Podcasts about Medicine

I'm delighted to connect with Dr. Rachel Goldman today. She is a licensed clinical psychologist based in New York City and a clinical assistant professor in the Department of Psychiatry at NYU Grossman School of Medicine. She specializes in the mind-body connection using cognitive behavioral therapy, with a focus on stress management, burnout, distorted eating, bariatric surgery support, and health behavior changes. I was honored to meet Dr. Rachel in Miami at an event where we both spoke earlier this year. In our conversation, we discuss how to approach body image in midlife, how our families influence our relationships with food, what toxic positivity is, and how it invalidates our emotions. We also explore the vulnerability of midlife and parenting, the effects of GLP-1 drugs, obesity as a disease, and the impact of mindset. Dr. Rachel also defines burnout and shares the best ways to address it. Stay tuned for today's invaluable conversation on body image, mindset, emotions, and navigating the challenges of midlife. IN THIS EPISODE, YOU WILL LEARN: Dr. Rachel shares her approach to helping midlife women struggling with body image and identity  How our thought processes around food can influence our emotions and behaviors Various factors that can influence our relationship with food How women with many rules around food can start changing their thinking How to navigate grief about your younger body and learn to appreciate the body you have now What toxic positivity is and how it invalidates our emotions How personal and professional role changes in midlife can affect a woman's sense of identity Why Dr. Rachel recommends having more than one coping tool in your toolbox  The effects Dr. Rachel has been seeing in patients using GLP-1 medications What burnout is, and how to address it Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Rachel Goldman On social media: @DrRachelNYC   Purchase links for Dr. Rachel's book are available HERE.

Near-death experiences have long challenged our understanding of consciousness and mortality. Some who come close to death report leaving their bodies, encountering vivid visions, or feeling profound peace. Are these experiences evidence that consciousness can survive death — or can they be explained by what happens in a dying brain? This 2014 debate is one we're still thinking about today. We ask whether science can reveal what, if anything, awaits us after we die.  Arguing Yes: Eben Alexander, Former Neurosurgeon; Author of "Proof of Heaven"  Raymond Moody, Medical Doctor; Author of "Life After Life"  Arguing No:  Sean Carroll, Physicist & Writer  Steven Novella, Academic Neurologist at the Yale School of Medicine  Emmy award-winning journalist John Donvan moderates    Join the conversation on Substack—share your perspective on this episode and subscribe to our weekly newsletter for curated insights from our debaters, moderators, and staff.  Follow us on YouTube, Instagram, LinkedIn, X, Facebook, and TikTok to stay connected with our mission and ongoing debates.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

We continue our campaign to #EndNeurophobia, with the help of Dr. Helen Shi. This time, Gillian presents a case of a 56 year old man found wondering naked in grocery store. The discussants are Aye and Vale. Gillian is a second-year medical student at the Icahn School of Medicine at Mount Sinai in New York.… Read More »Episode 471: Neurology VMR – Found wondering naked in grocery store

Managing High Homocysteine with MTHFR Variants and the Role of Vitamin C in Brain Aging: Registered dietitian nutritionist Leyla Muedin discusses MTHFR genetic variants (C677T and A1298C), their links to impaired methylation, homocysteine, SAMe, mood issues, migraines, vitamin deficiencies, and pregnancy complications, noting many people are asymptomatic and some feel worse on methylated B vitamins and do better on standard formulations. Responding to a listener with C677T, high homocysteine, and borderline methylmalonic acid, she reviews optimal homocysteine targets and outlines other causes of elevated homocysteine such as hypothyroidism/subclinical hypothyroidism, kidney failure, obesity, hypertension, diabetes, smoking, inactivity, and medications (atorvastatin, methotrexate, fenofibrate). She suggests checking these factors, considering absorption issues (intrinsic factor) for B12, and trialing SAMe and more trimethylglycine, with possible pharmacologic folate if needed. She then summarizes an observational Japanese study (n=2,044 adults >64) linking lower plasma vitamin C to reduced gray matter and weaker default mode network connectivity, and notes diet and blood sugar can affect vitamin C status.

President Trump has signed an executive order calling for a change to the childhood vaccination schedule. Specifically, he wants to separate the MMR vaccine, which protects against measles, mumps, and rubella, into three separate shots. There's no scientific research to indicate that these changes would be beneficial, and the order has sparked backlash from medical associations and drug manufacturers.  Meanwhile, over 2,400 people have contracted measles in the United States so far this year, topping the total number of cases for 2025 in just seven months. And with vaccination rates declining, there's a lot of conversation about what's driving vaccine hesitancy and how to combat misinformation.   Elisabeth Marnik has lived in both worlds: She wasn't vaccinated as a kid because her parents were concerned that vaccines could do harm. In high school, she fell in love with science. She went to college, got vaccinated, and then earned a PhD in immunology. She joins Flora to talk about what people misunderstand vaccine hesitancy, and how she approaches science communication in today's messy information ecosystem. Guest: Dr. Elisabeth Marnik is an immunologist and the executive director of The Evidence Collective. Transcripts for each segment will be available the week after the show airs on sciencefriday.com. Subscribe to this podcast. Follow our show on Instagram, TikTok, Facebook, and Bluesky @scifri and sign up for our newsletters. Got a science question that's keeping you up at night? Call us: 877-472-4374 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Is meat really masculine or could it be causing erectile dysfunction? Dr. Neal Barnard joins Chuck Carroll to examine the connection between meat, blood flow, heart health, testosterone, muscle, fertility, prostate health, and ED. Dr. Barnard explains why erectile dysfunction may sometimes appear before more obvious signs of cardiovascular disease. He also discusses whether meat actually improves testosterone or muscle growth, how a high-fat meal may affect athletic performance, and why strong muscles on the outside do not always mean healthy arteries on the inside. You'll also learn: How quickly circulation may begin to improve after changing your diet Why plant foods can provide the protein needed to build muscle The possible connection between dairy, fertility, and prostate health What a practical day of eating for men's health could look like Why tomatoes, beans, whole grains, and other plant foods deserve a place on the menu Plus, Chuck and Dr. Barnard preview the International Conference on Nutrition in Medicine, happening August 13–15 in Washington, D.C.  

We spend a lot of energy chasing happiness. But what if happiness was never the deepest goal? Viktor Frankl was an Austrian psychiatrist and Holocaust survivor who spent years in Nazi concentration camps, including Auschwitz. What he observed there, about the difference between the people who survived and those who did not, became the foundation of one of the most important books ever written about being human. That book is Man's Search for Meaning. In this episode I explore the distinction between happiness and meaning, why meaning is a stronger predictor of wellbeing than moment-to-moment positive emotion, and why midlife is an ideal season to ask the question: what am I in service of right now? The answer may be more available than you think. Want everything in one place? Join me on Substack for real talk, deeper insights, and the community you didn't know you needed — at https://courtneytownley.substack.com   #GraceAndGrit #Meaning #MidlifeWomen #ViktorFrankl #ManSearchForMeaning #WomensWellness #DeepHealth #Purpose #MidlifeHealth #IntentionalLiving

Join EMBRACED: the Erotics of Self-Love here - we begin August 24th and price doubles every 3 days until then. (only $11 right now, jumps to $22 August 13) Hosted on Acast. See acast.com/privacy for more information.

If you're thinking of starting over and going to med school, you might wonder what your previous jobs have done to prepare you for it. Good news: your old jobs and activities might matter more than your GPA ever will. And we hear from a listener who wants to know if we were super studious in high school. We try to let him down gently.

Send us Fan MailNEC still tends to announce itself on an X-ray, usually later than we want. This week Daphna reviews the first-in-human study of broadband optical spectroscopy, a handheld transcutaneous probe out of Lurie Children's that reads reflected light from 350 to 2500 nanometers to look at bowel beneath the skin. Just under 100 preterm infants, more than 11,000 scans, and a machine learning model that separated NEC from non-NEC scans with 100% sensitivity and a 100% negative predictive value, though the positive predictive value sat at 24%. Ben and Daphna work through what the curves actually show and what would have to come next.----First-in-human pilot study of broadband optical spectroscopy (BOS) as noninvasive surveillance for necrotizing enterocolitis (NEC). Dodd AC, Lehane AJ, Lee A, Hurlock A, Su Y, Ilahi I, Lautz TB, Backman V, Goldstein SD.J Pediatr Surg. 2026 May;61(5):162978. doi: 10.1016/j.jpedsurg.2026.162978. Epub 2026 Feb 3.PMID: 41643767Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Dr. Diane Sliwka is a hospitalist physician, professor, and Chief Physician Experience Officer at UCSF Health. Her work focuses on improving the healthcare experience by helping clinicians communicate more effectively, find greater professional fulfillment, and deliver better care without sacrificing their own well-being. She believes healthcare leaders must do more than measure burnout. They must listen to the people on the front lines and act on what they hear. That philosophy helped UCSF earn the American Medical Association's highest Joy in Medicine recognition. In this episode of DGTL Voices, Diane tells Ed how her parents' immigrant story shaped her resilience, why her guiding mantra is “Don't rush anywhere ever,” and how aligning our professional lives with our true selves can transform the way we lead, work, and live. https://bio.marxadvisory.com/

The new vaccine schedule recommendationsMy urologist is giving me grief that my vitamin D level is too highWhich nattokinase do you recommend to treat long covid?Is the vitamin K in your bone protocol different from the heart protocol?What about methylated B vitamins for brain vs. heart health?

What are your thoughts on Cleveland Clinic's assessment of fish oil supplements?If I want to go on your sleep protocol, should I order all of the supplements or choose one?Do you still recommend individual assessments to determine natural treatments for anxiety and depression?Is taking Bergamot for cholesterol really effective?

