Podcasts about MDS

Dr Azra Raza is a Professor of Medicine, Clinical Director of the Evans Foundation MDS Center, and Executive Director of The First Cell Coalition for Cancer Survivors at Columbia University in New York. She is the best-selling author of "The First Cell: And the human costs of pursuing cancer to the last". She started her research in Myelodysplastic Syndromes (MDS) in 1982 and moved to Rush University, Chicago, Illinois in 1992, where she was the Charles Arthur Weaver Professor in Oncology and Director, Division of Myeloid Diseases. The MDS Program, along with a Tissue Repository containing more than 50,000 samples from MDS and acute leukemia patients was successfully relocated to the University of Massachusetts in 2004 and to Columbia University in 2010. Before moving to New York, Dr Raza was the Chief of Hematology Oncology and the Gladys Smith Martin Professor of Oncology at the University of Massachusetts in Worcester. She has published the results of her laboratory research and clinical trials in prestigious, peer-reviewed journals such as The New England Journal of Medicine, Nature, Blood, Cancer, Cancer Research, the British Journal of Hematology, Leukemia, and Leukemia Research. Dr Raza serves on numerous national and international panels as a reviewer, consultant, and advisor and is the recipient of a number of awards.TIMESTAMPS:(0:00) - Introduction (0:50) - The First Cell: and the human costs of pursuing cancer to the last(4:10) - Defining Cancer(7:50) - A Cancer Paradigm Shift: Finding the First Cell(11:16) - "The Cure for Cancer"(19:05) - Azra's Journey, Development & Reception(24:40) - Hope, Honesty & Harm in a Clinical Setting(33:00) - Current Medical Politics vs Revolutionary Detections/Treatments(39:00) - Increasing Lifespan & Healthspan(43:01) - "Michael Levin Should Win The Nobel Prize!"(51:00) - A Good Life & a Good Death(56:00) - How Words distort our relationship with Disease(1:00:00) - How Disease & Death Shape Our Lives(1:05:40) - The First Cell Book(1:09:15) - A Better Healthcare System(1:12:27) - Conclusion EPISODE LINKS:- Azra's Website: https://azraraza.com- Azra's Books: https://azraraza.com/books- Azra's X: https://x.com/AzraRazaMD- Azra's YouTube: http://www.youtube.com/@AzraRazaMDCONNECT:- Website: https://tevinnaidu.com - Podcast: https://creators.spotify.com/pod/show/mindbodysolution- YouTube: https://youtube.com/mindbodysolution- Twitter: https://twitter.com/drtevinnaidu- Facebook: https://facebook.com/drtevinnaidu - Instagram: https://instagram.com/drtevinnaidu- LinkedIn: https://linkedin.com/in/drtevinnaidu=============================Disclaimer: The information provided on this channel is for educational purposes only. The content is shared in the spirit of open discourse and does not constitute, nor does it substitute, professional or medical advice. We do not accept any liability for any loss or damage incurred from you acting or not acting as a result of listening/watching any of our contents. You acknowledge that you use the information provided at your own risk. Listeners/viewers are advised to conduct their own research and consult with their own experts in the respective fields.

You've heard the figure that most MDs get less than 10-20 hours of nutrition and food training in medical school, and Dr. Katja Rowell (MD!) thinks this is a tragedy.There are some tough moments to hear in this interview, but important ones as we work to raise healthy, independent kids into adulthood.We talked about:What "extreme" picky eating is How bad therapy can hurt a child's relationship with food and family to his/her great detriment, and how you can identify it.Why responsive feeding is different, respectful to the child, and ultimately worlds more effective.Some of the good doctor's regrets about her early years in practice The perils of diet culture for all ages and how we can begin to protect our youth through using the right language and expectationsHow we need to work with extreme and mild picky eaters differently (Spoiler: we don't!)The 5 foundations a good responsive feeding approach boils down to, and how so many families see success Dr. Rowell also said that sugar isn't addictive and doesn't need to be villainized as unhealthy...and with the knowledge and experience I have at this very moment in time, I disagree.But I think it's wonderful that we can learn so much from experts yet also learn to filter everything through our own intellect. I'm totally open to change on this issue, but I also believe it's ok to disagree.Resources We Mention for Extreme Picky EatingDr. Rowell's books: Helping Your Child With Extremely Picky Eating, Conquer Picky Eating for Teens and AdultsTake the free No More Picky Eating Challenge now!Ellyn Satter's Division of ResponsibilitiesMore on feeding a child with sensory processing difficulties, highly sensitive children, and autism from a functional medicine perspectiveYou can connect with Dr. Rowell online at The Feeding Doctor or Extreme Picky EatingFollow her on YouTubeMore resources Dr. Rowell sent me after our interview:Dieticians 4 TeachersThe Feeding Humans PodcastThe Comfort Food Podcast episode on sugarThank you to today's sponsor, Happsy! Shop at kidscookrealfood.com/Happsy for an earth-friendly, affordable mattress today. Kitchen Stewardship Kids Cook Real Food follow Katie on Instagram or Facebook Subscribe to the newsletter to get weekly updates YouTube shorts channel for HPH Find the Healthy Parenting Handbook at kidscookrealfood.com/podcast Affiliate links used here. Thanks for supporting the Healthy Parenting Handbook!

Most people think iron is only a concern if they're deficient, but too much iron can be just as dangerous. In this episode, I sit down with Dr. Christy Sutton, a leading figure in the study of iron imbalances, to explore the often-overlooked health epidemic of unrecognized iron overload. Anchored around her book, The Iron Curse, we discuss why outdated laboratory ranges often fail to detect these imbalances and why recognizing them is so crucial for long-term health. From there, we dive into the intricacies of iron metabolism and the need for updated functional health ranges tailored to healthy populations. Dr. Sutton explains how imbalances can signal underlying health problems and highlights the value of functional lab testing in catching issues conventional methods often miss. We also explore the role of genetic testing—especially for hereditary hemochromatosis—and how genetics and environmental factors work together to influence iron levels. Key Takeaways: Iron Imbalance Epidemic: Iron imbalances, particularly overload, are often underdiagnosed due to outdated lab ranges and misconceptions, representing a silent health epidemic. Functional vs. Conventional Ranges: Functional health ranges, as opposed to traditional lab ranges based on sick populations, are crucial for accurate diagnosis of iron-related health conditions. Importance of Genetic Testing: Genetic factors (hemochromatosis genes) play a significant role in iron overload, necessitating comprehensive testing beyond typical lab work. Dietary and Lifestyle Influences: Both high and low iron levels are influenced by diet, lifestyle, and, importantly, how iron interacts with other nutrients and lifestyle factors like exercise. Gender and Iron Requirements: Iron needs differ significantly by sex and life stages, with menstrual and post-menopausal women, as well as men, needing tailored iron management strategies. More About Dr. Christy Sutton, D.C.: Dr. Christy Sutton is interested in asking why health problems happen and finding the safest and least problematic solutions. Her work takes a deep and meaningful dive into genomics, labs testing and creating a personalized health plan. Her focus on finding and avoiding health landmines early stems from her personal experience with Crohn's and celiac disease plus her husband's experience with high iron, hemochromatosis, and a pituitary tumor that likely was associated with having undiagnosed hemochromatosis. Website Instagram Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more!

Multiple system atrophy is a rare, sporadic, adult-onset, progressive, and fatal neurodegenerative disease. Accurate and early diagnosis remains challenging because it presents with a variable combination of symptoms across the autonomic, extrapyramidal, cerebellar, and pyramidal systems. Advances in brain imaging, molecular biomarker research, and efforts to develop disease-modifying agents have shown promise to improve diagnosis and treatment. In this episode, Casey Albin, MD speaks with Tao Xie, MD, PhD, author of the article “Multiple System Atrophy” in the Continuum® August 2025 Movement Disorders issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Xie is director of the Movement Disorder Program, chief of the Neurodegenerative Disease Section in the department of neurology at the University of Chicago Medicine in Chicago, Illinois. Additional Resources Read the article: Multiple System Atrophy 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: @caseyalbin 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 Albin: Hello everyone, this is Dr Casey Albin. Today I'm interviewing Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, and please introduce yourself to our audience. Dr Xie: Thank you so much, Dr Albin. My name is Tao Xie, and sometimes people also call me Tao Z. I'm a mood disorder neurologist, professor of neurology at the University of Chicago. I'm also in charge of the mood disorder program here, and I'm the section chief in the neurodegenerative disease in the Department of Neurology at the University of Chicago Medicine. Thank you for having me, Dr Albin and Dr Okun and the American Academy of Neurology. This is a great honor and pleasure to be involved in this education session. Dr Albin: We are delighted to have you, and thank you so much for the thoughtful approach to the diagnosis and management. I really want to encourage our listeners to check out this article. You know, one of the things that you emphasize is multiple system atrophy is a fairly rare condition. And I suspect that clinicians and trainees who even have a fair amount of exposure to movement disorders may not have encountered that many cases. And so, I was hoping that you could just start us off and walk us through what defines multiple system atrophy, and then maybe a little bit about how it's different from some of the more commonly encountered movement disorders. Dr Xie: This is a really good question, Dr Albin. Indeed, MSA---multisystem atrophy----is a rare disease. It is sporadic, adult-onset, progressive, fatal neurodegenerative disease. By the name MSA, multisystem atrophy. Clinically, it will present with multiple symptoms and signs involving multiple systems, including symptoms of autonomic dysfunction and symptoms of parkinsonism, which is polyresponsive to the levodopa treatment; and the symptom of cerebellar ataxia, and symptom of spasticity and other motor and nonmotor symptoms. And you may be wondering, what is the cause- underlying cause of these symptoms? Anatomically, we can find the area in the basal ganglia striatonigral system, particularly in the putamen and also in the cerebellar pontine inferior, all of the nuclear area and the specific area involved in the autonomic system in the brain stem and spinal cord: all become smaller. We call it atrophy. Because of the atrophy in this area, they are responsible for the symptom of parkinsonism if it is involved in the putamen and the cerebral ataxia, if it's involved in the pons and cerebral peduncle and the cerebellum. And all other area, if it's involved in the autonomic system can cause autonomic symptoms as well. So that's why we call it multisystem atrophy. And then what's the underlying cellular and subcellular pathological, a hallmark that is in fact caused by misfolded alpha-synuclein aggregate in the oligodontia site known as GCI---glial cytoplasmic increasing bodies---in the cells, and sometimes it can also be found in the neuronal cell as well in those areas, as mentioned, which causes the symptom. But clinically, the patient may not present all the symptoms at the same time. So, based on the predominant clinical symptom, if it's mainly levodopa, polyresponsive parkinsonism, then we call it MSAP. If it's mainly cerebellar ataxia, then we call it MSAC. But whether we call it MSP or MSC, they all got to have autonomic dysfunction. And also as the disease progresses, they can also present both phenotypes together. We call that mixed cerebellar ataxia and parkinsonism in the advanced stage of the disease. So, it is really a complicated disease. The complexity and the similarity to other mood disorders, including parkinsonism and the cerebellar ataxia, make it really difficult sometimes, particularly at the early stages of disease, to differentiate one from the other. So, that was challenging not only for other professionals, general neurologists and even for some movement disorder specialists, that could be difficult particularly if you aim to make an accurate and early diagnosis. Dr Albin: Absolutely. That is such a wealth of knowledge here. And I'm going to distill it just a little bit just to make sure that I understand this right. There is alpha-synuclein depositions, and it's really more widespread than one would see maybe in just Parkinson's disease. And with this, you are having patients present with maybe one of two subtypes of their clinical manifestations, either with a Parkinson's-predominant movement disorder pattern or a cerebellar ataxia type movement disorder pattern. Or maybe even mixed, which really, you know, we have to make things quite complicated, but they are all unified and having this shared importance of autonomic features to the diagnosis. Have I got that all sort of correct? Dr Xie: Correct. You really summarize well. Dr Albin: Fantastic. I mean, this is quite a complicated disease. I would pose to you sort of a case, and I imagine this is quite common to what you see in your clinic. And let's say, you know, a seventy-year-old woman comes to your clinic because she has had rigidity and poor balance. And she's had several falls already, almost always from ground level. And her family tells you she's quite woozy whenever she gets up from the chair and she tends to kind of fall over. But they noticed that she's been stiff,and they've actually brought her to their primary care doctor and he thought that she had Parkinson's disease. So, she started levodopa, but they're coming to you because they think that she probably needs a higher dose. It's just not working out very well for her. So how would you sort of take that history and sort of comb through some of the features that might make you more concerned that the patient actually has undiagnosed multiple systems atrophy? Dr Xie: This is a great case, because we oftentimes can encounter similar cases like this in the clinic. First of all, based on the history you described, it sounds like an atypical parkinsonism based on the slowness, rigidity, stiffness; and particularly the early onset of falls, which is very unusual for typical Parkinson disease. It occurs too early. If its loss of balance, postural instability, and fall occurred within three years of disease onset---usually the motor symptom onset---then it raises a red flag to suspect this must be some atypical Parkinson disorders, including multiple system atrophy. Particularly, pou also mentioned that the patient is poorly responsive to their levodopa therapy, which is very unusual because for Parkinson disease, idiopathic Parkinson disease, we typically expect patients would have a great response to the levodopa, particularly in the first 5 to 7 years. So to put it all together, this could be atypical parkinsonism, and I could not rule out the possibility of MSA. Then I need to check more about other symptoms including autonomic dysfunction, such as orthostatic hypertension, which is a blood pressure drop when the patient stands up from a lying-down position, or other autonomic dysfunctions such as urinary incontinence or severe urinary retention. So, in the meantime, I also have to put the other atypical Parkinson disorder on the differential diagnosis, such as PSP---progressive supranuclear palsy---and the DLBD---dementia with Lewy body disease.---Bear this in mind. So, I want to get more history and more thorough bedside assessment to rule in or rule out my diagnosis and differential diagnosis. Dr Albin: That's super helpful. So, looking for early falls, the prominence of autonomic dysfunction, and then that poor levodopa responsiveness while continuing to sort of keep a very broad differential diagnosis? Dr Xie: Correct. Dr Albin: One of the things that I just have to ask, because I so taken by this, is that you say in the article that some of these patients actually have preservation of smell. In medical school, we always learn that our Parkinson's disease patients kind of had that early loss of smell. Do you find that to be clinically relevant? Is that- does that anecdotally help? Dr Xie: This is a very interesting point because we know that the loss of smelling function is a risk effect, a prodromal effect, for the future development of Parkinson disease. But it is not the case for MSA. Strange enough, based on the literature and the studies, it is not common for the patient with MSA to present with anosmia. Some of the patients may have mild to moderate hyposmia, but not to the degree of anosmia. So, this is why even in the more recent diagnosis criteria, the MDS criteria published 2022, it even put the presence of anosmia in the exclusion criteria. So, highlight the importance of the smell function, which is well-preserved for the majority in MSA, into that category. So, this is a really interesting point and very important for us, particularly clinicians, to know the difference in the hyposmia, anosmia between the- we call it the PD, and the dementia Lewy bodies versus MSA. Dr Albin: Fascinating. And just such a cool little tidbit to take with us. So, the family, you know, you're talking to them and they say, oh yes, she has had several fainting episodes and we keep taking her to the primary care doctor because she's had urinary incontinence, and they thought maybe she had urinary tract infections. We've been dealing with that. And you're sort of thinking, hm, this is all kind of coming together, but I imagine it is still quite difficult to make this diagnosis based on history and physical alone. Walk our listeners through sort of how you're using MRI and DAT scan and maybe even some other biomarkers to help sort of solidify that diagnosis. Dr Xie: Yeah, that's a wonderful question. Yeah. First of all, UTI is very common for patients with MSA because of urinary retention, which puts them into a high risk of developing frequent UTI. That, for some patients, could be the very initial presentation of symptoms. In this case, if we check, we say UTI is not present or UTI is present but we treat it, then we check the blood pressure and we do find also hypertension---according to new diagnosis criteria, starting drop is 20mm mercury, but that's- the blood pressure drop is ten within three minutes. And also, in the meantime the patients present persistent urinary incontinence even after UTI was treated. And then the suspicion for MS is really high right at this point. But if you want increased certainty and a comfortable level on your diagnosis, then we also need to look at the brain MRI mark. This is a required according to the most recent MDS diagnosis criteria. The presence of the MRI marker typical for MSA is needed for the diagnosis of clinically established MSA, which holds the highest specificity in the clinical diagnosis. So then, we have- we're back to your question. We do need to look at the brain MRI to see whether evidence suggestive of atrophy around the putamen area, around the cerebellar pontine inferior olive area, is present or not. Dr Albin: Absolutely. That's super helpful. And I think clinicians will really take that to sort of helping to build a case and maybe recognizing some of this atypical Parkinson's disease as a different disease entity. Are there any other biomarkers in the pipeline that you're excited about that may give us even more clarity on this diagnosis? Dr Xie: Oh, yeah. This is a very exciting area. In terms of biomarker for the brain imaging, particularly brain MRI, in fact, today there's a landmark paper just published in the Java Neurology using AI, artificial intelligence or machine learning aid, diagnoses a patient with parkinsonism including Parkinson's disease, MSA, and PSP, with very high diagnostic accuracy ranging from 96% to 98%. And some of the cases even were standard for autopsy, with pathological verification at a very high accurate rate of 93.9%. This is quite amazing and can really open new diagnosis tools for us to diagnose this difficult disease; not only in an area with a bunch of mood disorder experts, but also in the rural area, in the area really in need of mood disorder experts. They can provide tremendous help to provide accurate, early diagnosis. Dr Albin: That's fantastic and I love that, increasing the access to this accurate diagnosis. What can't artificial intelligence do for us? That's just incredible. Dr Xie: And also, you know, this is just one example of how the brain biomarker can help us. Theres other---a fluid biomarker, molecular diagnostic tools, is also available. Just to give you an example, one thing we know over the past couple years is skin biopsy. Through the immunofluorescent reaction, we can detect whether the hallmark of abnormally folded, misfolded, and the phosphorate, the alpha-synuclein aggregate can be found just by this little pinch of skin biopsy. Even more advanced, there's another diagnosis tool we call the SAA, we call the seizure amplification assay, that can even help us to differentiate MSA from other alpha-synucleinopathy, including Parkinson disease and dementia with Lewy bodies. If we get a little sample from CSF, spinal cerebral fluids, even though this is probably still at the early stage, a lot of developments still ongoing, but this, this really shows you how exciting this area is now. We're really in a fast forward-moving path now. Dr Albin: It's really incredible. So, lots coming down the track in, sort of, MRI, but also with CSF diagnosis and skin biopsies. Really hoping that we can hone in some of those tools as they become more and more validated to make this diagnosis. Is that right? Dr Xie: Correct. Dr Albin: Amazing. We can talk all day about how you manage these in the clinic, and I really am going to direct our listeners to go and read your fantastic article, because you do such an elegant job talking about how this takes place in a multidisciplinary setting, if at all possible. But as a neurointensivist, I was telling you, we have so much trouble in the hospital. We have A-lines, and we have the ability to get rapid KUBs to look at Ilias, and we can have many people as lots of diagnosis, and we still have a lot of trouble treating autonomiclike symptoms. Really, really difficult. And so, I just wanted to kind of pick your brain, and I'll start with just the one of orthostatic hypotension. What are some of the tips that you have for, you know, clinicians that are dealing with this? Because I imagine that this is quite difficult to do without patients. Dr Xie: Exactly. This is indeed a very difficult symptom to deal with, particularly at an outpatient setting. But nowadays with the availability of more medication---to give an example, to treat patients with orthostatic hypertension, we have not only midodrine for the cortisol, we also have droxidopa and several others as well. And so, we have more tools at hand to treat the patient with orthostatic hypertension. But I think the key thing here, particularly for us to the patient at the outpatient setting: we need to educate the patient's family well about the natural history of the disease course. And we also need to tell them what's the indication and the potential side effect profile of any medication we prescribe to them so that they can understand what to expect and what to watch for. And in the meantime, we also need to keep really effective and timely communication channels, make sure that the treating physician and our team can be reached at any time when the patient and family need us so that we can be closely monitoring, their response, and also monitoring potential side effects as well to keep up the quality of care in that way. Dr Albin: Yeah, I imagine that that open communication plays a huge role in just making sure that patients are adapting to their symptoms, understanding that they can reach out if they have refractory symptoms, and that- I imagine this takes a lot of fine tuning over time. Dr Xie: Correct. Dr Albin: Well, this has just been such a delight to get to talk to you. I really feel like we could dive even deeper, but I know for the sake of time we have to kind of close out. Are there any final points that you wanted to share with our listeners before we end the interview? Dr Xie: I think for the patients, I want them to know that nowadays with advances in science and technology, particularly given a sample of rapid development in the diagnostic tools and the multidisciplinary and multisystemic approach to treatment, nowadays we can make an early and accurate diagnosis of the MSA, and also, we can provide better treatment. Even though so far it is still symptomatically, mainly, but in the near future we hope we can also discover disease-modifying treatment which can slow down, even pause or prevent the disease from happening. And for the treating physician and care team professionals, I just want them to know that you can make a difference and greatly help the patient and the family through your dedicated care and also through your active learning and innovative research. You can make a difference. Dr Albin: That's amazing and lots of hope for these patients. Right now, you can provide really great care to take care of them, make an early and accurate diagnosis; but on the horizon, there are really several things that are going to move the field forward, which is just so exciting. Again today, I've been really greatly honored and privileged to be able to talk to Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes for this and other issues. And thank you again to our listeners for joining us today. Dr Xie: Thank you so much for having me. 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.

