Podcasts about mri

Hello, all you and the Relentless Health Tribe trying to figure out how to do right by patients and the folks footing the bill. Welcome to it. This is episode 499, one episode before episode 500. So, come back next week for that one. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. All right, so today, let's talk about the inches that are all around us. Let's find some. Musculoskeletal spend, otherwise known as MSK spend, for any given plan sponsor adds up to the tune of something like 20% or 30% of total plan spending, depending on the member demographic. MSK rolls in at $16 PMPM, I just saw, according to a report Keith Passwater sent me a couple of weeks ago. It's the third most costly spend apparently overall. And it's easy to see why, right? On any given day, odds are good any given plan member is gonna do something that, in hindsight, was fairly obviously a bad idea and wind up getting hurt in some low-acuity way. For example, I remember that one time I twisted my ankle on a curb getting outta my car. Given the right space, enough time, and concentration, I can do the worst parking job you've ever seen in your life and manage to twist my ankle in the process. But I digress. Here's the point. MSK spend adds up really fast. Add to that something like 50% of spine surgeries are said to be unnecessary. The same thing goes true from injuries like twisted ankles, for example, that would have healed themselves without an ER visit, without any intervention aside from ice, rest, and elevate. Because it turns out that something like 80% of those twisted-ankle, banged-up-the-back types of MSK injuries are actually low acuity, and a huge percentage of those will heal by themselves. On that point, let me bring in some context here, some late-breaking news. I was reading Dana Prommel's newsletter. She wrote, and I'm reading this, she wrote, "The 2026 National Healthcare Expenditure data reports are out, and it is another sobering reflection of our current system. Personal healthcare spending has surged by over 8%, and our healthcare spend as a share of the GDP has followed that same aggressive trajectory." Then Dana writes, "The most troubling takeaway from the 2026 report is the lack of a 'health dividend.' Despite [this] 8% increase in spending, we aren't seeing a corresponding 8% increase in longevity, wellness, or chronic disease management. People aren't getting significantly healthier; they are just getting more 'care.' And that 'care' isn't always good care, or the right care, or care by the right type of clinician, at the right time, in the right setting." Is that not the perfect segue or what? Because this is what we're talking about on the show today in regard to, again, MSK care—care that can wind up costing millions of dollars across plan members, and it might be unnecessary because, again, the twisted ankle or the pain in the lower back would have healed itself without any care, without an ER visit. But if an ER visit was had, that patient probably is gonna wind up with a bunch of imaging. Probably is gonna wind up with a referral to a surgeon. And now there's a surgery scheduled, and the patient has been off work for however long all that took. There's a lot of direct and indirect costs that may or may not add up to any given health dividend or health span or whatever you wanna call it—better quality of life.   Why does all this happen? How does it happen? One reason is what Dr. Jay Kimmel calls the white space of MSK care. This is where a patient does a truly breathtaking job parking the car, twists her ankle, starts to swell up, and now a decision has to be made: Go to the ER. Go to urgent care. Go home. Or what if it's a parent making this choice for a kid? In the olden days, maybe that patient would've called up his or her longtime family doctor and asked what to do, and maybe if that longtime family doctor didn't know, he or she would have called up the local ortho and gotten their opinion. Or maybe the two were sitting together in the doctor's lounge at the time, or maybe they rounded together in the hospital and, and, and … There used to be lots of opportunities for spontaneous questions and answers and curbside consults. But not today most of the time, really, unless you're a patient with a doctor in the family. But even for a PCP, who wants an ortho consult? Amy Scanlan, MD, and I discussed this quite a bit in an earlier episode (EP402). There's no doctor lounges anymore. There's no coffee klatch down in radiology either. There's just a lot of cultural shifts, in other words. But all of this, everything I have said thus far, all adds up to one big takeaway: These excess costs that don't have commensurate improved clinical outcomes, they happen because patients are on their own to triage themselves. They look at their black-and-blue whatever, or they're standing there listening to their kid cry and they are deciding what to do. And the thing is, if they choose the ER—because, again, they don't have a doctor, anybody they can just call with the right kind of clinical background—once they head into that ER and sit there for six hours and demand an MRI because now it has to be worth their time because they sat there for six hours; but now there's a false positive and the ER docs are being conservative because of malpractice or whatever and they refer them to some sort of surgeon … Look, everybody's doing their best with the information that they have at the time, but you can see how easy it is for a person to avoidably wind up costing a lot of money for a musculoskeletal injury that would have healed by itself. So, yeah, let's talk about how we can get patients some help in that so-called white space. How can we get them, triage before the triage, as I managed to say more than once in the conversation that follows? Let's get them on a good trajectory to start. Today, my guest is Dr. Jay Kimmel. Dr. Kimmel is an orthopedic surgeon, and he's been in practice in Connecticut for over 35 years. He and Steve Schutzer, MD, co-founded Upswing Health. I talked with Dr. Steve Schutzer about Centers of Excellence in an earlier episode (EP294). Upswing Health provides members with the opportunity to talk with an athletic trainer within 15 minutes and an orthopedic specialist within 24 hours. So, instead of having a panic attack of indecision and ultimately winding up in the ER, getting coughed on in the waiting room, members have somebody helping them in this white space so they can get triaged before the triage. I need to thank Upswing Health. I am so appreciative they donated some financial support to cover the costs of this episode. This podcast is sponsored by Aventria Health Group with an assist from Upswing Health. Also mentioned in this episode are Upswing Health; Keith Passwater; Dana Prommel; Amy Scanlan, MD; Steve Schutzer, MD; Eric Bricker, MD; Al Lewis; Nikki King, DHA; Matt McQuide; Christine Hale, MD, MBA; and Chris Deacon. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn.   Jay Kimmel, MD, is the president and co-founder of Upswing Health, the country's first virtual orthopedic clinic. He founded Upswing with Steve Schutzer, MD, to rapidly assess, triage, and manage orthopedic conditions in a cost-effective, high-value manner, helping patients avoid unnecessary imaging, procedures, and delays in care. Dr. Kimmel had a long and distinguished career as a practicing orthopedic surgeon with Advanced Orthopedics New England. He earned his undergraduate degree from Cornell University and his medical degree from the University of Rochester. He completed his orthopedic residency at Columbia Presbyterian Medical Center, where he trained with leaders in shoulder surgery, followed by a sports medicine fellowship at Temple University Center for Sports Medicine, where he participated in the care of Division I collegiate athletes. He is board-certified in orthopedic surgery and is a Fellow of the American Academy of Orthopedic Surgeons. Dr. Kimmel specializes in sports medicine with an emphasis on shoulder and knee injuries and holds a subspecialty certificate in orthopedic sports medicine from the American Board of Orthopedic Surgery. He is also a member of the American Orthopedic Society for Sports Medicine. Dr. Kimmel co-founded the Connecticut Sports Medicine Institute at Saint Francis Hospital, a multidisciplinary center dedicated to providing high-quality care for athletes at all levels, and served as its co-director for many years. He has a strong commitment to education and served for over 20 years as an assistant clinical professor in both family medicine and orthopedics at the University of Connecticut. He has also served as a team physician at the professional, collegiate, and high school levels.   07:49 EP472 with Eric Bricker, MD, on high-cost claimants. 08:01 What is the "white space" in MSK spend? 10:43 Statistics on Connecticut's spending on plan members with low-acuity MSK injuries. 13:30 How back pain also easily transitions from a low-acuity issue to a high-acuity problem. 15:11 How plan sponsors can detect their white space downstream spend. 16:58 EP464 with Al Lewis. 17:02 EP470 with Nikki King, DHA. 18:15 Why where patients start their journey often dictates where they wind up and how costly that medical pathway is. 20:48 Where PCPs fit into this MSK spend issue. 25:26 EP468 with Matt McQuide. 25:34 EP471 with Christine Hale, MD, MBA. 25:39 Why access is key.   You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn.   Jay Kimmel, MD, of @upswinghealth discusses #MSKspend on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #musculoskeletal   Recent past interviews: Click a guest's name for their latest RHV episode! Mark Noel, Gary Campbell (Take Two: EP341), Zack Kanter, Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors  

Recorded live at the NTL Summit in Miami, this episode features Cara Rosenthal, co-founder and Chief Legal & Strategy Officer of Expert Radiology, a Puerto Rico–based teleradiology group with a national presence. Cara breaks down their proprietary, patient-first MRI reporting system—featuring colorized key images, side-by-side comparisons, and detailed medical illustrations designed to make injuries instantly understandable. She shares why comprehension leads to better patient compliance, how these reports become powerful built-in demonstratives for injury cases, and what's next as their patent and new SaaS feature expand visual reporting to any radiologist's report.

To have Dr. Morse answer a question, visit: https://drmorses.tv/ask/ All of Dr. Morse's and his son's websites under one roof: https://handcrafted.health/ Facebook Page: https://www.facebook.com/handcrafted.health   00:00:00 - Intro - New Salve! 00:01:17 - SHOC2 Noonan-like syndrome (NS/LAH) - Hypertrophic cardiomyopathy (HCM) 00:38:30 - Multiple Sclerosis (MS) Update - Eyes 00:44:33 - Raynaud's Phenomenon - Interstitial Lung Disease - Scleroderma - Avascular necrosis (AVN) 01:00:15 - Kundalini-like Symptoms - Overstimulated Nervous System - Social Anxiety 01:17:42 - Vitiligo 01:25:26 - Calcium Pyrophosphate Deposition (CPPD) - Osteoarthritis - Knee Surgery 00:01:17 - SHOC2 Noonan-like syndrome (NS/LAH) - Hypertrophic cardiomyopathy (HCM) Can genetic syndromes like my sons be reversed?  00:38:30 - Multiple Sclerosis (MS) - Update - Eyes She was diagnosed with MS via MRI and spinal tap. 00:44:33 - Raynaud's Phenomenon - Interstitial Lung Disease - Scleroderma - Avascular necrosis (AVN) My 17 year old was diagnosed with Raynaud's Phenomenon late 2024. 01:00:15 - Kundalini-like Symptoms - Overstimulated Nervous System - Social Anxiety I am also experiencing fasciculations, buzzing (especially in legs), twitches and tremors. 01:17:42 - Vitiligo I can feel the burning sensation going up to my face and down my left side. 01:25:26 - Calcium Pyrophosphate Deposition (CPPD) - Osteoarthritis - Knee Surgery I want to save his other knee which doctors told him they'd also have to operate on.

When is active surveillance the right choice for intermediate-risk prostate cancer patients? In this episode of BackTable Urology, Dr. Claire de la Calle, Assistant Professor of Urology at the University of Washington, joins Dr. Ruchika Talwar to unpack how active surveillance has evolved beyond low-risk disease and why select Grade Group 2 patients may be appropriate candidates now with thoughtful patient selection. --- SYNPOSIS The conversation explores emerging tools that can refine surveillance decisions, including PSA density, MRI findings, genomic classifiers, and the growing role of AI-assisted pathology. Dr. de la Calle emphasizes the importance of nuanced patient counseling, acknowledging anxiety and long-term risk while reinforcing that time on active surveillance can be a meaningful win when oncologic outcomes remain comparable to upfront treatment. --- TIMESTAMPS 00:00 - Introduction02:58 - Current Evidence05:03 - Patient Selection Criteria12:11 - Importance of PSA Density and Monitoring Protocols18:12 - Pathology and Genomic Testing32:18 - Future Directions and Research36:33 - Key Takeaways --- RESOURCES ProtecT Trial: Fifteen-Year Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancerhttps://www.nejm.org/doi/full/10.1056/NEJMoa2214122 Canary PASS Studyhttps://canarypass.org/ Genomic Classifier Performance in Intermediate-Risk Prostate Cancer: Results From NRG Oncology/RTOG 0126 Randomized Phase 3 Trialhttps://pubmed.ncbi.nlm.nih.gov/37137444

We're back with our monthly rundown of the top headlines in health tech!Today, Halle and Steve sort through the biggest stories shaping the year ahead, from AI prescribing to lawsuits galore.We cover:AI prescribing (in Utah!)The FDA updated guidance on clinical decision support for AI in medicineThe lawsuit against Prenuvo after a missed stroke warning, and the broader debate over accountability in AI-assisted diagnosticsTexas' antitrust case against Epic - are they being anti-competitive?New evidence shows GLP-1 drugs lower employer healthcare costs by 9%Why healthcare hiring is slowing downHalle's book is now available! (Order now on Amazon)Show notes:Utah begins pilot of prescribing AI medication (Utah Department of Commerce)FDA issues guidance on wellness products, clinical decision support software (AHA)Man got $2,500 whole-body MRI that found no problems—then had massive stroke (Ars Technica)Texas sues Epic, accusing it of running a monopoly (Wisconsin Public Radio)Why cover GLP-1s? They'll lower employer healthcare costs, study says (Healthcare Dive)Hospitals' make-or-break year (Axios)

Daniel Gewolb guides Jennifer Gillespie and Francis Deng through a series of skull base MRI scenarios. Includes discussion of neurovascular compression, pulsatile tinnitus, skull base osteomyelitis, CSF leak and more. Meanwhile, we learn that Frank is a naughty boy who breaks rules.   Radiopaedia Lecture Collection ► https://radiopaedia.org/courses/lecture-collection Radiopaedia 2026 ► https://radiopaedia.org/courses/radiopaedia-2026-virtual-conference Become a supporter ► https://radiopaedia.org/supporters Get an All-Access Pass ► https://radiopaedia.org/courses/all-access-course-pass Radiopaedia Community chat ► http://radiopaedia.org/chat Ideas and Feedback ► podcast@radiopaedia.org   The Reading Room is a radiology podcast intended primarily for radiologists, radiology registrars and residents. 

Is the biopsy needle more dangerous than the cancer itself? In this episode, Dr. Geo sits down with Dr. Mark Emberton, Dean of Medical Sciences at UCL and a global leader in urologic oncology. We dive deep into the "See and Treat" revolution—a massive shift in prostate cancer care that moves away from "blind" invasive biopsies toward precision imaging like MRI and PSMA PET scans.Dr. Emberton explains why many prostate cancers found through traditional methods are "biological non-events" that never needed treatment, and how younger men (ages 40-50) can better navigate their diagnosis. We also discuss the future of focal therapy, the role of AI in radiology, and the groundbreaking "Transform" study that aims to change prostate screening forever.WHAT YOU'LL LEARN IN THIS EPISODE:✅ Why a normal MRI (PI-RADS 1-2) might mean you can skip the biopsy entirely.✅ The difference between "visible" tumors on imaging vs. microscopic disease.✅ How PSA density acts as the crucial "tie-breaker" for indeterminate results.✅ The future of "See and Treat": Targeting lesions while avoiding surgery side effects.✅ Why tumor location (Anterior vs. Posterior) changes your treatment options.✅ How AI and new magnets are making MRI screening cheaper and faster.

Ozempic is to food chatter as Index cards are to the invisible work of being a household manager. We write any thought down, cognitive offloading, and free up capacity to THINK. As household managers we aren't struggling so much with the housework, it's all of the invisible thoughts that interrupt what we were doing and now can't remember what we need to do. We are constantly volleying between working memory and prospective memory!  Your working memory is your primary executive function. I want your working memory to serve its actual purpose, not just remembering to put the clothes in the dryer. What does that mean? Catch the full episode!!   New Rules Imagine you head back to school after break and the school says that's it, no more backpacks, lockers, or computers. You must carry everything with you throughout the day.  That's a lot to carry right? But we practice this everyday when we try to remember everything with no support staff, no help. And as soon as we think of something we need to do there's a "ding", a notification, a text, an interruption. So just like they gave new rules, I have a new rule for you…write everything down. It's hard to keep trying to remember everything -that's what working memory is - your brain constantly reminding you of what needs to get done. There is science backing the idea that writing things down helps with recall.  One study I shared confirmed yes it's better for recall and another study backed that hypothesis up with an MRI showing different blood flow when we hold a pen and write on paper than even a stylist to a screen.  May I point out that when you are pen to paper there is no notification or anything else interrupting your thought process other than other thoughts. Which if you write each one down they won't interrupt your mindfulness. You can stay focused on your current task. I explained all of this when I gave the example of something as simple as trying to input a passcode. The amount of things that can interrupt you when you are simply "sending yourself a passcode" to then enter on an app, site, or browser that you need, is comical.   I accidentally started using this system, which has proven effective, a long time ago of just writing everything down. And in this fast paced world with notifications distracting you continuously, it's a system to record what you want to remember (Prospective Memory)…what have you got to lose? Go grab a 5 pack of index cards and let your brain's flood gates open, then start writing them down.  Got a Full Classroom? Now imagine that you are the professor. Your working memory (the ability to hold information in your mind and manipulate it to complete work) is the classroom. It's orientation day for over 100 freshman college students. Can you hear all that chatter of the students? Can you even think? All those students are your thoughts. Now, you can clear out that classroom by writing down each thought. You write down the thought, the student leaves the classroom, and you gain back some of your working memory. That's why we write every thought down. You need to quiet your brain so you can think, not remember simple tasks like housework. Just because you are born a girl does not mean you innate know this skill.  Do the System A system works best when you do the system. If you've heard me say it once, then you've heard me say it a thousand times, write down every thought!  Pen to index card. Once you start to cognitively offload your thoughts (to move from your brain to your environment) you free up capacity allowing you to tackle much bigger tasks. Now that you have everything written down, there is no magic that all the sudden everything gets completed. Tune in next week because I am going to tell you the next step and explain why it works. EPISODE RESOURCES: The Sunday Basket® The Productive Home Solution Sign Up for the Organize 365® Newsletter  Did you enjoy this episode? Please leave a rating and review in your favorite podcast app. Share this episode with a friend and be sure to tag Organize 365® when you share on social media

"I was in a wheelchair, told I would never walk again... and then the blinking started." Join Sandra for a very interesting interview with Kimberly Meredith, one of the world's most documented Medical Intuitives. After two devastating accidents left her with a broken body and in a wheelchair, Kimberly experienced a profound spiritual awakening. She returned with a miraculous ability: her eyes began to blink in rapid "codes" that allow her to scan the human body faster than an MRI to detect illness and emotional blockages. But this isn't just a spiritual story—it is a scientific one. Kimberly's abilities have been rigorously tested and validated by the famed Institute of Noetic Sciences (IONS) and neurosurgeon Dr. Norm Shealy, proving that the "Scalar Energy" she channels is real. In this episode, Kimberly opens up about the personal tragedies that fuel her mission—including the loss of her brother and her father's suicide—and explains how we can all access the "5th Dimension" to heal our own bodies. In this episode: * The Accident: How a near-death event unlocked her "blinking" abilities. * The Science: Being tested by Dr. Norm Shealy and the Institute of Noetic Sciences (IONS). * The "Scan": How Kimberly sees inside the body (X-ray vision). * The 5th Dimension: Moving from the 3rd Dimension of fear to the 5th Dimension of miracles. * Scalar Energy: Understanding the "Tesla" energy that heals. * Personal Grief: Kimberly shares the heartbreaking loss of her father and brother. Get Kimberly Meredith's book "Awakening to the Fifth Dimension": https://amzn.to/46aSslU Website: https://TheHealingTrilogy.com *Connect with Sandra Champlain: * Website (Free book by joining the 'Insiders Club, Free empowering Sunday Gatherings with medium demonstration, Mediumship Classes & more): http://wedontdie.com *Patreon (Early access, PDF of over 800 episodes & more): Visit https://www.patreon.com/wedontdieradio  *Don't miss Sandra's #1 "Best of all things afterlife related" Podcast 'Shades of the Afterlife' at https://shadesoftheafterlife.com

Jennifer Shaffer is a medium/intuitive who works with members of law enforcement nationwide, including agents from the FBI, NYPD and LAPD. We met ten years ago and began a conversation that has continued undaunted onto this podcast.   I'm a filmmaker, author who has written 13 books about the afterlife, Jennifer and I met up ten years ago and have been meeting weekly ever since.  We have four books together BACKSTAGE PASS TO THE FLIPSIDE 1, 2, 3 and TUNING INTO THE AFTERLIFE. Jennifer has been instrumental in helping me to get information from people offstage - including #AmeliaEarhart and the book #SheWasNeverLost - the Amelia Earhart saga. In today's podcast we talk to someone that Jennifer didn't know when he was on the planet, but has met and works with members of his family.  In our podcast, he refers to someone who saw him many years ago - someone whom I knew who worked with him.   Upon further reflection, I'm not sure if he was referring to my friend or not - but either way, I knew who Jennifer was referring to.  Steve wanted to speak about AI - and argue that it's not something to fear but something that will enhance the ability of people to think at a faster rate. We talked about the value and pitfalls of that - and he's arguing that people can use it as a tool that it's meant to be used as.   I asked some questions about #Parkinsons (and the show "Shrinking which had an episode about it) as well as my old USC professor the late Coleman Hough who had Parkinsons and appears in the film HACKING THE AFTERLIFE where it vanishes during her six hour interview. We talked about how that is or why that happened, and then talk about the idea that "filters on the brain" (see Dr. Greysons book AFTER pg 125 or DIVINE COUNCILS IN THE AFTERLIFE for a discussion of the research into filters on the brain) might be something to examine, look into as science tries to cure Parkinsons. We reiterate we're asking questions, not giving any medical advice - not medical advice is implied or suggested or given.  However, when talking about the brain and the research involved with looking for "filters on the brain" and how it is that Jennifer's brain is in a "delta state" during her sessions (as proven by MRI's that she has done on camera, and the same results were demonstrated via Dr. Drew and Tyler Henry's MRIs.)  That people who do this kind of mediumship MAY BE stepping past those filters - and that doing so on a daily basis may help or heal parts of the brain. That's the general discussion and we do these discussions to inspire people to do their own. Hope this helps. 