Dr. Austin Chiang has built one of medicine's most distinctive public platforms. He is a triple board-certified gastroenterologist, Chief Medical Officer for Medtronic's Endoscopy business and Associate Professor of Medicine at Thomas Jefferson University. He is also one of healthcare's most influential physician voices online, with hundreds of thousands of followers across TikTok, Instagram, YouTube and LinkedIn. That makes him an ideal guest for Season 11 of Fixing Healthcare with cohosts Dr. Robert Pearl and Jeremy Corr. This season asks what patients, clinicians and healthcare leaders are saying now that feels meaningfully different from the past. Chiang hears those concerns from several vantage points: as a practicing physician, medical technology leader, educator and public-facing doctor. For Chiang, three issues stand out: Clinician burnout and loss of autonomy Chiang says physicians are struggling with administrative burden, documentation demands, prior authorization, staffing shortages, reimbursement pressure and a growing sense that medical decisions are no longer fully in their hands. Pearl pushes further, asking whether clinicians must take more responsibility for affordability rather than simply objecting to the oversight created in response to rising costs. Chiang agrees that physicians need a better understanding of the broader healthcare ecosystem if they want to help change it. Medical misinformation and social media Chiang has spent more than a decade learning how to communicate across platforms and audiences. He explains that accurate medical information must now compete with sensationalized claims from people who are not held to the same professional standards as clinicians. For doctors, the challenge is to be credible without being boring, engaging without becoming irresponsible and platform-specific without compromising the message. That tension is especially important in areas like gut health, diet, probiotics and the microbiome, where uncertainty creates space for simple but potentially misleading answers. Clinician-led innovation As Medtronic's Chief Medical Officer for Endoscopy, Chiang works at the intersection of clinical practice and medical technology. He explains that innovation in medicine is slow for good reason: new tools must prove safety, clinical value, workflow fit and real-world usefulness before becoming mainstream. But he argues that clinicians need to be more involved in that process because they understand the nuances of patient care, staff experience and adoption better than outsiders can. The conversation also explores colorectal cancer, which is rising among younger adults. Chiang explains why colonoscopy remains the gold standard for prevention, while also noting that lowering screening ages further would create major capacity challenges. He also discusses AI-assisted polyp detection, the future of endoscopy and why fully autonomous colonoscopy remains difficult given the complexity of human anatomy. There's much more in this conversation, including physician career paths beyond traditional practice, how doctors should respond when patients bring AI-generated information to appointments and what people with chronic GI conditions need from clinicians, platforms and online communities. Tune in to hear one of medicine's most visible digital physician leaders explain how doctors can help shape a future where technology, social media and medical innovation better serve patients. * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #224: Austin Chiang on burnout, misinformation and the future of med-tech appeared first on Fixing Healthcare.

Jonathan Pascual is a lung transplant nurse practitioner and 16-time Ironman finisher who's spent years helping other people through the end of their lives. Now, three and a half years into his own terminal diagnosis, he's still training, still racing — including a finish at the Ironman World Championship in Kona. Movement is his medicine, and stoic philosophy is his compass. Join Cody for a conversation about clarity, defiance, and what it means to keep choosing to move, even when the rock keeps rolling back down. 

Dr. Keshe Chow, a board-certified specialist and bestselling author of fantasy, romance, and speculative fiction, is our guest this week. From cat-shy pre-veterinary student to feline specialist, animal welfare advocate, and published author, Dr. Chow has built a career by following her curiosity wherever it leads. She shares the changing priorities that shaped her path, including balancing motherhood with board certification and rediscovering her childhood love of creative writing. She also discusses bringing her two worlds together in fiction, using empathy and experience to imagine what it might be like to care for magical creatures in her most recent book, Strange Familiars.Thank you to our podcast partner, NVA General Practice. NVA helps great vets become even greater with multiple paths to build a career that's uniquely yours. Wherever you want to go next, NVA has a path to help you get there. Visit Careers.NVA.com to find your next role.

Join us with as we dive into two challenging cases of myelodysplastic syndromes (MDS) in this episode featuring Dr. Amer Zeidan, from the Yale School of Medicine. The discussion focused on real-life scenarios from community settings, exploring treatment decisions in both frontline settings and cases of disease progression. In the first case, we examined a 74-year-old gentleman with persistent anemia and discussed the implications of his diagnosis, treatment options like erythropoiesis-stimulating agents (ESAs) and luspatercept, and the importance of timely intervention. The conversation highlighted the evolving landscape of MDS treatment, including the significance of molecular risk stratification and the potential for improved patient outcomes. The second case featured a 67-year-old woman whose disease has progressed despite initial treatment with luspatercept. Dr. Zeidan shared insights on the next steps, including the use of hypomethylating agents (HMAs) , the role of transplant, and the management of side effects associated with these therapies. Tune in for an informative discussion that not only addressed treatment strategies but also emphasized the importance of patient-centered care and the need for ongoing monitoring and support. Don't forget to like, subscribe, and share your thoughts with us! If there are specific topics or cases you'd like us to cover in future episodes, reach out to us. Episode Highlights: Overview of MDS and its treatment landscape Case discussions on treatment decisions for anemia and disease progression Insights on the use of luspatercept and hypomethylating agents Management of side effects and the importance of patient education Listen us on: Spotify: https://open.spotify.com/show/31BXhY9FM4gPWG10WgE11o  Apple Podcast: https://podcasts.apple.com/us/podcast/oncology-brothers-practice-changing-cancer-discussions/id1653340966  Follow us on social media: •⁠  ⁠X/Twitter: https://x.com/oncbrothers  •⁠  ⁠Instagram: https://www.instagram.com/oncbrothers  •⁠  Website: https://oncbrothers.com/  Thanks for tuning in! We are the Oncology Brothers. #MDS, #MyelodysplasticSyndrome, #HMAs, #HemeMalignancy, #OncologyBrothers

In this episode of the Brain & Life Podcast, co-host Dr. Daniel Correa is joined by actress, comedian, playwright, and storyteller Lauren Weedman. Lauren discusses her diagnosis of Bell's palsy after developing a sudden facial paralysis while filming in 2024 and how it changed her outlooks on work, motherhood, and mental health. Dr. Correa is then joined by Dr. Gary Gronseth, Professor and Chair of Neurology at the University of Kansas School of Medicine. Dr. Gronseth explains what Bell's palsy is, why it happens, what recovery typically looks like, and why some people—like Lauren Weedman—continue to experience lasting symptoms long after the initial diagnosis.   Additional Resources "This Is a Good Face": Lauren Weedman on Life After Bell's Palsy Bouncing Back from Bell's Palsy What Doctors Know About Bell's Palsy   Brain & Life Podcast Episodes on Similar Topics Playwright Sarah Ruhl Finds Inspiration in her Bell's Palsy Journey   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Lauren Weedman @lauren_weedman Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

The United States outspends every other country on Earth on healthcare but shockingly does not have the best outcomes and ranks 32nd in terms of life expectancy. Switzerland spends less and does better. Plucky little Canada ranks 22nd in the world. Kim Moon is back to explain why more spending doesn't equal better outcomes and what really drives higher health care costs. Also, a comparative analysis of the US and Canadian healthcare systems: what works and what doesn't in each country.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com. Hosts:     Christopher Labos & Kim Moon Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: The richest Americans live about as long as the poorest Europeans, study says : NPR   U.S. Health Care from Global Perspective 2026 Expanded Edition | Commonwealth Fund   How does U.S. life expectancy compare to other countries? - Peterson-KFF Health System Tracker   Hospital Global Budgeting: Lessons from Maryland and Selected Nations   The U.S. Health Disadvantage and Why It Matters to Business - Community Health and Economic Prosperity - NCBI Bookshelf   Expanding healthcare capacity in Canada: the potential of internationally trained physicians - ScienceDirect   Troubling Diagnosis: Comparing Canada's Healthcare with International Peers – C.D. Howe Institute   Life expectancy at birth: Health at a Glance 2025 | OECD   Seven reasons why Americans pay more for health care than any other nation   Canada | Commonwealth Fund   State of Health Insurance Coverage in U.S.: 2024 Biennial Survey | Commonwealth Fund   Health Spending - International Comparison of Health Systems | KFF   Canadians need doctors. These strategies from around the country aim to find them | CBC News   ‘You Aren't Trapped': Hundreds of US Nurses Choose Canada Over Trump's America - KFF Health News   COMMENTARY: 5 affordable ways to improve Canadians' access to health care in 2026 | CMA

Send us your admissions questions!What makes Wake Forest University's Physician Assistant Program different from the hundreds of PA programs applicants can choose from?In this episode of Accepted's Admissions Straight Talk, host Dr. Valerie Wherley speaks with Sobia Hussaini, MHA, assistant professor of PA studies and director of admissions and strategic recruitment for PA studies at Wake Forest University School of Medicine, about the program's curriculum, campuses, culture, and admissions priorities.Sobia explains how Wake Forest's 24-month Master of Medical Science PA Program brings together a large class with a small-group learning environment across two North Carolina campuses: Winston-Salem and Boone. She describes how the program's inquiry-based learning model asks students to work through patient cases from the beginning of PA school, building clinical reasoning, self-directed learning, and collaborative problem-solving skills before they enter rotations.The conversation also explores Wake Forest's leadership focus, including its Emerging Leaders Program pathways in business and law, and the service-oriented experiences that begin during orientation. Sobia connects those experiences to the PA profession's responsibility to understand the social drivers of health and serve patients in context.The episode closes with practical advice for applicants. Wake Forest looks for academic readiness, meaningful hands-on patient care experience, teamwork, service, leadership, resilience, and a clear answer to one essential question: why do you want to be a PA?00:00 Introducing Wake Forest's PA Program03:35 Comparing the Winston-Salem and Boone Campuses07:38 Serving Rural and Medically Underserved Communities09:12 How Inquiry-Based Learning Works14:21 Leadership Development Throughout the Curriculum18:21 The Emerging Leaders Program in Business and Law22:08 Community Service, Orientation, and Social Drivers of Health28:38 What Wake Forest Looks for in PA Applicants33:26 Closing Thoughts and Next StepsRelated Resources:Wake Forest University School of Medicine Physician Assistant ProgramWake Forest PA Program Emerging Leaders Programs Inside Wake PA, a digital publicationThe Ultimate Guide to Becoming a Physician Assistant, an Accepted guideAccepted's Physician Assistant Application PackagesFollow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553