This week in Divorce Summer School, we're breaking down a popular article: “7 Things to Do ASAP When Your Spouse Wants a Divorce” from MSN & Money Talks News—and giving you the MDS-approved version. Karen and Catherine go tip-by-tip to explain what advice holds up, what you should reconsider, and what most people get wrong when panic sets in. If you're unsure how to respond when divorce is suddenly on the table, this episode will help you shift from reaction to strategy. Why hiring an attorney might not be your first step How to run a credit report (and why your score isn't enough) What “entitled” really means in divorce—and why mindset matters How to protect your assets without escalating conflict Smart, emotionally aware ways to talk to your kids What financial clarity actually looks like (and why it changes everything) Start your financial assessment at mydivorcesolution.com Next Week on Divorce Summer School: “Real Life, Real Numbers – Unpacking Financial Case Studies in Divorce.” What You'll Learn:Free Resources: Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on Ditch the Labcoat, Dr. Mark Bonta sits down with Dr. Diana Driscoll, an optometrist, researcher, and internationally recognized authority on the autonomic nervous system—who also happens to be one of the rare non-MDs to join the show. After her own sudden and life-altering health collapse, Dr. Driscoll found herself deep in the world of dysautonomia—a group of disorders affecting the autonomic nervous system, responsible for all those automatic functions in our bodies we don't usually have to think about. Finding few answers from doctors, and confronted by a system that too often shuns “invisible illnesses,” Dr. Driscoll became her own medical detective, pioneering research into conditions like Postural Orthostatic Tachycardia Syndrome (POTS) and unlocking innovative approaches to treatment.In this eye-opening conversation, Dr. Driscoll and Dr. Bonta tackle the complex, often misunderstood world of autonomic dysfunction, the science behind “mystery illnesses,” and the frustrating gaps in our medical knowledge. From the lived experience of being a patient who was told “it's all in your head,” to developing new therapeutics and advocating for others, Dr. Driscoll's story is as inspiring as it is informative.If you've ever struggled with unexplained symptoms, felt dismissed by the healthcare system, or just want to understand the evolving science behind these often-invisible disorders—this episode is for you. Plug in for a candid, practical, and hope-filled discussion that challenges the boundaries of what medicine knows today and explores the frontier where suffering finally meets science.Episode HighlightsInvisible Illness Is Real — Validation for patients with unexplained symptoms is crucial; their suffering is genuine, not imagined or "all in their head."Medicine's Knowledge Blindspots — The medical establishment often lacks answers—and even language—for complex autonomic disorders like dysautonomia and POTS.Patient-Led Discovery Matters — Dr. Driscoll's personal journey from patient to researcher demonstrates the power of self-advocacy in pushing knowledge forward.Autonomic System Ignorance — Most clinicians receive minimal training about the autonomic nervous system, leading to missed diagnoses and inadequate care.One Size Doesn't Fit All — There is no single solution for autonomic dysfunction—treatments must be individualized to each patient's complex presentation.Beyond Symptom Management — Suppressing symptoms (e.g., racing heart) without understanding the root cause can worsen patient outcomes or miss vital clues.The Inflammatory Connection — Inflammation, triggered by infections or stress, can drive autonomic dysfunction—a framework for science to pursue targeted therapies.Necessity of Clinical Innovation — When guidelines and therapies don't exist, scientific curiosity and non-traditional research can inspire new approaches and hope.The Power of Lived Experience — Practitioner-patients like Dr. Driscoll bridge gaps between science, clinical care, and compassion through firsthand understanding.Hope Through Education — Educating both patients and practitioners fosters progress—there's always hope, even if answers come step by step.Episode Timestamps04:15 – Post-COVID Dysautonomia Insights 07:12 – Invisible Illnesses and Tech Misguidance 13:07 – Central Sensitization and Unexplained Symptoms 16:44 – Nicotine Patch Stimulates Vagus Nerve 20:01 – Navigating Illness and Predatory Healthcare 20:51 – Navigating Autonomic Dysfunction Treatments 26:03 – Bridging Medical Knowledge Gaps 29:38 – Idiopathic Intracranial Hypertension Insights 31:25 – Inflammation's Impact on Heart and Vision 36:07 – Chronic Illness: The Domino Effect 41:18 – Questioning Symptom-Driven Treatments 44:22 – Unseen Illness: Recognition Grows 45:26 – Advancements in Autonomic Dysfunction Treatments 49:06 – Championing Long Covid ResearchDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Dr. Jen Pfleghaar explains wellness credentials, exposes diploma mills, and reveals red flags to avoid deceptive practitioners in health and wellness.Welcome back to The Integrative Health Podcast! Today, we're diving into something I get asked about all the time — how do you really know who to trust in the wellness world? There's a lot of confusion around credentials and professional titles, and I want to help you cut through the noise.I'm breaking down what those common titles mean — from MDs and DOs to naturopaths, chiropractors, and health coaches. You'll learn why it matters to understand their training, what they're legally allowed to do, and how to spot when someone's using the title “doctor” without full transparency.We'll also talk about the red flags—like those shady online “diploma mills” that offer quick credentials with little oversight—and why mentorship and collaboration among health professionals are so important for your safety and well-being.By the end of this episode, you'll feel more confident navigating the health and wellness landscape and empowered to make choices that truly support your health journey. Let's get into it!PODCAST: Thank you for listening please subscribe and share! Shop supplements: https://healthybydrjen.shop/CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites FOLLOW ME:Instagram :: https://www.instagram.com/integrativedrmom/Facebook :: https://www.facebook.com/integrativedrmomYouTube :: https://www.youtube.com/@integrativedrmom FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored. DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

In this eye-opening episode, I sit down with Dr. Felice Gersh, one of the foremost voices in functional medicine and women's health, to tackle one of the most misunderstood phases of life—menopause. Together, we unpack the real physiological changes women face during this transition, and the often-overlooked health risks that come with it. This isn't just about “hot flashes”—we're talking sleep disruption, cardiovascular risk, insulin resistance, and the metabolic shifts that can alter a woman's long-term health trajectory. Dr. Gersh pulls back the curtain on estradiol, reframing it as a life hormone—not simply a “sex hormone.” We explore why its decline affects nearly every system in the body, and how lifestyle strategies, functional medicine insights, and targeted interventions can help women not just survive menopause, but thrive through it. Whether you're in the midst of this change or helping patients navigate it, this conversation delivers the clarity, science, and hope you need to take control of health during this critical stage of life.Key Takeaways: Hormonal Shift: Menopause leads to a decline in estradiol produced by ovaries, affecting every organ system and increasing health condition risks, including cardiovascular diseases and metabolic disorders. Holistic Understanding: Dr. Gersh advocates for a comprehensive understanding of hormones in menopause, emphasizing the necessity of a proactive rather than reactive treatment approach. Testing and Diagnosis: She outlines important blood tests and diagnostic markers, such as day 3 FSH, thyroid function, inflammatory markers, and lipid profiles to better navigate menopause management. Lifestyle Interventions: Key lifestyle changes, including diet rich in plants, exercise, and stress management, are essential in promoting well-being during and beyond menopause. Functional Medicine Approach: Understanding the interconnectedness of bodily systems and the foundational role of lifestyle and hormonal therapy in women's health is crucial. More About Dr. Felice Gersh: Felice Gersh, M.D. is a multi-award winning physician with dual board certifications in OB-GYN and Integrative Medicine. She is the founder and director of the Integrative Medical Group of Irvine, a practice that provides comprehensive health care for women by combining the best evidence-based therapies from conventional, naturopathic, and holistic medicine. For 12 years, she taught obstetrics and gynecology at Keck USC School of Medicine as an Assistant Clinical Professor, and she now serves as an Affiliate Faculty Member at the Fellowship in Integrative Medicine through the University of Arizona School of Medicine. Felice is a prolific writer and lecturer who speaks globally on women's health and regularly publishes in peer-reviewed medical journals. She is the bestselling author of the PCOS SOS series and her latest book, Menopause: 50 Things You Need to Know. Her research focuses on women's hormones, metabolism, aging, and menopause. Whether she's mentoring medical students, writing groundbreaking books and medical articles, or guiding her patients, Dr. Gersh's mission remains constant: Empower women to thrive in harmony with their bodies and their health. Website Instagram Facebook Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more!

