Science and practice of the diagnosis, treatment, and prevention of physical and mental illnesses
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Многие думают, что цирроз печени возникает из-за злоупотребления алкоголем. Это не всегда так. Циррозом можно заболеть и после неудачного переливания крови, и из-за проблем с обменом веществ, и даже если вы совсем маленький ребенок с относительно крепким здоровьем. История изучения цирроза и его причин — это лабораторные крысы, которые обманули учёных, эксперименты над детьми в закрытых школах и загадочная кровь австралийских аборигенов. Обо всем этом рассказываем в выпуске.Экспертка эпизода: Софья Бакаева, врач-гастроэнтеролог и гепатолог. Блог в Telegram: https://t.me/bakaevadoc
Over the past 160 episodes, two themes that have appeared repeatedly feel as relevant and urgent as ever are 1) the pros and dehumanizing cons of technology and 2) approaching suffering in the human experience. In this episode, we are excited to bring back a panel of notable past guests to discuss the interplay between medicine, suffering, technology, and the human experience. We are joined by historian Christine Rosen, PhD, philosopher Mikolaj Slawkowski-Rode, PhD, and palliative care physician Sunita Puri, MD. Rosen is a senior fellow at the American Enterprise Institute whose work is focused on American history, society and culture, technology and culture, and feminism. Slawkowski-Rode is an assistant professor of philosophy at the University of Warsaw and research fellow at the University of Oxford with a current emphasis on the philosophy of science and religion. Dr. Puri is a palliative care physician, associate professor at the University of California, Irvine School of Medicine, and author of the critically acclaimed book That Good Night (2019). As a panel, we consider a prominent aspect of the unwritten curriculum of medicine: how medicine often considers suffering and sorrow to be fixable and their eradication to be a metric of medical success. We explore ways digital technology can make our lives easier without making them better, and the pressing need to define and defend the (non-digital) human experience. We propose that the goal is not to eradicate all suffering, but to reduce needless suffering without denying the forms that accompany love, growth, and moral responsibility. When suffering is treated as an intolerable defect, we can become preoccupied with self-protection and less available to one another. The first and most important gift a caregiver can give is their undivided attention and the biggest mistake we can make in medicine is turning away from suffering. Finally, we ponder if for both patients and physicians, life, in the end, is meant to be a mystery.In this episode, you'll hear about: 6:37 – Unlearning preconceived perspectives on suffering, technology, and human experience. 13:08 – Engaging with digital technology critically instead of presuming that technological progress is inherently good.19:28 – Suffering as an irradicable and sometimes necessary element of the human condition.27:50 – Helping young terminal patients grapple with their diagnosis as a palliative care doctor. 36:36 – How the pursuit of immortality can lead to moral sickness.47:08 – How digital technologies are inciting a collective disembodiment from reality.53:15 – Practices that will positively impact the modern lived experience.Explore our guests' past episodes on The Doctor's Art: Human Experience in A Digital World | Christine Rosen, PhDA Philosophy of Grief | Mikolaj Slawkowski-Rode, PhDThe Beauty of Impermanence | Sunita Puri, MDIf you enjoyed this episode, please subscribe, rate, and review our show wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2026
Whew, Reigndrops, do we have a show for you. Carlos is joined by the OGs, Dustin Ross and Claudia Jordan, to talk about Married to Medicine’s Quad and her split from boyfriend King, and of course the hot topic of the night, Karen Huger’s sit-down with Andy Cohen. What a way to end the season!See omnystudio.com/listener for privacy information.
Today, I'm joined by the inspiring Dr. Jeffrey Gladden—a trailblazer in longevity medicine who once spent decades as an interventional cardiologist, only to challenge everything he knew after his own health hit a wall. Dr. Gladden opens up about the moment he refused to accept "normal for your age" as a diagnosis, launching himself into the world of functional and age-management medicine to reclaim his vitality and help others do the same. Episode Timestamps: Welcome and episode introduction ... 00:00:00 Health crisis and discovering personal optimization ... 00:07:05 From "sick care" to health optimization ... 00:10:46 Vision for personalized, youthful longevity ... 00:12:17 Personalized medicine: why one size doesn't fit all ... 00:16:00 Linear versus exponential aging; fixing a flawed approach ... 00:18:02 Five circles of exponential health: key longevity domains ... 00:19:23 Curiosity, growth mindset, and quantum thinking in longevity ... 00:22:22 Why individualization is crucial for diet and interventions ... 00:28:52 Insulin resistance: the hidden driver of aging ... 00:33:41 Environmental and internal (psychospiritual) factors in health ... 00:38:40 Healing through meditation, stress management, and flow ... 00:41:15 Robustness, resilience, and anti-fragility as longevity superpowers ... 00:57:09 Safe, personalized hormone therapy and the importance of tracking ... 01:03:33 Integrating mindset, purpose, and psycho-spiritual work ... 01:08:50 Peptides and advanced therapies: preparing for optimal results ... 01:09:56 Common test misconceptions in longevity medicine ... 01:12:56 Debunking the myth of single biological age ... 01:16:38 Resources, connect with Dr. Gladden, and closing ... 01:18:09 Our Amazing Sponsors: Youth Daily by Young Goose — An all-in-one moisturizer powered by NAD+ nano precursors to boost elasticity, smooth wrinkles, and keep your skin looking fresh, dewy, and full of life; grab yours at younggoose.com and use code Nat10 for first orders or 5NAT for returning customers. Quantum Upgrade - Supports nervous system balance without wearables or apps—just effortless, 24/7 quantum energy streaming. With 21+ studies showing measurable improvements in stress and cellular function, it's easy to try for yourself. Visit quantumupgrade.io/NAT and use code NAT10 to start the free trial. Mitopure®️ Longevity Gummies by Timeline — Clinically backed Urolithin A supports mitochondrial health to boost energy, recovery, and healthy aging, all in an easy daily gummy instead of another pill; go to timeline.com/nat20 for 20% off Mitopure®️ Gummies. Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Facebook Group
The Mindful Healers Podcast with Dr. Jessie Mahoney and Dr. Ni-Cheng Liang
A special release in honor of National Women Physicians Day 2026. Today's conversation is an invitation to notice overfunctioning with compassion. Overfunctioning may have helped you succeed in medicine but it often costs you intimacy, energy, and connection. Overfunctioning and underfunctioning, as well as the resentment that follows, are a familiar relational dynamic. Overfunctioning is not a personality flaw; It's a role we step into. It is shaped by our training, context, and culture. When we pause, rest, and allow space, we usually find that the world doesn't fall apart. Others step forward in their own time and way. Even when it feels unfamiliar, this shift can offer clarity, growth, and alignment with how we truly want to live and lead. Pearls of Wisdom • Overfunctioning is a relational role developed in response to internal and external expectations. • When one person consistently does more, others often do less. Over time, the systems adapted this way. • Resentment is information. It often signals over-capacity. • Doing less can be an act of love that allows systems and relationships to reorganize. • When we stop stabilizing what's falling around us and tend to our own nervous systems first, is when change begins. Reflection Questions Where in your life are you doing more than your share simply because you are capable? What feels most uncomfortable about stepping back? What might happen if you rest or stop managing? What would love do this week in your relationships or at work? Join me for coaching or a retreat to explore how to change the overfunctioning habit. www.jessiemahoneymd.com In Mindful Love Small Group Coaching we specifically look at overfunctioining in the context of our intimate relationships. In Leading from the Heart and Transition Well Small Group Coaching we work on it in the context of career and life pivots and leadership. At retreats and advanced coaching, we work on moving beyond it in every realm of your life. If you are interested in having me speak to your group on overfunctioning or any of the topics discussed in this podcast, find out more here www.jessiemahoneymd.com/speaking or email me at jessie@jessiemahoneymd.com. Dr. Ni-Cheng Liang is also available to speak to your group. www.awakenbreath.com. Other Healing Medicine Podcast episodes specifically relevant to Women Physicians you may want to explore: These episodes explore the inner experience of women physicians—without pathologizing it. 293. When Feedback Feels Threatening: Nervous System Wisdom for Women Physicians 292. When Physicians Stop Believing in Themselves: Burnout, Skepticism, and the Hidden Cost 290. The Overs, the Toxics, and Why Awareness Alone Isn't Enough 269. You Were Never Meant to Carry It All: Healing the Eldest Daughter Effect 259. What Are You Proud Of? A Conversation About Worth, Identity, and Redefining Success 154. Move Beyond Imposter Syndrome These episodes highlight connection, culture shift, and the idea that "you don't have to carry this alone." 275. The Power of an Introduction: How Women in Medicine Can Change Lives and Culture Through Connection 281. Be Radiantly You: The Antidote to Exhaustion and Judgment 263. It's Okay to Have Fun: The Evolution of a Happy Doctor (with Dr. Beni Seballos) 262. Standing Tall in Surgery: Finding Fulfillment Outside the Mold (with Dr. Jenny Kang) 261. From ER Burnout to Soulful Living: Enia Oaks on Poetry, Pause, and Healing These episodes give practical frameworks for agency, boundaries, and sustainability. 289. How to Take Intentional Action So You Don't Burn Out 280. From Powerless to Purposeful: Reclaiming Choice and Agency in Medicine 279. Victimhood in Healthcare: Naming the Problem with Empathy and Truth 282. The Art of Not Fixing People 278. Finding Peace by Letting Go of Fixing, Managing, and Controlling 285. Mindfulness + Money: Rewriting Financial Stories for Physicians 239. Breaking the Over Helping Habit: Valuing Your Expertise as a Woman Physician *The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast Nothing shared in the Healing Medicine Podcast is medical advice.