Send us a textForget the assumption that modern neurology only thrives where resources are abundant. We sit down with Dr. Daniel Ontaneda and Dr. Nelson Maldonado—two Ecuadorian neurologists driving change across Latin America—to explore how world-class care is built on clinical craft, cultural fluency, and relentless advocacy. From bedside localization when the MRI is down to expanding stroke thrombolysis from a handful of cases to hundreds, their stories reveal a system where expertise is abundant but access can lag—and how that gap is closing.We retrace Dan's journey from Quito to leading-edge MS research, and Nelson's decision to return home to build services few believed possible. Together they unpack what training looks like across the region, including long-format medical school, rural service, and residencies that demand deep exam skills. We compare public and private systems in Ecuador, break down why patients often want clear directives rather than options, and examine how cultural beliefs and language shape adherence. The conversation digs into MS treatment in low- and middle-resource settings, the rise of highly effective disease-modifying therapies, and the pragmatic use of cost-effective options like rituximab.The episode also exposes a hidden threat: substandard medications entering through price-first procurement, undermining both acute care and chronic neurologic disease. Yet the momentum is real—regional MS registries, imaging collaborations that move faster than heavily regulated systems, and conferences that bring neurocritical care and MS experts under one roof. Even subspecialists practice broadly, treating Parkinson's disease, epilepsy, headache, and ICU cases in the same week, sharpening an exam-first mindset that delivers results.If you care about global neurology, stroke systems of care, MS access, and the practical ethics of delivering evidence-based treatment under constraints, this conversation will challenge assumptions and spark ideas. Subscribe, share with a colleague, and leave a review telling us where neurology should invest next.Support the showHosts:Dr. Nupur Goel is a third-year neurology resident at Mass General Brigham in Boston, MA. Follow Dr. Nupur Goel on Twitter @mdgoels Dr. Blake Buletko is a vascular neurologist and program director of the Adult Neurology Residency Program at the Cleveland Clinic in Cleveland, OH. Follow Dr. Blake Buletko on Twitter @blakebuletko Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPod

Send us a textA routine VA visit turned into a life-or-death spiral—and a blueprint for change. Marine Corps Sergeant Brian Talley woke up in 2016 with sudden, ferocious back pain. The VA labeled it a “low back sprain,” refused bloodwork and imaging, and sent him home with escalating opioids. Months later, an outside MRI led to surgery that uncovered the real culprit: a bone-eating staph infection tearing through his spine and organs. He survived, but the damage was permanent. Then came the second blow: after telling him they breached the standard of care, the VA reversed course at the one-year mark, blaming an “independent contractor” and pointing him to state court—just after the statute of limitations expired.What follows is a masterclass in citizen advocacy. Brian, broken and nearly bankrupt, drafted a bill in proper congressional format with the help of a teacher, built a grassroots coalition, and walked the halls of Congress on sheer resolve. He secured bipartisan champions in the House and Senate, navigated a pandemic hearing, and pushed through what's known as the Talley Bill: a law requiring the VA to disclose, within 30 days of a tort filing, the employment status of every clinician named. That simple, surgical change closes a 74-year loophole that quietly stripped veterans of recourse by hiding contractor status until it was too late.We get candid about the toll—panic attacks, sleepless nights, and the emotional whiplash of bills that start, stall, and finally pass. We also get practical: how to document care, push for labs and imaging when symptoms escalate, confirm provider status, file federal tort claims on time, and demand everything in writing. Brian's story exposes how VA malpractice and contractor shields can collide, but it also shows how persistence, media pressure, and coalition-building can turn outrage into enforceable protections for millions of veterans.If you care about veteran health care, accountability, and how laws really get made, this one matters. Listen, share it with someone who needs answers, and tell us what safeguard you would add next. Subscribe for more stories that turn pain into policy, and leave a review to help other veterans find this resource.Support the showVisit my website: https://thehello.llc/THERESACARPENTERRead my writings on my blog: https://www.theresatapestries.com/Listen to other episodes on my podcast: https://storiesofservice.buzzsprout.comWatch episodes of my podcast:https://www.youtube.com/c/TheresaCarpenter76

Dr. Deb Muth 0:03There’s a quiet shift happening in healthcare right now, and most doctors aren’t talking about it yet. People aren’t chasing diagnoses anymore. They’re exhausted by them. I see it every single day in my clinic. People who come in with stacks of paperwork, portals full of results, and a list of diagnoses longer than their grocery receipt, yet they’re still not living their lives. And they’ll say to me, Dr. Deb, I don’t want another label. Dr. Deb Muth 0:32 I just want my life back. If you’ve ever been told this is just how your body is, if you’ve been diagnosed, rediagnosed, and then dismissed, if you’ve been handed labels but never handed a roadmap, today’s episode is for you. Because we are officially entering what I call the post diagnosis era and it’s changing everything about how healing actually happens. So grab your cup of coffee or tea and let’s settle in to let’s talk wellness. Now, before we dive in, we need to take a quick pause to thank today’s sponsor. And when we come back, we’re going to talk about why diagnoses are no longer the most important thing about you. Dr. Deb Muth 1:17Did you know sweating can literally heal your cells? And infrared saunas don’t just relax you, they detox your body, balance hormones, and boost mitochondrial energy. I’m obsessed with my health tech sauna, and right now you can save $500 with my code at healthtechhealth.com Dr. Muth req 25 so here’s some truth for me. Dr. Deb Muth 0:47It was three years ago Christmas that I received my Ms. Diagnosis. And I remember it very clearly. It was the day before, two days before Christmas Eve, that I got the call and I heard the words, you have white matter brain disease. That’s consistent with Ms. And I immediately stopped in my tracks and thought, okay, well, this is just the way it is. We’re gonna fight this. We’re gonna figure this out. And it led me down a deeper path of healing and spirituality and emotional growth. And there were some really difficult days ahead for me because I remember thinking, what am I gonna do? How am I gonna practice what’s going to happen in my life? And every year at this time, I reflect back to that day that I got the call that really changed my life. And not for the worse, but for the better. It changed the way I was thinking about life. Dr. Deb Muth 3:01It changed the way I was complaining about things being ungrateful for all the amazing things that I have in my life. Not intentionally, but just living the American life. Right. Dr. Deb Muth 3:14And striving for more and wanting more and chasing more and doing more, and never really having the opportunity to just be present and just really think about life and enjoy what the Lord has given us and enjoy what’s around me, the people in my life, the family that I have, the amazing practice that I have, and the amazing people I get to work with and change lives with. And it really changed me for the better. And I’ve watched diagnoses like this change people for the worse and for them to sink deep into a depression and give up and. And live to their label instead of living to their potential. And that’s why I think this episode is so important for us, because we all have a choice in life. When we get dealt something kind of difficult, we can let it consume us and let it take every ounce of life from us, or we can allow it to become the fuel that makes us better, makes us contribute to life maybe differently, but in a better way. So, you know, I know that this idea of letting diagnoses lose their power can be really uncomfortable for some people, because there’s people that are waiting for that diagnosis. I’m in some. Some social media groups, and I’m listening and reading to people who are saying, I’m so angry I didn’t get the Ms. Diagnosis today. I’m so angry I didn’t get the Lyme diagnosis today. I’m so upset that they can’t find anything wrong with me. And I understand. Dr. Deb Muth 5:20I know the feeling of wanting to put a name to what you’re feeling so that you have validation and you have power around this diagnosis, and you can prove to people that what you’re feeling is not in your head. I get all of that. But for many people, the original diagnosis is meant to help guide treatment in the conventional sense. It’s a created, shared language that we have, and it brings clarity. But for many people, you give that label and that name so much power and so much control over your life and who you are and what you’re being. And that’s not what the label is meant for. Somewhere along the line, medicine started confusing naming with healing. And today, we have more diagnoses than ever. We have more testing than ever. We have so many thousands of specialists, and yet people are sicker. They’re more inflamed, they’re more exhausted, they’re more confused than ever. And that’s not just a coincidence. That is how the system is meant to work. It’s meant to confuse you. Dr. Deb Muth 6:44It’s meant to keep you dependent on it. It’s meant to. Meant to keep you on medical management for the rest of your life. And by doing that, we enrich the pharmaceutical companies to the point where their whole role is to continue to create drugs that you need to be on for the rest of your life. And the hard truth about all of this that I’ve seen in my practice is for many patients, the diagnosis really becomes their identity. They own it, they gravitate to it. It’s who they are. It also becomes their prison because they only live confined inside the diagnosis. I can’t do this because I can’t do that, because if I do this, this will happen, because I have. They’ve capped their ceiling of life based on a couple of words that somebody gave them at a point in their life when they were so low and potentially so desperate that they needed that name to identify themselves and what was going on. And instead of asking, why is this happening? Dr. Deb Muth 8:05Why are these symptoms happening? What’s causing these symptoms? They’re told, this is what you have, and this is what you’re going to have to live with. And instead of restoring function, these people become managed. Like I said, they’re managed with drugs. They’re managed inside the system. And instead of healing, they’re monitored with this blood test and that blood test and this MRI and that mri. Instead of providing hope, they’re handed a lifelong prescription with expectations that do nothing but decline. So you walk out of that room with this expectation that your life is never going to be the same, that your function is going to decline, your neurological disease is going to take over eventually, you’re going to be put in a home, you’re going to lose everything you have because you’re not going to be able to afford the care that you need. And that’s the expectations of our healthcare system today. When you’re labeled with a chronic illness diagnosis, and for a woman, especially women, this is magnified because their symptoms are told to them as. It’s stress, it’s hormones, it’s anxiety, it’s aging, it’s motherhood, and then, of course, it’s perimenopause. Like that is some major traumatic thing that should disrupt your entire life. Yet it shouldn’t, and it does, and it doesn’t have to. And of course, my favorite is always, but your labs are normal. We don’t know what’s wrong with you. It must just be in your head. Dr. Deb Muth 9:53And this is why women are done being dismissed, why this shift is happening now that we are empowering women to take back Their lives, take back who they are and take back how they’re being treated in the healthcare system. And it is one of the most important things that we can do right now is to give women their power back so that they can stand strong in who they are and in their intuition and fight and say, no, this is not happening to me right now. I am not accepting this label. I’m not accepting this diagnosis. I will fight, I will find answers, and I will do what I need to do to be the woman that I want to be. So why is this conversation exploding right now? Well, there’s actually three big reasons, and first and foremost, it’s over. Diagnosis, burnout. People are collecting diagnoses without solutions. Autoimmune labels, syndromes, vague neurological names, but no one’s connecting the dots. Dr. Deb Muth 11:02You see, when you start to stack these labels on top of each other, one after the next after the next, you know, it’s celiac disease, it’s Hashimoto’s, it’s fibromyalgia, it’s autoimmune. You know, rheumatoid arthritis. It’s. Whatever it is, it’s long haul Covid. These days, no one is putting these connections together to say, why are you developing so many diseases that are so similar in nature, ones that just kind of domino after each other? Nobody’s looking at your immune system. Nobody’s measuring it, Nobody’s telling you how well it’s working. No one’s supporting it. They’re just throwing these biological drugs at you. And if there’s an autoimmune disease and sending you on your way and saying, this is what you have to look forward to for the rest of your life. But don’t worry, these side effects are rare, including cancer. It does not make sense to me that we are not looking at the root cause for all of these crazy diagnoses that we are labeling people with today. And I am guilty of it myself, because within the system that we work, we have to label something in order for you to receive the care that you need, for your insurance, to pay for the treatment, for the tests, for the visits. There has to be a label. And that’s what we call an ICD10 code. And if we don’t have the appropriate label, none of what we’re recommending gets covered for you. And that’s the label game began. The second thing is long haul Covid. And post viral illnesses. Dr. Deb Muth 12:47Millions of people were told, we don’t know why, and then we sent them home to figure it out by themselves. We don’t know why your immune system is failing, we don’t know why you’re having these clotting issues that are happening. But don’t worry, these clotting issues really are not that severe. They’re mild in nature. You’ll never have to worry about it. And we’re not going to treat it even though it’s four times the level that’s normal, because we’re going to wait until it’s 10 times the level of normal to even worry about it at this point. Dr. Deb Muth 13:19And it will take us 25 to 30 years before we understand any of the risks and barriers that have happened from these post viral illnesses that have occurred in our environment and the ones that are in the future to come. Because it takes time for us to study things, it takes time for us to figure it out, takes time for us to train the practitioners, and it takes time for us to accept something different than we thought was reality. And that is the problem that we have today with these post viral illnesses that are long acting, that are retriggering new viruses, retriggering old illnesses like Lyme, reactivating things like Epstein Barr virus. It will take decades before this becomes mainstream. And right now it’s fringe medicine and it’s not realistic. And those of us that are speaking about it are chastised and gone after, but by our medical communities and we are told that we are the crazy ones. And that is how medicine has always been. Way in the beginning, and I forget the doctor’s name, who started just observing that when medical students worked on cadavers and then came into the labor and delivery ward and delivered babies, these women were getting sick with infections and they were dying. And he said, what if we just washed our hands between the cadaver and the delivery? Would we save lives? And he did a small study and he was right. And over time he was made fun of and he was put into insane asylums and he was locked away. And now today we would never think of entering a room and working on a patient without washing our hands beforehand. But that took 30 years for that one concept of washing hands to be adopted. And it destroyed one man’s life because he simply asked the question, what if it’s a crazy society that we live in, It’s a crazy outlook that we have on medicine and asking questions. And sometimes I wonder, is it truly science or is it politically driven? And I think the answer is it’s both. And the third thing that we have is technology. And technology is outpacing wisdom by far. Hands down, AI, advanced labs and imaging can identify everything. Now using AI, but without context, it creates a fear. Dr. Deb Muth 16:08And instead of clarity, without context, using AI to interpret labs makes absolutely no sense. Without context and understanding and us actually training this LLM model, the AI doesn’t really know what it, what it means. And someday it will, I’m sure, but right now it doesn’t. So as everyone is taking to AI to treat themselves and create a protocol and diagnose themselves and understand their labs and know that it is without context that you are doing this, and research is wonderful, but without having somebody truly understand you and the art of healing and the art of medicine, this is going to get lost and you will not have the information that you truly need simply by using chat GPT. Now I’ve created my own version called Venari and I hope that this will be much better because it will have context. It will have 15,000 protocols that I have used for the last 25 years. It will have lots of research. It has all of the research databases that we can connect to. It has training that I have given it using my brain and how I see a client every single day in practice. So when you’re using our Venari app, you will be able to have that context. You will be able to have that pushback and that voice. And not only that, you will have the option then to work alongside someone to help you identify that context that you’re looking for. Does this make sense? Dr. Deb Muth 17:53I’ve seen this a lot in the peptide world, where in these Facebook groups, people are talking about the peptide stacks that they’re using and they’re telling people that it’s okay to use any peptide you want because they’re just small chain branch amino acids. And that can’t be farther from the truth because there are some peptides you would not want to use because they can stimulate the growth of cells. And if you have cancer or if you have a history of this, there are some peptides that we need to avoid. And unfortunately, AI doesn’t understand that yet and doesn’t know that yet. And it’s just creating stacks. And people are creating stacks without understanding what they’re doing. And I watched my best friend do this as she was learning peptides and she had cancer and it created an aggressive sarcoma. And I believe the peptides had a lot to do with that because it stimulated the growth of the cells. And it wasn’t until after she had passed away that we found this journal of hers that she was studying peptides and recognized that this could have contributed to her advanced cancer. And if you don’t have that context and you’re using AI to create these stacks for you, you can put yourself in harm’s way. And so AI technology, I think, is going to be fantastic in a lot of ways. It’s going to have its downfalls. And you’re going to need an expert when you’re using AI. You’re not going to just be able to treat yourself with this. You know, understanding that more data doesn’t always equal healing, and more data can be helpful. But again, you have to understand how to put those pieces together, how to ask the right question questions. And for that, you need somebody who has seen thousands and thousands of cases to find the missing pieces for you. Because AI is not going to do that unless it’s been trained to do that. Vanari has been trained to do that. Dr. Deb Muth 20:01It’s been trained to push back and look at lime and mold and toxins and chemicals and metals and all of those things. But there is no other AI bot out there, LLM that has been trained to do that using clinical data that I use every single day in my practice. And people are finally realizing that, you know, they’re understanding that although this world of AI and technology is amazing, it has its limitations, just like practitioners have their limitations. We don’t know everything. We are not perfect. We are human. And humans make errors and we miss things. With or without technology, we miss things. And part of it is because we just don’t know what we don’t know yet. And sometimes it’s because we have our blinders on, and sometimes it’s just simply because we don’t have the information today that we’re going to have five years from now. And here’s what I teach instead. I teach the seenet last. And that’s what we built it on. Restore and root. Rise and restore. Sorry, that is my methodology. And it’s in the scene at last book. And it starts with healing. It starts with asking better questions. So instead of asking, what do you have? We want to ask, what has your body been exposed to? What symptoms are underperforming? What’s driving the inflammation for you? When you have joint pain and you have muscle pain and you have achiness, that is not normal. Dr. Deb Muth 21:38I don’t care if you’re 20 or you’re 80, it is not normal. And yes, I did say 80, because we are not supposed to have that kind of inflammation at 80. And why are we underperforming? Why is our Brain not working correctly? Why is our mood not working? Why can’t my body push up a hill? Why can’t I lift 10 pounds? What’s going on? Why can’t I recover from that activity? What’s interfering with my ability to repair and heal after I’ve done some things that I need to do? What’s keeping your nervous system stuck in this survival mode, in this fight or flight mode? Why can’t I get past that? Sometimes that answer is really simple and sometimes that answer, it is so hard and so complicated and it is so many things that are causing this body to be stuck. And sometimes it’s a six month fix, and sometimes it’s a six year fix and sometimes it’s decades long. And it is one of the most challenging things as a practitioner to get clients to understand and to be on the other side of the table and not get you that quick fix. It is extremely difficult for us as well when we are not seeing the results that we think we should see. We need to focus on function over diagnosis, root cause over labels. Dr. Deb Muth 23:09What is driving all this inflammation and certainly restoration over resignation. Do not resign to the fact that you have this life altering disease that is never going to change. Because if we find the root and we restore the body, you don’t have to live in that death sentence that you’ve been given of a diagnosis, whether it’s fibromyalgia, MS, Alzheimer’s disease, celiac disease, Hashimoto’s thyroiditis, it does not matter what that diagnosis is. We can change it, we can make it better, we can reduce the symptoms, we can improve your life. Maybe not in ways that you are absolutely looking for, maybe not in a perfect world, but we can change the trajectory of where your life is going. And it’s because you’re not an ICD9 code or an ICD10 code. You’re not a code, you’re not an MRI result, you’re not a lab result, you’re a human body asking support, not a name. And I say that with a little hesitation because so many people are looking for the name. So many people are angry that someone didn’t find the name. I have clients that come to me that are so angry that the conventional medicine system did not identify their Lyme disease, that they’re looking for someone to sue and there is no one to sue because they didn’t find it, because sometimes they just don’t know. You’re asking for conventional medicine, practitioner and system to provide for you a label that is not within their wheelhouse to do. Because the way they treat Lyme disease and the way an eyelads practitioner looks at Lyme disease and has. Has the ability to test differently are two very different things. Dr. Deb Muth 25:27You’re asking for a system to perform in a way that they are not trained and guided to do. Then you’re looking and asking for somebody to place blame for an illness that you have, that you have yet taken ownership for. And I know that sounds harsh, and I know there’s going to be a lot of people that are angry at me for saying that. But I sit in front of you as someone who had Lyme disease, who had mold mycotoxin illness, who had high viral titers, who had post Covid peripheral neuropathy, who had the diagnosis of ms, who has white matter brain disease, who treated all of it not in the conventional world, who has halted the white matter disease and regrew her brain by 1.5 standard deviations, which is unheard of in 18 months. So I can say this to you. There is no one to blame for your lack of diagnosis or your diagnosis. It is life. It is what happens to us. And you have a choice at the crossroad to either take the path of hatred and anger and bitterness and blame and never getting better a result of that, or you have the ability to take the path of curiosity and openness and willingness to change and willingness to walk down a path that is different than what the conventional medicine is telling you to do. And those are your choices and you get to make those choices. But what you don’t get to do is blame some someone else and try to destroy them for something that they are not able to do. That is not what we get to do in this life. Dr. Deb Muth 27:29It is not right and it is not fair. If someone has truly injured you, that’s different. That’s different. But this looking to blame somebody because they didn’t give you a label, Ridiculous in my opinion. And if you’re listening and thinking right now, I’ve been diagnosed, but I’m not better, I want you to hear this clearly. You are not broken. You are not crazy, and you are not done. Sometimes the most healing moment isn’t getting that diagnosis. It’s realizing that the diagnosis was never the whole story. And that’s where the real healing begins. When we look at the entire story, we look at your entire life from the beginning to where you are now and what has happened to get you there. And once we get that, then we can put you back together. Not in the old way, in a new way in an amazing way, in a way that you would cherish your life for every moment that you have of it. Good, bad and ugly. A diagnosis should not be the doorway. It’s not a dead end. It is just the beginning. Remember, you don’t need another diagnosis. You need your life back. And that’s what’s important. Dr. Deb Muth 29:19We are living in a moment where medicine is being forced to evolve not because systems want to, but because patients are demanding better. This post diagnosis era isn’t about rejecting science, it’s about using it wisely. It’s about restoring function, dignity and hope. And I hope that if this episode resonated with you, share it with someone who’s been labeled but not yet helped. Because sometimes the most powerful healing starts when someone finally feels seen. Thank you for being with me here today. If you haven’t already, make sure you subscribe and follow. Let’s talk Wellness now on YouTube, Spotify or wherever you’re listening and I’ll see you next time. Until then, keep asking better questions, trusting your body and remembering you are more than a diagnosis.The post Episode 254 – Beyond the Diagnosis: Healing in a Post-Diagnosis Era first appeared on Let's Talk Wellness Now.

 Symptoms leading to diagnosis included progressively worsening headaches, tinnitus with pulsing in ears, dizziness, and immense head pressure during treadmill training that prompted an emergency eye exam revealing severe optic nerve bleeding.Surgery on November 1st, 2022 successfully removed 60 to 70% of the brain tumor, with the surgeon surprised Nathan didn't have a speech impediment given the tumor's extremely large size.Two weeks before diagnosis, Nathan heard a podcast about a man alleging to cure cancer with cannabis oil, and this person was providing the treatment free to cancer patients for seven years.Treatment protocol involved taking 10 pills daily containing 44 milligrams of cannabis each, combined initially with six cycles of chemotherapy and radiation, followed by six additional cycles of chemotherapy.Nathan's oncologist initially called the cannabis treatment a scam but later became encouraging about continuing the pills, stating Nathan was his best brain cancer patient at BC Cancer and that he never sees such results.Psychological impact included severe trauma for Nathan, his wife as caregiver, and 13-year-old son who witnessed Nathan crawling on floors due to extreme nausea and complications including a life-threatening blood clot.Cannabis provided multiple benefits including pain management, emotional regulation helping with depression, improved sleep for body recovery, and reduced inflammation which aided his athletic training recovery.Nathan was declared cancer free in 2023-2024 after continuous tumor shrinkage, with his oncologist stating he does not relate Nathan's success to the chemotherapy and radiation treatments.Multiple doctors have looked at Nathan's case and asked him to confirm his diagnosis, stating "you know you should be dead, right?" due to the rarity of his survival and recovery.Holistic healing approach included eliminating sugar, regular fasting for autophagy, sprouting broccoli for sulforaphane, taking vitamins C and D, and daily grounding by placing bare feet on earth for 30 minutes.A false positive scare occurred in November 2025 when an MRI showed what appeared to be recurrence, but December scan confirmed it was an artifact and Nathan remained cancer free.Nathan now coaches other cancer patients and has seen success with three people who experienced pseudoprogression (inflammation mistaken for tumor growth) that later showed actual shrinkage on subsequent scans.His dog was diagnosed with aggressive malignant melanoma in November 2025 with high mitotic count and given weeks to months to live, but is now being treated with the same cannabis oil formula designed for pets.Cancer experience completely transformed Nathan's perspective from being depressed and unmotivated before diagnosis to becoming extremely positive and passionate about helping others explore cannabis treatment options. Visit our website: CannabisHealthRadio.comFind high-quality cannabis and CBD + get free consultations at MyFitLife.net/cannabishealthDiscover products and get expert advice from Swan ApothecaryFollow us on Facebook.Follow us on Instagram.Find us on Rumble.Keep your privacy! Buy NixT420 Odor Remover Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, Dr. Rena Malik explores the complexities of whole body MRI screening with guest Dr. Matthew Davenport. They discuss the pros and cons of using contrast material, the risks of overdiagnosis, and the potential harms of detecting indolent cancers or incidental findings in low-risk populations. Through vivid examples and expert explanation, the conversation highlights the importance of targeted cancer screening and making informed choices about imaging. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Use of contrast in MRIs00:25 Trade-offs: accuracy vs. harm00:59 Substantial harm from findings01:51 Thyroid nodules and overdiagnosis03:15 Retrospective outcomes and unintended harm04:41 Screening for aggressive vs. indolent cancers07:06 Prostate cancer screening example08:24 Complications from incidental findings09:33 Cascade of care after incidental findings Stay connected with Dr. Matthew Davenport on social media for daily insights and updates. Don't miss out—follow him now and check out these links! LinkedIn profile: https://www.linkedin.com/in/matthew-davenport-md-mba-037184286 Work profile: https://medschool.umich.edu/profile/2315/matthew-s-davenport Most relevant article: https://www.ajronline.org/doi/10.2214/AJR.22.28926 Next event is grand rounds speaker at Stanford: https://med.stanford.edu/radiology/education/grandrounds/2025-26.html#january Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Is the biopsy needle more dangerous than the cancer itself? In this episode, Dr. Geo sits down with Dr. Mark Emberton, Dean of Medical Sciences at UCL and a global leader in urologic oncology. We dive deep into the "See and Treat" revolution—a massive shift in prostate cancer care that moves away from "blind" invasive biopsies toward precision imaging like MRI and PSMA PET scans.Dr. Emberton explains why many prostate cancers found through traditional methods are "biological non-events" that never needed treatment, and how younger men (ages 40-50) can better navigate their diagnosis. We also discuss the future of focal therapy, the role of AI in radiology, and the groundbreaking "Transform" study that aims to change prostate screening forever.WHAT YOU'LL LEARN IN THIS EPISODE:✅ Why a normal MRI (PI-RADS 1-2) might mean you can skip the biopsy entirely.✅ The difference between "visible" tumors on imaging vs. microscopic disease.✅ How PSA density acts as the crucial "tie-breaker" for indeterminate results.✅ The future of "See and Treat": Targeting lesions while avoiding surgery side effects.✅ Why tumor location (Anterior vs. Posterior) changes your treatment options.✅ How AI and new magnets are making MRI screening cheaper and faster.