Show notes: (0:00) Intro (0:58) Dr. Michelle's health crisis and how she got into holistic health (6:37) Rethinking fluoride and safer alternatives (12:26) The right kind of mouthwash (16:15) Benefits of copper tongue scrapers (20:07) Prebiotics vs probiotics for oral health (22:37) The hidden dangers of root canals (32:23) Shifting into holistic health care (39:45) Diet, oxygen, and cellular energy (45:13) Where to learn more and find holistic dentists (46:22) Outro Who is Dr. Michelle Jorgensen?   Dr. Michelle Jorgensen is an author, speaker, teacher, biologic/holistic dentist, and health and wellness, provider. After practicing traditional dentistry for 10 years, Michelle became very sick. Through her own path to return to health, she discovered she had mercury poisoning from drilling out mercury fillings for her patients.   Michelle is a Functional Integrative Dentist (DDS) and a Board Certified Traditional Naturopath(BCTN).  She has received certifications as a Therapeutic Nutritional Counselor(TNC) and a Certified Nutritional Autoimmune Specialist(CNAS).  She is constantly pursuing training in health-based dentistry, plant based medicine, organic gardening and more from institutions around the world.    Dr. Jorgensen also teaches and coaches groups of health care professionals from across the country who come to learn the Total Care Way.  Her goal is to change the way health practitioners look at health and open their eyes to a truly integrative model.  This group includes Dentists, Chiropractors, Naturopaths, MDs, Nurse Practitioners, Nutritionists, Massage Therapists and more. Connect with Dr. Jorgensen: Website: https://livingwellwithdrmichelle.com/ IG: https://www.instagram.com/livingwellwithdrmichelle/ FB: https://www.facebook.com/livingwellwithdrmichelle YT: https://www.youtube.com/c/LivingwellwithDrMichelle Links and Resources: Peak Performance Life Peak Performance on Facebook Peak Performance on Instagram

Until now, sports medicine has been highly influenced by the MDs who treat injury so we often follow suit as acupuncturists. Functional Acupuncture is always looking at the whole picture. We can treat more than just the injury. We can look up the chain or into the past to find healthy muscles to optimize and improve sports performance and avoid injury.    Learn more about Functional Acupuncture with my Online Courses on Podia: https://richardhazel.podia.com      

Review of IMerge phase 3 data on imetelstat for lower-risk MDS and how prior therapies affect treatment outcomes, and other ASCO 2025 MDS updates with Andrew Brunner, MD.

In this episode, we speak with Sarah Gebauer MD anesthesiologist and RAND Senior Researcher, who discusses the critical questions facing healthcare professionals as AI becomes integrated into clinical practice. She's the author of "Machine Learning for MDs" newsletter  and published research on physician attitudes toward AI including the BMJ Evidence-Based Medicine article Survey of US physicians' attitudes and knowledge of AI. Her company Validara Health works on evaluation frameworks for healthcare AI implementation. Physicians have been using AI for EKG interpretation for decades without fully understanding the algorithms, highlighting that transparency should focus on appropriate usage rather than complete technical knowledge. Most current AI tools operate as Software as a Service rather than regulated Medical Devices, while the FDA struggles to keep pace with rapid AI development. Despite their challenging history with EHR implementation, physicians show strong interest in learning about AI when they believe it will help patients. The medical liability landscape remains uncertain until legal precedents are established through jury awards, making documentation of clinical decision-making crucial when using AI as additional information alongside other clinical data. Traditional machine learning evaluation metrics often fail to predict real-world clinical performance, where workflow integration and clinician experience prove more important than laboratory results. For professional development, busy physicians benefit most from resources that push information directly to them, such as newsletters and targeted social media follows, rather than formal courses requiring active searching. Some places to follow along with AI in healthcare: Machine Learning for MDs newsletter TLDR AI newsletter a16z healthcare If you enjoy the show, please leave a ⭐⭐⭐⭐⭐ rating on Apple or a

What if the spaces we live, learn, and heal in could actually heal us back?In this powerful podcast interview, we sit down with Janet Roche, MDS, CAPS—nationally recognized design practitioner, educator, and founder of the Trauma-Informed Design Society. Janet is a pioneer in Trauma-Informed Design, helping reshape architecture and interior design to be inclusive, empathetic, and deeply human.We dive into:Her personal journey and the experiences that shaped her visionHow design can either harm or healThe myths around “good” design and disabilityCreating safe spaces for unseen traumaWhat it really costs to center inclusionThe tension between beauty and healingWhether you're a designer, educator, social worker, architect—or simply someone who believes in a more just and humane world—this episode will change how you see the spaces around you.

In this episode, I sit down with Dr. Ben Weitz, a chiropractor with nearly four decades of experience and a deep-rooted passion for functional medicine. After suffering a serious bone injury on Halloween 2023, Dr. Weitz turned his own recovery into a masterclass in functional healing—skipping surgery and injections in favor of peptides, targeted supplementation, and upstream thinking. This isn't theory—it's application. We unpack what worked, what didn't, and why root-cause resolution still matters most. We dive into key healing tools like Forteo, collagen, and vitamin D3 + K2, while also covering deeper concepts like mTOR, longevity science, and why chiropractors often lead the way in integrative care. It's a powerful reminder that movement dysfunction, not just aging, is the true driver of poor health—and that healing starts when you treat the system, not just the symptom. Key Takeaways: Functional Medicine's Role in Healing: Dr. Ben Weitz utilized a functional medicine approach, including advanced supplements and anabolic compounds, to address a severe femur fracture. Integration in Medicine: The conversation highlights the importance of integrating functional medicine with conventional treatment strategies for optimal health outcomes. Focus on Longevity: Contrary to mainstream views, the discussion embraces a balanced approach to mTOR regulation, emphasizing muscle maintenance for longevity. Importance of Quality Nutrition: Dr. Weitz emphasizes the necessity of clean, quality supplements and a balanced diet rich in colorful vegetables, quality protein, and healthy fats. Exercise as a Health Pillar: The episode stresses the vital role of regular physical activity, particularly resistance training, for maintaining bone density and overall longevity. More About Dr. Ben Weitz: Dr. Ben Weitz is a Los Angeles-based sports chiropractor and functional medicine practitioner with over 35 years of clinical experience. He is the founder of Weitz Sports Chiropractic and Nutrition, where he helps patients address chronic pain and optimize long-term health through an integrative, root-cause approach. Dr. Weitz is also the host of the Rational Wellness podcast, where he interviews top experts in health and medicine, diving deep into topics like gut health, hormone balance, and longevity strategies. His passion lies in bridging chiropractic care with evidence-based functional medicine to support healing, performance, and preventive wellness. Website Instagram Facebook Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile

#152 - Oui c'est long, car je réponds à tout

The way Robin Hillier sees it, there is not a single process that is going to make or break a skilled nursing facility more than the MDS resident assessment. She should know. A 40-year long-term care veteran, who serves on major association national advisory panels and boards, in addition to once owning her own facility and now running her own consultancy, Hillier is a long-term care guru of rare caliber. Her insights into the power of the Minimum Data Set and related coding procedures are just the tip of the iceberg. She tells McKnight's Long-Term Care News Executive Editor James M. Berklan in this McKnight's Newsmaker podcast that this is “certainly one of the most complicated eras that we've been in.” She cautions about situations where high-quality, yet unsuspecting providers may be most prone to new audits and scrutiny from the Centers for Medicare & Medicaid Services. She also counsels about coping with provisions of BBBA, which, she emphasizes, will affect each state differently. “A group of people have their head in the sand and think there's nothing in here that could possibly be bad,” she says. “And then the other opposite is ‘the sky is falling.'” Hillier also confides about her “geeky” side and how she looks eagerly ahead at this time each year, and why. Download this podcast to hear her full remarks, which include best practices advice in numerous subject areas.

The clock is ticking. With the mandatory transition to PDPM Medicaid coming October 1st, many providers are still unprepared—and it's already impacting their margins.In this episode, Melissa Brown is joined by Melissa Keiter, MDS expert and Lead Consultant for Nursing Services at Gravity Consulting, to break down the real-world implications of this sweeping policy shift. From reimbursement cuts to team readiness, they explore why relying on therapy-driven documentation is no longer enough—and what nursing homes must do to avoid sinking under PDPM Medicaid.You'll learn:Why some facilities are already losing $5–$15 per patient per dayHow Section GG impacts your bottom line—and why nurse aides hold the keyWhat to do if your state is including therapy in the Medicaid rateTactical strategies for nursing-only statesHow to prepare your entire care team—from dietitians to social workersThis is part one of a two-part series. Don't miss this critical conversation designed to help you protect your CMI and stay financially afloat during the transition.Support the show

We love to hear from our listeners. Send us a message.Cell & Gene: The Podcast Host, Erin Harris, talks to Orca Bio CEO and Co-Founder Nathaniel Fernhoff as he recounts the company's origins and evolution, tracing its roots to pioneering stem cell research at Stanford University and Dr. Irv Weissman's lab. Seeking to create safer, more effective cures for blood cancers such as AML, ALL, and MDS, Orca Bio developed high-precision cell therapies that utilize purified regulatory T cells and stem cells to minimize complications, such as graft-versus-host disease. Orca Bio spun out of academia to establish its own scalable production platform and clinical pipeline, and Fernhoff explains Orca's flagship product, Orca T, which recently achieved a pivotal milestone by outperforming standard stem cell transplants in a Phase 3 trial.Subscribe to the podcast!Apple | Spotify | YouTube Visit my website: Cell & Gene Connect with me on LinkedIn

In this powerful episode, I sit down with someone who truly embodies grit, discipline, and the underdog advantage. From catching passes alongside Joe Montana to lining up against legends like Deion Sanders, JJ Birden's journey isn't just about athleticism—it's about mindset. What stood out most to me is how JJ turned obstacles into stepping stones. Despite being overlooked early on, he made it to the NFL through sheer determination and a no-excuses mentality. His stories from the field are more than just entertaining—they're lessons in perseverance, strategic thinking, and personal accountability. But his journey didn't stop when he left the game. JJ shares how he applied the same principles to entrepreneurship, launching his brand Beat the Coverage—a six-step framework for recognizing opportunity and winning in life. He breaks it all down in this episode, along with the health and wellness habits that keep him sharp and performing at his best today. This isn't just a highlight reel—it's a masterclass in resilience. If you've ever felt like the odds were stacked against you, this conversation is your playbook for rising above it. Key Takeaways: Resilience & Mindset: JJ Birden emphasizes the power of resilience and a strong mindset in overcoming barriers and achieving goals against the odds. Transition from Sports to Entrepreneurship: Birden discusses his career shift, leveraging his football experiences to motivate and guide others in their personal and professional journeys. "Beat the Coverage" Framework: JJ introduces a six-step framework designed to spot and exploit opportunities in life's challenges, aligning with his personal narrative. Health and Wellness Commitment: Maintaining a healthy lifestyle is crucial to Birden, who shares practical tips and routines that contribute to his well-being at age sixty. Family First: Birden and his wife made a significant impact on their family by adopting his five nieces and nephews, expanding their household from five to ten, showing immense dedication and love. More About JJ Birden: Born June 16, 1965, in Portland, Oregon, JJ's athletic prowess earned him a track scholarship to the University of Oregon. He walked on to the football team and later excelled in both football and track & field In the 1988 NFL Draft, JJ was selected in the 8th round by the Cleveland Browns and went on to play nine seasons as a wide receiver, surpassing the average NFL career length of under two years Despite standing just 5'10" and weighing 157 lbs, he defied the odds, overcoming injuries and even being turned down by four teams in five days to establish himself as a key player with the Browns, Chiefs, Falcons, and a stint with the Cowboys After retiring, JJ didn't slow down. He became a successful entrepreneur in the health and wellness space, distributing Isagenix products and building multiple ventures. He also spent years preparing for life after football, serving as a track coach, raising funds, investing, and coaching youth, then launched a career as a motivational speaker and performance coach JJ's signature speak­ing style blends stories from his NFL experience, playing two seasons with Hall‑of‑Famer Joe Montana, with clear, actionable strategies designed to help audiences in business and life "seize their opportunities" bestselling book, When Opportunity Knocks: 8 Surefire Ways to Take Advantage!, captures the principles he lives by, and teaches others to follow He and his college sweetheart, Raina, have been married over 35 years and live in the Phoenix area, raising three children and five nieces and nephews under their roof. Through his speaking, coaching, and writing, JJ inspires people everywhere to embrace their underdog spirit, push past limitations, and take bold steps toward their full potential. Website Instagram Facebook Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile

Confused by health “experts” online? Learn how to tell if your wellness professional is truly qualified. Dr. Jen Pfleghaar explains credentials, red flags, and what you must verify.Dr. Jen Pfleghaar goes solo in this important episode to clear up confusion about professional labels and credentials in the health and wellness world. In an age when everyone on social media calls themselves a “doctor” or “expert,” she shares exactly how to tell who's qualified—and who isn't.Dr. Jen explains the rigorous training that licensed MDs, DOs, chiropractors, and physician assistants undergo, contrasting them with unregulated programs and diploma mills that produce unqualified “experts.” You'll learn why transparency about training, clear scope of practice, and proper licensure matter for your safety—and how to spot red flags fast.We also explore why so many people are harmed by health coaches or influencers stepping beyond their legal scope and how to do your own due diligence before trusting someone with your health.If you've ever wondered what all those letters after someone's name mean—or if you've felt overwhelmed by conflicting advice online—this episode empowers you to ask the right questions and protect yourself.Dr. Jen Pfleghaar, DO, ABOIM, hosts this solo episode to demystify the credentials behind health professionals and wellness influencers. From MDs and DOs to health coaches and PhDs, she shares how to distinguish rigorous training from unqualified self-promotion—so you can make informed decisions about your care.PODCAST: Thank you for listening please subscribe and share! Shop supplements: https://healthybydrjen.shop/CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites FOLLOW ME:Instagram :: https://www.instagram.com/integrativedrmom/Facebook :: https://www.facebook.com/integrativedrmomYouTube :: https://www.youtube.com/@integrativedrmom FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored. DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Send us a textThis conversation is the opening segment of  SurfingMASH's coverage of the Global Think Tank on Steatotic Liver Diseases (#SLDThinkTank2025) held in Barcelona in June.  Co-hosts Louise Campbell and Roger Green are joined by Dr. Kristina Curtis, Managing Director of Applied Behaviour Change, a UK-based consultancy. This discussion starts with co-host Jörn Schattenberg discussing the history and evolution of the first four Global Think-Tanks as the focus shifts from educating medical professionals about liver disease to incorporating a broader group of stakeholders, including politicians and non-hepatologist MDs, to break down siloes and create broader awareness. Co-host Louise Campbell describes the breadth of stakeholders necessary to address this pandemic fully. She explains how her work with transient elastography and the MyLife365.me app constitutes a form of behavioral therapy. Jörn describes the test as a diagnostic and comments that the treatment is what health professionals do with the results. Kristina says that the behavioral change that results comes from well-delivered feedback. She describes "hybrid interventions, digital interventions with a human in the loop." Louise discusses results from the EASL late-breaker that support these findings and goes on to discuss the role AI can play in medical practices.