Oh hey y'all.I have wanted to have this conversation for a long time, and Dr. Scott Sherr absolutely delivered.We get into what mitochondria actually do, why almost all of us are dealing with some level of dysfunction, and how energy production sits at the center of mental clarity, recovery, stress resilience, and overall health.This is one of those episodes that completely shifts how you think about your body.We also talk about methylene blue, why the internet both loves and fears it, and how to think about nervous system training, oxygen therapy, and health optimization without getting overwhelmed.This one is science heavy but incredibly practical, and honestly, I did not want it to end.Highlights:(03:09) Why mitochondria might be the missing link in modern health(09:08) The real reasons energy production breaks down over time(16:18) What health optimization medicine actually means in practice(20:30) Methylene blue explained without the hype or fear(36:25) Hyperbaric oxygen therapy, when it helps and when it does not(42:05) Building health long term while still feeling better nowConnect with Dr Scott:https://www.linkedin.com/in/drsherr/ https://www.linkedin.com/company/troscriptions/ https://www.linkedin.com/company/onebasehealth/https://www.instagram.com/troscriptions/ https://www.instagram.com/drscottsherr/https://www.instagram.com/onebasehealth/ https://www.instagram.com/homehopeorg/Qualia Mind - click hereCoupon Code: SHOCKANDYALL (15% off any purchase)Visit Nicole's on demand fitness platform for live weekly classes and a recorded library of yoga, strength training, guided audio meditations and mobility (Kinstretch) classes, as well: https://www.sweatandstillness.comGrab Nicole's bestselling children's book and enter your email for A FREE GIFT: https://www.yolkedbook.comFind Nicole on Instagram:https://www.instagram.com/nicolesciacca/Tik Tok: https://www.tiktok.com/@thenicolesciaccaFacebook: https://www.facebook.com/nicolesciaccayoga/Youtube:https://www.youtube.com/channel/UC1X8PPWCQa2werd4unex1eAPractice yoga with Nicole in person in Santa Monica, CA at Aviator Nation Ride. Get the App to book in: https://apps.apple.com/us/app/aviator-nation-ride/id1610561929Book a discovery call or virtual assessment with Nicole here: https://www.calendly.com/nicolesciaccaThis Podcast is proudly produced by Wavemakers Audio
Health Affairs' Rob Lott interviews Dr. Robert Wachter, Professor and Chair of the Department of Medicine at UCSF, about his new book A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future. Wachter reflects on his own daily use of AI as a clinician, the reasons he has grown optimistic about its potential, and the challenges of regulating fast‑evolving technologies. Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast
This is part 1 of 2Karen sits down with Andy to take…well I wouldn't call it accountability. The cake? Does that work? It was an interview, anyway. Then Heavenly finally shows up to the Married to Medicine girls trip in Miramar, and she's going to have to give an incredible stump speech to get Simone's forgiveness. Will Simone shut up long enough for her to get one out? To watch this recap on video, listen to our bonus episodes, and get ad free listening,, go to Patreon.com/watchwhatcrappens. Find bonus episodes at patreon.com/watchwhatcrappens and follow us on Instagram @watchwhatcrappens @ronniekaram @benmandelker Hosted on Acast. See acast.com/privacy for more information.
Stories from a Giant and Gadfly Discover the Protest Music of RainFall!-- like "The Antidepressant Blues!" Today, we are delighted to spend some time with a dear friend and highly esteemed colleague, Dr. David Antonuccio. David is a retired Clinical Psychologist and Professor Emeritus in the Dept. of Psychiatry and Behavioral Sciences at the University of Nevada, Reno, School of Medicine. In addition to his academic work, David had his own clinical practice for 40 years. He has published over 100 academic articles and multiple books, primarily on the treatment of depression, anxiety, or smoking cessation. Since his retirement from practice in 2020, he has been making music as part of a duo called RainFall, with his musical partner Michael Pierce. Their music can be found on Spotify, Apple music, and Soundcloud, among other streaming services. I first became familiar with David when a colleague recommended his article entitled: "Psychotherapy versus medication for depression: challenging the conventional wisdom with data," which was published in Professional Psychology: Research and Practice way back in 1995. The article blew my socks off. In the first place, he had come to the many of the same conclusions I had come to, that antidepressants had few "real" effects above and beyond their placebo effects. However, he also had incredible insights into some of the problems and loopholes with drug company research studies on antidepressants, so I tried to get as many colleagues and students as possible to read that article. Here is the article link Although I had never met David, he became my hero. One day, while I was giving one of my two-day CBT workshops in Nevada, I was singing his praises and urging participants to read that classic article, but, unexpectedly, some people started chuckling. At a break, I asked someone why people had been laughing. They said, "Didn't you know that David Antonuccio is here attending this workshop? He was out visiting the bathroom when you were singing his praises, so he didn't hear you!" And that's how we met! I couldn't believe my good fortune in meeting this brilliant and humble man in person. And to my good fortune, we became good friends right off the bat and eventually did a lot of fun professional work together, like our exciting conference challenging the chemical imbalance theory of depression which we called the Rumble in Reno. I was also proud to be included as a co-author in a popular article with David and William Danton reviewing the brilliant work of Irving Kirsch. Kirsch had re-analyzed all the data on antidepressants in the FDA archives and concluded that the chemicals called "antidepressants" had few, if any, clinically significant effects above and beyond their placebo effects. In that paper, we also emphasized the ongoing power struggle between the needs of science and the needs of marketing. Science is devoted to discovering and reporting the truth, based on research, regardless of where it leads, while marketing, sadly, is ultimately loyal to the bottom line, even if deception is required. Here is the link to our article: And here is the full reference: Antonuccio, D. O., Burns, D., & Danton, W. G. (2002). Antidepressants: A Triumph of Marketing over Science? Prevention and Treatment, 5, Article 25. Web link: http://journals.apa.org/prevention/volume5/toc-jul15-02.htm I was sad when David retired from his clinical, teaching, and research career a number of years ago in order to spend more time on creating and recording music because, a passion he'd put on the shelf during the most active years of his career. I felt we'd lost an important and courageous leader in the behavioral sciences, and felt an emptiness, like an important pioneer was suddenly missing. The following link provides a highly readable brief overview of David's career focus and interests. I was thrilled to learn just recently that David has partly resumed his role as gadfly of the behavioral sciences, rejoining the fight for science, ethics and for truth, regardless of where that leads or whose feathers are ruffled. And now, we sit down together to reminisce about his personal life and experiences with many of the greats in our field, like Dr. David Healey, Irving Kirsch, and others who have also stood up for the truth, based on their research, in spite of intense opposition from the establishment. And, today David also brings us his music, with his colleague, Michael Pierce, RainFall. Some of his music has psychiatric / psychological themes, like his "Antidepressant Blues," Some of David's music has humanistic and political themes. He said: Here's a song we just released yesterday that i will assume would not be relevant to the podcast. It is called Final Embrace and was inspired by a heart-breaking international wire photo of a Salvadoran immigrant father hugging his daughter, both deceased, in the rio grande in 2019. Here's the link to the original news story. David's two-man group, RainFall, wrote and recorded the original acoustic version of this song in 2020. He explains: We decided to record a more dynamic updated version of the song with some electric guitar chords, electric bass, and drums. We are calling it "Final Embrace Electric". The story is still heart-breaking, and it still makes me cry to sing it. Here is a link to the new version of the song, And here are the heart-breaking lyrics: Final Embrace Electric (For Oscar and Valeria) By RainFall (David Antonuccio and Michael Pierce) I'm sorry I couldn't help you I'm sorry you lost your life You took a deadly risk I'm sorry for your wife What were you supposed to do? Stay home and watch your family die? Or take a chance at freedom Reach for the sky Some say you should have known better They say that you are a criminal But they don't know your fear, your pain, your hunger For them it's the principle Some say we were here first It's not our problem Despite your dire thirst We're full, no more asylum Let's ask them what they would do If their family were faced with danger If they're honest, they'd take the chance Hope for kindness from a stranger You tried to get in the front door But it was slammed closed So you swam the deadly current Despite the perilous flow You never lost your grip Though the river was not crossable Only another parent can know How that is even possible Everyone can tell you loved your daughter Even in that place You never let her go It was your final embrace I'm sorry I couldn't help you I'm sorry you lost your life You took a deadly risk I'm so sorry for your wife Everyone can tell you loved your daughter Even in that place You never let her go It was your final embrace Your final embrace It was your final embrace It was your final embrace Thank you for joining us today. Stayed tuned for Part 2 of the David Antonuccio interview next week! David, Rhonda, and David
I get my blood work done every 90 days and I swear it's the ultimate tip for health in the short term and in the long term and just feeling your best on he daily. So, today I'm going to try to convince you to do the same. Because there is a huge difference between being "not sick" and being truly healthy and if you aren't getting your bloodwork done at least once a year, you really don't know what's going on. Most people only get blood work done when something is wrong. When they feel bad. When they are exhausted. When a symptom won't go away. When a doctor orders it because something already happened. Instead of doing it reactively, we are talking about doing it proactively. How can you know what your body needs? What supplements or adjustments to your lifestyle… it's almost impossible without bloodwork. It tells you how your hormones are functioning. How inflamed your body is. How well you are absorbing nutrients. How your cholesterol is trending. How stressed your nervous system is. How your metabolism is working. How your immune system is functioning. Today's episode is about why doing blood work every 90 days can completely change your relationship with your health, how the top longevity experts think about tracking biomarkers, how it helps you personalize supplements and lifestyle instead of guessing, and how it allows you to catch problems early before they become a real problem. Let's go! Your blood work is your internal dashboard. It's crazy that most people are driving their body blind!! I do full blood work every 90 days and I swear by it. I'm going to break it all down today. Every 90 days I sit down with my functional medicine doctor, Dr. Singler, and we go through everything. We look at what's trending up. What's trending down. What needs support. What needs to be addressed. We adjust supplements. We talk about lifestyle changes. We sometimes talk about peptides. We look at stress markers like cortisol. We look at hormones. We look at inflammation. We look at cholesterol. We look at nutrient deficiencies. It's not just "do you have a disease." It's "what is your body asking for." And that quarterly check-in has become one of the most powerful forms of self-care I do. Today's episode is about why doing blood work every 90 days can completely change your relationship with your health, how the top longevity experts think about tracking biomarkers, how it helps you personalize supplements and lifestyle instead of guessing, and how it allows you to catch problems early before they become diagnoses. Because knowledge is power. And when it comes to your health, awareness is leverage. ***Why the Best Health and Longevity Experts Obsess Over Biomarkers When you listen to people like Peter Attia, Andrew Huberman, and leaders in longevity medicine, one theme is constant. You can't manage what you don't measure. They talk constantly about biomarkers. Blood markers. Hormones. Cholesterol. Glucose. Inflammation. Nutrients. Stress markers. Not because numbers are the goal. Because trends tell the truth. You don't need to wait until something is "out of range" to take action. You can see patterns forming. You can see directions your health is moving. You can intervene early. Longevity is not built by reacting to disease. Longevity is built by managing risk decades before disease shows up. Blood work lets you see inside the body instead of guessing from the outside. Energy, mood, sleep, weight, anxiety, motivation, focus, hormones, immune function… all of it leaves fingerprints in your labs. *** Why Every 90 Days Is a Sweet Spot Doing blood work every 90 days creates a rhythm. It's long enough for meaningful changes to occur. It's short enough to catch problems early. It's frequent enough to personalize your approach. This cadence allows you to: • See how supplements are actually working • Know if lifestyle changes are helping • Track hormones as they shift • Monitor cholesterol trends • Watch inflammation markers • Identify deficiencies before symptoms • See how stress is impacting your body It turns health into an ongoing relationship instead of a once-a-year appointment. Rather than living on autopilot, it becomes a quarterly check-in. "How is my body actually doing?" "What does it need right now?" "What needs to change?" ***The Power of Baselines One of the most underrated benefits of regular blood work is baselines. When you know what your normal looks like, everything changes. If something shifts, you see it faster. If you get sick, you have something to compare to. If symptoms show up, you're not starting from zero. Your baseline becomes your personal health fingerprint. This is especially powerful with hormones, thyroid, cholesterol, inflammatory markers, glucose, and nutrient levels. Medicine is often built around population averages. But health is personal. Your optimal range is not always the same as "normal." Blood work every 90 days teaches you your body. ***Personalization Instead of Guessing Most people take supplements blindly. They try what's trending. What a friend is taking. What TikTok says. What an ad promises. Blood work removes guessing. You stop throwing things at your body and hoping. You start making informed decisions. When I review labs with my doctor, we are not just looking for problems. We are optimizing. We adjust supplements based on what my body is actually showing. We talk about hormones. We talk about stress. We talk about sleep. We talk about hydration. We talk about inflammation. We talk about recovery. If cortisol is elevated, the conversation shifts to lifestyle, nervous system, sleep, slowing down, hydration, sauna, recovery. If something is low, we talk about absorption, nutrition, and targeted support. It becomes a dialogue with your body instead of a guessing game. ***Emotional Health Lives in the Labs Too This is not just physical. Your labs often reflect your emotional and mental load. Stress hormones. Inflammation. Blood sugar instability. Nutrient depletion. Your body keeps the receipts. Blood work gives you objective data to support lifestyle changes. Sometimes the answer is not another supplement. Sometimes it's rest. Sleep. Boundaries. Sunlight. Movement. Slowing down. It's incredibly empowering to see that connection clearly. It turns self-care into strategy, not indulgence. ***How I Do It and How You Could Do It The way I do it is higher touch and more expensive. I use a mobile blood draw that comes to my house. Then I schedule a long call with my functional medicine doctor to go through everything. We take our time. We look at the full picture. We build a plan. But you do not have to do it that way. You can ask your doctor to order labs. You can go to a clinic and make an appointment so you're not waiting forever. You can get a basic panel and build from there. You can even upload your results into ChatGPT and use it as an educational tool to help you understand what the markers mean and what questions to ask your doctor. This doesn't have to be complicated. It just has to be consistent. ***Why This Is One of the Best Investments You Can Make We spend money on convenience. On clothes. On food. On homes. On trips. On businesses. But nothing affects the quality of your life more than the quality of your health. Energy. Mood. Confidence. Focus. Longevity. Relationships. Joy. Blood work every 90 days is not an expense. It is intelligence. It is prevention. It is personalization. It is early detection. It is self-leadership. It is saying, "I care about how long I live and how well I live." ***Most people wait for symptoms to tell them something is wrong. But by the time symptoms show up, your body has usually been whispering for a long time. Blood work lets you hear the whispers. It lets you see trends before problems. Adjust before crashes. Support before burnout. Correct before disease. For me, doing blood work every 90 days has become a quarterly health check-in with myself. How am I really doing? What does my body need? What needs to change? What needs support? It keeps me connected to my health instead of disconnected from it. And I truly believe this is one of the most powerful forms of preventative self-care anyone can adopt. So if you take anything from this episode, let it be this. Don't wait for something to go wrong. Start tracking your health while things are going right. There's nothing more important or worth spending your time and money on!
In this conversation, I talk with Dr. Bob McCauley, a pediatric palliative care doctor and Episcopal priest. We explore the profound space where medicine meets the soul, discussing how he supports families through unthinkable journeys, the unexpected ways these children heal him, and what his work teaches us all about courage, presence, and living a meaningful life. 00:00 Introduction: A Meaningful Coincidence 02:40 What is Pediatric Palliative Care? 06:48 How Pediatric Care Differs from Adult Care 09:20 The Affordable Care Act's Compassionate Shift 11:47 A Day in the Life: The Palliative Care Process 19:46 The Emotional Impact & "Selfishness" of the Work 23:44 How Sick Kids Healed a Doctor's Soul 28:00 How This Work Transforms How You Live 33:47 The Story of Benjamin: A Case in Ethics & Faith 41:05 The Role of Faith and Doubt in Medicine 44:01 Spiritual Experiences at the End of Life 47:01 How to Find Help & Bob's Book Learn more about Bob:· Book: Because I Knew You - available at local bookstores and online retailers· Proceeds support pediatric palliative care at OHSU and Darkness to Light.· Website: becauseiknewyou.com· Resource for families: palliativedoctors.org JOIN MY COMMUNITY In The Space Between membership, you'll get access to LIVE quarterly Ask Amy Anything meetings (not offered anywhere else!), discounts on courses, special giveaways, and a place to connect with Amy and other like-minded people. You'll also get exclusive access to other behind-the-scenes goodness when you join! Click here to find out more --> https://shorturl.at/vVrwR Stay Connected: - Instagram - https://tinyurl.com/ysvafdwc- Facebook - https://tinyurl.com/yc3z48v9- YouTube - https://tinyurl.com/ywdsc9vt- Website - https://tinyurl.com/ydj949kt Life, Death & the Space Between Dr. Amy RobbinsExploring life, death, consciousness and what it all means. Put your preconceived notions aside as we explore life, death, consciousness and what it all means on Life, Death & the Space Between.**Brought to you by:Dr. Amy Robbins | Host, Executive ProducerPodcastize.net | Audio & Video Production | Hosted on Acast. See acast.com/privacy for more information.
Informed Dissent with Dr. Jeff Barke and Dr. Mark McDonald – Trust in medicine and public institutions is unraveling as bureaucracy, money, and ideology replace evidence and transparency. From board certification to pharmaceutical influence and informed consent, patients pay the price. Rebuilding trust requires honesty, accountability, and restoring cultural balance that allows families, children, and society to thrive...
This week I'm talking to Kimberly Clark Sharp about her book 'AFTER THE LIGHT: What I Discovered on the Other Side of Life That Can Change Your World' and her part in the Maria's shoe case.Death is nothing to fear-and life without fear can be lived to the fullest. This is Kimberly Clark Sharp's message from her extraordinary experience during the time after her heart suddenly stopped beating and she lay on the sidewalk, not breathing, and without a pulse. Swept into a peaceful loving place of brilliant golden light and warm comfort, she saw, for the first time, the meaning of life-and death. Thereafter, Kimberly, with hamster Toto at her side, left Kansas for Seattle-known as "the Emerald City"-to fulfill a destiny devoted to the service of others as foreseen at the end of her near-death experience. Guided by a new sensitivity to the presence of angels, demons and other invisibilities, Kimberly attained a Masters degree in Social Work at the University of Washington and began a career in medical social work that put her in direct contact with dying people-and people who almost died and came back. It is the inspirational stories of these near-death experiences, as well as Kimberly's own life challenges in love, family life and the diagnosis of breast cancer, that form the core of this surprisingly funny page-turner of a book.BioKimberly Clark Sharp, MSW, LiCSW had a near-death experience at twenty-two. She is the author of After the Light: The Spiritual Path to Purpose (Wm. Morrow & Co. 1995); audio (HarperCollins 1995). Kimberly Clark Sharp is the founder of Seattle International Association of Near-Death Studies, the world's oldest and largest support group for near death experiencers, since 1982. Kimberly is an international conference and workshop speaker, a consultant to news and entertainment media, and has been published in many textbooks, journals, and magazines. She worked for two decades as a clinical assistant professor at the University of Washington. She co-taught a Terminal Illness Seminar at the University of Washington, School of Medicine.https://www.amazon.com/dp/B0791LJL4H https://www.pastliveshypnosis.co.uk/https://www.patreon.com/ourparanormalafterlifeMy book 'Verified Near Death Experiences' https://www.amazon.com/dp/B0DXKRGDFP Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Stigma. Discomfort. High pitched feedback. These are some reasons that people opt out of wearing hearing aids. Yet, hearing loss has been linked to dementia and social isolation, and one-third of Americans aged 70 and older suffer from the condition. Even young people are not immune: 20% of Gen Z suffers from noise-induced hearing problems. We talk about innovations in treating hearing loss. Have you resisted wearing a hearing aid? Guests: Nicholas S. Reed, adjunct associate professor, otolaryngology, NYU Grossman School of Medicine, Reed is an audiologist and epidemiologist who has studied the links between hearing loss and dementia Christopher Null, technology journalist, He covers hearing aids for WIRED Dr. Konstantina Stankovic, ear and skull base surgeon and auditory neuroscientist, Stanford Medical School. Learn more about your ad choices. Visit megaphone.fm/adchoices
The Plant Free MD with Dr Anthony Chaffee: A Carnivore Podcast
Join my NEW 90-day Carnivore Challenge group on Mighty Networks below! https://dr-chaffee-s-90-day-carnivore-challenge.mn.co/landing/ If you liked this and want to learn more go to my new website www.DrAnthonyChaffee.com
Informed Dissent with Dr. Jeff Barke and Dr. Mark McDonald – Trust in medicine and public institutions is unraveling as bureaucracy, money, and ideology replace evidence and transparency. From board certification to pharmaceutical influence and informed consent, patients pay the price. Rebuilding trust requires honesty, accountability, and restoring cultural balance that allows families, children, and society to thrive...
🧭 REBEL Rundown 🗝️ Key Points 💉 Hydrocortisone Saves Lives:The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone.📊 Guidelines Are Catching Up:The SCCM (2024) and ERS now recommend steroids for severe CAP, while ATS/IDSA updates are still pending.🔥 Redefining “Severe”:Patients requiring high FiO₂ (>50%), noninvasive or mechanical ventilation, or PSI >130 meet criteria for steroid therapy — even outside the ICU.🍬 Main Risk = Hyperglycemia:Elevated glucose was the most consistent adverse effect, but rates of GI bleed and secondary infection were not increased.🧭 Early, Targeted Use Matters:Start hydrocortisone within 24 hours of identifying severity — especially in patients with high CRP (>150) or strong inflammatory response. Click here for Direct Download of the Podcast. 📝 Introduction Corticosteroids have long sparked debate in the treatment of bacterial pneumonia — once viewed with skepticism, now increasingly supported by high-quality evidence. In this episode, Dr. Alex Chapa joins the REBEL Core Cast team to explore how the 2023 Cape Cod Trial (NEJM) reshaped practice and guideline recommendations for severe community-acquired pneumonia (CAP). 📖 Historical Context & Long-Standing Skepticism For decades, the use of steroids in pneumonia was controversial.Early Use: Steroids entered practice in the 1940s and 50s for autoimmune inflammation, but there was immediate hesitation regarding secondary superinfections.Mixed Data: From the 1980s to the 2000s, small studies emerged on severe pneumonia and ARDS, but the data was inconsistent. Different trials used varying definitions of “severe” pneumonia and different C-reactive protein (CRP) cutoffs, making the data “spread” and easy to “cherry pick” to support or deny a benefit.Past Guidelines: This uncertainty was reflected in official guidelines:2007 (ATS/IDSA): The American Thoracic Society and the Infectious Diseases Society of America did not address the topic due to insufficient data.2019 (ATS/IDSA): Pre-COVID, the guidelines recommended against using corticosteroids in severe CAP. They acknowledged no benefit for non-severe pneumonia, but the data for severe pneumonia was considered too weak to endorse.Pre-Trial Consensus: Prior to 2023, the consensus was to avoid steroids in non-severe pneumonia, while severe pneumonia remained a “gray area” with no treatment showing a clear mortality difference. 📜 The Landmark Cape Cod Trial (NEJM 2023) The Cape Cod trial, published in the New England Journal of Medicine in 2023, reignited the discussion by providing robust, positive data.Trial Design: Phase 3, multi-center, double-blind, randomized, controlled trial.Intervention: 800 patients randomized to two groups, Hydrocortisone as a continuous infusion (200mg/day) versus a placebo infusion.Taper: On day 4, clinicians would decide whether to continue the infusion or begin a taper based on clinical response.Population: Patients with severe CAP, defined by meeting at least one of the following criteria:Pneumonia Severity Index (PSI) > 130.O2 by FiO2 ratio < 300.Need for mechanical or non-invasive ventilation (with PEEP ≥ 5).Need for high FiO2 (>50%) via non-rebreather or heated high flow.Primary Outcomes: Death for any cause 6.2% (hydrocortisone) vs 11.9% (placebo)Secondary outcomes:Death from any cause at 90 days 9.3% (hydrocortisone) vs 14.7% (placebo)Endotracheal intubation 18% (hydrocortisone) vs 29% (placebo)Hospital-acquired infections 9.8% (hydrocortisone) vs 11.1% (placebo)Gastrointestinal bleeding 2.3% (hydrocortisone) vs 3.3% (placebo)Vasopressor initiation by day 28 15.3% (hydrocortisone) vs 25.0% (placebo)Key Findings: The trial demonstrated superiority for hydrocortisone 📋 Updated Guidelines & Current Practice The Cape Cod trial, along with subsequent meta-analyses, has begun to change official recommendations.Society of Critical Care Medicine (SCCM): In 2024, an SCCM expert panel, reviewing the Cape Cod trial and 18 others, strongly recommended corticosteroids for severe CAP. They concluded that steroids reduce mortality and the need for mechanical ventilation.Meta-Analysis (Smit et al.): A 2024 meta-analysis in Lancet Respiratory confirmed the 30-day mortality benefit.European Respiratory Society (ERS): The ERS has issued a recommendation to use steroids for severe pneumonia but still urges caution regarding side effects.ATS/IDSA: As of the podcast recording, the ATS/IDSA had not yet updated their 2019 guidelines. 🛠️ Practical Application for Clinicians Defining “Severe” CAP: The key is to identify patients who qualify as “severe”. This can be done using:Scoring Tools: The PSI is the best validated tool for mortality but is cumbersome. Simpler tools like CURB-65 or SMART-COP are practical and acceptable for defining severity. 2023 meta-analysis from by Zaki et al showed both work well, but CURB-65 has better mortality prediction early on.Cape Cod Criteria: Any patient meeting the trial’s inclusion criteria (e.g., high-flow O2, non-invasive ventilation) qualifies, regardless of location (ED, floor, or ICU).Biomarkers: While not required, a CRP level was used in many studies. A CRP > 150 (Cape Cod) or > 204 (Smit meta-analysis) strongly indicates severe inflammation that would benefit from steroids.Clinical Judgment: A patient who looks “sick,” has “soft” blood pressure, or has dense infiltrates and high oxygen needs (e.g., >50% FiO2 on high flow) is a candidate.Adverse Effects:Hyperglycemia: This was the most significant risk identified, with rates between 6-12%. This is a primary concern, especially in patient populations with high BMI.GI Bleed & Secondary Infection: Fears of these side effects, which contributed to historical skepticism, were not borne out in the Cape Cod trial. The data does not support being overly concerned.Other Side Effects: Mood changes, delirium, insomnia, and agitation in the elderly are known side effects of steroids that were not specifically addressed in the trial but remain clinical concerns. 🔄 Clinical Pathway for Steroids in Severe CAP Unanswered Questions & Future Research Possible remaining questions:Biomarkers: Can we find a more precise CRP level to distinguish moderate from severe disease? Could other markers like ferritin or IL-6 be used? Dosing & Tapering: How much immunomodulation is needed, and when is it truly safe to taper?Gender Differences: Early data suggests females may respond better to steroids and experience fewer side effects. The question of female patients with severe CAP require less corticosteroids needs further exploration. 👉 Clinical Bottom Line The current literature, spearheaded by the Cape Cod trial, now supports the use of corticosteroids in severe community-acquired pneumonia. The best evidence currently points to hydrocortisone, started early (within 24 hours) after severity is identified using a validated tool. While hyperglycemia is a risk, the previous fears of GI bleeding and secondary infections were not substantiated in recent, rigorous trials. 📚 References Chapa-Rodriguez A, Abou-Elmagd T, O’Rear C, Narechania S. Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?. Cleve Clin J Med. 2025;92(10):600-604. PMID: 41033846Dequin PF, Meziani F, Quenot JP, et al. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023;388(21):1931-1941. PMID: 36942789Chaudhuri D, Nei AM, Rochwerg B, et al. 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia. Crit Care Med. 2024;52(5):e219-e233. PMID: 38240492 Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Alex Chapa, MD PGY 5 Pulmonary Critical Care Fellow Cape Fear Valley Medical Center Fayetteville NC 🔎 Your Deep-Dive Starts Here REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia Corticosteroids have long sparked debate in the treatment of bacterial ... Thoracic and Respiratory Read More The post REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia appeared first on REBEL EM - Emergency Medicine Blog.
Cheeseheads rejoice—New study finds full-fat cheese protective against cognitive decline; New-Think is POLICE, not RICE for injuries (“Motion is the Potion”); U.S. obesity prevalence soars—and new study suggests new GLP-1 drugs aren't the answer; Wild blueberries support heart and brain health; Is a surgical fix necessary for hiatal hernia?
Are seed oils really that bad? Is it preferable to use beef tallow for frying? Are memory supplements effective? EPA begins review of fluoride in drinking water; FDA issues recall over contaminated supplements; A high lp(a) may call for preventive aspirin use; Arthritis breakthrough as scientists discover way of regenerating joint cartilage; Surprising new findings on coffee, tea consumption, and osteoporosis risk; Skipping breakfast, late dinners may boost fracture risk.
What if creativity works like medicine? New research shows that regular engagement with the arts can slow biological aging, protect the brain, reduce stress, and promote a new sense of purpose, identity and meaning—especially in retirement. This episode reframes art as one of the most powerful, underused tools for healthy aging. Our guest today, Dr. Daisy Fancourt, is a leading researcher on the health impacts of arts engagement and the author of the new book Art Cure:The Science of How the Arts Save Lives. Her work bridges neuroscience, public health, and lived experience—bringing rigorous data to some things many people may dismiss as “just a hobby.” Listen in for insights on why engaging with art is a wise addition to your retirement plan. In this conversation, you'll learn: How arts engagement compares to exercise and sleep in its health impact Why talent and skill have nothing to do with the benefits you can reap How creativity builds cognitive reserve and protects against dementia Why music is a powerful tool for wellness How the arts can foster renewed identity, purpose, and community in retirement Daisy Fancourt joins us from London. ________________________ Bio Daisy Fancourt is the author of the new book Art Cure: The Science of How the Arts Save Lives. She is Professor of Psychobiology and Epidemiology at University College London where she heads the Social Biobehavioural Research Group, and Director of the World Health Organization Collaborating Centre on Arts and Health. She has published 300 scientific papers and won over two dozen academic prizes. She is a multi-award-winning science communicator and has been named a World Economic Forum Global Shaper and BBC New Generation Thinker. Daisy is listed as one of the most highly cited scientists in the world. _________________________ For More on Daisy Fancourt Art Cure: The Science of How the Arts Save Lives Website _________________________ Podcast Conversatons You May Like Tiny Experiments – Anne-Laure Le Cunff Why You'll Want a Hobby – Ashley Merryman The Art of the Interesting – Lorraine Besser, PhD ____________________________ About The Retirement Wisdom Podcast There are many podcasts on retirement, often hosted by financial advisors with their own financial motives, that cover the money side of the street. This podcast is different. You'll get smarter about the investment decisions you'll make about the most important asset you'll have in retirement: your time. About Retirement Wisdom I help people who are retiring, but aren't quite done yet, discover what's next and build their custom version of their next life. A meaningful retirement doesn't just happen by accident. Schedule a call today to discuss how the Designing Your Life process created by Bill Burnett & Dave Evans can help you make your life in retirement a great one — on your own terms. About Your Podcast Host Joe Casey is an executive coach who helps people design their next life after their primary career and create their version of The Multipurpose Retirement.™ He created his own next chapter after a 26-year career at Merrill Lynch, where he was Senior Vice President and Head of HR for Global Markets & Investment Banking. Joe has earned Master's degrees from the University of Southern California in Gerontology (at age 60), the University of Pennsylvania, and Middlesex University (UK), a BA in Psychology from the University of Massachusetts at Amherst, and his coaching certification from Columbia University. In addition to his work with clients, Joe hosts The Retirement Wisdom Podcast, ranked in the top 1% globally in popularity by Listen Notes, with over 1.6 million downloads. Business Insider recognized Joe as one of 23 innovative coaches who are making a difference. He's the author of Win the Retirement Game: How to Outsmart the 9 Forces Trying to Steal Your Joy. __________________________ Wise Quotes On the Science Behind Arts and Health “I started doing lots of research on the long-term impact of arts engagement across people’s lives using the same kind of data sets and methods that people had previously looked at exercise and diet and sleep. And I was honestly quite amazed at what came out about these associations between arts and future well-being, reduced risk of depression, enhanced cognitive function, reduced risk of chronic pain, frailty, dementia. And most excitingly, the effect sizes were very similar or sometimes even stronger than these other behaviours that we’re much more used to talking about in relation to our health.” On Biological Aging People who engage in the arts actually have increased connectivity between regions of the brain that are vulnerable to aging. So they actually have brains that are younger than people who don’t regularly engage in the arts. And actually, they have higher levels of cognitive reserve, so resilience of the brain against cognitive decline and dementia. But they also have different clinical biomarker patterns that indicate that they are physiologically younger. So better respiratory rates, lower cardiovascular stress, better levels of inflammation in their immune systems. And I think most excitingly, they even have patterns of gene expression in their DNA that are younger. So the way that their genes express themselves have a younger, what we call epigenetic age.” On the I’m Not Creative Myth “I think this is a slight failing in our societies because we tend to set ourselves up that you’re either artistic or creative or you’re not. And it’s a complete myth. Actually, most of the health benefits of the art come through doing it, regardless of whether you’re any good at doing it. And I think sometimes people have got hangovers, often from like childhood when they didn’t feel they sang in tune or when they weren’t good at doing art in class. But it’s surprising how often people can actually try new activities as an adult and actually discover a passion they had absolutely no idea about.” On Music as Medicine “Music is actually a natural pain relief. It releases endogenous opioids in our brain. But also it provides us with a beat that means we can synchronize with that beat and that can really help us with our movements. So when people exercise to music, they’re actually able to run faster for longer, they’re able to lift weights in the gym for longer. And if people have got conditions like Parkinson’s or they’ve had a stroke or another neurological disorder, then actually listening to music can be a way of improving balance, their walking speed and reduce the risk of falls as well.” On Art in Retirement – and Purpose & Meaning “Lots of people speak about losing their sense of purpose when they move out of that work environment and trying to figure out what their new purpose is. And arts engagement is a very effective way in so many trials now of increasing that sense of purpose. It’s a similar thing for cultivating a new sense of meaning. And there are lots of other aspects of our well-being, like a heightened life satisfaction, which is really important to people, particularly as they get older. And actually arts engagement is such a powerful way of helping to build all of those different aspects of our well-being.” On the Daily Arts Practice “If we’re looking at basically accumulating the health benefits of the arts over time, we need to have a really regular, sustainable arts practice. I recommend in the book that people try and figure out their equivalent of the kind of five-a-day vegetable rule that they could apply day to day. Could they set aside 15 or 20 minutes every day that they will reliably be able to commit to? But also, can they think about sort of simple ways that they could swap out activities in their lives to make that manageable?”
Corey Dion Lewis sits down with Dr. Margot Kushel, a practicing general internist with over 30 years of experience at San Francisco General Hospital and Director of the UCSF Benioff Homelessness and Housing Initiative, to explore why homelessness is fundamentally a housing problem—not a healthcare problem—and what this means for medical professionals and communities.Dr. Kushel shares compelling insights from her three decades of clinical practice and research, revealing how the lack of affordable housing creates impossible situations for healthcare providers trying to treat patients experiencing homelessness. From managing diabetes in a tent to storing insulin without refrigeration, she illustrates why "there is no medicine as powerful as housing."What You'll Learn:Why regions with high homelessness rates are defined by housing affordability, not mental health prevalenceHow structural racism and redlining created the current crisis, with Black Americans 4-5 times overrepresented in homeless populationsThe stark reality: only 36 affordable housing units exist for every 100 extremely low-income households in AmericaWhy Housing First policies work better than Treatment First approaches, backed by evidence from veteran homelessness reductionThe hidden homeless population: workers living in cars, college students couch-surfing, and older adults losing housing for the first timeHow the politicization of Housing First policies threatens progress and patient outcomesPractical ways healthcare providers can advocate for housing as a health interventionKey Clinical Insights:Dr. Kushel explains why treating chronic conditions like diabetes, hypertension, and mental health disorders becomes nearly impossible when patients lack stable housing. She shares real stories from her practice, including a 63-year-old patient who hadn't eaten in four days while fighting eviction, and discusses how readmission penalties unfairly penalize hospitals serving homeless populations.The Evidence for Housing First:Learn about the dramatic 85% housing retention rate of Housing First approaches compared to 5-10% success rates of traditional Treatment First models, and why the George W. Bush administration adopted this evidence-based policy. Dr. Kushel also shares findings from California's comprehensive statewide homelessness study, debunking myths about people traveling from other states.For Medical Professionals:This episode is essential listening for physicians, nurses, nurse practitioners, physician assistants, medical students, residents, community health workers, social workers, case managers, and anyone in healthcare who treats patients experiencing housing instability. Dr. Kushel provides a framework for understanding how to advocate beyond the clinic walls.About Dr. Margot Kushel:Dr. Kushel is a physician and researcher who has dedicated her career to understanding and ending homelessness. She directs the UCSF Benioff Homelessness and Housing Initiative and the Action Research Center for Health at the University of California, San Francisco. Her research informs policy at local, state, and federal levels.Resources Mentioned:UCSF Benioff Homelessness Initiative: homelessness.ucsf.eduCalifornia Statewide Study of People Experiencing Homelessness"There Is No Place" by Brian GoldstoneEpisode Takeaway: "There is no medicine as powerful as housing. Homelessness is a housing problem."Whether you're a healthcare provider frustrated by social determinants of health, a medical student learning about population health, or a community advocate, this conversation will change how you think about the intersection of housing and health.SHOW NOTESEpisode: Housing as Medicine: Why Homelessness is a Housing Crisis Guest: Dr. Margot Kushel, MD Host: Corey Dion Lewis Category: Medicine Duration: ~49 minutesABOUT THIS EPISODEDr. Margot Kushel, Director of the UCSF Benioff Homelessness and Housing Initiative, explains why homelessness is fundamentally a housing crisis and how this understanding transforms medical practice and healthcare advocacy.GUEST BIODr. Margot Kushel, MDPracticing General Internist, San Francisco General Hospital (30+ years)Director, UCSF Benioff Homelessness and Housing InitiativeDirector, Action Research Center for Health, UCSFLeading researcher on homelessness and health outcomesPolicy advisor at local, state, and federal levelsKEY TOPICS & TIMESTAMPS[00:00] Introduction: The Housing-Health Connection[02:00] Homelessness is a Housing ProblemWhy mental health and substance use don't explain geographic variationsThe role of affordable housing shortagesComparing high vs. low homelessness regions[05:00] The Clinical Reality: Hands Tied Behind Our BacksTreating diabetes in patients living in tentsWhy standard medical care fails without stable housingThe frustration of healthcare providers[08:17] The Numbers: America's Affordable Housing Crisis36 units per 100 extremely low-income households nationallySan Francisco: 24 units per 100 householdsOne million units short[09:15] "There is No Medicine as Powerful as Housing"Using physician voices in policy advocacyThe limitations of healthcare aloneAddressing root causes[13:55] Hospital Readmissions and Housing InstabilityHow readmission penalties penalize safety-net hospitalsPatients discharged to sidewalksThe need for systemic change[17:08] Structural Racism and the Homelessness CrisisBlack Americans: 4-5 times overrepresentedThe legacy of redlining and housing discriminationHow wealth gaps perpetuate housing instabilitySan Francisco example: 5% population, 37% of homeless[19:28] Historical Context: How Housing Policy Weaponized RacePost-WWII home ownership boomRedlining and mortgage discriminationIntergenerational wealth transfer blockedOngoing discrimination in rental housing[23:49] The Hidden Homeless PopulationWorkers living in cars (Uber drivers, janitors, fast food workers)College students experiencing housing insecurityThe invisible crisis in CSU, UC, and community collegesPeople with addresses who aren't truly housed[27:17] Older Adults: The Growing CrisisHalf of single homeless adults are 50+40% experiencing homelessness for first time after age 50Bodies breaking down from physical laborThe eviction-to-homelessness pipeline[28:14] Clinical Case: The Amoxicillin StoryPatient in garage without refrigerationAntibiotic treatment failure due to housingWhy "having an address" doesn't mean housed[29:11] Debunking the Migration MythCalifornia study: 90% lost housing in-state75% in the same county
In this key episode of Parallax, Dr Ankur Kalra sits down with Prof Naveed Sattar to explore how recent therapeutic breakthroughs are fundamentally reshaping the cardiologist's approach to diabetes management. Through real-world case discussions, Dr Sattar demonstrates practical decision-making for patients across the spectrum - from pre-diabetes to established CAD with Type 2 diabetes. He addresses the tension between robust evidence and cost barriers that limit widespread implementation, while acknowledging unprecedented patient demand driven by genuine quality of life improvements. The conversation concludes with insights on obesogenic environments and the hope that increased competition will ultimately democratize access to these transformative therapies. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.
Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by integrated vascular surgery resident Falen Demsas, JVS editor Dr. Duncan (@ADuncanVasc), JVS-VI editor-in-chief Dr. Dua (@AnahitaDua) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Huber, Dr. Fassler, Nishanth Konduru (@n_konduru), and Dr. Rao. Articles: Outcomes of open bypass and superior mesenteric artery endarterectomy for patients with chronic mesenteric ischemia resulting from long-segment superior mesenteric artery occlusive disease Retrograde tibiopedal access as an alternative procedural technique for genicular artery embolization Show Guests Dr. Huber Former Division Chief (served as Chief for 13 years) of Vascular Surgery at the University of Florida and the Edward R. Woodward Professor of Surgery at the University of Florida College of Medicine. He was also the chair of the writing committee for the SVS Guidelines on Chronic Mesenteric Ischemia. Dr. Fassler PGY-4 General Surgery resident at the University of Florida. Nishanth Konduru Fourth year undergraduate at the University of North Carolina Chapel Hill Dr. Rao Interventional cardiologist with Vascular Solutions of North Carolina. Founder of Rao Clinic https://www.raoclinic.org/ Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey. *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.
In celebration of Black History Month and Heart Health Month, we're re-airing our powerful conversation with Dr. Gabrielle Williams, founder of Gateway Direct Health in Georgia. Dr. Williams shares her inspiring journey from severe burnout in fee-for-service medicine where she dreaded waking up each morning to discovering Direct Primary Care as her "second chance into medicine." As the first person in her family to attend college, she went on to become a board-certified family physician who now practices medicine on her own terms. In this episode, Dr. Williams candidly discusses the personal and spiritual growth required in that crucial first year of entrepreneurship, the importance of healing from healthcare trauma, and why her patients, even those with insurance, choose her practice for the irreplaceable value of time, trust, and a genuine doctor-patient relationship. Her story embodies the resilience and possibility that emerges when physicians of color build sustainable, community-rooted practices, and serves as both inspiration and practical guidance for anyone considering the DPC path.Learn how Zion HealthShare can pair with DPC to protect patients and physicians without returning to traditional insurance. Read more in the Toolkit, our DPC magazine, today. If hiring feels like one of the most intimidating parts of growing your DPC practice, read the Winter issue of The Toolkit, our DPC Magazine that includes an educational, step-by-step hiring guide from the Cooperative of American Physicians designed to replace guesswork with clarity. What do you want MORE of in your practice this year? Download the January worksheet HERE for free today!Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
In this episode, Dr. Ria Paul, Clinical Associate Professor, Stanford University School of Medicine; Chief Medical Officer, Santa Clara Family Health Plan discusses how the organization has strengthened Medicaid and Medicare Advantage quality scores through closer collaboration with providers, targeted incentives, and better data flow. She also shares priorities for 2026, including regulatory readiness, member retention, and using AI to enhance engagement and care coordination.
In this episode, Hasan B. Alam, Surgeon-in-Chief at Northwestern Memorial Hospital and Chair of the Department of Surgery at the Feinberg School of Medicine at Northwestern University, joins the podcast to discuss building a strong workplace culture, securing partnerships and funding without compromising research quality, and improving the discharge process to enhance patient outcomes and operational flow.
2/01/2026The Healthy Matters PodcastS05_E08 - Where Are We with HIV in 2026?With Special Guests: Dr. Amanda Noska, MD HIV in 2026 looks much different than it did when it first hit mainstream media in the early 1980s. At the outset, there was an abundance of fear, very little understanding, and even less hope for those afflicted. But over the last few decades, we've seen a series of major scientific breakthroughs that have changed our understanding and patient outcomes almost entirely. But there's still plenty of work to do!On Episode 8, we'll have an in-depth conversation with infectious disease expert Dr. Amanda Noska (MD, MPH) to catch us up on the current state of both HIV and AIDS. We'll cover the basics of these conditions, the progress that's been made, the current challenges we face, and what the road ahead looks like for our local and global communities. This storyline is definitely one of hope and a great example of scientific progress in medicine. We hope you'll join us!Got healthcare questions or ideas for future shows?Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Get a preview of upcoming shows on social media and find out more about our show at www.healthymatters.org.
From COVID-19 research to Parkinson's disease therapies, these statistical experts turn numbers into answers, helping doctors make evidence-based decisions that improve patient care.
Three of our favorite segments from the week, in case you missed them.One Month of Mayor Mamdani (First) | How AI is Changing Medicine (Starts at 39:32) | A History of General Strikes (Starts at 1:09:33)If you don't subscribe to the Brian Lehrer Show on iTunes, you can do that here.
Incogni advertisement“Use code [YOUR-UNIQUE-CODE] at the linkbelow to get an exclusive 60% off an annualIncogni plan: https://incog-ni.com/your-unique-code” Your URL is: https://incogni.com/earthancientsAcoustic-physics scientist, John Stuart Reid, is a man on a mission to educate and inspire the world in the field of cymatics, the study of visible sound. His CymaScope invention has changed our perception of sound forever: seeing sound allows us to understand this omnipresent aspect of our world and universe more fully and deeply. His cymatics research is helping elevate this important new field in science, including a study on how dolphins perceive sound, published in the Journal of Marine Biology. His two recent studies focus on differentiating between the sounds emitted by healthy and cancer cells (a scientific paper published in the Water Journal) and on the effects of music on the longevity of red and white blood cells (a study scheduled for publication in 2026).New CymaScope app, which was inspired by the CymaScope instrument, which in turn was inspired by my cymatics experiments in the Great Pyramid. The app is available for Apple and Android platforms, and it contains (among many other features) a section containing free articles, of which Egyptian Rebirth Sonic Rituals is one.https://cymascope.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/earth-ancients--2790919/support.
America Out Loud PULSE with Dr. Randall Bock – Her experience reflects a broader pattern in modern medicine. Visits have expanded in scope while narrowing in purpose. Screening and risk inventories dominate encounters. Case-finding replaces diagnosis. Patients are evaluated for many things they did not come in for, while the problem that brought them there remains untouched...
We have learned a lot about extended spectrum coverage of prophylactic antibiotics for cesarean section. The landmark C/SOAP trial randomized 2,013 women undergoing nonelective cesarean delivery to azithromycin 500 mg IV plus standard prophylaxis versus placebo, demonstrating a 51% reduction in the composite outcome of endometritis, wound infection, or other infection. Adjuvant Zmax (plus standard first-generation cephalosporin) is now recognized as evidence-based antibiotic coverage for intrapartum cesarean, cesarean with ruptured membranes, and patients with obesity. This last patient characteristic comes from the ERAS latest update. But what is ZMAX is not available? Is there an evidence-based peri-op alternative in these cases? Does Gent and Clinda cover mycoplasma/Ureaplasma? What about postop flagyl? Listen in for details. 1. Tita AT, Szychowski JM, Boggess K, et al. Adjunctive Azithromycin Prophylaxis for Cesarean Delivery. The New England Journal of Medicine. 2016. 2. Yang M, Yuan F, Guo Y, Wang S. Efficacy of Adding Azithromycin to Antibiotic Prophylaxis in Caesarean Delivery: A Meta-Analysis and Systematic Review. International Journal of Antimicrobial Agents. 2022. 2. ACOG Practice Bulletin No. 199: Use of Prophylactic Antibiotics in Labor and Delivery. Obstetrics and Gynecology. 2018. Committee on Practice Bulletins-Obstetrics 3. Martingano D, Nguyen A, Nkeih C, Singh S, Mitrofanova A. Clarithromycin Use for Adjunct Surgical Prophylaxis Before Non-Elective Cesarean Deliveries to Adapt to Azithromycin Shortages in COVID-19 Pandemic. PloS One. 2020. 4. Valent AM, DeArmond C, Houston JM, et al. Effect of Post–Cesarean Delivery Oral Cephalexin and Metronidazole on Surgical Site Infection Among Obese Women: A Randomized Clinical Trial. The Journal of the American Medical Association. 2017. 5. Wood, G. E., et al. "In Vitro Susceptibility of Mycoplasma genitalium to Nitroimidazoles." Antimicrobial Agents and Chemotherapy 6. https://www.cdc.gov/std/treatment-guidelines/mycoplasmagenitalium.htm
For 50 years, the healthcare industry has been trying (and failing) to harness the power of artificial intelligence. It may finally be ready for prime time. What will this mean for human doctors — and the rest of us? (Part four of “The Freakonomics Radio Guide to Getting Better.”) SOURCES:Bob Wachter, professor, chair of the department of medicine at the University of California, San Francisco.Pierre Elias, cardiologist, assistant professor of biomedical informatics at Columbia University, medical director for artificial intelligence at NewYork-Presbyterian Hospital. RESOURCES:A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future, by Bob Wachter (2026)."Epic Systems (MyChart)," by Acquired (2025)."Detecting structural heart disease from electrocardiograms using AI," by Pierre Elias and Timothy Poterucha (Nature, 2025)."What Are the Risks of Sharing Medical Records With ChatGPT?" by Maggie Astor (New York Times, 2025)."Will Generative Artificial Intelligence Deliver on Its Promise in Health Care?" by Bob Wachter and Erik Brynjolfsson (JAMA, 2023).The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age, by Bob Wachter (2015). EXTRAS:"The Doctor Won't See You Now," by Freakonomics Radio (2025)."How to Stop Worrying and Love the Robot Apocalypse (Update)," by Freakonomics Radio (2024). Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In 1994, Oregon voters passed the Death with Dignity Act, which legalized physician-assisted suicide for the terminally ill. Since then, it has become legal in 4 more states, including New Mexico, where the state court ruling that it is constitutional is under appeal. Is it, in the words of the American Medical Association's code of ethics, "fundamentally incompatible with the physician's role as healer"? Will these laws lead to a slippery slope, where the vulnerable are pressured to choose death and human life is devalued? Or do we need to recognize everyone's basic right to autonomy, the right to end pain and suffering, and the right to choose to die with dignity? ARGUING YES: Peter Singer: Co-Founder of the Effective Altruism movement; Author of “The Most Good You Can Do" Andrew Solomon: Author of “Far From the Tree”, Professor of Clinical Psychology at Columbia University ARGUING NO: Baroness Ilora Finlay: President of the British Medical Association, Member of the House of Lords Daniel Sulmasy: Prof. of Medicine and Ethics at University of Chicago, Member of the Presidential Bioethics Commission Emmy award-winning journalist John Donvan moderates Join the conversation on our 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
In this episode I get to talk to Chris aka Cdiggi1 and we got into the Bravo Girls! Check out the visual on YouTube! We talk Potomac (The Colorado trip is low key iconic it was so bad), Salt Lake City (these reunions...) and Married to Medicine (they are DELIVERING!) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Episode: 1516 In which we must save the lore as well as the plants. Today, we have to save more than the endangered plants.
This week we review a recent work on fetal atrial septal interventions in the patient with hypoplastic left ventricle or double outlet right ventricle with mitral valve atresia/dysplasia and a restrictive or intact atrial septum. How often was this procedure technically feasible and successful? What are the criteria to be considered for such an intervention? Why does use of a laser improve the crossing of the atrial septum in this procedure? Should prenatal intervention be used instead of postnatal intervention in this setting? Associate Professor of Pediatrics at Baylor College of Medicine, Dr. Betul Yilmaz shares her insights into this fascinating topic.https://doi.org/10.1161/CIRCINTERVENTIONS.125.015209
Liver disease isn't just about alcohol, and it's way more common than most people realize. In this episode of The Gut Show, @socalgastrodoc helps break down what your liver actually does, why cases are rising, how it's diagnosed, what's reversible, and where things like GLP-1s, supplements, and even coffee fit in. If you've ever been told to "just drink less" or felt overwhelmed by perfection, this one's for you! About our guest: Dr. Wendi LeBrett is a double board-certified gastroenterologist and internal medicine physician. She holds a Bachelor of Arts in Economics from Stanford University and graduated from the University of California San Diego School of Medicine. She completed her internal medicine residency and gastroenterology subspecialty fellowship at UCLA. Her research has been published in several leading gastroenterology journals including Gastroenterology, The American Journal of Gastroenterology, Clinical Gastroenterology & Hepatology, and The Lancet Gastroenterology. Dr. LeBrett is a leading voice in gastroenterology on social media. She presented the presidential plenary at United European Gastroenterology Week 2025 on medical misinformation on social media and was awarded a Healio Gastroenterology Disruptor award as Social Media Influencer of the Year 2023. She has over 300K followers on social media and creates educational content as @socalgastrodoc. She is a trusted voice on gastrointestinal health and has been featured in the Wall Street Journal, TIME, SELF, the Huffington Post, Business Insider and Well+Good. She is the founder of ModernGut, a gastroenterology education platform. TikTok Instagram Thank you to our partners: @imodifyhealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health. The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind. Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW. @fodzyme is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. @mbiotaelemental is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective AND genuinely easy to drink. If you're looking for an option to support SIBO or your gut, mBIOTA Elemental may be one to consider. Learn more at mbiota.com and save 20% on their two-week protocol with code GUTIVATE
Nutritionist Leyla Muedin discusses the importance of maintaining muscle mass during weight loss, highlighting recent research on the benefits of krill oil. Leyla delves into various aspects of the study conducted by Glasgow University's School of Human Nutrition, which demonstrated that daily supplementation with krill oil helps minimize muscle loss despite significant weight loss. The episode covers study details, the impact of krill oil on inflammation, muscle maintenance, and the potential advantages of krill oil over traditional fish oil. Leyla also emphasizes the critical role of a balanced diet and strength training in preserving muscle mass during weight loss journeys.
In this episode of LiberatED, Kerry McDonald is joined by Heike Larson, Vice President of Programs at the Roots of Progress Institute, and Dr. Laura Mazer, a surgeon and curriculum lead for the Institute's new summer program, Progress in Medicine 2026. Together, they explore a bold new model for summer teen learning that blends medical history, future innovation, mentorship, and personal development. Designed for rising high school sophomores, juniors, and seniors, Progress in Medicine 2026 combines five weeks of live virtual seminars with a multi-day in-person experience at Stanford University. Students examine landmark moments in medical progress, grapple with today's healthcare challenges, and explore diverse career pathways—from medicine and biotech to research, policy, and entrepreneurship. Heike shares the vision behind the Roots of Progress Institute and its mission to foster a culture of human progress in the 21st century. Laura reflects on her own journey from surgeon to education innovator and discusses how her Montessori-inspired work shapes the summer program's inquiry-driven, student-centered approach. This episode offers an inspiring look at how summer learning can help teens connect their interests to real-world impact—and begin imagining ans building lives of purpose. *** Sign up for Kerry's free, weekly email newsletter on education trends at edentrepreneur.org. Kerry's latest book, Joyful Learning: How to Find Freedom, Happiness, and Success Beyond Conventional Schooling, is available now wherever books are sold!
Kory Bailey is one of those rare humans who makes you feel like the most important person in the world the moment you're with him. A master connector and a living example of pure consciousness, Kory shares about his upbringing in North Carolina, his early awareness of what made him different, and his pursuit of playing professional football in the NFL. The conversation explores the highs and lows that shaped him, and how those experiences ultimately led him into men's work and the co-creation of B3, the Baltimore Band of Brothers. Throughout, Kory brings the fullness of his big, beautiful heart, offering a powerful glimpse into the depth, honesty, and presence that define who he is.
Hare brains. Hedgehog testicles. Mouse skin. Live pigeons. Tudor remedies are famous for sounding grotesque, and ridiculous. But were they really nonsense? In this second part of A Beginner's Guide to Tudor Medicine, we explore the strangest cures of the sixteenth century, and uncover the surprising truth: some of them actually worked. You'll learn: – Why remedies were designed to move “imbalances” through the body – Which Tudor treatments are still used today – How honey, wine, moss, leeches, and maggots became modern medicine – The extraordinary 9th century eye remedy that kills MRSA Tudor healers did not have microscopes or germ theory. But they observed, tested, and remembered. And in doing so, they laid foundations we are still building on today. #TudorHistory #WeirdHistory #MedicalHistory #StrangeButTrue #HistoryFacts #TudorMedicine #OldCures #Leeches #MedievalMedicine #DidYouKnow #HistoryEducation
A Dj mix show that debuts new underground Rap and Hip Hop along with some of the hottest DJ's available, @itsdjeclipse & @djriznyc Be prepared for a non-stop musical journey. 1. Crimeapple “Brownbutter” (prod. by Brown13) 2. Lazaris The Top Don feat. The Army, Blazin, Party G, Da Inphamus Amadeuz, Epull & Waren Wint “Seek & Destroy” (prod. by Khardiar The God) 3. Truth & Da Beatminerz feat. Psycho Les & Tragedy Khadafi “Cause For Concern” (prod. by Da Beatminerz) 4. Planet Asia & DJ Scratch “St Johns Park” (prod. by DJ Scratch) 5. Soviets (Jeff Spec & Chaix) “Grasshopper” (prod. by Chaix) 6. Ovrhaul x Stove God Cook$ & Westside Gunn feat. Doechii “Return To Egypt” (prod. by Ovrhaul) 7. Kurious “Classic Material” (prod. by Breakbeat Lou) 8. The Bad Seed “Jack Johnson” (prod. by Shade Cobain) 9. Agallah The Don “We Dem Ones” (prod. by Agallah) 10. Bless Picasso “Twelve Roses” (prod. by Mr. Green) 11. G.Fisher “See Us Win” (prod. by G.Fisher) 12. Bun B x Statik Selektah feat. Busta Rhymes “You're Mine” (prod. by Statik Selektah) 13. Freddie Black & Tone Spliff “Destiny Manifest” (prod. & cuts by Tone Spliff) 14. PA. Dre feat. Cheena Black & The Spookz Who Sat By The Speaker “Weapon” (prod. by PA. Dre) 15. Ill Conscious “Mark 836” (prod. by Alcynoos & Parental) 16. La The Darkman “Once Upon A Time In Brooklyn” (prod. by RZA) 17. The Bad Seed “They Don't Know” (prod. & cuts by DJ City Rich) 18. Mickey Diamond & Big Ghost Ltd “WTF” (prod. by Big Ghost Ltd) 19. RJ Payne “Consistency Is Everything” (prod. by PA. Dre) 20. PA. Dre feat. Kool Kim, Mickey Factz & Wordsworth “Showtime” (prod. by PA. Dre) 21. Kurious x K-Rec “No Way Around It” (prod. & cuts by K-Rec) 22. Maine the Medicine & Son Lee “Save Me” (prod. by Nate Williams) 23. Planet Asia “More Skeeter” 24. Bernadette Price x Terror Van Poo “Burden of Proof” (prod. by Stu Bangas) 25. Supreme The Eloheem “Hood Symphony” (prod. by Allpa) 26. Homeboy Sandman “Meant To Be” (prod. by Cochemea, Oliver Hill & Sam Cohen) 27. Handles “Top View” (prod. by OSYM) 28. Snowgoons feat. PMD & Fredo Starr “Let It Be Known” (prod. by Snowgoons, cuts by Tone Spliff) 29. Kurious x K-Rec “Toilet” (prod. & cuts by K-Rec)
Jessica Seaman, EdD, has learned many tips and tricks while building a library of recordings and a repository of resources on YouTube to assist learners. She joins the Faculty Factory Podcast this week for an inspiring exploration of that process. As a self-taught YouTube practitioner and editor with no prior experience, Dr. Seaman is proof that anyone can learn this tool and leverage it to reach and help faculty worldwide. Dr. Seaman is an Assistant Professor of Medical Humanities and Assistant Dean of Faculty Development at Creighton University School of Medicine in Phoenix, Ariz. This is her second appearance on the Faculty Factory. If you would like to revisit her first appearance on the program—the episode titled "Best Supporting Practices and Strategies for Stressed-Out Learners and Faculty"—you can see it here: https://facultyfactory.org/jessica-seaman/ You can also visit the Creighton University Health Sciences YouTube channel featuring free faculty development videos here: https://www.youtube.com/playlist?list=PLoeK9S4P4sSeSp338JTW2ro7vHYfKycRc If you'd like to ask questions to her directly, please email Dr. Seaman at: jessicaseaman@creighton.edu Faculty Development Resource Spotlight Many faculty development departments are doing groundbreaking work, and not just for their own faculty. Many institutions offer publicly accessible, free resources that anyone can explore and use, such as the CU Health Sciences YouTube channel. Furthermore, if you haven't already done so, we urge you to visit the newest addition to our website: the Faculty Development Resource Spotlight webpage: https://facultyfactory.org/resource-spotlight/ -- with other great faculty development and leadership resources! We'd love for it to grow into a centralized repository for faculty. Please reach out to us here to learn more or suggest a resource for us to add!
In today's episode, Neil Iyengar, MD, moderated an OncLive Insights discussion about adverse effect management when using breast cancer therapies targeting the PI3K, AKT, and mTOR pathways. Dr Iyengar is an associate professor in the Department of Hematology and Medical Oncology and co-director of Breast Medical Oncology in the Department of Hematology and Medical Oncology at Emory University School of Medicine; as well as director of Survivorship Services at the Winship Cancer Institute of Emory University in Atlanta, Georgia. He was joined by Heather Moore, CPP, PharmD, a clinical pharmacist practitioner at the Duke Cancer Center Breast Clinic in Durham, North Carolina; and Sarah Donahue, MPH, NP, a nurse practitioner at the University of California San Francisco Health. In our exclusive discussion, the experts highlighted the importance of early and comprehensive testing (using both tissue and liquid biopsies) for genetic alterations to guide treatment decisions. They also noted strategies for managing diarrhea, including patient education on diet, proactive use of loperamide, and regular monitoring. They also explained that hyperglycemia management should hinge on prophylactic use of metformin or SGLT2 inhibitors, dietary restrictions, and frequent glucose monitoring. Their conversation on rash management included insights about prophylactic antihistamines, patient education on skin care, and involving dermatology for severe cases. Overall, the experts spotlighted the importance of multidisciplinary collaboration and proactive patient education when treating patients with breast cancer.
*Content Warning: grooming, institutional betrayal, sexual violence, stalking, on-campus violence, intimate partner violence, gender-based violence, stalking, rape, and sexual assault.Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources SWW Sticker Shop!: https://brokencyclemedia.com/sticker-shop SWW S25 Theme Song & Artwork: The S25 cover art is by the Amazing Sara Stewart instagram.com/okaynotgreat/ The S25 theme song is a cover of Glad Rag's U Think U from their album Wonder Under, performed by the incredible Abayomi instagram.com/Abayomithesinger. The S25 theme song cover was produced by Janice “JP” Pacheco instagram.com/jtooswavy/ at The Grill Studios in Emeryville, CA instagram.com/thegrillstudios/ Follow Something Was Wrong: Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcast TikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese: Website: tiffanyreese.me IG: instagram.com/lookieboo Sources:Association of American Universities. Campus Climate Survey on Sexual Assault and Sexual Misconduct. Westat / Cantor et al., 2015 and 2017.Holland, Kathryn J., Cortina, Lilia M., and Freyd, Jennifer J. Research on institutional betrayal and sexual violence in higher education, 2018–2021. Miodus, Stephanie, et al. “Campus Sexual Assault: Fact Sheet from an Intersectional Lens.” American Psychological Association, American Psychological Association, www.apa.org/apags/resources/campus-sexual-assault-fact-sheetNational Academies of Sciences, Engineering, and Medicine. Sexual Harassment of Women: Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine. National Academies Press, 2018.Sable, Marjorie R., et al.; Cantor, David, et al. Multi-campus climate survey analyses examining reporting behavior and trust in institutions.U.S. Department of Justice, Bureau of Justice Statistics. National Crime Victimization Survey special analyses on reporting disparities.Wood, Leila et al. “Sexual Harassment at Institutions of Higher Education: Prevalence, Risk, and Extent.” Journal of interpersonal violence vol. 36,9-10 (2021): 4520-4544. doi:10.1177/0886260518791228
Lloyd Minor, M.D., dean of Stanford University School of Medicine and VP of medical affairs at Stanford University, talks about the big changes artificial intelligence is bringing to research and health care, especially related to cancer and chronic diseases, and shares how Stanford is training physicians to use AI.
Independent medical practice is under siege, according to Rep. Greg Murphy (R-NC). Murphy, a practicing physician for over 30 years, joins the Rundown to discuss the "explosion" of insurance claim denials and the "destruction of medicine" caused by what he calls vertical integration and the corporate takeover of healthcare. He breaks down the GOP's plan to restore marketplace competition, the debate over Affordable Care Act (ACA) subsidies, and why he believes the current system prioritizes corporate profit over medical necessity. TikTok is set to remain in the U.S. following a deal granting American entities majority ownership, ending the immediate threat of a nationwide ban. But does this restructuring resolve concerns over data privacy and the safety of young users? Cybersecurity expert John Cofrancesco joins to discuss whether the deal addresses the national security risks that sparked the ban, the legal battles over social media addiction, and the race to outpace China in artificial intelligence. Plus, commentary by FOX News contributor Tom Shillue. Learn more about your ad choices. Visit podcastchoices.com/adchoices
After 13 years of practicing medicine, I'm not here to pretend I have it all figured out. I am here to share what experience has quietly, steadily taught me.In this episode, I'm reflecting on 13 lessons I've learned in my 13 years as a PA—from why people and schedules matter more than specialty, to how burnout isn't something you beat but something you learn to monitor, to why there is absolutely no award for doing it the hard way.This isn't a how-to episode or a deep clinical dive. It's an honest, human reflection on what it takes to build a career in medicine that actually lasts. Consider this an invitation to pause, reflect, and ask yourself: what have I learned in my own years of practice?Inside this episode, we talk about:Why culture, autonomy, and respect matter more than we're taughtHow your real legacy lives outside the hospital or clinicWhy medicine is an Ironman, not a sprintBurnout as a chronic condition—not a personal failureThe power of mentorship, sponsorship, and turning around to help othersNegotiation as a skill we were never taught—but desperately needWhy part-time practice still countsAnd the truth about martyrdom (spoiler: there's no prize)Reflection isn't indulgent. It's how we make this work sustainable—for ourselves and for the clinicians coming behind us.SPONSORS:ADVANCED PRACTICE PLANNING, LLC: advancedpracticeplanning.com/fiSERMO https://app.sermo.com:443/?sermoref=39d97a2c-f699-4f8b-b2f9-1eb131e18c75&utm_campaign=tell-a-friend CONNECT FREE 30-MINUTE COACHING CONSULT https://calendly.com/the-pa-is-in/gen-call 1-ON-1 NEGOTIATION CONSULT https://calendly.com/the-pa-is-in/negotiateCONNECT WITH TRACY
If you've ever wondered, “What's actually real when it comes to UAPs, aliens, and nonhuman intelligence?”...today, you're getting real answers. This episode of Mayim Bialik's Breakdown cuts through decades of speculation, misinformation, and stigma to bring you hard science, firsthand research, and never-before-shared insights from one of the most credible scientists studying UAPs today. For years, the public has been left guessing—Are UFOs real? Are aliens visiting us? Are people actually being harmed? And why won't mainstream science touch this topic? That changes today. We're sitting down with Dr. Garry Nolan, Professor of Pathology at Stanford University School of Medicine, Co-Founder and Executive Director of the Sol Foundation (a leading research institute focused on Unidentified Aerial Phenomena), and a featured expert in the hit documentary The Age of Disclosure. Dr. Nolan explains how he scientifically proved the infamous Atacama “alien” skeleton was not extraterrestrial, revealing what the DNA of true nonhuman life might actually look like if we ever encounter it. We also explore his classified-adjacent work studying UAPs, including deeply unsettling cases of alleged human injuries linked to possible UAP encounters and energy weapons, and the shocking implications these cases may have for regions of the human brain tied to intuition, perception, and consciousness itself. Dr. Nolan shares what he's uncovered from analyzing alleged UAP artifacts, including materials connected to Roswell, and how his lab studies metal fragments containing anomalies that appear to defy known physics. This episode goes where most won't—and does so with data, restraint, and scientific rigor. We're breaking down: - Why the Atacama “alien” skeleton fooled the world, and how science finally solved it - What alien or nonhuman DNA would actually look like (and why Hollywood gets it wrong) - What UAP-related human injury cases may reveal about the brain, intuition, and perception - How alleged UFO materials and Roswell fragments are analyzed at the atomic level - What Dr. Nolan believes the true goal of nonhuman intelligence might be - Why he thinks aliens should allow humanity to evolve naturally before further interference - What he personally witnessed as a child involving UAPs and nonhuman intelligence - How he responds to skepticism and backlash from fellow scientists - And whether humanity faces a physical or existential risk from alien contact This is not science fiction. This is cutting-edge science colliding with the biggest mystery of all time. Once you hear this, you may never look at reality the same way again. The Sol Foundation: http://www.thesolfoundation.org Follow us on Substack for Exclusive Bonus Content: https://bialikbreakdown.substack.com/ BialikBreakdown.com YouTube.com/mayimbialik Learn more about your ad choices. Visit megaphone.fm/adchoices