Donald Trump proudly boasted last week that he had agreed to a "framework for a future deal" with regard to Greenland, and now he's already trying to change the terms. This is likely due to the fact that most people in the US pointed out that he got nothing from his supposed deal, so now he's demanding that US military bases in Greenland be considered American territory - and Denmark and Greenland aren't happy with his demands. A documentary about the life of Melania Trump is set to release this coming Friday, and it has somehow already managed to be a box office bomb BEFORE even being released. Users on social media are pointing out that tickets at their local theaters are all still available, meaning that no one seems willing to fork over money to watch the story of a wealthy, privileged, and callous woman as they struggle to afford basic necessities. The film creators REALLY failed to read the room on this one.Secretary of State Marco Rubio revealed to New York Magazine who he avoids looking like a weak and pathetic coward when he's around Donald Trump. The solution to his problem is actually so much worse, because Rubio admitted that he wraps himself completely in a blanket and hides from Trump aboard Air Force One. Again, he does this so Trump doesn't think that he's weak, but there's nothing weaker than hiding from an elderly dementia patient. A judge in Minnesota has ordered the Trump administration to submit a clear and honest explanation to the court about why federal agents are crawling all over the state. Pam Bondi made it sound like the ICE invasion is because Minnesota is not giving in to her demands for the state's voting rolls, while others in the administration have suggested that it is because of the ongoing fraud investigation, and still others maintain that it is about roving gangs of Somali immigrants. The truth now has to come out, thanks to the judge's order. During his interview with New York Magazine that was published this week, Donald Trump blasted his own doctors for causing the public to discuss his failing health. Trump claimed that the only reason he had an MRI was because he was "right next to the machine" anyway, and his doctors thought that it might be fun to just do it. He and Karoline Leavitt then appeared to force one of his doctors to lie and say that he is healthier than Barack Obama ever was, and that statement alone should cost the doctor his medical license. Text and and let us know your thoughts on today's stories!Subscribe to our YouTube channel to stay up to date on all of Farron's content: https://www.youtube.com/FarronBalancedFollow Farron on social media! Facebook: https://www.facebook.com/FarronBalanced Twitter: https://twitter.com/farronbalanced Instagram: https://www.instagram.com/farronbalanced TikTok: https://www.tiktok.com/@farronbalanced?lang=en

We learn about AB's MRI, and we wonder what you had to use because you didn't have a sled.

This interview was brought to you in partnership with Eisai and is part of the Journey to Diagnosis series.Eisai: https://www.eisai.com/index.htmlJourney to Diagnosis: https://beingpatient.com/journey-to-diagnosis/Luke Davis spent four decades as a Dallas attorney — and an active husband, father, youth sports coach and school board member — before subtle memory changes raised concerns. In this Being Patient Perspectives interview, Luke and his wife, Paula Davis, share the early signs of Alzheimer's they noticed first, how they pursued answers, and what helped them move forward.After a primary care visit, Luke underwent cognitive testing, an MRI and an amyloid PET scan that confirmed plaque. In April 2023, just before his 69th birthday, he was diagnosed with early-stage Alzheimer's disease. Luke later learned he carries two copies of the APOE4 gene, a major genetic risk factor for Alzheimer's.Luke and Paula also discuss treatment and support — including Luke's experience with Leqembi (lecanemab) infusions — and how they've leaned on the Alzheimer's Association, community, and practical day-to-day strategies. Their message for newly diagnosed individuals and couples: Alzheimer's is a detour, not a dead end — and Luke is focused on “living with Alzheimer's, not dying from it.”Topics covered: early Alzheimer's symptoms, diagnosis journey, amyloid PET scan, APOE4, Leqembi/lecanemab, caregiving as a spouse, coping after diagnosis, living well with Alzheimer's, advocacy and support.#Alzheimers #EarlyAlzheimers #Leqembi #Lecanemab #APOE4 #Dementia #BrainHealth #BeingPatient---- If you loved watching this Live Talk, visit our website to find more of our Alzheimer's coverage and subscribe to our newsletter: https://www.beingpatient.com/Follow Being Patient: Twitter: https://twitter.com/Being_Patient_Instagram: https://www.instagram.com/beingpatientvoices/Facebook: https://www.facebook.com/beingpatientalzheimersLinkedIn: https://www.linkedin.com/company/being-patientBeing Patient is an editorially independent journalism outlet for news and reporting about brain health, cognitive science, and neurodegenerative diseases. In our Live Talk series on Facebook, former Wall Street Journal Editor and founder of Being Patient, Deborah Kan, interviews brain health experts and people living with dementia. Check out our latest Live Talks: https://beingpatient.com/live-talks/

Dr. Frank R. George is an internationally recognized authority in psychology, neuroscience, narcissism, and addiction. Through his Substack newsletter, The Gaslight Report, he demystifies pathological narcissism, explores its underlying causes, and offers practical strategies that readers can apply in their own lives. Over many years, his research has spanned neuroanatomy, neurochemistry, and genetics as they relate to the field of addictions. He currently ranks among the top 1% of Google Scholars worldwide, with nearly 200 publications and over 30 patents. Additionally, he has received almost 4,000 citations for his work in the scientific literature. Dr. George explained that there is a growing amount of scientific evidence showing an overlap between symptoms of addiction and traits of narcissism, even to the extent that functional MRI reveals distinct neural activation patterns in individuals with that personality type. Similarly, withdrawal patterns appear when the person does not receive their preferred types of attention. “What do you see when a narcissist is not getting all that supply? They go through what's called narcissistic rage, narcissistic collapse, and it just overlaps with withdrawal,” he said. This is a really important interview shedding light on Trump and other malignant narcissist cult leaders. Learn more about your ad choices. Visit megaphone.fm/adchoices

Unlock the hidden advantage California personal injury lawyers rely on to win bigger settlements and deliver life-changing care to clients. In this episode of Spaghetti On The Wall, Emil Babadjov from Power Lines reveals how connecting with the right medical providers on lien can transform a case—especially in underserved communities. Discover how top law firms bypass insurance delays, secure high-value MRI and neuropsychology reports, and ensure clients receive the care they deserve, all without upfront costs. Whether you're in legal, healthcare, or building a service network, this is the bridge to higher success rates and impactful outcomes.

The medical system expects you to chase 33 different screening appointments across multiple specialists and check your organs one at a time. But there's a smarter way that scans your entire body in under an hour to catch cancer, aneurysms, fatty liver, and other serious health issues before they become life-threatening. In today's episode, I sit down with Dr. Daniel Durand, Chief Medical Officer of Prenuvo, to talk about the real-world power (and limitations) of proactive whole-body MRI screening. Dr. Durand walks us through how this advanced screening method detects over 500 conditions, many of which traditional screenings miss. We talk about the importance of early detection for cancers and neurodegenerative diseases, and how this proactive approach to health can save lives.   "It's better to see things early when you can intervene, and see them in a controlled context when you're healthy." ~ Dr. Daniel Durand   In This Episode: -  Introduction to Dr. Daniel Durand and his background - Conventional vs whole body scans - Conditions that whole-body MRI can detect - Bringing scans to underserved populations - Imaging for risk identification vs. diagnosis - How often you should rescan and what to expect - EMF exposure concerns and MRI safety parameters - How consumer demand is driving change in medicine   Products & Resources Mentioned: Prenuvo Whole-Body MRI: My listeners get a special discount when you book at https://prenuvo.com/wendymyers  Bon Charge Blue Light Blockers: Get 15% off with code WENDY at https://boncharge.com  Organifi Happy Drops: Save 20% with code MYERSDETOX at https://organifi.com/myersdetox  Organifi Collagen: Use code MYERSDETOX for 20% off at https://organifi.com/myersdetox  Chef's Foundry P600 Ceramic Cookware: Get 20% off with code WENDY20 at https://chefsfoundry.com  Heavy Metals Quiz: Take it for free at https://heavymetalsquiz.com    About Dr. Daniel Durand: Dr. Daniel Durand is a dual board-certified adult & pediatric radiologist and Chief Medical Officer at Prenuvo, where he leads clinical operations, research, and the medical group for the world's largest network of proactive whole-body MRI clinics. Previously, he served as Chief Clinical Officer & Chief Innovation Officer at LifeBridge Health and held leadership roles in accountable care at Johns Hopkins. He is passionate about empowering primary care and shifting medicine toward true prevention through advanced imaging. Learn more at: https://prenuvo.com/wendymyers    Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Dr. Stamatos explains why fibromyalgia is absolutely real, how it commonly overlaps with inflammatory diseases like RA, and what's actually happening in the brain, nerves, and spinal fluid of people with fibromyalgia. She offers practical guidance for telling the difference between an RA flare and a fibromyalgia flare, explains why opioids often make fibromyalgia pain worse, and reframes treatment as a whole-person, multi-tool approach, not a single pill, diet, or supplement. This conversation is especially powerful if you've ever felt dismissed, blamed, or overwhelmed by mixed messages about pain, fatigue, brain fog, sleep, or mental health. You'll walk away feeling validated, better informed, and more confident in navigating life with both conditions.Episode at a glance:Why fibromyalgia is a real, biologically based condition (and what the science actually shows) How common fibromyalgia is in people with RA and other chronic illnesses What functional MRI, nerve studies, and spinal fluid research reveal about fibromyalgia pain Why opioids often worsen pain sensitivity in fibromyalgia instead of helping How trauma, prolonged untreated pain, and stress can “turn on” fibromyalgia Practical ways to tell the difference between RA inflammation vs fibromyalgia pain The critical role of sleep, mental health, and stress regulation in pain management Why fibromyalgia treatment is a constellation of strategies, not a magic fix A compassionate explanation of catastrophizing — and how to work with uncertainty How to explain fibromyalgia to friends and family (including the Spoon Theory) Trusted resources for learning more, including The Chronic Pain Reset by Dr Afton HassettMedical disclaimer: All content found on Arthritis Life public channels (including Rheumer Has It) was created for generalized informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.Episode SponsorsRheum to THRIVE, an online course and support program Cheryl created to help people with rheumatic disease go from overwhelmed, confused and alone to confident, supported and connected. See all the details and join the program or waitlist now!  Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Christian O'Connell's show is back, and he's sharing a heartwarming story about his 21-year-old daughter Ruby's journey with chronic back pain. Christian opens up about the struggles Ruby faced, including multiple MRI scans and consultations that didn't provide a clear diagnosis. A specialist finally identified a rare condition in the multifidous region of the spine, which was causing the pain. Ruby underwent a groundbreaking procedure that involved a pacemaker-like device being inserted into her back to stimulate the nerves. Christian shares the emotional moment when Ruby finally smiled after the procedure, and the family's experience with the medical team.See omnystudio.com/listener for privacy information.