In this episode of Medical Matters Podcast, Dr. Peter Brier and Nurse Practitioner Kelly McCormick discuss the ongoing costs of healthcare.Topics include the expenses, but also the business aspects: free-standing hospitals and practices began to be bought up under the belief that costs would come down. There is also the inflationary aspect, with pressure on healthcare providers to raise their prices in order to get better reimbursement from insurance companies.There is also the issue of monopolies. A recent story in the Washington Post describes how hospitals under such collectives are driving up costs. Dr. McCormick also relates her own recent experiences. The subject also shifts to the potential for national, single-payer healthcare, with some examples of residents traveling to the US from Canada or other nations. Older residents appear to travel here more for specialized care.

In this episode of our Back to Nature mini-series, Dr. Sandra Marie and psychic Kimmie Haliburda explore the profound wisdom of the element of water.Across many ancient traditions, water has symbolized emotion, intuition, creativity, healing, and transformation. But how can we intentionally work with this element to support emotional balance and nervous system regulation in everyday life?Together, they discuss practical ways to partner with water, from spending time near rivers and oceans to mindful showers, baths, meditation, dreamwork, and simple daily rituals that help restore calm and reconnect us with ourselves.Whether you're seeking greater emotional resilience, creative inspiration, or a deeper relationship with nature, this conversation offers thoughtful perspectives and practical ideas you can begin exploring today.ResourcesLearn more about Dr. Sandra Marie and Wild Souls Gathering: https://wildsoulsgathering.com Learn more about Kimmie Haliburda: https://kimmiehaliburdapsychic.comIPlease subscribe and follow the show to stay updated on new releases. If this episode resonated, feel free to share it with someone who may enjoy or benefit.Support Happy Hour for the Spiritually CuriousEmbrace YOUR Wild Soul!https://www.youtube.com/@wildsoulgatheringhttps://www.tiktok.com/@spirituallycurioushttps://www.twitter.com/@soul_gatheringshttps://www.instagram.com/wildsoulgatheringshttps://www.facebook.com/profile.php?id=100080690206346https://spiralrebellion.com/

Listen to today's podcast... What is your burden to blessing ratio? How often do you catch yourself complaining about something and how often are you outwardly expressing gratitude? For most of us, we spend far too much time looking at the negative and the difficult and not nearly enough looking at the positive and the awesome. Take One Action Today To Build Your #Resiliency!  Here are today's Tips For Building Resiliency and Celebrating Admit You're Happy Month: The more that we focus on the positive and the awesome, the bigger the impact it will have on our happiness. Admitting that we are happy, increases our happiness. And it encourages others to admit to being appreciative and happy in their lives. So celebrate the brief moments that make you smile, and the occasions that knock your socks off! Dr. Amit Sood, Professor of Medicine and the Mayo Clinic, states that life's happiest moments have one or more of these three ingredients: Creating, Connecting, Caring. What positive things have happened to you today? Acknowledge all of them. Be proud of who you are. Celebrate yourself. Keep a positive mental attitude. You'll feel better, live better, and be happier. If you like today's wellness tips, let me know. You can leave me a review on amazon or through your #alexa app. Discover how to take small steps towards a healthier, happier, less-stressed you by visiting my website at worksmartlivesmart.com #mentalhealth #hr

Dr Swapnil Pawar is joined by Dr Jose Chacko to discuss the LOGICAL trial, published in the New England Journal of Medicine in June 2026. Does limiting oxygen after cardiac arrest protect the brain from reperfusion injury? LOGICAL (the largest randomised trial of oxygen therapy after cardiac arrest to date) randomised 1,840 patients across 53 ICUs in Australia, New Zealand and Ireland to conservative versus liberal oxygen therapy. In this episode: – The pathophysiological rationale: hypoxic-ischaemic encephalopathy, reperfusion injury and free radical damage – Where LOGICAL sits alongside EXACT, ICU-ROX, HOT-ICU and the Danish BOX trial – The Mega-ROX master protocol design, and why the sepsis and non-HIE brain injury arms are still to come – Trial design: SpO₂ upper limit of 95% and FiO₂ down to 0.21 in the conservative arm versus no upper limit and a floor of FiO₂ 0.3 in the liberal arm – The results: no difference in favourable neurological outcome at 180 days (38.2% vs 39.7%), survival, length of stay, quality of life or cognitive function – Strengths, limitations, and what it means at the bedside, including why the hosts have landed in different places on titrating down to room air Reference: The LOGICAL Investigators and the ANZICS Clinical Trials Group. Conservative Oxygen for Unresponsive Patients after Cardiac Arrest. N Engl J Med. 2026 Jun 10. Full summary, outcome tables and references at critcareedu.com.au

rWotD Episode 3388: Edward Chang (neurosurgeon) Welcome to random Wiki of the Day, your journey through Wikipedia's vast and varied content, one random article at a time.The random article for Thursday, 13 August 2026, is Edward Chang (neurosurgeon).Edward Chang is an American neurosurgeon and scientist. He is the Joan and Sandy Weill Chair of the Department of Neurological Surgery at the University of California, San Francisco and Jeanne Robertson Distinguished Professor.Chang specializes in operative brain mapping to ensure the safety and effectiveness of surgery for treating seizures and brain tumors, as well as micro-neurosurgery for treating cranial nerve disorders such as trigeminal neuralgia and hemifacial spasm. In 2020, Chang was elected into the National Academy of Medicine for "deciphering the functional blueprint of speech in the human cerebral cortex, pioneering advanced clinical methods for human brain mapping and spearheading novel translational neuroprosthetic technology for paralyzed patients."This recording reflects the Wikipedia text as of 00:37 UTC on Thursday, 13 August 2026.For the full current version of the article, see Edward Chang (neurosurgeon) on Wikipedia.This podcast uses content from Wikipedia under the Creative Commons Attribution-ShareAlike License.Visit our archives at wikioftheday.com and subscribe to stay updated on new episodes.Follow us on Mastodon at @wikioftheday@masto.ai.Also check out Curmudgeon's Corner, a current events podcast.Until next time, I'm generative Matthew.

(00:00) — Born in India, raised in Canada: How early experiences with navigating healthcare planted the seed for a medical career.(03:03) — Canadian medical school odds: Why the stat-heavy, seat-limited system makes it one of the hardest paths in North America.(06:51) — First application cycle, zero interviews: What went wrong and what "being a perfect applicant" actually cost her.(09:02) — Second cycle, authentic essays, a few interviews: How honesty on paper moved the needle — but not enough.(15:29) — Ruling out India, weighing the US, Ireland, and the Caribbean: How she narrowed her options after two rejections.(19:05) — Researching Caribbean schools: Attrition rates, match stats, LinkedIn outreach, and a campus visit with her mom.(23:26) — The financial reality for Canadian students at Caribbean schools: Private loans, OSAP, and a scholarship that changed the math.(28:21) — First days at SGU in Grenada: The pressure of IMG status, 12-to-15-hour study days, and staying focused on today.(32:13) — The "Caribbean med school is a vacation" myth: Why the stigma is wrong and what the attrition numbers actually show.(37:53) — Adjusting to island life: Grocery runs as the only break, finding a study rhythm, and getting comfortable in a new environment.(41:57) — Words for students considering the Caribbean path: Why a different road is still a real road.After two application cycles to Canadian medical schools — zero interviews the first time, a handful the second — this premed from Ontario made a decision that changed everything: she packed up and headed to St. George's University School of Medicine in Grenada. In this episode, she walks through exactly how she got there, from growing up as an immigrant child helping her family navigate the healthcare system, to a five-year co-op undergrad, a master's degree, a second MCAT, and ultimately the realization that the Canadian system's stat-driven, seat-scarce process simply wasn't going to open for her. She talks honestly about the financial side — private bank lines of credit, OSAP, and a merit scholarship from SGU — and about what it actually feels like to sit down with a tuition bill that size. Once on the island, she found that Caribbean medical school is nothing like the vacation stereotype: class sizes in the 500-to-600 range thin out every term, and she routinely puts in 12 to 15 hours of studying a day. Her strategy for handling the pressure of IMG status, uncertain residency prospects, and being far from family comes down to one discipline: focus only on what today requires.What You'll Learn:- Why Canadian medical schools function as a stats-first filter and what that means for applicants who are strong but not perfect on paper- How to research Caribbean medical schools beyond Reddit — including what data points actually matter for Canadian and US students- What the financial pathway looks like for Canadian students attending a Caribbean school, including private loans, provincial aid, and institutional scholarships- Why the "Caribbean school is easy" stigma is inaccurate and what the real academic demands look like from a current student- How to stay mentally grounded when the pressure of loans, IMG status, and an uncertain match future is constant

