Podcasts about mri

Many times, colorectal cancer risk and gut health issues aren't obvious and require a closer look at what's happening inside the body.     On today's episode, I break down colonoscopies, one of the most effective preventive tools for detecting and removing polyps before they can turn cancerous.     While many assume screenings are only necessary later in life, colon issues can start much earlier, and early detection can prevent serious complications.     We also compare colonoscopy to full-body MRI, review the prep, sedation, and potential side effects, and discuss how screening frequency should be tailored based on age, family history, and personal risk.       Join me on today's Cabral Concept 3695 as I explain how a colonoscopy works, what it can detect, and how to make an informed decision about whether it's right for you this year.     Enjoy the show! - - - For Everything Mentioned In Today's Show: StephenCabral.com/3695 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

One day while snowboarding, Sachin made a move and his entire leg felt like it was on fire.Within days, he couldn't move, couldn't sit, couldn't function without intense burning sciatica. An MRI revealed two disc herniations (11mm L4-L5, 7mm L5-S1) and spine surgeons recommended surgery, including a laminectomy and microdiscectomy.At that point, surgery didn't sit well with him. He had real reservations and started questioning his path forward:What would life look like after his first surgery?Would it actually fix the problem, or just lead to more?Would he eventually need a fusion, knowing how often one surgery turns into another, and another?Sachin also had concerns about the long-term efficacy of surgery, knowing that many people can end up back in the same place and require additional procedures down the line.He had seen the success of many Whealth members who avoided surgery, so he wanted to try the Limitless program first. He told his spine surgeon that plan and they agreed it was a fair approach.Instead of rushing into surgery, he joined the Whealth Limitless Program.He didn't want to end up back in the same place. He knew he needed to rebuild his body mechanics and take a more holistic, long-term approach.Within the program, he learned how to actually move his body, which was empowering.Within 3 to 4 weeks, pain started improving.By 8 weeks, he was not only pain-free, he felt better than before the injury.Like many of our members, he didn't just heal. The injury forced him to slow down and focus on things most people skip. Movement quality, body mechanics, posture, and awareness. Because of that, he didn't just get out of pain. He broke through plateaus and came back stronger than before.If you're dealing with• Sciatica• Disc herniations or bulges• Chronic back pain• Hypermobility-related aches and pains• Failed PT, injections, or temporary fixesYou're not alone, and you're not broken.At Whealth, we've helped 24,000+ people overcome chronic pain and get back to living fully.Book a free consultationExplore our programsWhat you'll learn in this episode• Why disc herniations don't have to mean surgery• What actually causes sciatica beyond the MRI• Why most rehab approaches fail• How to rebuild your body step by step• What it really takes to become pain-freeChapters00:04:39 Why Sachin Chose Limitless Over Surgery00:10:19 Sachin's 8-Week Journey to Becoming Completely Pain-Free00:19:03 Trusting Intuition and Learning Body Mechanics Post-Recovery00:31:38 Weighing the Costs and Benefits of Surgery vs. Holistic Rehab00:41:31 Balancing Demanding Entrepreneurship with Personal Health HabitsIf this story resonates with you, drop a comment or reach out. We read every message.And if you found this helpful, make sure to subscribe.

MRI-guided Focused Ultrasound (FUS) is an FDA-approved treatment option for certain motor symptoms of Parkinson's Disease — particularly medication-refractory tremor and levodopa-induced dyskinesia. But what exactly does it do? And just as importantly — what does it not do? In this episode, I break down: • How MRI-guided Focused Ultrasound works • What part of the brain is targeted • Who may be an appropriate candidate • How it compares to Deep Brain Stimulation (DBS) • The risks, limitations, and realistic expectations Focused ultrasound is not a cure for Parkinson's. It does not slow disease progression. But for carefully selected patients, it can meaningfully reduce specific motor symptoms. As always, this episode is for educational purposes only and is not individual medical advice. Treatment decisions should be made with your neurologist and care team. If you find this helpful, consider subscribing for more evidence-based discussions on Parkinson's treatment options.  Help to support this channel and out efforts to educate the world about Parkinson's Disease and get access to personalized content: https://www.youtube.com/channel/UC0g3abv8hkaqZbGD8y1dfYQ/join https://www.patreon.com/pdeducation Please be sure to give support to our channel sponsors: Comfort Linen: https://comfortlinen.com/PARKINSONSDISEASEEDUCATION (15% off entire order when applying the code PARKINSONSDISEASEEDUCATION at checkout) Kizik Shoes: https://kizik.sjv.io/pdeducation Cure Hydration: https://lvnta.com/lv_XG06Rho8SSlXEq3qlV If you have products that you would like for me to review on the channel please send them here: Parkinson's Disease Education P.O. Box 1678 Broken Arrow, OK 74013 Medical Disclaimer All information, content, and material of this video is for informational purposes only and not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Affiliate disclaimer: Keep in mind that links used for recommended products may earn me a commission when you make purchases. However, this does not impact what products I recommend. If I recommend a specific product it is because it has been vetted by myself or based on personal use. #parkinson #parkinsonsawareness #parkinsonsdisease #parkinsons #focusedultrasound #fus

Understand the invisible physics at play! Lorenna Vidal, MD, speaks with host Raisa Amiruddin, MBBS, to demystify the MRI scanner. Explore the unique needs of imaging children and why every moment near an MRI scanner requires a safety-first mindset and a meticulous balance of risk and benefit with expert guidance.  

Neurologic care during pregnancy and menopause requires careful attention to the dynamic interplay between hormonal transitions, evolving evidence on diagnostic and treatment safety, and the lifelong risks associated with neurologic complications of pregnancy. In this episode, Katie Grouse, MD, FAAN, speaks with Sara C. LaHue, MD, author of the article "Neurologic Complications of Pregnancy and Menopause" in the Continuum® February 2026 Neurology of Systemic Disease issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California, San Francisco in San Francisco, California. Dr. LaHue is an assistant professor of neurology for the Weill Institute for Neurosciences in the Department of Neurology at the University of California, San Francisco School of Medicine in San Francisco, California Additional Resources Read the article: Neurologic Complications of Pregnancy and Menopause Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Grouse: Despite the high prevalence of neurologic conditions in women, critical gaps remain in training, research, and clinical guidelines on sex and gender specific considerations across the lifespan. Today, I have the opportunity to speak with an expert on neurologic complications of pregnancy and menopause and coauthor of the and women's neurology curriculum core competencies, Dr Sara LaHue about the latest issue of Continuum on neurology of systemic disease. Dr Jones: This is Dr Jones, editor in chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Sara LaHue about her article, Neurologic Complications of Pregnancy and Menopause, which appears in the February 2026 Continuum issue on Neurology of Systemic Disease. Welcome to the podcast and please tell us more about yourself. Dr LaHue: Well, thanks so much for having me. I'm really excited to talk about this topic. So, I'm Sara LaHue. I'm a neurologist at UCSF, assistant professor of neurology, and a neurohospitalist. So much of my role is taking care of people who are coming into the hospital with urgent and emergent neurologic conditions. And so that's very much a framing that I come to this chapter with. Dr Grouse: I just want to start by congratulating you on your article, which is such a phenomenal compendium of important neurologic issues related to pregnancy and menopause, which I think I really needed and a lot of us really need and was missing, I think, in all of the literature out there. This article will be such an important clinical resource. I know for me, and I'm sure for many of our listeners, this may be a difficult question to answer because of how comprehensive the article is. But what do you hope will be the main takeaway for those who read your article? Dr LaHue: So, I really hope that listeners walk away with understanding that pregnancy and menopause are not contraindications to providing excellent neurologic care. I think too often we default to withholding treatment, pseudo-assumed risk, rather than actual evidence of harm. And so, I think that the key message here is that protecting maternal health is protecting fetal health, and that under-treating neurologic conditions during pregnancy can harm both mother and baby. Dr Grouse: You did say specifically in your article that I thought it was so important that presumption of harm from medications during pregnancy, due to lack of evidence rather than evidence of harm, was something that we really had to be aware of, of that bias. And how do you recommend neurologists listening to this podcast approach situations where diagnostic or management strategies become less certain due to safety considerations in pregnancy? Dr LaHue: Yeah, that's such an important question. I really frame it as a risk-benefit calculation with a patient, and I'm very transparent about what we know and what we don't know. And I emphasize that untreated disease may also impact fetal health. I use resources like LactMed and pregnancy registries that can help provide some of the more latest data. And then when evidence is limited, I document our discussion thoroughly, and I'll often involve maternal-fetal medicine colleagues for their multidisciplinary input. So, the goal is really to have an informed, shared decision-making process rather than a reflexive avoidance of all treatments. Dr Grouse: I think that's really important to reiterate, and I think something that we're all I think working on as we try to manage these difficult situations and conditions. Now, I want to switch gears a little bit and ask. Your article was so comprehensive and so helpful, but what isn't in the article that you wanted to put in? Dr LaHue: There was a fair amount that I ended up having to take out. So, this is a question that's near and dear to my heart. So, I would have liked to include more on the neurodevelopmental outcomes for children who are exposed to various neurologic medications in utero. And I also wanted to discuss more about transgender and non-binary individuals who are experiencing pregnancy and menopause, as they're often underrepresented in research. They've faced unique challenges accessing care. Dr Grouse: Now, I was really struck by one statistic in your article, specifically that intimate partner violence is a leading cause of head injury during pregnancy, and that actually homicide is a leading cause of death during pregnancy in the postpartum period in the US, which was absolutely a surprising statistic to me. What does this mean for our listeners caring for pregnant patients with concussions and head injuries? What should we be doing differently? Dr LaHue: This is also something that really struck me when I first encountered it. I think that the statistics should really fundamentally change how we approach head injuries in pregnant patients. I think we need to screen everyone routinely and privately for violence in the home and in the relationships, and to document injuries very carefully. But we also need to be prepared if someone does screen positive. And so, it's important to be familiar with what's available in terms of resources within your community, where you work, and also to remember that that strangulation in particular is something that can cause dissection and stroke. And so, to maintain a high index of suspicion for any kind of vascular injury in these cases. So not just thinking about head injury itself, but also thinking about complications of strangulation as well. Dr Grouse: Really a great reminder of the role that we can play in our own careers and our own clinical settings when we see cases like this. So, I really appreciate that this point was made, and I hope this will change people's practice. Now switching gears to stroke in pregnancy. Could you walk us through your evaluation and management of a patient who comes in with acute stroke in the peripartum period? Dr LaHue: This is such an important topic, and I think the first thing I'd like to emphasize is that time is brain. Whether or not you're pregnant. It's important to get whatever imaging modality is going to be fastest. Get the CT or get the MRI as soon as you can. Don't delay for fetal concerns. The radiation risk is minimal compared to missing a treatable, disabling stroke. In terms of treatment, thrombolysis and mechanical thrombectomy should be considered just as in a non-pregnant person, when the benefits outweigh the risks. And so, I think the key is involving obstetrics early for shared decision making, and being very transparent with what treatment options are available for the individual, and to not let pregnancy alone stop you from offering standard stroke therapies. Dr Grouse: Definitely a helpful resource, and I think the resources that you put in specifically around the considerations and differentials in these various populations. Postpartum, while still pregnant during the period of period, I think is all just so helpful and a great review. So, I encourage our listeners to check that out. Now switching over to the topic of menopause. I have to say, I really appreciated your coverage of neurologic issues related to the perimenopause period. What do you think is the biggest debate or controversy in this area? Dr LaHue: I think this has to be our understanding of the use of menopausal hormone therapy. The pendulum, when using menopausal hormone therapy, has really swung dramatically. So, we went from routine use to predominantly avoidance. After the Women's Health Initiative was published in 2002, and now we're finding that we're starting to come more to a middle ground. I think there's still great debate when it comes around timing of initiation, formulation of the different therapies, a route of administration and also the dosing, as well as just including how to individualize therapy for individuals with neurologic conditions. Dr Grouse: Well, going into that a little further, I know I get a lot of questions about the use of hormone therapy as it relates to stroke risk and particularly in higher risk patients such as patients who've had prior strokes, dissections, a history of migraine with aura. And I find it hard to get the answers in the literature that's out there. How are you counseling these patients? Dr LaHue: So, I think this is where discussions around the route of administration and dosing become especially important. And this is where there's emerging literature that I think is helping to guide some of these discussions. So, for higher risk patients, I discuss how low dose transdermal formulations which can bypass hepatic metabolism and reduce clotting risk. These are medications that can appear safer in those higher risk individuals. I think the key is really individualizing the risk-benefit discussion with the patient. For a woman with severe vasomotor symptoms that are affecting sleep and cognition, who had a remote stroke. I think this is a person for whom low dose transdermal patch might be a reasonable option. All of these factors end up being considerations for that shared decision-making. Dr Grouse: Now your article covers another topic that I often get questions about, and that's specifically regarding safety of vaginal delivery for patients with neurologic conditions that are sensitive to increased intracranial pressure. Could you summarize your advice for these types of questions when they come up? Dr LaHue: So broadly speaking, most neurologic conditions don't require C-section delivery. And this is a procedure that, just globally speaking, as has been increasing dramatically. And so, I think that's the key message that really, most neurologic conditions don't require a C-section as a main indication. And really, the indication should be based on obstetric considerations. For most conditions, like controlled idiopathic intracranial hypertension, a vaginal delivery is fine. But for patients with mass effect or obstruction at the foramen magnum, a C-section with general anesthesia, it's probably going to be safer. The transient increase in intracerebral pressure that can come with pushing. It hasn't really been shown to harm patients who have stable, treated neurologic conditions. Dr Grouse: I really appreciated the advice that you given in the article, which was that if generally you feel like this would be a patient who would be safe to get a lumbar puncture, you have a little less concern about vaginal delivery versus those that you feel would not be safe to get a lumbar puncture, that you'd be more leaning towards a C-section. Dr LaHue: Yeah, that's exactly right. Dr Grouse: Now, why do you think we have so many gaps in our understanding of how pregnancy and menopause affect neurologic conditions? Dr LaHue: So, I think it really comes down to a perfect storm of factors. So, in 1977, the USFDA came down with the recommendation, stating that it was best to exclude all women of reproductive potential from both phase one and phase two studies. And this recommendation wasn't reversed until 1993. And there are also concerns around liability and also the fact that pregnancy is a temporary state is something that may falsely minimize the potential for delays. The potential for harms that come with delays in treatment. And I think that the fact of menopause is also historically been dismissed, despite this is something that is affecting half of the population. I think we need systemic change. We need to mandate inclusion in research. We need funding for dedicated studies. We also need to recognize women's health as a core competency and not just a special interest. Dr Grouse: That all sounds like a great roadmap for improving our knowledge. And I really hope we get there. But hearing you talk about it really does give me hope that we can improve how we are understanding and treating these conditions. Now, your article included a really helpful overview of headaches in pregnancy, and that's certainly something I think many of our listeners are very familiar with. We do have a lot of questions around that, and I think there's a lot of areas where we don't really always know what the best thing to do is. I think that your article really gave a lot of great information and a really great framework to think about. It would be wonderful to hear you walk through your approach to evaluation of a patient who was pregnant with a new onset headache. Dr LaHue: You'll see in this chapter that I introduce a mnemonic that's spelled out pericardium as a framework for thinking about headache and pregnancy. And here are the you specifically points to an unusual headache, referring to a new or atypical presentation of headache for the patient. I think this is an important place to start, because one of the initial considerations should be this is a new headache, or is this an old headache? If this is a patient who already has a preexisting diagnosis of migraine or some other primary headache disorder, then it's certainly possible that the headache that they're experiencing during pregnancy is also a continuation of their primary headache disorder. But certainly, our role is to make sure that we're not missing a scary complication, a secondary headache that could be dangerous to the patient. And so, then this is where I also think about, well, where are they in the course of their pregnancy. Is this person currently pregnant or are we in the postpartum period? When someone is after 20 weeks gestation, one of the first things to consider is going to be preeclampsia. And so, it's important in those individuals to check blood pressure, check urine to rule out preeclampsia, as this is always going to be top of mind after 20 weeks. I think it's also important to emphasize that preeclampsia is not just a condition that can occur when someone is pregnant. This is also something that can occur postpartum. One needs to be vigilant for looking out for this complication during both time periods. And then I think for new headaches, I really want to focus on what the timing is and any other red flags. For example, if it's a thunderclap headache and onset, then I might be worried about something like RCBS or cerebral venous sinus thrombosis. If the headache itself is orthostatic and patient may have had an epidural, then I might think about a post-dural puncture headache, which is a, unfortunately very common complication and reason for headache in the postpartum period. I think the key is that most dangerous headaches often will occur late in the third trimester or early postpartum. And I think it's also important to remember that if you need imaging to make the diagnosis, and you should get it. The risks of missing something serious far outweigh concerns that one might have around imaging. And when possible, it's certainly preferred to get an MRI if that's available. Dr Grouse: I really did appreciate articles, overview of the various imaging modalities out there and the overview of risk versus benefits and times where they may or may not be needed. So, yet another very useful piece of information that I think that our listeners will appreciate in your article. Now, I'm curious how did you get interested in this area of neurology? Dr LaHue: So, it really was my interest in both reproductive health and neurology that led me to go to medical school in the first place. I knew early on at the beginning of medical school that I was interested in neurology, but I also was very drawn to obstetrics, and I recognized in medical school and then further on as, as a resident, just how vast the knowledge gaps were. When I was counseling my own patients and I found this to be just a very frequent source of frustration as both a clinician and a researcher, I very much feel an obligation to try to help fill these gaps. And I've also just been very encouraged by an outstanding community of other neurologists that I've been able to meet in this space. It's been a just a wonderful collaborative network that we've been able to grow, both within United States and even more globally, when it comes to other neurologists who are interested in this topic. And I'm just very excited to see the direction that this field is going in. Dr Grouse: Well, we can't wait to learn more as this field develops and more is understood about the right way to approach these types of diagnostics and treatments. So, thank you for all your work in this space. And it's been absolutely fascinating reading your article and talking with you today. Dr LaHue: Well, thank you so much for having me, and I'm just so thrilled that these important topics are going to be part of this issue of Continuum. Dr Grouse: Again, today, I've been interviewing Dr Sara LaHue about her article and Neurologic Complications of Pregnancy and Menopause, which appears in the February 2026 Continuum issue on Neurology of systemic disease. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the Journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe AA and members. You can get to me for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