What if your website is quietly turning people away without you ever knowing it? In this episode of Unstoppable Mindset, Michael Hingson talks with Lori Osbourne, a branding strategist and web accessibility advocate whose personal health journey reshaped how she helps businesses show up online. Lori shares how unclear messaging, weak branding, and inaccessible websites block trust, visibility, and growth. Together, they unpack why accessibility is not just about compliance, but about inclusion, credibility, and better SEO, and how simple changes like clearer messaging, alt text, contrast, and video captions can transform both user experience and business results. Highlights: 00:01 – Understand why disability is often left out of diversity conversations and why that needs to change 13:56 – Learn how a life-altering health crisis forced a complete reset in career and priorities 27:10 – Discover why a website alone is not enough to establish authority or visibility 34:19 – Learn why unclear messaging is the biggest reason websites fail to convert 44:43 – Understand what website accessibility really means and who it impacts 59:42 – Learn the first step to take if your online presence feels overwhelming About the Guest: Lori Osborne, affectionately known as The Authority Amplifier, is a Brand Strategist, Website Consultant, and the founder of BizBolster Web Solutions. With over 25 years in technology and nearly a decade of experience helping coaches, consultants, authors, and speakers build a profitable online presence, Lori is the powerhouse behind The Authority Platform™, a complete done-for-you system designed to transform overwhelm into opportunity. Her signature branding process, The Authority Blueprint™, helps clients clarify their message, define their visual and verbal identity, and identify what truly sets them apart in their field. She then brings that strategy to life with an authority-building website - strategically crafted on the Duda platform to reflect credibility, connect authentically, and convert consistently - without the headaches of WordPress maintenance or tech confusion. Unlike agencies that offer cookie-cutter sites or developers who disappear after launch, Lori builds long-term relationships by delivering personalized, high-touch service. Through The Authority Platform™, she combines brand clarity, trust-building web design, lead generation funnels, SEO, accessibility, and sales systems into one cohesive, visibility-driving engine. Lori is known for her warmth, resilience, and insightfulness, and for making her clients feel fully seen and heard. If you're ready to stop spinning your wheels with digital tools that don't deliver, and finally create a platform that amplifies your voice, authority, and impact, Lori is your strategic partner. Ways to connect with Lori**:** https://www.bizbolster.com/ https://www.linkedin.com/in/loriaosborne/ https://www.facebook.com/bizbolster https://www.instagram.com/bizbolsterlori Link to Freebie: https://www.bizbolster.com/vip-visibility-audit About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset . Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes: Michael Hingson  00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. Michael Hingson  01:17 Well, hello everyone. Welcome to unstoppable mindset where inclusion, diversity and the unexpected meet. I am your host, Michael Hingson, or you can call me Mike, it's fine, and I gave the full title of the podcast for a very specific reason. Where inclusion, diversity and the unexpected meet, typically, diversity people never want to include disabilities in what they discuss or what they do. And if you ask the typical diversity people, what's diversity? They'll talk about race, gender, sexual orientation, and they don't deal with disabilities. But the reality is, and they say that disability isn't a real mindset. Well, Balderdash, it is. Just asked the 25% of America's population, according to the CDC, that has a disability, and they'll tell you that disability is a minority. But the reason I bring it all up is today, we get to talk with Lori Osborne, and she is a person who's been very deeply involved in website development, in branding and coaching, and she is very concerned about and likes to try to help deal with the issue of accessibility on websites. So we're going to have a fun time talking about all of that, much less the platform she uses, as opposed to WordPress, and I'm really curious to hear more about that, because I've my website is a WordPress website, but, but, you know, I think there are so many different ways to deal with things today. We'll, we'll have a fun time. But Lori, welcome to unstoppable mindset. We're glad you're here. Thank you Lori Osbourne  02:56 so much for having me. Mike, I love being here. Cannot wait to talk. Michael Hingson  03:01 Well, let's do it. Why don't we start by you telling us kind about the early Laurie growing up and all that stuff, and kind of how you got started. Okay, start at the beginning. Lori Osbourne  03:14 At the beginning. All right. I was born in San Diego. More your neck of the woods. San Diego Naval Hospital, but only got to live in California for two years, which I've always been disappointed about. My my family had my grandfather built a home in La Jolla. So you know, I was I've always been jealous of how my mom got to grow up, but I only got to spend two years there and then I got moved to Norman, Oklahoma, home of the Sooners, never watched football, never went to one football game my entire life. Michael Hingson  03:51 I've never been to a professional or college football game. My wife had, but I never got to go to a football game. I think it'd be kind of fun to do once, as long as I could still pick it up on the radio and know what's going on. Lori Osbourne  04:03 There you go. Yeah, I had zero interest in football until I met my current husband in 2011 and he doesn't miss a professional football game, an NFL game. So I have, I have come to embrace it and enjoy the Pittsburgh Steelers and the Kansas City Chiefs. So there you go. Michael Hingson  04:24 So you're in Florida and you don't root for a Florida team, huh? Lori Osbourne  04:29 I don't, we won't hold it again, you know. Well, you know, I'm one of those. So I moved from Oklahoma to Colorado to Denver area. So I was a Broncos fan when I lived in Colorado, but that was the days of, oh my gosh. Now my mind is going to completely go blank. This is so embarrassing. The the Great, the greatest Broncos player who is now a general manager, John, oh my gosh. Can think of a it'll come to me. But anyway, he, you know, we. Were actually like, yes, thank you. Thank you very much. Elway. Yes, I was a guest. So we were actually, like, winning Super Bowls when I first moved there, so, you know, and then it went, kind of went. Then I became a Peyton Manning fan, and my husband's from Pennsylvania, and he's like, you can't just change your mind about who you support every time we move. And I'm like, but I can't, yeah, why not? So when we moved to Florida, I Michael Hingson  05:26 the Jaguars, jaguars, yeah, yeah, they Lori Osbourne  05:29 just haven't been a great team. And I I watched Mahoney, Mahoney play for Kansas City, and I just fell in love with how he plays and just his style and his leadership, and I just became a Kansas City fan, just because I love watching him. And last season was a little disappointing because he didn't throw as much, but, but, you know, he's, he's amazing, so that's that's my reasoning. Michael Hingson  06:03 So So you you didn't fall in love with Travis Kelsey and try to go steal him away from Taylor Swift before things got serious? Lori Osbourne  06:12 No, no, I was already in love with my current husband. Michael Hingson  06:15 So see, tell him that there are some things and some loves that do transcend location. Lori Osbourne  06:23 There you go. Yes, absolutely. Well, you know, he's so obsessed with football that we I actually included in our marriage vows that I would support him through his two fantasy football teams and a lifetime of football in my future, because I knew I was marrying football when I married him. Michael Hingson  06:46 One of the things that spoils me about sports out here, and it's not so much anymore, but it used to be the case is, I think that here in especially southern California, we had the best sports announcers in the business. We had Vin Scully doing baseball, and I think that it'll be a long, long time before anyone comes up to the caliber of Vince Scully. And there, there are things that they do now that that really messed that up. But Vinnie was a was was the best. We had Dick Enberg, who did football and and other people. And Chick Hearn did basketball. Chick hurr had talked so fast that I don't know how he was able to do it, but I learned how to listen fast because I grew up listening to Chick Hearn new basketball. I love it. So, so I got spoiled on sports, listening to those announcers. I keep up with football from a news standpoint, especially when it gets close to the Super Bowl, so I can decide who I'm going to if anybody for for in the Super Bowl when they have it. Yeah, I do kind of like the Rams, because I live out here and I've always kind of liked them, although I was mad at them when they moved to St Louis for a while, but, but still, they're the Rams. I mean, we'll see what they do this year. I think they've got a good coach, but I by no means am a football expert or anything like that. I keep up though. Lori Osbourne  08:08 Me neither. I, yeah, I kind of joke, you know, my husband will watch like, you know, eight games at once, the red zone or the whatever, and it's flipping around. And I just can't, so I just joke I'm a fourth quarter watcher. On Sunday nights, Monday nights, I'll watch the fourth quarter and because that's where you know if it's gonna happen, that's where it's gonna happen if it's gonna be worth watching. Michael Hingson  08:30 Yeah, well, I'll be interested to see what happens tomorrow, because the Chargers are playing the chiefs in Brazil. Lori Osbourne  08:41 Yes, and I don't, I don't even know if we're going to get to watch it, because, you know, the NFL spread out across all these different platforms now, and if you don't have the platform, you're out of luck. Michael Hingson  08:52 I think it's going to be on TV. It'll be watchable, but it starts at 530 Pacific Time, and I don't quite understand that. If they're doing it live, that would mean it's going to start at nine. Start at 930 in the evening in San Paulo. So I don't know how all that's going to work. We'll see. Lori Osbourne  09:07 Yeah, yeah, we shall see. Yeah, we're I don't know if we're watching tomorrow nights, but my husband's definitely watching tonight, for sure. Well, I Michael Hingson  09:15 don't think there are more games on tomorrow other than that one, so maybe he will. And maybe you actually get to focus and just see one game, Lori Osbourne  09:24 right, right? That's, that's, that's the nice part about the non Sunday games. Usually it's just, Michael Hingson  09:31 well, so you, so you grew up and you, you only lived in California for two years, and then where did you go? Lori Osbourne  09:40 I lived in Norman, that's right, until I was 29 I actually found my birth father when I was 23 and moved to Colorado to get to know him and his family. Michael Hingson  09:55 So you were a diamond. Lori Osbourne  10:00 Not really. I just, he was just never part of my life. Your mom married someone else, yeah, okay, yeah. I always had. My mom just didn't have my dad. And it's, you know, it's been an interesting experience, because, you know, being in my 20s when I met him, and my mom and I were opposite growing up, and I never understood my personality, because she was quiet and passive and wanted to work in the same job her entire life, and I was the opposite. I was vivacious and loud and aggressive and always wanted to be self employed. Then I met my dad and went, Oh, it explained it all, I'm just like him. It's crazy how the you know the genes work for sure, Michael Hingson  10:51 but you got to know him, and the relationship was a good one. Lori Osbourne  10:55 Yeah, yeah, right. We just, he's in Idaho now. We just got back a couple of weeks ago from visiting. I mean, it's been interesting, trying to enter a family, you know, in your 20s is is bizarre. I kind of, I kind of equate it to being an in law, like, I'm not quite all the way in, because I, you know, I didn't grow up with these people. They don't know me. But, yeah, it's been interesting. So where in Idaho, near Coeur d'Alene Sand Point near Michael Hingson  11:25 standpoint, I have a brother in law who lives in Ketchum, in Sun Valley, and who is an avid skier, and has been an avid skier basically his whole life. Now the real big question is, of course, where is your father when it comes to football, Lori Osbourne  11:46 my father does not sit still. Okay? That is, that is one way that we are different. He I joke that he'll probably outlive me. I mean, he lives on 14 acres. I think he just, they just sold 40 Acres. But he doesn't. He never sits still. He He's always going, going, going, working on, you know, he had, he had his business, which he sort of still does. But he works on fences or helps with the does something with the horses or the hay or the, you know, it's just it. He works his plan does not I don't think he the TV when we were there was on music the entire time. Yep. Michael Hingson  12:30 So hardly a person who tends to watch football. Well, that's okay. So you, you grew up in Norman? Did you go to college there or in the area? Lori Osbourne  12:43 I went for a year and then couldn't figure out how to keep paying for it. I honestly didn't even realize financial aid was a thing. So I started in the workforce and became a recruiter, technical recruiter, pretty early in my career. I did that for 12 years, and then started my own recruiting business and got my degree during that time. So I got a bachelor's degree in business administration, 4.0 average while working. Proud of that, but I was in my 30s, and then I got cancer right after that, had colon cancer at 36 which I blame an 18 year abusive, horrible marriage, I think really led to that, but it pushed me To get out of that horrible abuse of marriage. And then a few years later, I met my current husband, and I am the happiest I've ever been, Michael Hingson  13:51 but you also were able to, in one way or another, beat the cancer Lori Osbourne  13:58 I was, yes, it was actually stage one colon cancer. Only had surgery so that one, yeah, didn't even have to have chemo or radiation. And actually, what got me into my current business? I was a when I got divorced, I did this is kind of funny to me. I when I got divorced, I decided I no longer wanted to be straight commission, and because I had gotten a job after after the cancer, and now I'm self employed. And so why? I think I wouldn't want to be straight commission, but it's okay to be self employed, but it's a completely different mindset. You know yourself very much a different mindset. But I was in tech. I moved from recruiting into hands on technology. I did project management, software testing, I looked at websites and helped design websites from a business perspective, but I was never, never a coder, never, you know, did the visual design? Nine and in 2015 I we had just moved to the opposite side of Denver. We had just changed, I had just changed jobs, had a brand new home, and then found out I had a brain tumor. Michael Hingson  15:15 Oh, gosh, yeah, you're just an attention getting person. Lori Osbourne  15:19 That's all you. I know. That's it. I just walk around going, yep, that's it. So, yeah. So I, I ended up leaving the job because it was, it was very traumatic. I ended up having two surgeries. They couldn't remove the tumor. It's part of my carotid artery. It's a meningioma. It's benign, but it's part of my carotid artery, and it was causing my left eye to droop, so they went in to get it off the optical nerve and nicked the carotid and caused a brain bleed. And that brain bleed caused that drooping eye to become a half blind eye. So I ended up, for about a year and a half, I had double vision. I also had found out I had a stroke from it, I was having problems with words and forming, you know, the right words. And I had no tolerance for stress for a long time, so there was no way I was going back to project management in the IT world, right? This wasn't so I literally, I spent about a year recovering and just started messing around, going, Okay, well, what can I do with the talents that I have? And I started building a website on Squarespace, and it was called Health Net, like grandma. And it was just talking about my I lost my mother and my grandmother to cancer at 63 both at 63 and then I had gone through what I went through. And I just wanted to share the stories, you know, the what I've learned from a health perspective. And in doing that, went, wow. Why have I not been developing websites the last 20 years? This is what I should be doing. I love this, and I bet other business owners could really use some help doing this. And that's when my business was born. Michael Hingson  17:20 Wow. How did they discover the brain tumor? Lori Osbourne  17:26 It started with me falling asleep at my brand new job desk. Was I could not hold my eyes open. I actually thought it was an adrenal reaction to leaving a super high stress job to a very boring job, but it was not. They did all these tests. They put me on thyroid medication, which helped, and then my left eye started drooping, like literally within weeks together and and it was funny, because they they sent me to an eye doctor, and the eye doctor sent me to an eye surgeon, and they wanted to do surgery on it. And I'm like, don't you want to figure out why this is happening? Like, I don't want you to touch my eye until you know why my eye is drooping. And my doctor thought that was the craziest thing she'd ever heard. So she goes, Well, have we done an MRI yet? And I said, No, so they sent me for an MRI that day. And lo and behold, not only do you have a brain tumor, but you have had a stroke. Okay. Gosh, you know, she did not want to share that news, those news with me. She was very embarrassed. Probably, well, Michael Hingson  18:43 but you need to know, yeah, and clearly you already had demonstrated that you had an analytical mind, and it would be valuable for you to know, because it would help you in dealing with making decisions, or thinking about what decisions to make going forward, right? Yeah, so you did. So you went through the surgeries and all of that, and what, what happened to your your left eye, Lori Osbourne  19:10 it, it's still mostly blind. I have a sliver of vision that I can't control. So if I go to the eye doctor, they try to get me to look at the chart, and I can't focus it on the chart, and I get very frustrated. I blocked it for the first year. Now my eyes are so it's it's developed its own way of working, so I can't even block it anymore without causing worse headaches than I already have. Bad headaches kind of came out of all of this. So I really just live with it. I live with the headaches, and I ignore it as much as I possibly can and and hope it's improved slightly over. The last 10 years, they told me it would never improve. But, you know, our brains are amazing things, and it's it's trying, but it's still not. I just tell them make the left eye prescription the same as the right eye because it makes no difference. Yeah. Michael Hingson  20:17 Well, so with, with with all that you've you've dealt with, with, with this clearly, you figured out a way to go forward, and you've, now, I assume, used all that happened to you, and you've analyzed it in some way or another, that you have made some decisions about what you want to do with your life, which is namely the whole brand development and web development and dealing with accessibility, which is pretty cool. Lori Osbourne  20:51 Yeah, yeah, I am. Once I discovered that passion and the I honestly never realized I had the creative side of me. I knew I had the analytical I knew I had the project management and tech, but once I realized I actually have a very strong creative side, then websites were the way to go. And it's it's really I can be working on a website for four hours straight and feel no pain, and that that alone tells me I'm doing what I'm supposed to be doing. I love it that much, and I feel like I'm that talented at it. Michael Hingson  21:30 I think you've made a very interesting observation, and one that I relate to very well, which is working commission is one thing, but working for yourself, which, in some senses, is the same, but it's totally different, and you have to have a different mindset to make it work. Lori Osbourne  21:48 Oh, absolutely, yes. I mean, I'm I'm not selling a product for someone else. I'm selling myself, and I am the product, and I have to live by my my values and my mission and my why, which is completely different than selling services for someone else, for straight commission. Michael Hingson  22:12 I have always told my the people who I hired as sales people to analyze and and think about what they do. And one of the things that I did with every person I ever hired was I would say, tell me what you're going to sell. And literally, all but one person said, Oh, we're going to sell the product. This is the product we're selling. This is what it does. But the best sales guy I ever hired, when I asked that question, Said, the only thing I have to sell is myself and my word, and I need you to back me up when I give my word about something, Michael Hingson  22:50 great answer. It was, it was the actual, it was the answer I was looking for. And I said, well, as long as we communicate, and I know what you're going to say, and that's all about trust, I'm going to back you up. And never had an issue. And in fact, he and I worked very well together, because we figured out how my talents in sales and management could augment and accentuate what he did, so that the two of us could work together. And I think that's that's so important, but you're right. The only thing any really good salesperson has to sell is themselves, and you have to be true to your own attitudes. Yes, yes, which is so Lori Osbourne  23:33 integrity is everything. I mean, if you especially as a small business owner, I mean, and I'm in a very small community, and I this. I only lived here since 2018 and it's kind of been shocking to me how how a small community works. But if you do it right, everybody knows your name. If you do it wrong, everybody knows your name. Yeah, it's you know when, every time I get a call because the chamber has referred me again. I just smile, and I'm like, Okay, I'm doing it right, you know? And it's, to me, it's all about integrity. If you, if you say you're going to do something, do it, and if you can't do it, say you can't do it, say you can't do right, or say I'm going to figure it out. Yeah, you know, I didn't. I charged very little my first few years, and I always my first few years, I told clients, I don't know what I'm doing yet, so I'm not charging you for the time that I'm learning. I'm going to charge you for the time that I'm actually accomplishing something. Michael Hingson  24:30 One of the things I always told every again, every salesperson I ever hired is for at least the first year. You're a student. No matter what you think you know and what you know about sales, when you're working with customers, you're a student, ask them questions, really learn from them, because they want you to be successful, even if you don't think they do. And the reality is that, in general, they do want you to be successful, and the more you encourage them to teach you, the better relationship you're going to develop. Lori Osbourne  24:59 Absolutely. And 100% yes. Michael Hingson  25:02 So how long ago did you end up having the brain tumor? Lori Osbourne  25:07 I was diagnosed in August of 2015 So wow, I'm, I'm at exactly 10 years. 10 years. Yeah, I didn't, oh my gosh. September 22 will be my my first surgery dates. There you go. Wow. Right at 10 years Michael Hingson  25:23 See, I'm glad we we help you remember, Lori Osbourne  25:27 I can't, I can't believe that was, like, not even on my mind. I mean, it was actually September 17. Was the first surgery, that's right, and it's the same day as my dog's birthday. And we were just talking about my dog's birthday yesterday, but I didn't even think about the tumor. So well, it's all good Michael Hingson  25:47 a week from next Wednesday. But you know, you you obviously are doing well, well, so how did your your business in the the way you do things and what you do? How did all that change after the surgery, or had you already started down the road of branding and being a branding coach and website development and accessibility? Lori Osbourne  26:10 No, all of this came as a result of all of it. So it literally just grew with me, as I, you know, transitioned into life again, and being able to function mentally and physically, I would just start, you know, working on a little bit of, you know, a couple of websites. The first website I built was from for a realtor that we worked with. We did three different deals with him in two years. He was this great Scottish guy, great personality, and his website was horrific. And I begged him to let me do it. It was a I think we ended up doing 39 pages total, and just read redid the whole thing. He loved it. A lot of it's still in place 10 years later. But I just, I just started building, and then we moved to the area we are now outside Jacksonville, and I found a local networking group and started meeting people and getting introduced to businesses and just slowly built and learned a little bit at a time, and learned a little bit more. And then it was not actually until last year I realized that I have branding skills and talent that I haven't been promoting. I was using the skills and I was building on brand websites, but I didn't say that, and I didn't recognize it as a separate talent from website development. I kind of thought everybody did that, until I realized that that's not true. So I've been doing it, and a lot of it is just, I the natural, just natural talent for color and almost like designing houses. Like I knew I was really good at designing houses, but I didn't recognize that that translated to websites. And so for last, like, year to 18 months, I've really kind of bought into the brand strategy piece of what I offer. Michael Hingson  28:19 Well, how did you develop this concept of authority platforms, and what is it? Lori Osbourne  28:27 So the authority platform is what I'm calling the full package. It kind of started when I got really frustrated with everybody telling me or everybody's an exaggeration, but so many people saying, Oh, you don't need a website. You just need landing pages. And I would try to educate people that landing pages are not enough, but I couldn't put it in the right words, and when I started really looking at it, going, well, landing pages are great, if you have the visibility to get people to the landing page, and if you've built a relationship in a different way, if it's through speaking or through a book or through other types of promotions, then yes, the landing page can help or maybe replace the website. But where that led me was a website alone is also not enough. We need full visibility. We need to be seen in a lot of different ways to establish our authority as experts. So with the authority platform, I'm looking at the brand and understanding the brand, the website, the lead magnet, the funnels, the search engine optimization, and then helping them also have a good CRM to manage all of this, hooking them up with with good speaking coaches or podcast. Opportunities and just looking at it from a full life cycle of being visible and showing that authority online. Michael Hingson  30:10 And how's that gone over? Lori Osbourne  30:14 It's, I'm still building it honestly, the website's absolutely I'm I'm really working on building the collaboration pieces for the rest of it to truly say, Yes, I have the authority platform, the branding packages that I'm offering and the branding pieces that I'm doing are making a significant difference in the quality of the websites I'm building, because I come out of it with a custom GPT that they can use, and I can use that really establishes that baseline for the brand and the bringing in their values, bringing in their communication style, and bringing in their ideal client and how to speak to that ideal client. So the GPT is built around all of that, which is perfect when we're building the content for the website. So I would say, you know, we're 75% of the way there to having my true authority platform. But I'm still building, you know, authority building websites every day. Michael Hingson  31:20 Well, I gather that you don't tend to like to use WordPress. You use Duda as a platform builder and so on. Tell me, I'm curious why and what, and I don't have any any disagreement or or really knowledge to talk intelligently about it. But tell me why you use Duda and what, what it brings. Lori Osbourne  31:44 So my my challenges with WordPress started with my first client in Florida. They there was a nonprofit. They had no idea what they were doing, and I'm like, I I'm techie. I can go in, I can figure it out, and I could not figure out WordPress, and I got very frustrated with it going, how in the world does anybody else do this? So I kind of stayed away from it for a little while, and I was building on Squarespace for a time, and then I discovered Duda. I consider Duda to be the best of Wix and Squarespace. It's very similar. But the things I don't like about Wix, I don't like about Squarespace, Duda has resolved. It's also very customer oriented and SEO oriented and accessibility oriented. So there's a lot of advantages to the platform. The reason I don't support WordPress is I've had too many, too many people come to me with broken websites. Too many WordPress people do not educate their clients that that you have to update the plugins, and they don't. They just leave them and don't offer to do that for them, and it's it's an unnecessary addition that I don't think most people need for their website. There's plenty of things that we can do and do to that we can do exactly like WordPress without the headaches of that extra tech and plugins breaking and security breaking because the plugins are breaking, and it's it just it's too unnecessary, in my opinion. I tried to support WordPress for about a year and a half, and I found that I was not helping my Duda clients because the WordPress was always so much high maintenance. And those were the websites that were going down, and those are the websites that were having issues where my due to clients, their websites were never down, they never had issues. Michael Hingson  33:51 But don't need, but don't you, from time to time need to provide any kind of updates to Duda doesn't. Aren't there as the as the whole website evolves, doesn't, don't you need to find ways to evolve what they are and what they do Lori Osbourne  34:05 on the front end, on the front end, absolutely I mean, but from the back end, from a platform perspective, Duda handles all of that. It's self contained. Got it? I don't have to worry about that. And they're also always adding new features, which is another thing I absolutely love about them there, and I have yet to find, let me rephrase that. I've probably found a couple of things that if I could not duplicate on Duda to match WordPress, it would require code, and I don't code, but I can still achieve the goal of what my clients are looking for. There's nothing that they've said I have to have this that I can't provide. And the offset of not having the worry around the tech is has always been worth it. Michael Hingson  34:55 So the creators of Duda in the background as. They make updates and changes, they go out to everybody who uses it to create their websites automatically. Is that? Is that what happens? Lori Osbourne  35:07 Okay, yeah, it's seamless. Yeah, you don't even, you have no idea that there's even updates being done. It's completely seamless. Michael Hingson  35:15 Yeah, okay, well, I understand that. That makes a lot of sense. What's the one mistake that you find that keeps business owners from really progressing and keeping their websites and them invisible? What's the biggest mistake you see? Lori Osbourne  35:36 Messaging unclear, messaging which, which really goes back to the brand. If you don't understand your brand, you don't understand your why, and you don't know how to express how you solve problems for your ideal client, let me, let me rephrase. If you don't even know your ideal client is and you're trying to speak to them, a lot of people think they sell to everyone, and when you try to sell to everyone, you sell to no one. And if you are trying to speak to the masses from your website, you're going to lose the people you really want to reach. So it comes down to that, that niching down factor and really understanding your ideal client, so that when they hit your website, they immediately know you understand my problem and you can fix it. And it really comes down to that versus I can fix, you know, I can build a website for anybody. Well, then that makes me no different than a website developer down the street. Then it comes down to a price comparison, and then we're just bidding against each other. So you've gotta, you've gotta what makes you special, and what and and your why is a big part of that. Your values are a big part of that. And speaking the right language and that messaging. Michael Hingson  37:03 Can you tell me a story of maybe one customer that you worked with where you can demonstrate exactly what you're talking about here and why it made a difference without mentioning customer names, but the story? Lori Osbourne  37:17 Oh, yeah, um, you know, it's been a while since I did that realtor, but that realtor is still just such a great example, because you the fact that he was from Scotland doesn't necessarily seem significant, but it really does, because, you Know that Scottish accent made him endearing. He was a very professional, good looking guy. And you go out to his website, and it was, I can still see it today. It was like green and this old, funky text, and it, it represented him in no way. And I remember the first thing he told me was, you know, I've got this video where I introduced myself and I went, why in the world is that not on your homepage, like what people need to hear you speak and see you and experience you. He was phenomenal. And we did three deals with him. He was phenomenal at what he did, and that what, you know, if we had just rebuilt his website and just did the video, it would have that alone would have made a huge difference in people knowing who they were working with and how he was different. And another example I can give more recently, I work with a mentor who mentors seven figure coaches on how to work harder, make more money and and do it in less, less investment of your time. And when I took over her WordPress website for for two years, I just kept repeating and rebuilding the same crap, basically. And finally, when I decided to leave WordPress, I said, you know, I really want to start all over. And I realized in that two years, you know, I had not taken the time to really get to know her brand. And when we sat down and really learned what made her special and different, and we were able to capture that in in the website, that the difference in the experience was night and day, you know, before it was just text, and, you know, a little bit of information. She never referred anybody to her website. And now it, you know, opens with a video. She's also a professional speaker. Opens with a video of her speaking. She is very she's a. Ballroom dancer on the side, she's very elite. So we, you know, pulling in things like gold and video, I have a lot of motion on the website with gold moving because it, it, it's that brand of that dancer that, you know, that eliteness of it and it, it's subtle, and it has nothing to do with the messaging side that I just mentioned, but it's still back to the brand and the representing of who you are, who she is, what we're selling, you know, we're selling ourselves. Michael Hingson  40:33 Yeah, well, websites and website developers put all sorts of things out there and that that's not necessarily a good thing. But what are some signs that a business's online presence don't necessarily match their real life expertise? Because I I believe that people see through people who just sort of talk, and I think that that all too often, you get this reaction, oh, they're just talking that isn't what they really believe or that isn't what they really know. So what are some signs that the online presence doesn't match what they really know and what they really are? Lori Osbourne  41:15 Part of it is that that genericness, if you if you can't even say who you are serving, then you're obviously the person you're looking at is obviously not clear about their ideal client. If it's not clear who they are serving, and if it's this just generic message of not in these words, but we're the best use us. You know, there's, there's no detail about what makes them different and how they specifically solve your problem. If the website is completely outdated or generic, that may or may not allude to anything but it, it definitely shows that they don't, are not using their website to show their expertise. The other huge thing, I would say, is testimonials. Every website should have reviews. I mean, what better way to sell ourselves than to have someone else say how we're different, how we operate and why we're the why we're the best. That is huge. If it's all about them, as in the person's website you're looking at, if it's not, if I'm, if I'm getting on a website and they're not even acknowledging what's in it for me and how they're going to solve my problems, then I'm not going to have any confidence that they have any idea how to solve my problems. They haven't even they haven't even talked about my problems. They haven't even mentioned my problems. They're just telling me that they're selling me something, and this is how much it costs, and this is what it's going to do. But I but do you get me? Do you know? Do you understand me? I think all those are it's really important that we are speaking to the ideal client in their language about their problem. Michael Hingson  43:10 I have heard so many times and totally agree with and work to do this myself. Michael Hingson  43:18 The whole concept of when I'm invited to speak, it's not about me. Yeah, I'm invited to speak, but my job is to enhance, to help to make life as easy as possible for the event organizer, to help the event organizer make this, the whole conference, even better than they thought it would be. And and I have to do that because it's not about me, and it should never be about me as such, right? Lori Osbourne  43:48 It's also about your audience and your audience, yeah, so that they know you want them to want to know more. Yeah, that's also the purpose of your website to make people want to know more. Michael Hingson  44:01 Yeah, very true, and it should be that way. And if you're doing it right, you'll also provide more for them to know. Right? Lori Osbourne  44:15 Absolutely. Well, that would be something else that I would say I I always encourage people to give away as much as possible on their website. It if people know that you really want to help me solve my problems, and you're willing to give me something for free that starts a relationship. And that's really, at the end of the day, that's the point of the website. It's not to sell, it's to start a relationship. It's like the first step of dating. We're not getting married yet. We're dating, and if you're if you're giving away a piece of yourself through a video or a download or even a free course. Course, that's it. That's going to endear the audience to to want to come back for more. And even blogs, great blogs will get people coming back for more. And people always go, Well, you know, if I give everything away, I'm not going to make any money. No, you give away what? What doesn't cost you time, but is giving some knowledge so that they want more, and they know that you you get them, and they can trust, you know, like and trust so they can build that, that base for a relationship. Michael Hingson  45:32 Yeah, and it, it makes perfect sense. It is all about building trust. And everything that we do is all about building trust, and the more trust you build, the more loyalty you'll create. Lori Osbourne  45:47 Absolutely, yes, absolutely. Michael Hingson  45:49 So we've talked about website accessibility. What is website accessibility and why is it something that people really should focus on? Why is it important? Lori Osbourne  45:59 That feels weird coming from you, Mike, Michael Hingson  46:03 because I know you are an expert in this, but I preach it, but I preach it all the time, so I want to hear what somebody else has to say, and I want people who are watching and listening to this hear from somebody else other than me. Okay, that's the motivation behind it. Lori Osbourne  46:18 All right. All right. Well, website accessibility is at its core. It's making the website available and usable for everyone, including those with disabilities. So whether it's blindness or inability to use a mouse or you said it earlier, dyslexic, Michael Hingson  46:40 epilepsy, any number of things, right? Lori Osbourne  46:43 So anybody, just like accessibility for a ramp into a store, it's allowing me, from my home, as as a disabled person, to be able to function on your website. And as we know, I believe the stat is 20% of people have some kind of disability. It's also an inclusion. It is a piece of I consider a piece of your marketing, because if you are excluding 20% of the people with your website, why? Why are you doing that? It also builds strong Search Engine Optimization. Because if you look at all of the guidelines for accessibility, they're very similar to the guidelines you need to have in place for good search engine optimization. Google is looking for the exact same things. Yep. So it's it's really just making your website available to everyone Michael Hingson  47:42 well, and the reality is, well, let me ask this question, rather than me just saying it beyond legal compliance. Why should accessibility be a priority in website design? You've kind of alluded to it already. Lori Osbourne  47:56 Yeah, part of what I just said, it's including everyone. It's not excluding 20% of your market, and it's building trust, inclusivity and credibility. It's, it's, and it to me, it's showing that you care. It's, it's very bothersome to me when someone says, Well, I probably won't get sued, so I'm not going to worry about it. Okay? But why do you want to not do these basic things so that everyone can access your website? Well? Michael Hingson  48:33 And also, in reality, it does get back to if you're a website owner, that is, you're a company that has a website, and you recognize that the job of your website is to help people see why you have something they need. The fact of the matter is, do you really want to not make available to 20 or 25% of the population your website, or to put it another way, don't you want to make sure that you are making your information available to everyone? And that's what the real reason for website accessibility is truly all about. The fact of the matter is that it's good business to make your website accessible. Lori Osbourne  49:24 Absolutely, yes, absolutely. Michael Hingson  49:26 What are some high impact changes that you think that website owners can make, to make their websites or to have their websites be more accessible, maybe even just some simple things? Lori Osbourne  49:38 Oh, there are so many simple things. I mean, the easiest thing that so many people miss is adding alt text to images. I mean, it's, and it's one thing I love about Duda, by the way, it they do it with AI and do it for you, and you can edit it. It's so, so wonderful. But it's, it's a simple step. It also is. Great step to even help with SEO, because you can include some keywords there, but that that alt text tells someone that's using a tool that's blind exactly what that image is, and what is the point in putting that image on your website if it's not going to provide any value to those that can't see. I mean that, in my opinion, another thing is the contrast in colors. A lot of people don't understand that contrasting colors has a lot to do with readability, and if you are putting two colors together, I mean, think about it even from a scene person, if you're looking at it and you can't read it. It's not accessible, right? So, you know, have high contrast in the colors of text on anything over it. Don't try to put something over an image that can't be read that just just, don't do it. Skip that. I was just doing this on my website today. I was trying to put an image, and I went, you know what? That's just not going to work. I'm going back to a solid color. It doesn't it's it and it, you know, that's from a business perspective as well. Because even if you're not thinking about accessibility, if someone can't read the text or can't read the button, they're not going to click it. You're not going to read it. They're not going to buy it if they can't read it. So simple little things like that. Those would be the two biggest things I would say. And then just, you know, little additional things like making sure that your website is converting properly to mobile, if it's if it's not, if things are coming off the page, because you didn't bother to look at the mobile side, which is easy to miss on many platforms that can have a huge impact on the scene and those that need the tools or need accessibility pieces that's, you know, commonplace design and very easy thing to fix. Michael Hingson  52:11 It's been a while since I looked at this website, and I think it's not quite what it used to be, but for a while, my favorite website, absolutely. My favorite website for accessibility was the website of the National Security Agency, nsa.gov, Michael Hingson  52:31 of all the websites in the entire world. The reason I liked it is that not only did they have all text on images if you were using a screen reader and you moved your cursor over an image, you suddenly got a very detailed description of that image, like you. Michael Hingson  52:55 You moved your cursor where you used your screen reader to move over the American flag. It would say the American flag on a flagpole hanging in front of the opening to the building of the National Security Agency. Yada yada yada. I mean, it's just everything was there. It was the most amazing website. I don't know that it's that way anymore. I haven't looked at it in a little while, but I was very impressed with how much they did and relative and relevantly and appropriately so to make sure that everything on that website was totally usable. And a lot of people could say, Well, why do I have to do that? And the answer is, you have to do it for the same reason that you want to make your website accessible, if you will, for people who don't happen to have a disability. The reality is, all those things that you put on the website for people who can see them and so on, like pictures and so on, if you don't make those things accessible, you're doing a disservice to a significant amount of the population. Whereas, if you do it all, then while you can look at the picture, I can hear all about it, and that's the way it ought to Lori Osbourne  54:10 be well. And there's so much I mean to me that is an opportunity to to even go further with the folks that need the screen reader. Because, I mean, when I'm and I mentioned that dude, it does it with AI, but they, they do it too generically. When I go in, I'm doing exactly what you're talking about. I want to, I want to build the presence of the picture. This is who they're doing, who it is from the business, and this is what they're doing, and this is what you know, this offer is talking about that's an extra sales opportunity right there. For those that you know, need the alt text, why not use that? Michael Hingson  54:49 And also, I'm amazed at how many people may look at pictures and so on and look at words and not really pay attention to them very well, because they just kind of skip over it. So the more you can do to attract people's attention to the right things. Is relevant too. I'm amazed at how many people just gloss over so much. Lori Osbourne  55:09 Oh, absolutely. Well, you know, this kind of become our society, yeah, short attention span for sure. You know, I want to mention two videos. I really feel like people need videos on their website, especially of themselves, because it helps people get to know you. But you need to have that closed captioning and again, dialog. Michael Hingson  55:33 You need to have dialog so that a person who can't see the video will also know what the video shows. Lori Osbourne  55:41 Explain, explain what you mean by that a little bit more. Michael Hingson  55:44 So you go to a website, and there's a video, and you click it, and you start hearing music, and that's all you hear, even though, on the screen you see a person walking down the street, walking into somebody's store, finding a product they want and buying it. But if you don't have a way to make that information audibly accessible to people who can't see the images and who don't see the videos, then what good is it you haven't made it accessible? Yes, closed captioning works for deaf or hard of hearing people, but again, there's so much more that needs to be done. Wow. Lori Osbourne  56:25 Thank you for sharing that, Mike. You just gave me more to think about on videos. Michael Hingson  56:31 One of my favorite commercials to pick on today, and for the longest time, I had no idea at all what it was about. It starts out with music, and somebody says something like, so what do people over 60s show and bring out today? And they talk about love and they talk about something else, and suddenly the sound goes dead, and all you hear for the next 20 seconds or more is this high pitched whistle sound. Ooh, yeah. And I finally got somebody. I finally was in a room with somebody when I heard the beginning of this, and I said, What is it showing? And all it was showing, and what, apparently it is, is a promotion for people getting the RSV vaccination. Lori Osbourne  57:19 Oh, right. Oh, I do know what commercial you're talking about, yes, but text just goes on the screen. Michael Hingson  57:26 RSV, RSV, RSV. But there's nothing that says what that is at all, period, Lori Osbourne  57:33 because they're trying to make the point that you're that your life shuts down when this hits. But yeah, for someone like you, that's completely worthless. Michael Hingson  57:41 Not only does my life not shut down, my life gets very active, and I want to go off and find those commercial designers and show them what true accessibility really ought to be about. But that's another story. But yeah, Lori Osbourne  57:53 yeah, exactly, wow. I mean, I think about you every time I see that commercial, those rare times I see commercials, Michael Hingson  58:05 what's one of the what's one of the myths about branding and websites that you could erase, that you really wish you could race forever? Lori Osbourne  58:18 I probably told you to ask me that question, and now I'm stumped by how I want to answer it. I think, I think I know where I wanted to go with that. Yes, a lot of people think branding is just colors and fonts, and honestly, when I first started doing it, I thought it was just colors and fonts. And I kind of go, I went into Okay, colors and fonts, and then consistency, okay, we want to make sure we got we're consistent with our colors and fonts across everything that we do that's that's branding, that's visual branding. But real branding is Our Story. Is who we are, what we stand for and who we serve. It's the package of everything around what we're selling, back to selling ourselves and really understanding this package and making that consistent across everything. And consistency is huge, in my opinion, when it comes to branding, if you have a different header image or marketing image on every single thing you do and there's no consistency in the look, then you're not going to be memorable. You. I can't help you see this, Mike, but anyone that does go out to anything of mine, I have a very consistent image that was used to build my logo, and it's on everything that I do. I also wear very bright, colorful glasses. Everything I do is very bright and colorful, and it's memorable when people see me and they see my glasses, it can be three years later and they go. I don't remember your name, but boy, I remember those glasses. You know, it's, it's, and that's part of my branding. When people say, I love your your glasses, I go, thank you. It's part of my branding. Yeah. So it's a, it's an overall everything about you. When people describe me, they usually describe me as bright and colorful, like, that's, that's one of the first things that comes to their their mind, and then they it translates to energy, because they think bright, colorful energy. So it's, you know what branding really is, is, what do people say about you when you're not in the room? Michael Hingson  1:00:30 Yeah, that's, that's a good that's what it is. Well, if there is a business owner who is in our audience today who feels overwhelmed by their digital presence. What would you suggest is the first step they should take to change that? Lori Osbourne  1:00:47 Well, the the first thing I would love to see anyone do is sign up for a visibility review or audit with me, so that we can look at your presence and talk about it, and I can give you some very specific suggestions for how to improve your online visibility. If you're wanting to do something on your own and you're you're trying to figure out where to start, sit down and look at first, your your homepage, in your first line of every bit of your marketing and ask yourself, does it say who I serve and how I serve them, and the problems that I solve. Because every ounce of your marketing needs to say that immediately you have less than eight seconds when someone hits your website. And there's all kinds of some people say three, some people say 10s and 15. I just leave it at eight. Do eight or eight or less seconds on your website. So start there is my messaging clear? And then look at your website overall and does it represent me and the message I want people to see. We can go into a whole lot more about it being up to date and everything else, but that's where I would start, right there. Michael Hingson  1:01:58 So how do people reach out to you to get your help to deal with all of this. Lori Osbourne  1:02:02 Well, you can obviously go to my website, which is biz bolster.com, B, I, Z, B, O, L, S, T, E, r.com and I believe you will be sharing a link to that visibility audit. Just sign up for that or a free strategy session. But I encourage the visibility audit, because it literally takes about an hour of my time to check out everything about you and then share that with you. So this is an investment that I'm willing to give you to help you all understand how you show up online, and then what to do about Michael Hingson  1:02:45 it, biz, bolster.com, I hope people will do that, and they can reach out and contact you through that website. Lori Osbourne  1:02:53 Yes, click on, let's chat, and it gives you all the all the calls that you can sign up for in my calendar, and I would absolutely love to speak to anybody that has questions or wants some direction. Michael Hingson  1:03:07 Well, cool. Well, I really appreciate you being here today and spending so much time talking about all this, and I hope people will take it to heart. Wherever you are listening. Reach out, biz, bolster.com and get some insights and get some help to improve the website the web world, because only about 3% of all websites are really accessible today, which means there are a whole lot that are not, and there is no real excuse for that being the case. So reach out and Michael Hingson  1:03:41 you can get all the help that you need. I'd love to hear from you, to hear what you think about today's podcast. Please feel free to email me at Michael H, I m, I C, H, A, E, L, H, I at accessibe, A, C, C, E, S, S, i, b, e.com, and wherever you're listening, please give us a five star review. We value your ratings and your reviews a lot, and I but I do want to hear from you. I want to hear what your thoughts are. Also, if you know of anyone who might make a good guest for unstoppable mindset, Lori, including you, would really appreciate you introducing us, because we're always looking for people who have great stories to tell, and today has certainly been one of my favorite podcast recordings in a long time, and that's because we really did have fun, and I think we accomplished a lot and we learned a lot. So I want to thank you, Lori, once again, for being here and for being a part of unstoppable mindset. Lori Osbourne  1:04:35 Thank you, Mike. It has definitely been a pleasure. I've enjoyed talking with you a lot. Michael Hingson  1:04:42 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