Dave Rubin of “The Rubin Report” talks to Jillian Michaels about society's obsession with youth and cosmetic procedures; the importance of healthspan over lifespan; the dangers of extreme anti-aging therapies like stem cells and peptides; the risks wealthy individuals face with unproven treatments; how to vet fitness and longevity advice in a world of conflicting health information and online influencers; why she defers to MDs and PhDs over internet trends; her decision to avoid metformin and methylene blue; and how she overcame severe back pain through rehab and smart spine care; cognitive decline in the modern world; how processed food and endless information may be aging our brains faster than in past generations; why diet, genetics, and neuroprotective habits matter; how media bias suppresses legitimate questions about vaccine safety; the importance of critical thinking around public health policies; the role of Big Pharma funding in mainstream media narratives; media bias and truth in podcasting; how influencers should take personal responsibility when discussing complex topics; the lack of transparency around the hepatitis B vaccine and its potential risks; how lobbying by Big Pharma shaped vaccine mandates; how she would handle vaccinating her kids based on disease risk; and the need for people to research for themselves, especially on childhood immunizations; and much more.

00:00:00 - Surf's Up: Season 6 Episode 7Host Roger Green explains our recent vacation from publishing episodes, assures the audience that the podcast will continue weekly for months and years ahead, and discusses the episode's sections, covering the Global Think-Tank on Steatotic Liver Disease (SLD), the EASL patient screening activity and the increasing role of NITs in drug development. While introducing roundtable guests, he introduces first-time Surfer Dr. Kristina Curtis of the UK-based consultancy, Applied Behaviour Change.00:09:11 - Roundtable I: From the Global Think-Tank on SLDThis discussion starts with co-host Jörn Schattenberg discussing the history and evolution of the first four Global Think-Tanks as the focus shifts from educating medical professionals about liver disease to incorporating a broader group of stakeholders, including politicians and non-hepatologist MDs, to break down siloes and create wider awareness. Co-host Louise Campbell describes the breadth of stakeholders necessary to address this pandemic fully. She explains how her work with transient elastography and the MyLife365.me app constitutes a form of behavioral therapy. Jörn describes the test as a diagnostic and comments that the treatment is what health professionals do with the results. Kristina says that the behavioral change that results comes from well-delivered feedback. She describes "hybrid interventions, digital interventions with a human in the loop." Louise discusses results from the EASL late-breaker that support these findings and goes on to discuss the role AI can play in medical practices.00:23:50 - Newsmaker: Jose Willemse, Dutch Liver Patients Association This discussion covers two primary topics: (1) the Amsterdam screening activity that took place during EASL. Jose describes the phenomenal level of interest in this activity, in which hepatologists and APPs scanned 400 people per day for MASLD and MASH. Boosted by significant mass publicity in Amsterdam, the number of people seeking screening exceeded the 400/day quota, with some arriving in line hours before the scheduled start time and others traveling for hours to reach the site. Jose believes that with adequate publicity, efforts like these could be replicated around the world, but that the healthcare system lacks the necessary resources to do so. In terms of patient care, Jose emphasized the importance of sensitive yet frank conversations and helping patients appreciate the successes they are achieving. 00:53:45 - Roundtable II: NITs Increasing Role in Drug Development Sven Francque and Naim Alhouri joined Louise, Jörn and Roger for this roundtable, although Naim had dropped off by this time. The conversation starts with Louise noting that the goal of therapy is not simply to treat MASLD, but to achieve overall metabolic health, of which MASLD is a key component. Jörn states that we are on the path toward conducting clinical trials entirely with NITs as disease markers, which he describes as a "game changer" and Louise terms "exciting." She asks whether NITs can serve as the only trial surrogate. Jörn and Sven agree that we are not at that point yet, but we are headed in that direction. Jörn asserts that "nothing" will replace outcomes as the prerequisite for full approval and mentions the VCTE study group as demonstrating that a large NIT-based trial can prove effects on disease. Louise cautions that operator competency is a key, if overlooked, criterion for this kind of activity. Sven concurs and states that repeat measures are crucial in managing disease. Jörn notes that practices can serve as centers of care, but will need support from nutritionists and other professionals. 01:06:08 - Business ReportRoger highlights special September programming, indicates that new sponsors are on the way, and asks how many listeners find SurfingMASH on YouTube. 

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

O programa superou as metas e recuperou perdas da pandemia. O resultado reflete a eficiência na execução do programa, que destinou R$ 169 bilhões em benefícios no ano passado. O programa cumpriu integralmente, tanto objetivos quanto entregas, beneficiando mais de 20 milhões de famílias.Sonora:

Hampstead Heath is resplendent in the sunshine on the hottest day of the year, and Paul and Rob are loving it. Featuring Glastonbury thoughts, gig report, blue skies and green greenery, Parkland Walk news, a spooky story, fast culture, Paul's MDS-centric year, new routes, writers all round, Tonkinson ancestry and AI, clarity and gratitude, Mums and Dads, and a little bit of running. SUBSCRIBE at ⁠https://runcompod.supercast.com/⁠ for early access, bonus episodes, ad-free listening and more... BUY OUR BOOKS; you can get Rob's book Running Tracks here - ⁠https://www.waterstones.com/book/running-tracks/rob-deering/9781800180444⁠ - and you can get Paul's book 26.2 Miles to Happiness here: ⁠https://www.waterstones.com/book/26-2-miles-to-happiness/paul-tonkinson/9781472975270⁠ Thanks for listening, supporting, and sharing your adventures with us. Happy running. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of Hema Now, host Jonathan Sackier is joined by Kevin Rouault-Pierre and Onima Chowdhury, to explore the biological mechanisms behind MDS, with a spotlight on SF3B1 mutations. From epigenetic stress to diagnostic strategies, this discussion bridges laboratory research and frontline care.  Timestamps 01:11 – Quickfire Round 07:11 – Haematology Misconceptions  10:56 – Understanding MDS 18:42 – Treating Myeloid Malignancies 23:20 – Epigenetic Mechanisms 28:30 – MDS Treatment Approaches 34:56 – Three Wishes 

In this week's episode we'll learn more about a novel mouse model that recapitulates many of the properties of human sickle cell SC disease; results from the induction phase of the risk-adapted MIDAS trial of isatuximab, carfilzomib, lenalidomide, and dexamethasone in newly diagnosed, transplant-eligible multiple myeloma; and a link between splicing factor mutations and competitive fitness in myelodysplastic syndrome stem cells.Featured articles:A novel mouse model of hemoglobin SC disease reveals mechanisms underlying beneficial effects of hydroxyureaIsatuximab, carfilzomib, lenalidomide, and dexamethasone induction in newly diagnosed myeloma: analysis of the MIDAS trialCell-autonomous dysregulation of interferon signaling drives clonal expansion of SRSF2-mutant MDS stem/progenitor cells

In a follow-up to our MDs vs. DOs episode, we are discussing the differences between traditional western medicine and holistic, homeopathic, and naturopathic medicines and our experiences with each.

This episode is one from the archives that didn't port over with my RSS feed switch. This conversation tool place back in 2021.  The views, information, and opinions expressed in this podcast are solely those of the host and guest speakers and do not necessarily represent those of any associated organizations, employers, or sponsors. The opinions and views shared do not reflect the positions of our sponsors or their affiliated companies. This podcast is for entertainment and informational purposes only and should not be considered professional advice in any field including but not limited to legal, medical, financial, or technical matters. All content is provided "as is" without warranties of any kind. We make reasonable efforts to ensure accuracy but cannot guarantee that all information presented is correct, complete, or up-to-date. Listeners should verify any critical information independently. Guest opinions belong to them alone. Our interviews with various individuals do not constitute endorsement of their views, products, or services. By listening to this podcast, you agree that we are not responsible for any decisions you make based on the information provided. Please consult with qualified professionals before making important decisions related to your health, finances, or legal matters. This podcast may contain explicit language or mature themes. Listener discretion is advised. © 2025 The Distinguished Savage, Savage Concepts LLC

In our latest episode of Proven Health Alternatives, I sit down with Dr. Austin Perlmutter for a deep dive into the science of longevity—what it really means to live not just longer, but better. We explore the crucial difference between lifespan and healthspan, why brain health is central to aging well, and how lifestyle choices like nutrition, movement, and environmental exposures directly shape our future. Dr. Perlmutter also shares insights on immune reprogramming, the rising trend of “quick-fix” longevity hacks, and why true health takes more than just hype. If you're looking for practical, science-backed strategies to protect your brain, strengthen your immune system, and live with purpose well into your later years—this episode is for you. Key Takeaways: Longevity vs. Healthspan: Longevity focuses on the length of life, while healthspan emphasizes the quality of life, particularly regarding cognitive function as we age. Influence of Lifestyle on Brain Health: Dietary fiber, omega 3 fatty acids, and resistance training are crucial for maintaining optimal brain function and slowing down brain aging. Impact of Air Quality: The quality of indoor air pollution, often overlooked, can drastically affect brain health and longevity. Immune System's Role in Aging: A well-balanced immune system is pivotal for long-term health and vitality, with lifestyle choices directly programming our immune responses. Importance of Polyphenols: Consuming polyphenol-rich foods, particularly from Himalayan Tartary Buckwheat, can positively influence immune function and promote graceful aging. More About Dr. Austin Perlmutter: Dr. Austin Perlmutter is a board-certified internal medicine physician, New York Times bestselling author, researcher, podcaster and health entrepreneur. His mission is to help get your brain unstuck. His work is featured on PBS, Rolling Stone, Newsweek, NPR, Fox and other top media outlets. He is the Chief Science Officer of Big Bold Health, where he led a pioneering study exploring how plant nutrients impact human aging and is the CEO of Lichen Air, providing indoor air solutions for brain health and longevity. His current research focuses on epigenetic, metabolic, microbiome and immune effects of ayahuasca and Tartary buckwheat.  Website Instagram Big Bold Health Lichenair Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile

Ever wondered if chiropractic care is actually legit? For years, the media has questioned the profession—but what's the real story? Is it safe? Effective? And can it really work alongside traditional medicine?In this episode, I sit down with Dr. Ryan Manning, a chiropractor, healer, and body optimization expert with nearly 30 years of experience helping elite performers thrive. Dr. Manning shares what most people get wrong about chiropractic care and why it's often misunderstood. We explore how chiropractors and MDs can collaborate to deliver better outcomes for patients—and whether chiropractic treatment is truly beneficial or potentially harmful.We also dive into the world of Low-Level Laser Therapy (LLLT). Dr. Manning explains how it works, what devices he trusts, and shares powerful stories of healing from his own practice.If you're curious about natural healing, recovery, and the future of integrative health, this episode is packed with insight you won't want to miss.More on Dr. Ryan Manning: Instagram: https://www.instagram.com/drmanningdc/?hl=en

In this episode, I sit down with legendary coach and Hall of Fame weightlifter Dan John to talk all things strength, health, and longevity. Dan shares decades of hard-earned wisdom—from the foundational exercises he swears by to how real food, rest, and smart supplementation fuel a life well-lived. We go beyond reps and routines to explore aging with strength, the underrated power of simplicity in fitness, and why consistency trumps complexity every time. Whether you're a seasoned athlete or just starting your wellness journey, Dan's no-nonsense approach offers a playbook for staying strong in body and sharp in mind. Key Takeaways: Simplicity in Fitness: Dan John espouses the philosophy of keeping fitness routines straightforward and effective, focusing on core lifts like pushes, picks, and carries. Dietary Wisdom: Advocates for whole foods including olives, salmon, and fermented foods, highlighting their importance in maintaining long-term health. Progressive Resistance Training: Emphasizes the longevity and efficacy of progressive resistance exercises, highlighting benefits across ages. Mindful Ageing in Fitness: Insights on maintaining strength and adapting workouts with age, focusing on weaknesses to sustain overall strength. Smart Supplementation: Highlights the importance of supplements like creatine, zinc, magnesium, and Vitamin D, especially for cognitive and physical health. More About Daniel John: Dan John has been lifting since 1965 and has won national championships in the discus throw, Olympic lifting, Highland Games and the Weight Pentathlon.  He recently was awarded a Lifetime Achievement Award from Great Britain for his contributions in the field of strength and conditioning. A Fulbright Scholar, he has a vast experience in scholarship, academics, and athletics. Dan has advanced degrees in history, religious education, and has studied at University of Haifa, the American University of Cairo, and Cornell. He is a former Senior Lecturer at Saint Mary's University in Twickenham, England. His books include bestsellers such as Easy Strength Omnibook, Never Let Go, Mass Made Simple, and Intervention (among almost two dozen other published works) and countless articles. He is the grandfather to five and continues to write, coach, train, and lecture to practically every fitness and performance level. Website Instagram Movement Lectures Grab Dan John's book on Amazon! Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile

Jodi Cohen is a bestselling author, award-winning journalist, functional practitioner, and founder of Vibrant Blue Oils, where she combined her training in nutritional therapy and aromatherapy to create unique proprietary blends of organic and wild-crafted essential oils.She has helped over 100,000 clients heal from brain-related challenges, including anxiety, insomnia, autoimmunity, and calming the fires of inflammation. She was recently recognized as one of the 2024 Enterprising Women of the Year.Her #1 bestselling books, Essential Oils to Boost the Brain and Heal the Body, published by Random House, and Healing with Essential Oils, synthesizes decades of leading scientific research to help explain how essential oils can work to support the body and the brain.After personally experiencing the profound physical and mental benefits of essential oils in addressing her own anxiety, insomnia, and autoimmunity, Jodi wanted to know why. Today, she holds certifications in nutritional therapy, functional neurology, herbalism, and aromatherapy, along with multiple continuing educational courses in plant medicine, brain health, Chinese medicine, and herbalism.Jodi has worked closely with healthcare practitioners, including MDs, NDs, nurse practitioners, chiropractors, acupuncturists, health coaches, nutritionists, and yoga instructors to implement the most effective essential oil protocols in clinical practice to support underlying imbalances that often lead to disease including sleep, stress, digestion, inflammation, detoxification, and blood-sugar imbalances.She has since curated and compiled these learnings in her books, blog, and classes to educate more than 65,000 practitioners, individuals, and families across the nation on best practices for essential oils to balance the body and the brain.In 2012, she founded Vibrant Blue Oils, a collection of proprietary blends of organic and wild-crafted essential oils—and a popular destination for the hundreds of thousands of health-seeking consumers and practitioners who depend on her supply of quality essential oils.Trained as an investigative journalist, Jodi earned her MBA from Columbia University and has worked as a marketing executive at Microsoft, Time Inc., and US News & World Report, and earlier in her career, as a legislative aide to Senator Ted Kennedy.Today, Jodi devotes her time to helping educate and inspire people to take back and rebalance their health by incorporating the simple, potent practice oTry the Fringe Heals Red Light Pelvic Wand here:https://fringeheals.com/ref/467/Thank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.comGet your Feel Amazing Vaginal Moisturizer Here

Millions of American children between the ages of 4-17 years are falsely diagnosed withADHD (attention deficit hyperactivity disorder). MDs often prescribe a risky stimulant toutedas being able to improve focus, attention, and impulse control. Unfortunately, the potentialadverse side effects from drug therapy include insomnia, seizures, high blood pressure,increased heart rate, anxiety, hallucinations and brain shrinkage - to name a few. BigPharma and conventional medicine have turned a normal human trait into and made-updiagnosis to push more drugs.Dr. Bob and Dr. Brockman take calls and emails from listeners

Episode 367: Pharmacology 101: PARP Inhibitors “We know that in cells that are proliferating very quickly, including cancer cells, single-strand DNA breaks are very common. When that happens, these breaks are often repaired by the PARP enzyme, and the cells can continue their replication process. If we block PARP, that repair cannot happen. So in blocking that, these single-strand breaks then lead to double-strand breaks, which ultimately is leading to cell apoptosis,” Danielle Roman, PharmD, BCOP, manager of clinical pharmacy services at the Allegheny Health Network Cancer Institute in Pittsburgh, PA, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the PARP inhibitor drug class. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by June 13, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the use of PARP inhibitors in cancer care. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Pharmacology 101 series Episode 330: Stay Up to Date on Safe Handling of Hazardous Drugs Episode 232: Managing Fatigue During PARP Inhibitor Maintenance Therapy Episode 227: Biomarker Testing, PARP Inhibitors, and Oral Adherence During Ovarian Cancer Maintenance Therapy ONS Voice articles: PARP Inhibitors and Ovarian Cancer Genomics May Trick PARP Inhibitors to Treat More Cancers Oncology Drug Reference Sheet: Niraparib ONS books: Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (fourth edition) Safe Handling of Hazardous Drugs (fourth edition) ONS courses: Safe Handling Basics Clinical Journal of Oncology Nursing articles: PARP Inhibition: Genomics-Informed Care for Patients With Malignancies Driven by BRCA1/BRCA2 Pathogenic Variants Talazoparib Plus Enzalutamide in Patients With HRR-Deficient mCRPC: Practical Implementation Steps for Oncology Nurses and Advanced Practice Providers Oncology Nursing Forum article: Familiarity and Perceptions of Ovarian Cancer Biomarker Testing and Targeted Therapy: A Survey of Oncology Nurses in the United States Oral Anticancer Medication Care Compass: Resources for Interprofessional Navigation ONS Biomarker Database ONS Oral Anticancer Medication Learning Library ONS Oral Anticancer Medication Toolkit Oral Chemotherapy Education Sheets To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “The big toxicities here to watch for are primarily hematologic toxicities. It is one of those targeted therapies that does affect blood cell counts. So I'd say the blood cell count that is most commonly affected here is the hemoglobin. So, anemia very frequent complication that we see, probably a little bit more with olaparib compared with other drugs, but we see it as a class side effect. And we can also see neutropenia and thrombocytopenia with these agents, probably a little bit more with niraparib versus the others, but again, you can see it across all of these drugs.” TS 8:16 “We mentioned that rare risk of MDS and AML. This isn't a particularly scary thing if you talk to patients about it. Because of the rarity that we see this, it isn't something that we need to overemphasize, but I think careful monitoring of blood counts in is stressing the importance of that and early intervention here is very important.” TS 16:55 “This is a collaborative effort. And because of the home administration here, these patients do need to be followed very closely. So we are not laying eyes on them usually with the frequency that we do when we have patients actually coming into our infusion centers for treatments—so making sure that there is a plan for regular follow-up with these patients to ensure that they're getting that lab work done, that that's being looked at closely, that we're adjusting the dose if we need to based on that lab work, that we are managing the patient's fatigue. Again, that potentially dose reductions may be needed if patients are having that extreme fatigue.” TS 19:34 “I think one of those [misconceptions] could be that they're only effective in patients that have that BRCA1/2 mutation. And again, remember here that there is some data in particular disease states that we can use them and that they work in the absence of those mutations.” TS 25:12