There's an idea bubbling up in medicine called the “digital twin.” The concept is to take personal health data like genetics, blood test results, tissue samples, MRI scans, and family history, and create a digital model of a patient that can be used to predict how a treatment might work for them. Think personalized medicine supercharged by AI.  For example, cancer researchers are working on models that would create radiation and chemotherapy treatment plans based on the specifics of a patient's tumor. But these models aren't ready for the clinic yet, and with so much patient data involved, privacy concerns abound.  Host Flora Lichtman talks with Caroline Chung, a radiation oncologist at the forefront of digital twin research. Guest: Dr. Caroline Chung is a radiation oncologist and the co-director of the Institute for Data Science Oncology at UT MD Anderson Cancer Center. Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.

Dr. Refky Nicola speaks with Dr. Atul Shinagare about his team's research showing that incidental adnexal lesions on single‑phase CT are often difficult for radiologists to classify consistently, with only certain classic lesions yielding strong agreement. Their conversation underscores the limitations of CT compared with ultrasound or MRI and reinforces that most incidental adnexal findings are benign, though many still require additional imaging for clarification. Imaging in Advanced Epithelial Ovarian Cancer: Assessment of Peritoneal Spread. Nougaret and Lakhman et al. Radiology 2026; 318(3):e250116.

In today's episode, we'll dive into a brand new study that's hot off the press—an RCT exploring the short-term effects of manual therapy combined with functional magnetic stimulation (FMS) for patients suffering from lumbar disc herniations with radiculopathy. If you see patients with leg pain, numbness, or MRI-confirmed disc issues, this research offers fresh insight into conservative care and multimodal treatment approaches.Research: Short-Term Effects of Manual Therapy Combined with Functional Magnetic Stimulation in Individuals with Lumbar Disk Herniation with Radiculopathy: A Randomized Clinical TrialSpecial Offers for Listeners: Learn more about Diabetes Reversal Group and become a licenseeSave $500 and Get a Free Cart- Learn more at Shockwave Center of America Today!Leander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tableNovoPulse OA Recovery Program- learn more herePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

Josh Block is an entrepreneur, leadership speaker, and author of People Matter at Work. He is the founder of Cube Mobile Imaging, a company providing mobile MRI and CT imaging services across the United States to help expand access to healthcare.Before founding Cube Mobile Imaging, Josh served as President of Block Imaging, where he helped grow the company from roughly 50 employees to more than 400 worldwide and scale revenue to over $200 million. His leadership philosophy centers around the belief that strong workplace cultures drive both human fulfillment and business performance.In this episode, Josh shares how people-first leadership transforms organizations, why culture cannot simply be “maintained,” and the frameworks leaders can use to build high-trust teams that actually perform.We also discuss the key leadership decisions behind Block Imaging's massive growth, the “Three T's” framework for building healthy organizations, and why the future of leadership depends on authenticity, trust, and empowering others.If you lead a team, run a company, or want to build a culture where people truly thrive, this conversation is packed with practical insights.⸻Topics Covered• How Josh Block helped scale Block Imaging to over $200M in revenue• Why workplace culture is the biggest driver of long-term performance• The leadership philosophy behind People Matter at Work• Moving from a “Me-Cycle” to a “We-Cycle” inside organizations• The “Three T's” leadership framework: Together, Thoughtful, Transparent• Why great leaders eventually give away the baton• How Cube Mobile Imaging is expanding access to healthcare• Practical steps leaders can take to build trust and engagement⸻About Josh BlockJosh Block is an American entrepreneur, author, and leadership speaker focused on helping organizations build people-centered cultures.He is the founder of Cube Mobile Imaging, a company delivering mobile MRI and CT imaging services across the United States. Previously, he served as President of Block Imaging, where he helped grow the company from roughly 50 employees to more than 400 globally.Josh frequently speaks and coaches leaders on culture, leadership identity, and building organizations where both people and performance thrive.He lives in Lansing, Michigan with his wife Lacey and their children.⸻Connect with Josh BlockWebsite:https://peoplematteratwork.com/Cube Mobile Imaging:https://cubemobileimaging.com/LinkedIn:https://www.linkedin.com/in/joshblock1/Book:People Matter at Work

Which brain imaging technique should you pick on the MCAT? In this episode, Mike and Molly break down every major brain imaging method you need to know: EEG, CT, PET, MRI, and fMRI. They cover what each technique actually measures (structural vs. functional), when to use each one, key limitations, and how to answer those tricky "which imaging method is most appropriate?" questions. Includes a rapid-fire quiz to test your understanding.Next episode: Electrostatics and how it connects to brain imaging.Get started with our resources!

Episode 2774 - Vinnie Tortorich speaks to neurosurgeon Dr. Amir Vokshoor about spinal pain, minimally invasive surgery, how life is motion, and more. https://vinnietortorich.com/2026/03/life-is-motion-dr-amir-vokshoor-episode-2774 PLEASE SUPPORT OUR SPONSORS Pure Vitamin Club Pure Coffee Club NSNG® Foods VILLA CAPPELLI EAT HAPPY KITCHEN YOU CAN WATCH THIS EPISODE ON YOUTUBE - @FitnessConfidential Podcast Vinnie's workout videos are available to purchase! Choose from a 2-day, 4-day, or 6-day workout–or buy all three at a discount! TO PURCHASE VINNIE'S WORKOUT VIDEOS, CLICK THIS LINK: https://vinnietortorich.com/workout Life Is Motion Dr. Amir Vokshoor is a board-certified neurosurgeon who specializes in minimally invasive surgery for adult cranial and spinal disorders. (2:00) Vinnie shares some backstory about his own back and neck pain. He wanted to avoid surgery because what was described to him was not acceptable to him. (10:00) Dr. Vokshoor explains the difficulty in the allopathic system; not all treatments are created equal or worth pursuing. (16:00) Minimally invasive procedures allow the surgeon to enter the body with the least amount of trauma to the healthy tissues as possible. (20:00) They talk about stretching and strengthening the iliac and psoas muscles. (31:30) They discuss taking collagen peptides. (38:00) They discuss a horse named Monty and his ligament injury. (40:00) Bioavailability of supplements and gut health are very important for tissues. (42:00) What do we know about NAD? (44:00) Dr. Amir emphasizes that "life is motion"! Good, whole foods, activity, and wellness are so important. Balance and grip strength are good indicators of overall strength. There are various reasons why grip strength is important. (54:00) Vinnie asks about certain chiropractic moves that are popular on social media. (56:00) Dr. Amir can be found at https://drvokshoor.com and can be hired for a consultation to review a spinal MRI with you. He can also be found on Instagram at @drvokshoor To accommodate new listeners, the NSNG® VIP group is open again for a *very* limited time! https://www.nsngvip.com/join. It will open from Monday, March 9, through Sunday, March 15th, 2026, at midnight. Join while it is open! The membership includes 2 group calls with Vinnie, free resources like Vinnie's video workouts and workout trackers, and a supportive community for encouragement and accountability. A New Sponsor Jaspr Air Scrubbers has a discount code, VINNIE, that gets you $300 off for a limited time. Jaspr offers a lifetime warranty. Go to Jaspr.co for more information or to purchase. (1:05:00) You can book a consultation with Vinnie to get guidance on your goals. https://vinnietortorich.com/phone-consultation-2/ More News Serena has added some of her clothing suggestions and beauty product suggestions to Vinnie's Amazon Recommended Products link. Self Care, Beauty, and Grooming Products that Actually Work! https://www.amazon.com/shop/vinnietortorich/list/3GPVU29UHHPMY?ref_=aipsflist Don't forget to check out Serena Scott Thomas on Days of Our Lives on the Peacock channel. "Dirty Keto" is available on Amazon! You can purchase or rent it here.https://amzn.to/4d9agj1 Please make sure to watch, rate, and review it! Eat Happy Italian, Anna's next cookbook, is available! You can go to https://eathappyitalian.com You can order it from Vinnie's Book Club. https://amzn.to/3ucIXm Anna's recipes are in her cookbooks, on her website, and on Substack —they will spice up your day! https://annavocino.substack.com/ PURCHASE DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views it receives, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries

In this episode of Tea with Dr. D, Dr. Derrick Hines answers a variety of health questions from the community, covering topics ranging from nerve pain and regenerative therapies to brain health, fasting protocols, and cortisol balance. The conversation highlights how identifying the root cause of symptoms can dramatically change outcomes, whether the issue is nerve entrapment, metabolic dysfunction, or hormonal imbalance. Dr. Hines also shares practical strategies and research-backed tools people can use to improve healing, energy, and long-term health.In This Episode- How to tell the difference between nerve pain and muscle pain- Why treatments sometimes fail when the wrong tissue is targeted- Therapies that help decompress and heal irritated nerves- The potential role of glutathione in brain health and neurodegeneration- How often to use a fasting mimicking diet for metabolic health- Whether hip labral tears can be missed on MRI scans- Simple ways to reset a dysregulated cortisol cycle- Why morning light, movement, and earlier dinners matter for hormone balance- Small daily habits can have a powerful effect on healing, energy, and overall health.TikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Read the Report, Not the Room: Decoding Your Mammogram “You've Got Mail” on a patient portal notification can send anyone into a spiral of anxiety. From the mysterious BI-RADS score to the dreaded "callback" for more imaging, the world of breast health often feels like a foreign language we never asked to learn. Today, we're pulling back the curtain on the imaging suite. We're breaking down the difference between 2D and 3D, decoding the scary words like "asymmetry" and "calcification," and explaining why a callback is usually a reason for a deep breath, not a panic attack. Whether you're prepping for your first scan, concerned about your family history, or navigating news of dense tissue, this episode is your roadmap to breast health with less stress and more clarity. Bio: Dr. Pamela Weber, MD is a board-certified radiologist specializing in breast and body imaging with White Plains Hospital Physician Associates. She completed her medical degree at Albert Einstein College of Medicine, her radiology residency at Northwell Health (where she served as Chief Resident), and her fellowship in Breast and Body Imaging at Mount Sinai School of Medicine. Dr. Weber brings deep expertise in advanced imaging, including mammography, ultrasound, and MRI, with a strong focus on early detection, diagnostic precision, and guiding patients through complex imaging findings with clarity and care. Find Yonni & Heather here https://www.herhealthcompass.com/

We recorded this one before news broke that José Berríos will be seeing Dr. Keith Meister—the Keith-meister!—for a second opinion on his inflammed right elbow, but I don't think that changes a whole lot about the episode, or our concerns over the Jays' slow-building pitching depth. So have a listen as we discuss Berríos's flagged MRI, Trey Yesavage's deliberate ramp-up, the progression of Shane Bieber and Yimi García, Scherzer the potential saviour—and the dangers of believing in anyone's age-41 season—plus Vladdy continuing his October momentum at the WBC, an odd IKF-related announcement from MLB, and a whole lot more!** FOR AN AD-FREE VERSION OF THIS—AND EVERY—EPISODE, PLUS WEEKLY BONUS SHOWS, FIND US AT patreon.com/BJHH ** Hosted on Acast. See acast.com/privacy for more information.

Attacks on Michigan synagogue and Old Dominion University in Virginia; sad loss of another soldier; Iran War updates; Dr. Joe Eastman makes his return to the show; MRI day; bill to integrate discredited reproductive health; expedited asylum hearings; Champlin city councilor resigns; Joy Dolo also returns to discuss theater and movies. The post The Matt McNeil Show – March 12, 2026 first appeared on AM 950.

Join Digital Education Committee member and podcast host Melissa E. Middeldorp, MPH, PhD, along with this week's guest contributors, Joshua Silverstein MD, FHRS from Allegheny Health Network and Jonathan Ariyaratnam, BChir, MA, MB, CCDS, CEPS-A from the University of Adelaidefor this week's episode. This study by Vad and colleagues examined markers of atrial cardiomyopathy (AtCM) in 26,467 UK Biobank participants without prior atrial fibrillation (AF), heart failure (HF), or stroke, integrating cardiac MRI, ECG, clinical risk factors, and genetic data. AtCM was defined using four markers: left atrial dilation, reduced left atrial emptying fraction (120 ms), and abnormal P-wave terminal force and 15.7% of individuals had at least one marker, while 2.3% had two or more. Over a median follow-up of nearly five years, the presence of AtCM markers showed a dose–response relationship with incident AF, with a HR: 4.59 in those with ≥2 markers and was also strongly associated with HF and ischemic stroke. Adding AtCM markers to clinical and genetic risk models improved AF risk prediction, supporting the concept that atrial cardiomyopathy may represent a common substrate linking AF, HF, and stroke and may help refine future risk stratification strategies. Article for Discussion Learning Objectives Understand how imaging- and ECG-based markers of atrial cardiomyopathy are defined and how they relate to the risk of incident AF, heart failure, and stroke. Evaluate how integrating atrial cardiomyopathy markers with clinical and genetic risk scores may improve risk stratification for AF and related cardiovascular outcomes. Article Authors Oliver B Vad, Nick van Vreeswijk, Ahmed S Yassin, Yuri Blaauw, Christian Paludan-Müller, Jørgen K Kanters, Claus Graff, Ulrich Schotten, Emelia J Benjamin, Jesper H Svendsen, Michiel Rienstra Podcast Contributors Melissa E. Middeldorp, MPH, PhD Joshua R. Silverstein, MD, FHRS Jonathan Ariyaratnam, BChir, MA, MB, CCDS, CEPS-A Host and Contributor Disclosure(s): M. Middeldorp Nothing to disclose. J. Ariyaratnam  Nothing to disclose.   J. Silverstein Honoraria/Speaking/Consulting: Medical Device Business Services, Biosense Webster, Inc., Medtronic Stocks, Privately Held: Heart Rhythm Clinical Solutions/3PH Alliance Staff Disclosure(s) (note: HRS staff are NOT in control of educational content. Disclosures are provided solely for full transparency to the learner): S. Sailor: No relevant financial relationships with ineligible companies to disclose.