In the final installment of this series, Dr. Justin Abbatemarco and Dr. Divyanshu Dubey discuss the latest findings and some non-occupational exposures.  Show citation:  Hinson SR, Gupta P, Paramasivan NK, et al. Neural synaptic vesicle autoimmunity following aerosolized porcine neural tissue exposure: insights into autoimmune inflammatory polyradiculoneuropathy. EBioMedicine. 2025;122:106053. doi:10.1016/j.ebiom.2025.106053 Show transcript:  Dr. Justin Abbatemarco:  Hello, and welcome back. This is Justin Abbatemarco. I'm here with Divyanshu Dubey, discussing his article, Neural Synaptic Vesicle Autoimmunity Following Aerosolized Porcine Neural Tissue Exposure: Insights Into Autoimmune Inflammatory Polyradiculoneuropathy. Div, maybe we could talk about non-occupational exposures? I think many of us don't see this cohort of patients commonly, but I really think this helps inform care, beyond just this specific occupational exposure. What did you guys find in your work? Dr. Divyanshu Dubey:  So, one of the inspirations for this study was driven by the phenotypic characterization of patients who were described in this 2010 paper, which is somewhat similar to some of the patients I currently see in my clinic who don't seem to meet GBS or CIDP criteria. But, based on their MRI findings, based on their CSF studies, the EMG nerve conduction studies, they seem to have this polyradiculoneuropathy presentation, often presenting with asymmetric disease onsets, starting on one leg and then sometimes transitioning to the other side. In some cases, even a non-length dependent pattern with sort of proximal cervical brachial nerve root plexus involvements, which don't really seem to have a blood test, or a biomarker right now. Currently, many of these cases are a diagnosis of exclusion. I was thinking if there's a biomarker that we can identify from this 2006 to 2008 unfortunate event, that might actually help us diagnose these patients. So, once we identified synaptophysin and GAP43 antibodies in the swine abattoir cohort, I went back to our storages of these patients with other inflammatory polyradiculoneuropathy, and found about 5% of these patients from a large cohort of close to 300 patients, did have these antibody biomarkers. Some of these patients had paraneoplastic trigger, where we had patients with neuroendocrine tumors, or hematological malignancies mounting a response to these antibodies. But a good chunk of these patients we did not truly understand, or know what the triggers were. That might be a potential for future studies, as we expand our cohort of these antibodies, as well as study further the phenotypic characterization of these cases. Dr. Justin Abbatemarco: Yeah, there's just so much there, really helping to inform future clinical care outside of this very specific occupational exposure. And then, as we talked about in the podcast, I think really helping to think through how neurological autoimmune diseases develop. So, just really exciting work. We really appreciate you coming on, sharing this. We're excited for how this evolves over the coming years. Dr. Divyanshu Dubey:  Thank you, Justin.  