Kiera is joined by Dr. Christy Moore of Moore Smiles to talk about how Dr. Moore has maintained her passion for dentistry over the decades, including providing solid leadership for your team, keeping an amazing culture, and branching out to services like Botox. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners, this is Kiera. And today I have such a special guest. I love this woman so much. She has been a client of ours. She's been a dear friend of mine. This woman just makes you want to be a better human. And she's an incredible dentist, has some really fun ideas. I want her to come on and just share like a super unique way she runs her practice and just let you guys know this woman who I've just been so lucky to know for so long. Welcome to the show, Christy Moore. How are you today, Christy?   Dr.Christy Moore (00:27) I'm doing great, Kara. Thank you so much for that introduction. How about yourself?   Kiera Dent (00:30) Yeah,   I'm doing really, really well. It's been a podcast full day, but it's been fun. You're my last podcast of the day. So always an exciting thing. But Christy, you're such an incredible human. I feel like the world needs more Christy's. So I feel like you should tell them a little bit about who you are, where you're practicing, a little bit about your journey to practice ownership. And then like I said, she's doing something so special that so many offices are trying to do that can't do it successfully and Christy, you've done it. So.   Dr.Christy Moore (00:45) Thank you.   Kiera Dent (00:57) Just kind of tell everybody, like, how did you get into dentistry? What's kind of your path to where we are today?   Dr.Christy Moore (01:03) Yeah, so I actually started in dentistry all the way back in 1995, which was quite a few years ago. I started out as a dental assistant and then went to high-teen school, work, yeah.   Kiera Dent (01:13) That's why I like you. I had no clue you   were a dentalist. This is why we connect, Christy, all right? It says so much about you now. I get it, I understand.   Dr.Christy Moore (01:18) Yeah.   So I did, I did hygiene for about 10 years and then I went to dental school. I got out of dental school in 2012 and knew that I wanted to own my own practice and came out of the gate purchasing a practice from a previous Dr. Moore, no relation. We still kind of get people wanting to know like if that's my dad or my uncle, there's no relation whatsoever. But it came out in 2012, bought my own practice and started, started right out of the gate being an owner at that point.   Kiera Dent (01:52) That's incredible. And do you regret it? Because so many students straight out of school are like, ah, like, I don't think I'm ready. most of them are like, no, just buy. Are you so glad you bought right from the get go? Or do wish you would have like done an associate ship if you could do it all over again?   Dr.Christy Moore (02:06) I'm glad that I bought straight out of the gate. I kind of had an idea of like how I wanted to run the practice. I think being in dentistry for a few years before I even went to dental school, I knew what I liked, I knew what I didn't like. So being able to just start out and then own my own practice and then kind of build it from there was kind of nice.   You know, I didn't go in and change things immediately that the previous owner had been there for 40 years And so like I kind of slowly started implementing things and changing things like he didn't even have Computers so, you know you come out there's they were still scheduling on the little piece of you know The book we had to like erase it and all that stuff So ⁓ it we didn't have internet in the building, you know, and I come from like having internet. Yes. Yes 2012   Kiera Dent (02:50) 2012?   Dr.Christy Moore (02:53) So it was an event to get things up to par. But I'm so glad that I did it that way because the team that I lost team members, of course, but then the team members that stuck it out with me, like I still have one to this day. And she's one of my ride or dies and just levered her dead.   Kiera Dent (03:04) course.   That's amazing. I think that that's something like, I can't imagine. I mean, this is a true definition of a sleeping practice, Christy. Like I tell everybody, like, you want to buy a sleeping practice, like paper charts. I've never had anybody with no internet. And when I first started assisting, so let's think it would have been in 2003. So that's when I first heard we had a paper book and they like erased it, but that was 2003. I mean, you were multi-years post that and still   Dr.Christy Moore (03:35) Mm-hmm.   yeah.   Kiera Dent (03:41) Yeah, and I remember like erasing, like Terry was her name up front, it was my first office. They had the like suction, we're gonna spit in it. I thought it was disgusting, but I'm like, sweet, now don't have to worry about the UV light. I have no way to suction as an assistant, so that was kind of handy for me, but also disgusting. But I remember like, erase it out. I'm like, this seems so archaic, but YOLO. So here we go. Wow, okay. So then you bought the practice in 2012, no nothing.   Dr.Christy Moore (04:00) Yes. Yes.   Kiera Dent (04:09) kind of walk me through your practice journey. Like where did you go? Like how many team members? What was kind of the, I mean, you basically had like nothing but up from where you started. So that was a positive, like internet, paper charts. So kind of walk me through, you started there, where are you now today? What does your practice kind of look like? And then I'm gonna ask another question. I just wanna like get to that. Then I have.   Dr.Christy Moore (04:21) Yes, yes.   Yeah, so when I started out, I bought the practice and we had two hygienists, an assistant and a lady up front. And when I came in and told them that we were gonna go, yeah.   Kiera Dent (04:40) I wanted to die. You're like, I'm   gonna take away your paper and pencil and she's like, what? ⁓   Dr.Christy Moore (04:45) yeah, she quit immediately. Like I told her we were   going to get the computers and she turned in her notice. So yeah, that was immediate. So that was like the first change I had to overcome. So that was kind of interesting. ⁓ But yeah, so every, it was always funny because every time we had a change, things just got better. Things got better each time, you know, and like even like one of the hygienists that I had.   Kiera Dent (04:51) believe it.   Yeah.   Dr.Christy Moore (05:09) I told them we were gonna get digital x-rays, know, because we still had the old school x-rays for a while. When we went and got the digital x-rays, she prayed that Jesus would come back because she didn't want to have to do the training. I was like, seriously? Like you prayed that so that we didn't have to do the training? But yeah, there's people, people don't really like change, I found out. So.   Kiera Dent (05:19) What?   you   No, not at all.   Wow. I used to pray, I remember telling a dentist, I had a really strict dentist on our x-rays and I remember saying like, I hope I can make it into heaven if I can't pass x-rays off with you. Like I had a lot of sass as an assistant and that was what I was praying for Jesus for, but not to not have to learn it. Cause honestly, man, cause in dental school, like assisting school, I learned on film, like, which is so...   Dr.Christy Moore (05:42) haha   Yeah.   Mm-hmm.   Kiera Dent (05:54) embarrassing because I don't feel like I'm really that old but like truly I did. I remember taking the x-rays on Dexter and then when I went to a practice and it had digital I'm like hallelujah you can actually see where your misplacement of your x-ray machine is. I'm like this is so much faster like rather than waiting for it to come through then you're like oh shoot we cone cut and I had no clue like I can't imagine why anybody would be stressed to learn that because I'm like it was so much easier than film. So much easier.   Dr.Christy Moore (06:01) yeah.   Yes.   Yeah.   Yes, yes,   absolutely. But that was the thing, like I think that you were a better, you know, x-ray taker before because you did not want to have to wait, you know, five minutes and then retake it and made another one. So you're like, okay, I want to make sure that I know how to do this and do this efficiently so that I don't have to take it again.   Kiera Dent (06:39) mean, maybe that is why, because I was the one who actually trained a lot of the Midwestern students on radiology. They were having the doctors teach it and I was like, listen, guys, I'm not trying to tell you what to do, but I know you're not good at this and I'm actually really good at this. So why don't I teach these doctors how to like crush their FMX rather than you like, I'm like, you cone cut left and right guys. Like again, nothing personal. I'm just really good at this. So, but yeah, maybe that's why, cause I did learn on film originally and then went to.   Dr.Christy Moore (06:59) Yes.   Kiera Dent (07:06) by digital, but okay. So you go through this, you have an assistant praying for Jesus to come such an afternoon. Just go, okay. Now, now where are you at, Christy? Where's, where's life on the practice for you?   Dr.Christy Moore (07:12) Yes, yes.   So now   we ⁓ practice in Sweetwater, Tennessee. So it's a small rural town. I have no idea how many people are there, but it's not a whole lot. But it's funny because now we have three doctors. I think we have four assistants. We have four hygienists, a treatment coordinator, an office manager, and an insurance coordinator, and two girls up front.   Kiera Dent (07:43) So, and she has internet and likes computers. So we're good on that. That's incredible. You went from two to four and are you working on a second location? I feel like I've heard from Tiffany, like there's a mix with your friend, but like, is there a second location, just a solo location? What's kind of your plan with   Dr.Christy Moore (07:47) Yes. Yes.   It's a solo location, but I do have a friend that I went to dental school with and she actually is working in an office that's really just kind of down the street from me. And so we've been, I've been helping her quite a bit with that because she didn't really want to like, you know, run the practice or anything like that. And so I was like, well, I'll help you all that I can. So that's what we're kind of doing there, but it's an endo practice and I do not want to do endo at all.   Kiera Dent (08:26) You're like,   you will say good friends, you do your thing, I'll do my thing. And yeah. Exactly. And I know Tip just loves you. She loves coming to you. I know something that you have highlighted for me, like just in my time knowing you is one, you're always so positive and you're so fun. You make me laugh. But I think about your Christmas parties, like your holiday parties with your team. It's like sleepover at Christy's house, which.   Dr.Christy Moore (08:30) Yeah, I'll refer all my endopations to you.   Kiera Dent (08:48) Most doctors would never do that. And I just love you like, yeah, they love it. They come over, we do party, we have a slumber party, which I just think says a lot about you. So I'm curious, Christy, like something I think you do really well. Don't worry, there is a teaser. I want you guys to hear something she does really special, but I think you also do incredible for culture. What would you say to like owner doctors going from where you were to where you are today, having the culture that you built? What are some of the tips that you think you've done specifically as the owner and with your team?   to have this amazing culture that you run, Christy. Like you just have a fun culture that's amazing.   Dr.Christy Moore (09:20) ⁓ I think that my biggest thing is that I just try to treat people and treat my team the way I would want to be treated. You know, I was a team member for so long that that's all that I really knew. And sometimes I think it kind of came back and bit me a little bit just because I did allow things to go on a little bit longer in the beginning. But ⁓ I think treating people the way that I wanted to be treated has just been my motto for everything. The same way it was like dental stuff. Like I do for people in their mouth what I would want done.   in my mouth, you know? So I think if you kind of live by those rules, then how can you go wrong?   Kiera Dent (09:57) No, I agree with you. And Christy, this is just like your Southern hospitality. I'm always like, I want to go to Sweetwater and just have you be my dentist and work for you. Like just an amazing place that you do. I think kudos to you for doing that. I have a question. If you were to go back to 2012, you're buying this practice, what would be like the one, two or three, I'll allow it to three, things that you would tell yourself to get into place or things to know? Because I think so many owners are maybe where you were in 2012. Again, I have Wi-Fi.   probably have at least a computer in the practice. But you know, you never know. I'm always shocked at what I, I walked into this office, he's elite, you know him, he's in our group. And I walked into his practice, I've been coaching for a while, like this man is doing really, really well in his practice. And I walked in and I was like, you have paper charts? Like you didn't bother to tell me for a year that this was maybe an issue? And he was like, no, it's fine. And I'm like, it is not fine. Like, what are you doing?   Dr.Christy Moore (10:45) you   It is not fine.   Kiera Dent (10:51) like let's get you updated real quick. Kudos to him. I don't think usually doctors are that open to changing and he did so like mad kudos to him. I was like, Christy, I'll tell you off podcast air who this was and you will be shocked to like, wait, what? He's so like up to date on things. And I was like, okay, here we are. But if you could tell yourself back in 2012, what are like one, two or three things that you feel would just be good tips of advice for someone buying a practice or taking over a team or the growth you've had in the last 13 years?   to get to the level that you are, because you're still happy, you still love dentistry, you still enjoy it, like there's still sparkle in your eye, don't, like every time you come to our calls, I don't feel like Christy's like dead on the ground, like she hates her life. Like I know you have moments of that, but I still think you're very happy. So what would be some things you would tell yourself going back into that back in 2012?   Dr.Christy Moore (11:39) I think one of the biggest things, this is like no plug for the DLAA team or anything like that, but ⁓ I did not get a coach until about three years out of practice. ⁓ So I had practiced three years, I really wasn't growing, I really wasn't like going backwards, but I really wasn't growing or anything like that. And so at that point, that's when I actually brought on a coach. And I didn't bring on a coach because I was seeking one out. I had one just kind of show up at the office. And then it's like, he's...   He's here, you know, like I can't like say, she's busy because, you know, he's sitting out in the reception room, like waiting for me. And so like, but it was one of the best things that I did. It was hard just because, you know, they offer advice that works for, you know, like a generalized, you know, group of dentists. ⁓ And so being able to take some of that advice, but also being able to put my own spin on it.   ⁓ helped me out and I probably probably listening to the coaches a little bit more than what I did because they did allow grace for me to like drag my feet a little bit, you know, because there was things that had to be done that I didn't really want to do. ⁓ I'm you know, I've been on the disc profile for every, you know, so I'm definitely an IS. So I don't like to rock the boat and I like to have a good time. So like having tough conversations is one of the things that I do not like to do.   Kiera Dent (12:56) Yes you are.   Dr.Christy Moore (13:05) ⁓ So the other thing that I think that I would probably do is like make sure that I'm reading more books, learning how to be a leader and how to have those conversations, how to have it in a way that it's not like, I'm being the bad guy or I'm having to, you know, like be mean to somebody, but actually being able just to talk to them and just a conversation. And I've heard you say this a million times, it's a conversation, not a confrontation. And just knowing that because being clear is kind and I...   not always as clear as what I needed to be. I just wanted everybody to have fun and like me and so I let things go that probably shouldn't have been able to continue. So that's probably the two biggest things is just working on myself as a leader and you know bringing somebody in to help me a little bit earlier. I'm glad that I did bring somebody in at three years ⁓ just because like I knew I didn't know what I didn't know.   And I was like, well, I I think I need to be growing a little bit more than what I am, you being right out of dental school. So bringing somebody in, was definitely something I'm glad I did. I just wish I would have done it a little bit sooner.   Kiera Dent (14:17) Sure. And Christy, I'll take all the plugs. Like, of course, the Dental A Team, like, yeah, having a coach is always a good thing. We love you as a client. And Tip, I know I really just watched you grow. And I do think that having someone teach you what you don't know. And mean, Christy, you came in with a lot of experience. So even like dentists who weren't assistants, weren't hygienists, I mean, you already came with a pretty good dental pedigree chart to you ⁓ to have that. agree. And even for me, I'm like, I coach businesses and yet having a coach, having someone guide me that's been there, done that, done that successfully, I think.   Dr.Christy Moore (14:20) Ha   Kiera Dent (14:47) is so helpful and I agree the leadership piece it's like well you did four years of dental school to learn how to get that prep get that crown it's like well let's also do at least that amount of time to be leaders and leadership is not like something you you end up at you get your degree it's a forever journey so it's like all right here we are let's settle in like this is what we elected to do but Christy I do and Tiff will say that she's watched you grow a lot which is really fun for us to see you grow and evolve too ⁓ but   Dr.Christy Moore (15:01) No. Yeah.   Kiera Dent (15:15) I've teased this out a couple of times. Christy has the Botox practice. Like they, she actually has done it. She's cracked the code. So many offices are like, no, I only have Botox in here to do my own face. So Christy, I want to talk about this because I've been jonesing to talk about this. I secretly want to know too, but how on earth have you cracked the code to get Botox to be a profitable portion, a big piece of your practice? ⁓ Because I think like everybody wants to do this and no one knows how to do it. Like literally, I think you are my first office to ever.   actually have it be successful. So Christy, take us away on Botox. I know people, I'm I've been waiting to drop this because I'm like, it's going to be so great. No one knows how to do this other than Christy Moore. So let's let it rip.   Dr.Christy Moore (15:57) Well, the thing too is like anybody can do it. Like if I can do it in Sweetwater, Tennessee, like anybody can do this anywhere. Actually, I started with the first course that I ever took was probably, I think it was like 2016 or something like that. And the only reason I took the course was because I had the girls in the office wanted me to do it and a couple of patients. Yeah. And so I went and took the course and while I was at the course, I ended up signing up for the TMD course like the next day. Like that wasn't even on the plan.   Kiera Dent (16:15) Yep. ⁓   Dr.Christy Moore (16:26) but I went ahead and signed up for that. And that was like a true passion for me just because I was like, wow, like this does more than just, you know, helps with wrinkles. This can actually help patients. This is problems that they're having when they come in the office. And so like I did that part and then I come back to work and it's like, okay, now what? You know, so like one of the things that I started doing was I was like, okay, girls, you got to get in the chair. We're going to do some, we're going to do some Botox on you, you know? And so that was kind of how it started. We, did the team members.   Kiera Dent (16:51) Yeah.   Dr.Christy Moore (16:54) I had a few steady patients that would come in, but it really didn't go quick. It was a slow going thing at first. ⁓ And then I started talking to patients about TMD issues, clenching and grinding, they're coming in with headaches. Men typically don't have pain associated with it, but a lot of women do. And so I would say, well, you know what? What's really helped me is that I can go in here and treat your masseters.   and with some Botox there and then that can help you quit clenching and it helps with headaches. I'm going over that and then their next thing out of their mouth is, well, if you can do my massagers, can you help my face too? And I'm like, oh, well, actually, yes, we can. We can help you out there. And then it just kind of get a little bit more, a few more patients, word of mouth. And it really wasn't until probably about two or three years ago.   you know, we just doing more and more people. And then I brought in a marketing person who's actually my daughter and she's my treatment coordinator as well. And she's just really put it out there on social media. And she got these PowerPoints together and this is what we play. Like it's in the reception room, it's in all the treatment rooms. And it's just like what can be done, what all we offer. And so from 2016 to now,   Like we've moved from just doing like Botox, but we kind of do like all the stuff. You know, we do filler, we do threads, we do smooth threads, we do lifting threads, we do micro-needling. And then we recently just got a laser as well. So, you know, that's one of the things that just kind of getting the word out and letting people know is the biggest hurdle. And that was probably the biggest thing that helped us for sure about getting the word out. Now we have people...   that call in and like we just recently had a guy call in and he wanted to a coupon. I want to know if we had coupons for the wife because he wanted to give her a gift certificate for a Botox. He found us online. So just getting the word out there is probably the hardest thing, but it's the best thing to do. treating your team members because they're walking advertisements. And who better to practice on than your team members because   Kiera Dent (18:55) Thank   Dr.Christy Moore (19:11) You know, if you mess up, which you can, you know, they're more forgiving and then you get, you know, the next time around you get another little chance to do it a little bit better. And then you're like, okay, now you're learning. So not only are you getting advertisement out there, but you're learning as you go too. And I've done like all kinds of training. And I don't just go with one person. Like I've done like several different.   I've done faces, I've done metastatics, I've done the AAFE, I did a couple of different individual people because I feel like if you can learn from everybody and take a little bit from everybody and then you bring it in and make it your own and I think that's kind what we've done at our little office.   Kiera Dent (19:56) I love it, Christy. Okay, let's talk about it. A few things I've noticed is you guys have a big Botox sign in your practice. I think it's hot pink. Is this really true? I'm pretty sure. I thought about you, right? Okay, so.   Dr.Christy Moore (20:05) Mm-hmm Yeah, we have a slideshow   and it's got it's got all the talks it's got everything on there. Yeah The neon sign Yeah   Kiera Dent (20:13) Yeah, so one thing is, it's neon. That's what I'm saying.   It's like a tube neon, Botox across her wall sign that I'm like, okay, number one, yes. This is what I'm talking about. When you wanna market something and people are like, I can't get Botox. I'm like, well, nobody even knows that you even do it. So, Christy, you're like loud and bold about it. It's a hot pink sign that I remember. I saw people under it. I've seen it on your social. But one of the things, like how else?   Dr.Christy Moore (20:23) Says less talks about it. Yeah.   yeah.   Kiera Dent (20:42) I also love that you talked about you treatment plan it in. Like you as a dentist are treatment planning this Botox and looking at their masseter muscles, just like anything else. I feel like you've done a really good job of pulling that into just even do it clinically, not just aesthetically, which I think that's also really great. But what would you say if I'm a new dentist? And I also love these to have taken it from so many people because I did have someone give me Botox and I full blown got a halo.   Like it was so thick, it was so heavy. And I'm like, oh my gosh, I've never, like, I need my eyebrows off my eyes. Like get that up. It feels terrible. So I'm glad to hear that you're like just constantly going, but what would you say? Okay, new dentist, I just took the course. I'm super excited. I think one, it bold. Two, do the masseters. Cause that's a very easy way to start treatment planning and talking about it for word of mouth. But what else would you say to do? Like, I mean, you got the whole PowerPoint. So.   What would you say would be avenue one, two or three to really grow this to get it as a big portion of my practice?   Dr.Christy Moore (21:39) Working on friends and family, working on your team, that's the number one thing. And then just getting it out there on social media. Having your team, even if you're doing injections on them, videoing that, getting out there and doing stuff. like Laken, she makes me do things that is uncomfortable for me. And so she's like, oh, you'll be fine. You're gonna get out here and you're gonna do it. She did like a...   a Facebook live where I'm doing filler and she asked me a question and I don't answer her and she's like, what? was like, well, maybe I didn't know the answer. So if I don't know the answer, I'm just not gonna answer you. And she's like, well, it's okay. I'm just doing filler words here. We're just trying to make the conversation go. And I'm like, okay. But getting out there and just letting people know, that is the biggest thing. It's new to our practice. It's, let's.   do specials, like we've done Botox parties. ⁓ We did like a Sips and Scans and Botox. We've done kind of all types of little things where we've actually give people discounts just to get them in. We've actually gone out and gave ⁓ like little coupons out to like the different salons in the area, just trying to get the word out there any way that we can to let people know, hey, we're doing this. Who's gonna know your face better than anybody than a dentist? I mean, we have like a whole semester on just   head and neck anatomy. And so like that's, it's just the thing that they're like, I didn't know a dentist could do that. And you know, and it's like, well, yeah, like we're probably really good at doing it. You know, just because we do know the muscles, we do know everything as far as like this works this way, this works that way, you know, making sure that you're treating the patient, not just the face, like making sure that we're, cause I do have people come in and they're like, well I want some Botox up here.   Kiera Dent (23:15) Thank   Dr.Christy Moore (23:33) And it may be like older ladies and like they've already got the hooded eyelids. And I'm like, honey, I can't do a lot of Botox up there. Like I can take away your wrinkles, but if I do that, like you're not gonna be able to hold your eyelids up. So it's gonna make it harder for you to see. When they're like, oh, well, I don't want that. So just kind of knowing your anatomy, knowing what muscles do what, and then not being afraid to go in and just try it. Just get in there and do it. It's not.   Even if you think you've messed somebody up, I mean, it's what, three months? So it's not anything that you can't recover from. And then patients are very forgiving. They're very understanding. ⁓ In my time of doing it, I've had two people that I've actually give a little crooked smile to. And both of them are like, it's okay. Don't worry about it. And I feel horrible. And they're like, no, it's okay. It'll be better. It's not really that noticeable. And I'm like,   Kiera Dent (24:06) Exactly.   Dr.Christy Moore (24:31) I notice it, you know? So I'm just doing it because people, want it. They don't want to go anywhere else. They want you to be able to do it. And if you can do it, then why not? You know? So I think that just not being afraid just to try it and do it and just, even if you're scared, like do it scared. Like I heard, I seen that the other day and it was like, you I'm nervous every time I get up and speak in front of somebody and they're like, well, how do you do it? He said, I just get up and do it scared. I'm like, that's...   Kiera Dent (24:42) Mm-hmm.   Dr.Christy Moore (25:00) That's so interesting because a lot of people, they're like, well, I'm scared. I'm not going to do it. And so if you don't do it, you're never going to not get scared or not get you. You got to get comfortable. You got to be comfortable being uncomfortable. And that's the only way to do it is just to get in there and do it.   Kiera Dent (25:17) I agree. Christy, I love that. And I love that you just talked about, like, I think something that you did differently is you decided this would be a portion of your practice. It's not just for the ladies in the practice. You're like, no, we're going to have this as a portion. We're going to make this like it's a full procedure in our office. I'm not just doing it for like our team. And I think that that's something where you went in with that attitude. I think there's a huge passion that you have on it, but I agree. think there are girls like, Kiera, who does your Botox? I'm like, the dentist. And they're like, what?   Dr.Christy Moore (25:45) Mm-hmm.   Kiera Dent (25:46) And I'm like, yeah.   Dr.Christy Moore (25:46) Yeah.   Kiera Dent (25:47) And I also love dentists because I went to a dentist versus an esthetician versus an MD. I've gone through three different people. The esthetician gave me the most amount of Botox. That's the one where I got the hood. Like, believe it or not, she's the one who gave it to me. And like, the amount of Botox she put in me was incredible. Then I went to an MD who was doing it. And he also like it was a lot like my face was frozen solid, frozen, frozen. And I'm like, all right, so we're like,   he did bro-tox, which that's a good phrase. I think that if you wanted to target the men, he called it bro-tox for the men, which I that was super clever. But my husband even like, he could not move his face at all. So it was a little, in my opinion, excessive. But dentists I feel are more conservative on the botox level. You don't tend to go quite as much as the estheticians or the MDs, which I appreciate. ⁓ Like you said, you know the muscles, you know the anatomy super well. And I think like, go for it, have it as a portion.   Dr.Christy Moore (26:21) Mm-hmm.   Kiera Dent (26:43) So with your numbers, because Christy, I know you know your numbers, like what percentage of your practice does Botox bring in? Do you know that? I could be putting you on the spot. So maybe I'm like, you're taught her and I'm asking you questions you don't.   Dr.Christy Moore (26:53) Yeah,   I'm not really 100 % sure to be honest with you. I would say it's at least probably at least 10%. You know, I would like for it to be more. And that's one of my goals is to get that side of the business to be, you know, grow and be more because like for me, like as a dentist, we hear all the time, you know, I hate the dentist. Oh, no offense, but I hate the dentist. Are you going to stick that needle in my mouth? Are you going to stick that in my guns? You know, I've never had one person ever say,   Kiera Dent (27:01) I think so too.   Dr.Christy Moore (27:23) I hate my injector. You know, are you going to stick that needle in my face? Like, no, they love you. They want the, and they, they, they will pay money for it. You don't have to worry about insurance, you know, when you're doing that part. So I would definitely like for that to be more like, if I can have my whole day just doing like the aesthetic stuff, like that would be my ideal day, you know, because that's, it's, it's almost like, it's like a masterpiece. You know, you've got, you've got this canvas and you're not changing people. You're just enhancing what they already have.   Kiera Dent (27:43) was amazing.   Dr.Christy Moore (27:53) You know, like I don't want to go in, my goal is that when somebody leaves the practice that they don't actually look like they've had Botox or they don't look like they've had filler. I want them to look fresh, not frozen, like you said. And so like, you know, that goes back to like knowing the muscles, watching the patient, treating the actual patient instead of like the cookie cutter, you know, oh, well, to treat the glabella, you know, you need, you know, 20 to 24 units, you know, to treat the frontalis, you need 20 to 24 units, you know.   It's like, okay, well, they pull really hard here, but they don't really pull hard here. So let's treat it this way, you know? And so, like, so, cause each one of them are like FDA approved for a certain amount, you know? And that, and that's like the standard, but everybody's different. And so that's my, you know, I just want to make sure that I treat the patients, treat the patient the way the patient needs to be treated.   Kiera Dent (28:30) Yeah.   Amen. And I love that about Christy and I think like, okay, I just did some math. So let's say you have a million dollar practice 10 % that's 100 grand pulling in, which I know Christy, your practice is not the million dollar practice. You guys can do the math, you can figure it out. But like if it's 10 % think about that, that's an extra hundred thousand. The overhead on it's pretty minimal. It's a great piece. Like you said, you're able to do these extra pieces. And you're right, there's no insurance. People pay top dollar to stay looking young. It's incredible. Like   Dr.Christy Moore (29:11) the   Kiera Dent (29:12) ⁓ I also was thinking of there's people all around here and they're called like the injection queen or they're like, so it's like really on their social media. It's not just their dentistry piece, but it's this whole portion of aesthetics that people then are coming for it because they want to look good. I saw an office at dental practice and they literally have a Botox membership plan. And I was like, that is freaking clever. Yeah, tell us about it. Okay, tell more about this. How does it work and do people really sign up for it? Cause I think it's so smart.   Dr.Christy Moore (29:32) We have that. Yeah.   Absolutely,   absolutely they sign up for it. And so I, of course, I don't try to reinvent the wheel. I got it from somebody else, but it's basically a membership plan. They pay for 20 units for the year. So it's 20 units for four times throughout the year. If they don't use it, they lose it. But once they pay for that, so their initial upfront payment is probably a little bit more, but it ends up saving them about $300 throughout the year.   Kiera Dent (29:58) Mm-hmm.   Dr.Christy Moore (30:07) but it actually like they pre-play for 20 units each time. so, you know, so it's just, and then they get a discount on the actual dollar amount that they actually get. So, you know, like if you have somebody that typically gets 50 units, then they only have to pay for 30 units each time that they come in.   So it actually, and I tell them, they're like, ⁓ that's a whole lot better, because then my husband don't ask questions on, it's less, that's less about. And I'm like, yeah, absolutely. And I've had people actually even put money in, pay throughout that just so that they have it. And that's when I was like, well, why don't we do a membership plan? That makes it a whole lot easier. And also I wanted to reward my patients that have been loyal, that have been coming in. Times are changing, and so prices go up.   Kiera Dent (30:46) yet.   Dr.Christy Moore (30:56) And so like I didn't really want to have to like increase my price just because, know, you know, I've been doing it for a while. I've really not changed my price and I didn't want to have to change my price. So my people that have been coming in and loyal to me, I wanted to be able to give them, give back to them and give, you know, give them the opportunity to keep it at the price that I was doing it for. And so that's kind that was one of the other, you know, benefits for me is so that I could actually give back to those people that trusted me with their face.   when I was still learning and stuff. ⁓ And so it's worked out really well. I don't know how many people we have on it now, but we get people like just about every day when they come in, we'll have at least like one or two a week that'll sign up on the membership plan.   Kiera Dent (31:41) which is so smart because Botox is like better than profies. Like they have to come in every three months rather than every six months. ⁓ It is something where I'm not gonna lie. Like my husband, it was random. He did tell me, I got it done. And a couple of days later, he didn't know. Cause I get it on the road, Christy. I'm one of those, I mean, I work with a lot of dentists. So when I'm traveling around, I get my face frozen and I came home and my husband's like, gosh, Kiera, you look a lot better. Like what, did you change your hair? And I was like,   Dr.Christy Moore (31:45) Mm-hmm.   Kiera Dent (32:09) No, my face just looks younger and you can definitely tell and I appreciate that. And when you get that reinforcement, you're like, yes, I'm going to keep up with this and I want to. And it's the only like proactive preventative way right now. Like there's biohacking on all the levels, but just having that as a piece for it. And so I think it's just an awesome, awesome thing to do. I love the membership plan. I love that you're growing it. Like this is where I saying, like you have cracked the code on how to do it. And I was like, I've got to dig into this. And I want people to hear because   Dr.Christy Moore (32:16) Yes.   Kiera Dent (32:37) I think Christy, it also keeps your excitement for dentistry alive. I think you get passionate because it's a new passion project. It's fun for you. It's something different. I love that you said like, I want you looking fresh, not frozen. It made me giggle. like, you want me to still look alive rather than dead in my coffin? Like, God, I agree. That's how I want to feel too. So thank you. ⁓ But any other thoughts you have of practices wanting to put in Botox or anything else about your practice? Because this is like   Dr.Christy Moore (32:44) Mm-hmm.   Yes.   Kiera Dent (33:02) the nuts and bolts of what I want to talk about tonight. So any last thoughts you have around it, because I truly appreciate you just coming on and sharing what you're doing in your practice.   Dr.Christy Moore (33:11) I think the biggest thing is just, you you just have to do it. You know, like I said before, if you're scared to do it, just do it scared. You know, after so many times, it's not as scary anymore. Like we actually have ⁓ in our schedule, like we have blocks for like our tox patients for them to come in. And so, you know, those may get filled, they may not get filled. But when they get filled, like it's always like, it's usually an extra anywhere between 500 to $1,000.   for just a little extra that doesn't really take me that long. Like I come in and I look and I'm like, okay, this is what we're gonna do. The girls draw it up, they have it already. I come back in, the face is clean, the photos are taken. We did injections and then the patient's out the door. And so it's basically like a hygiene check for me. So I'm in and out quick. But the patients have been in there with a team member, so they feel like they're getting heard.   Kiera Dent (34:00) Mm-hmm.   Dr.Christy Moore (34:09) They know all of their concerns are being addressed. so, you know, just having a team there that supports you and believes in you. And like once they believe in you, then, you know, then that's how the patients start believing in you.   Kiera Dent (34:22) Awesome, Christy. I love that so much. I'm like, gosh, doctors, when you're complaining to us about your Delta Dental ⁓ exam pricing, well, maybe throw a little bit of those botox ones. Like you said, I'm like, $500 exam versus my $30 exam feels a little bit more fun, a little more fun for you. But Christy, kudos to it. And all of you listening, I hope you just took notes. You realize like you can add these as portions of your practice and not just like a small sliver, but a true like 10 % of your practice bringing that in.   having it be a big portion of it. And like you said, giving back to people. I prefer a dentist to do my Botox over an esthetician or an MD. And that's me personally, who's gone to several different people, people who are the best, people who are over that. And I mean, Botox are paying $10 to $12 a unit with Botox or Disport. That's a pretty good gig all the way around. And I just think it's a fun thing. So Christy, thanks for being in our life. These are the things, the way I found out was in our doctor mastermind. We have our doctor only, and I was like.   Christy's doing Botox, I'm gonna put it on the podcast and talk about this more. So this is fun stuff to also have you as a client, to have you in our life, to have you in our world. You just bring a wealth of goodness, Christy. So thanks for being on the podcast. I know it's the end of your day, so thanks for coming. Yeah, of course, super happy to have you. Of course. And for all of you listening, go figure out how to put Botox in your schedule. Go figure out how to do this. Do it scared, whatever it is for you, do it scared. If we can help in any way, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. We'll catch you next time.   Dr.Christy Moore (35:28) Well, thank you.   Thank you.   Kiera Dent (35:47) The Dental A Team podcast.  