In this episode of Disruption/Interruption, KJ sits down with Tracy MacNeal, CEO of Maternal Medical, to discuss a long-overlooked crisis in women's health: birth injuries. Tracy reveals how 10-15% of women who deliver vaginally experience severe pelvic floor trauma—injuries that often go undiagnosed and untreated for years. She shares how her company is developing groundbreaking technology to prevent these injuries during childbirth and why this space has been so dramatically underinvested. This conversation exposes the silence around maternal health and the urgent need for innovation in the delivery room. Four Key Takeaways: [11:28] The Hidden Epidemic of Birth Injuries - 10-15% of women who deliver vaginally suffer pelvic floor muscles torn off the bone—an injury only visible through ultrasound or MRI. This leads to pelvic organ prolapse, incontinence, and chronic pain, yet most women leave the hospital without knowing they've been injured. [5:22] Innovation Has Been Stalled for 80 Years - The epidural, introduced in the 1940s, was the last major innovation in labor and delivery. Unlike other medical fields that see constant advancement, maternal health has been dramatically underinvested, creating an anemic ecosystem for research and development. [20:12] Smart Technology That Listens to the Body - Maternal Medical's device gently pre-stretches the birth canal by listening to the mother's tissue and only expanding one millimeter at a time when the body relaxes. In clinical trials of over 200 patients, the device group had zero injuries compared to 11% in the control group. [30:58] The Power of Speaking Up - Women's silence about their symptoms has perpetuated the problem. When women speak up about birth injuries, it signals to investors that patients care and pushes physicians to prioritize these issues. Advocacy drives innovation and funding in healthcare. Quote of the Show (28:27):"Unless she's a fighter pilot, having a baby is the most dangerous thing most women will ever do."- Tracy MacNeal Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Tracy MacNeal: LinkedIn: https://www.linkedin.com/in/tracymacneal/Company Website: https://maternamed.com How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlDSee omnystudio.com/listener for privacy information.

What if the very traits you've been told make you "too emotional" for the C-suite are actually the high-level brain functions required for elite leadership?In this episode of Glass Ceilings and Sticky Floors, Erica Rooney sits down with Melody Wilding, executive coach and author of Trust Yourself and Managing Up. Melody introduces the concept of the "Sensitive Striver"—high achievers who possess a more finely tuned nervous system. She argues that empathy and deep processing aren't weaknesses to be "toughed out," but biological advantages that, when managed with the right systems, lead to unparalleled strategic success.Join them as they discuss how to break the cycle of overthinking, the science of the "empathy neuron," and how to stop being the "single point of failure" by teaching people exactly how to treat you.Inside the Episode:The Biology of Sensitivity: Melody explains the MRI research behind high sensitivity, revealing increased activity in brain regions related to decision-making and the "mirror neurons" that allow us to process emotions more deeply.Deep Thinking vs. Overthinking: Learn the vital distinction between productive problem-solving and the "paralysis by analysis" that stems from trying to optimize for too many masters at once.The "Frustrated Crier" Reframe: A tactical guide for women who tear up at work. Learn how to shift from a reaction of shame and apology to a position of strength by crediting your emotions to high standards and dedication.The "Honor Roll Hangover": Why the "good girl" mentality—saying yes to everything and working harder to be noticed—actually makes you unpromotable in the eyes of senior leadership.Managing Up Strategically: Why influencing your boss isn't about "making them happy," but about reclaiming your own agency and autonomy so you can lead your career from the driver's seat.The High-Low-Hero Ritual: A simple end-of-day shutdown process to close the "mental tabs" in your brain and prevent work stress from leaking into your home life.Setting the Precedent: Melody's "best advice" on why you must stop being the first to volunteer and instead start teaching people how to treat you by valuing your own time first.

Liberals are celebrating a political coup that brings them one step closer to a majority government. Nunavut MP Lori Idlout has joined the party — crossing the floor from the ranks of the NDP.And: Donald Trump says the U.S. could destroy what's left of Iran in an hour. But the fighting shows no sign of letting up. Iran says it is prepared for a long war of attrition. And it's doubling down on what might be its most powerful weapon — international oil flow.Also: Doctors say portable MRI machines are a game changer — improving surgical outcomes and reaching patients in rural and remote regions.Plus: Israel pushes further into Lebanon, animal rights activists push for a ban on live horse exports, the effect of the war on fertilizer prices, and more.

What if the very traits you've been told make you "too emotional" for the C-suite are actually the high-level brain functions required for elite leadership?In this episode of Glass Ceilings and Sticky Floors, Erica Rooney sits down with Melody Wilding, executive coach and author of Trust Yourself and Managing Up. Melody introduces the concept of the "Sensitive Striver"—high achievers who possess a more finely tuned nervous system. She argues that empathy and deep processing aren't weaknesses to be "toughed out," but biological advantages that, when managed with the right systems, lead to unparalleled strategic success.Join them as they discuss how to break the cycle of overthinking, the science of the "empathy neuron," and how to stop being the "single point of failure" by teaching people exactly how to treat you.Inside the Episode:The Biology of Sensitivity: Melody explains the MRI research behind high sensitivity, revealing increased activity in brain regions related to decision-making and the "mirror neurons" that allow us to process emotions more deeply.Deep Thinking vs. Overthinking: Learn the vital distinction between productive problem-solving and the "paralysis by analysis" that stems from trying to optimize for too many masters at once.The "Frustrated Crier" Reframe: A tactical guide for women who tear up at work. Learn how to shift from a reaction of shame and apology to a position of strength by crediting your emotions to high standards and dedication.The "Honor Roll Hangover": Why the "good girl" mentality—saying yes to everything and working harder to be noticed—actually makes you unpromotable in the eyes of senior leadership.Managing Up Strategically: Why influencing your boss isn't about "making them happy," but about reclaiming your own agency and autonomy so you can lead your career from the driver's seat.The High-Low-Hero Ritual: A simple end-of-day shutdown process to close the "mental tabs" in your brain and prevent work stress from leaking into your home life.Setting the Precedent: Melody's "best advice" on why you must stop being the first to volunteer and instead start teaching people how to treat you by valuing your own time first.

In this episode of The ABMP Podcast, Doug Nelson explores the parallels between manual palpation and digital imaging such as MRI. Both methods can reveal important information about what is happening in the body, but they also share an important limitation: they can show what is present, but they cannot always explain how it got there. Host: Douglas Nelson is Board Certified in Massage Therapy and Therapeutic Bodywork, beginning his career in massage therapy in 1977.  Seeing over 1,200 client visits annually for decades, he is also the owner of BodyWork Associates, a massage therapy clinic in Champaign, IL. with 21 therapists that was established in 1982. He is the founder of NMT MidWest, Inc., providing training in Precision Neuromuscular Therapy™ across the USA. He has personally taught more than 13,000 hours of continuing education and is the author of three books. Doug is a past president of the Massage Therapy Foundation. Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.     Website: anatomytrains.com         Email: info@anatomytrains.com           Facebook: facebook.com/AnatomyTrains  Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA     Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal!    Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook.     Heights Wellness Retreat is redefining whole-body wellness through an innovative, integrated approach to physical, mental, and emotional well-being. Built on more than two decades of Massage Heights expertise in massage and skin therapy, this next-generation wellness destination represents the evolution of our mission to transform lives through wellness.  At Heights Wellness Retreat, we believe every person is an unstoppable force, whether navigating daily demands, pursuing goals, or striving to be their best. This drives everything we do. We go beyond traditional spa services by creating a purpose-driven environment where wellness professionals are empowered, valued, and positioned to grow. With steady clientele, support, and a wellness-forward culture, Heights Wellness Retreat is where therapists build meaningful, sustainable careers while shaping the future of the wellness industry.    www.massageheightscareers.careerplug.com/jobs  www.heightswellnessretreats.com  https://www.instagram.com/heightswellnessretreat/  https://www.facebook.com/heightswellnessretreat/   

In this episode of Curing with Sound, we speak with Peter Dolan, a lifelong athlete and prostate cancer survivor who chose focused ultrasound after receiving an unexpected diagnosis despite a reassuring MRI. Peter shares his experience navigating treatment decisions and offers a candid account of the outpatient procedure and recovery process. He describes a swift return to his active lifestyle, free from the side effects he had anticipated.  Facing a prostate cancer diagnosis requires careful decisions about treatment and long-term quality of life. Peter's story underscores the importance of informed, personalized care and illustrates how focused ultrasound may offer effective treatment with fewer lasting impacts on daily life. Discussion highlights: An Unexpected Diagnosis: How a routine PSA test led to a prostate cancer diagnosis and why imaging alone did not tell the whole story. Choosing a Noninvasive Path: Explore the decision-making process behind selecting focused ultrasound over traditional surgery or radiation, and hear a firsthand account of the simple, outpatient procedure. Life After Treatment: Discover how focused ultrasound provided a swift return to a vibrant, active life without long-term side effects and inspired Peter's ongoing patient advocacy. EPISODE TRANSCRIPT ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances.  Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation.  FUSF SOCIAL MEDIA LinkedIn X Facebook Instagram TikTok YouTube FUSF WEBSITE https://www.fusfoundation.org SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/  

Will RFK Jr.'s efforts to promote nutrition education in medical schools stall? Doctors-in-training embrace “culinary medicine”; As Administration relaxes their regulation, PFAS compounds shown to accelerate biological aging; Is there a cure for ringing in the ears? Biopsies reveal microplastics in 90% of prostate cancers; Can you trust the results of your on-line gut microbiome test? Can sunlight tame autoimmune disease? Birdwatchers have enhanced brain regions for attention and perception. Can one have dental x-rays and a brain MRI on the same day?

The wellness industry used to be about feeling good. Now it's about optimizing everything. From protein-packed coffee and injectable peptides to full-body MRI scans and endless diagnostic testing, the biohacking era is here and suddenly everyone is trying to upgrade their body like it's a piece of software. This week we're unpacking how wellness culture spiraled into biohacking, extreme health trends, and rising health anxiety, and why the pursuit of “perfect health” is starting to feel more stressful than healthy.---Stream Hannah's album, PHASES!Watch Emily's Short Film, All We Were!Emily's Substack: third martini thoughts---Emily's Captivation: Midnight Sun by Zara LarssonHannah's Captivation: Kitsch Satin Lined Flexi Shower CapShop CLEARSTEM and 15% off with the code GALSGUIDE at checkout---Welcome to The Gal's Guide — a weekly dating and lifestyle podcast created to empower radical self-love and bold relationships. Join us, long-distance best friends Hannah Adams and Emily Aleece Burton, for amusing and vulnerable conversations with insightful guests as we cover topics like love and dating to your own self-love, healing, spirituality, and always remembering the importance of gal pals. Want to request a topic or work with us? Send us an email at hello@thegalsguidepod.com or visit us on our website at thegalsguidepod.com---FOLLOW US!Instagram: @thegalsguidepodTikTok: @thegalsguideEmily: @emilyaleeceHannah: @hannahadamsmillerAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Leigh Ann sits down with Dr. Vershalee Shukla to explore how cancer screening is rapidly evolving beyond conventional tools like mammograms. Dr. Shukla explains why catching cancer at earlier stages can dramatically change treatment options and outcomes, and why safer screening matters more than ever as cancer rates rise in younger populations. Together, they discuss emerging technologies including QT ultrasound for breast screening, multi-cancer blood tests, whole-body MRI, and AI models designed to detect patterns long before symptoms appear. Dr. Shukla also breaks down the strengths and limitations of different liquid biopsy tests and explains why screening should be tailored to each person's age, risk factors, and history. Leigh Ann and Dr. Shukla also emphasize the importance of patient advocacy, personal responsibility, and seeking out newer technologies that may not yet be part of standard care.Product Discount Codes + LinksJuna: Website (Discount Code: LEIGHANN)Broc Shot: Website (Discount Code: LEIGHANNLINDSEY)Hoolest: Website (Discount Code: THEACCRESCENT10)Episode LinksC The Signs AIBe Sound Breast Scanning Guest InfoVincere Cancer Center - InstagramVincere Cancer Center - WebsiteRelated EpisodesPodcast Ep. 228: Dr. Lori Bouchard - The Missing Pieces in Cancer Care, Metabolism, Trauma, and Whole-Person HealingPodcast Ep. 213. Leigh Ann Lindsey - Potential Emotional Contributors to Breast Cancer Work w/Leigh AnnLearn: What is EVOX Therapy?Book: Schedule a Session or FREE Discovery CallMembership: What is The Healing Alchemy MembershipConnect w/Me & Learn MoreWebsiteInstagramTiktokYoutube

In today's episode, Anna and Avery explore five of the week's most compelling space and astronomy stories: a new SETI Institute study suggesting stellar space weather could be scrambling alien radio signals before they even leave their home systems; groundbreaking research revealing that spaceflight physically shifts and deforms the human brain inside the skull; the impressive engineering story behind Roscosmos restoring Baikonur's launch pad in record time ahead of the Progress MS-33 mission; a surprising new finding from Nature that Earth's elliptical orbit plays a much bigger role in shaping El Niño and global weather patterns than previously thought; and the endlessly fascinating question of whether asteroid impacts could allow microbes to travel between planets — including the possibility that life on Earth may have originated on Mars.   Stories Covered •       Why SETI may be missing alien radio signals — space weather around distant stars could be smearing narrowband signals beyond the reach of current detectors (SETI Institute, March 2026) •       Spaceflight physically shifts and deforms the brain inside the skull — new MRI study of 26 astronauts published in PNAS reveals extent of microgravity's neurological impact (University of Florida, March 2026) •       Baikonur's Site 31/6 launch pad fully restored after November 2025 damage — over 150 workers complete repairs in under two months, clearing path for Progress MS-33 on March 22 (NASASpaceFlight, March 2026) •       Earth's distance from the Sun found to dramatically alter seasons — new Nature study shows orbital eccentricity drives its own annual cycle in the Pacific cold tongue, influencing El Niño over millennia (UC Berkeley, March 2026) •       Did Earth life begin on Mars? New research examines how asteroid impacts could allow microbes to travel between planets via ejected rock (Universe Today, March 2026)   Connect With Us Website: astronomydaily.io Twitter/X, Instagram, TikTok, YouTube, Tumblr: @AstroDailyPod Part of the Bitesz.com Podcast NetworkBecome a supporter of this podcast: https://www.spreaker.com/podcast/astronomy-daily-space-news-updates--5648921/support.Sponsor Details:Ensure your online privacy by using NordVPN. To get our special listener deal and save a lot of money, visit www.bitesz.com/nordvpn. You'll be glad you did!Become a supporter of Astronomy Daily by joining our Supporters Club. Commercial free episodes daily are only a click way... Click HereThis episode includes AI-generated content.

Matthew Cobb is a British zoologist and Emeritus professor of zoology at the University of Manchester.Get his book, The Idea of the Brain: A HistoryCloser to Truth's Map of Consciousness: loc.closertotruth.com/mapTIMESTAMPS:0:00 The Heart or the Head?4:13 Medicine in the Ancient World12:25 Why Don't We Accept Evidence?18:34 From Ancient to Modern Understanding29:29 When Did We Reach a Consensus on the Brain?37:41 Electricity in the Brain39:58 Our Metaphors for the Brain44:15 Is the Brain Segmented or Whole?01:05:20 Why is Speech Governed by the Left Hemisphere?01:18:55 Why is the Brain Split Into Two Hemispheres?01:23:06 Where in the Brain Does Consciousness Originate?01:32:46 The Ladybug Robot01:35:08 Back to Consciousness01:45:27 What is a Neuron?01:56:04 Why is Smell Connected to Memory So Strongly?02:02:14 Do London Cab Drivers Have Larger Hippocampi?02:10:11 The Limits of MRI and CT Scans02:19:24 Will We Ever Be Able to See Consciousness in the Brain?