Moyamoya Syndrome Stroke Recovery: Judy Kim Cage's Comeback From “Puff of Smoke” to Purpose At 4:00 AM, Judy Kim Cage woke up in pain so extreme that she was screaming, though she doesn't remember the scream. What she does remember is the “worst headache ever,” nausea, numbness, and then the terrifying truth: her left side was shutting down. Here's the part that makes her story hit even harder: Judy already lived with Moyamoya syndrome and had undergone brain surgeries years earlier. She genuinely believed she was “cured.” So when her stroke began, her brain fought the reality with everything it had. Denial, resistance, bargaining, and delay. And yet, Judy's story isn't about doom. It's about what Moyamoya syndrome stroke recovery can look like when you keep going, especially when recovery becomes less about “getting back to normal” and more about building a new, honest, meaningful life. What Is Moyamoya Syndrome (And Why It's Called “Puff of Smoke”) Moyamoya is a rare cerebrovascular disorder where the internal carotid arteries progressively narrow, reducing blood flow to the brain. The brain tries to compensate by creating fragile collateral vessels, thin-walled backups that can look like a “puff of smoke” on imaging. Those collateral vessels can become a risk. In Judy's case, the combination of her history, symptoms, and eventual deficits marked a devastating event that would reshape her life. The emotional gut punch wasn't only the stroke itself. It was the psychological whiplash of thinking you're safe… and discovering you're not. The First Enemy in Moyamoya Stroke Recovery: Denial Judy didn't just resist the hospital. She resisted the idea that this was happening at all. She'd been through countless ER visits in the past, having to explain Moyamoya to doctors, enduring tests, and then being told, “There's nothing we can do.” That history trained her to expect frustration and disappointment, not urgent help. So when her husband wanted to call emergency services, her reaction wasn't logical, it was emotional. It was the reflex of someone who'd been through too much. Denial isn't weakness. It's protection. It's your mind trying to buy time when the truth is too big to hold all at once. The Moment Reality Landed: “I Thought I Picked Up My Foot” In early recovery, Judy was convinced she could do what she used to do. Get up. Walk. Go to the bathroom. Handle it. But a powerful moment in rehab shifted everything: she was placed into an exoskeleton and realized her brain and body weren't speaking the same language. She believed she lifted her foot, then saw it hadn't moved for several seconds. That's when she finally had to admit what so many survivors eventually face: Recovery begins the moment you stop arguing with reality. Not because you “give up,” but because you stop wasting energy fighting what is and start investing energy into what can be. The Invisible Battle: Cognitive Fatigue and Energy Management If you're living through Moyamoya syndrome stroke recovery, it's easy for everyone (including you) to focus on the visible stuff: walking, arms, vision, and balance. But Judy's most persistent challenge wasn't always visible. It was cognitive fatigue, the kind that makes simple tasks feel impossible. Even something as ordinary as cleaning up an email inbox can become draining because it requires micro-decisions: categorize, prioritize, analyze, remember context, avoid mistakes. And then there's the emotional layer: when you're a perfectionist, errors feel personal. Judy described how fatigue increases mistakes, not because she doesn't care, but because the brain's bandwidth runs out. That's a brutal adjustment when your identity has always been built on competence. A practical shift that helped her Instead of trying to “finish” exhausting tasks in one heroic sprint, Judy learned to do small daily pieces. It's not glamorous, but it reduces cognitive load and protects energy. In other words: consistency beats intensity. Returning to Work After a Moyamoya Stroke: A Different Kind of Strength Judy's drive didn't disappear after her stroke. If anything, it became part of the recovery engine. She returned slowly, first restricted to a tiny number of hours. Even that was hard. But over time, she climbed back. She eventually returned full-time and later earned a promotion. That matters for one reason: it proves recovery doesn't have one shape. For some people, recovery is walking again. For others, it's parenting again. For others, it's working again without losing themselves to burnout. The goal isn't to recreate the old life perfectly. The goal is to build a life that fits who you are now. [Quote block mid-article] “If you couldn't make fun of it… it would be easier to fall into a pit of despair.” Humor Isn't Denial. It's a Tool. Judy doesn't pretend everything is okay. She's not selling toxic positivity. But she does use humor like a lever, something that lifts the emotional weight just enough to keep moving. She called her recovering left hand her “evil twin,” high-fived it when it improved, and looked for small “silver linings” not because the stroke was good, but because despair is dangerous. Laughter can't fix Moyamoya. But it can change what happens inside your nervous system: tension, stress response, mood, motivation, and your willingness to try again tomorrow. And sometimes, tomorrow is the whole win. Identity After Stroke: When “Big Stuff Became Small Stuff” One of the most profound shifts Judy described was this: the stroke changed her scale. Things that used to feel huge became small. Every day annoyances lost their power. It took something truly significant to rattle her. That's not magical thinking. That's a perspective earned the hard way. Many survivors quietly report this experience: once you've faced mortality and rebuilt your life from rubble, you stop wasting precious energy on what doesn't matter. Judy also found meaning in mentoring others because recovering alone can feel like walking through darkness without a map. Helping others doesn't erase what happened. But it can transform pain into purpose. If You're In Moyamoya Syndrome Stroke Recovery, Read This If your recovery feels messy… if you're exhausted by invisible symptoms… if the old “high achiever” version of you is fighting the new reality… You're not broken. You're adapting. And your next step doesn't have to be dramatic. It just has to be honest and repeatable: Simplify the day Protect energy Build routines Accept help Use humor when you can And find one person who understands Recovery is not a straight line. But it is possible to rebuild a life you actually want to live. If you want more support and guidance, you can also explore Bill's resources here: recoveryafterstroke.com/book patreon.com/recoveryafterstroke This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Judy Kim Cage on Moyamoya Stroke Recovery, Cognitive Fatigue, and Finding Purpose Again She thought Moyamoya was “fixed.” Then a 4 AM headache proved otherwise. Judy's comeback will change how you see recovery. Judy’s Instagram Highlights: 00:00 Introduction and Guest Introduction 01:43 Life Before the Stroke 11:17 The Moment of the Stroke 19:56 Moyamoya Syndrome Stroke Recovery 25:36 Cognitive Fatigue and Executive Functioning 34:50 Rehabilitation Experience 42:29 Using Humor in Recovery 46:59 Finding Purpose After Stroke 54:19 Judy’s Book: Super Survivor 01:05:20 Conclusion and Final Thoughts Transcript: Introduction and Guest Introduction Bill Gasiamis (00:00) Hey there, I’m Bill Gasiamis and this is the Recovery After Stroke podcast. Before we jump in a quick thank you to my Patreon supporters. You help cover the hosting costs after more than 10 years of doing this independently. And you make it possible for me to keep creating episodes for stroke survivors who need hope and real guidance. And thank you to everyone who supports the show in the everyday ways too. The YouTube commenters, the people leaving reviews on Spotify and Apple. The folks who bought my book and everyone who sticks around and doesn’t skip the ads. I see you and I appreciate you. Now I want you to hear this. My guest today, Judy Kim Cage, woke up at 4am with the worst headache of her life and she was so deep in denial that she threatened to divorce her husband if he called 911. Judy lives with Moyamoya syndrome, a rare cerebrovascular condition often described as the puff of smoke on imaging. She’d already had brain surgeries and believed she was cured until the stroke changed everything. Judy also wrote a book called Super Survivor and it’s all about how denial, resistance and persistence can lead to success and a better life after stroke. I’ll put the links in the show notes. In this conversation, we talk about Moyamoya Syndrome, stroke recovery, the rehab moment where reality finally landed. and what it’s like to rebuild life with cognitive fatigue and executive functioning challenges and how Judy used humor and purpose to keep moving forward without pretending recovery is easy. Let’s get into it. Judy Kim Cage, welcome to the podcast. Life Before Moyamoya Syndrome Judy Kim Cage (01:43) Thank you so much, Bill Bill Gasiamis (01:45) Thanks for being here. Can you paint us a picture of your life before the stroke? What were your days like? Judy Kim Cage (01:51) Hmm. Well, my life before the stroke was me trying to be a high achiever and a corporate nerd. I think so. I think so. I, you know, I was in the Future Business Leaders of America in high school and then carried that forward to an accounting degree. Bill Gasiamis (02:04) Did you achieve it? Judy Kim Cage (02:20) and finance and then ⁓ had gone to work for Deloitte and the big four. ⁓ And after that moved into ⁓ internal audit for commercial mortgage and then risk and banking and it all rolled into compliance, which is a kind of larger chunk there. But ⁓ yeah, I was living the corporate dream and Traveling every other week, basically so 50 % of the time, flying to Columbus, staying there, and then flying back home for the weekend and working in a rented office for the week after. And I did that for all of 2018. And then in 2019 is when my body said, hang on a second. And I had a stroke. Bill Gasiamis (03:17) How many hours a week do you think you were working? Judy Kim Cage (03:19) Well, not including the treble, ⁓ probably 50-55. Bill Gasiamis (03:26) Okay. Judy Kim Cage (03:26) Oh, wish, that wasn’t that that really wasn’t a ton compared to my Deloitte days where I’d be working up to 90 hours a week. Bill Gasiamis (03:37) Wow. in that time when you’re working 90 hours a week. Is there time for anything else? you get to squeeze in a run at the gym or do you get to squeeze in a cafe catch up with a friend or anything like that? Judy Kim Cage (03:51) There are people that do. think, yeah, I mean, on certain particular weekends and my friends, a lot of my friends were also working with me. So there was time to socialize. And then, of course, we would all let off some steam, you know, at the pub, you know, at the end of a week. But ⁓ yeah, I remember on one of my very first jobs, I had been so excited because I had signed up to take guitar lessons and I was not able to leave in order to get there in time. ⁓ so that took a backseat. Bill Gasiamis (04:40) Yes, it sounds like there’s potentially lots of things that took a backseat. Yeah, work tends to be like that can be all consuming and when friendships especially are within the work group as well, even more so because everyone’s doing the same thing and it’s just go, Judy Kim Cage (04:44) Yeah, definitely. Absolutely. We started as a cohort essentially of, I want to say 40 some people all around the same age. And then, you know, as the years ticked by, we started falling off as they do in that industry. Bill Gasiamis (05:19) Do you enjoy it though? Like, is there a part of you that enjoys the whole craziness of all the travel, all the hours, the work stuff? it? Is it like interesting? Judy Kim Cage (05:31) Yeah, I do love it. I actually do love my job. I love compliance. I love working within a legal mindset with other lawyers. And basically knowing that I’m pretty good at my job, that I can be very well organized, that it would be difficult even for a normal healthy person and challenging and that I can do well there. And yeah, no, was, when I had put in a year, when I was in ⁓ acute therapy, ⁓ I had spoken with a number of students and they had interviewed me as a patient, but also from the psych side of it all, ⁓ asking, well, what does it feel like to all of a sudden have your life stop? And I said, well, ⁓ and things got a bit emotional, I said, I felt like I was at the top of my game. I had finally achieved the job that I absolutely wanted, had desired. ⁓ I felt like I’d found a home where I was now going to retire. And all of a sudden that seems like it was no longer a possibility. Bill Gasiamis (06:55) So that’s a very common thing that strokes have over say who I interviewed. They say stuff like I was at the top of my game and there’s this ⁓ idea or sense that once you get to the top of the game, you stay there. There’s no getting down from the top of the game and that it just keeps going and keeps going. And, I think it’s more about fit. sounds like it’s more about fit. Like I found a place where I fit. found a place where I’m okay. or I do well, where I succeed, where people believe in me, where I have the support and the faith or whatever it is of my employers, my team. Is that kind of how you describe on top of your game or is it something different? Judy Kim Cage (07:41) I think it was all of those things, ⁓ but also, you know, definitely the kindness of people, the support of people, their faith in my ability to be smart and get things done. But then also ⁓ just the fact that I finally said, okay, this was not necessarily a direct from undergrad to here. However, I was able to take pieces of everything that I had done and put it together into a position that was essentially kind of created for me and then launched from there. So I felt as though it was essentially having climbed all of those stairs. So I was at the top. Yeah. you know, looking at my Lion King kingdom and yeah. Bill Gasiamis (08:43) just about to ascend and, and it was short lived by the sound of it. Judy Kim Cage (08:49) It was, it was, it was only one year beforehand, but I am actually still at the company now. I ⁓ had gone and done ⁓ well. So I was in the hospital for a few months and following that. Well, following the round of inpatient and the one round of outpatient, said, okay, I’m going back. And I decided, I absolutely insisted that I was going to go back. The doctor said, okay, you can only work four hours a week. I said, four hours a week, what are you talking about? ⁓ But then I realized that four hours a week was actually really challenging at that time. ⁓ And then ⁓ I climbed back up. was, you know, I’m driven by deadlines and… ⁓ I was working, you know, leveraging long-term disability. And then once I had worked too many hours after five years, you know, I graduated from that program, or rather I got booted out of the program. ⁓ And then a year later, I was actually, well, no, actually at the end of the five years I was promoted. So, ⁓ after coming back full time. Bill Gasiamis (10:20) Wow. So this was all in 2019, the stroke. You were 39 years old. Do you remember, do you remember the moment when you realized there was something wrong? We’ll be back with more of Judy’s remarkable story in just a moment. If you’re listening right now and you’re in that stage where recovery feels invisible, where the fatigue is heavy, your brain feels slower. or you’re trying to explain a rare condition like Moyamoya and nobody really gets it. I want you to hear this clearly. You’re not failing. You’re recovering. If you want extra support between episodes, you can check out my book at recoveryafterstroke.com slash book. And if you’d like to help keep this podcast going and support my mission to reach a thousand episodes, you can support the podcast at Patreon by visiting patreon.com/recoveryafterstroke. All right, let’s get back to Judy. The Moment of the Stroke Judy Kim Cage (11:16) Yes, although I was in a lot of denial. ⁓ So we had just had dinner with ⁓ my stepdaughter and her husband ⁓ and ⁓ we were visiting them in Atlanta, Georgia. ⁓ And we said, OK, we’ll meet for brunch tomorrow. You know, great to see you. Have a good night. It was four in the morning and I was told I woke up screaming and I felt this horrible, horrible worst headache ever ⁓ on the right side. And I think because I have, I have Moyamoya syndrome, because of that and because I had had brain surgeries, ⁓ 10 years or back in December of 2008, I had a brain surgery on each side. And that at the time was the best of care that you could get. You know, that was essentially your cure. And so I thought I was cured. And so I thought I would never have a stroke. So when it was actually happening, I was in denial said there’s no way this could be happening. But the excess of pain, ⁓ the nausea and ⁓ it not going away after throwing up, the numbness ⁓ and then the eventual paralysis of my left side definitely ⁓ was evidence that something was very very wrong. Bill Gasiamis (13:09) So it was four in the morning, were you guys sleeping? Judy Kim Cage (13:14) ⁓ yeah, we were in bed. Yep. And yeah, I woke up screaming. According to my husband, I don’t remember the screaming part, but I remember all the pain. Bill Gasiamis (13:24) Yeah, did he ⁓ get you to hospital? Did he the emergency services? Judy Kim Cage (13:30) I apparently was kind of threatening to divorce him if he called 911. Bill Gasiamis (13:38) Wow, that’s a bit rough. Oh my lord. Judy Kim Cage (13:41) I know. mean, that could have been his out, but he didn’t. Bill Gasiamis (13:45) There’s worse things for a human to do than call 911 and get your support. Like marriages end for worse things than that. Judy Kim Cage (13:53) because I’ve been to the ER many, many, many times. And because of the Moyamoya, you would always, it being a rare disease, you would never be told, well, you would have to explain to all the doctors about what Moyamoya was, for one. For two, to say if I had a cold, for instance, that Moyamoya had nothing to do with it. Bill Gasiamis (14:11) Wow. Judy Kim Cage (14:19) But also, you know, they would give me an MRI, oof, the claustrophobia. I detested that. And I said, if you’re getting me into an MRI, please, please, please, a benzodiazepine would be incredible. Or just knock me out, whatever you need to do. But I’m not getting into that thing otherwise. But, you know, they would take the MRI, read it. and then say, hours and hours and hours later, there’s nothing we can do. The next course of action, if it was absolutely necessary, would be another surgery, which would have been bur holes that were drilled into my skull to relieve some sort of pressure. ⁓ In this particular case, the options were to ⁓ have a drain put in my skull. and then for me to be reliant on a ventilator. Or they said, you can have scans done every four hours and if the damage becomes too great, then we’ll move on. Otherwise, we’ll just keep tabs on it, essentially. Bill Gasiamis (15:37) Yeah. So I know that feeling because since my initial blade in February, 2012, I’ve lost count how many times I’ve been to the hospital for a scan that was unnecessary, but necessary at the time because you, you know, you tie yourself up in knots trying to work out, is this another one? Isn’t it another one? Is it, it, and then the only outcome that you can possibly come up with that puts your mind at ease and everybody else around you is let’s go and get a scan and then, and then move on with life. Once they tell you it was, ⁓ it was not another bleed or whatever. Yeah. However, three times I did go and three times there was a bleed. So it’s the whole, you know, how do you wrap your head around like which one isn’t the bleed, which one is the bleed and It’s a fricking nightmare if you ask me. And I seem to have now ⁓ transferred that concern to everybody else who has a headache. On the weekend, my son had a migraine. And I tell you what, because he was describing it as one of the worst headaches he had ever had, I just went into meltdown. I couldn’t cope. And it was like, go to the hospital, go to the hospital, go to… He didn’t go, he’s an adult, right? Makes his own decisions. But I was worried about it for days. And it wasn’t enough that even the next few days he was feeling better because I still have interviewed people who have had a headache for four or five or six days before they went to hospital and then they found that it was a stroke. it’s just become this crazy thing that I have to live with now. Judy Kim Cage (17:26) I essentially forced Rich to wait 12 hours before I called my vascular neurologist. And once I did, his office said, you need to go to the ER. And I said, okay, then that’s when I folded and said, all right, we’ll go. ⁓ And then, ⁓ you know, an ambulance came. Bill Gasiamis (17:35) Wow. Judy Kim Cage (17:53) took me out on a gurney and then took me to a mobile stroke unit, which there was only one of 11, there were only 11 in the country at the time. And they were able to scan me there and then had me basically interviewed by a neurologist via telecall. And this was, you know, before the days of teams and zoom and that we all tested out ⁓ from COVID. ⁓ yeah, that’s. Bill Gasiamis (18:35) That’s you, So then you get through that initial acute phase and then you wake up with a certain amount of deficits. Judy Kim Cage (18:37) Yeah. my gosh. ⁓ Well, yeah, absolutely. ⁓ Massive amounts of pain ⁓ from all the blood absorbing back into the brain. ⁓ The left side, my left side was paralyzed. My arm fell out of my shoulder socket. So it was hanging down loosely. ⁓ I had dropped foot, so I had to learn to walk again. Double vision and my facial group on the left and then. Bluff side neglect. Bill Gasiamis (19:31) Yeah. So, and then I see in our, in your notes, I see also you had diminished hearing, nerve pain, spasticity, cognitive fatigue, ⁓ bladder issues. You’d also triggered Ehlers-Danlos symptoms, whatever that is. Tell me about that. What’s that? Moyamoya Syndrome Stroke Recovery Judy Kim Cage (19:56) So I call myself a genetic mutant because the Moyamoya for one at the time I was diagnosed is discovered in 3.5 people out of a million. And then Ehlers-Danlos or EDS for short is also a genetic disorder. Well, certain versions are more genetic than others, but it is caused by a defect in your collagen, which makes up essentially your entire body. And so I have hypermobility, the blood, I have pots. So my, my blood basically remains down by my feet, it pulls at my feet. And so not enough of it gets up to my brain, which also could, you know, have affected the moimoya. But Essentially, it creates vestibular issues, these balance issues where it’s already bad enough that you have a stroke, but it’s another to be at the risk of falling all the time. Yeah. Or if you get up a little too fast, which I still do to this day, sometimes I’ll completely forget and I’ll just bounce up off the sofa to get myself a drink and I will sway and all of a sudden Bill Gasiamis (21:07) Yeah. Judy Kim Cage (21:22) onto the sofa or sit down right on the floor and say, okay, why did I not do the three-step plan to get up? ⁓ But sometimes it’s just too easy to forget. Bill Gasiamis (21:37) Yeah, yeah. You just act, you just move out of well habit or normal, normal ways that people move. And then you find yourself in a interesting situation. So I mean, how, how do you deal with all of that? Like you, you go from having experienced more and more by the way, let’s describe more and more a little bit, just so people know what it is. Judy Kim Cage (22:02) Absolutely. So, my way is a cerebrovascular disorder where your internal carotid progressively constricts. So for no known reason, no truly known reason. And so because it keeps shrinking and shrinking, not enough brain, blood gets to your brain. So what the brain decides to do to compensate is it will form these collateral vessels. And these collateral vessels, which there are many of them usually, you know, the longer this goes on, ⁓ they have very thin walls. So due to the combination of the thin walls, and if you have high blood pressure, these walls can break. And that is what happened in my case. ⁓ Well, the carotids will continue to occlude, but what happens is, ⁓ least with the surgery, they took my temporal artery, removed it from my scalp, had taken a plate off of my skull and stitched that. temporal artery onto my brain so that it would have a separate source of blood flow so that it was no longer reliant on this carotid. So we know that the carotid, sorry, that the temporal artery won’t fail out. ⁓ So usually, ⁓ and this was my surgery was actually done at Boston Children’s Hospital ⁓ by the man who pioneered the surgery. And he was basically head of neurosurgery at Harvard Medical School and Boston Children’s because they more often find this in children now. And the sooner they find it, the fewer collateral vessels will form once the surgery is performed. Bill Gasiamis (24:17) Okay, so the long-term risk is that it’s decreased, the risk of a blade decreases if they do the surgery early on too. I love that. Judy Kim Cage (24:25) The rest. But I was diagnosed at the age of 29. So I had quite a while of these collateral vessels forming in what they call a puff of smoke that appears on the MRI. ⁓ And that is what, you know, Moyamoya essentially means in Japanese, is translated to in Japanese, it’s puff of smoke. Bill Gasiamis (24:50) Wow, you have been going through this for a while then. So I can understand your whole mindset around doctors, another appointment, another MRI. Like I could totally, ⁓ it makes complete sense. You you’re over it after a certain amount of time. Yeah, I’m the same. I kind of get over it, but then I also have to take action because you know what we know what the previous Judy Kim Cage (25:07) Absolutely. Bill Gasiamis (25:19) outcome was and now you’re dealing with all of these deficits that you have to overcome. Which are the deficits that you’re still dealing with that are the most, well, the most sort of prolonged or challenging or whatever you want to call them, whatever. Cognitive Fatigue and Executive Functioning Judy Kim Cage (25:34) The most significant, I guess it’s the most wide ranging. But it is. ⁓ Energy management and cognitive fatigue. ⁓ I have issues with executive functioning. ⁓ Things are, you know, if I need to do sorting or filing. ⁓ That actually is. one of my least favorite things to do anymore. Whereas it was very easy at one point. ⁓ And now if I want to clean up my inbox, it is just a dreaded task. ⁓ And so now I’ve learned that if I do a little bit of it every day, then I don’t have, it doesn’t have to take nearly as long. ⁓ Bill Gasiamis (26:26) What it’s dreaded about it is it making decisions about where those emails belong, what to do to them or. Judy Kim Cage (26:33) Oh, no, it’s just the time and energy it takes to do it. It drains me very quickly. Because you have to evaluate and analyze every line as you’re deciding what project it belongs to. And there’s a strategic way to do it in terms of who you normally deal with on each project, etc. etc. This chunk of time, calendar dates you’ve worked on it, etc. But, know, That might by the time I get to this tedious task, I’m not thinking about it strategically. ⁓ Yeah, I’m just dragging each individual line item into a little folder. ⁓ So, ⁓ but yeah, like the cognitive deficits. gosh. mean, I’m working on a computer all day. I am definitely a corporate desk rat or mouse, you know, on the wheel. ⁓ And a lot of Excel spreadsheets and just a lot of very small print and sometimes I get to expand it. ⁓ And it really is just trying not to, well, the job involves making as few errors as you possibly can. Bill Gasiamis (28:01) Yeah. Judy Kim Cage (28:02) ⁓ Now when I get tired or overwhelmed or when I overdo it, which I frequently frequently do, ⁓ I find out that I’ve made more errors and I find out after the fact usually. So nothing that’s not reversible, nothing that’s not fixable, but it still is pretty disheartening for a perfectionist type such as myself. Bill Gasiamis (28:30) Wow. So the perfectionism also has to become something that you have to deal with even more so than before, because before you were probably capable of managing it now, you’re less capable. yeah, I understand. I’m not a perfectionist by all means. My wife can tend to be when she’s studying or something like that. And she suffers from, you know, spending Judy Kim Cage (28:46) the energy. Bill Gasiamis (29:00) potentially hours on three lines of a paragraph. Like she’s done that before and I’ll just, and I’ve gone into the room after three hours and her, and her going into the room was, I’m going to go in and do a few more lines because she was drained or tired or, you know, her brain wasn’t working properly or whatever. I’m just going to go do three more lines and three hours later, she’s still doing those three lines. It’s like, wow, you need to get out of the, you need to get out. need to, we need to. break this because it’s not, it’s not good. So I totally get what it’s liked to be like that. And then I have had the cognitive fatigue where emails were impossible. Spreadsheets forget about it. I never liked them anyway. And they were just absolutely forget about it. Um, I feel like they are just evil. I feel like the spreadsheets are evil, you know, all these things that you have to do in the background, forget about it. That’s unbelievable. So, um, What was it like when you first sort of woke up from the initial stroke, got out of your unconscious state and then realized you had to deal with all of this stuff? I know for some time you were probably unable to speak and were you ⁓ trapped inside your body? Is that right or? Judy Kim Cage (30:19) I was in the ICU. I was paralyzed on the left side, so I was not able to get up, not really able to move much. ⁓ I was not speaking too much, definitely not within the first week. I was in the ICU for 10 days. ⁓ And yeah, I just wasn’t able to do much other than scream from the beam. ⁓ And then I, once I became more aware, I insisted that I could get up and walk to the bathroom myself. I insisted that I could just sit up, get up, do all the things that I had done before. And it being a right side stroke as well, you know, I think helps contribute to the overestimation or the… just conceitedness, guess, and this self-confidence that I could just do anything. Yes, absolutely. And I was told time and time again, Judy, can’t walk, Judy, can’t go to the bathroom, Judy, you can’t do these things. And I was in absolute denial. And I would say, no, I can, I can get up. And meanwhile, I would say that Bill Gasiamis (31:30) Delusion Judy Kim Cage (31:51) husband was so afraid that I was going to physically try to get up and fall over, which would not have been good. ⁓ And so, you know, there was, there were some expletives involved. ⁓ And, ⁓ and then eventually once I was out of the ICU, ⁓ I didn’t truly accept that I couldn’t walk until Bill Gasiamis (32:00) but. Judy Kim Cage (32:20) one of the PT students had put me into an exoskeleton and I realized that my foot did not move at all, you know, like a full five seconds after I thought I picked it up. And I said, wait, hang on, what’s going on here? And I said, ⁓ okay, I guess I have to admit that I can’t walk. And then I can’t, I can’t sit upright. I can’t. You know, and like you had mentioned, you know, I had lost the signals from my brain to my bladder. They were slow or whatnot. And I was wetting the bed, like a child at a sleepover. And I was pretty horrified. And that happened for, you know, pretty much my, pretty much all my time at Kratie, except I got the timing down. ⁓ eventually, which was fantastic. But then when I moved to post-acute, ⁓ then I had to learn the timing all over again, just because, you know, of different, rules being different, the transfers being different, and then, ⁓ you know, just ⁓ the timing of when somebody would answer the call button, et cetera. Bill Gasiamis (33:45) Yeah. Do you, what was it like going to rehab? I was really excited about it. I was hanging out because I learned that I couldn’t walk when the nurse said to me, have you been to the toilet yet? And I said, no, I hadn’t been to the toilet. We’re talking hours after surgery, you know, maybe within the first eight or nine hours, something like that. And I went to put my left foot down onto the ground. She was going to help me. She was like a really petite Asian. framed lady and I’m and I’m probably two feet taller than her, something like that, and double her weight. And then she said, just put your hand on my shoulder and then I’ll support you. So I did that. I put my hand on her shoulder, stepped onto my left foot and then just collapsed straight onto the ground and realized, ⁓ no, I’m not walking. I can’t walk anymore. And then I was then waiting. hanging out to go to rehab was really excited about that. ⁓ What was it like for you? Moyamoya Syndrome Stroke Rehabilitation Experience Judy Kim Cage (34:48) Initially, well, do you so you mean. ⁓ Bill Gasiamis (34:56) Just as in like, were you aware that you could ⁓ improve things? Were you kind of like, we’re gonna overcome this type of stuff? Because you had a lot more things to overcome than I did. So it’s like, how is that? How do you frame that in your head? Were you the kind of person who was like, ⁓ rehab’s around the corner, let’s do that? Or were you kind of reluctant? Judy Kim Cage (35:19) It was a combination of two things. One, I had been dying to go home. I said, I absolutely, why can’t I go home? I was in the hospital for three weeks before we moved to the rehab hospital. And once we had done that, I was there basically for the entire weekend and then they do evaluations on Tuesday. And so I was told on Tuesday that I would be there for another at least four to six weeks. And so that was even before therapies really began. So there was a part of me saying, I don’t care, let me go home and I’ll do outpatient every day and everything will be fine. At least I get to go home. But then the other part. Bill Gasiamis (35:52) Thanks. Judy Kim Cage (36:11) said, okay, well, once I realized I was stuck and that I couldn’t escape, I couldn’t go anywhere, ⁓ I actually, I did love therapy. ⁓ I loved being in speech therapy, being in OTE, being in PT even, because my girls were fantastic. They were so caring, so understanding. They made jokes and also laughed at mine, which was even better. And when you’re not in therapy, especially on the weekends, you’re just in your room by yourself. And you’re not watching TV because that input is way too heavy. Listening to music. maybe a little bit here and there. ⁓ You know, all the things that you know and love are nowhere to be found, you know, really. ⁓ Yeah, absolutely. Yeah, yeah. And I get claustrophobic in the MRI, in the hospital, et cetera. yeah. Bill Gasiamis (37:14) Oscillating. Yeah. I was on YouTube, searching YouTube videos that were about neuroplasticity, retraining the brain, that kind of stuff, meditations, type of thing. That really helped me on those weekends. The family was always around, but there was delays between family visits and what have you that couldn’t be there that entire time. ⁓ So I found that very interesting. And you know, rehab was a combination of frustration and excitement, excitement that I was getting the help, frustration that things weren’t moving as quickly as I wanted. ⁓ And I even remember the occupational therapist making us make breakfast. And I wouldn’t recommend this breakfast for stroke survivors. I think it was cereal and toast or something like that. And I remember being frustrated, why are they making me make it? My left side doesn’t work. Like I can barely walk. I cannot carry the glass with the tea or anything like that to me. What are these people doing? They should be doing it for us. I wasn’t aware. I wasn’t aware that that was part of the therapy. I just thought they were making us make our own bloody breakfast. I thought these people are so terrible. And it took a while for me to clue on like, ⁓ okay. Judy Kim Cage (38:44) you Bill Gasiamis (38:52) They want me to be able to do this when I get home. ⁓ understood. Took a while. I’m thick like that. Judy Kim Cage (39:00) Fortunately, wasn’t made to cook until close to the end. And also during outpatient, I was tasked to make kind of a larger, you know, crock pot dinner so that, you know, I could do that at home. Meanwhile, the irony of it all is that. I can cook and I used to love cooking, but I don’t do it nearly as much as I used to. So that skill did not really transfer over. ⁓ I have Post-it notes up by the microwave that tell me right hand only because if I use my left hand, the temperature differential I will burn myself ⁓ without even realizing it or even reaching for a certain part of a pan that I think is going to be safe and is somewhat heat resistant. And I touch it and then poof, well, you know, get a burn. So there are post-it notes everywhere. There’s one by the front door that says, watch the steps, because I had a couple of times flown down them and gashed my knee. Bill Gasiamis (40:13) Yeah. Judy Kim Cage (40:26) And it’s amazing actually how long a Post-It note with its temporary stick will stay up on a wall. Bill Gasiamis (40:35) Well, there’s another opportunity for you there, like do a project, ⁓ a longevity of Post-it Notes project, see how long we can get out of one application. Judy Kim Cage (40:46) Yeah, well, this one actually, so I think it was three months after I had moved in, which would have been 10 months into my stroke recovery. And that’s when I fell down these steps. And that’s when I put up the Post-It note. it has been, a piece of tape has been added to it. but it only fell down, I think, a couple of years ago. Bill Gasiamis (41:18) Yeah. So 3M need to shift their entire focus. I feel like 3M. Yeah. I think 3M needs to have a permanent ⁓ post-it note application, but easy to remove. if I want to take it down, like it’s permanent once I put it up, but if I want to take it down, it’s still easy to remove and it doesn’t ruin my paint or leave residue. Judy Kim Cage (41:44) They do actually have that tech. have it for, they call it command. It’s what they have for the hooks for photos and whatnot. And then if you pull the tab and then release it, it will come off and leave the wall undamaged, but it will otherwise stay there for a long. Bill Gasiamis (42:04) Yes, yes, I think you’re right. Most of the time it works, yes. Okay, well, we’re moving on to other things. You’ve overcome a lot of stuff. You’re dealing with a lot of stuff. And yet, you have this disposition, which is very chirpy and happy, go lucky. Is it real, that disposition, or is it just a facade? Using Humor in Moyamoya Syndrome and Stroke Recovery Judy Kim Cage (42:29) No, no, it’s real. It’s real. ⁓ I think I’ve always ⁓ tried to make light of things. ⁓ Humors, probably my first defense mechanism. ⁓ And I think that helped out a lot ⁓ in terms of recovery. And also, ⁓ it put my therapist in a great mood. Also, because not many people did that apparently. You know, most people curse them off or, you know, were kind of miserable. And there were times when I was miserable too. Absolutely. But, but I probably took it out more on my husband than I did the staff. And he, and he would call, you know, I said, I was so mean to you, Rich. was so mean to you. And he said, yeah, you were nicer to the nurses than to me. And I. I apologized for it, but at the same time I’m like, yeah, but sometimes, bud, you are so annoying. Bill Gasiamis (43:33) You had it coming. Judy Kim Cage (43:34) Yeah. Why are you so overprotective? Why do you point out every crack in the sidewalk? Why do you know, you still say I have to stop to tie up my hair when we’re walking on the sidewalk, you know, because you’re not supposed to do two things at once. ⁓ Yeah. So I felt as though I would make jokes all the time. I when my left hand would start to regain function. I called it my evil twin because I didn’t even recognize that it was mine. But then I would give it a high five every time I started gaining function back. And I would say things like, yeah, hey, evil twin, congrats. Or ⁓ I would say, I guess I don’t have to clean the house anymore. I don’t have to use my left hand to dust. I’m not capable of doing it. So why do it? Bill Gasiamis (44:29) Yeah. Judy Kim Cage (44:30) And I’m like, let’s always look for the silver lining. And it would usually be a joke. But, you know, if you couldn’t make fun of it or think about the ridiculousness of it, then I think it would be easier to fall into a pit of despair. Bill Gasiamis (44:48) I agree with you and laughing and all that releases, know, good endo, good endorphins and good neurochemicals and all that kind of stuff really does improve your blood pressure. It improves the way that your body feels, you know, the tightness in your muscles and all that kind of stuff. Everything improves when you laugh and you have to find funny things about a bad situation to laugh at, to kind of dial down the seriousness of the situation. can you know, really dial it down just by picking something strange that happened and laughing at it. I found myself doing that as well. And I’m similar in that I would go to rehab and they would, you know, we would chit chat like I am now with you and would have all sorts of conversations about all kinds of things. And the rehab was kind of like the, the, it was like the vessel, you know, to talk shit, have a laugh. ⁓ you know, be the clown of the rehab room. And I get it, everyone’s doing it tough, but it lightened the mood for everybody. You know, was, it’s a hard thing. You know, imagine it being just constantly and forever hard. And it was like, I don’t want to be that guy and wish they have fun as well. And, and I think my, my, my tough times were decreased as a result. Like, you know, those stuff, mental and emotional days, they, they come, but they go. then you have relief from them. And I think you need relief. Judy Kim Cage (46:23) Absolutely. Otherwise, just could feel perpetual and just never ending. ⁓ And why or how could you possibly survive feeling that way? Bill Gasiamis (46:39) Yeah. So who are you now? as in your, how does your idea of who you are sort of begin to shift after the initial acute phase and now six years in, almost seven years into your stroke journey? Finding Purpose After Stroke Judy Kim Cage (46:59) I think I am. I’m pretty confident in who I am, which is funny. ⁓ I ⁓ actually lean more into making more jokes or ⁓ lean into the fact that things don’t, they don’t have nearly the importance or the impact that you would otherwise think. ⁓ One of my sayings, I guess I say all the, you know, how they say don’t sweat the small stuff. my big stuff, like big stuff became small stuff, you know. So it would have to be something pretty big in order for me to really, really, you know, think about it. And a lot of the little things, you know, the nuisances in life and stuff, would usually just laugh or if I tripped or something, then I would just laugh at it and just keep moving on. ⁓ And I think, you know, It’s funny because some people will say, ⁓ gosh, like stop, you know, there is toxic positivity, right? And there’s plenty of that. And ⁓ I stay away from that, I think. But when I try to give people advice or a different outlook, ⁓ I do say, well, you you could think of it this way, you know. It’s not all sunshine and rainbows and flowers and, you know, care bears, but it is, you know, but it, but you can pull yourself out of a situation. You can try to figure out a way to work around it. You can, you know, choose differently for yourself, you know, do things that you love. You know, you’re only given a certain amount of limited time on the earth. So how do you want to spend it? And if you are on your deathbed, you know, would you have, do you have any regrets? You know, like you did read the books about, you know, that, ⁓ why am I forgetting? Doctors ⁓ that perform palliative care and, you know, they’ve written books about you know what people’s regrets have been after, know, once they are about to pass and you know, that not taking action was a regret. You know, like why didn’t I do this? Or why didn’t I do this? Why didn’t I try this? Like really, what would have been the downfall to trying something? ⁓ And I find that, you know, aside from just naturally being able to see things to laugh at or, or positive sides of things. ⁓ I tried, like, I wish that people could experience that without having gone through what we went through. ⁓ but that’s virtually impossible. I think. Bill Gasiamis (50:18) I think it’s impossible, totally, 100 % impossible because everybody thinks they’re doing okay until they’re not. You just cannot prevent somebody from going through something by taking the learning first. The learning has to come second. Sad as that is. Judy Kim Cage (50:39) ⁓ Well, and we all think we’re invincible to a large extent. ⁓ But ⁓ I think what I’ve been trying to do or me now, I’ve always, you know, volunteered in various ways, but now I take and hold extra value in being a mentor for other stroke patients. Bill Gasiamis (51:03) Yeah, yeah, that’s Judy Kim Cage (51:04) And for, you know, individuals that even just come up to me and talk about all of their medical problems, it doesn’t matter if it’s circulated or not, you know, it’s medically they’re like, there’s some white matter on my MRI, what do think I should do? I’m like, it’s not that simple of an answer. I think you should go to the doctor. Get on a list. Bill Gasiamis (51:29) Yeah. Your journey seems like you’re growing through this adversity, like as in it’s very post-traumatic growth type of experience here. Something that I talk about on my book, the unexpected way that a stroke became the best thing that happened. Not something that I recommend people experience to get to the other side of that, of course. But in hindsight, like it’s all those things that you’re describing. Judy’s Book: Super Survivor And I look at the chapters because in fact, you’ve written a book and it’s going to be out after this episode goes live, which is awesome. And the book that you’ve written is called Super Survivor. And indeed that is a fitting title. Indeed it is. How denial, resistance and persistence can lead to success and a better life after stroke. Right? So just looking at some of the chapters, there’s a lot of overlap there, right? And one of the chapters that there’s overlap in is the volunteering and purpose. I’ve got parts of my book that specifically talk about doing stuff for other people and how that supports recovery and how the people who said that stroke was the best thing that happened to them, the ones that I interviewed to gather the data, one of the main things that they were doing was helping other people, volunteering in some way, shape or form. And that helped shape their purpose in life. and their meaning in life. And it’s how I got there as well. It was like, okay, I’m gonna go and prevent stroke. I’m gonna go talk on behalf of the Stroke Foundation. We’re gonna raise awareness about what stroke is, how to take action on stroke, what to do if somebody’s having a stroke. And I started to feel like I gained a purpose in my life, which was gonna to not allow other people to go through what I went through. And then, With that came public speaking and then with that came the podcast and then the purpose grew and it became really ⁓ all encompassing. It’s like, wow, like I know what my mission is. I didn’t seek to find it. I stumbled across it and the chapter in my book is called stumbling into purpose because you can’t think it up. You just have to take action and then bam, bam, it appears. Like, is that your experience? Judy Kim Cage (53:53) ⁓ Well, so much of my identity had been wrapped up in my occupation. ⁓ And so when, you know, the stroke first happened, et cetera, but then as time has passed, ⁓ yeah, I’ve absolutely found more meaning in providing comfort to other stroke patients. whether it’s because they see me as inspiring that I was able to recover so quickly or that I was able to go back to work, you know, permanently. And just to give them hope, really. And ⁓ when I was in acute, I felt as though like, We do so much of the recovery alone ⁓ and there isn’t a ton of, you know, of course our therapists are fantastic and they’re, you know, they’re loving and they’re caring. But in terms of having to make it through, you know, certain darkness alone or, ⁓ you know, just feeling sorry for yourself even sometimes, or feeling like, hey, I can do everything, but nobody’s encouraging that. because they think it’s dangerous. ⁓ I had wished that, you know, there were more people who could understand ⁓ what survival and then recovery was, you know, truly like. And so I had read that in a number of books before hearing people tell me their stories in person because Emotionally, I absorbed too much of it. ⁓ I wanted to, I think I passed that five-year survival mark of the 26.7%, which I know varies for everybody. ⁓ at the same time, I said, wow, I did, I made it to the other side, I beat these odds. I think I wanted to keep it secret from all the people I worked with. which I still have actually, it won’t be for too much longer. ⁓ But ⁓ just being able to share that and to be vulnerable and to say all the deficits that I have and what I have overcome, ⁓ I think it’s also given people some hope that they can, if she was able to do it, then maybe it isn’t as tough as I think it is. Bill Gasiamis (56:43) Anyone can. Yeah, I love that. That’s kind of my approach to, you know, I’m just a average, humble, normal, amazing guy. You could do it too. You know, I could, I could teach you to what you need to do is learn. ⁓ but that’s true. It’s that it’s that we are, I get, I get people come on the podcast going, I’m so nervous to meet you. You’re on the, I’m on your podcast. Dude, you don’t know who I am. Like if you think I’m the podcast guy, you’ve got no idea. I’m in the back of my, in my garden, in a shed. what was something that’s meant to be a shed that looks like a studio and amazing and all this kind of stuff. Like, dude, I’m just. Judy Kim Cage (57:29) would not have known if you hadn’t told me. Bill Gasiamis (57:32) That’s right, because looks can be deceiving and that ideas that we get of people are just, you know, they’re just not accurate until we get to spend time with people and understand them. And I always try and play down who I am so that people can see that I am just a regular guy who went through this and had no, no equipment. had no ⁓ knowledge. had no skills overcoming learning. Like I just, I picked up what I needed when I could just so that I can stumble through to the next hurdle and stumble through that one and then keep going. I really want people to understand that even the people who appear to be super fabulous at everything, like they’re just not, nobody is that, everyone is just doing their best they can. Even the guy who’s got more money than you, a bigger house, whatever, a better investment, all that stuff, they’re all faking it until shit hits the fan and then they’ve got to really step up to be who they are. You know, that’s what I find. But attitude, mindset, ⁓ approach, know, laughing, doing things for other people all help. They are really important steps, you know. The other chapter that kind of. made me pay attention and take note ⁓ was you talk about the night everything changed, complicated medical history, lifesavers, volunteering and purpose, the caregivers, ⁓ easing back into life, which I think is a really important chapter, returning to work, which is really important. then chapter nine, life after stroke continued. That kind of really is something that made me pay attention because that’s exactly what it is, right? It’s life after stroke. It’s like a continuation. It’s a never ending kind of ⁓ unattainable thing. Judy Kim Cage (59:27) It just keeps rolling on. doesn’t stop. You know, even if you’ve gone through a hardship and overcome it, it doesn’t mean that life stops. You’ve got to keep learning these lessons over and over and over again. Even if you don’t want to learn them, however stubborn you are. ⁓ And I, you know, I one thing that I had written about was that I had resented ⁓ you know, what I had gone through for a little while. I said, why do I still have to learn the same lessons that everybody else has to learn? You know, if I’ve gone through this kind of transcendental thing, why do I still have to learn, you know, these other things? But then I realized that I was given the opportunity ⁓ from surviving, was given another chance to be able to truly realize what it was like to be happy and to live. And I’d never, I mean, I had, I had been depressed, you know, for an anxious for years. And, you know, I’ve been in therapy for years and, ⁓ you know, it really wasn’t truly until kind of getting this push of the fast forward button on learning lessons that it truly became happy, like true, true happiness. And I said, wow, that was the gift. And then to try to pass that on. Bill Gasiamis (1:01:10) It’s a pretty cool life hack. A shit way to experience it, but a pretty cool life hack. Judy Kim Cage (1:01:15) Yeah, yeah, yeah, definitely don’t I don’t recommend it I don’t Bill Gasiamis (1:01:20) Yeah. You get the learning in a short amount of time instead of years of years of wisdom and developing and learning and overcoming, which you avoided up until your first, you know, 38 years. And then, you know, you then, and then you kind of all of a sudden go, okay, well, I really have to buckle down and do these, ⁓ these modules of learning and I’ve got no choice. And I was the same. ⁓ and I have my days, I have my Good days, bad days, and I even recently had a bit of a day where I said to my wife, I got diagnosed with high blood pressure, headaches, migraines, a whole bunch of stuff, and then just tomorrow, I’m I’ve had enough. Why do I need to to be diagnosed with more things? Why do I need to have more medical appointments? Enough, it’s enough. I need to stop this stuff. It’s not fun. And then it took me about half a day to get over myself and go, well, I shouldn’t be here, really. Technically, Somebody has three blades in the brain, you know, I don’t know, maybe 50 years ago, they weren’t gonna make it. So now you’ve made it also high blood pressure. If you had high blood pressure 50 years ago, there was nothing to do to treat it. It was just gonna be high until you had a heart attack or ⁓ a brain aneurysm burst or something. And it’s like, I get to live in a time when interventions are possible and it is a blip on the radar. Like just all you do is take this tablet and you’re fine. Not that I revert to give me the tablet solution. I don’t, I’m forever going under the underlying cause. I want to know what the underlying cause is trying to get to the bottom of all of that. But in the meantime, I can remain stable with this little tablet and ⁓ decrease the risk of another brain hemorrhage. So it’s cool, know, like whatever. And that kind of helps me get through the, why me days, you know, cause They’re there, they come, they turn up, especially if it’s been one day after the next where things have been really unwell and we’ve had to medical help or whatever. When it’s been kind of intense version of it, it’s like, okay, I don’t want any more of this. So I get the whole, I’ve experienced the whole spectrum in this last 13, 14 years. We’re coming up to, I think the 20th or 21st, I think is my, maybe the 25th of my anniversary of my brain surgery. Jeez, I’ve come a long way. It’s okay. It’ll be like 11 years since my brain surgery. A lot of good things have happened since then. We got to live life for another 13 years, 11 years. I keep forgetting the number, it doesn’t matter. Yeah. Judy Kim Cage (1:04:17) Mine will have been my 17th ⁓ anniversary of my brain surgery ⁓ will be in January, sorry, in December. And then the seventh anniversary of the stroke is in January. So lot of years. Bill Gasiamis (1:04:33) Yeah, yeah. A lot of years, a lot of years, great that they’ve happened and I’m really happy with that. Keep doing these podcasts, makes me forget about myself. It’s about other people, so that’s cool. know, meet people like you, putting out awesome books. And when I was going through early on, there wasn’t a lot of content. It was hard to get content on stroke surviving, recovery, all the deficits, all the problems. That’s part of the reason why I started this. And now I think I’ve interviewed maybe 20 or 30 people who have written a book about stroke, which means that the access to information and stories is huge, right? So much of it. ⁓ Your book comes out in early December. Where is it going to be available for people to buy? Conclusion and Final Thoughts Judy Kim Cage (1:05:20) It is currently available to download ⁓ through the Kindle app and through Amazon. The hard copies will be available to order through Amazon and hopefully in other booksellers, but that’s TBD. Bill Gasiamis (1:05:39) Yeah, well, we’ll have all the current links by then. We’ll have all the current links available in the show notes. ⁓ At the beginning of this episode, I would have already talked about the book and in your bio when I’m describing the episode and who I’m about to chat to. So people would have already heard that once and hopefully they’ll be hearing it again at the end of the episode. So guys, if you didn’t pay attention at the beginning, but now you’re at the end, it’s about to come. I’m going to give all the details. Judy Kim Cage (1:06:07) stuck around. Bill Gasiamis (1:06:09) Yeah. If you stuck around, give us a thumbs up, right? Stuck around in the comments or something, you know? ⁓ Absolutely. Thank you so much for joining me, reaching out, sharing your story. It is lovely to hear and I wish you well in all of your endeavors, your continued recovery. yeah, fantastic. Great stuff. Thank you so much. Thank you. Well, that’s a wrap for another episode. want to thank Judy for sharing her story so openly. The way she spoke about denial, rehab, reality, cognitive fatigue and rebuilding identity is going to help a lot of people feel less alone. If you’re watching on YouTube, let us know in the comments, what part of Moyamoya Syndrome stroke recovery has been the hardest to explain to other people for you? Was it the physical symptoms or is it the invisible ones? like fatigue and cognition. And if you’re listening on Spotify or Apple podcasts, please leave a review. It really helps other stroke survivors find these conversations when they need them most. Judy’s book is called Super Survivor, How Denial Resistance and Persistence can lead to success and a better life after stroke. And you’ll find the links in the show notes. And if you want more support from me, you can Grab a copy of my book at recoveryafterstroke.com/book, and you can become a Patreon supporter at patreon.com/recoveryafterstroke. It genuinely helps keep this show alive. Thanks again for being here. Remember you’re not alone in this recovery journey and I’ll see you in the next episode. Importantly, we present many podcasts designed to give you an insight and understanding into the experiences of other individuals. Opinions and treatment protocols discussed during any podcast are the individual’s own experience and we do not necessarily share the same opinion nor do we recommend any treatment protocol discussed. All content on this website and any linked blog, podcast or video material controlled this website or content is created and produced for informational purposes only and is largely based on the personal experience of Bill Gasiamis The content is intended to complement your medical treatment and support healing. It is not intended to be a substitute for professional medical and should not be relied on as health advice. The information is general and may not be suitable for your personal injuries, circumstances or health objectives. Do not use our content as a standalone resource to diagnose, treat, cure or prevent any disease for therapeutic purposes or as a substitute for the advice of a health professional. Never delay seeking advice or disregard the advice of a medical professional, your doctor or your rehabilitation program based on our content. If you have any questions or concerns about your health or medical condition, please seek guidance from a doctor or other medical professional. If you are experiencing a health emergency or think you might be, call 000 if in Australia or your local emergency number immediately for emergency assistance or go to the nearest hospital emergency department. Medical information changes constantly. While we aim to provide current quality information in our content, we do not provide any guarantees and assume no legal liability or responsibility for the accuracy, currency or completeness of the content. If you choose to rely on any information within our content, you do so solely at your own risk. We are careful with links we provide. However, third party links from our website are followed at your own risk and we are not responsible for any information you find there. The post Moyamoya Syndrome Stroke Recovery: How Judy Rebuilt Her Life After a “Puff of Smoke” Diagnosis appeared first on Recovery After Stroke.

In this episode, Krissy Dilger of SRNA interviewed Dr. Vivien Xie regarding the significance of brain lesions in pediatric MOG antibody disease (MOGAD). Dr. Xie explained the autoimmune nature of MOGAD and the common occurrence of optic neuritis in young patients [00:01:28]. She described her study comparing children with optic neuritis who had brain lesions to those who did not, revealing that brain lesions often did not result in additional symptoms [00:02:41]. The findings suggested that brain lesions didn't significantly impact long-term outcomes, which may provide reassurance for patients with concerning MRI results [00:06:43]. Finally, they discussed the study's implications for better understanding different phenotypes of MOGAD and improving patient prognosis. Future research directions include more detailed MRI analysis and cognitive outcome assessment [00:12:29]. You can read about this multicenter study here:https://pubmed.ncbi.nlm.nih.gov/41167051/Vivien Xie, MD, is a pediatric neurologist and neuroimmunology fellow at Children's National Hospital and MedStar Georgetown University Hospital. Originally from Baltimore, she earned her undergraduate degree in biology from the University of Maryland, College Park and her medical degree from the University of Maryland School of Medicine. She then completed a child neurology residency at Children's National Hospital, where she discovered a passion for helping young patients and their families navigate rare and often life-long neuroimmunologic disorders. Dr. Xie's research interests include pediatric multiple sclerosis and MOG antibody–associated disease, with publications and presentations spanning national and international conferences. She is a committed academic clinician dedicated to advancing clinical trials and research initiatives to improve diagnosis and care for children with rare neuroimmunologic conditions.00:00 Introduction01:28 Understanding MOG Antibody Disease02:41 Research Motivation and Background05:33 Study Design and Methodology06:43 Key Findings and Implications12:29 Future Research Directions14:10 Conclusion and Acknowledgements

The topic of today's show is A.I. (artificial intelligence) in healthcare. The use of AI in healthcare is expanding rapidly and shows great promise in advancing treatment in many areas. It is becoming widely used in the area of imaging where it is able to Read X-rays, CAT scans, and MRI's with accuracy that sometimes surpasses human Radiologists. It Is even showing promise in the area of robotic surgery, assisting Surgeons, and in ongoing trials doing autonomous robotic surgery (without human intervention). Joining CoHosts Paul Hoppe, Dr Gene Shively, and Dr Michael Flynn is our guest, Doctor Donald Henderson. Dr. Henderson is the director of health care administration at Lake Erie College of Osteopathic Medicine located in Bradenton FL

Heavy alcohol use accelerates bleeding strokes by more than a decade, causing brain hemorrhages to occur around age 64 instead of 75 and leaving survivors with greater disability and cognitive decline MRI scans show that heavy drinkers develop more severe white matter damage, a sign of accelerated brain aging and small vessel disease, even before a stroke occurs Alcohol and seed oils both damage your mitochondria through toxic aldehydes that weaken blood vessels, increase inflammation, and raise the risk of brain bleeds and liver disease Eliminating alcohol and seed oils, while rebuilding your diet around nutrient-dense, low-linoleic acid foods, helps restore vessel integrity and reduce oxidative stress throughout your brain and liver Melatonin, dimethyl sulfoxide (DMSO), and N-acetylcysteine (NAC) support mitochondrial repair and antioxidant defenses, helping protect your brain and blood vessels from long-term oxidative damage

Broadcast from KSQD, Santa Cruz on 1-15-2026: An emailer from Switzerland asks about fluorescein angiography requested before her first retina appointment. Dr. Dawn suspects protocol-based medicine screening for macular degeneration and suggests negotiating to see the doctor first given her different reason for seeing a retinal specialist. She encourages patients to maintain agency in medical settings. An emailer asks about creatine supplements. Dr. Dawn notes it helps muscle development in people doing weight training at 3-5 grams daily, but does nothing for aerobic-only exercisers. Claims about cognition and mood lack solid research. She advises against high-dose "loading," and cautions that creatine causes fluid retention problematic for congestive heart failure and should be avoided with stage 3 or higher kidney disease. Dr. Dawn reminds listeners it's not too late for flu shots, noting this season's H3N2 strain emerged after vaccine formulation was finalized. She laments mRNA vaccine research defunding, as that technology allows rapid reformulation. She describes organoids—tissues grown from stem cells that self-organize into primitive organ structures, enabling rapid drug screening without animal testing. Stanford researchers created assembloids by placing four neurological organoids together that spontaneously connected and built the ascending sensory pain pathway, offering new approaches to studying chronic pain. Dr. Dawn explains research showing satellite glial cells transfer healthy mitochondria to spinal sensory neurons through tunneling nanotubules. When this transfer fails, neurons fire erratically causing pain. Infusing healthy mitochondria into mouse spinal columns cured peripheral neuropathy—suggesting future periodic infusion treatments for humans. She reports Texas A&M researchers created "nanoflowers" from molybdenum disulfate that double stem cell's mitochondrial production, potentially supercharging regenerative medicine for conditions including Alzheimer's and muscular dystrophy. A caller asks about flu vaccines with egg allergy. Dr. Dawn explains that his gastrointestinal reactions to eggs differ from dangerous IgE allergies causing hives or anaphylaxis—GI intolerance doesn't preclude vaccination. Dr. Dawn reveals that 20 years of Parkinson's research followed a false lead. MRI showed increased iron in patients' brains, prompting iron chelation trials—which worsened symptoms. The problem: MRI detects paramagnetic ferric iron (stored, inert) not ferrous iron (biologically active). Patients accumulate useless ferric iron but are deficient in usable ferrous iron. Earlier 1980s studies showing that iron supplementation helped were ignored and abandoned prematurely. She suggests Parkinson's patients discuss iron supplementation with neurologists. She will post the link in the resources page on her website. A caller concerned about early Parkinson's describes tremors and balance problems in darkness. Dr. Dawn suggests darkness-related symptoms sound more like peripheral neuropathy than Parkinson's, recommending neurological examination and screening for diabetes, B vitamin deficiency, or heavy metal exposure. She confirms that sedentary lifestyle reduces mitochondrial production while progressive exercise builds both muscle and mitochondria.

AI, AI, and more AI. Do you even live in Silicon Valley if you're not talking about it every episode? This week, we go deep on how open-source vibe-coding tools are starting to replace the need for traditional SaaS contracts. Dave shows (and tells) how he used the open-source “Claude bot” to reverse-engineer his Mural photo frames and spin up a better web UI in under 30 minutes. Brit test-drives Anthropic's new Cowork, auto-mapping the entire seed VC market while it runs her browser, and celebrates how much these agents are boosting household productivity. Sam loves the power but calls local agents a massive security backdoor, argues trust will consolidate with Apple and Google, declares that “software is not a business,” and announces we've officially entered the fart-app era of AI toys. Jessica flags rising panic among SaaS vendors. Don't miss Sam's hot-chick analogy and Brit's Pop Corner to close it out

AB gives advice about getting an MRI, and we wonder where you found food unexpectedly.

January 16, 2026 In this episode, Scott, Mark, and Ray Painter revisit the new prostate biopsy CPT codes and provide a key update on the use of ProMaxo for MRI-guided biopsies. Mark shares recent insights confirming that CPT codes 55713 and 55714 are appropriate for procedures performed with ProMaxo, clearing up previous ambiguity around the “in-bore” language. Then, the team shifts to deductible season challenges, emphasizing front-desk protocols, eligibility verification, patient collections, and how to handle the increased complexity brought on by insurance churn and Medicare Advantage transitions. This episode delivers practical tips for optimizing both coding confidence and cash flow in the new year.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

HEALTH NEWS   Can exercise turn back the clock on your brain? New study says yes Why leaving things unfinished messes with your mind Short-term, calorie-restrictive diet improves Crohn's disease symptoms Higher daylight exposure improves cognitive performance, study finds Breastfeeding may lower mums' later life depression/anxiety risks for up to 10 years after pregnancy     Can exercise turn back the clock on your brain? New study says yes AdventHealth Research Institute, January 13 2026 (Eurekalert) A simple, steady exercise routine may help your brain stay biologically younger, supporting clearer thinking, stronger memory, and a greater sense of whole-person well-being.   The study found that adults who followed a year-long aerobic exercise program had brains that appeared nearly a year “younger” than those who didn't change their activity levels.   Published in the Journal of Sport and Health Science, the study explored whether regular aerobic exercise could slow, or even reverse “brain age,” a magnetic resonance imaging (MRI)-based biomarker of how old your brain looks compared to your actual age. A higher brain-predicted age difference (brain-PAD), indicates an older-appearing brain and has been linked to poorer physical and cognitive function and increased risk of mortality in previous research.  In this clinical trial, 130 healthy adults aged 26–58 were randomly assigned to either a moderate-to-vigorous aerobic exercise group or a usual-care control group. The exercise group completed two supervised 60-minute sessions per week in a laboratory plus home-based exercise to reach about 150 minutes of aerobic activity per week, aligning with the American College of Sports Medicine's physical activity guidelines. Brain MRI and cardiorespiratory fitness, measured as peak oxygen uptake (VO2peak), were assessed at the beginning and end of the 12-month period.  Over 12 months, participants in the exercise group showed a measurable reduction in brain age, while the control group showed a slight increase. On average, the exercise group's brain-PAD decreased by about 0.6 years, indicating a younger-appearing brain at follow-up. In contrast, the control group's brains appeared about 0.35 years older, a change that was not statistically significant. Overall, the between-group difference in brain age was nearly one year, favoring the exercise group.     Why leaving things unfinished messes with your mind Yale University, January 12 2026 (Medical Xpress) In a new study, published in the Journal of Experimental Psychology: General, Yale professor of psychology Brian Scholl and lab members explored why humans so badly want to finish what we've started—in matters great and small. It turns out the brain just doesn't like dangling threads. The researchers had a hunch that visual clues could help explain the lure of the unfinished. Why is this state of leaving things undone so salient to us? It's an interesting quirk of human nature that science has not previously addressed. Unfinishedness has been found to decrease work satisfaction, impair sleep, and fuel ruminative thinking patterns. The researchers turned to the visual system. When we see unfinished events, are they somehow prioritized in memory?" To test their hunch that visual memory plays a role in making unfinishedness feel so sticky, the researchers ran four experiments involving a total of 120 participants who viewed computer animations of simple mazes populated by moving dots or lines. In several experiments, it seemed that the brain is wired to notice and remember incomplete things better than finished ones. The findings suggest that "unfinishedness" isn't just about motivation or satisfaction. It's built into the way people see and remember the world.   Short-term, calorie-restrictive diet improves Crohn's disease symptoms     Stanford University, January 13 2026 (News-Medical)   There have been few large studies of dietary interventions for IBD, a group of disorders that includes ulcerative colitis and Crohn's disease. Now a Stanford Medicine-led study finds a short-term, calorie-restrictive diet significantly improved symptoms. Their national, randomized controlled clinical trial found that a short-term, calorie-restrictive diet significantly improved both physical symptoms and biological indicators of mild-to-moderate Crohn's disease. A chronic condition affecting about a million Americans, Crohn's disease causes inflammation in the digestive tract, leading to symptoms of diarrhea, cramping, abdominal pain and weight loss. Steroids are the only approved therapeutic for mild Crohn's, but their use is limited due to significant side effects, particularly with long-term use. The study compared the symptoms and biological indicators of patients with mild-to-moderate Crohn's disease as they either followed a fasting mimicking diet or ate their normal diet for three consecutive months. The study enrolled 97 patients across the country, with 65 in the fasting mimicking group and 32 in the control group. Participants in the fasting mimicking group severely limited their calories for five consecutive days per month, eating between about 700 and 1,100 calories a day. Plant-based meals were provided during the fasting period. For the remainder of the month, the fasting mimicking group ate their normal diet. At the end of the study, two-thirds of the fasting mimicking group experienced improvement in their symptoms. The researchers found a significant decline in fecal calprotectin, a protein in the stool that indicates gut inflammation, in the fasting mimicking group compared with the control group. Some inflammation-promoting lipid mediators derived from fatty acids also declined in fasting mimicking group participants. Similarly, the immune cells of fasting mimicking group participants produced fewer of several types of inflammatory molecules.   Higher daylight exposure improves cognitive performance, study finds University of Manchester (UK), January 12 2026 (Medical Xpress) A real world study led by University of Manchester neuroscientists has shown that higher daytime light exposure positively influences different aspects of cognition. The first study of its kind showed that stable light exposure across a week and uninterrupted exposure during a day had similar effects. Participants in the study experienced improved subjective sleepiness, the ability to maintain focused attention and 7-10% faster reaction speeds under bright light when compared to recent dim conditions. Compared with their peers who went to bed later, participants with earlier bedtimes tended to be both more reliably wakeful under bright morning light and sleepy under dimmer evening light. Being exposed to bright, stable daytime light was linked to enhanced and more sustained attention in a visual search task in which participants were asked to find a specific target on a page. Higher daytime light exposure and fewer switches between light and dark were linked to improved cognitive performance. And higher daytime light exposure and earlier estimated bedtimes were also associated with stronger relationships between recent light exposure and subjective sleepiness. However, neither the time of day nor time awake significantly impacted cognitive performance; the effect of light was stronger than the effect of time of day.   Breastfeeding may lower mums' later life depression/anxiety risks for up to 10 years after pregnancy University College Dublin (Ireland), January 8 2026 (Eurekalert)   Breastfeeding may lower mothers' later life risks of depression and anxiety for up to 10 years after pregnancy, suggest the findings of a small observational study, published in the open access journal BMJ Open. The observed associations were apparent for any, exclusive, and cumulative (at least 12  months) breastfeeding, the study shows. The researchers tracked the breastfeeding behaviour and health of 168 second time mothers who were originally part of the ROLO Longitudinal Birth Cohort Study for 10 years.   At the check-ups, the mothers provided information on: whether they had ever breastfed or expressed milk for 1 day or more; total number of weeks of exclusive breastfeeding; total number of weeks of any breastfeeding; and cumulative periods of breastfeeding of less or more than 12 months.   The study concludes there may be a protective effect of successful breastfeeding on postpartum depression and anxiety, which in turn lowers the risk of maternal depression and anxiety in the longer term.

As men and their loved ones explore treatment options for prostate cancer, it's encouraging to know that ongoing innovation is shaping the management of this condition as technology advances. Today, we have the privilege of speaking with Dr. Mark Hong, a pioneer of an advanced treatment for men with prostate cancer and/or BPH, known as Transurethral Ultrasound Ablation, or TULSA. It is a minimally invasive MRI-guided procedure that destroys cancerous tissue while minimizing side effects. We're thrilled to partner with Profound Medical to introduce today's special guest. Dr. Hong is a board-certified urologist at Integrative Urology in Phoenix, Arizona, and a pioneer of MRI-guided TULSA-PRO incision-free surgery for prostate cancer. He completed his urology residency at Harvard Medical Center and earned selection as a national CAPTURE Scholar in prostate cancer. That allowed him to lead projects alongside world-leading scientists from the Dana-Farber Cancer Institute and the University of California, San Francisco. He also completed a fellowship in robotic and minimally invasive surgery at George Washington University in Washington, DC. He has published in almost every major international urology journal, having authored publications on topics ranging from prostate cancer detection to healthcare policy. Dr. Hong joins us today to share more about TULSA-PRO for men with prostate cancer. Having completed over 200 procedures, he has performed more TULSA procedures as an independent urologist, in the absence of a radiologist, than any other urologist in the world. Stay tuned for more! Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation. Show Highlights: Dr. Hong clarifies what the TULSA procedure is How the TULSA procedure differs from other technologies, in terms of its delivery, advantages, and outcomes Who are the ideal candidates for the TULSA procedure? The potential risks associated with the TULSA procedure What patients undergoing the TULSA procedure can expect How the development of new technologies leads to better outcomes for men with prostate cance Links:  Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd.  Get your free What To Expect Guide (or find the link on our podcast website)   Join our Facebook group  Follow Dr. Pohlman on Twitter and Instagram  Sign up for the Prostate Health Academy   You can access Dr. Pohlman's free mini-webinar, where he discusses his top three tips to promote men's prostate health, longevity, and quality of life here. Podcast Partner: Profound Medical TULSA-PRO: https://tulsaprocedure.com/     

Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making. ⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]Topics included in this episode:Application of IV anesthetic pharmacology to real clinical case scenarios rather than just PK/PD theory How to choose between propofol, ketamine, etomidate, and dexmedetomidine based on patient and surgical factors Decision frameworks for managing high-risk situations like trauma, sepsis, cardiac disease, and difficult airways Common pitfalls with induction agents and how to prevent hypotension, apnea, and airway obstruction How anesthesia choices change across environments like OB, ICU, MRI, GI suite, and neurosurgery

We're joined by Tom Elliott, the founder of Hotspur Helium, who holds the largest multinational primary helium portfolio globally.  We discuss what Hotspur Helium is building and the ambition behind the company, before stepping back to look at why helium has become such a compelling focus for investors and operators alike. Tom shares insight into the critical uses of helium — from healthcare and advanced manufacturing to space and technology, and the demand trends reshaping the global supply landscape. We also discuss how Hotspur Helium thinks about where to operate globally, what differentiates the company in an increasingly competitive space, and where it currently sits in its growth journey. Finally, we dive into the commercial realities of helium projects, including off-take interest, project economics, payback potential, and what the outlook looks like over the coming years. This is a practical, forward-looking conversation about a niche commodity that plays an outsized role in modern industry, and how Hotspur Helium is positioning itself within that opportunity KEY TAKEAWAYS Hotspur Helium differentiates itself by targeting "elephant" prospects—large-scale deposits (at least 5 BCF of recoverable helium) in the Middle East and Southern Africa, rather than the smaller pockets often found in North America. While 95% of global helium is currently a byproduct of the oil and gas industry, Hotspur is focused on "primary helium" exploration. This ensures a stable supply that isn't subject to the volatility of LNG market prices. Helium is irreplaceable in high-growth sectors, specifically semiconductor manufacturing, MRI scanners, and space exploration. Each SpaceX launch, for instance, consumes roughly 6% of daily global helium production. Since its founding in 2024, the company has acquired 20,000 square kilometres of acreage. They aim to finalise surface exploration in 2026, begin drilling in 2028, and bring the first helium online by 2030. BEST MOMENTS "Hotspur Helium... holds the largest multinational primary helium portfolio globally." "Someone said to me the other day, 'Oh, so you're elephant hunting.' And that's essentially what we're doing... we're the first people through the door and we're able to acquire the best acreage."  "Right now, is helium the tail on the dog or is it the flea on the end of the tail of the dog? Right now, given the size of the LNG industry, it's pretty small... " "It's an extremely lucrative commodity... worth something like 200 to 300 times that of natural gas” GUEST RESOURCES Web: www.hotspurhelium.com Email: info@hotspurhelium.com  LinkedIn (Hotspur): https://www.linkedin.com/company/hotspurhelium/ LinkedIn (TE): https://www.linkedin.com/in/tom-elliott-230731316 VALUABLE RESOURCES Mail:        ⁠rob@mining-international.org⁠ LinkedIn: ⁠https://www.linkedin.com/in/rob-tyson-3a26a68/⁠ X:              ⁠https://twitter.com/MiningRobTyson⁠  YouTube: ⁠https://www.youtube.com/c/DigDeepTheMiningPodcast⁠  Web:        ⁠http://www.mining-international.org⁠ CONTACT METHOD ⁠rob@mining-international.org⁠ ⁠https://www.linkedin.com/in/rob-tyson-3a26a68/⁠ Podcast Description Rob Tyson is an established recruiter in the mining and quarrying sector and decided to produce the “Dig Deep” The Mining Podcast to provide valuable and informative content around the mining industry. He has a passion and desire to promote the industry and the podcast aims to offer the mining community an insight into people's experiences and careers covering any mining discipline, giving the listeners helpful advice and guidance on industry topics.  This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

What would you want your clickbait title to be? What is a face? Why is an MRI so loud? Could Rome actually be built in a day? What is going on with the design of traffic lights? …Hank and John Green have answers!If you're in need of dubious advice, email us at hankandjohn@gmail.com.Join us for monthly livestreams at patreon.com/dearhankandjohn.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Aaron Zelikovich discusses the utility of neurofilament light chain as a serum biomarker in peripheral neuropathy.  Show citation: Karam C. Clinical Utility of Serum Neurofilament Light Chain in Peripheral Neuropathy. Muscle Nerve. 2026;73(1):86-92. doi:10.1002/mus.70073 Show transcript: Dr. Aaron Zelikovich: Welcome to today's neurology minute. My name is Aaron Zelikovich, a neuromuscular specialist at Lenox Hill Hospital in New York City. Today, we will discuss a recent article on the utility of neurofilament light chain as a serum biomarker in peripheral neuropathy. It has been studied in other neurological diseases like ALS and multiple sclerosis, as in the 2024 study by Robert Fox et al, which highlighted the limitations of serum neurofilament light chain in patients with multiple sclerosis, since the elevation was inconsistent and tended to occur weeks after MRI changes, and was really only found to be helpful in certain clinical situations. The study we highlight today is a single-center retrospective study that highlights the opportunities and limitations of using serum neurofilament light chain as a biomarker to monitor treatment response and peripheral neuropathy. Serum neurofilament light chain has been shown as an indicator of neuronal injury in both central and peripheral nervous system disease that has been associated with axonal injury or degeneration. It is now commercially available. The authors in this study provide a real-world single-center retrospective study that looked at various forms of peripheral neuropathy over 12 months. Patients had to be evaluated and meet criteria for peripheral neuropathy with either genetic testing, nerve conduction studies, and/or clinical exams. Neuropathies included TTR amyloid, vasculitis, CMT, CIDP, GBS, and anti-MAG neuropathy. Patients with TTR amyloid who were treatment naive and had elevated serum neurofilament light chain showed a reduction in neurofilament light chain levels with treatment. Additionally, patients with CIDP who were treatment naive with elevated serum neurofilament light chain also showed a reduction in neurofilament light chain levels with treatment. All patients with idiopathic peripheral neuropathy had normal serum neurofilament light chain levels. However, serum neurofilament light chain can vary in patients based on age, if they have diabetes, renal dysfunction, and body weight. And this makes it really challenging to interpret it in an isolated setting. Serum neurofilament light chain is a new biomarker for peripheral neuropathies. It can be a supplemental tool in the appropriate clinical context. Future studies are needed to identify its potential to be used as a treatment response biomarker in neuropathies like CADP, GBS, and TTR amyloid. Thank you so much, and have a wonderful day. 

We got our big juicy pumps for this amazing episode! We started by talking about a couple pieces of personal news, including a shockingly cool number 4 ranking in the Ultra Runner of the Year voting... and some tough health findings from an MRI. The newest shoe review is a medical boot. It's still better than most trail shoes.The big science discussion was on a pair of studies on advanced female runners, with both finding low carbohydrate intake on training days. One of the studies on elite athletes found that 94.3% had low energy availability! We broaden out the discussion into nutritional approaches generally. And David tries to broaden it out into a thinkpiece about the food pyramid. At a certain point, maybe your thinkpiece is so wrong that you eventually loop around and become right? Don't answer that.And this one was full of great topics! Other topics: our approach to training and health with the foot, a study on using heat training to substitute for other types of training, what we'd spend with $200 a month, how we are making money off AI, the Burrito League, some quick thoughts on continuous lactate monitors, Shelby Houlihan and Molly Seidel setting records at trail races, Raya for trail and ultra runners, sleep and FKTs, blood tests and training for downhills in a flat place.We love you all! HUZZAH!-David and MeganClick "Claim Your Sponsorship" for $40 free credit at The Feed here: thefeed.com/swapBuy Janji's amazing gear: https://janji.com (code "SWAP")The Wahoo KICKR Run is the best treadmill on the market: https://www.wahoofitness.com/devices/running/treadmills/kickr-run-buy (code “SWAP”)Athlete Blood Test (code "SWAP"): https://www.athletebloodtest.com/shop/For training plans, weekly bonus podcasts, articles, and videos: patreon.com/swap

We spent last week learning what the fellas lost inside themselves last year…..what about the ladies? And an early contender (and lover of tubers) for the 2026 wrap up! We also meet a couple that did it inside an MRI machine a former NFLer who is suing his ex-wife for talking about his package!

Dr. Refky Nicola speaks with Dr. Sven Haller about the current clinical use of AI-accelerated MRI, exploring how these techniques improve scan speed, patient comfort, workflow efficiency, and image quality. They also examine key challenges including hallucinations, validation gaps, economic considerations, and the need for clear standards to guide safe and effective adoption. The Current Status of AI-accelerated MRI Techniques in Clinical Use. Haller et al. Radiology 2025; 317(2):e24381

In this bilingual movie gathering (with Portuguese translation), David Hoffmeister uses a film about a woman who gains the ability to hear people's inner thoughts as songs to illustrate a profound truth: There are no private thoughts.Connecting the movie's plot—triggered by an MRI and an earthquake—to A Course in Miracles Workbook Lesson 19, David explores the reversal of cause and effect. We often believe that external events—like a flat tire, a grumpy boss, or sour milk—cause our bad days. However, David explains that the world is actually a projection of our own minds.Join this session to discover why the ego's version of reality is a "hallucination" and how the Holy Spirit offers a way to wake up from the dream of separation.For more information about bilingual movie gatherings, David Hoffmeister, and Living Miracles events, visit https://www.the-christ.net/eventsFree Bilingual Movie GatheringsThis January, we'll meet each Saturday for an online movie gathering with David Hoffmeister! Through David's deeply insightful commentaries and teachings, the mind is opened to a living experience of A Course in Miracles, offering a profound opportunity for healing and heartfelt connection. All sessions are in English, with live translation into one of the following languages each week: Spanish, Portuguese, Japanese, or German.Recorded live online on January 10, 2025, in Mexico.Follow us on:YouTube: https://www.youtube.com/DavidHoffmeister Facebook: https://www.facebook.com/ACIM.ACourseInMiracles Learn more about David & Living Miracles: https://livingmiraclescenter.orgLearn more about A Course in Miracles: https://ACIM.bizDavid's Spanish Youtube Channel is: https://www.youtube.com/channel/UCP9Gw00CldPUmiu43y7fdWw

What do you do when your world becomes so small that even the second floor of your own home feels like a place you need to escape?In this episode, I'm sitting down with Megan, a graduate of my Panic to Peace program, to talk about the raw reality of agoraphobia. Megan shares the "underwater" feeling of her first traumatic panic attack during an MRI and how her life eventually shrank until she was white-knuckling her way through every single day just to show up for her two daughters.Megan's story is a beautiful look at the shift that happens when you stop fighting the feelings and start changing the way you talk to yourself. We talk about how she went from being housebound to navigating a four-day hospital stay with her child with a newfound sense of calm. If you feel stuck in the "noise" of anxiety, this conversation will show you exactly how Megan turned the volume down and reclaimed her life.SIGN UP FOR DRIVE WITH PEACE & CONFIDENCE HERE: https://www.ahealthypush.com/drive-with-peaceTAKE MY FREE QUIZ AND FIND OUT WHAT'S CAUSING YOU TO STAY STUCK: https://www.ahealthypush.com/blocking-quizA HEALTHY PUSH INSTAGRAM: https://www.instagram.com/ahealthypush/GET THIS EPISODE'S SHOW NOTES: https://www.ahealthypush.com/post/anxiety-success-megan

Loneliness chips away slowly, not like a crisis you can diagnose with an MRI. Making friends as adults feels impossibly hard because we don't realize childhood forced us together, creating friendships that seemed magical but were really just proximity. Age-gap friendships carry a weird taboo, like something's inherently wrong with befriending people outside your generation, yet these connections offer nutrients your soul desperately needs. I share a personal story about a 20-year-old waitress that meets a couple in their 60s who show her what kindness looks like through small acts. WORK WITH NIKKI 1:1 :⁠⁠ https://EmotionalBadass.com/coaching⁠⁠ 30 DAYS TO PEACE:⁠⁠ https://EmotionalBadass.com/peace⁠⁠ NARCISSIST ABUSE RECOVERY WORKSHOP:⁠⁠ ⁠⁠⁠⁠https://www.EmotionalBadass.com/workshops⁠⁠ THE FREE MORNING ROUTINE :⁠⁠ ⁠⁠⁠⁠https://EmotionalBadass.com/morning⁠⁠ Services, Products & Content: PATREON: ⁠⁠https://Patreon.com/emotionalbadass⁠⁠ WEEKLY NEWSLETTER:⁠⁠ https://www.EmotionalBadass.com/newsletter⁠⁠ PATTERNSCAPES WELLNESS DECK:⁠⁠ ⁠⁠⁠⁠https://getpatternscapes.com⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Knock Knock Eye, I start by breaking down Elon Musk's latest medical hot take. The idea that everyone should get a yearly full-body MRI interpreted by AI. Then I talk about why I finally said screw it and paid cash for my own medical care after insurance insisted my testicles might have magically regenerated. And finally, a mystery case that starts as blurry vision and floaters and ends with one of the rarest eye cancers we see: primary vitreoretinal lymphoma. It's a diagnosis so uncommon that even ophthalmologists joke it's a unicorn, but this patient had the real thing, and the outcome might surprise you. Takeaways: Why Elon's “everyone needs an annual full-body MRI” idea collapses the moment you ask, “Okay… and then what?” How insurance companies can deny treatment you've been on for years and why cash pay sometimes feels like freedom. The subtle signs that blurred vision and floaters might be something far more serious than posterior uveitis. Why diagnosing primary vitreoretinal lymphoma requires suspicion, surgery, and a pathologist who knows what they're looking for. How aggressive treatment, including injecting chemotherapy directly into the eye, salvaged this patient's vision and kept cancer from spreading. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://glaucomflecken.com/glauc-to-me/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you are interested in buying a book from one of our guests, check them all out here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amazon.com/shop/dr.glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://anatomywarehouse.com/?aff=14⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information.  Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Quah (Q & A), Sal, Adam & Justin coach four Pump Heads via Zoom. Mind Pump Fit Tip: Become a Bodybuilder AND Run a Marathon! Here is How. (3:05) Red-light therapy for muscle gains! (26:48) Bathroom habits. (31:28) Daycare fraud. (34:12) ADHD drugs don't work the way we thought. (37:22) Video games and technology, the ultimate babysitter. (40:28) A not-so-known supplement for heart health. (45:23) Full-body MRI scan results. (46:25) #ListenerCoaching call #1 – Looking for training and diet advice going into the New Year. (54:42) #ListenerCoaching call #2 – What does long term "maintenance" look like? (1:03:46) #ListenerCoaching call #3 – Wanting to find a balance between gaining strength, building my endurance, and losing stubborn belly fat. (1:19:32) #ListenerCoaching call #4 – Needing some guidance and help on breaking an exercise addiction and overeating fear. (1:39:09) Related Links/Products Mentioned Get Coached by Mind Pump, live! Visit https://www.mplivecaller.com  Visit Butcher Box for this month's exclusive Mind Pump offer!  ** New users receive their choice of NY Strip, Ribeye, or Filet Mignon in every box for a year. ** Visit Joovv for an exclusive offer for Mind Pump listeners! ** Code MINDPUMP to get $50 off your first purchase. 0% financing available! ** January Promotion: Code NEWYEAR50 at checkout for 50% off the following programs: MAPS Starter, Transform, Anabolic, and Performance! Mind Pump Store Mind Pump #2585: How to Become the Ultimate Hybrid Athlete Effects of Light-Emitting Diode Therapy on Muscle Hypertrophy, Gene Expression, Performance, Damage, and Delayed-Onset Muscle Soreness Case-control Study with a Pair of Identical Twins What the MN Star Tribune found at day cares in viral video ADHD drugs don't work the way we thought | ScienceDaily Irresistible: The Rise of Addictive Technology and the Business of Keeping Us Hooked – Book by Adam Alter TikTok, Instagram Reels, And Shorts May Be Rewiring Your Brain, Study Warns New Study Reveals: High-Dose Supplement Shrinks Arterial Plaque by 36% Nattokinase benefits, dosage, and side effects - Examine Visit Seed for an exclusive offer for Mind Pump listeners! ** Code 20MINDPUMP for 20% off your first month of Seed's DS-01® Daily Synbiotic. ** Mind Pump #2763: Eat as Much as You Want, but Don't Get Fat (JUST follow these 2 rules) Mind Pump #1435: How to Kick Your Sugar Addiction in 5 Simple Steps Mind Pump #2652: How Undereating is Making You Fat & Unhealthy 7-Day Overtraining Rescue Guide | Free by Mind Pump Media Mind Pump Podcast – YouTube Mind Pump Free Resources  

-- On the Show -- Donald Trump orders a U.S. military operation that captures Nicolás Maduro and Cilia Flores in Venezuela and brings them to New York despite lacking clear legal authority -- Reporting says Donald Trump escalates to military action after Nicolás Maduro dances on Venezuelan state television and aides treat it as personal mockery -- Donald Trump bets the Maduro seizure will unlock Venezuela's oil, but allies, businesses, and markets resist a plan with no clear political transition -- Donald Trump gives rambling, conflicting answers about Venezuela, oil, and military escalation that raise questions about his decision making -- Donald Trump admits he did not brief Congress yet says he spoke with oil companies and calls the Maduro seizure a kidnapping -- The Wall Street Journal reports Donald Trump shows visible signs of decline, disputes doctors, and mislabels a CT scan as an MRI while aides manage optics -- The Wall Street Journal says Donald Trump takes more aspirin than doctors recommend and blames bruising on superstition instead of updated medical guidance -- Marco Rubio tells Kristen Welker the United States is running Venezuela but cannot explain elections, governance, or the legal rationale in real time -- Marco Rubio and Lindsey Graham indicate Cuba is a likely next target after Venezuela, signaling escalation rather than containment -- On the Bonus Show: Oil markets steady after Trump's Venezuela strike shocks the world, speculation grows that Donald Trump Jr. is being groomed for a 2028 run amid tension with J.D. Vance, and Minnesota politics take a twist as Governor Tim Walz looks ready to exit and Amy Klobuchar eyes a comeback. ⚠️ Ground News: Get 40% OFF their unlimited access Vantage plan at https://ground.news/pakman