In this episode, I sit down with Detective Jay Lacayo to explore the intense physical and mental demands faced by SWAT and ESU officers. Jay takes us through the grueling journey to join these elite units—from passing the legendary Cooper Test to mastering high-pressure scenario training. His insights reveal how martial arts, mental sharpness, and evolving tactics shape what it truly means to be part of these specialized teams. But this conversation goes beyond the badge. Jay stresses the importance of continuous education and rigorous testing to keep officers at their best, a principle I strongly support for all healthcare and wellness professionals. He also shares his deep commitment to mental health, detailing his work with outreach programs tackling substance abuse and homelessness—reminding us that wellness isn't just physical, but also mental and community-centered. Together, we dive into holistic wellness approaches, the role of training regimens, and how modern policing must adapt to new technologies and social dynamics. Whether you're curious about law enforcement or passionate about health and resilience, this episode offers valuable lessons on discipline, self-care, and the evolving nature of service. Key Takeaways: Path to SWAT/ESU: Jay elucidates the career progression to SWAT roles, involving rigorous physical tests like the Cooper Test, and the crucial importance of mental fitness. Martial Arts for Law Enforcement: Emphasizes Brazilian Jiu Jitsu's effectiveness for police officers, aiding in weapon retention and reducing injury potential during altercations. Wellness and Training: Advocates for a structured fitness regime combined with combat training and the integration of mental health strategies for enhanced performance. Future of Law Enforcement: Predictions about technological advancements in policing, potentially involving drones and robotics amid a declining workforce interest. Community and Mental Health: Describes his role in the mental health outreach initiative and his dedication to supporting peers and community members with mental health challenges. More About Detective Jay Lacayo: Officer Jay Lacayo is a seasoned law enforcement professional with 18 years of service in New York City and White Plains. He began his career with the NYPD in 2005 before joining the White Plains Police Department in 2007, where he's become a key figure in critical incident response and mental health outreach. A certified SWAT Operator and NYS EMT, Officer Lacayo spent a decade with the Emergency Services Unit, expertly handling high-stress situations involving barricaded subjects, emotionally disturbed persons, and suicidal individuals. His calm presence and ability to build rapport have earned him multiple awards, including the Westchester County Police Honor Award, Meritorious Duty Awards, and a Lifesaving Award. Now part of the Mental Health Outreach Team, Officer Lacayo bridges the gap between individuals in crisis and the services they need. His work continues to reflect a deep commitment to safety, empathy, and community trust. Podcast Instagram Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile    

In this powerful and eye-opening episode, I sit down with Dane Johnson — Founder of Crohn's Colitis Lifestyle and the visionary behind the S.H.I.E.L.D. program — to unpack the real-life strategies that helped him reclaim his health after a near-death battle with Crohn's disease. With authenticity and purpose, Dane shares how he turned suffering into strength, leveraging natural medicine, functional nutrition, and integrative therapies to not just survive IBD — but thrive. His S.H.I.E.L.D. framework (Supplements, Herbs, Imagination, Exercise, Lifestyle, Diet) is a testament to personalized, root-cause healing that's both sustainable and empowering. Together, we explore the complex terrain of IBD: From genetic predispositions to microbiome dysregulation The impact of chronic stress and environmental toxins The gut-brain-liver axis and the underrated role of the vagus nerve Why standard labs often fall short and how functional testing can guide recovery  And most importantly, why healing requires a mindset shift — not just a meal plan. Whether you're a clinician, patient, or simply someone looking to understand chronic gut conditions through a functional lens — this episode is packed with insight, inspiration, and practical tools for real transformation. Key Takeaways: Functional Medicine Approach: Dane Johnson emphasizes the importance of understanding root causes such as microbiome imbalance and environmental factors in managing IBD. The SHIELD Program: A comprehensive lifestyle and dietary program designed to empower individuals to reclaim their health by being the 'CEO' of their wellness journey. Microbiome and Inflammation: How an overgrowth of harmful bacteria and fungal species can lead to chronic inflammation and exacerbate IBD symptoms. Vagus Nerve Stimulation: The critical role of the vagus nerve in maintaining digestive health and how it can influence the body's inflammatory response. Personal Health Advocacy: Encouragement to take charge of one's health by integrating knowledge, dietary changes, and functional testing to identify and address individual health needs. More About Dane Johnson: Dane Johnson is a holistic health practitioner and founder of Crohn's Colitis Lifestyle focuses on the root-cause approach to healing Inflammatory Bowel Disease (IBD). Drawing from his own near-death experience, Dane shares the pivotal realizations that led him away from conventional symptom management and toward lasting remission through his SHIELD Protocol. Listeners will discover how chronic gut inflammation, immune dysregulation, and emotional trauma all contribute to IBD and why a one-size-fits-all medical model often falls short. Dane unpacks the six pillars of his healing method, explains why personalized strategies are essential, and empowers practitioners and patients to embrace a new paradigm of gut healing: one rooted in functional medicine, lifestyle transformation, and real-world results. Whether you're a clinician seeking better outcomes or someone living with IBD, this conversation offers practical insights and powerful hope for lasting change. Website Instagram Crohn's Colitis IG Facebook YouTube BOOK YOUR COMPLIMENTARY SESSION WITH AN IBD SUPPORT SPECIALIST: https://cclpresentation.com/ibd-relief-special-podcast?source=RobSilvermanPodcast&el=RobSilvermanPodcast Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more!