Description Stop experimenting with AI and start driving ROI. Subscribe to our Newsletter:https://theultimatepartner.com/ebook-subscribe/ Check Out UPX:https://theultimatepartner.com/experience/ In this keynote from the Ultimate Partners Winter Retreat, Nina Harding breaks down the massive shift happening in the AI landscape as customers move away from experimental pilots and demand concrete ROI and business outcomes. She emphasizes that the era of selling products and time-and-materials approaches is over, replaced by outcome-based, verticalized selling where vendors and partners share accountability. Through real-world examples in healthcare and retail, Harding outlines how partners can leverage Copilot Studio, Agent 365, and Microsoft’s incentive programs to build specific superpowers, differentiate themselves, and ultimately lead the AI mission alongside Microsoft. Key Takeaways Customers are no longer interested in AI experimentation and now expect immediate, concrete return on investment. Selling products is dead; the modern approach requires a consultative, signal-based strategy focused entirely on business outcomes. The traditional time-and-materials billing model is disappearing as clients demand shared accountability for project success. Rapid proliferation of AI agents has made security and governance top priorities for enterprise customers. Success in the Microsoft ecosystem now requires partners to highly verticalize their value propositions by industry. Defining and clearly articulating your unique “superpower” or niche is essential to stand out to the Microsoft field sales organization. https://www.youtube.com/watch?v=HJJ4Zcf4tZc&t=1920s If you're ready to lead through change, elevate your business, and achieve extraordinary outcomes through the power of partnership—this is your community. At Ultimate Partner® we want leaders like you to join us in the Ultimate Partner Experience – where transformation begins. Key Tags Nina Harding, Microsoft AI, artificial intelligence ROI, AI agents, Agent 365, Copilot Studio, outcome-based selling, verticalization, healthcare AI, retail AI, Cognizant, Davos 2026, AI governance, AI security, technology transformation, Ultimate Partner Live, enterprise AI adoption, digital transformation, system integrators, AI pilots Transcript [00:00:00] Nina Harding: More importantly, we want to serve more and more people faster, and AI is coming in and having a very practical approach in healthcare alone. [00:00:14] Vince Menzione: We just finished Ultimate Partners Winter Retreat here in beautiful Boca to a sold out [00:00:19] Vince Menzione: crowd. Come join me now for a compelling discussion on the impacts of the tectonic shifts we’re all seeing. [00:00:27] Vince Menzione: I feel incredibly fortunate, uh, to have this, this, this friend Nina who came into the studio here for the first time, actually earlier, well last year, geez, earlier this year. [00:00:38] Vince Menzione: It was last year, right after my accident I think. And, uh, we gotta spend some time together. And she was so good to, uh, make her time available and her team’s time available to come down here to be with us today. Ne I’m so thrilled to have you. I am going to turn over the stage to you. Uh, you’ve got some incredible learnings. [00:00:57] Vince Menzione: I know you’ve been on the AI tour with Microsoft. Yeah. And you’ve got some great learnings you’re gonna share about what’s happening. Absolutely. So it’s so great to have you. [00:01:05] Vince Menzione: It’s nice to see you. [00:01:06] Nina Harding: Nice to see you. [00:01:07] Nina Harding: Thank you. Well, thanks everyone. It’s great to see so many familiar faces and then some new faces as well. [00:01:15] Nina Harding: Um, because we’re in a little bit more of an intimate environment, I thought I would approach this a little bit differently. Give you some better insights into what we’re actually hearing at Microsoft with our customers, some of the things that are actually moving the needle that we’re seeing some of our partners do. [00:01:34] Nina Harding: So really to share some of the best practices out there, and hopefully you’ll leave with some more insight or tips and tricks, um, is really what I would love to do because our job. Collectively is really this transformation and to take a advantage of it out there in the market right now. [00:01:57] Nina Harding: Let’s see [00:01:57] Nina Harding: here. [00:01:59] Nina Harding: I can move slides. Well, this one isn’t moving. Any slides? [00:02:07] Nina Harding: No. Okay, great. So, um, some of you might. Uh, know that I’m a Floridian now, right? So I just live right up, up the way in Palm Beach. Um, so not too far, but I still wouldn’t miss this opportunity to be with all of you. Um, there is an energy that I think that we’re all feeling right now, and, uh, it’s, it’s palpable. [00:02:32] Nina Harding: We’re finding right now that our customers are really going from this landscape of experimenting with ai. Really to looking at the outcomes and having expectations around the momentum that they’re seeing. Right. That’s a big shift, right? We, and things are going pretty quickly, so I look at things almost quarterly now on what is that core message and what are, what is the difference in the tone from our customers of what they’re expecting? [00:03:06] Nina Harding: What we’re gonna talk a little bit about today is how all of you, our partners, are such a critical part of that journey. Actually, sometimes the most important part. You’re on the front lines with the customers. You’re the ones having those conversations. You’re the ones that are in there arm to arm with their teams, listening to what they’re experiencing, their challenges that they’re facing, and they’re really wanting now to go from this world of, Hey, we have lots of different pilots. [00:03:41] Nina Harding: Right? A lot of us know that right into, oh my gosh, it’s not about pilots anymore. They really want that ROI story. They want those outcomes and it’s looking very different for all of us. The way that we sell, the way that we go into our engagements, the way that we even price things, the way that we, meaning Microsoft partner and customer are locking arms is fundamentally very different. [00:04:15] Nina Harding: We have to go in collectively. We have to also be responsible for the outcomes and deliver on those. ROI is that headline that we’re all after. Right. It is the most important part of the puzzle right now because there isn’t a single boardroom that isn’t talking about AI and you guys are all experiencing it. [00:04:39] Nina Harding: It’s easier than ever to go in and have the conversation. The hardest part is how do we quickly get to an ROI study, so you or ROI case so that we can continue to build on that. And when you’re looking at this every. Customer is providing signals out there to help you grow that penetration into the account. [00:05:04] Nina Harding: And I’m gonna share some of the signals that I think that are really meaningful. But that’s the most important thing is we’re no longer, and I know you guys all know this, we’re no longer selling product at all anymore. We’re selling those outcomes. And I can tell you at Microsoft, we’re spending a tremendous amount of time retraining all of our sales reps. [00:05:25] Nina Harding: Really to be focused on how do you listen and do that consultative signal based sale. How do you actually go in and start selling, not selling, but I mean it is selling, but listening to the journey that they want to go through. What are the challenges that they’re facing and what’s the transformation that we’re able to kind of go and be a part of together with our partners? [00:05:54] Nina Harding: Notice it’s not about product. Product is just the tools in your tool chest to create those outcomes. So that’s gonna be really important as we go through this journey. [00:06:09] Nina Harding: Uh, so I saw the, the title of the session, uh, mentioned Davos and Davos was an interesting time. Uh, Microsoft has a very, actually, a very big presence at Davos and, uh, we had over 300 customer meetings there, uh, where we were meeting with some of the top companies around the globe. And it was very much affirmed that. [00:06:34] Nina Harding: Uh, the, the concept of AI we’re past, like curiosity stage, right? We’re way past that and we’re even past that. The art of the possible discussion, right? Uh, what the, the customers are almost at the point is, is come in and tell me, tell me what to do. Show me how to do it. It’s a very different position than, Hey, we’re presenting you with all these different possibilities. [00:07:08] Nina Harding: They’re They’re tired. They’re tired of all the possibilities. They wanna get to the brass tacks of how are you gonna change my customer service department? How are you gonna make it easier for my hr? How am I going to derive growth? What are some of the other things that you guys are experiencing out there? [00:07:23] Nina Harding: Like what are some of those other ROI drivers that people are asking, where am I gonna find the money? What for? For doing the project or out of the project? Other people? I Okay. To do the project. Okay. Resourcing. Okay. So what we’re seeing here is that, uh, the conversation is very much now focused on, okay, I need sec, I need security. [00:07:50] Nina Harding: That has been louder than ever before. So, Vince, the one thing I would say about that slide where you had those five different pillars, I’d put security on the bottom. Understanding your data, your data platform on the bottom, those are consistent across all those pillars. And then you can kind of hit at them. [00:08:10] Nina Harding: But, uh, there’s a lot of energy, there’s a lot of excitement, but it’s rooted in what are you materially going to do to change my business, and is your skin in the game to help me do it and I’ll pay you for that outcome? The concept of this time and materials approach gone. Gone. Even at Microsoft, we’re adjusting to the fact that the customers aren’t like, oh. [00:08:35] Nina Harding: Just hand it over to a system integrator and they’ll deliver on it. They’re like, oh no, we want you accountable too. You’re accountable for the outcomes as well, which is, oh gosh, okay. How do we do that in a partnery model that makes sense where we’re not tripping over each other, but we’re going in stronger together. [00:08:54] Nina Harding: We have one message together and we’re really focused on driving that. They’re also really concerned around the governance of all these agents, right? I see a lot of heads shaking on this. I mean, there’s a lot of proliferation right now. There’s a lot of excitement. I mean, I don’t know in your companies, but people are building agents faster and quicker, uh, than ever before, and some of them are really, really cool and they’re making huge point savings of times. [00:09:22] Nina Harding: Everything from. You know, some of you guys have probably heard me talk about everything from, uh, working on performance reviews to what are all of the incentives that we have for partners and making that easy to understand to, uh, to helping me understand patterns in our financials and what partners are really performing and growing. [00:09:45] Nina Harding: All of these agents are just popping up everywhere, but that creates a real governance issue and a real security issue for a lot of companies as well. So you take all of this and you hear this momentum and I think, uh, that together we’re really well poised. I think Microsoft is in a unique position together with you. [00:10:07] Nina Harding: On this frame, we have Agent 365, which helps you manage all these different agents, right? So that’s an exciting. How many of you’re familiar with agents? 365. Great. And I promise I’m not a product person. I’m not gonna do a lot of pitches, so don’t worry about that, um, at all. But, uh, we also have copilot studio and foundry, and so we have this whole, uh, set of capability, but that capability only comes to life if we’re able to connect with the customer, build the outcome, and making sure that the CEOs see all of us as their partners on that strategy and journey. [00:10:47] Nina Harding: So what does that look like? So I talked a little bit about signals, and signals, is that ability to listen to the, to the customers, what’s really, really me, uh, meaningful and frontier firms are doing this on a consistent basis all the time. Listening to the specific needs use cases, et cetera. So we at Microsoft have been trying to not only share all these different use cases that we have exposure to, but in addition. [00:11:17] Nina Harding: We turned on functionality, and I’ll talk about that in a little bit so that we can also share amongst each other as a community and understand those use cases. Uh, what’s really important is that, um, we’re moving from this world of all these like little one-off projects to a strategy and a platform that everyone wants to move to, but it’s all also getting powered by agents. [00:11:42] Nina Harding: That’s, that’s where we are today. So. [00:11:49] Nina Harding: Having a little trouble. I’m not gonna go through this too. Everyone’s familiar with this in, in here, the Frontier overview. If you’re not, let me know. Um, but basically one of the things that we find is really helpful is, is just sharing where we have seen proof behind having the conversation around the AI journey. [00:12:12] Nina Harding: Around the, the customer journey as you’re going out there. Um, there are really four different areas that we’ve talked about, and I’m not going to drain this ’cause there’s lots and you can, you can, uh, go onto the internet. You can see me talking about all these different areas. I don’t wanna spend too much time here, but these are four of the different. [00:12:33] Nina Harding: I would say categories where when you’re looking at different ways that you can make a material difference with the, the, the customer that we find the most momentum. So around enriching employee experiences, changing the way we, uh, engage with customers. Uh, changing processes as well. And then, uh, the outcomes, like really transforming the way we go about business. [00:12:59] Nina Harding: And we wanna do something about bringing it in to the flow of the work, everyday work. How many of you are finding that you’re actually using agents in your day-to-day workflow? Isn’t that cool? And then as you continue to use it, it becomes easier and easier and easier. And. I know from my team, I’m starting to look at what is the e everyday usage versus the monthly usage, right? [00:13:26] Nina Harding: It’s the every day. It’s become almost, uh, your second hand. And what’s important, uh, on this is that we’re giving, uh, listening to all these signals giving, um, the consistency, um, of the, the engagement with. With the clients, we’re able to all share the same stories and be able to scale at a much faster pace. [00:13:54] Nina Harding: So what does that look like? Here we go. Um, one of the things that we talk about at Microsoft, and the reason why I have this up here is that we’ve moved the conversation away from product into these customer outcomes, which really becomes about. Industry discussion. You have to speak their voice. You have to understand their business problems. [00:14:21] Nina Harding: You have to listen for what is materially different. So I’m actually sharing this, which you don’t normally see in a lot of presentations out to Microsoft about the structure of the organization, the takeaway. This is a sales organization in enterprise. The takeaway that I want you to have from that is look at the verticalization. [00:14:43] Nina Harding: We’ve done. It’s no longer by territory. The ball has moved, the conversation has moved entirely. So what does that say to all of you as well? Your value proposition as you’re working with our field has to be verticalized. The way you engage has to be verticalized. What you say, um, what the, the outcomes that you think differentiates yourself. [00:15:12] Nina Harding: Verticalized. So there isn’t the approach of like doing this like mask gorilla campaign across, for example, the Americas. And I’m just using this as an example on, um, the small and medium business side as well. Um, the, they’re a little bit more territory based still, but um, at least at the enterprise, everything has to be about customer value. [00:15:38] Nina Harding: Customer value. So, um, what this also suggests to me is the way we’re working and where we’ve seen a lot of success is when all of you are starting to tailor your messages and differentiate yourselves by customer success stories. Use cases where you’ve had premise, uh, penetration as a software partner, but you have to tie it back to the industry again. [00:16:05] Nina Harding: It’s just different. And so if I’m very transparent that that’s become, has gone from a nice to have to critical as the field is looking at, who are those go-to partners? It’s the go-to partners that speak retail. It’s the go-to partners that speak oil and gas and I don’t know, I, I, I see some nodding of heads. [00:16:27] Nina Harding: Some people know this, some people don’t. But I can see the shift tremendously over the last six months. So, um, hopefully that’s helpful in, in, in kind of sharing just how we’re walking the walk and talking the talk. So as I go back to industry, um, I thought what would be helpful is to take a few examples so you have a chance to see. [00:16:52] Nina Harding: In life, what are, what are we actually seeing at Microsoft? And if you guys are seeing something else, I would love to hear that too. But these, this is an example in healthcare and when we’re looking at, uh, a particular industry, we’re looking at what are some of the pain points? What are the top trends? [00:17:11] Nina Harding: What are some of the challenges folks are, are facing? And then what are the use cases that are really making traction here? This is a different way of taking that frontier vision and doing that click down by industry. And so what we’re also doing is we’re looking at who are partners that can help us in healthcare that can help answer some of these key challenges. [00:17:35] Nina Harding: Who are the ones that have the ability to have those material conversations in that trust? In healthcare, for example, there’s a ton of pressure. I mean. We all are consumers of healthcare. Hopefully we, all of us, have been lucky enough to have healthcare, um, in the, in this, uh, forum, but there’s a lot of clinician burnout, rising costs, right? [00:18:01] Nina Harding: The, the expense for, uh, medicines and so forth. But more importantly, we want to serve more and more people faster, and AI is coming in and having a very practical approach. Healthcare alone. So many of you, I talk about, um, the fact that at one point I was paralyzed, right? So I was paralyzed from T two down and, um, I go in every six months for an MRI, uh, to check, to check if everything’s still functioning. [00:18:32] Nina Harding: And the nervous system is going well. My doctor has had to manually look at that. Now he’s using AI to look at. History and the progression since 2008. That’s game changing. And on top of that, he is looking at me and having a conversation and looking in my eyes and observing me instead and using Dragon to have it feel epic to really think about how that’s changed my personal experience with the healthcare system and changed how a physician can show up. [00:19:09] Nina Harding: So there are many, many, um, many use cases around like patient access and, uh, innovation that we’re trying to do, surgeries, uh, being able to do clinical, clinical trials, but AI is everywhere and that’s what’s really important is that we’re figuring out for all of you what your software solution. Services offering, or even if you’re selling that, you have that value, value proposition down at that level. [00:19:43] Nina Harding: So let’s take a look at retail, for example. We have a short little video. Are we gonna be able to run that video? This is where we’re seeing a lot of shrinking. Margins, people wanting more, uh, intimacy with their customer. Here we go. [00:21:09] Nina Harding: Are we good? Well, that was a quite, uh, quite a nice, uh, uh, digital response to the end of the video. But what you’re seeing is people are using it in all different facets as we go into an example. I always love to do, use examples of partners that are hitting the mark ’cause we can all learn from ’em and myself included. [00:21:30] Nina Harding: We’re partners that are really successful. I chose to use Cognizant. Cognizant was actually our partner Si of the year, um, at the Americas level. And one of the things, and I won’t drain it on, um, the right hand side of this, uh, the slide, but they really are helping the customer’s move in a framework approach by industry, uh, to an AI landscape. [00:21:58] Nina Harding: Uh, they, they have secured an end-to-end solution and they’re focused on real business outcomes, and they have been growing at over 30% year over year. Huge. That’s great. Right? That’s what we all want for our businesses. And so what you’re seeing here is. They have a narrative around the frontier firms and they pull that through when they’re engaged in the clients and with our field. [00:22:27] Nina Harding: And then they’re using the incentives that we have. And don’t worry, I have a slide on some of the incentives we have, um, to actually make sure that they’re using those effectively in the pre-sales motion, but most importantly on the adoption and the change management after they’ve actually, uh, built out the solutions. [00:22:45] Nina Harding: And that’s really, really, really key here. So here’s an example of, um, of Cognizant at Coldwater Creek and Soft Surroundings. They had two different platforms and they brought it all together and then they brought Dynamics in as well. And what they have actually been able to do is improve a lot of the inventory management, the visualization, um, of all the inventory around. [00:23:14] Nina Harding: Around all of their stores and their warehouses, and they’ve been able to streamline the fulfillment and improved, uh, reduced back orders. What you’re seeing is those are all concrete examples of the outcomes that they were trying to drive for at the beginning, and those were all. Key pain points. And so they go in, cognizant will go in and understand with what are the material things that you are, that’s keeping you up at night, that is creating that drainage, uh, in your accounts or if you could transform, what does that look like? [00:23:52] Nina Harding: And so there, they spend the whole conversation together with Microsoft focused on doing that. And then we do the outcome based proposal. Very different, right? It creates for a much stronger vendor relationship, and the customer feels like they really have in the essence of the word partners, helping them to be successful. [00:24:15] Nina Harding: Right. [00:24:20] Nina Harding: Here we go. So I promised you some of the incentives, and I know you might just take a, a quick peek at some of these. These are, these are, um, some of the incentives that. Microsoft has put forward to help our partners on this journey. Uh, this is a slide that we’ve created from the America’s perspective to try and simplify it. [00:24:42] Nina Harding: Now there’s a lot behind it, right? But to try and help simplify, um, where are the incentives available? And I think this is one of the first times you’re actually saying what’s available for the sis. Versus for the software partners. And then we’re gonna hear more today about what’s also available for the channel partners as well. [00:25:03] Nina Harding: Um, it’s really thinking about what is your behavior as a partner? How are you showing up? How are, uh, you making a contribution to that customer? And then how can Microsoft best support you in that journey? So there’s all sorts of, uh, all sorts of incentives here, and it’s really, uh, designed to be flexible to what you need. [00:25:24] Nina Harding: But for the, I, I think it’s very focused on the value proposition as well that you bring to the table. So, um, I encourage you to take a look at this, make sure that you have this in your diary or your flipping of, of how are we maximizing, um, deals. And we can certainly go through a lot more of this. And we have webinars and so forth that will take you through all of that. [00:25:52] Nina Harding: Alright, so. I’ve talked a lot about this outcome-based selling, and that’s, it’s literally how Microsoft is starting to move forward on how do we go about engaging with the customers and with our partners. You’re gonna see, because our customers are asking more Microsoft involved and for us to go jointly into the opportunities. [00:26:16] Nina Harding: Not that we necessarily, we’re not building out a larger consulting force or anything like that, but. We want to make sure that the customer ask that Microsoft is engaged in working with our partners, is honored, um, and that we’re, we’re part of that, and that we’re also sharing our, our experiences and learning from all of you at the same time on who has the best, uh, approach, Beth best, best methodologies and best practices to light up our customers together. [00:26:51] Nina Harding: But the ROI doesn’t really show up just in dollars alone. We all know this, right? Um, it could be in, uh. Satisfaction it could be in care. So as you’re starting to look at this new evolution of how we’re really landing the value proposition of ai, we have to think outside of the box that it’s not just monetary and it’s not, I think you said savings or securing funds and so forth, but it’s really of how do I leapfrog into the modern world? [00:27:22] Nina Harding: How do I change that entire experience and think outside of the box? And, uh, make sure that the conversation is not just about how do we optimize certain practices, but how do we have this more executive level strategy conversation on the future of how we’re gonna engage with our clients, uh, their clients in a much more, um, I think transformative and personal [00:27:51] Nina Harding: way as we go forward. [00:27:54] Nina Harding: So we know that if the outcomes are the, what we’re looking to go drive, the next question is really how do we go do that? And that is gonna be through the agents on here. You’ll see just from from out in the market, what we see will light up the market. We think that, or I can’t even say we, IIDC says 81% of leaders are expecting agents. [00:28:24] Nina Harding: Full utilization in the next 12 to 18 months. And to be honest, I think this quote is probably even two months old. So we’re already, we’re probably down to like, you know, eight, eight to 12 months. And what I’m seeing that proliferation happening, it’s crazy. So understanding that value proposition, um, whether you’re from a software company or a services company or even some of our resellers, what’s that niche? [00:28:52] Nina Harding: What’s that industry or sub-industry? What is that? Horizontal. I go after customer service within, uh, the manufacturing vertical. Right. And then are you building out agents or do you have capability? And that’s what we’re doing internally at Microsoft as well, is to help make that really visible to the field so that you’re differentiated. [00:29:15] Nina Harding: Differentiation is gonna be really key right now because there’s so many people that say, oh, I do migration services, or I can help with data, or I can do security. But it’s the specificity around the industry and what you are truly known for within that space. So one of the things that we look to do is, is looking at all of the different areas where we see agents popping up. [00:29:44] Nina Harding: And this is a helpful slide. Sometimes I think, um, it starts to highlight, um, where we’re seeing some traction in financial services. Or in healthcare manufacturing. And then when I talk about the horizontals or the personas, you start to see some of the um, really repeatable, high return on investment type of things. [00:30:08] Nina Harding: Is this resonating with some of you guys? Yeah. I’m seeing a hit, a lot of head nods. This, if you’re on the services side, right? We’re in an intimate setting. This is where I encourage you to try and build an agent, right? Package that agent, put it on marketplace, make that available, and then make that known to our field sales organization. [00:30:27] Nina Harding: ’cause they are looking for quick wins along those lines. [00:30:31] Nina Harding: So on that, um, [00:30:36] Nina Harding: uh, one of the things that we’re along the journey for is the skilling. This is moving at such a fast pace, right? Um, so you’re looking at. Um, anthropic is really a big topic right now, right? Gemini, you’re looking at cloud, you’re, um, or Claude. [00:30:55] Nina Harding: Um, you’re looking at all of these different, uh, scenarios and one of the things at Microsoft is we really wanna be open to all of these different technologies because our customers are open. So we want to be part of taking you on that journey. And one of the things that we invest in white. [00:31:12] Nina Harding: Significantly is all of the training. Um, and I wanna encourage you guys to take advantage of it. Training is not a one-time thing. It is, it is a constant muscle that you must exercise. So as I come to my conclusion, I have a couple three key things, right? One is really understanding what your superpower is, right? [00:31:33] Nina Harding: The partners that I’m finding are really aligned well with the field are really winning. Those stories are the ones that have. Know and can articulate their superpowers. What am I known for? What are the use cases I can either build to or have agents against? And where have I done this consistently? And packaged really, really concretely, right? [00:31:55] Nina Harding: Um, this, this proliferate of like, I can do everything. Unfortunately, you get lost a little bit in the noise, right? So clear positioning, proof point’s, so critical right now, and reinforcing that credibility with the clients that have adopted. The second thing is that you’ve heard a little bit about this hopefully. [00:32:16] Nina Harding: How many of you have heard of the part partner success story? Okay, this is really, really key. We launched about maybe a month ago, and we already have over a hundred, uh, stories from partners, and the field is loving it. What it is is it brands the stories with your brand if you submit them. So what? Talk about credibility, um, with the field and with our marketers to have your name and that recognition picked up. [00:32:45] Nina Harding: It’s really, really fantastic. So I encourage you to do that. For those of you taking quick snaps, I did put a code on here, so if you wanna go straight to it, uh, you can take it. Um, and go explore with it. What’s nice about it is it’s AI based, so it will help you write these stories very, very quickly. [00:33:04] Nina Harding: There’s no reason why your sales reps can’t be writing these stories, and then yes, [00:33:11] Nina Harding: uh, yeah, you can do no meaning like from enterprise. No. Mm-hmm. Mm-hmm. You can do it on any, on any, there is a different level of fidelity of if you have the customer’s permission. Right. Um, to pu to publish it or not. And that’s some functionality we’re working on. If there’s enough traction of, of this is to help you guys. [00:33:32] Nina Harding: Secure that with Microsoft. Yeah. Um, but yeah, it can be any customer there. But I encourage you to take a look at that. And I know I’m two minutes over here, so I’m just gonna leave you with this. Um, at the end of the day, as I, as I wrap up here, I just wanna make sure that what, where we’re going and we’re going together, that it’s simple and actionable between us and it’s easy for our field to understand. [00:34:00] Nina Harding: Where you play the value proposition you play so that we’re going into deals even more effectively together. Right? So you heard industry, sub-industry, persona level or horizontal. Put that in if, um. Figuring out what your superpower is, making sure that you’re trained, that there’s evidence around the success, and capturing that in ways, uh, that are critical to not only your business, but giving us the visibility of that success. [00:34:31] Nina Harding: Like scream from the rack rafters. Use these tools to make sure that we know just how transformational you’ve been in some of the customers and where you’re uniquely winning. So, so important. So keep investing in the skilling. You can see my kind of like five power plays, right? And the last one always being that superpowers. [00:34:56] Nina Harding: So with that, um, if we do all of these things consistently, you won’t just be keeping up with ai. I think we will all be leading on that AI mission. So thank you very much. I appreciate it. [00:35:14] Vince Menzione: Don’t forget, ultimate Partner Live is coming soon, May 11th through the 13th in beautiful Bellevue, Washington. I hope to see you there.

