crucial balance between medical risks and personal aspirations, offering a poignant look at the decision-making processes in such high-stakes scenarios.      As Dr. Morton reflects on his training at major trauma centers like Harborview, which ignited his passion for trauma care, he also shares his vision for the future of Army military neurosurgery. Emphasizing mission readiness and comprehensive training for neurosurgeons, he highlights the importance of partnerships between military and civilian centers. With excitement about enhanced stroke care capabilities and a hopeful outlook on the evolving landscape of neurosurgery, Dr. Morton provides valuable insights into how experience and high-quality studies will continue to shape the field.   Chapters: (00:04) Military Neurosurgery (11:11) Endovascular Neurosurgery in Military Medicine (20:28) Traumatic Brain Injury Management Overview (33:54) Evolution of Military Neurosurgery   Chapter Summaries: (00:04) Military Neurosurgery     Army neurosurgeon Dr. Ryan Morton shares his journey and experiences in building a neuro-neurosurgery program, inspired by his military upbringing and chance encounter with neurosurgery during medical school.   (11:11) Endovascular Neurosurgery in Military Medicine    Expanding stroke care at Brook Army Medical Center, performing first thrombectomies, potential for endovascular neurosurgery on battlefield, and operating on complex AVM case.   (20:28) Traumatic Brain Injury Management Overview    Neurosurgery's critical role in trauma care, prioritizing cases based on severity, collaboration with trauma teams, and criteria for operative intervention.   (33:54) Evolution of Military Neurosurgery    Military neurosurgery's evolution, trauma care training, role in combat zones, and potential for enhanced stroke care.   Take Home Messages: Pathway to Military Medicine: The journey into military medicine can be deeply influenced by personal experiences and family backgrounds. Choosing pathways like the ROTC, HPSP route can provide valuable opportunities to fund education while also serving one's country.   Advancements in Military Neurosurgery: Over the past decade, significant advancements have been made in military neurosurgery, particularly in the fields of trauma and stroke care. Building specialized programs within military medical centers is crucial for keeping up with these developments.   Importance of Interdisciplinary Collaboration: The successful management of traumatic brain injuries and other complex neurosurgical cases often requires close collaboration between neurosurgeons and trauma teams. This synergy allows for effective handling of polytrauma patients and simultaneous surgical interventions.   Endovascular Techniques in Combat Zones: The potential application of endovascular neurosurgery techniques on the battlefield offers promising possibilities for managing traumatic injuries. Maintaining and expanding stroke care capabilities within military medical centers is vital for both civilian and military patient outcomes.   Future Vision for Military Neurosurgery: Ensuring mission readiness and comprehensive training for neurosurgeons is essential for the future of military medicine. Strengthening partnerships between military and civilian centers, as well as leveraging the reserves, can help maintain high standards of care and enhance neurosurgical capabilities in combat zones.   Episode Keywords: Military neurosurgery, Army neurosurgeon, Dr. Ryan Morton, stroke care, trauma care, Brooke Army Medical Center, thrombectomies, endovascular techniques, battlefield medicine, military-civilian partnerships, ROTC, HPSP, Notre Dame, interventional neurosurgery, traumatic brain injury, Harborview, Madigan, combat zones, mission readiness, pioneering stroke care, medical advancements, neurosurgical excellence, WarDocs podcast   Hashtags: #MilitaryMedicine #Neurosurgery #ArmyNeurosurgeon #StrokeCare #TraumaCare #EndovascularSurgery #BrookeArmyMedicalCenter #CombatMedicine #MedicalInnovation #WarDocsPodcast     Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

    Conquering Your Fibromyalgia Podcast
    Ep. 217 Understanding Pediatric Chronic Pain with Dr. William Frye Part 1

    Conquering Your Fibromyalgia Podcast

    Play Episode Listen Later Aug 27, 2025 30:40


    Text Dr. Lenz any feedback or questions In this episode, we explore the complexities of pediatric chronic pain with Dr. William Frye, a pediatric psychologist at Johns Hopkins All Children's Hospital. Dr. Frye discusses the extended journeys families often undertake before reaching specialized care, the prevalence and challenges of polypharmacy, and the significant role non-pharmacological and multidisciplinary approaches play in managing pediatric chronic pain. The episode also delves into the importance of mental health, comprehensive patient assessment, and individualized treatment strategies. Dr. Frye emphasizes the need for holistic care, citing high rates of anxiety, depression, and even suicidal ideation among patients, and sheds light on the unique challenges neurodiverse individuals face. Stay tuned for part two, where practical strategies for managing chronic pain will be discussed.00:00 Introduction to Dr. William Frye01:27 Dr. Frye's Background and Journey into Pain Psychology02:24 Overview of the Headache Study03:33 Key Findings and Surprising Results05:41 Challenges in the Healthcare Journey08:05 Balancing Medication and Non-Medication Treatments14:47 Mental Health's Role in Chronic Headaches20:16 Unique Challenges for Neurodevelopmental Conditions24:11 Benefits of Multidisciplinary Care26:19 Conclusion and Preview of Part Two Click here for the YouTube channel 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.* ...

    Rena Malik, MD Podcast
    Moment: How to do Kegel Exercises the RIGHT Way ft Dr. Sarah Reardon

    Rena Malik, MD Podcast

    Play Episode Listen Later Aug 27, 2025 16:10


    In this episode, Dr. Rena Malik, MD is joined by pelvic floor physical therapist Dr. Sara Reardon to explore the nuances of pelvic floor health. They discuss the correct way to perform Kegels, common mistakes, the importance of integrating pelvic floor exercises into daily routines, and how to address both weak and overactive pelvic floor muscles. Listeners will learn practical strategies for improving pelvic floor function, managing issues like post-void dribble and pelvic tension, and maintaining balance through stretching, relaxation, and strength training. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 How to do a Kegel01:21 Integrating Kegels with exercise03:39 Kegels for post-void dribble05:35 High tone pelvic floor07:47 Pelvic floor relaxation techniques10:26 At-home relaxation exercises12:04 Yoga/Pilates and pelvic floor13:20 Risks of neglecting pelvic floor Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage―A Comprehensive Guide for Women of All Ages https://amzn.to/3SpegmC or https://thevagwhisperer.com/floored/ Stay connected with Sara Reardon on social media for daily insights and updates. Don't miss out—follow her now and check out these links! INSTAGRAM - https://www.instagram.com/the.vagina.whisperer/ TIKTOK - https://www.tiktok.com/@thevagwhisperer YOUTUBE - https://www.youtube.com/channel/UC2MllrS6zD974pxBFbVUHdA Online Workouts for your pelvic floor: 30 days of free workouts with preorder - https://thevagwhisperer.com/membership/ Find a Pelvic Floor Physical Therapist: https://www.aptapelvichealth.org/ptlocator https://pelvicrehab.com/ Buy a squatty potty https://amzn.to/4dCHLuM 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

    The Steve Gruber Show
    Peter A. McCullough | Prescription Stockpiles, Cancer, and Health Preparedness

    The Steve Gruber Show

    Play Episode Listen Later Aug 27, 2025 11:00


    Peter A. McCullough, MD, MPH, Chief Scientific Officer of The Wellness Company, joins to discuss critical health and medical preparedness topics. He weighs in on President Trump's order for the HHS to stockpile prescription drugs and whether Americans should consider doing the same at home. Dr. McCullough also highlights The Wellness Company's top medical kits for those concerned about drug shortages and prescription costs. He explains the potential of anti-parasitic drugs, such as Ivermectin, in cancer treatment and who might benefit from a preventive anti-parasitic cleanse. Finally, he addresses the controversial concept of “turbo-cancer,” reviewing evidence of rapidly developing cancers that have reportedly risen following COVID and vaccine exposure. For those interested in proactive health measures, visit twc.health/gruber and use promo code GRUBER to save.

    The HemOnc Pulse
    Editor's Special Episode: Progress and Prospects in CLL Management

    The HemOnc Pulse

    Play Episode Listen Later Aug 27, 2025 1402:00


    William Wierda, MD, PhD of the University of Texas MD Anderson discusses advances in chronic lymphocytic leukemia care, from targeted therapies and resistance to immune dysfunction and prevention with Blood Cancers Today Managing Editor, Nichole Tucker.

    Perimenopause Simplified
    77. Why Your Man Might Be Tired, Moody & Avoiding Intimacy w/ Dr. Joshua Gonzalez

    Perimenopause Simplified

    Play Episode Listen Later Aug 27, 2025 40:34


    Is your man more tired than usual, moodier, or pulling away from intimacy? You're not imagining it. In this episode, I'm joined by Dr. Joshua Gonzalez: a board-certified urologist and sexual medicine specialist to talk about the low testosterone epidemic and why men's midlife health is often overlooked. We'll cover how hormone changes impact men physically, emotionally, and in the bedroom, plus what women over 40 can do to better understand and support their partners. Whether your relationship feels disconnected or you simply want to know what's going on behind the scenes, this conversation is equal parts informative, candid, and fun. You'll learn: The signs and symptoms of low testosterone every woman should know Why men's health in midlife is so often ignored or dismissed How low testosterone affects mood, energy, and relationships The truth about what's really causing low libido in men Testing and treatment options, including TRT (testosterone replacement therapy) Evidence-based supplements that may help if your man isn't ready for testosterone therapy Joshua R Gonzalez MD Joshua R. Gonzalez, MD, is a board-certified and fellowship-trained urologist and sexual medicine specialist who focuses on managing sexual dysfunctions in men and women at his self-named practice, Joshua R. Gonzalez, MD, in the West Hollywood neighborhood of Los Angeles, California. At his state-of-the-art facility, Dr. Gonzalez understands the toll hormone deficiencies, menopause, arousal disorders, and erectile dysfunction (ED) can take on one's quality of life. He offers complete general urology and sexual health care at his office to patients, many of who identify as members of the LGBTQ+ community.   Connect with Dr. Joshua Gonzalez: Website Free Ebook: Elitist Next Level Testosterone Therapy Instagram TikTok PopStar Supplements   Sources: Free Testosterone Calculator Cardiovascular Safety of Testosterone Replacement Therapy Correlation Between Zinc and Testosterone Ashwagandha on Well-Being And Performance Tongkat Ali (Eurycoma Longifolia) Improves Serum Total Testosterone   WATCH ON YOUTUBE HERE   LOVE THE SHOW? Please subscribe, leave a 5-star rating, review, and share with other women, so they can get the support they need in perimenopause!    CONNECT WITH CLAUDIA:  Website YouTube Instagram Facebook Inquiries   FREE RESOURCES:  Peri-What?! The Must-Have Guide for Women 40+ Navigating Hormone Changes Perimenopause Daily Checklist HRT 3-Day Crash Course   GET SUPPORT:  Perimenopause Clarity Session The Perimenopause Method Program Perimenopause HRT Roadmap Course  

    College Football Smothered and Covered
    OVERMATCHED: Syracuse Will STRUGGLE Versus Tennessee

    College Football Smothered and Covered

    Play Episode Listen Later Aug 27, 2025 15:21


    The Syracuse Orange will attempt to upset the Tennessee Volunteers, but it's going to be hard for Notre Dame transfer quarterback Steve Angeli to overcome a talented UT defense.Fran Brown's squad has much hope for the future with their tremendous 2026 recruiting class, but the Vols are already loaded up along the trenches for UCLA transfer quarterback Joey Aguilar.@fbscout_florida On X @LO_ThePortal TikTok @lockedontheportalSupport us by supporting our sponsors!Rugiet150,000 men have made the switch →https://Rugiet.com/LOCKEDONCOLLEGE Use code LOCKEDONNFL to get 15% off your order!DripDropRight now, DripDrop is offering Locked On listeners 20% off your first order. Just head to https://dripdrop.com and use promo code LOCKEDONCOLLEGE. Stock up now before the heat hits hard. PrizePicksDownload the PrizePicks app today and use code LOCKEDONMLB to get $50 in lineups after you play your first $5 lineup.PrizePicks — Run Your Game.Click Link Here: https://prizepicks.onelink.me/LME0/LOCKEDONCOLLEGEOpenPhoneStreamline and scale your customer communications with OpenPhone. Get 20% off your first 6 months at www.openphone.com/lockedonmlbGametimeToday'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)

    Fix Your Fatigue
    Not Better After Treating Lyme Disease? Here's What's Missing with Evan H. Hirsch, MD

    Fix Your Fatigue

    Play Episode Listen Later Aug 27, 2025 11:15


    In this episode, Evan H. Hirsch, MD, dives into what might be missing when Lyme treatment fails to resolve your symptoms.   Despite protocols involving antibiotics, herbal therapies, or long-term support from specialists, many individuals find themselves still dealing with chronic fatigue, joint or muscle pain, brain fog, anxiety, and sleep disturbances. Evan explains why this happens, highlighting the limitations of traditional lab testing and introducing the concept of the Toxic Five, a combination of hidden contributors that are often overlooked in conventional care.   He breaks down how unresolved issues like heavy metals, chemicals, mold, infections, and nervous system dysfunction may be interfering with your recovery, and how addressing them together can lead to healing.   Whether you've been formally diagnosed with Lyme disease or you suspect unresolved chronic infections may be part of your health journey, this episode offers clarity and a proven roadmap forward.   .   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.

    The Spiritual Psychiatrist Podcast
    E79 - The Moon Isn't Divine Feminine: How False Light Hijacked the Womb

    The Spiritual Psychiatrist Podcast

    Play Episode Listen Later Aug 27, 2025 65:05


    What if I told you… the moon isn't what you think it is?In this solo transmission, Dr. Samuel B. Lee, MD invites us into one of the most provocative and soul-activating episodes to date. He unpacks the hidden origins and energetics of the moon—not as a natural satellite, but as an artificially installed relay grid designed to hijack Earth's timelines, distort the Divine Feminine, and suppress humanity's connection to eternal source. With deep reverence, science-meets-spirit insight, and spiritual authority, Dr. Lee dismantles the false lunar matrix and illuminates the path back to organic, Christ-aligned timelines.You'll learn how lunar frequencies influence everything from menstrual cycles to circadian rhythms, emotional instability, and even spiritual memory. Dr. Lee breaks down how the Saturn-Moon matrix reinforces false time loops, blocks access to higher dimensional awareness, and calcifies the pineal gland—dimming the soul's ability to dream, remember, and connect. And yet, this is not a message of fear, but of profound liberation.Dr. Lee guides listeners through a powerful meditation to sever energetic ties to artificial lunar codes, reclaim organic time, and align with the 12D solar flame of the Eternal Mother. He shares the sacred role of menstruation as a healing technology—how conscious women around the world are reclaiming their blood as a bio-spiritual code of planetary restoration, and how every soul can return to the spiral rhythm of source beyond lunar distortion.This isn't just a teaching—it's a spiritual intervention. A call to rise, to remember, and to walk in organic divine alignment.Sacred Truths & Lessons from This Episode:• The moon is an artificial structure designed to manipulate time and consciousness• False light frequencies distort feminine power and spiritual perception• The pineal gland is targeted by lunar interference but can be reactivated through natural means• Menstrual blood carries sacred plasma codes meant to heal Earth's grids• Linear time is a lie—organic time spirals with source in every moment• You have the power to unplug and realign with your soul's eternal rhythm

    Gut Talk
    Irritable Bowel Syndrome and Beyond: Food The Main Course 2025 Live Recap (Crossover with Tuesday Night IBS)

    Gut Talk

    Play Episode Listen Later Aug 27, 2025 49:43


    In this special crossover podcast episode, Tuesday Night IBS hosts Jeffrey Roberts, MSEd, BSc, Erica Dermer and Kate Scarlata, MPH, RDN, are joined live by William Chey, MD, and Amanda Lynett, MS, RDN, at FOOD the Main Course Conference in Ann Arbor, MI. •    Intro :02 •    About Scarlata :30 •    About Chey 1:07 •    About Lynett 1:49 •    Chey, what are your goals for this year's FOOD the Main Course Conference? 2:58 •    How do you feel that mechanisms of diet are affecting microbiomes? 5:37 •    Amanda, what have you learned over the years as you have put together this conference, and how do you think this experience has shaped a more well-rounded program for clinicians?  8:23 •    What are you personally going to take away from the conference this year? 11:17 •    A discussion on peer-to-peer interactions, the spirit of collaborative care, and what each provider is bringing to the table. 12:22 •    Kate, tell us about why you come back to this conference every year. 17:32 •    What challenges did you overcome to move the needle forward in diet and GI conditions? 19:14 •    Chey, can you talk about the correlation between stress and diet when it comes to IBS? 24:21 •    How are we dealing with the ramifications of GLP-1s? 29:33 •    As providers, what is your first instinct when patients tell you they started GLP-1s? 32:28 •    How is the community going to help listeners weed through Internet noise to find accurate information? 35:01 •    Group discussion on the rise of severe constipation. 41:31 •    Who decides to send patients for colectomy consultations? 43:33 •    Is there anything else you want to share or highlight from the conference? 47:25 •    Thank you all 48:58 •    Thanks for listening 49:42 Erica Dermer is an IBS and Celiac Disease patient who hosts the Celiac and the Beast blog and You Had Me at Eat podcast series. Amanda Lynett MS, RDN, is a registered dietitian with her masters. Amanda is with the Division of Gastroenterology at Michigan Medical in Ann Arbor. Jeffrey Roberts, MSEd, BSc, is a patient advocate and creator of the first website for IBS sufferers. He is the co-founder of Tuesday Night IBS. Kate Scarlata, MPH, RDN, is a US-based dietitian with over 30 years of experience. Kate's expertise is in gastrointestinal disorders and food intolerance.  We'd love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on X @HealioGastro @sameerkberry @umfoodoc. For more Tuesday Night IBS, be sure check out TuesdayNightIBS.com and to follow and subscribe to their podcast. Disclosures: Chey and Roberts report no relevant financial disclosures. Scarlata reports stock options with Epicured LLC and FODY Food Company, financial support from Dr. Schar, Mahana Therapeutics, Nestle Health Science, Olipop, Pendulum, QOL Medical.

    Your Morning Show On-Demand
    That Time We Had A Paper Ball Fight AGAIN

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 27, 2025 105:20 Transcription Available


    It seems like Intern John and Sos had a more than an adequate nights sleep because they HAD TIME today... Join Intern John, Sos, Rose, Hoody, Erick and Savera as we do an all NEW Second Date Update, We find out what your man constantly forgets, Plus we hear about this paper ball fight John and Sos keep getting into! 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 

    Your Morning Show On-Demand
    Entertainment Report:: Taylor and Travis Engaged!

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 27, 2025 8:06 Transcription Available


    Taylor Swift and Travis Kelcee are now engaged! Lil Nas X is speaking out after being picked up by the police last week. Lana Del Ray might be making a country album in 2026.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

    Your Morning Show On-Demand
    3Things You Need To Know:: Southwest Changing Policy

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 27, 2025 5:38 Transcription Available


    Southwest Airlines is changing its policy for plus size people. DC launching a new Driver Education program at 4 local high schools. DC area basketball team wants to set a world record with people dressed as cows.    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

    Your Morning Show On-Demand
    The Bath - Second Date Update

    Your Morning Show On-Demand

    Play Episode Listen Later Aug 27, 2025 13:48 Transcription Available


    Brandon and Lauren first matched on Hinge about a month ago and have actually been on three dates with one another. Brandon tells us that he even spent the weekend at her place so he thought things were going in the right direction, but ever since then he hasn't heard back from Lauren. Brandon said he bought groceries for the two of them and he felt like Lauren wanted him there, but now he's not so sure.   We call Lauren trying to figure out if there is anything else between her and Brandon that happened that may have caused things to go wrong and she tells us that she wasn't a fan of how late Brandon made her for work. Find out what's really going on in this Second Date Update! 

    The Mel K Show
    MORNINGS WITH MEL K - Reexamining the US relationship with International Banks, Treaties, and NGOs 8-27-25

    The Mel K Show

    Play Episode Listen Later Aug 27, 2025 84:02


    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!

    OncLive® On Air
    S14 Ep2: FDA Approval Insights: Zongertinib in HER2-Mutated NSCLC: With Ticiana Leal, MD, and Misako Nagasaka, MD, PhD

    OncLive® On Air

    Play Episode Listen Later Aug 27, 2025 15:43


    In today's episode, supported by Boehringer Ingelheim, we spoke with Ticiana Leal, MD, and Misako Nagasaka, MD, PhD, about the FDA approval of zongertinib (Hernexeos) for previously treated patients with HER2 TKD–mutant advanced non–small cell lung cancer (NSCLC). Dr Leal is an associate professor and director of the Thoracic Medical Oncology Program in the Department of Hematology and Medical Oncology at Emory University School of Medicine in Atlanta, Georgia; as well as medical director of the Clinical Trials Office and leader of the Lung Cancer Disease Team at the Winship Cancer Institute of Emory University. Dr Nagasaka is an associate professor of medicine in the Division of Hematology and Oncology at the University of California, Irvine (UCI) School of Medicine; as well as a medical oncologist at UCI Health. In our conversation, Drs Leal and Nagasaka discussed the significance of this approval, key efficacy and safety findings from the pivotal phase 1 Beamion LUNG-1 trial (NCT04886804), and where zongertinib currently fits into the NSCLC treatment paradigm.

    AJR Podcast Series
    The Nonprofit Founder—Career Pivots, an AJR Podcast Series (Episode 2)

    AJR Podcast Series

    Play Episode Listen Later Aug 27, 2025 22:46


    Have you ever considered nonprofit work or global health volunteerism as a radiologist? Bhavya Rehani, MD, cofounder of Health4theworld, an award-winning nonprofit organization, speaks with host Sid Dogra, MD, about her vision for the organization, initial and evolving challenges, and advice for radiologists at all career levels about nonprofit work. https://www.ajronline.org/doi/10.2214/AJR.25.33751

    Fishing the DMV
    Sizzlin' Summer Showdown Final Full week Tournament Update

    Fishing the DMV

    Play Episode Listen Later Aug 27, 2025 21:49


    We are diving headfirst into the Final full week of the Sizzlin' Summer Showdown—and let me tell you, things are already heating up as we come down the home stretch!!! Massive Cash Prizes & Custom Plaques Up for Grabs!OVERALL CHAMPIONS (Mixed Bag or Largemouth Only):• 1st – $500 + Plaque• 2nd – $200 + Plaque• 3rd – $150 + Plaque• 4th – $100 + Plaque• 5th – PlaqueSMALLMOUTH ONLY DIVISION:• 1st – $500 + Plaque• 2nd – $200 + Plaque• 3rd – $150 + Plaque• 4th – $100 + Plaque• 5th – PlaqueBig Fish Awards – Smallmouth Smashers!• Largest & 2nd Largest in PA – $100 + Plaque• Largest & 2nd Largest in MD – $100 + Plaque• Largest & 2nd Largest in VA – $100 + PlaqueLargemouth Lunker Awards:• 1st through 4th Place – $100 + Plaque eachSIDE QUEST CHALLENGES – Multi-Species Mayhem!• Snakehead (1st & 2nd) – $100 + Plaque• Sunfish/Bluegill (1st & 2nd) – $100 + Plaque• Rock Bass (1st & 2nd) – $100 + Plaque• Crappie (1st & 2nd) – $100 + PlaqueWhether you're in it for the bragging rights or the bounty, don't miss your chance to get in on the action. Tune in, gear up, and get ready to make waves this summer with Fishing the DMV!

    Continuum Audio
    Progressive Supranuclear Palsy and Corticobasal Syndrome With Dr. Nikolaus McFarland

    Continuum Audio

    Play Episode Listen Later Aug 27, 2025 23:51


    Progressive supranuclear palsy and corticobasal syndrome are closely related neurodegenerative disorders that present with progressive parkinsonism and multiple other features that overlap clinically and neuropathologically. Early recognition is critical to provide appropriate treatment and supportive care. In this episode, Teshamae Monteith, MD, FAAN speaks with Nikolaus R. McFarland, MD, PhD, FAAN, author of the article “Progressive Supranuclear Palsy and Corticobasal Syndrome” in the Continuum® August 2025 Movement Disorders issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. McFarland is an associate professor of neurology at the University of Florida College of Medicine at the Norman Fixel Institute for Neurological Diseases in Gainesville, Florida. Additional Resources  Read the article: Progressive Supranuclear Palsy and Corticobasal Syndrome 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: @headacheMD 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 Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Nikolaus McFarland about his article on progressive supranuclear palsy and cortical basilar syndrome, which appears in the August 2025 Continuum issue on movement disorders. Welcome, how are you? Dr Farland: I'm great. Thank you for inviting me to do this. This is a great opportunity. I had fun putting this article together, and it's part of my passion. Dr Monteith: Yes, I know that. You sit on the board with me in the Florida Society of Neurology and I've seen your lectures. You're very passionate about this. And so why don't you first start off with introducing yourself, and then tell us just a little bit about what got you interested in this field. Dr Farland: I'm Dr Nicholas McFarlane. I'm an associate professor at the University of Florida, and I work at the Norman Fixel Institute for Neurological Diseases. I am a director of a number of different centers. So, I actually direct the cure PSP Center of Care and the MSA Center of Excellence at the University of Florida; I also direct the Huntington's clinic there as well. But for many years my focus has been on atypical parkinsonisms. And, you know, I've treated these patients for years, and one of my focuses is actually these patients who suffer from progressive supranuclear palsy and corticobasal syndrome. So that's kind of what this review is all about. Dr Monteith: You probably were born excited, but I want to know what got you interested in this in particular? Dr Farland: So, what got me interested in this in particular was really the disease and the challenges that's involved in it. So, Parkinson's disease is pretty common, and we see a lot of that in our clinic. Yet many times, roughly about 10 to 15% of my patients present with these atypical disorders. And they're quite fascinating. They present in different ways. They're fairly uncommon. They're complex disorders that progress fairly rapidly, and they have multiple different features. They're sort of exciting to see clinically as a neurologist. I think they're really interesting from an academic standpoint, but also in the standpoint of really trying to bring together sort of a team. We have built a multidisciplinary team here at the University of Florida to take care of these patients. They require a number of folks on that team to take care of them. And so, what's exciting, really, is the challenge of treating these patients. There are very limited numbers of therapies that are available, and the current therapies that we have often really aren't great and over time they fail. And so, part of the challenge is actually doing research. And so, there's actually a lot of new research that's been going on in this field. Recently, there's been some revisions to the clinical criteria to help diagnose these disorders. So, that's really what's exciting. The field is really moving forward fairly rapidly with a number of new diagnostics, therapeutics coming out. And hopefully we can make a real difference for these patients. And so that's what really got me into this field, the challenge of trying to treat these patients, help them, advocate for them and make them better. Dr Monteith: And so, tell me what the essential points of this article. Dr Farland: So, the essential points, really, of this article is: number one, you know, just to recognize the new clinical criteria for both PSP and corticobasal syndrome, the diagnosis for these disorders or the phenotypic spectrum has really expanded over the years. So, we now recognize many different phenotypes of these disorders, and the diagnosis has gotten fairly complicated. And so, one of the goals of this article was to review those new diagnostic criteria and the different phenotypic ways these diseases present. I wanted to discuss, also, some of the neuropathology and clinicopathological overlap that's occurred in these diseases as well as some of the new diagnostic tests that are available. That's definitely growing. Some of the new studies that are out, in terms of research and clinical trials. And then wanted to review some of the approaches for treatment for neurologists. Particularly, we're hoping that, you know, this article educates folks. If you're a general neurologist, we're hoping that recognizing these diseases early on will prompt you to refer these patients to specialty clinics or movement disorder specialists early on so they can get appropriate care, confirm your diagnosis, as well as get them involved in trials if they are available. Dr Monteith: And how has the clinical criteria for PSP and cortical basilar syndrome changed? Dr Farland: I think I already mentioned there's been an evolution of the clinical criteria for PSP. There's new diagnostic criteria that were recently published, and it recognizes the multiple clinical phenotypes and the spectrum of the disease that's out there, which is much broader than we thought about. Corticobasal clinical criteria are the Dr Armstrong criteria from 2013. They have not been updated, but they are in the works of being updated. But it does recognize the classic presentation of corticobasal syndrome, plus a frontal executive predominant and then a variant that actually overlaps with PSP. So, there's a lot more overlap in these two diseases than we originally recognized. Dr Monteith: And so, you spoke a bit about FTD spectrum. So why don't you tell us a little bit about what that is? I know you mentioned multiple phenotypes. Dr Farland: What I really want to say is that both PSP and corticobasal syndrome, they're relatively rare, and what- sort of as to common features, they both are progressive Parkinson disorders, but they have variable features. While they're commonly associated with Parkinson's, they also fit within this frontotemporal lobar spectrum, having features that overlap both clinically and neuropathologically. I just want folks to understand that overlap. One of this pathological overlap here is the predominant Tau pathology in the brain, an increasing recognology- recognition of sort of the pathological heterogeneity within these disorders. So, there's an initial description, a classic of PSP, as Richardson syndrome. But now we recognize there are lots of different features to it and there are different ways it presents, and there's definitely a lot of clinical pathological overlap. Dr Monteith: Why don't we just talk about some red flags for PSP? Dr Farland: Yeah, sure. So, some of the red flags for PSP and even corticobasal syndrome are: number one is rapid progression with early onset of falls, gait difficulty, falling typically backwards, early speech and swallow problems that are more prominent than you see in Parkinson's disease, as well as eye gaze issues. So, ocular motor features, particularly vertical gaze palsy. In particular what we talk about is the supranuclear gaze palsy, and one of the most sensitive features that we've seen with these is downgaze limitation or slowed downgaze, and eventually a full vertical gaze palsy and followed supranuclear gaze palsy. So, there's some of the red flags that we see. So, while we think about the lack of response to levodopa frequently as something that's a red flag for Parkinson's, there are many times that we see Parkinson's patients, and about a quarter of them don't really respond. There's some features that don't respond to levodopa that may not be so specific, but also can be helpful in this disease. Dr Monteith: And what about the red flags for cortical basilar syndrome? Dr Farland: So, for cortical basilar syndrome, some of the red flags again are this rapidly depressive syndrome tends to be, at least in its classical present presentation, more asymmetric in its presentation of parkinsonism, with features including things like dystonic features, okay? For limb dystonia and apraxias---so, inability to do a learned behavior. One of those red flags is a patient who comes in and says, my hand doesn't work anymore, which is something extremely uncommon that you hear in Parkinson's disease. Most of those patients will present, say, I might have a tremor, but they very rarely will tell you that I can't use my hand. So look out for that sign. Dr Monteith: And let's talk a little bit about some of the advances in the fields you mentioned, evolving biomarker and imaging capacities. So, how are these advances useful in helping us understand these conditions, especially when there's so much heterogeneity? Dr Farland: I might start by talking a little bit about some of the clinical criteria that have advanced. Why don't we start there and just discuss some of the advances? I think in PSP, I think, originally we had both probable and possible diagnoses of PSP, and the diagnostic criteria were basically focused on what was what's called “classical PSP” or “Richardson syndrome”. But now we recognize that there are multiple phenotypes. There's an overlap with Parkinsonism that's slower in progression and morphs into PSP, the classical form. There's a frontal behavioral variant where patients present with that frontal behavioral kind of thing. There's a speech-language variant that can overlap with PSP. So they have prominent speech language, potentially even apraxia speech. So, recognition of these different phenotypes is sort of a new thing in this field. There's even overlap with cortical basal syndrome and PSP, and we note that the pathology can overlap as well. So, I think that's one of the things that have changed over time. And these were- recently came out in 2017 in a new publication in the Movement Disorders Society. So, in terms of diagnostic tests as well---and there's been quite a bit of evolution---really still to date, our best diagnostic test is imaging. MRI is really one of our best tests currently. Currently blood tests, spinal fluid, there's new biomarkers in terms of skin… they're still in the research phase and not necessarily very specific yet. So, we rely heavily on imaging still; and for PSP, what we're looking for largely are changes in the brain stem, and particularly focused on the midbrain. So disproportionate midbrain atrophy compared to the pons and the rest of the midbrain is a fairly specific intensive sign for PSP. Whereas in MSA we see more of a pontine atrophy compared to the midbrain. So that can be really helpful, and there are lots of different new measurements that can be done. PET scans are also being used as well. And there are new PET markers, but they still remain kind of research-based, but are becoming more and more prevalent and may be available soon for potential use. Although there's some overlap with PET tracers with Alzheimer's disease and different Tau isoforms. So, something to be wary about, but we will be seeing some of these soon coming out as well. More kind of up-to-date things include things like the spinal fluid as well as even some of the skin biopsies. And I think we've heard some word of recent studies that have come out that potentially in the very near future we might actually have some Tau protein tests that we can look at Tau either in spinal fluid or even in a skin biopsy. But again, still remains research-based and, we still need more information as to whether these tests can be reproducible and how sensitive or specific they are. Dr Monteith: It sounds like, when really approaching these patients, still, it's a lot of back to the history, back to the clinical and some basic imaging that we should be able to identify to distinguish these types of patients, and we're not quite where we need to be yet for biomarker. Dr Farland: I totally agree with you. I think it starts, really, with the clinical exam and that's our main focus here; and understanding some of the new clinical criteria which are more sensitive, but also specific, too. And they're really useful to look at. So, I think reviewing those; patients do progress, following them over time can be really useful. And then for diagnosis, getting imaging if you suspect a patient has an atypical presentation of parkinsonism, to look for signs or features that might be specific for these different disorders. Dr Monteith: Why don't we take a typical case, a typical patient that you would see in clinic, and walk us through the thought process---especially, maybe they presented somewhat early---and the different treatment approaches to helping the patient, and of course their family. Dr Farland: Yeah, sure. So, a typical patient might be someone who comes in with, like, a three year history of progressive gait problems and falling. And let's say the patient says, I'm falling backwards frequently. They may have had, like, a rib fracture, or they hit their head once, and they're describing some speech issues as well. Now they're relying on a walker and family members saying they rarely let them be by themselves. And there may be some slowing of their cognitive function and maybe a bit of withdrawal. So that's a typical patient. So, the approach here is really, what are some of the red flags? I think already you hear a red flag of a rapidly progressive disease. So, Parkinson's disease patients rarely have frequent falls within the first five years. So, this is within three years or less. You're already hearing early onset of gait problems and falling, and particularly falling backwards rather than forwards as often Parkinson's disease patients do. You're hearing early speech problems and maybe a subtle hint of cognitive slowing and some withdrawal. So, a lot of things that sort of are red flags. So, our approach really would be examining this patient really closely. Okay? We'd be listening to the history, looking at the patient. One thing is that some of these patients come in, they may be in a wheelchair already. That's a red flag for us. If they're wearing sunglasses---sometimes we see that patients, they have photosensitivity and they're in a chair and they're wearing sunglasses---you take the glasses off and you look at their face and they have that sort of a facial stare to them---not just the masked face, but the stare---and their eyes really aren't moving. So, another kind of clue, maybe this is probably something atypical, particularly PSP is what I'm thinking about. So, the approach is really, do a thorough exam. I always recommend looking at eye movements and starting with volitional saccades, not giving them a target necessarily, but asking them to look up and then look down. And then particularly look at the speed of downgaze and whether they actually have full versions down, are able to do that. That's probably your most sensitive test for a patient who has PSP. Not the upgaze, which can be- upgaze impairment in older patients can be nonspecific. So, look for that down gaze. So, if I can get out one message, that's one thing that can be easily done and examined fairly quickly for diagnosis of these patients. And then just look for signs of rigidity, bradykinesia, maybe even some myelopraxia, and then look at their gait carefully so that there's a high suspicion. Again, if there's some atypical features, imaging is really important. So, my next step would be probably getting an MRI to evaluate whether- do they have brain somatrophy or other widespread atrophy or other signs? You need to think about your differential diagnosis for some of these patients as well. So, common things are common; vascular disease, you can't have vascular parkinsonism or even signs of NPH. Both of those can present with progressive gait difficulty and falls. So, the gait may look more like Parkinson's rather than ataxic gait that we see in classic PSP, but still they have early gait issues, and that can be a mimicker of PSP, So looking for both of those things in your imaging. Think about sort of autoimmune potentially causes. So, if they have a really rapid progressive cause, there are some rare autoimmune things. There have been recent reports of things like IgLON5, although there's limited cases, but we're doing more screening for some of those autoimmune causes. And then even some infectious causes like Whipples, that are rarely present like this. Okay? And have other signs and features. Dr Monteith: So, let's say you diagnose this patient with PSP and you're assessing the patients to see how you can improve their quality of life. So, what are some potential symptomatic managements that will help our patient? Dr Farland: I recommend for most all of these patients… while the literature indicates that many patients with PSP, and especially corticobasal syndrome, don't respond well to levodopa. So, the classic treatment for parkinsonism. However, we all recommend a trial of levodopa. These patients may respond partially to doses of levodopa, and we try to push the doses a bit higher. So, the recommended trial is usually a dose up to roughly 1000 milligrams of levodopa per day. And give it some time, at least two, if not actually three months of a trial. If not well-tolerated, you can back off. If there's no response at all or no improvement, then slowly back off and taper patients off and ask them to tell you whether they feel like they're actually worsening. So, many patients, sometimes, don't recognize the improvements, or family members don't recognize it until we actually taper them back off. And they may end up saying there are some other things that even recognize. Even some nonmotor benefits can be seen with levodopa. In some cases, we do keep them on levodopa, but levodopa's our best therapy for this. Dopamine agonists, MAO inhibitors, have all been sort of tried and they've been studied, but often don't really help or fail to help benefit these patients and could be fraught with some other side effects. I think many people do also turn to Amantadine as a treatment for Parkinson's, gait problems, freezing, if you see it in these disorders. Yet Amantadine is fraught with issues of side effects, including cognitive issues, and I think is not well-tolerated. But there are the rare patient who actually does respond to this or claims they respond to this. By and large, these patients relentlessly progress, unfortunately. So, beside treatment of other symptoms, I think it's really important to recognize that they require supportive cares and therapy. So, starting those early on and getting your allied healthcares kind of involved. So that includes people like physical, occupational therapy for the gait issues, the falls, occupational therapy for doing daily activities. Speech language pathology can be really a critical player for these because of the early speech and language issues, as well as swallow difficulties. Swallow is compared quickly in these patients. And so, we do recommend the screening evaluation, then often following patients either every six- or even annually, at least, with a swallow evaluation. And we recommend the fluoroscopic-guided kind of modified barium swallow for these patients.  Dr Monteith: And how does that differ if, let's say, the patient had cortical basilar syndrome? What are some of the symptomatic treatments that would be high on your consideration? Dr Farland: So actually, these patients also have a very similar approach, and they often have some overlapping features. Maybe a little bit of difference in terms of the level of apraxia and some dystonic features that you see in corticobasal syndrome. So, as I mentioned earlier that these patients have a more typ- when they present, typically have a more asymmetric presentation. And one of the biggest issues is this limb apraxia. They may have abnormal movements as well as, like, the alien limb-type phenomena as well. So, the focus of therapy, while similar in the sense we focus on the parkinsonism, I do always try levodopa and try to ramp up the doses to see if it benefits. It does often fail, but it's definitely worth trying. The other focus of these patients is trying to treat symptoms. Dystonia, those features… in some cases, we can help; if it's painful or uncomfortable, muscle relaxants can be used. If it's vocal, things like Botox can be really helpful. Often times it is more palliative than actually restorative in terms of function, but still can be really helpful for patients who ask about pain and discomfort and trying to treat. And then of course, again, the focus on our supportive care. We need to build that network and build that team of folks, the therapists, the physical, occupational, and the speech therapist to help them. If they have language problems---like either in PSP or corticobasal---I'll also include my request to a speech language pathologist to work on cognitive function. That's a special, additional thing you have to ask for and then specifically request when you make a referral to a speech language pathologist. Dr Monteith: That is so important. I think keeping the simulation, keeping the social support, and I would probably guess that you would also include screening for sleep and mood disorder. Dr Farland: Absolutely. Mood disorders are really big in these diseases. Patients are suffering terribly. You do hear about labile mood in both of these diseases, particularly PSP; and even what's called pseudobulbar palsy, where the mood is not always congruent with the affect. So they may laugh or cry inappropriately, and particularly the crying can be very disturbing to family and caregivers to see that. And so, treating those things can be really important. So always asking about the mood issues. Depression in particular is something that we're very sensitive about, and there is a higher incidence of suicidal ideations. Asking about that and feeling and making sure that they are in a safe environment can be really important. Dr Monteith: Thank you so much. Dr Farland: Thank you. Dr Monteith: Today I've been interviewing Dr Nikolaus McFarland about his article on progressive supranuclear palsy and cortical basilar syndrome, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

    JAMA Network
    JAMA Cardiology : Clinical Outcomes With Personalized Accelerated Physiologic Pacing in HFpEF

    JAMA Network

    Play Episode Listen Later Aug 27, 2025 20:52


    Interview with Margaret Infeld, MD, MS, author of Clinical Outcomes With Personalized Accelerated Physiologic Pacing in Heart Failure With Preserved Ejection Fraction: Follow-Up of the myPACE Trial. Hosted by Robert Bonow, MD. Related Content: Clinical Outcomes With Personalized Accelerated Physiologic Pacing in Heart Failure With Preserved Ejection Fraction

    JAMA Network
    JAMA Surgery : Use of Glucagon-Like Peptide-1 Agonists Among Individuals Undergoing Bariatric Surgery in the US

    JAMA Network

    Play Episode Listen Later Aug 27, 2025 12:41


    Interview with G. Caleb Alexander, MD, MS, and Hemalkumar B. Mehta, MS, PhD, authors of Use of Glucagon-Like Peptide-1 Agonists Among Individuals Undergoing Bariatric Surgery in the US. Hosted by Jamie Coleman, MD. Related Content: Use of Glucagon-Like Peptide-1 Agonists Among Individuals Undergoing Bariatric Surgery in the US The GLP-1 Era—What Comes After Bariatric Surgery?

    The Joe Rogan Experience
    #2370 - Dave Smith

    The Joe Rogan Experience

    Play Episode Listen Later Aug 26, 2025 177:36


    Dave Smith is a comic, political commentator, host of the "Part of the Problem" podcast, and a co-host of the "Legion of Skanks” podcast.www.comicdavesmith.com Don't miss out on all the action - Download the DraftKings app today! Sign-up at https://dkng.co/rogan or with my promo code ROGAN. 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/OR/NH. Eligibility restrictions apply. On behalf of Boot Hill Casino & Resort (KS). 1 per new customer. $5+ first-time bet req. Max. $300 issued as non-withdrawable Bonus Bets that expire in 7 days (168 hours). Stake removed from payout. Terms: sportsbook.draftkings.com/promos. Ends 9/29/25 at 11:59 PM ET. Sponsored by DK. Try ZipRecruiter FOR FREE at https://ziprecruiter.com/rogan Learn more about your ad choices. Visit podcastchoices.com/adchoices