What is the purpose of medicine? And what does healthcare look like when we remember the dignity and eternal destiny of the person being cared for? Mike Gormley and Dave VanVickle explore what it means to care for the whole person, prepare for death, and recover the true purpose of healthcare. Along the way, they share powerful stories of faith, suffering, hospice care, and conversion. We want to hear from you! Email us at eksb@ascensionpress.com with your questions/comments Don't forget to text “EKSB” to 33-777 to get the shownotes right to your inbox! You can also find the full shownotes at www.ascensionpress.com/EveryKneeShallBow

No, this is not AI… the U.S. Secretary of Health and Human Services, Robert F. Kennedy Jr., joined us on the pod… On the net, it's a positive. ------ Tour Dates: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://johncristcomedy.com/tour/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ New Merch: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://store.johncristcomedy.com/ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ----- SUPPORT OUR SPONSORS COWBOY COLOSTRUM: For a limited time, our listeners get up to 25% off their entire order, just head to https://cowboycolostrum.com/netpositive and use code NETPOSITIVE at checkout. ZOCDOC: Taking care of your health just got easier – start at: https://zocdoc.com/NETPOSITIVE PONCHO: Get $10 off your first order at https://ponchooutdoors.com/NETPOSITIVE when you enter your email. CURE HYDRATION: Real ingredients. Real hydration. Use code NETPOSITIVE for 20% off at https://curehydration.com ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ----- SUBMIT A VIDEO: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/NetPositiveMail⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ----- EMAIL US: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠netpositive@johncristcomedy.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ----- WRITE US: Net Positive P.O. Box 40268 Nashville, TN 37204 ----- Subscribe to the show on your favorite podcast platform, and follow us on social media for clips, bonus content, and updates throughout the week. ----- NET POSITIVE PODCAST ON SOCIAL: Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/netpositivepodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@netpositivepodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@netpositivepod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ----- JOHN CRIST ON SOCIAL: YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/user/johnbcrist⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@johncristcomedian⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/johnbcrist/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/johnbcrist/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/johnbcrist⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://johncristcomedy.com/ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ----- PRODUCED BY: Alex Lagos: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/mralexlagos⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Easton Smith: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/eastonjsmith⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Lagos Creative: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.lagoscreative.co⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Michael Remole, MA, LCPC, NCC, I/ECHMHC, is a clinician, speaker, author, and consultant with more than 20 years of experience specializing in trauma and the neuroscience of healing. He is the founder and CEO of Gateway Family Services of ois, where he integrates the Neurosequential Model of Therapeutics and Natzural Lifemanship's Trauma-Focused Equine Assisted Psychotherapy to provide innovative, individualized care. A Phase III/Mentor within the Neurosequential Network, Michael also serves as a trainer and consultant, contributing to the advancement of trauma-informed practice locally, nationally, and internationally. He is the co-founder of 4R Refuge and a contributing author to The Handbook for Children with Complex Trauma and Dissociation.Dr. Emily Wang is a clinical psychologist with more than 30 years of experience in mental health and currently serves as Senior Director of Clinical Advancement and Trauma-Informed Practice at Hull Services. A Fellow of the Neurosequential Model Network and a specialist in Infant-Parent Mental Health, she has trained and consulted extensively on the impact of trauma on child development for educators, clinicians, caregivers, and Indigenous communities. Dr. Wang is also an Adjunct Lecturer at the University of Calgary's Cumming School of Medicine and is actively involved in research on child maltreatment and mental health. She is the recipient of the 2020 Bruce D. Perry Spirit of the Child Award and the 2023 Psychologist's Association of Alberta Psychologist of the Year Award.In This EpisodeMichael Remole's WebsiteGateway Family ServicesHull ServicesPathways To Prevention SymposiumBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.---Thank you to our Sponsors: Jane App - use code GUY1MO at https://janesoftware.partnerlinks.io/ngvcwcxqt2jx-4afv8i (https://jane.app/book_a_demo)Beducated - Complete the quiz for one month free https://beduc.at/pd2633-traumatherapist

On this episode of Vitality Radio, Jared continues his Topical Medicine Cabinet series with the products he reaches for most to apply topically for healthy skin, skin comfort, and everyday first aid. He explains why nano silver gel has become his go-to for everything from post-shaving care and natural deodorant to supporting the skin's natural healing process after minor burns and blemishes. He also explores the benefits of whipped beef tallow, herbal balms featuring traditionally used botanicals like comfrey and calendula, natural options for itchy skin, and topical essential oil blends for occasional tension headaches. Along the way, Jared breaks down the science, traditional herbal wisdom, and practical ways to build a natural topical medicine cabinet for the whole family.Products:Vitality Nutrition Nano-Silver Skin GelAtrubein Whipped Dream Beef Tallow Body CreamRoots & Leaves Whipped Tallow BalmGolden Age Naturals Tallow BalmAuminay Itch-Away BalmAuminay Herbal BalmQuantum Lysine OintmentQuantum Lysine Lip BalmAuminay Tension TamerAdditional Information:663: Topical Medicine Cabinet - Part 1: Pain, Injury & Muscle Recovery  Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.This podcast is produced by DrTalks.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠

Dapagliflozin and Acute Kidney Injury Following Cardiac Surgery: A Randomized Clinical TrialImpact of cognitive training on claims-based diagnosed dementia over 20 years: evidence from the ACTIVE study This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

Send us Fan MailProbiotics left US NICUs after the FDA reclassified them, and NEC rates went up. This week Ben reviews the Connection Study, a 2,158 infant phase 3 trial of IBP-9414, a live biotherapeutic product containing Limosilactobacillus reuteri, run under an IND with the regulatory rigor probiotics never had. Neither primary endpoint reached significance, but all cause mortality fell 27%, and surgically confirmed NEC favored treatment after 14 days of dosing. The discussion may be the real story, including a kappa of 0.36 between radiologists reading the same NEC films. Ben and Daphna talk through what a regulated probiotic would mean for the babies waiting now.----Live biotherapeutic product IBP-9414 (L. reuteri) in very low birth weight infants: the Connection Study. Neu J, Del Moral T, Guthrie SO, Hudak ML, Indrio F, Kim JH, Kronström A, Martin CR, Modi N, Rastad J, Schnitzer TJ, Singh R, Strömberg S, Szajewska H, Thuresson M, Caplan M.Pediatr Res. 2026 Feb 20. doi: 10.1038/s41390-026-04826-7. Online ahead of print.PMID: 41721054Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

If you're living with MS and wondering whether pregnancy is still on the table for you… this episode is for you. Maybe you just saw two lines on a test and your first thought wasn't joy, it was "what do I do about my medication?" Maybe you're a year out from trying and you want to plan this right. Either way, you deserve real answers, not a shrug. In this episode, I'm joined by Dr. Christina Chambers, PhD, MPH, a perinatal epidemiologist and professor of pediatrics at UC San Diego. She has spent her career studying what medications and exposures actually do during pregnancy and breastfeeding, and she brought all of it to this conversation about multiple sclerosis (MS) and pregnancy. We covered the questions people with MS ask most, and a few they're often too nervous to ask out loud. Here's what we cover

Стареть — это естественно, но не все хотят стареть естественно. Сегодня для поддержания молодости не обязательно ложиться под скальпель пластического хирурга — достаточно шприца косметолога. В новом эпизоде рассказываем, кто придумал использовать колбасный яд для борьбы с морщинами, как гиалуроновая кислота изменила мир и почему все знаменитости в последнее время будто на одно лицо.Экспертка эпизода: Марина Лекомцева, дерматолог, косметолог, основательница клиники Марины Лекомцевой и ведущая телеграм-канала про доказательную косметологию «Запишите меня» https://t.me/doctor_lekomtsevaРеклама. ООО «ИНТЕРНЕТ РЕШЕНИЯ» ИНН: 7704217370 erid: 2SDnjebJe59Партнер эпизода — сервис быстрой доставки продуктов Ozon fresh. Промокод pochemu дает скидку 20% на линейку продуктов с юдзу от Ozon fresh. Налетайте на летние новинки: https://cutt.ly/IyppanIuРеклама. ООО «НПФ «ХЕЛИКС» ИНН 7802122535 erid: 2SDnjboifKRПартнер эпизода — сеть медицинских лабораторий «Хеликс». Промокод PERVIY дает скидку 20 % на все анализы. Промокод действует до 30 сентября 2026 года, не суммируется с другими акциями и не распространяется на взятие биоматериала. Переходите по ссылке: https://helix-express.ru//?utm_source=podcast&utm_medium=audio&utm_campaign=libo_liboСлушайте все наши выпуски, включая бонусы, раньше остальных и без рекламы полгода бесплатно в приложении «Подкасты» от Apple https://cutt.ly/poc0907epap или в телеграме https://cutt.ly/poc0907eptg ❤️ Поддержать студию Либо/Либо: https://support.libolibo.me/?utm_s=pmezh#donate _________Авторка сценария и ведущая Лена ЧесноковаРедактор Саша ШкаринаМедицинская редакторка Даша ГельфманМедицинский консультант Женя ПинелисПродюсерка Настя МедведеваЗвукорежиссер и саунд-дизайнер Юра Шустицкийа также отдельное спасибо Лике Кремер, Ксении Красильниковой и Андрею БорзенкоПодписывайтесь на наш телеграм — https://t.me/libolibostudio/И на наш инстаграм — https://instagram.com/libolibostudio/

This week, we feature new research on polymyalgia rheumatica, hypercholesterolemia, prostate cancer, and multiple myeloma. We review evidence-based strategies for tobacco cessation, and follow a case of a woman with nausea, dizziness, and metabolic acidosis. We discuss recent advances in gene editing for rare metabolic diseases. Perspectives address HIV care, health care quality, medical ethics, and finding resilience in the face of serious illness.

Guest: Dr. Amanda Staudt We live in an era where the weather is breaking records, reshaping economies, and dominating global headlines. Navigating this rapidly changing landscape requires a unique blend of cutting-edge science, public trust, and bold leadership. As the newly appointed Executive Director of the American Meteorological Society, Dr. Amanda Staudt is stepping into the helm at a pivotal moment. From the rapid integration of artificial intelligence in forecasting to the battle against climate misinformation, she is tasked with guiding the scientific community into the future. Today, we're sitting down with Dr. Staudt to discuss her vision for the future of meteorology, how AMS is adapting to the AI revolution, and what it takes to inspire the next generation of weather and climate professionals.Chapters00:00 Introduction and Amanda Staudt's background00:50 How Amanda became a weather enthusiast04:02 AMS's history and Amanda's leadership role04:58 Bridging academia, government, and private sector07:42 AMS's publications, conferences, and programs10:46 The new AI-focused journal and its significance14:57 AMS's role in policy and advocacy15:46 Break 120:01 Communicating science to policymakers and the public25:00 The importance of conferences and professional development27:47 Break 230:00 Future vision for AMS and the evolving weather enterprise33:55 AMS's organizational structure and volunteer engagement36:43 Closing remarks and gratitudeResourcesAmerican Meteorological Society (AMS) - https://www.ametsoc.orgAMS Journals - https://www.ametsoc.org/ams/index.cfm/publications/journals/Climate Crossroads Congressional Fellowship - https://www.nationalacademies.org/programs/NRCEO-CCX-23-P-56AI in Environmental Systems Journal - https://www.ametsoc.org/ams/publications/journals/artificial-intelligence-for-the-earth-systems/National Academies of Sciences, Engineering, and Medicine - https://www.nationalacademies.orgGuest LinksLinkedIn - linkedin.com/in/amanda-staudt-27ba22b8Twitter - https://twitter.com/amandastaudtSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Hoffman continues his conversation with chemical engineer and MoldCo founder Ariana Thacker.

Chemical engineer and MoldCo founder Ariana Thacker discusses mold-related illness, including chronic inflammatory response syndrome (CIRS), as a major blind spot in conventional care for chronic, multi-system symptoms. Thacker recounts developing rapid-onset brain fog, slurred speech, GI issues, hair loss, weight gain, and shortness of breath after six and a half months in a moldy Miami apartment, seeing over a dozen specialists who attributed symptoms to stress or anxiety. They discuss exposures beyond allergy (mycotoxins, VOCs, microbial fragments), genetic susceptibility (HLA haplotypes), and prevalence estimates tied to water-damaged homes. The episode covers home detection (sensory/visual checks, humidity, dust PCR/ERMI testing, certified inspectors) and diagnostics/treatment via Shoemaker-related biomarkers and protocols, including low-starch diet guidance and VIP peptide therapy, plus MoldCo's testing and virtual care services.

Hey everybody! Episode 200 of the show is out. This episode is a podcast I was interviewed on called The Psychedelic Podcast hosted by Paul Austin. Paul has a great podcast and I was happy to be invited on. We spoke about my work, ayahuasca, tobacco, dietas, lineage and deeper aspects of this work. Paul has been involved in this work and field for a number of years so he led a great interview. I hope you all enjoy it. And if it resonated, consider supporting his work. As always, to support this podcast, get early access to shows, bonus material, and Q&As, check out my Patreon page below. Enjoy!If you enjoyed our recent episode with Robert Gourlay and would like to purchase a MEA water device (https://meawater.com/universe), as listeners of the show, you receive a 10% discount on all orders using the Coupon code: UNIVERSEThis episode is sponsored by Real Mushrooms (https://realmushrooms.com) As listeners, enjoy a discount of 25% off your first order at checkout using the Discount code: UNIVERSEIf you enjoyed our recent episode with Dr. Nathan Bryan and are curious to try Nitric Oxide, as listeners of the show, you can receive a 10% discount on all orders from their WEBSITE at checkout by using the Coupon code: UNIVERSETo learn more about or contact Jason, visit his website at: https://NicotianaRustica.orgTo learn more about or contact Paul, visit his website at: https://thethirdwave.coTo view the recent documentary, Sacred Tobacco, about my work, visit: https://youtu.be/KB0JEQALI_wI will be guiding our next plant medicine dietas with my colleague Merav Artzi (who I interviewed in episode 28) in:September 1-8: Remote Online DietaNovember 2-30: Sacred Valley of PeruIf you would like more information about joining us and the work I do or about future retreats, visit my site at: https://NicotianaRustica.orgIntegration/Consultation call: https://nicotianarustica.org/consultationPatreon: https://patreon.com/UniverseWithinYouTube join & perks: https://bit.ly/YTPerksPayPal donation: https://paypal.me/jasongrechanikWebsite: https://jasongrechanik.comInstagram: https://instagram.com/JasonGrechanikFacebook: https://facebook.com/UniverseWithinPodcastMusic: Nuno Moreno: https://m.soundcloud.com/groove_a_zen_sound & Stefan Kasapovski's Santero Project: https://spoti.fi/3y5Rd4H

Dr. Kellie Owens, is an assistant professor in the section of medical ethics at NYU Grossman School of Medicine. She's a sociologist and empirical bioethicist studying how digital technologies are woven into the fabric of healthcare and society and how governance structures can better support those affected by technological change. She also leads the responsible AI review process for the Division of Applied AI Technologies and with the IRB. PART 2 In medicine, we do know that examples of bias and harm from that bias have happened. The most famous case was brought to our attention from Ziad Obermeyer and his colleagues in Science in 2019. It was examining racial discrimination resulting from a commercial algorithm that was widely used by health systems to identify patients with complex health needs that might need extra support. Instead, we found that the algorithm was prioritizing white patients over black patients and was reducing the number of black patients who should have been enrolled in those care management programs by more than half. In some ways, there are pretty easy ways to fix these kinds of biases and problems if we're attuned to them. So once we see them, we can usually fix them. In this case, training the model using active chronic conditions rather than total costs would have significantly reduced bias.  The point is that understanding the social context in which an algorithm is developed and is operating in is really important. Otherwise, it can be pretty easy to make mistakes like this if you're not paying attention to disparate impacts in the ways that our choices in algorithm development can have impacts on fairness and outcomes for different groups. Another major ethics consideration touched upon in her presentation is mostly about data privacy.

Send us Fan MailMitochondrial peptides act as stress signals that regulate metabolism, muscle mass, and neurodegeneration.TOPICS DISCUSSED:Mitochondria as Communication Hubs: Beyond ATP production, mitochondria encode peptides that regulate cell death, immunity, and inter-organ communication.Humanin Discovery: Identified independently by three labs; neuroprotective, longevity-linked, and capable of neutralizing APOE4 effects via a rare Jewish variant.Ethnic Genetic Variants: Ancestry-specific mutations in MOTS-c, MENTSH, and SHMOOSE influence diabetes, obesity, sarcopenia, and Alzheimer's risk.MOTS-c & Muscle Preservation: Exercise-induced peptide prevents atrophy and may offset muscle loss seen with GLP-1 drugs.Peptide Classes: Fragments of larger proteins, endogenous microproteins from small genes, and emerging AI-designed artificial peptides.Diet Modulation: Mediterranean diet adherence raises circulating levels of the peptides humanin and SHMOOSE.Clinical Reality Check: Early MOTS-c trials showed metabolic benefits; unregulated products often contain inaccurate doses.ABOUT THE GUEST: Pinchas Cohen, MD is Dean of the USC Leonard Davis School of Gerontology and a leading researcher on mitochondrial peptides in aging, metabolism, and neurodegeneration.RELATED CONTENT:Article | Metabolic Stress & the Peptide MOTS-c: How Much is Too Much?Podcast | MOTS-c & Mitochondrial Peptides in Health & Aging | David LeeSupport the showSupport my work:Good Chemistry: Personalized, science-based health consulting. Work with Dr. Nick Jikomes directly.Affiliate Partners: Visit this link to see my affiliate partners and get discounts codes for products & services to support health.For all the ways you can support my efforts.

your medicine may not look like someone else's and if you start listening to others instead of what you were prescribed things won't work or heal how they were intended to. people can have good intentions for you and still try and steer yo away from the medicine that's for you and these are some ways i've been handling that my community meets EVERY week at 9pm est Mondays, would love to have you. Checkout all my links HERE

What if everything men are told about a prostate cancer diagnosis, biopsy first, surgery next, is built on evidence that was never actually there?In this episode of Integrative Cancer Solutions, Dr. K sits down with Dr. Stephen Petteruti, board certified family physician and author of Fight Cancer Like a Man, to break down the 2023 New England Journal of Medicine study that found no survival difference between surgery, radiation, and doing nothing at all for early stage prostate cancer. Dr. Petteruti explains why he stopped recommending biopsies, how a needle can spread the very cancer it's meant to detect, and why watching PSA and MRI trends over time is often safer than rushing into treatment. He also covers the overlooked role of testosterone in prostate cancer care, including bipolar androgen therapy, and makes the case for tracking the disease like a chronic condition instead of chasing a cure that costs a man his vitality.If you or someone you love is facing a prostate cancer diagnosis, or just navigating an elevated PSA, this conversation lays out the questions worth asking before agreeing to anything.Key Takeaways:0:00 Introduction2:33 The prostate trial that shattered the surgery-first model5:19 Why a biopsy can spread the very cancer it's meant to find8:23 Castration's hidden cost on testosterone and quality of life17:12 Tracking prostate cancer with MRI and PSA instead of biopsy21:58 Repurposed drugs and why DIY protocols backfire38:10 BAM therapy: using testosterone as a weapon against advanced cancer Schedule a Free 15-Min Cancer/Lyme Consultation at The Karlfeldt Center: 208-338-8902Resources:Fight Cancer Like a Man (book) - https://www.intellectualmedicine.com/dr-stephen-petteruti-booksIntellectual Medicine, Dr. Petteruti's practice - https://www.intellectualmedicine.com/The Prostate Protocol - https://assets.ctfassets.net/psmhuxrqomif/4iFYGN6rh0cloFTQyxdit9/a2c3e8e20e335df0ad22f70ca0e0af48/the-prostate-protocol-pdf.pdfProtecT Trial, New England Journal of Medicine, 2023 - https://www.nejm.org/doi/full/10.1056/NEJMoa2214122Johns Hopkins Bipolar Androgen Therapy Research - https://www.hopkinsmedicine.org/news/articles/2023/12/bipolar-androgen-therapy-trials-under-way Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose, treat, cure, or replace professional medical advice. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

Addiction affects millions of people, yet stigma and misunderstanding often prevent people from seeking help. In this episode of Health Matters, host Courtney Allison speaks with Dr. Jonathan Avery, an addiction psychiatrist at NewYork-Presbyterian and Weill Cornell Medicine, about the realities of addiction and recovery. Dr. Avery explains that addiction is more than a problem of willpower. Drawing on research and clinical experience, he discusses how genetics, mental health, trauma, social factors, and brain chemistry all play a role in the development of substance use disorders and behavioral addictions. The conversation examines how addictive behaviors, from alcohol use and opioid dependence to gambling and social media use, affect the brain's reward system and why quitting can be so difficult. Dr. Avery also shares how newer treatments, including medications and emerging research on GLP-1 medications, are changing the landscape of addiction care. Finally, Dr. Avery discusses the importance of reducing stigma, building supportive communities, and recognizing that recovery is possible. He offers practical advice for people who may be struggling themselves as well as guidance for supporting loved ones with compassion and understanding. Chapters 00:00 – What Is Addiction? Why addiction is more than a substance, the role of trauma and mental health, and what happens in the brain 05:05 – Gambling, Screens, and Modern Addictions How behavioral addictions affect the brain and why smartphones have changed the landscape 09:00 – Treatment, Recovery, and New Hope Available therapies, medications, emerging GLP-1 research, and why most people do get better 11:30 – Breaking Stigma and Supporting Recovery Why connection matters, how addiction overlaps with mental health, and ways to support loved ones Key Topics Covered Addiction Recovery Substance use disorders Alcohol use disorder Opioid addiction Fentanyl epidemic Behavioral addictions Gambling addiction Social media addiction Gaming addiction Nicotine and vaping Dopamine and reward pathways Withdrawal Mental health and addiction Trauma and addiction Addiction stigma Recovery support Community and connection Addiction treatment Medication-assisted treatment GLP-1 medications Self-medication hypothesis Depression and addiction Anxiety and addiction Addiction psychiatry Key Takeaway Addiction is a complex health condition influenced by brain biology, mental health, life experiences, and environment, not simply a lack of willpower. While quitting can be challenging, effective treatments, supportive communities, and growing understanding of addiction are helping more people achieve lasting recovery. Reaching out for help is often the first and most important step.   Bio: Jonathan Avery, M.D., is an addiction psychiatrist at NewYork-Presbyterian/Weill Cornell Medical Center and vice chair of addiction psychiatry, a professor of clinical psychiatry, and the Stephen P. Tobin and Dr. Arnold M. Cooper Professor in Consultation-Liaison Psychiatry at Weill Cornell Medicine. He is the program director for the addiction psychiatry fellowship at NewYork-Presbyterian and Weill Cornell Medicine. He also serves as the medical director of the NBA's Anti-Drug Program. Dr. Avery graduated from the New York University School of Medicine and completed his psychiatry residency at New York-Presbyterian/Weill Cornell Medical Center. During residency, he was selected as a Group for the Advancement of Psychiatry Fellow, served as co-chief resident in his final year, and received several awards for his clinical and academic work. He then completed a fellowship in addiction psychiatry at the New York University School of Medicine before joining the faculty at Weill Cornell Medicine. Dr. Avery has published widely in addiction psychiatry, with work spanning clinician attitudes toward patients with addiction, treatment approaches for substance use disorders, and the intersection of mental illness and addiction. He is the founder of the NewYork-Presbyterian and Weill Cornell Medicine Program for Substance Use and Stigma of Addiction, and his research on stigma has been supported by multiple national grants and awards. He has served on the editorial board for the DSM-5 Clinical Cases book and is the editor and author of more than 10 books, including Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment and The Stigma of Addiction: An Essential Guide. His forthcoming book, Thriving with Addiction: A New Roadmap for Lasting Recovery and Health (Prometheus Books, 2026), explores how recovery can become a pathway to improved brain and physical health. Dr. Avery is also the host of the Thriving with Addiction podcast, where he interviews leading researchers, clinicians, athletes and public figures about addiction, recovery and behavior change. He has received numerous awards for his clinical and academic work, including the American Board of Psychiatry and Neurology Faculty Innovation in Education Award and the Outstanding Faculty Member Award from the New York County Psychiatric Society.

Throughout the Western history of conservation, protecting nature has often meant removing people. It's what happened during the creation of many of America's national parks. But what if protecting nature didn't have to mean displacing the people who call it home? That's the question that brings us to Culatra, a small fishing island off Portugal's southern coast, and one of the country's seven natural wonders. For decades, the Portuguese government saw only one way to save the fragile lagoon surrounding Culatra: kick out the residents. This episode follows one woman's decades-long fight for her island — and the unlikely alliance she built along the way with the very scientists once sent to evict her.CREDITSThis episode was reported and produced by Geert Vlieger. Sound design also by Geert. Johanna Zorn edited the episode with help from Executive Producer Carlyle Calhoun. Fado was performed on acoustic guitar by Ricardo Martins and Cláudio Sousa. All other music in the episode is composed and produced by Geert. Sea Change's theme music is by Jon Batiste.Production of this episode was made possible with support from the Walden Collective and Sciaena, and funding from the European Union's Big Green Project. One brief update: Valentina Munoz is now in Lisbon and is no longer working for the NGO, but hopes to continue working on community-based ocean protection programs. Sea Change is a WWNO and WRKF production. We are part of the NPR Podcast Network and distributed by PRX. And to help others find our podcast, please share this episode with a friend!Sea Change is made possible with major support from the Gulf Research Program of the National Academy of Sciences, Engineering, and Medicine. WWNO's Coastal Desk is supported by the Walton Family Foundation, the Meraux Foundation, and the Greater New Orleans Foundation. 

Eric Schneider is an adjunct professor of health policy and management at the Harvard T.H. Chan School of Public Health and a member of the Journal's Perspective Advisory Board. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. M. Chernew and E.C. Schneider. Rethinking the Role of Pay for Performance in Federal Health Care Quality Programs. N Engl J Med 2026;395:625-628.

What if your skin could just . . . remember how to act young again? That's essentially the pitch behind Biocogent's new RNActivate W, a next-generation active that doesn't add collagen or push it as peptides do. Instead, it goes upstream and silences a tiny piece of regulatory RNA (the so-called "wrinkle miRNA") that tells your skin cells to stop making collagen and elastin. Join Ella and Maggie for an ingredient deep dive into what microRNAs actually are, why the 2024 Nobel Prize in Medicine matters for your treatment room, what to look for on an INCI list when you see "s-RNA-5," and how to talk about this category with clients without overpromising. Spoiler: This isn't snake oil, but it isn't a retinol replacement either. ASCP Esty Talk with hosts Ella Cressman and Maggie Staszcuk   Produced by Associated Skin Care Professionals (ASCP) for licensed estheticians, ASCP Esty Talk is a weekly podcast, hosted by licensed estheticians, Ella Cressman, ASCP Skin Deep Magazine contributor, and Maggie Staszcuk, ASCP Program Director. We see your passion, innovation, and hard work and are here to support you by providing a platform for networking, advocacy, camaraderie, and education. We aim to inspire you to ask the right questions, find your motivation, and give you the courage to have the professional skin care career you desire.  About Ella Cressman:  Ella Cressman is a licensed esthetician, certified organic formulator, and business owner with more than 20 years of experience in corrective skin care. Known as an "ingredient junkie" and industry cheerleader, she empowers professionals to think beyond products and develop a deeper understanding of skin function and formulation. In addition to her practice, Cressman is the founder of the HHP Collective, a practitioner-led community focused on strengthening clinical reasoning and advancing professional growth within the esthetics industry.   Connect with Ella Cressman:  Website: www.hhpcollective.com  LinkedIn: linkedin.com/in/ella-cressman-62aa46a    About Maggie Staszcuk:  Maggie Staszcuk serves as the Program Director for ASCP and is the cohost of ASCP Esty Talk podcast. With over 18 years' experience in the esthetics industry, her diverse background includes roles in spa management, spa and med-spa services, and esthetics education. Since becoming a licensed esthetician in 2006, she carries a range of certifications in basic and advanced esthetics. Maggie is dedicated to equipping estheticians with the knowledge and resources they need to thrive in their careers.   Connect with Maggie Staszcuk:  P: 800.789.0411 EXT 1636  E: MStaszcuk@ascpskincare.com    About our Sponsors: Massage Envy is a national franchisor and does not independently own or operate any of the Massage Envy franchised locations nationwide. The Massage Envy franchise network, through its franchise locations, is the leading provider of massage services. Founded in 2002, Massage Envy now has approximately 1,100 franchise locations in 49 states that have together delivered more than 200 million massages and skin care services. Website: www.massageenvy.com/careers/career-areas/esthetician  Facebook: @MassageEnvyCareers LinkedIn: @MassageEnvy   GlossGenius Gaps in your schedule. Clients who don't rebook. Tight margins. High payment processing fees. Sound familiar? When you're running your own practice, you don't have time to figure out where you could be making more money. Especially when you're stitching together booking, payments, and a clunky EMR that only makes things harder. That's why we love GlossGenius — the business management platform that does the work for you. It fills your calendar, rebooks clients automatically, upsells high-margin services, and has the lowest flat-rate payment processing fees. Plus, all the HIPAA-compliant tools you need for charting, consents, and client records — without the admin chaos. GlossGenius grows your revenue and handles the busywork, so you can focus on your clients. Use code ESTY at GlossGenius.com for 50% off your first two months of their Gold or Platinum plan. GlossGenius. More Growth. Less Busywork. Visit https://glossgenius.com/ascp for more details.   About Associated Skin Care Professionals (ASCP):    Associated Skin Care Professionals (ASCP) is the nation's largest association for skin care professionals and your ONLY all-inclusive source for professional liability insurance, education, community, and career support. For estheticians at every stage of the journey, ASCP is your essential partner. Get in touch with us today if you have any questions or would like to join and become an ASCP member.  Connect with ASCP:  Website: www.ascpskincare.com  Email: getconnected@ascpskincare.com  Phone: 800-789-0411  Facebook: facebook.com/ASCPskincare  Instagram: @ascpskincare 

Obstructive sleep apnea affects approximately one in four adults and is especially common among patients with neurologic disorders, including stroke, Parkinson disease, dementia, epilepsy, and neuromuscular conditions. In this episode, Dr. Stephanie Stahl discusses why neurologists should routinely screen for OSA, highlights key symptoms and risk factors, reviews important considerations when interpreting sleep studies, and outlines current treatment options beyond CPAP. Learn how recognizing and treating sleep apnea can improve quality of life, optimize management of neurologic disease, and reduce long-term health risks. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Stephanie M. Stahl, MD, FAASM, author of the article "Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Stahl is an Associate Professor of Clinical Medicine and Sleep Medicine Fellowship Program Director at Indiana University School of Medicine in Indianapolis, Indiana, where she also serves as Sleep Laboratory Medical Director in the Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine. Additional Resources Read the article: Obstructive Sleep Apnea 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: @AaronLBerkowitz  Full episode transcript available here Dr Berkowitz: Obstructive sleep apnea is very common. It can cause or contribute to common neurologic symptoms, such as headache and impaired cognition, and it's a risk factor for stroke. And yet, if you're like me, you may not know too much more about sleep apnea than that. Today, I have the pleasure of talking to sleep expert Dr. Stephanie Stahl to learn what every neurologist should know about OSA.  Dr Jones:  This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Berkowitz: This is Dr. Aaron Berkowitz. Today I'm interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, Dr. Stahl, and could you please introduce yourself to our audience?  Dr Stahl: Yeah. Thank you for having me. I'm a sleep medicine physician and neurologist and medical director of the Indianapolis Sleep Lab at Indiana University Health. I serve as the director of the Sleep Medicine Fellowship program. I'm faculty advisor for our very first student interest group in sleep medicine at Indiana University School of Medicine. I'm also actively involved in some national leadership roles, including the incoming chair of the American Academy of Sleep Medicine's Education Committee and co-chair of the Academy's Inter-Scorer Reliability Gold Standard Panel. So, I really appreciate this opportunity. I look forward to our discussion.  Dr Berkowitz: Me too, and we appreciate the opportunity too to get to talk to you. You have so much expertise in this area, and I certainly encourage our listeners to look at your article, which is very comprehensive and up to date, and I learned a ton from it. I didn't get much exposure to sleep neurology as a trainee, and I've always worked in academic centers where we have a sleep group and we can refer patients there. So, I have to admit, sleep may probably be the area of neurology I know the least about, and felt like I was learning something new from pretty much every line of your article, and I know our readers will too. So, your article has a lot of excellent detail for our readers on the diagnosis and treatment of this very common condition. But I'd like to keep our interview relatively high level today and focus on the essentials for the practicing general neurologist. So, to start, can you just give us a sense of what obstructive sleep apnea is, and what every neurologist should know about it?  Dr Stahl: Yeah. So obstructive sleep apnea is characterized by either partial or full obstructions in the upper airway. That may sound pretty simple, but this leads to a whole bunch of issues. It leads to oxygen desaturations, arousals from sleep, leading to sleep fragmentation. This can then lead to sympathetic nervous system activation, cerebral hypoperfusion, leading to a whole bunch of symptoms or neurologic conditions.  Dr Berkowitz: Great. And you mentioned this in your article, but just to emphasize, how common is obstructive sleep apnea in the general population?  Dr Stahl: Yeah. So, about a quarter of the general population have obstructive sleep apnea. Much more common in many neurologic conditions.  Dr Berkowitz: Yeah, so very common disorder. We are seeing patients with it quite frequently, whether that's the reason they are seeing us in neurology or not. And this leads to my next question, which is what neurologic symptoms or presenting concerns of a patient should make us think about OSA and the differential diagnosis, and what factors based on the history or the exam or the context would make you suspicious for OSA as the cause of a neurologic symptom? In other words, the patient's presenting with classic symptoms of OSA, and that's why they're seeing a neurologist or seeing a primary care doctor, but is coming for evaluation of, say, headache or other symptoms. And what symptoms would make you think of wanting to consider OSA, and then what aspects of the history or otherwise would make you want to evaluate the patient for OSA?  Dr Stahl: I think a really important takeaway is for neurologists to know that obstructive sleep apnea is very common in neurologic conditions and has that potential to worsen a lot of these conditions or their associated symptoms. And so, it should be on our radar. There are certainly some basic questions and signs and symptoms that we can ask patients about or, or take a look at on exam. And so particular symptoms include snoring. Anybody that snores loudly or frequently, that's a strong risk factor for obstructive sleep apnea. If someone's seeing them stop breathing in their sleep, if they are waking up a lot throughout the night. There are some other symptoms that we may not necessarily attribute upfront to obstructive sleep apnea, such as nocturia, nocturnal reflux, night sweats. There are some daytime symptoms, of course, too, like unrefreshing sleep, daytime sleepiness, morning headaches, an important one in neurology. And then we take a look at the patient's exam. And so, some things that neurologists might want to be thinking about are people with obesity are certainly at a risk for obstructive sleep apnea. But it's also very important to know that someone does not need to have obesity in order to have obstructive sleep apnea. We look at neck size, other morphologic characteristics, such as how much that we can see in the back of their mouth. Can we see their uvula? Does their tongue size appear large in their mouth? And then some other risk factors too, such as male gender, older age, family history, post-menopausal state in women. All that being said, though, sometimes in neurologic conditions, we don't have all of those symptoms or risk factors to be thinking about. And so, in certain neurologic conditions such as stroke where obstructive sleep apnea is very common and has the potential to increase the risk of another stroke, we may need to be thinking about testing these patients even with minimal symptoms or other risk factors.  Dr Berkowitz: That's very helpful. So, you mentioned their headache might be the presenting symptom, right, to a neurologist, and we should certainly be thinking about obstructive sleep apnea as a potential diagnosis, even the cause of the patient's headache, particularly you said patients with morning headache. I often try to think about in patients presenting with, for memory loss, or other cognitive concerns, and that may be due more to inattention from poor sleep, so asking about sleep and symptoms of sleep apnea in those contexts. Are there any other presenting neurologic symptoms not particularly related to sleep? I'm thinking of headache, memory loss, other symptoms that would make you think, "Oh, I should actually screen this patient for sleep apnea also."  Dr Stahl: Yeah, other symptoms to think about in pediatrics, hyperactivity, people that have impaired vigilance, as you alluded to, that poor attention. Sometimes people get misdiagnosed with ADHD, and it's actually just a manifestation of obstructive sleep apnea.  Dr Berkowitz: You alluded to this, Dr. Stahl, that stroke, for example, patients are at higher risk of developing sleep apnea as a result of stroke, and it's also a risk factor for stroke. What other neurologic conditions, primary neurologic diseases, put patients at a higher risk of OSA? And again, similar to the last question I asked you, what are some clues that we should evaluate for? We might be following a patient for their post-stroke care over time and not necessarily thinking about diagnosing a separate condition in them since we're following them for their stroke or their degenerative disease. What are the conditions that put patients at a higher risk of OSA as a result of the condition, and then when would you think about screening them for it?  Dr Stahl: Some particular neurologic conditions where obstructive sleep apnea are very common, in addition to stroke and, and TIA, include Parkinson disease. It can worsen a lot of the motor, cognitive symptoms, sleep disruption that we can see in Parkinson disease. Very common in all causes of dementia, but in particular Alzheimer disease and Lewy body dementia. Very common in neuromuscular conditions. We should definitely have obstructive sleep apnea and all forms of sleep-disordered breathing high on our radar. In conditions like myotonic dystrophy. Charcot-Marie-Tooth is another one where obstructive sleep apnea is very common. Myasthenia gravis, it can worsen the symptoms of that. In particular, a pearl is if somebody has morning weakness in myasthenia gravis, obstructive sleep apnea should be high on your radar. And also, as you mentioned, any forms of headaches. There are some other things too. If somebody has poor seizure control, especially nocturnal seizures, you might have obstructive sleep apnea on your radar as well.  Dr Berkowitz: So, I think you've covered essentially every category of neurologic disease, right? We have cerebrovascular, movement, neurodegenerative, neuromuscular, epilepsy, all conditions where either the disorder itself, such as stroke or the, correct me if I'm wrong, the neurodegenerative disease puts the patient at risk. Or the patient may be at risk for exacerbations of their disease, as you mentioned in myasthenia. I love that pearl. Not fatiguable at the end of the day, but if the patient with myasthenia is telling you they're feeling weaker at the beginning of the day, then think about obstructive sleep apnea and that obstructive sleep apnea worsening control of epilepsy due to poor sleep. So really a lot of bidirectional interactions with this common condition. Okay, so if we're concerned about obstructive sleep apnea, again, myself, a general neurologist speaking perhaps on behalf of other general neurologists, we see a patient with headache or reporting memory loss that we find to be impaired attention, or we see exacerbation of their underlying primary neurologic disease. As you mentioned, we think, "Oh, I've listened to this podcast. I've read Dr. Stahl's article. I should probably be thinking about OSA in this patient, and I should order a sleep study." Now, I admit when I get the sleep study back, I scroll to the bottom, I see they do have obstructive sleep apnea, I'm going to send them over to a sleep specialist. But for the general neurologist, what are some high-yield pearls and some pitfalls to be aware of when we get sleep studies for obstructive sleep apnea, and we are looking at the results? Dr Stahl: The first thing is to understand that there are two main types of sleep studies: in-lab polysomnography and home sleep apnea test. In-lab studies are typically what we consider the more accurate type of study. Main reason for that is that we have EEG, so we can see if someone is awake versus asleep. Most home sleep apnea tests do not utilize EEG, and so when we're looking at respiratory events, apneas or hypopneas, we're looking at over the total recording time rather than the total sleep time. So, we know we're going to capture some time where a person is awake, where we don't have sleep apnea events, and that can be a big amount of time in people with insomnia, poor sleep efficiency. And as a result of that, it can lead to an underestimation of the apnea-hypopnea index. That's really important for people to understand that that means we can end up with a false negative home sleep apnea test, or it can put them in a category of lower severity than what they actually have. And so, if you get a home sleep study report back that's negative for sleep apnea and you remain concerned, you need to go on to do an in-lab study, where about twenty to fifty percent of people will go on to have a positive in-lab study. You can also get false positives with home sleep apnea tests too, and so ideally, we should only be doing home sleep apnea tests in people that are at high risk of having obstructive sleep apnea to decrease our chance of false positive study. When we get that sleep study report, what's important to take a look at? So the main number that we look at currently is the apnea-hypopnea index. The number of apneas, which are full obstructions in that upper airway, or hypopneas, partial obstructions in the upper airway where either there's an oxygen desaturation or an arousal associated with that. Less than five is considered to be normal. Anything five or more gives them a diagnosis of obstructive sleep apnea, and then we stratify them based on the AHI. But it's important to take a look at more than just the apnea-hypopnea index. And while my eyes too on various reports like echocardiograms want to jump to the impression, it is important to take a look at that full report, see what their oxygen levels averaged and what they dipped down to. The arousal index, which is how many times a patient may have woken up briefly throughout the night. Take a look at the histogram, usually an image at the bottom of their report that shows what sleep fragmentation may have been like so that you can take that all in and make that decision. How important are these study findings, and is this a person that would benefit from treatment?  Dr Berkowitz: That's a fantastic overview of sleep studies and some of the highlights to look out for, even if we won't be understanding every detail as you would to know most importantly the caveats about home sleep testing having a fairly high percentage of false negative and false positive results. So being wary if our suspicion is high, and that test is normal or inconclusive to get an in-lab sleep study. And if our suspicion is low or maybe we haven't ordered the test and the patient has had it done elsewhere, and the history doesn't really match up to know that there are false positives on the home studies as well, and again, an in-lab study to settle the diagnosis. Is that right?  Dr Stahl: Yes.  Dr Berkowitz: Okay. Now, for most neurologists, probably if we diagnose OSA, we will be referring the patient to a sleep specialist like yourself for treatment. I think we're all familiar with CPAP and patients being on CPAP. Your article mentions a number of treatment modalities I admit I have not heard of before or maybe heard of in passing, acknowledging most general neurologists are not going to be prescribing or knowing with the nuance that you do as an expert how to decide which treatment a patient would most benefit from or most qualify for. So, can you just give us a broad overview, again, for the general neurologist acknowledging we might see a patient whose past medical history says OSA being treated with fill in the blank. What are the different treatment modalities, and how do you think, just so we can learn from you in broad brush strokes, about particular treatments for particular patients?  Dr Stahl: As you mentioned, most people are familiar with positive airway pressure or PAP therapy, and that does remain our most efficacious treatment. The way I explain it to patients is why PAP therapy is the most effective treatment is it's the only treatment that can take all of the tissues of that upper airway and open them up. Whereas all of our other treatments, we're going to target smaller spaces of that upper airway. So, our first option is if we can get somebody on PAP therapy, we know that that's going to be the best option for the majority. PAP therapy works by basically acting as an air splint to open up the air tissues. Know that masks are not interchangeable. There are masks that cover the nose and go over the nose and mouth and under the nose. Full face masks that cover the nose and mouth, they do typically require higher pressures, also tend to be less comfortable for a lot of patients as well. In addition to different PAP masks, there's different modalities of positive airway pressure therapy too. There are machines that auto-adjust, some that provide fixed pressure, bi-level PAP that provides a higher inspiratory pressure, lower expiratory pressure. Then outside of PAP therapy, there are, as you alluded to, a lot of options and more, continuing to come down the pipeline as well. Mandibular advancement devices or a form of oral appliances has been around for a while. This is device that somebody wears in their mouth. It's preferably customized for their teeth and titratable, meaning that they can make adjustments that pulls their mandible forward in relation to the maxilla in order to pull those tongue tissues further away from the back of the upper airway. That's ideally managed by a qualified sleep dentist or someone that specializes in oral appliance management. Other treatments include surgical options, including hypoglossal nerve stimulation, which is an implanted device that causes the tongue to protrude repetitively throughout their sleep period to hopefully open up the airspace. There's some other surgical options too that open up various places of the upper airway. There's a daytime treatment of obstructive sleep apnea, transoral neuromuscular electrical stimulation that changes the muscle fiber type of the tongue. And then there's some adjunctive treatments that can be helpful too, such as positional therapy, oral facial myofunctional therapy that helps a person breathe better through their nose and may help train the upper airway muscles.  Dr Berkowitz: Great. Well, that's a very helpful overview, and again, I refer our listeners to your article, which talks about all of those modalities in very comprehensive detail. So, Dr. Stahl, as we wrap up our conversation, you have a captive audience of neurologists and neurology trainees here. What would you like to leave us with that every neurologist should know about obstructive sleep apnea?  Dr Stahl: The most important, again, is for neurologists to know that obstructive sleep apnea is so common in your patient population, and it can have a significant negative impact on quality of life and health, including many neurologic conditions. And at the same time, obstructive sleep apnea is very treatable. We have so many options nowadays that we can usually get someone onto adequate treatment. And treatment has that potential to improve several neurologic symptoms and disorders, even at times when you don't think that there's an opportunity to improve symptoms such as say in, headache. So, neurologists really should be screening for signs and symptoms of obstructive sleep apnea, as well as considering testing in high-risk, potentially asymptomatic or minimally symptomatic patients.  Dr Berkowitz: That's a fantastic overview of some of the many pearls that you shared with us today, as well as in your article. So, thank you so much again. Today, I've been interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today, and thank you again, Dr. Stahl.  Dr Stahl: Thank you again 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.  

Host Sandra Lindsay, DHSc is joined by Dawnette Lewis, MD, MBA, director of Northwell's Center for Maternal Health, to assess the current landscape of maternal morbidity and mortality. Dr. Lewis reveals that the U.S. continues to have one of the highest maternal mortality rates among developed nations, with Black birthing mothers still carrying a disproportionately high burden. She argues that disparities for Black mothers persist even when accounting for varying socioeconomic status, citing historically inequitable care and other systemic barriers that stall progress. The discussion also highlights efforts in New York State to better standardize care and address these complex challenges. Northwell is New York State's largest healthcare provider and private employer, with 28 hospitals, 890 outpatient facilities and more than 16,600 affiliated physicians. We're making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. Get the latest news and insights from our experts in the Northwell Newsroom: Press releases Insights Podcasts Publications Interested in a career at Northwell Health? Visit our career site and explore our many opportunities. Watch episodes of 20-Minute Health Talk on YouTube.  For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Instagram, X and LinkedIn.

In the second part of their discussion, Sandra and Dr. Lewis focus on the path forward, detailing concrete systemic solutions and policy changes vital for creating safer outcomes for mothers. Dr. Lewis advocates for extending postpartum Medicaid coverage nationwide, stressing that the majority of maternal mortality occurs in the year following delivery — a critical window for intervention. The conversation also covers New York State's vital data-driven research into disparate C-section rates and their associated risks, as well as crucial advice for self-advocacy and the importance of multidisciplinary care and community support. Northwell is New York State's largest healthcare provider and private employer, with 28 hospitals, 890 outpatient facilities and more than 16,600 affiliated physicians. We're making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. Get the latest news and insights from our experts in the Northwell Newsroom: Press releases Insights Podcasts Publications Interested in a career at Northwell Health? Visit our career site and explore our many opportunities. Watch episodes of 20-Minute Health Talk on YouTube.  For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Instagram, X and LinkedIn.