This first Fuck Yeah Friday episode of March centers on the idea that permission doesn't come from the outside—it comes from you. Lesley highlights the legacy of Alice Milliat, who created opportunities for women in sports by building an alternative system when institutions refused to change. She then shares community wins and her own personal health milestones, reinforcing that progress, self-care, and courage often show up in everyday actions. If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How one woman organized women's games without waiting for Olympic inclusion.Reclaiming mental focus by taking a week-long break from Instagram.Celebrating listener wins: movement, better sleep, and mastering new skills.Conquering the challenges of medical appointments as radical self-care.Episode References/Links:Alice Milliat - https://beitpod.com/alicemilliatSubmit your wins or questions - https://beitpod.com/questions If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Lesley Logan 0:00  It's Fuck Yeah. Friday. Brad Crowell 0:03  Fuck yeah. Lesley Logan 0:04  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.  Lesley Logan 0:44  Hi, Be It babe. Hello, happy FYF, our first one on March. Are you ready? Are you in it? This year is just it's going by. There's a lot going on, so much I could say, but we're gonna start with some something that was inspiring and cool, that that I found on the internet. So this is from herstory_feminism. Did you know women's athletics entered the Olympics because one woman forced the issue by building her own games. Meet Alice Milliat. In the earliest 20th century, women were largely banned from competitive athletics, yes, we know, but the Olympic Committee claimed running, jumping and throwing were dangerous for women's bodies, too strenuous, too unfeminine, too much. So women were excluded, officially and unapologetically. Alice Milliat was a French sports administrator who refused to accept that answer. She believed women were not fragile. They were restricted, and if institutions wouldn't change, she would go around them. In 1921 Alice Milliat founded the Federation Sportive Feminine Internationale. I didn't say that with a French accent, I am sorry. Then she did something radical. She organized the Women's World Games, international competitions where women ran, jumped through and competed at elite level in front of crowds of tens of thousands, no permission required. The games were a success. They drew athletes, spectators and press attention, and suddenly the Olympics had a problem. Women's Sports was thriving without them. Under pressure, the IOC agreed to include women's athletics in the 1928 Olympic games, but only a limited number of events, and only after years of resistance. Once women were absorbed into the Olympic system. Alice Milliat was quietly pushed out. The Women's World Games were discontinued. Her organization dissolved. Her name faded from official history. The institution kept the change. The woman who forced it disappeared. Of course. Alice Milliat didn't ask for inclusion. She built an alternative so strong it made exclusion impossible. Women didn't enter the Olympics because attitude softened. The injured because a woman proved the ban was unnecessary. History remembers the institution. It forgets a disruption that forced it to change. So I am just obsessed and with like, I just think that's so cool. What a badass. It's so hard to do something scary and new like that. But she didn't ask for permission. Just did it. And I think, like, isn't that being it till we see it? We don't actually need permission from anyone to do what it is that we want to do. Make sure you just get to do it. So I just want to say, if there's something that you're waiting for someone to deem you worthy of doing, I wouldn't. I would just go do it. And it's really scary. I get it. We're working on something right now that may or may not happen when it when I it's for sure happening, I will definitely shout it out and let you know. But part of me is like, oh, my god, is this the right time? Who are we to do this? We don't have, like, like, we could do it, but like, you know, so just know that, like, you need it all from you. The permission comes from you. Lesley Logan 3:29  All right, we're getting, this is my first FYF that I'm recording, I think, this year. And I'm, I'm just definitely, like, getting back into the swing of things. So if you are, you're like, wow, she sounds a little disorganized. I am just a little bit. Okay, so this is the fyfs where, this is where I actually share your wins. And you guys posted a ton of wins when I asked a few weeks back, so I'm going to read a few of them for you. So I do your wins. I do my wins. And really, we're just here to have a short time together where we go, whoa. Look at all the badasses that (inaudible) like women, you guys are so amazing. I know we have a few good men who listen. Thanks so much. But I'm really but I'm really so proud of how we can constantly find wins in all the muck, right? So this is from Yasmin. She said my biggest win is one week without Instagram to focus on other things. Yasmin, the time I'm recording this like I have to tell you right now, I actually haven't posted in days. I've just been kind of reposting from Profitable Pilates and Be It Till You See It, be it till I see it. And I'm like, why don't we call it Be It Till We See It. It's a group effort. And I am loving it because I have to have focus on other things, like it's being the beast is annoying, and so I'm so happy for you. What that is such a huge win, by the way, because it's kind of addictive. All right. Rachel from Seattle, rach.sos.vib, she wrote, I skied, taught fantastic classes and learned how to use earphones to record with Zoom for eLevate. You know what? Huge wins. You went out, took a break when skiing. You know, you had some fantastic classes that you you taught, like, way to pat yourself on the back. I love that. And then you learned how to use some earphones to record it. You know what? We all have to be beginners again. There's always something to be a beginner and like, it's so good for our brains to do that. So, way to go. All right, one more win from you guys. This is from anniecaminpilates. My wins, being present with my kiddos, getting decent sleep, getting outside for movement and fresh air despite crazy winter weather. You know what? Let me just say, huge win. If you can do all of that with kiddos and crazy winter weather, you're you're kicking ass. So you see how wins can be like something like so simple, I just didn't do Instagram for a week. Like, I am on a mission for more women to see that they are winning at things. They're winning at life because the world is trying to tell us that we're not, and they're doing that because if we banded together, we'd kick some ass, we'd run the world. We'd harness the sun's energy. That's what my yoga teacher said this morning, and I couldn't agree more. Lesley Logan 5:38  All right, so let me tell you my win. So here's where, while we're talking, I have actually had my annual visit with my lady doctor. I scheduled my MRI for my breast visits, and I met with a psychiatrist about my ADHD, and I met with a breast doctor about my high risk. So I am just saying, like, just saying, like, wow, it's March 6, and I've done all the important doctor's appointments I need to do this year, and I just, I'm so proud of myself. I call that a win, especially for someone who hates making phone calls, like I really do. And then the MRI was not easy. I actually had to drive there because, like, scheduling over the phone is just a disaster with doctor's offices these days. In the year of our Lord 2026 with all the AI in the world, you got to go in person if you want to get an appointment that actually can be kept, because, if you remember, last year, they rescheduled it multiple times because it kept getting scheduled during someone's lunch. How does that happen? How does it happen? Lunches should be blocked out. So anyways, my win is like we got them all done, and it's only March. I've got a plan for this year. I'm really excited. I'll share more about my ADHD journey as I have information for you, but just freaking stoked. Lesley Logan 6:42  So now let's give you a mantra and send you on your amazing way. Every act of self-care is a step toward my best self. What a fun mantra to draw on this day. Every act of self-care is a step toward my best self. Yes, every act of self-care is a step toward my best self. I mean, every act of self-care is a step toward being it till you see it, babe. All right, you know what to do. Send this to a friend who needs to hear it. Go, send your wins into the beitpod.com/questions you can send your questions there as well. And then, you know, share this episode with a friend. I already said that. So why don't you share this episode with a friend? Then, you know, go Be It Till You See It. Go, have a good day. Thanks so much. Bye. Lesley Logan 7:19  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 8:03  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 8:08  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 8:12  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 8:19  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 8:23  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Join us on the latest episode, hosted by Jared S. Taylor!Our Guest: Aaron Sheedy, COO at Xealth.What you'll get out of this episode:Building Xealth with health system partners: Early validation from Providence and other major systems helped shape a scalable integration platform for digital health tools.Improving patient readiness through digital engagement: Sending timely pre- and post-visit information dramatically improves patient preparation, including a 42% increase in MRI appointment readiness.Reducing friction in patient communication: Portal-adjacent access allows patients to view care instructions without logging into traditional patient portals, driving significantly higher engagement.Samsung's healthcare vision: With devices already in millions of homes, Samsung aims to use wearable data and home technology to connect patients to the right care at the right time.Digital health strategy beyond the EHR: Health systems relying solely on their EHR for digital health risk lacking a true digital strategy and differentiation.To learn more about:Website https://www.xealth.com/Linkedin http://www.xealth.comOur sponsors for this episode are:Sage Growth Partners https://www.sage-growth.com/Quantum Health https://www.quantum-health.com/Show and Host's Socials:Slice of HealthcareLinkedIn: https://www.linkedin.com/company/sliceofhealthcare/Jared S TaylorLinkedIn: https://www.linkedin.com/in/jaredstaylor/WHAT IS SLICE OF HEALTHCARE?The go-to site for digital health executive/provider interviews, technology updates, and industry news. Listed to in 65+ countries.

Episode 215: Meth-associated HFrEF.   Abishak and Zat (medical students) explain the cardiotoxic effect of methamphetamine and the diagnosis and treatment of heart failure with reduced ejection fraction (HFrEF). Dr. Arreaza adds insight into the reversibility of meth-associated HFrEF.   Written by Abishak Govindarajan, MSIV and Zat Akbar Shaw. American University of the Caribbean. Edits and comments by Hector Arreaza, MD. Welcome Dr. Arreaza: Welcome to Rio Bravo qWeek. My name is Hector Arreaza, family physician, faculty and associate program director of the Clinica Sierra Vista/Rio Bravo Family Medicine Residency Program. Today we will explore heart failure with reduced ejection fraction, a high-yield and clinically relevant topic in medicine. We will discuss the role of methamphetamine use in the development of HFrEF. This is a pressing issue because about 0.8% of the population 12 and older in the US reported using methamphetamine within the past 12 months in 2024 (National Survey on Drug Use and Health, NSDUH), that's about ≈2.4 million people!We are joined by two aspiring physicians who will help explore this topic. By the way, we will refer to methamphetamine in this episode as “meth”. [Abishak and Akbar introduce themselves] Abishak: [Introduce yourself] The role of meth in HFrEF Dr. Arreaza: Meth is a growing problem in many places, including Bakersfield, where we live. Meth is also known as Meth Crystal, Poor man's cocaine, Ice, Glass, Crank, Speed, Chalk, and Tina. How does meth contribute to the development of HFrEF? Abishak: So, first, let's understand how methamphetamine works. It has a chemical structure similar to dopamine and norepinephrine, and it gets taken up through the neuron transporter proteins. Once it enters the synaptic vesicles (storage sacs for neurotransmitters), it displaces and forces the release of large amounts of dopamine, norepinephrine, and serotonin into the synapse (the space between neurons). Additionally, meth blocks the reuptake of those neurotransmitters into the neuron, ensuring they remain in the synapse for a prolonged period. All this causes a downstream effect of increased sympathetic pathways in the body. Diagnosis Dr. Arreaza: The diagnosis starts with collecting a good history and performing a complete physical exam, and then we confirm with an echocardiogram.  Abishak: Yes, diagnosis requires both symptoms consistent with heart failure and objective evidence of reduced ejection fraction. Echocardiography is the primary diagnostic tool. We also measure BNP. In certain cases, cardiac MRI is used to evaluate myocardial fibrosis and exclude infiltrative or inflammatory etiologies. Coronary angiography may be performed if ischemic disease is suspected.Guideline-Directed Medical Therapy Dr. Arreaza: GDMT Guideline-Directed Medical Therapy started around 1987 when ACE inhibitors were proven to improve mortality in patients with heart failure. Then, during the following decades, many medications have been added to GDMT. Until around 2019–2022 we came out with the main 4 groups of medications that we know as GDMT. Let's talk about GDMT. Akbar: There are four core pillars in GDMT. First, an angiotensin receptor-neprilysin inhibitor, such as sacubitril with valsartan (Entresto), is preferred over ACE inhibitors when tolerated. This medication reduces mortality and heart failure hospitalizations. Second, evidence-based beta blockers including carvedilol, metoprolol succinate, or bisoprolol are used to reduce sympathetic overactivity and improve ventricular remodeling. Third, mineralocorticoid receptor antagonists such as spironolactone or eplerenone reduce fibrosis and improve survival. The Fourth pillar is SGLT2 inhibitors such as dapagliflozin or empagliflozin, which provide significant reductions in heart failure hospitalizations and cardiovascular mortality, regardless of diabetes status. Abishak: Other main parts of the treatment are diuretics, which are used for symptom control but do not reduce long-term mortality. Dr. Arreaza: As a recap: The current 4 pillars of GDMT are: ARNI/ACEi + β-blocker + MRA + SGLT2i)  Beta Blocker Considerations Dr. Arreaza: Sometimes we may be concerned about using beta blockers in active meth users. What did you read about it? Abishak: Historically, there was concern about unopposed alpha stimulation. However, in chronic heart failure, beta blockers remain essential. Carvedilol is often favored because it provides both alpha and beta blockade. Careful titration and close monitoring are critical.Reversibility and Remodeling Dr. Arreaza: Regarding meth-associated HFrEF, we have good news for meth users. Tell us about how reversible this condition is.  Akbar: It can be reversible. One of the most important aspects of this condition is that significant reverse remodeling may occur if the patient stops methamphetamine use and adheres to medical therapy. The Left ventricular ejection fraction can improve substantially and, in some cases, normalize. On the other end of the spectrum, continued meth use may lead to progressive fibrosis, ventricular dilation, and potentially irreversible damage, leading to death.Complications of meth-associated HFrEF Abishak: These patients are at increased risk for ventricular arrhythmias, sudden cardiac death, left ventricular thrombus formation, and progressive pulmonary hypertension. If the ejection fraction remains below 35 percent after at least three months of optimized therapy, implantable cardioverter-defibrillator (known as ICD) placement should be considered for primary prevention.Addiction Treatment as Core Therapy Dr. Arreaza: It sounds like GDMT cannot be done without talking about meth use disorder treatment. Akbar: Absolutely. Treating the myocardium without addressing the substance use disorder is ineffective. Primary care providers can be trained to manage addictions, but if resources are available, you can place a referral to addiction medicine, psychiatric support, behavioral therapy, and social support services. This is an essential part of the treatment. Sustained abstinence is the single most powerful predictor of recovery.Prognosis Abishak: Prognosis is highly dependent on abstinence. Patients who stop using methamphetamine often experience meaningful improvement in EF and even return to normal.  Dr. Arreaza: Yes, the key factor is complete abstinence, plus standard heart failure treatment. If the damage is mostly functional and inflammatory, recovery is possible. If there is extensive fibrosis (scar) recovery is less likely. Observational studies have shown that patients with meth-associated cardiomyopathy who stop using meth have significant improvement in EF over 3–12 months, fewer hospitalizations, and lower mortality. Akbar: Absolutely. Not all meth-associated cardiomyopathy behaves the same way. The extent of fibrosis determines recovery potential. Cardiac MRI with late gadolinium enhancement can help us estimate scar burden. Patients with minimal fibrosis often have better improvement with abstinence and medical therapy. Dr. Arreaza: So, MRI can actually help us determine the prognosis. Abishak: Yes, very much so. If MRI shows extensive fibrosis, the likelihood of full EF recovery is lower. That information helps us counsel patients more accurately. Akbar: Another key issue is right ventricular involvement. Methamphetamine can affect both ventricles. When the right ventricle fails, patients may develop severe peripheral edema, ascites, and hepatic congestion. Right ventricular dysfunction also worsens prognosis significantly. Dr. Arreaza: And pulmonary hypertension can also worsen the whole picture.  Akbar: That's correct. Meth is associated with pulmonary arterial hypertension independently of left-sided heart failure. In some patients, you may see a combined picture of both pulmonary vascular disease and right ventricular dysfunction. That can make management more complicated because pulmonary pressures may remain elevated even after EF improves. Dr. Arreaza: Tells us about the role of BNP in monitoring these patients.  Abishak: Serial BNP levels can help track response to therapy. Additionally, troponin may be elevated at times in meth users due to myocardial injury. Monitoring renal function is critical because many heart failure medications affect kidney function and potassium levels. Akbar:Other lifestyle modifications include sodium restriction, regular follow-ups, vaccination, and avoidance of other cardiotoxic substances such as alcohol or cocaine. Sleep disorders, especially OSA, should be evaluated because untreated OSA worsens heart failure outcomes. Dr. Arreaza: WhatIs there any role for wearable devices or remote monitoring? Abishak: Yes, increasingly so. Remote weight monitoring, blood pressure tracking, and symptom reporting can reduce hospitalization. In select patients, implantable hemodynamic monitors may help detect rising filling pressures before symptoms occur. Dr. Arreaza: It was a great discussion. Thank you, Abishak and Akbar for bringing all that valuable information to us. Let's wrap it up.     

繩索 shéng suǒ - rope安全裝備 ān quán zhuāng bèi - safety equipment雙手跟雙腳 shuāng shǒu gēn shuāng jiǎo - both hands and feet艾力克斯・霍諾德 Ài lì kè sī · Huò nuò dé - Alex Honnold野外攀岩家 yě wài pān yán jiā - outdoor rock climber徒手攀岩 tú shǒu pān yán - free solo climbing攀岩 pān yán - rock climbing失誤 shī wù - mistake; misstep嚇傻 xià shǎ - to be shocked; stunned徒手攀登 tú shǒu pān dēng - to climb without protection直播 zhí bō - live broadcast; livestream登頂 dēng dǐng - to reach the summit; to top out歷史性的一刻 lì shǐ xìng de yí kè - a historic moment網飛 Wǎng fēi - Netflix直播紀錄片 zhí bō jì lù piàn - live documentary赤手獨攀台北101：直播 Chì shǒu dú pān Táiběi yī líng yī：Zhí bō - Free Solo Climbing Taipei 101: Live全球觀看的次數 quán qiú guān kàn de cì shù - global view count規模 guī mó - scale; size都市無繩獨攀 dū shì wú shéng dú pān - urban rope-free solo climbing董事長 dǒng shì zhǎng - chairman核准 hé zhǔn - to approve; to authorize腦部 nǎo bù - brain核磁共振 hé cí gòng zhèn - MRI (magnetic resonance imaging)情緒中樞 qíng xù zhōng shū - emotional center of the brain杏仁核 xìng rén hé - amygdala酋長岩 Qiú zhǎng yán - El Capitan (Yosemite)半圓頂 Bàn yuán dǐng - Half Dome沃特金斯山 Wò tè jīn sī shān - Mount Watkins全程 quán chéng - the entire process; from start to finish奧斯卡最佳紀錄片 Ào sī kǎ zuì jiā jì lù piàn - Academy Award for Best DocumentaryFollow me on Instagram: fangfang.chineselearning !

If you've been told a bulging or herniated disc is “just something you live with,” this conversation may change how you think about your spine. Today, Dr. Charles Mok sits down with Dr. Brigitte Rozenberg to unpack a common question: can a herniated disc heal without surgery, and what it actually takes for the body to have the right mechanical environment to improve function.Dr. Brigitte Rozenberg, DC, is the Founder and Clinical Director behind one of the country's most innovative models in non-surgical spinal care. With over 30 years of clinical experience, she has built Spinatomy Spine & Disc Centers into a multi-location practice with three centers and a growing business license model. Her proprietary treatment protocol, Advanced Spinal Restoration Therapy™ (ASRT), has helped thousands of patients find lasting relief from chronic pain, without surgery, without drugs, and without compromise.In this episode, we discuss why imaging findings (like bulging discs on MRI) don't always equal symptoms, and why early “tiny signals” matter, especially if you care about longevity, mobility, and staying active as you age. You'll also hear how advanced conservative approaches may support disc rehydration, reduce irritation, and improve strength and stability over time. If you're researching can a herniated disc heal without surgery, this is a practical framework to help you understand non-surgical options beyond “rest and meds,” including how clinicians think about decompression, tissue support, and building resilience so you can keep doing the activities you love. Save these tips for later.Episode Links:https://www.instagram.com/drrozenberghttps://www.linkedin.com/in/backpainreliefspecialist/https://www.facebook.com/drrchiro/https://www.instagram.com/spinatomycenters/https://www.tiktok.com/@spinatomyhttps://www.youtube.com/@spinatomyspineanddisccenterLearn More: https://www.alluremedical.com/Books & Research: https://www.alluremedical.com/books/Follow Dr. Charles Mok & Allure Medical: LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedicalAmazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQInner Circle Membership: https://www.alluremedic#insidethecure #backpainrelief #spinalhealth #spinaldecompression #spinalsurgery

Nick Kirby, Trace Fowler and Craig Sandlin react to the concerning news that Hunter Greene has left camp and is scheduled to undergo an MRI on his right elbow. The crew discusses what this could mean for Greene and the Cincinnati Reds, the possible outcomes depending on the results, and how the Reds rotation could adjust if their ace misses time.   Today's Episode on YouTube: https://www.youtube.com/watch?v=ArEucnjunXg      OTHER CHATTERBOX PROGRAMING:   Chatterbox Bengals: https://podcasts.apple.com/us/podcast/chatterbox-bengals-a-cincinnati-bengals-nfl-podcast/id1652732141  Chatterbox Bearcats: https://chatterboxbearcats.podbean.com/  The Stone Shields Show: https://podcasts.apple.com/us/podcast/west-4th-and-long/id1828384424  Off The Bench: https://podcasts.apple.com/us/podcast/off-the-bench-by-chatterbox-sports/id1643010062  The Flyin Lion (FC Cincinnati): https://podcasts.apple.com/us/podcast/the-flyin-lion-fc-cincinnati-podcast/id1701368522  513 Golf: https://www.youtube.com/playlist?list=PLjPJjEFaBD7VUSfdVvGjbr1_CmCepLWpr    DSC Commodities: https://deepsouthcommodities.com/  CALL OR TEXT 988 FOR HELP DAY OR NIGHT: https://mantherapy.org    

Does fixing America's $5 trillion healthcare crisis start with taking a single picture? Bradley sits down with Andrew Lacy, founder and CEO of Prenuvo, to explore how full-body MRI scans are shifting healthcare from reactive to proactive — and why that shift could be the most important change in medicine today. They discuss Lacy's 80/20 approach to personal longevity (sleep first, everything else follows), his vision of patient-driven healthcare spending and why AI promises to make world-class diagnostics accessible to everyone.Firewall listeners can go to prenuvo.com/firewall to get $300 off a scan from Prenuvo.This episode was taped at P&T Knitwear at 180 Orchard Street — New York City's only free podcast recording studio.Send us an email with your thoughts on today's episode: info@firewall.media.Subscribe to Bradley's weekly newsletter and follow Bradley on Linkedin + Substack + YouTube.

There is concern that patients are effectively being offered the chance to "buy" their way up the public wait list for MRI scans. Hundreds of patients in the Greater Wellington Region are being offered petrol payments to travel out of the district to get the diagnostic procedure faster. While Health New Zealand says the scheme is giving patients the option to be seen quicker, the senior doctor's union is worried it will offer an advantage to people with vehicles who can afford to take off time to travel. Capital and Coast group director of operations Jamie Duncan spoke to Lisa Owen.

Hunter Greene is dealing with an injury to his right elbow. He's going for an MRI and we're waiting to learn more. What do we do with him in Fantasy Baseball drafts right now? Subscribe to our YouTube channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/FantasyBaseballToday⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Download and Follow Fantasy Baseball Today on Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://sptfy.com/QiKv⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow our FBT team on Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@FBTPod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@CPTowers⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@CBSScottWhite⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@Roto_Frank⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our Facebook group at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/fantasybaseballtoday⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sign up for the FBT Newsletter at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/newsletters/fantasy-baseball-today/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more fantasy baseball coverage from CBS Sports, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/fantasy/baseball/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To hear more from the CBS Sports Podcast Network, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/podcasts/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

In this episode, Dr. Rena Malik is joined by Dr. Matthew Davenport to explore the future of imaging tests in predicting disease risk and distinguishing between aggressive and indolent conditions. They discuss the current evidence for whole body MRI, the value and risks of coronary calcium scoring, the psychological impact of incidental findings, and important considerations for repeated MRI scans. Listeners will gain a nuanced understanding of how evidence-based imaging can influence health decisions and the complexities involved in modern diagnostic testing. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Future of Imaging Tests00:36 Whole Body MRI Value01:05 Coronary Calcium Score01:53 Risks of Unnecessary Testing02:46 Evidence-Based Guidelines04:02 Calcium Score Value08:33 Population-Based Screening Risks10:32 MRI Safety and Contrast12:14 Psychological Impact of Testing 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

In this episode, Evan H. Hirsch, MD, and Larisa Sharipova, MD, explore how bioenergetics can support people with long COVID and chronic fatigue syndrome by identifying and correcting energetic imbalances before they become biochemical and physical disease. Larisa Sharipova is a Holistic Health Practitioner, Bioenergetic Specialist, and women's lifestyle doctor who helps women reclaim their health, balance their lives, and thrive naturally. A trained medical doctor and former OBGYN, she now blends Western medicine with holistic healing, bioenergetics, and lifestyle medicine to address the real root causes of hormonal imbalance, fatigue, and accelerated aging.  She is the Amazon bestselling author of ''Listen to Your Body and Regain Your Health'' and the founder of Holistic Expert. As co-host of the Harmonic Alignment Podcast, Larisa explores the new frontier of energy medicine, bridging Western medicine and quantum physics to offer grounded, practical tools women can use right away. In this episode, you'll learn: What bioenergetics actually means and how energy functions inside biological systems How heart rate variability, brain waves, MRI technology, and quantum biology demonstrate measurable energetic activity in the body How energetic incoherence can precede physical symptoms How voice scans and bioenergetic assessments detect organ and emotional imbalances How energetic correction may support detoxification, hormonal balance, and mitochondrial function When to combine bioenergetics with functional lab testing and conventional medicine Why some chronic fatigue cases may require energetic correction before physical healing can fully occur To learn more about Larisa Sharipova, MD, or work with her directly: Website: https://dr-larisa.com Schedule a call: https://harmonicalignment.co/larisa-calendar Book: ''Listen to Your Body and Regain Your Health'' https://a.co/d/0aCgLAUN . We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here. Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here. For more information about Evan and his program, Click Here.   Prefer to watch on Youtube? Click Here.   Please note that any information in this episode is for educational purposes only and does not constitute medical advice.  

   This episode of WarDocs features Dr. David Tate, a clinical neuropsychologist and lead author of the 2025 Military Medicine Article of the Year. The discussion centers on a groundbreaking study utilizing the LIMBIC-CENC cohort—a massive data set of over 3,000 participants—to investigate persistent brain changes in mild traumatic brain injury (mTBI). Dr. Tate explains that traditional MRI scans often show normal results in patients with invisible symptoms because researchers often oversimplify patient groupings. By digging into more refined clinical characteristics, such as the mechanism of injury and number of exposures, his team identified unique physical signatures in the brain. Specifically, blast exposures were linked to changes in central white matter, while repetitive traumatic hits impacted more peripheral gray matter structures.    The conversation highlights the critical importance of neuroimaging techniques like diffusion tensor imaging, which is more sensitive to structural white matter changes than standard hospital sequences. Dr. Tate emphasizes that these findings provide vital validation for service members and veterans, demonstrating that their ongoing symptoms are rooted in physical, biological changes rather than purely psychological or "imagined". For clinicians, the episode serves as a call to action to move beyond simplistic interpretations of "normal" imaging and to prioritize exhaustive injury histories that include the physics of every exposure event.    By combining a deep dive into advanced neuroimaging with a focus on personalized medicine, this episode provides a comprehensive look at the future of TBI diagnosis and treatment. Listeners will learn how high-resolution volumetric data and detailed clinical info—including loss of consciousness and post-traumatic amnesia markers—are used to improve prognostic accuracy. Ultimately, Dr. Tate's work demonstrates that injury history matters even years later, pointing researchers and clinicians toward a more precise approach to studying and treating the diverse landscape of mild traumatic brain injuries in the military population. Chapters (00:00-01:30) Introduction to the 2025 Military Medicine Article of the Year (01:30-06:17) Dr. David Tate's Professional Background and Career Evolution (06:17-08:04) Understanding the LIMBIC-CENC Cohort and Consortium Research (08:04-12:44) Methodology: Advanced Neuroimaging and Detailed Clinical Variables (12:44-17:03) Key Findings: Heterogeneity of mTBI and Mechanism-Specific Signatures (17:03-22:15) The Bottom Line: Validating Veteran Experiences and Clinical Takeaways Chapter Summaries (00:00-01:30) Introduction to the 2025 Military Medicine Article of the Year   MG(R) Jeff Clark introduces guest Dr. David Tate and recognizes his team for winning the 2025 Military Medicine Article of the Year. The article focuses on persistent MRI findings unique to blast and repetitive mild traumatic brain injury within the LIMBIC-CENC cohort. (01:30-06:17) Dr. David Tate's Professional Background and Career Evolution   Dr. Tate shares his journey from growing up on a farm in Mississippi to becoming a leading researcher in academic neuropsychology. He discusses his mentorship under Erin Bigler and his favorite career experiences working directly with service members at Brooke Army Medical Center. (06:17-08:04) Understanding the LIMBIC-CENC Cohort and Consortium Research   The discussion explores the advantages of using a large consortium dataset that includes over 3,000 participants across the United States. This prospective study enables leading scientists and clinicians to collaborate on well-characterized, long-term functional outcomes following brain injury. (08:04-12:44) Methodology: Advanced Neuroimaging and Detailed Clinical Variables Dr. Tate explains the use of high-resolution volumetric MRI data and diffusion tensor imaging to map brain structural connections. Researchers combined these images with a plethora of clinical data, including lifetime exposure histories, demographics, and specific injury markers like loss of consciousness. (12:44-17:03) Key Findings: Heterogeneity of mTBI and Mechanism-Specific Signatures The study reveals that mild TBI is extremely heterogeneous and simplistic group comparisons often obscure meaningful findings. Findings showed that blast exposures leave signatures in central white matter, while repetitive traumatic injuries more specifically affect gray matter structures. (17:03-22:15) The Bottom Line: Validating Veteran Experiences and Clinical Takeaways The bottom line is that persistent brain changes can be detected if clinicians look at the right variables and mechanism of injury. This research validates the lived experiences of veterans, proving their symptoms are not imagined and emphasizing the need for detailed injury histories. Article Reference Persistent MRI Findings Unique to Blast and Repetitive Mild TBI: Analysis of the CENC/LIMBIC Cohort Injury Characteristics Open Access David F Tate, PhD , Benjamin S C Wade, PhD , Carmen S Velez, MS ,  Erin D Bigler, PhD , Nicholas D Davenport, PhD , Emily L Dennis, PhD ,  Carrie Esopenko, PhD , Sidney R Hinds, MD , Jacob Kean, PhD , Eamonn Kennedy, PhD  Military Medicine, Volume 189, Issue 9-10, September/October 2024, Pages e1938–e1946, https://doi.org/10.1093/milmed/usae031   Take Home Messages Heterogeneity of Mild TBI: Mild traumatic brain injury is not a single, uniform condition, and simplistic groupings can obscure meaningful characteristics of an injury. Clinicians must recognize that "if you've seen one mild TBI, you've seen one mild TBI," requiring a more personalized approach to diagnosis. Mechanism-Specific Signatures: The physical signature left on the brain depends heavily on the mechanism of injury, with blast exposures typically affecting central white matter and repetitive traumatic hits impacting peripheral gray matter. Understanding these distinctions helps explain why different patients experience different functional outcomes even with the same diagnosis. Sensitivity of Advanced Neuroimaging: Standard MRI sequences often fail to detect injuries in mTBI patients, but advanced techniques like diffusion tensor imaging are highly sensitive to structural white matter changes. Relying solely on basic imaging can lead to an over-simplistic interpretation that overlooks persistent brain changes. Validation of Lived Experiences: Research into persistent brain changes provides vital biological validation for veterans and service members who struggle with ongoing symptoms. These findings support the idea that invisible wounds have a physical basis and are not simply psychological or imagined. Importance of Detailed Injury Histories: For clinicians, the most critical takeaway is the necessity of capturing a detailed lifetime injury history, including the number of exposures and specific physics of each event. This detailed clinical information is essential for improving prognostic accuracy and understanding a patient's long-term health trajectory.   Episode Keywords Military Medicine, WarDocs Podcast, Traumatic Brain Injury, TBI Diagnosis, Blast Exposure, Neuropsychology, Persistent MRI Findings, Veteran Healthcare, Brain Imaging, Mild TBI, LIMBIC-CENC Cohort, Neuroimaging Research, AMSUS, Combat Injury, White Matter Change, Brain Health, Dr. David Tate, Military Health System, Invisible Injuries, Medical Podcast, Concussion Recovery, Gray Matter, MRI Scans, AMSUS Article of the Year, Veteran Support, Brain Mapping Hashtags #MilitaryMedicine, #WarDocs, #BrainHealth, #Veterans, #Neuroscience, #MildTBI, #BlastInjury, #MedicalResearch   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast          

AI data centers are going to double their power consumption by 2030—so where's all that energy coming from? One answer is fusion, the same process that powers the sun.In this episode of The Neuron, we're joined by Brandon Sorbom, Chief Science Officer and Co-founder of Commonwealth Fusion Systems, to explore how his company is racing to build the world's first commercial fusion power plant—and how AI is helping them get there faster.Brandon explains why fusion has been "30 years away" for decades, what changed with high-temperature superconducting magnets, and why fusion is fundamentally safer than fission (hint: fusion is "default off"). We dive into CFS's collaborations with Google DeepMind and NVIDIA, what it takes to wrangle 10,000 unique parts, and when we might actually see fusion on the grid.You'll learn:• What fusion actually is (and why it's not nuclear fission)• Why high-temperature superconducting magnets changed everything• How AI is accelerating plasma control and simulation• The safety profile that makes fusion regulated like an MRI, not a reactor• When CFS expects to hit Q > 1 (net energy) and beyondTo learn more about Commonwealth Fusion Systems, visit https://cfs.energy.For more practical, grounded conversations on AI and emerging tech, subscribe to The Neuron newsletter at https://theneuron.ai

Not every pediatric GU injury fits neatly into the guidelines. In this episode of BackTable Urology, trauma reconstructive urologist Dr. Travis Pagliara (Hennepin County Medical Center) joins hosts Dr. Arthi Hannallah and Dr. Niccolo Passoni to walk through practical management of pediatric renal, bladder, urethral, and genital injuries. Through case-based discussion, they highlight diagnostic decision-making, when to observe versus intervene, and how to approach these patients in the acute setting. --- SYNPOSIS The conversation also explores operative pearls, the role of technologies like the Optilume balloon, and why thoughtful short-term follow up is critical for both patient outcomes and clinician learning. Together, they emphasize a measured, conservative mindset whenever appropriate to minimize morbidity while delivering high-quality trauma care. --- TIMESTAMPS 00:00 - Introduction03:07 - Kidney and Ureteric Trauma19:16 - Urethral Trauma34:42 - MRI vs Ultrasound47:56 - Collaboration in Reconstructive Urology52:26 - Testicular Trauma57:29 - Epididymal Injury01:02:35 - Follow-Ups Matter01:05:14 - Foreign Body Stories01:06:52 - Career Advice

In this raw, "on-the-go" episode, Brian and Ashley take you on a Thursday afternoon walk in California to discuss the most intense season of their lives. Recorded just after receiving life-changing medical imaging results, this conversation bridges the gap between the clinical "battle" and the human "journey."From the "hangover" of chemotherapy to a radical shift in nutrition, this is a deep dive into what it means to "make" a life when the foundation is shaken.

Get $300 off your Prenuvo MRI: http://prenuvo.com/MUSCLEINTELLIGENCE   What if a single scan could detect cancer, aneurysms, fatty liver, and early brain degeneration, before you feel a single symptom?   In this episode, Ben Pakulski sits down with Andrew Lacy, founder of Prenuvo, the most advanced full-body MRI screening company in the world. They break down exactly what this revolutionary scan reveals about your organs, your brain, your joints, and your biological age and why 1 in 25 people walk in completely unaware of a potentially life-threatening condition.   If you're a high-performing man over 40 who's serious about longevity, this episode will change how you think about your health forever. Don't wait for symptoms.   Don't wait for symptoms to tell you something's wrong. Book your Prenuvo scan today at prenuvo.com   5 Bullet Points: Why 1 in 25 scans reveal life-threatening findings How early brain degeneration actually begins The truth about fatty liver in fit men Why executives age differently than others How imaging creates powerful behavior change   Call To Actions: The proven system 1000+ men use to stay lean, strong, clear, and capable. https://www.muscleintelligence.com/apply/   If you're interested in working with Ben. ben@muscleintelligence.com   Join 200,000 men in their prime, reading our weekly newsletter: http://muscleintelligence.com/newsletter   Unlock Your Full Muscle Building Potential With Our Complete Training Guides: https://go.muscleintelligence.com/bodypart/   Hypertrophy Execution Mastery: The most comprehensive MI40 muscle-building program EVER! https://hypertrophymastery.com/   Whenever you're ready... here are 3 ways we can help you look, feel and perform at your best:   1. Grab a free copy of 1 of our BRAND NEW Peak Performance Protocols. This is for high performers looking to 10x their training and nutrition results by becoming 10x more effective. Click here - https://go.muscleintelligence.com/high-performance-executive-report/   2. Join the Muscle Intelligence Community and connect with other men like you who want to uplevel their health and fitness. It's our new Facebook group where I coach members live, share what's working with my private clients and announce tickets to my upcoming trainings and events. Click here - https://www.muscleintelligence.com/community   3. Work with me 1-on-1 If you're a top performing executive or entrepreneur who wants a fully customized comprehensive health protocol and support from a team of world-class specialists, click here to speak with a member of my team to review all of your goals and options: https://www.muscleintelligence.com/apply?utm_campaign=YT     About Ben Ben Pakulski is the Chief Performance Officer to elite executives, successful entrepreneurs, and top athletes.With over 25 years of experience, he coaches high achievers to build the physical, psychological, and metabolic resilience required to lead at the highest level. As the creator of the Muscle Intelligence framework, Ben specializes in aligning biology and behavior to drive sustained peak performance. His mission is to redefine what's possible for people in their prime and push the boundaries of human potential.   Guest Bio Andrew Lacy is the founder and CEO of Prenuvo, a full-body MRI screening company with clinics across the US, Canada, Australia, and the UK. A Stanford-educated serial entrepreneur with a background in law and management consulting, Andrew built Prenuvo after his own transformative health discovery. His mission: catch disease early, empower smarter decisions, and help high performers extend their healthiest years. Andrew combines world-class radiology, AI-driven diagnostics, and a relentless drive to make preventive healthcare the global standard.

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we take a structured, evidence-based approach to the acute treatment of migraine in children and adolescents. From confirming the diagnosis and screening for concerning features to optimizing outpatient therapy and executing a protocolized emergency department strategy, this episode walks through what works. We review the role of NSAIDs and triptans, clarify how IV fluids and ketorolac fit into care, and provide a stepwise framework for dopamine antagonists, valproate bridge therapy, DHE protocols, steroids, discharge planning, and admission decisions. Practical dosing, reassessment timing, and family-centered communication strategies are emphasized throughout. Learning Objectives Recognize the clinical features of pediatric migraine and distinguish it from secondary causes of headache. Implement a stepwise, evidence-based emergency department approach to acute pediatric migraine, including appropriate medication selection and timing of reassessment. Develop safe discharge and follow-up plans by defining treatment endpoints, minimizing medication overuse, and identifying patients who require referral or inpatient management. References 1. Oskoui M, Pringsheim T, Holler-Managan Y, et al. Practice Guideline Update Summary: Acute Treatment of Migraine in Children and Adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2019;93(11):487-499. doi:10.1212/WNL.0000000000008095. 2. Patterson-Gentile C, Szperka CL. The Changing Landscape of Pediatric Migraine Therapy: A Review. JAMA Neurology. 2018;75(7):881-887. doi:10.1001/jamaneurol.2018.0046. 3. Bachur RG, Monuteaux MC, Neuman MI. A Comparison of Acute Treatment Regimens for Migraine in the Emergency Department. Pediatrics. 2015;135(2):232-238. doi:10.1542/peds.2014-2432. 4. Ashina M. Migraine. The New England Journal of Medicine. 2020;383(19):1866-1876. doi:10.1056/NEJMra1915327. 5. Richer L, Billinghurst L, Linsdell MA, et al. Drugs for the Acute Treatment of Migraine in Children and Adolescents. The Cochrane Database of Systematic Reviews. 2016;4:CD005220. doi:10.1002/14651858.CD005220.pub2. Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. And today we're gonna talk about the acute treatment of migraine headache in children and adolescents. This is bread and butter for the PED, requires precise diagnosis and evidence-based treatment. We're gonna talk about making that diagnosis, red flags, outpatient and ED treatment, as well as some second-line agents, admission decisions, and a whole lot more. So migraine in children is defined by three criteria, and at least five attacks lasting two to 72 hours. So you gotta have at least two of the following: pulsating or throbbing quality, moderate to severe intensity, aggravation by routine activity, and a unilateral location. Although in children, it's often bilateral, plus at least one of nausea or vomiting and photophobia and/or phonophobia. In children headaches are frequently bilateral, bifrontal, bitemporal. The duration might be shorter than adults, especially in kids under second or third grade. And you may have to infer whether or not they have photophobia from their behavior. Like does the child close their eyes or wanna go into a dark room? In the emergency department, we're often diagnosing based on pattern recognition plus exclusion of dangerous secondary causes. Or even more often than that, the patient comes in and says, I've got a migraine. Before I move on to treatments, let's talk about some red flags where you might wanna pause and not just jump to migraine therapy. And the mnemonic SNOOP can be helpful here. And it stands for S for systemic symptoms such as fevers, myalgia, weight loss, or another S, secondary risk factors such as an immune deficiency, cancer, pregnancy, N for neurologic signs, papilledema, focal deficit, confusion, seizures. O onset sudden, or thunderclap. Migraines are often a little more gradual than that. The other O is older age, or technically younger age too, younger than five years or older than 50. Hopefully those patients are not coming into the pediatric emergency department. And then pattern changes, these new symptoms in a previously stable pattern. Don't ignore that. And precipitants, you know, is it worse with Valsalva, position change, or under significant exertion? If these signs are present, you'll probably wanna take a pause and just not throw migraine treatment at the patient. If they're stable, MRI is the preferred imaging modality, but a very sick patient, it'd be okay to get a head CT. If you've got a normal neurologic exam, there's no red flags. Again, you don't need routine imaging for migraine headaches. So let's talk about treatment. So hopefully patients have actually started to treat their headache before they arrive in the emergency department. If they haven't, it's a good idea to have some triage protocols in place. So ibuprofen, 7.5 to 10 milligrams per kilogram, 10 milligrams per kilogram is superior to placebo and it's superior to acetaminophen at two hours. So that's what we would use. Early treatment's critical. So ideally within the first hour of onset. So that's why triage protocols help. We'll give kids 10 mg per kg of ibuprofen and like 30 ounces of Gatorade. Blue is often the first Gatorade choice, though that's not an evidence-based statement. You can also use naproxen, but most of the studies are on ibuprofen. If NSAIDs fail, many adolescents and some older children will be prescribed triptans. The best evidence currently supports sumatriptan plus naproxen or zolmitriptan nasal spray. Rizatriptan is FDA approved down to age six. Adolescents respond to these agents better than younger children, and the route matters. The nasal formulations help when nausea is prominent. Families should be counseled to treat early, use weight-appropriate dosing, and avoid using acute medications more than 10 days per month. Often patients will have already taken an NSAID and a triptan before they get to the ED, and that's where we get into the treatment of refractory migraine. Now this is most of the patients that I will see, and before we push medications, let's briefly review ED treatment goals. You either want the patient headache free. Back to their baseline or mild descending pain. So a pain score of one to three. If you don't reach one of those endpoints and it's not agreed upon with the patient and their family, you've not completed treatments. You should do a reassessment within one hour after each intervention. And let's face it, if you're not reassessing within an hour and defining treatment goals, you're not practicing protocolized migraine care. So in the emergency department, many of you may be familiar with the migraine cocktail. So what is that? In general, it's a dopaminergic agent such as prochlorperazine or metoclopramide plus ketorolac, plus IV fluids. Let's take a look at all three of those components and see if you can guess which one is actually the one that can abort the migraine. So fluids are commonly given in pediatric migraine, but they alone do not treat it. They're helpful. Many patients have been throwing up or a bit dehydrated, but there are small randomized trials that show essentially no meaningful pain reduction in patients that get IV fluids alone. Well, what about ketorolac? Toradol, like that's the first thing you give to a kid with a kidney stone, right? It does help, but it's really adjunctive. So the main first-line agents for refractory or status migrainosus in the emergency department are the dopamine antagonists, and the first-line treatment for most patients is prochlorperazine or Compazine. The dose is 0.15 milligram per kilogram IV. The max is 10 milligrams. This is the backbone of ED migraine care. And why do they work? Well, migraines aren't just some random vascular headache. This is an inherited disorder with central pain pathways gone awry. Dopamine plays a large role in that pain, nausea, hypersensitivity, amplification of symptoms and more that, frankly, I won't get into this podcast because molecules hurt my head. The dopamine antagonists treat the headache, they reduce the nausea, and they just tamp down this process. Overall, the response rates approach 85%. Some studies have suggested that the response rate is about 77% at an hour and 90% at three hours. If you add the ketorolac and IV fluids, you get your response rate up to about 93 to 94%. These agents really do work well together. There have been randomized trials comparing IV prochlorperazine versus ketorolac. 85% of prochlorperazine patients achieved headache relief versus only 55% of ketorolac patients. So ketorolac helps, but really it's the prochlorperazine. Metoclopramide, or Reglan, is used in a lot of centers as well. There are some smaller studies in children and adolescents that show that prochlorperazine is more effective, but if kids have an adverse reaction, more on that in a moment, or they prefer metoclopramide because they've responded to it in the past, it's okay to go with it as well. Right. So what does it actually look like when you give the migraine cocktail to a patient? I think it's important to explain to patients and families what to expect, and if this is a teenager, I'm talking to them directly. I mean, they're getting the medication first and foremost. I tell them that the most effective way to treat their headache is with an IV. This often causes lots of angst, even in older teenagers. The medication just does not get to the brain as effectively and fast enough if you take it by mouth. Many patients who get the dopaminergic agents, so prochlorperazine, will invariably feel jittery or anxious or like they gotta move or like they got ants in their pants. I tell them to expect this so they're not surprised and worried when it happens. I tell them that once they start feeling that way, it means the medicine is probably working. They need to hit the nurse button and we're gonna get them up and have them take a walk. This fixes it for the majority of patients just getting up and moving. In adult centers, even with the initial administration of the prochlorperazine or as sort of a reflexive response to any of those symptoms, they just give a slug of IV Benadryl. There's some studies in adolescents especially that this may decrease the effectiveness of the IV agents you're giving in the first place, and it may also increase return rates to the ED. So I will use IV diphenhydramine if getting up and moving around isn't working, or if the distress is significant, or if the patient clearly indicates they've needed it in the past. So if after the migraine cocktail, the patient has met their pain goals and the reassessment is favorable, they can go home to outpatient follow-up. How about if the headache got better, but not all the way? It's usually when the initial migraine cocktail didn't achieve the pain endpoints fully, like it helped partially. If the dopamine blockade didn't do anything, valproate is unlikely to rescue the case. And so valproate works on GABA and it stabilizes some of these pain processes, but the dopaminergic agent needs to have done something first for valproate to work. Per the most common protocol, you give an initial dose of IV valproate, then you discharge the patient home on Depakote ER. So oral valproic acid under 10 years old or under 50 kilograms, 250 milligrams PO twice a day for two weeks, or older than 10 or greater than 50 kilos, 500 milligrams twice a day for two weeks. This is the extended release and it's most helpful if you give the first oral dose in the emergency department. So that's why it's very important to build this protocol in advance. If you don't have IV valproate, then don't just give the patient oral valproate, and definitely don't prescribe an oral course for discharge. All right, well, what about DHE? Dihydroergotamine for refractory or status migrainosus? Generally, this is only given at pediatric centers where you have neurology coverage. It's contraindicated if you've had another dose of DHE within 14 days, or you've had any triptan of any sort within 24 hours, and you must obtain a pregnancy test in adolescent females before giving it. The dosing for less than 30 kilograms is 0.5 milligram. At least 30 kilograms is one milligram. You give 50% of the dose over three minutes, then the remaining 50% over 30 minutes. If this is gonna work, the patients are gonna start feeling wretched at first. They're gonna get very nauseous and they're gonna vomit. They're gonna have flushing, and you'll see transient hypertension. Most of that resolves within the hour in most centers. If you're committing to DHE, you're kind of bringing the patient into the hospital anyway, though some facilities will have DHE done in the emergency department with close outpatient follow-up. Either way, it's really best practice to involve child neurology if you're giving DHE. Alright, well what about steroids? They give those in grownups too, right? Steroids really only have a role for recurrence prevention in children. So for kids that have a history of returning within 72 hours for rebound headache, you can give dexamethasone 0.6 milligram per kilogram IV dose, the max of 10 milligrams. You do not discharge them home on a steroid prescription or a Medrol dose pack or something else, and this can cut the recurrence risk down a bit. There's other therapies out there like magnesium and ketamine. There's just not enough evidence there. And the purpose of this episode is to discuss the therapies that have good evidence behind them and should be part of protocols across the country. Some patients are unfortunately not responsive to emergency department therapy and need admission. The main inpatient therapy is the DHE protocol. If they're not DHE eligible, they haven't tolerated it well or it's unavailable, admission's unlikely to help them unless they just need some IV fluids to help them get back up on their feet. You should consult neurology if the headache goals are not met after maximizing ED therapy for advice. And we should definitely avoid opioids. They don't treat patients with migraines. They increase recurrence risk. They increase revisit rates. Again, the dopamine antagonist prochlorperazine, it's superior for sustained relief when families ask about them, and fortunately they're asking about opioids far less. We use medications that treat the migraine pain pathways and signaling. We don't just wanna mask the pain. All right, so that's all I've got on the acute management of migraine headaches, especially in the emergency department. Remember that migraine care in the ED should be protocolized and evidence-based. IV fluids are supportive. Prochlorperazine is the first line, or you can use metoclopramide as well. Ketorolac is an adjunctive therapy. Valproate is next line. If you've gotta escalate, and DHE is specialized therapy, you can start in the ED, but most of these patients are getting admitted. Dexamethasone or steroids in children can reduce recurrence risk, but they're not really part of the acute management. You should definitely define the endpoints and structurally and systematically reassess patients at an hour. The goal is to get them feeling better to a defined endpoint and to restore function. There is evidence-based pediatric emergency migraine care. You should understand that, plus how to explain why these agents are being given and some of the side effects to patients and families. I find that that approach increases your likelihood of buy-in and success. Alright, so that's it for this episode on the Acute Management of Migraine Headaches in Children and Adolescents. I hope you found it helpful and I can pretty much guarantee that you're gonna see a patient with a migraine on your next shift. If you've got any feedback or comments, send them my way. If you like this episode, leave a review on your favorite podcast site. It helps more people find the show. Or recommend it to a colleague. If there's other topics that you'd like to hear, send them my way for the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.    

MRIs are loud. They're huge. They're magnetic. But what are they actually doing? This week, we bring Claire back to help us connect the dots between NMR (yes, organic chem flashbacks) and MRI. How does a technique built on tiny hydrogen protons turn into a 3D image of your brain? How can it tell the difference between tissue and fluid? Why can't you bring metal anywhere near the machine? We ask: • What are your protons doing inside an MRI? • How does “magnetic resonance” become an image? • Why does oxygenated blood matter? • And how did anyone figure this out in the first place? If you've ever had an MRI, or just wondered how we can see inside the body without radiation or surgery, this episode pulls back the curtain. Listen in and rethink what's happening inside that giant magnet. 00:00 MRI Episode Kickoff 01:11 Meet Claire Again 02:27 PhD Candidate Explained 03:44 NMR Basics Begin 04:33 Protons And Magnets 06:46 RF Pulse And Signal 11:16 Hydrogen Everywhere 13:35 Reading NMR Peaks 16:02 Matrix And Practice 18:31 Jam Summarizes NMR 20:44 Why MRI Not NMR 22:45 Spin And Isotopes 29:02 MRI Uses Body Water 30:37 Tissue Contrast And T1 33:38 Resolution Limits 34:25 MRI Resolution Limits 35:34 From NMR to Images 36:50 K Space and Gradients 41:30 Voxels and 3D Views 44:05 Contrast and Clinical Uses 49:47 Research Possibilities 51:11 Functional MRI Explained 56:14 MRI Safety and Magnet Strength 58:00 Helium and Heavy Machines 01:02:43 Science Boundaries and Wrap Up   Support this podcast on Patreon Buy Podcast Merch and Apparel Check out our website at chemforyourlife.com Watch our episodes on YouTube Find us on Instagram, Twitter, and Facebook @ChemForYourLife References from the Episode: Thanks to our monthly supporters Amanda Raymond Emily Morrison Kyle McCray Justine Emily Hardy Ash Vince W Julie S. Heather Ragusa Autoclave Dorien VD Scott Beyer Jessie Reder J0HNTR0Y Jeannette Napoleon Cullyn R Erica Bee Elizabeth P Rachel Reina Letila Katrina Barnum-Huckins Suzanne Phillips Venus Rebholz Jacob Taber Brian Kimball Kristina Gotfredsen Timothy Parker Steven Boyles Chris Skupien Chelsea B Avishai Barnoy Hunter Reardon Support this podcast on Patreon Buy Podcast Merch and Apparel Check out our website at chemforyourlife.com Watch our episodes on YouTube Find us on Instagram, Twitter, and Facebook @ChemForYourLife Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Shannon Sharpe, Chad “Ochocinco” Johnson and Iso Joe Johnson react to the Detroit Pistons beating the Oklahoma City Thunder to take hold of the best record in the NBA, the odds for regular season MVP have tightened recently, and the NBA is sending their own doctors to verify Lauri Markkanen’s MRI and much more! Subscribe to Nightcap presented by PrizePicks so you don’t miss out on any new drops! Download the PrizePicks app today and use code SHANNON to get $50 in lineups after you play your first $5 lineup! Visit https://prizepicks.onelink.me/LME0/NI... 04:05 - Pistons beat Thunder 20:55 - Odds of regular season MVP have tightened recently 32:00 - NBA sending their own doctors to verify Lauri Markkanen’s MRI (Timestamps may vary based on advertisements.) #ClubSee omnystudio.com/listener for privacy information.

Hidden fat stored deep inside organs, especially the pancreas and abdomen, links to brain shrinkage, cognitive decline, and a higher risk of neurologic disease even when your weight looks normal An MRI-based study of 25,997 adults found that fat distribution patterns inside the body predict brain aging and cognitive outcomes more strongly than body mass index (BMI) alone People with high pancreatic fat showed around 30% fat concentration in the pancreas, which was up to six times higher than lean individuals and tied to extensive gray matter loss The "skinny fat" profile involved high internal abdominal fat despite only moderate BMI, with men showing the steepest decline in brain volume and slower thinking speed Simple metabolic assessments like fasting insulin, HOMA-IR, CRP, lipid profiles, and waist-based ratios offer practical ways to detect hidden risks early, before obvious symptoms appear