Send us a textDr. Doug MacKie has over 30 years of experience as an organisational and business psychologist and executive coach working in the UK, Europe, and Australasia. He specialises in sustainability leadership, high-performance teams, and developing leadership within purposeful organisations. Through his consulting work, he has helped identify and accelerate the development of ethical leadership and team capability in CEO's, C-Suite executives, and MDs within many of the top 100 companies in the UK and Australia. He is the author of the definitive guide to Strength-Based Leadership Coaching in Organisations (2016) and is a co-editor of The Practitioners Handbook of Team Coaching (2019). He has recently established the Centre for Climate Change Leadership in Organisations and is the editor of the Handbook on this topic, published in 2023.A Few Quotes From This Episode“There is a significant gap between the scale and impact of anthropogenic climate change and the capacity of contemporary leadership to address those issues.”“We need to decouple economic growth from environmental degradation.”“We're not good at long-term thinking as a species.”Resources Mentioned in This Episode Book: Handbook of Climate Change Leadership in Organisations by MacKie (25AFLY2 will get listeners 20% off the handbook)Book: Lead for the Planet by AndreBook:  Earth for All by Dixon-Decleve et al Book: Climate Change by Hulme Book: Ethical Leadership: A Primer by McManus,R.M. et alBook: The Sustainability Mindset Principles by RimanoczyAbout The International Leadership Association (ILA)The ILA was created in 1999 to bring together professionals interested in studying, practicing, and teaching leadership. Plan for Prague - October 15-18, 2025!About  Scott J. AllenWebsiteWeekly Newsletter: Practical Wisdom for LeadersMy Approach to HostingThe views of my guests do not constitute "truth." Nor do they reflect my personal views in some instances. However, they are views to consider, and I hope they help you clarify your perspective. Nothing can replace your reflection, research, and exploration of the topic. ♻️ Please share with others and follow/subscribe to the podcast!⭐️ Please leave a review on Apple, Spotify, or your platform of choice.➡️ Follow me on LinkedIn for more on leadership, communication, and tech.

In this episode, I'm joined by Dr. Myriah Hinchey, a functional medicine practitioner specializing in chronic illness and immune dysfunction, to explore the complex world of autoimmunity through the lens of Lyme disease and stealth pathogens. We dive into how these microbes evade the immune system, disrupt the body's internal balance, and target areas of weakness — from old injuries to inflamed tissues. Dr. Hinchey explains how this leads to persistent inflammation, neurological symptoms, and gut dysfunction, often without obvious signs of infection. You'll learn why a root-cause approach to chronic infections must go beyond antimicrobials — incorporating immune support, detoxification, terrain rebuilding, and the smart use of herbal medicine.   If you've struggled with unexplained symptoms, autoimmunity, or suspect hidden infections might be at play, this conversation will help you understand the deeper mechanisms — and what true healing actually takes. Key Takeaways: The central focus in treating Lyme disease should be on restoring immune balance and competency rather than solely targeting pathogens with antibiotics. Lyme disease can lead to significant systemic disruptions, manifesting in symptoms such as fatigue, cognitive dysfunction, and even neuropsychiatric disorders. A therapeutic lifestyle approach, including dietary changes, detoxification, and stress management, is essential for effective management of chronic vector-borne diseases. Herbal medicine, especially herbs like Cryptolepis, Chinese Skullcap, and Japanese Knotweed, play a vital role in managing inflammation and immune dysregulation. More About Dr. Myriah Hinchey, ND: Dr. Myriah Hinchey, a Naturopathic physician and Fellow of the Medical Academy of Pediatric Special Needs (MAPS), is a recognized expert in the field of Lyme disease and other complex chronic inflammatory conditions, with over 17 years of specialized experience. As a physician and the Medical Director at TAO, an integrative center for healing, she has successfully guided thousands of patients towards recovery from their complex chronic inflammatory conditions. Additionally, she is the founder and owner of LymeCore Botanicals, a herbal medicine company focused on providing effective solutions for healing vector-borne diseases. Dr. Hinchey is dedicated to treating patients of all ages, with a specialty in pediatrics, and is also a sought-after speaker, passionately educating healthcare professionals on the pathophysiology of vector-borne diseases and how to successfully integrate functional, herbal, and lifestyle medicine into their practices. Website Instagram Facebook LymeCore Botanicals  LymeBytes Symposium on November 14th & 15th | REGISTER HERE Connect with me! Website Instagram Facebook YouTube   This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more!

Well Europe didn't happen thanks to ManUre somehow beating Villa, with help from an appalling reffing cock-up and Forest bottling Champions League qualification…feats matching Man City's pathetic showing in the FA Cup, but Albion themselves stood, not fell, securing 8th place and coming to within a point of their record PL points total to round off what most will consider a rather good season all things considered. Experiencing the utter roasting of the Spuds was the usual suspects, who imbibed pre and post to good effect and had a bloody good knees up regardless of missing the place they deserved in The Conference League. So Albion signed off in style, as did the MDS part of this season's podding. Can't wait to see what next season brings with new signings, returning players and another season leaving our upstart little brothers trailing in our wake no doubt. Stand or fall!!! UTA!!! Should have had the salad! Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of HemOnc Pulse, host Rahul Banerjee, MD, FACP of Fred Hutch Cancer Center is joined by myeloid malignancy expert Uma Borate, MBBS of The Ohio State University, for a high-impact discussion on one of hematology's hottest frontiers: early detection. As aggressive diseases like AML and MDS continue to outpace traditional diagnostics, this conversation dives into why spotting these cancers sooner isn't just helpful—it's lifesaving.  

In today's conversation, we sit down with Martha Soffer, renowned Ayurvedic expert and founder of Surya Spa in Los Angeles, to explore how ancient wisdom can support modern women's health. Martha unpacks the foundational principles of Ayurveda, and how understanding your constitution can be a game-changer for balance and vitality in every stage of life.In this episode you'll learn: * How the doshas influence your body and mind* Ayurveda for navigating menopause* Herbal remedies to support balance* Postpartum care through an Ayurvedic lens* Natural relief for period cramps* The power of panchakarma for deep detox* And more…Internationally acclaimed Ayurvedic Panchakarma expert, Ayurvedic Chef, Herbal Rasayanist, and master Ayurvedic Pulse diagnostician, Martha Soffer is the founder of Surya, the recognized leader of modern Ayurveda. Martha's focus on “Ayurveda for Modern Life” is achieved through a system of practical and easy self-care, helping each individual attain balance and wellness through healing retreats, restorative beauty, wellness and food products, as well as educational guidance and support. Working to restore Ayurveda to its authentic, spiritual, and most effective roots, Martha is an innovator in making Ayurveda a viable modern and complementary system of wellness and health. A frequent guest on the CBS talk show “The Doctors,” Martha also works with MDs who refer patients when western medicine cannot deliver a satisfactory solution, and who often come themselves for seasonal treatments. Martha teaches and lectures, and is featured in publications such as Vogue, Vanity Fair, In Style, Allure, the L.A. Times, New York Magazine, and Goop. With the Surya team, Martha brings long-term vitality and health to clients who range from next-door neighbors to the top stars of the film and entertainment industries.This episode is brought to you by beeya: * Learn more about beeya's seed cycling bundle at https://beeyawellness.com/free to find out how to tackle hormonal imbalances. * Get $10 off your order by using promo code BEHINDHEREMPIRE10Follow Yasmin: * Instagram: https://www.instagram.com/yasminknouri/* Stay updated & subscribe to our newsletter: https://www.behindherempire.com/Follow Martha: * Instagram: https://www.instagram.com/suryabymartha/* Website: https://suryawellness.com/ Hosted on Acast. See acast.com/privacy for more information.

Drs. Pemmaraju and Bose discuss the revised International Working Group criteria for anemia response in patients with myelofibrosis, outlining new definitions for transfusion status, gender-specific hemoglobin thresholds, and benchmarks for major and minor responses.

In this empowering and eye-opening episode of The Healthy Sleep Revolution, Dr. Meghna Dassani is joined by the passionate and insightful Dr. Aarthi Raghavan—a trailblazing dentist who is redefining what it means to provide whole-patient care. Together, they dive into the exciting innovations transforming the sleep and airway space, from cutting-edge tech to collaborative care models that center patient wellbeing. With warmth, wisdom, and real-world experience, Dr. Raghavan shares how her practice blends clinical excellence with education and empathy to improve sleep health, especially for those who often go undiagnosed. Whether you're a provider looking to stay ahead of the curve or someone curious about how to get better sleep, this episode is packed with practical tips and thought-provoking insights that will inspire you to take action. In this episode, you'll learn: The latest in sleep and airway tech: from wearables like the Oura Ring to sleep-tracking apps and direct-to-consumer tools Why sleep tech is best used as a screening and monitoring tool, not a replacement for diagnosis How technology is empowering both providers and patients to take control of their health The unique role dentists play in screening for sleep-disordered breathing The challenges (and breakthroughs) of collaborating with MDs in today's healthcare landscape How sharing bite-sized education—via email, social media, and team conversations—can spark life-changing awareness Dr. Raghavan's top 3 sleep hygiene tips everyone should follow “We spend a third of our lives sleeping. A sleep study should be as routine as blood work once you hit 35.” – Dr. Aarthi Raghavan This episode is a must-listen for clinicians, caregivers, and anyone who wants to better understand how innovation, collaboration, and patient empowerment are reshaping sleep care. Connect with Dr. Aarthi Raghavan Www.ddentalgroup.com Www.dupagesleepsolutions.com Instagram: @dupagedentalgroup  Facebook: @dupagedentalgroup  Instagram: @ad.ventures.of.a.sleepdentist Instagram@an_empath_s_diary_   About Meghna Dassani Dr. Meghna Dassani is passionate about promoting healthy sleep through dental practices. In following the ADA's 2017 guideline on sleep apnea screening and treatment, she has helped many children and adults improve their sleep, their breathing, and their lives. Her books and seminars help parents and practitioners understand the essential roles of the tongue, palate, and jaw in promoting healthy sleep.   Connect with Dr. Meghna Dassani Website: https://www.meghnadassani.com Facebook: https://www.facebook.com/healthysleeprevolution Instagram: https://www.instagram.com/healthysleeprevolution/ Youtube: https://www.youtube.com/channel/UC9Lh_n7xmbhQVPGQrSjBIrw Get a copy of Airway is Life: https://www.airwayislife.com

Elisabet Barnes is a 5x participant at MDS The Legendary and a 2x champion. In 2025, Elisabet returned to the Legendary with different goals, different perspectives and to experience the race without the pressure of the podium. Her last MDS participation was 2017. A great deal has happened in the last 8-years, Covid for one and of course, a change of organisation at The Legendary. With extensive experience of MDS as a participant and coach, Elisabet provides and in-depth insight of the 'new' Legendary. "...very friendly, cheerful, supportive, it was a very positive experience to come to a checkpoint or the finish line. There was always people on the course wether in buggies or a medic running the opposite way; I saw so many people on the course, it was good for moral but it also felt safe... but I never felt there was less people on the course, actually I think there was more and they could access everywhere." Evolution not revolution.

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Blast_Crisis.mp3 Download Leave a Comment Tags: Hematology, Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow. May include extramedullary blast proliferation. Without treatment, median survival is only 3–6 months. Pathophysiology & Associated Conditions Usually occurs in CML, but also in: Myeloproliferative neoplasms (MPNs) Myelodysplastic syndromes (MDS) Transition from chronic to blast phase often reflects disease progression or treatment resistance. Risk Factors 10% of CML patients progress to blast crisis. Risk increased in: Patients refractory to tyrosine kinase inhibitors (e.g., imatinib). Those with Philadelphia chromosome abnormalities. WBC >100,000, which increases risk for leukostasis. Clinical Presentation Symptoms often stem from pancytopenia and leukostasis: Anemia: fatigue, malaise. Functional neutropenia: high WBC count, but increased infection/sepsis risk. Thrombocytopenia: bleeding, bruising. Leukostasis/hyperviscosity effects by system: Neurologic: confusion, visual changes, stroke-like symptoms. Cardiopulmonary: ARDS, myocardial injury. Others: priapism, limb ischemia, bowel infarction.

Marty sits down with Dr. Mary Bowden to discuss Covid vaccine injustice.Dr. Bowden on Twitter: https://x.com/MdBreatheDr. Bowden's website: https://breathemd.org/0:00 - Intro0:26 - MAHA is shifting away from Covid justice5:30 - Why vax should be pulled11:21 - Fold & Coinkite12:59 - Japan vax death study16:07 - MDs have lost trust20:16 - Ivermectin over the counter & and rebranding24:57 - Unchained Event25:22 - Should the FDA exist?32:18 - Escaping corporate medicine38:10 - Texas is turning blue48:09 - Texas healthcare and censorshipShoutout to our sponsors:Foldhttps://tftc.io/foldCoinkitehttps://coinkite.comUnchainedhttps://unchained.com/tftc/Join the TFTC Movement:Main YT Channelhttps://www.youtube.com/c/TFTC21/videosClips YT Channelhttps://www.youtube.com/channel/UCUQcW3jxfQfEUS8kqR5pJtQWebsitehttps://tftc.io/Twitterhttps://twitter.com/tftc21Instagramhttps://www.instagram.com/tftc.io/Nostrhttps://primal.net/tftcFollow Marty Bent:Twitterhttps://twitter.com/martybentNostrhttps://primal.net/martybentNewsletterhttps://tftc.io/martys-bent/Podcasthttps://www.tftc.io/tag/podcasts/

Despite their reputation as knuckleheads, mechanics have to deal with hundreds of different makes and models in their work, as opposed to, say, MDs who have only one make and two models to learn. How hard can medicine be? 'Let the malpractice begin!' on this episode of the Best of Car Talk.Get access to hundreds of episodes in the Car Talk archive when you sign up for Car Talk+ at plus.npr.org/cartalkLearn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy