Podcasts about mri

Freddy Peralta has turned things around with the Rays (2:22)! ... Andrew Alvarez has been pitching very well (5:55). ... News (12:56): Dylan Cease went for an MRI on his shoulder and will not start this week. ... Are we interested in any of these waiver wire hitters in the final week (39:00)? ... Tyler Mahle feels like a slam dunk this week (49:18). ... Start or sit these pitchers in the final week (58:42)? ... We wrap up with leftovers, bullpens and streamers (1:08:37).Subscribe to our YouTube channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/FantasyBaseballToday⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sign up for the newsletter at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/newsletters

Matthew Paul Clemons, MD, is a diagnostic radiologist specializing in nuclear medicine and body imaging. He is Head of Nuclear Medicine at Radiology Partners Houston and a rectal and prostate cancer specialist.Whole-body MRI promises a detailed look under the hood—but what can a quick screening scan actually see, miss, and send you chasing? Dr. Paul Clemons explains why a whole-body MRI is a limited study, how incidental findings can lead to further tests, and why standard screening remains the better choice for most people.Expect to learn how MRI creates images and why scan protocols take time, why open MRI systems can have important image-quality limits, how PET/MRI adds functional information, why CT and MRI can be complementary rather than redundant, how radiation and implanted devices factor into decisions, why spine findings do not always match symptoms, when conservative care deserves consideration, and where DEXA versus MRI can be useful for tracking body-composition trends.Episodes you'll enjoy next:#237 — Demystifying Body Composition Testing with Dr Grant Tinsley and Dr Eric Helms: a practical companion discussion on body-composition measurement and its limits.#159 — Advice, Mentorships, Askholes, and Diagnostics: An Interview with Dr. Adam Sumarski: a related conversation on diagnostics and imaging in sports medicine.Episode Timestamps:1:50 Whole-body MRI and preventive screening2:52 How MRI works: magnets, noise, and safety7:05 Open MRI, magnet strength, and image quality9:05 MRI sequences, scan time, and diagnostic protocols11:47 Why whole-body MRI is a limited screen12:46 Incidental findings and downstream testing13:57 High-risk screening, rare genetic conditions, and lung limits17:53 Sensitivity, specificity, and standard screening24:15 PET/MRI and where whole-body imaging has a clinical role27:05 Why MRI and PET/CT systems are expensive to install31:59 MRI safety, implants, and pacemakers36:36 CT versus MRI: why one scan can lead to another38:52 Whole-body CT, radiation, and its limits43:47 Back-pain scans: why an image may not explain symptoms51:44 Physical therapy, surgery, and warning signs58:46 Evaluating evidence for peptides, stem cells, and biologics1:05:47 Choosing an orthopedic surgeon for athletic goals1:15:24 DEXA versus MRI for body-composition trends Get the Daily Fitness Insider newsletter (free): https://www.miketnelson.com/newsletter

Can we see some ID? This week, Jimmy and Larry are assuaging their New York Fashion Week survivor's guilt by podcasting on deodorant, the post-traumatic stress of getting a MRI, the front row rage seen 'round the world and what comes next for disgraced CFDA CEO and president Steven Kolb, Dario Vitale got a job at Armani and everyone is excited, Alexandre Arnault joins Nike's board of directors but can he save the Swoosh, finally realizing you don't need to dress like a clown just because it's fashion week, we somehow missed Kawhi Leonard at our own event, shame eating a burrito in front of models, we were at the Vivet fashion show to witness Kai Cenat make history, is surfcore about to pop thanks to The Society Archive, Thom Browne puts on one hell of a show but not before both of us embarrass ourselves in some way, an EsDeeKid and Charli xcx concert are actually not that different if you really think about it, and much more.

Broadcast from KSQD, Santa Cruz on 9-17-2026: Dr. Dawn opens with a primer on kidney function: their embryonic origin adjacent to the gonads, their central role in blood pressure regulation (retaining fluid in hemorrhage but paradoxically worsening heart failure), erythropoietin production (both an athletic doping agent and a mechanism by which severe sleep apnea can cause stroke-risk polycythemia), acid-base balance via bicarbonate, and nitrogen waste removal including uric acid. The U.S. waiting list holds 95,492 people needing kidney transplants—88% of all organ waitlist patients—against only 27,500 annual donations, with 12-13 people dying daily on the list. Dr. Dawn walks through a Wired magazine analysis of paid donation, noting Iran is the only country with a legal regulated kidney market (Iranian citizens only, with a waiting list of donors and compensation around two months of median income). She frames the ethical debate: current U.S. altruistic donation implicitly rewards those with money and social networks who can afford time off, while poorer populations bear disproportionate end-stage renal disease burden. Proposed compensation alternatives include lifetime congressional-quality health insurance, student loan forgiveness, six-month waiting periods for informed consent, and 20-year payout structures. Donation mortality risk is comparable to childbirth—several-fold lower than logging. Tim Andrews became the first patient to receive a genetically modified pig kidney as a bridge to human transplant, sustaining him 271 days until a human kidney became available (the pig kidney ultimately lost to pyelonephritis, not rejection). eGenesis used CRISPR to delete three highly antigenic pig genes—GGTA1 (which produces alpha-gal, the tick-transmitted meat allergy trigger), CMAH, and one other—along with porcine endogenous retroviruses, and added seven human genes for coagulation compatibility and anti-inflammation. Dr. Dawn notes the animal welfare implications of farming 50,000 modified pigs annually and unknown long-term graft survival. An emailer asks about direct-to-consumer full-body MRI screening. Dr. Dawn explains MRI's advantages (no ionizing radiation, no kidney-toxic contrast) but emphasizes false positive harms: indeterminate findings that require invasive follow-up biopsies for lesions unlikely to be lethal, and the psychological burden of "ghost" diagnoses. Whole-body MRI also poorly evaluates lungs, intestines, and breasts (different scan parameters required). She recommends full-body MRI only for high-risk cancer predisposition syndromes like Lynch syndrome, BRCA 1/2, and Li-Fraumeni. Dr. Dawn debunks the "seed" model of probiotic capsules: strains taken for six months typically disappear from the gut within a month of stopping. Much of probiotic benefit comes from dead bacteria—autoclaved cell walls remain biologically active with antibacterial effects. Her clinical protocol uses 200-300 billion CFU four times daily to treat traveler's diarrhea, avoiding Cipro's tendon toxicity. For antibiotic-associated C. difficile prevention, Saccharomyces boulardii plus Bifidobacterium and Lactobacillus have double-blind placebo-controlled support when taken between antibiotic doses and for a week afterward. A caller with type 2 diabetes describes suspected treatment-induced neuropathy following rapid A1c reduction from 10.2 to a GMI of 5.8. She has burning, electric tingling, and unexplained deep muscle-soreness sensations, mostly proximal in the left leg with recent right-leg involvement, and pregabalin isn't helping. Dr. Dawn distinguishes small-fiber neuropathy (temperature-related, patchy, requires skin biopsy for diagnosis—EMG and nerve conduction won't show it) from large-fiber neuropathy (symmetric, ascending from toes). The proximal top-down distribution suggests small-fiber involvement. She recommends functional-medicine adjuncts: methylated B12 2,000 mcg, methylated folate 2,000 mcg, and alpha-lipoic acid 300 mg twice daily for three months. She also recommends a provoked heavy-metals urine test to rule out copper or other neurotoxic exposure. Dr. Dawn closes with the fiber recommendation of 14 grams per 1,000 calories (correcting an earlier misstatement of 14g total per day) and emphasizes that a diverse plant-based diet—fruits, vegetables, root vegetables, beans, nuts—does more for microbiome health than any capsule.

In this episode, Frank Marchlinski, MD, Deputy Editor of JACC: Clinical Electrophysiology, discusses a study of ventricular tachycardia ablation in patients with active cardiac sarcoidosis. Using integrated FDG-PET and cardiac MRI imaging, the investigators found that VT exit sites were often located in areas of active inflammation, while more proximal circuit sites were associated with scar. Patients in whom only VT exit sites could be identified had substantially higher VT recurrence rates, suggesting that targeting deeper portions of the VT circuit may improve outcomes.

Dit is de 279e aflevering van de Slimmer Presteren Podcast, over sport, onderzoek en innovatie. In deze aflevering hebben Gerrit en Jurgen het over:Koolhydraten stapelen: waarom je ontbijt je lever niet vultINLEIDING: Vult dat koolhydraatrijke ontbijt op de ochtend van je wedstrijd je lever eigenlijk wel bij? Cas Fuchs legde het onder een MRI-scanner en vond iets anders dan iedereen verwachtte.De concentratie glycogeen in de lever steeg met ongeveer 10 procent. Alleen was de lever zelf intussen 6 procent gekrompen. In totale hoeveelheid bleef er van de winst niets over: 53 gram vooraf, 54 gram drie uur later.In een tweede studie reed dezelfde groep wielrenners zich twee uur helemaal leeg. Daarna kregen ze twaalf uur lang 10 gram koolhydraten per kilogram lichaamsgewicht. De lever zat binnen zes uur alweer boven het uitgangsniveau. De spier stond na twaalf uur pas op 69 procent.Cas Fuchs is universitair docent aan het Maastricht UMC+ en voedingsadviseur bij Visma Lease a Bike. Gerrit Heijkoop en Jurgen van Teeffelen vragen hem wat dit betekent voor jouw najaarsmarathon, hoeveel je in de laatste twee dagen echt moet eten, en waarom onderzoekers ineens zo kritisch zijn op het bewijs voor koolhydraten stapelen.Vragen die in deze aflevering worden beantwoord:1. Wat is koolhydraten stapelen en werkt het echt?Koolhydraten stapelen betekent dat je in de laatste dagen voor een wedstrijd bewust veel meer koolhydraten eet dan normaal, om je glycogeenvoorraad in spieren en lever te maximaliseren. Dat je voorraad daardoor stijgt, staat volgens Cas Fuchs buiten kijf: eet je minder koolhydraten, dan heb je aantoonbaar minder om op te slaan. Of die volle voorraad ook echt een snellere tijd oplevert, is lastiger te bewijzen. Van veertien studies waren er slechts twee dubbelblind opgezet, en die vonden geen prestatievoordeel.2. Waarom vult een koolhydraatrijk ontbijt je leverglycogeen niet aan?Omdat er twee dingen tegelijk gebeuren. Fuchs mat bij goed getrainde wielrenners dat de concentratie glycogeen in de lever na een ontbijt met 3 gram koolhydraten per kilogram lichaamsgewicht met ongeveer 10 procent steeg. Tegelijk kromp de lever zelf met 6 procent. In totale hoeveelheid bleef er daardoor niets van die winst over: 53 gram vooraf, 54 gram na drie uur. De koolhydraten komen wel beschikbaar in je bloed en je spieren kunnen ze tijdens inspanning direct gebruiken.3. Hoeveel koolhydraten per kilogram lichaamsgewicht heb je nodig in de dagen voor een marathon?Fuchs adviseert ongeveer twee dagen op 8 tot 10 gram per kilogram lichaamsgewicht per dag, of te sturen op 80 tot 85 procent van je energie-inname uit koolhydraten. Een recente dosis-responsstudie ondersteunt de bovenkant van dat bereik: bij 10 gram per kilogram lag het spierglycogeen duidelijk hoger dan bij 6 of 8 gram, terwijl er tussen 6 en 8 geen verschil zat. Maagdarmklachten namen daarbij niet toe. Alleen het volle gevoel wel.4. Hoe lang duurt het voordat je spierglycogeen na een zware duurtraining weer vol is?Langer dan de meeste sporters denken. Fuchs liet wielrenners zich twee uur leegrijden en gaf ze daarna 10 gram koolhydraten per kilogram lichaamsgewicht over twaalf uur. Toch stond het spierglycogeen na die twaalf uur pas op 69 procent van de uitgangswaarde. Doorgerekend kom je op bijna 24 uur voor volledig herstel. De lever gaat veel sneller en zit binnen zes uur weer op niveau. Zonder koolhydraten gebeurt er in die twaalf uur helemaal niets.5. Welke rol spelen eiwitten en vetten als je koolhydraten stapelt voor een wedstrijd?Ze bepalen mede hoeveel koolhydraten er überhaupt in passen. Een gemengde maaltijd vertraagt je maaglediging, waardoor er minder snel ruimte is voor de volgende portie. Tegelijk kun je ze niet weglaten: eiwit blijft nodig voor herstel en vet hoort erbij, zeker bij een groot energieverbruik. Volgens Fuchs moet je daarom naar het totaalplaatje kijken. Je stapelt binnen de grenzen van je energiebehoefte, je maaglediging en de transporters in je darm.6. Wat gebeurt er met je glycogeenvoorraad als je koolhydraatarm eet als duursporter?Je hebt gewoon een glycogeenvoorraad, maar die ligt lager. Wie structureel hoog in het vet en laag in de koolhydraten zit, heeft volgens Fuchs simpelweg minder koolhydraat beschikbaar in het lichaam als brandstof, zeker als er niet gestapeld wordt. Of je daar last van krijgt, hangt af van wat je gaat doen. Bij lage tot matige intensiteit merk je het minder, omdat je dan een groter deel van je energie uit vet haalt.Handige bronnen en links:De studie van Cas Fuchs naar het effect van een koolhydraatrijk ontbijt op de glycogeenvoorraden in lever en spier: https://journals.physiology.org/doi/full/10.1152/ajpendo.00400.2025De studie van Cas Fuchs die laat zien dat het spierglycogeen twaalf uur na een uitputtende inspanning nog niet is aangevuld: https://physoc.onlinelibrary.wiley.com/doi/epdf/10.1113/JP289115Wat is het wetenschappelijk bewijs voor koolhydraatsupercompensatie? Een kritische analyse van het gebrek aan dubbelblind onderzoek: https://journals.humankinetics.com/view/journals/ijsnem/36/5/article-p553.xmlZit er een grens aan het suiker stapelen? Een dosis-responsstudie met 6, 8 en 10 gram koolhydraten per kilogram per dag: https://onlinelibrary.wiley.com/doi/10.1111/sms.70312Waarom meer glycogeen aan de start volgens Asker Jeukendrup niet hoeft te betekenen dat je tank langer vol blijft: https://www.mysportscience.com/post/carb-loadingAflevering 143 over de optimale taper voor een belangrijke race: https://slimmer-presteren-podcast.nl/seizoen-7/143-in-topvorm-aan-de-start-van-je-race-wat-is-de-beste-taper/Aflevering 130 met Cas Fuchs over slim herstellen na het sporten: https://slimmer-presteren-podcast.nl/seizoen-7/130-slimmer-herstellen-na-het-sporten-met-special-guest-cas-fuchs/Aflevering 225 over de steeds grotere hoeveelheden koolhydraten tijdens inspanning: https://slimmer-presteren-podcast.nl/seizoen-11/225-zoet-zoeter-zoetst-hoeveel-koolhydraten-neem-jij-tijdens-een-marathon-of-triatlon/Aflevering 110 over de vraag of het uitmaakt hoe de suikers verpakt zijn: https://slimmer-presteren-podcast.nl/seizoen-6/110-koolhydraten-uit-sportdrank-gel-snoepjes-of-een-reep-maakt-het-uit-voor-je-sportprestatie/Aflevering 275 met Ruben Robberechts over wat het bloed van een renner verraadt over overtraining: https://slimmer-presteren-podcast.nl/seizoen-14/275-overtraining-herkennen-wat-je-bloed-verraadt/—-De Slimmer Presteren Podcast is een initiatief van Gerrit Heijkoop en Jurgen van Teeffelen. Vanaf begin 2020 bespreken zij wekelijks een onderwerp op het gebied van sport, onderzoek en innovatie.Zie ook:WEB: https://slimmer-presteren-podcast.nlINSTAGRAM: https://www.instagram.com/SlimmerPodcastLinkedIn: https://www.linkedin.com/company/slimmer-presteren-podcastPODCAST PLAYERS: https://slimmer-presteren.captivate.fm/listenVRIEND VAN DE SHOW: https://vriendvandeshow.nl/slimmerpodcastMentioned in this episode:Doneer ons een kop of pot koffiePartner CyclOn Bikecare: een glimlach voor je fiets--- Partner van Slimmer Presteren Deze aflevering bevat een advertentie van CyclOn, specialist in fietsverzorging uit Schaijk. We legden ruim veertig vragen van luisteraars over poetsen en smeren voor aan Remco Schouten van CyclOn. Zijn antwoorden hoor je van september tot en

What should you do if you are five weeks away from a half marathon and develop a metatarsal stress reaction? In this episode, Dr. Christopher Segler talks with a real runner who is preparing for a half marathon in Argentina after developing a fifth metatarsal stress reaction. He has already stopped running for five weeks and has been maintaining fitness with stationary cycling. The discussion focuses on the information a runner needs in order to decide what activity can be added safely: establishing injury severity, tracking pain trends, monitoring tenderness, reducing inflammation, maintaining strength and stability, and increasing stress on the bone systematically instead of simply going out for a test run. Dr. Segler also explains why X-rays can miss some stress fractures, how MRI and ultrasound may provide additional information, why zero pain is not always the only useful benchmark, and why runners need measurable baseline numbers before progressing activity.

Send us Fan MailA dog that suddenly cannot walk puts everyone in crisis mode, and thoracolumbar IVDD is one of those diagnoses that can turn a normal day into a life-or-death decision. We sit down with manuscript authors Drs. William Tammaro, Nick Jeffery, and Paul Freeman to unpack a less invasive option that could change those conversations: chondroitinase ABC intradiscal injections, often described as a form of chemical fenestration designed to reduce future disc extrusion. We get clear on what chondroitinase ABC actually does inside the nucleus pulposus, why its substrate-limited action matters for safety, and how the team designed their comparison against routine surgical management. Then we dig into the result that jumps off the page: recurrence of clinical signs is dramatically lower in the chondroitinase-treated group, roughly a 70% reduction depending on how you analyze it. We also explore the real-world nuances behind that comparison, including how many discs get treated in each approach and why this work is best read as evidence of prophylactic potential rather than a perfect one-to-one trial. The most human part of the conversation is about owners. We talk candidly about cost, access to MRI and surgery, and what it means when clients have to choose based on finances. The takeaway we keep coming back to is simple and urgent: many dogs recover without surgical decompression, and when surgery is not an option, we should not give up. If you care about practical IVDD treatment options, recurrence prevention, and better spectrum-of-care medicine, hit play, subscribe, share this with a colleague, and leave a rating and review wherever you listen.JAVMA article: https://doi.org/10.2460/javma.26.01.0005INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ®  OR AJVR ® ?JAVMA ® : https://avma.org/JAVMAAuthorsAJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® :Facebook: Journal of the American Veterinary Medical Association - JAVMA | FacebookInstagram: JAVMA (@avma_javma) • Instagram photos and videosTwitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | FacebookInstagram: AJVR (@ajvroa) • Instagram photos and videosTwitter: AJVR (@AJVROA) / TwitterJAVMA ®  and AJVR ®  LinkedIn: https://linkedin.com/company/avma-journals

In deze aflevering van de podcastserie 'Proefschriften' spreekt gastmoderator en nucleair geneeskundige prof. dr. Daniela Oprea-Lager (Radboudumc te Nijmegen) met promovenda Meike van Wijk over haar proefschrift, getiteld: ‘MRI-guided holmium-166 transarterial radioembolization: Technical advancements and clinical considerations.' Meike bespreekt de toegevoegde waarde van MRI-geleiding van radio-embolisatie met holmium-166-bevattende microsferen bij patiënten met leverkanker. Daarnaast deelt ze haar ervaringen als promovendus en haar toekomstplannen. Meike zal op 24 november 2026 haar proefschrift verdedigen aan de Radboud Universiteit te Nijmegen bij promotoren prof. dr. Frank Nijsen en prof. dr. ir. Tom Scheenen, en copromotoren dr. Joey Roosen en dr. Eric Tjwa.Referenties Inspiratietip: boek De Acht bergen van Paolo Cognetti Intraprocedural MRI-based dosimetry during transarterial radioembolization of liver tumours with holmium-166 microspheres (EMERITUS-1): a phase I trial towards adaptive, image-controlled treatment delivery. Beeldgestuurd behandelen – Holmium-166 therapie geleid door CT en MRI. Improving MRI-based dosimetry for holmium-166 transarterial radioembolization using a nonrigid image registration for voxelwise ΔR2∗$Delta R_2^*$ calculation. Development and validation of an innovative administration system to facilitate controlled holmium-166 microsphere administration during TARE. Lung shunting and radiation pneumonitis after holmium-166 TARE: a case study.

Today, I am honored to connect with Dr. Zaldy Tan, a geriatric medicine and memory disorder specialist whose research career has centered on the Framingham Heart Studies Offspring Cohort. Dr. Tan currently directs Cedar Sinai's memory and healthy aging programs, after previously leading the memory clinic at Beth Israel and Harvard Medical School. His book, Age Proof Your Mind, translates his clinical and research background into a practical framework for people trying to assess and protect their own cognitive trajectory. In our conversation, Dr. Tan explains why middle age is the old age of youth and the youth of old age. We discuss common symptoms of memory issues and those that are reversible. We explore the Framingham Offspring Study and its impact on brain health over time,  looking at the effects of sleep, depression, vitamin deficiencies, alcohol, loneliness, and nutrition, and Dr. Tan shares the three Ds, dementia, delirium, and depression- the red flags he sees in his clinical practice, explains how he helps prepare caregivers for caring for loved ones with neurocognitive memory loss, and discusses late-stage issues, medications, blood-based biomarkers, and the role of genetics in brain health. Stay tuned for a truly fascinating discussion with Dr. Zaldy Tan. IN THIS EPISODE, YOU WILL LEARN: The importance of being sensitive to how your memory changes over time Various factors that could contribute to memory problems The profound effect alcohol has on the brain and neurologic function How social isolation can increase the risk of dementia in future years Dr. Tan discusses the Framingham Offspring Study and the links between metabolic dysregulation and brain MRI markers of brain aging. How the 3 Ds, delirium, dementia, and depression, can overlap The red flags in a patient's history that lead Dr. Tan to believe there may be a more serious issue What care partners should be aware of when a family member is experiencing dementia  The importance of protecting sleep and maintaining consistent sleep patterns for those with memory problems How genetic testing is incorporated into Dr. Tan's care model Bio:  Dr. Zaldy Tan is the Director of the Memory & Healthy Aging Program at Cedars-Sinai Medical Center, which U.S. News & World Report ranked in 2024 as the best hospital on the U.S. West Coast and among the top hospitals in the country. He holds the Carmen & Louis Warschaw Endowed Chair in Neurology and is a professor at the David Geffen School of Medicine, University of California, Los Angeles. Dr. Tan was the founding director of the Memory Disorders Clinic at Harvard Medical School/Beth Israel Deaconess Medical Center. Dr. Tan performs aging and dementia research covered by The New York Times, Time, CNN, The Wall Street Journal, NPR, The Washington Post, The Chicago Tribune, Reuters, ABC News, and NBC News. He regularly speaks at major national and international conferences and is the author of Age-Proof Your Mind and What to Remember When You Are Forgetting. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Zaldy Tan Dr. Tan at Cedars Sinai (Los Angeles)   On Instagram Dr. Tan's book, What to Remember When You Are Forgetting, is coming out on September 15th, 2026. Pre-order HERE.

What if you're doing everything “healthy”… but your period is still missing?Carlin had always been active. Over time, intermittent fasting, restrictive eating, exercise, weight loss and life stress slowly became her normal. When she eventually had her IUD removed to start trying for a baby, her period never came back.After multiple doctors, bloodwork, ultrasounds and even an MRI left her without a clear answer, Carlin discovered hypothalamic amenorrhea (HA) and for the first time, her missing period started to make sense.In this episode, Carlin shares what she actually had to change to recover her cycle, why “eating more” on her own wasn't enough, the struggle of stepping away from exercise and gaining weight, and how she went from years without a natural period to ovulating again and ultimately getting pregnant.If you've lost your period, have been told everything looks “normal,” or feel like you're already doing everything to get your cycle back, you'll see a lot of yourself in Carlin's story.Restore Your Fertility LIVE Group Coachinghttps://www.thehasociety.com/restore-liveRestore Your Fertility Blueprinthttps://www.thehasociety.com/Work 1:1 with us to get your period backhttp://thehasociety.com/coachingVisit us on YouTubehttps://youtube.com/c/danisheriffFollow us on IGhttp://instagram.com/thehasocietyhttp://instagram.com/danisheriffhttps://instagram.com/ashley_marie_smith_https://www.instagram.com/itsmishigarciahttps://www.instagram.com/abbylowekey/The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician.

Host Dr. Linda Chu sits down with Dr. Jie Nguyen, Dr. Todd Lawrence, and Dr. Kirk Davis to discuss an interdisciplinary consensus on standardized knee meniscus MRI reporting and the terminology that improves communication between radiologists and orthopedic surgeons. Together, they explore MRI criteria for meniscus tears, reporting best practices, surgical implications, post operative assessment, and how consistent language can enhance patient care and clinical decision making. Standardized Knee Meniscus MRI Reporting: An Interdisciplinary Delphi Consensus. Nguyen et al. Radiology 2026; 319(3):e251833.   Sponsored by GE HealthCare

What happens when three specialists are almost certain something isn't cancer, but your gut tells you to keep asking questions?In this episode, Jamie sits down with Krista Brown, MS, RN, oncology nurse navigator, breast cancer survivor, and cancer prevention advocate for a powerful conversation about hereditary breast cancer risk, genetic testing, early detection, and patient self-advocacy.After learning that she carried an ATM genetic mutation, Krista began increased breast screening and started planning a preventive mastectomy. When an MRI revealed an abnormality, she was initially advised to wait and follow up. Even after multiple specialists reassured her that it was almost certainly not cancer, Krista couldn't shake the feeling that she needed more answers.She advocated for herself and requested a breast biopsy  It was Stage 1A breast cancer.Krista and Jamie talk about hereditary cancer risk, genetic testing Genetic mutations, early detection, second opinions, prevention, lifestyle, and why advocating for yourself can be difficult, even when you're a nurse.They also explore one of Krista's most important messages:“Don't confuse being healthy with being invincible.”This conversation is a powerful reminder that breast cancer  prevention isn't about perfection. It's about knowing your risk, knowing your family history, getting appropriate screenings, asking questions, and becoming an active participant in your own healthcare.Connect with KristaInstagram: @cancer.prevention.rnhttps://www.instagram.com/cancer.prevention.rn/LinkedIn: Krista Brownhttps://www.linkedin.com/in/krista-brown-b71956249/ResourcesTest Those Breasts®https://testthosebreasts.orgFind it early. Change the outcome.®This episode is for educational purposes only and is not a substitute for individualized medical advice.

In this episode of HSS Presents, radiologist Dr. Harry G. Greditzer IV speaks with Dr. Hollis G. Potter, MD, Chair of Radiology and Imaging at Hospital for Special Surgery and holder of the Coleman Chair in MRI Research, about the evolution of musculoskeletal MRI and its transformative impact on orthopedic care. Together, they explore the early days of MRI at HSS, advances in cartilage imaging, metal artifact reduction, and innovations that have improved diagnostic accuracy and patient care. Dr. Potter also discusses the importance of collaboration between radiologists and surgeons, the role of mentorship in advancing the field, and how emerging technologies such as quantitative imaging and artificial intelligence may shape the future of musculoskeletal radiology, personalized treatment, and return-to-play decision-making.

A 7-year-old boy presents following a suspected seizure, with a history of progressive ataxia and tremor. An MRI offers an important clue but a seemingly reassuring blood result complicates the picture. In this Metabolic Mystery, Dr Steven Lang follows the clues to uncover a treatable metabolic diagnosis. Can you solve the case before he does? Read the paper: https://doi.org/10.1542/pir.2025-007029

From the IASLC 2026 World Conference on Lung Cancer (WCLC) in Seoul, Dr. Narjust Florez talks with Dr. Chad Rusthoven about MAVERICK, the trial that tested MRI surveillance alone against prophylactic cranial irradiation in small cell lung cancer, and with Dr. Chul Kim about the final overall survival results of PAPILLON, amivantamab plus chemotherapy in EGFR exon 20 insertion NSCLC. Both guests share what patients and community oncologists should take from the data. Guests: Chul Kim, MD, MPH Thoracic Medical Oncologist and Associate Professor Georgetown University Chad G. Rusthoven, MD Adjunct Associate Professor University of Colorado University of North Carolina at Chapel Hill

He counts four wounds in American medicine. Patients rarely bring up the first one, which is what health care costs. Narinder Singh Parhar is a physician with more than three decades in internal medicine, hospital medicine, and intensive care. This episode is based on his article "Health care affordability is now a moral crisis," published on KevinMD. A retired Korean War veteran had Medicare, a supplemental plan, and a lifetime of work behind him. He still could not fill a $500 prescription near the end of the year. Narinder argues that spending has piled up in hospitals, imaging, procedures, and specialty care while primary care and the basic work of keeping people well go underfunded. He is blunt about the profession's part in it, saying physicians were taught to be blind to what care costs. You will hear him walk through the ordinary decisions where that shows up: the generic, the office biopsy, the shoulder MRI. He closes with a take-home for physicians that starts somewhere unexpected, with their own health. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

Tant de personnes ayant vécu des évènements difficiles, souvent dans l'enfance, se pensent condamnées à jamais à être malheureuses. Pourtant, si nombre de thérapies sont inefficaces sur le trauma, il en existe de nouvelles qui ont fait leur preuves. J'en parle avec Gérald Brassine, qui y consacre sa vie.Trouver un thérapeute formé à l'approche de Gérald : https://www.imheb.be/praticiens-therapeutes-hypnose-conversationnelle-strategique-ptr-imheb-hypnotherapeutes/Le livre de Gérald (plutôt à destination des professionnels que des patients) : https://www.satas.com/fr/accueil/7901-surmonter-le-traumatisme-initiation-a-la-ptr-psychotherapie-du-trauma-reassociative-hypnose-conversationnelle-strategique.htmlMon site : https://www.fabricemidal.comReso, mon école de méditation : https://www.reso.coRéalisation : Alexandre AgostiniMontage : Constance HaondMots clé : La PTR est une thérapie psychocorporelle indissociable de l'hypnose.Une hypnose conversationnelle, souvent profonde, pendant laquelle patient et thérapeute sont actifs. Ils ont chacun leur travail à effectuer et échangent à tout instant : le thérapeute informe et instruit le patient de ses visées et moyens thérapeutiques alors que ce dernier le tient au courant de ce qui se passe en lui et exprime ses besoins (souvent restés inconscients jusque-là).Face à lui, il sent un thérapeute solide, sachant s'adapter et confiant, qui dispose de véritables anesthésiants émotionnels : les Protections Dissociatives. Présentées ici par leur concepteur, elles révolutionnent la thérapie en permettant aux patients de revisiter le cœur de leurs traumas dissociés, tout en étant protégés. Grâce à elles, un traitement doux et profond répond enfin au besoin de sécurité des personnes en souffrance, que ce soit suite à de « simples blessures de vie » ou à des traumas complexes. Vous verrez également comment la conceptualisation novatrice de la maladie psychosomatique en tant que phénomène hypnotique en facilite le traitement.Ce livre présente des principes clairs et de nombreuses techniques hypnotiques. Illustré de nombreux cas, il permettra aux thérapeutes et aux personnes intéressées par la psychothérapie de se familiariser avec la PTR.Gérald Brassine est d'abord formé en psychanalyse, bioénergie et en systémique, puis initié à l'hypnose ericksonienne en 1982. Il passe l'année suivante aux côtés de P. Watzlawick, J. Weakland, R. Fisch au MRI de Palo Alto dont les conceptions sous-tendent la PTR. S'il ne cesse de s'inspirer des travaux de Milton H. Erickson, sa rencontre avec Mme Kay Thompson, amie et collègue de MHE pendant 30 ans, est décisive et le guide dans l'élaboration de l'hypnose conversationnelle stratégique et donc, de la PTR. Fondateur de l'Institut M. Erickson de Belgique en 1984, son obsession a toujours été la recherche de l'efficacité en psychothérapie. La PTR est un aboutissement de ses efforts.Nadia Tonglet, son épouse et coordinatrice de l'institut depuis plusieurs années, a encouragé et co-écrit avec lui cet ouvrage.

Seattle economic study finds strong tech assets, a risky concentration, and a tax that 'penalizes' hiring // Seattle mayor launches task force as city faces 'fragile' economic moment // Seattle's sluggish economy and Mayor Wilson's plan to goose it // Mayor Wilson Takes Action to Build a More Resilient Seattle Economy // ‘Humans must be in the loop’: Seattle council questions of AI used to divert 911 calls to nurse line // Seattle council questions fire officials about 911 nurse line, AI use // A bot named AVA is answering your non-emergency calls in Kitsap County // Seahawks encouraged about QB Sam Darnold's condition, but MRI to come // Seahawks quarterback Sam Darnold will miss some time, report says // Why Seahawks aren’t worried if Drew Lock is the QB for the coming weeks  

Seattle economic study finds strong tech assets, a risky concentration, and a tax that 'penalizes' hiring // Seattle mayor launches task force as city faces 'fragile' economic moment // Seattle's sluggish economy and Mayor Wilson's plan to goose it // Mayor Wilson Takes Action to Build a More Resilient Seattle Economy // ‘Humans must be in the loop’: Seattle council questions of AI used to divert 911 calls to nurse line // Seattle council questions fire officials about 911 nurse line, AI use // A bot named AVA is answering your non-emergency calls in Kitsap County // Seahawks encouraged about QB Sam Darnold's condition, but MRI to come // Seahawks quarterback Sam Darnold will miss some time, report says // Why Seahawks aren’t worried if Drew Lock is the QB for the coming weeks  

スタンフォード大学にて来春独立する東原幸起a.k.a兄者さんゲスト回。ドラッグボディビル、寄生虫感染に対する腸管の防御機構に関する最新論文の議論、など  (8/19 収録)Show Notes (番組HP):連絡先->kouki.touhara★gmail.comStanford Medicine, Molecular and Cellular Physiology着任アナウンスページSteven Chu optical trappingで1997年ノーベル賞Tom Südhof synaptic transmission/vesicle release mechanismで2013年ノーベル賞。Brian Kobilka β2を含むGPCRの構造解析で2012年ノーベル賞　過去ゲストの加藤emeさんのポスドクアドバイザWu TsaiニューロAllenでやってたKeystone:Interoception: Neural Sensing and Control of Organ Function Rui CostaMark AndermannXin Sun生理学会大会、萩原が参加したのは2014年(91回)でしたグレリンの発見から臨床応用まで：古き良き発見の時代に モノトリはビハインドストーリーがわかりやすくてよい。人工リガンドとオーファン受容体がある状態でのリガンド(グレリン)探しで、脳をすり潰して片っ端からかけてったけど全然ダメで答えは胃でした、という流れ。受容体の構造を解きにいく段階でKobilkaが出てくるのもよい(萩)H1Bで10k払えどうこう東原兄弟ブログ 新 / 旧Deisseroth/Monje: Love means sharing the champagne東原デスブログ石井直方博士ライナス・ポーリング水がどうの：水が全身麻酔のメカニズム？説vitCでなんでも治る説ミロス:Miloš Šarčevミロス合宿ギシ(岸)さん:Big Hide, 山岸秀匡。オリンピア10回出場、マスターズ212級優勝経験を持つ日本人最強のボディビルダー。現在は競技を引退してラスベガスでパートナーのアイリス・カイル（ミス・オリンピア最多優勝を誇る最強の女性ボディビルダー）と共にパワーハウスジムを経営。閉所恐怖症でMRIがとれないハイパー・ジャイアントセット:複数種目をインターバルなしに連続でこなす方法。横川くん：横川直隆　ビビリで飛行機に乗れない212:212ポンド(100kg弱)以下の体重の階級。JINが肩トレでゲロ吐いた動画倉持くん：Ken Kuramochiエドワード加藤Lyft岩井ウイスキーのNHK朝ドラ:マッサンバイオステーション東原さん回David Julius実は5-HT1cもクローニングしてる Julius, Macdermott, Axel, and Jessel, 1988実はP2Y, P2X, 5-HT3もクローニングしてるおもしろ動物生物学: ヘビの赤外線感知、コウモリ赤外線感知、クモ毒、電気受容 パラサイト論文 (Touhara et al., 2026)Issac Chiu, CGRP: calcitonin gene-related peptideカルテクの岡先生Crypt-Villusの論文TRPA1:TRPA1をチャネルとしてクローニングしたのは実はArdem Patapotianです。ですが、このときは温度感知チャネルとして発見されています。後にDavidがマスタード類を感知する辛味レセプターだと発見します(東)EC細胞: Enterochromaffin cell, 腸クロム親和性細胞エレクトロファイル: 求電子剤5HTR3アンタゴニスト:Ondansetron/Zofranラクテースドーピング帰国発展：JSPS帰国発展。提出前にドラフトを交換してコメントして、無事両方通りました。さきがけのIP：（海外研究機関向け）契約締結に関する事前確認様式 (直pdfファイルリンク) 加藤emeさん回“神経修飾因子”の定義: このwikipediaの説明が個人的な理解に近い(萩)volume transmission 方散痛盲腸の役割樽野さんのラージポアチャネル 原著/総説AcuteなAChは虫を水でフラッシュする登さん回パワー (東)研究はさることながら、筋トレも一流で、ただただすごい。パワー。(筋トレが続かない藤)自分も東原兄弟ブログの一読者でした。最近筋トレしてないな… (脇)キーストンin Seattleのときに3人で飯に行ったのが前回の渉さんとだったというエモさ。各ホストが勝手に企画してるので本当に偶然(萩)

Get Up Resumes with reactions to last night's thriller. Sam Darnold goes for an MRI today, how long can Seattle survive without their QB? What went wrong for Drake Maye? Meanwhile Bussin' With the Boys hosts Will Compton and Taylor Lewan join the show to give their predictions on some of the best upcoming week one games. Then Josh Pate joins to cover more of the controversies stemming from Michigan's miracle hail mary last weekend. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Private Equity in Primary Care: Just Another Inflationary Business Model? What Does the Data Actually Show, With Yashaswini Singh, PhD (EP528) Private equity has been buying up primary care practices for years, promising the capital that chronically underfunded clinicians badly need. But does the money actually make care better? Yashaswini Singh, PhD, MPA, the Thomas J. and Alice M. Tisch Assistant Professor of Health Services, Policy, and Practice at Brown University, has spent years studying that question — and her newest research, published in Health Affairs and JAMA Health Forum, finds PE-affiliated primary care physicians negotiate prices 8% to 10% higher than independent doctors, while patient outcomes barely budge. WHAT YOU'LL LEARN ✅ Why negotiated prices for PE-affiliated primary care physicians run 8% to 10% higher than independent doctors — and why hospital-affiliated physicians still command the highest prices of all ✅ How a national study of roughly 200 PE-acquired primary care practices found a 20% increase in preventive services, including the Medicare Annual Wellness Visit, with no evidence of low-value care ✅ Why "cognitive atrophy" — deskilling from rigid, box-checking visits — isn't inevitable under PE ownership, but why the "best case scenario" often isn't what's actually happening ✅ How opaque common ownership — the same investors owning primary care, GI, orthopedic, and oncology practices — can create hidden referral incentives current data can't detect ✅ Why site-of-care payment arbitrage — a hospital-owned MRI can cost double or triple an independent one — drives referral-machine incentives regardless of who owns the practice ✅ Why PE's promise to reduce fragmentation through consolidation has instead produced physician turnover that undermines the patient-doctor relationship WHY THIS MATTERS Primary care clinicians are chronically underpaid, and private equity promises the capital to fix that. But Dr. Singh's research shows a real tradeoff: costs rise 8% to 10% while quality barely moves. Whether professional capital builds sustainable, whole-person care or becomes, as Stacey puts it, corporate arbitrage in a different Halloween costume depends on realigning payment incentives around outcomes rather than throughput — something no ownership model, PE included, is yet built to do. MENTIONED IN THIS EPISODE EP519 with Lisa Rosenbaum, MD: Apple Podcasts | Spotify | Other Apps LinkedIn Post by Yashaswini Singh, PhD EP474 with Yashaswini Singh, PhD: Apple Podcasts | Spotify | Other Apps Study: "Private Equity Acquisitions in Primary Care" (Health Affairs) Study: "Private Equity Acquisition in Primary Care and Avoidable Hospitalizations" (JAMA Health Forum) LinkedIn Comment by Andrea DeSantis, DO, FAAFP EP521 with Andrew Tsang: Apple Podcasts | Spotify | Other Apps EP523 with Suhas Gondi, MD, MBA: Apple Podcasts | Spotify | Other Apps === LINKS ===

In this episode of Fixing Healthcare, Dr. Robert Pearl and Jeremy Corr welcome back Dr. Rod Rohrich, an internationally recognized plastic surgeon, former editor-in-chief of Plastic and Reconstructive Surgery and national leader in the application and safety of social media for medical advancement. Dr. Rohrich, a returning guest (FHC #57), focuses now on the healthcare concerns most affecting Americans today. Drawing on his experience with patients, physicians and a massive social media audience, Rohrich identifies three questions he hears most often: Can I trust my doctor? Is this information true or merely popular? And can AI really help me understand my health and make it better? These questions frame a conversation about generative AI, patient empowerment, medical misinformation, physician compassion and the future of clinical practice. Can I trust my doctor? Rohrich says patients want the speed of AI and the accessibility of social media, but they still want the compassion and judgment of a trusted physician. He and Pearl agree that AI will not replace doctors, but it can help patients ask better questions, understand their conditions more quickly and arrive at appointments better prepared. Rohrich sees this already in plastic surgery, where patients bring questions, research and even AI-generated summaries into consultations. Used well, he says, AI can streamline the visit, clarify patient goals and help physicians focus faster on what the patient needs. Is this information true or merely popular? Rohrich's social media experience gives him a clear view of the problem. Patients are bombarded with claims about longevity, sleep, fitness, supplements and medical treatments, often from influencers with no healthcare background. His practical advice is to use generative AI as a filter: ask tools like ChatGPT or Claude to evaluate claims based on peer-reviewed, evidence-based research and supporting references. Pearl connects the point to peptides, noting that enthusiasm is not the same as evidence. Both physicians argue that patients need better ways to distinguish science from marketing. Can AI really help me understand my health and make it better? Pearl and Rohrich see AI's greatest promise in making care faster, more personalized and more humane. Rohrich shares how AI helped identify a postoperative infection from a patient photo and generate clearer instructions for home care. He also describes using AI to write more empathetic responses to anxious patients. Pearl adds that ambient AI tools can free doctors from computer screens, while future applications could help patients understand hospital care, test results and next steps. The goal, both agree, is not to remove humanity from medicine but to use technology to restore it. Jeremy closes the show with a patient-centered concern: What happens when people receive lab, MRI or CT results through an online portal late at night, without a physician available to explain them? Rohrich says AI is already better than Google at providing context, but it must be used carefully because partial information can produce partial answers. Pearl argues that the answer is not to fear the technology, but to make secure, private AI tools more complete, accurate and useful for patients. The episode ends with Drs. Pearl and Rohrich laying out a shared vision. Generative AI should not replace physicians. It should take work off their plates so they can focus on what only people can do: solve complex problems, communicate compassion and guide patients through frightening moments. For Rohrich and Pearl, AI offers a chance to make medicine faster, smarter and more human, but only if doctors and patients learn to use it well and keep evidence at the center. * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #227: Dr. Rod Rohrich on social media, science and AI-powered care appeared first on Fixing Healthcare.

Drs. Owens and de Feria review emerging data on epicardial adipose tissue and MRI-based markers to refine hypertrophic cardiomyopathy risk assessment. They highlight integrating imaging and biomarkers, including NT‑proBNP, to predict heart failure and arrhythmic outcomes.

Recurring injuries are often not just about bad luck, poor form, or one wrong movement. In this episode, Dr. Greg Jones sits down with Dr. Stefi Cohen, Doctor of Physical Therapy, strength coach, entrepreneur, and world-record powerlifter, to explain why injuries keep coming back and how training load, tissue capacity, recovery, and pain science all shape long-term healing.They discuss why active people often experience recurring back pain, shoulder injuries, and training setbacks even when they are doing “the right exercises.”  This conversation also covers the role of deadlifts, lifting technique, efficient movement, early injury management, shoulder pain red flags, regenerative medicine, PRP, prolotherapy, peptides, and practical ways to build a stronger, more resilient body. If you are an athlete, coach, clinician, or active adult trying to recover from injury, train smarter, and prevent setbacks, this episode offers a clear framework for improving performance while respecting recovery.Get 10% off your first order at Dr. Jones Supplement Store when you join the email list. https://drjonessupplements.com/

Endometriosis affects an estimated 1 in 10 women, yet diagnosis can still take years. Some women experience debilitating period pain or GI symptoms, while others have little obvious pain and first encounter endometriosis during an infertility evaluation. How do you know when endometriosis could be the cause, and what should happen next? In this episode of the As a Woman podcast, Dr. Natalie Crawford talks with Dr. Mallory Stuparich, a board-certified OB/GYN and fellowship-trained minimally invasive gynecologic surgeon specializing in endometriosis and complex pelvic pain. They explain why endometriosis can be missed even after an ultrasound, how birth control and excision surgery serve different goals, what to consider about fertility before surgery, and how to choose care based on your symptoms and priorities. IN THIS EPISODE: 00:00 Endometriosis Symptoms, Treatment, and Fertility 01:21 Meet Dr. Mallory Stuparich 04:32 What Is Endometriosis? 06:09 What Do the Stages of Endometriosis Mean? 07:33 Why Does Endometriosis Take So Long to Diagnose? 09:03 What Are the Symptoms of Endometriosis? 10:35 Does Endometriosis Run in Families? 11:52 When Is Period Pain Abnormal in Teenagers? 13:01 Can Endometriosis Cause GI Symptoms? 13:58 What Are the Treatment Options for Endometriosis? 16:20 Does Birth Control Treat Endometriosis? 18:45 Can Birth Control Prevent Endometriomas? 21:15 Ablation vs. Excision Surgery for Endometriosis 25:04 When Is Lupron Used for Endometriosis and IVF? 28:00 How Does Endometriosis Affect Fertility? 29:22 Should You See a Fertility Specialist Before Endometriosis Surgery? 32:27 Can Repeat Endometriosis Surgery Improve Fertility? 34:25 How Do You Choose an Endometriosis Surgeon? 36:01 When Is Surgery Used to Diagnose Endometriosis? 37:47 Can Ultrasound Diagnose Endometriosis? 39:26 When Do You Need an MRI for Endometriosis? 41:32 Where Can Endometriosis Grow? 42:31 Endometriosis vs. Adenomyosis: What's the Difference? 43:50 How Is Adenomyosis Treated Before IVF? 45:21 Can Lifestyle Changes Help Endometriosis? 48:49 Can GLP-1 Medications Help Endometriosis? 50:24 What New Endometriosis Tests Are Being Studied? 51:14 How to Advocate for Endometriosis Care GUEST RESOURCES: Instagram: https://www.instagram.com/mallorystuparichmd/ Website: https://internationalendo.com/drmallorystuparich/ AS A WOMAN WITH DR. NATALIE CRAWFORD: YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l  Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339  Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk  HOST RESOURCES: Order The Fertility Formula: https://www.nataliecrawfordmd.com/book  Newsletter: https://www.nataliecrawfordmd.com/newsletter  Instagram: https://www.instagram.com/nataliecrawfordmd  YouTube: https://www.youtube.com/@NatalieCrawfordMD  Become a patient: https://www.forafertility.com  Earn FREE CE/CME: https://learnatpinnacle.com/education  This episode is brought to you by The Pinnacle Podcast Network. ABOUT DR. NATALIE CRAWFORD: Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies. Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Join The Circle and use code “PODCAST”: https://holplus.co/circle/What if looking fit on the outside is hiding how much your body is struggling underneath? Cameron Mathison was known as the healthy, camera-ready guy on television. Behind the lean physique, however, he was under-eating, overtraining, living in a constant state of stress, and dealing with reflux, bloating, low energy, and bloodwork that did not make sense.When Cameron could not shake the feeling that something more serious was wrong, he advocated for an MRI. It revealed kidney cancer.In this episode of hol+ with Dr. Taz MD, the Emmy-nominated actor and Emmy-winning television host shares how listening to his body helped detect his cancer before it spread, what recovery taught him, and why looking healthy is not the same as being healthy.Cameron and Dr. Taz explore how functional health coaching helped him rethink nutrition, recovery, gut health, hormones, blood sugar, cortisol, sleep, and movement. Cameron also shares the personalized protocol he followed with professional guidance, how meditation became part of his healing, and why he now feels stronger and healthier in his 50s than he did at 30.Dr. Taz also opens up about her husband suffering a heart attack at only 41, highlighting why men cannot afford to wait for a major health crisis before paying attention to persistent symptoms.In this episode:Why looking fit does not always mean your body is healthyCameron's childhood battle with Legg-Calvé-Perthes diseaseHow extreme dieting, fasting, and overtraining affected his healthThe reflux, gut symptoms, fatigue, and abnormal bloodwork that left him searching for answersWhy Cameron kept asking for an MRIFinding kidney cancer before it had spreadThe fear and vulnerability that followed his diagnosisHow functional health coaching changed his approach to recoveryThe personalized gut-health protocol Cameron followedWhy rest, sleep, nutrition, and metabolic flexibility matterHow meditation supports the connection between physical and emotional healthWhy simple changes can make a meaningful difference for men's longevityChapters: 00:00 Looking healthy while knowing something was wrong00:32 Dr. Taz's personal warning about men's health04:28 Cameron's childhood diagnosis and pursuit of fitness09:20 Years of reflux, gut symptoms, and unanswered questions13:28 Why Cameron insisted on getting an MRI18:48 How functional health coaching changed his recovery31:15 The personalized gut protocol Cameron followed40:05 Why healing changes how you show up48:01 Health360 and a whole-person approach to care54:45 Why men cannot wait for a health crisisLearn more about support related to this conversation:Men's Health: https://holplus.co/services/mens-health/Digestive Health: https://holplus.co/conditions/digestive-health/Book a virtual hol+ consultation: https://holplus.co/locations/virtual/About Cameron MathisonCameron Mathison is an Emmy-nominated actor and Emmy-winning television host known for his roles on All My Children and General Hospital, as well as co-hosting Hallmark Channel's Home & Family. A kidney cancer survivor and longtime health advocate, Cameron created Health360 to help make personalized, whole-person health coaching more accessible.Connect with Cameron MathisonInstagram: https://www.instagram.com/cameronmathison/Health360: https://www.joinhealth360.com/Health360 Instagram: https://www.instagram.com/joinhealth360/About Dr. Taz:Dr. Tasneem Bhatia (Dr. Taz) is a triple board-certified integrative medicine physician, bestselling author, and founder of hol+, a multi-location integrative medicine practice.Learn more: https://doctortaz.com/aboutStay Connected:Connect further with hol+ at https://holplus.co/ and don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+.Book a Hol+ Consultation:https://holplus.co/locations/virtual/Follow Dr. Taz on Instagram:https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Subscribe to the audio podcast:https://holplus.transistor.fm/subscribeSubscribe to the video podcast:https://www.youtube.com/@DrTazMD/podcastsProduced by https://ClipGrowth.com (Producer: Pat Gostek)

In this episode, I join Eleana V to talk about body fat and in particular visceral fat i.e. the fat that surrounds our internal organs and can be hidden even in people who appear to be a “normal” weight.We discuss why visceral fat is different, what health conditions it's associated with, why we don't routinely measure it and the role of MRI and DEXA in assessing body composition.We also explore what actually helps reduce visceral fat and we finish with a quick-fire HOT TAKE round covering Ozempic, seed oils, coffee, alcohol, cold plunges, red light, grounding, sunscreen, CGMs and more.Listen to the Eleana V PodcastSpotify: https://open.spotify.com/show/4WQR4ggZZQgSCF1CLk15nGYouTube: https://www.youtube.com/watch?v=9Ui_nOM9Y-8To be the first to be notified about MRI Visceral fat scans, join my website mailing list - www.drmaxgulhane.com Send us Fan Mail

Drs. Kittleson and Ghafourian discuss how to accurately diagnose ATTR-CM, emphasizing that the first step must always be a complete monoclonal protein screen to exclude AL amyloidosis before interpreting a PYP scan. They highlight common pitfalls with PYP imaging; the supportive (but not definitive) role of cardiac MRI; the need for routine TTR genotyping after diagnosis; and the importance of recognizing noncardiac clues to identify patients early enough to benefit from disease‑modifying therapies.

I sit down with Jean Edelstein, Lynch Syndrome patient advocate and author of Breasts a Relatively Brief Relationship and It's Really Not About You.   We discuss New Jersey, family, fiber, and MRI's, you know your typical conversation.  Enjoy.  

In 2016, researchers in Vancouver, Canada observed an unprecedented phenomenon: an 87-year-old patient died while undergoing an MRI scan. It was the first ever recording of the brain activity of a human being at the moment of death. After all, death is a topic that remains shrouded in mystery. What are the physical stages of death then? Does the body really shut down all at once then? In under 3 minutes, we answer your questions! To listen to the latest episodes, click here: ⁠⁠Do I really need to flush toxins out of my body?⁠⁠ ⁠⁠How can I limit the effects of sugar on my health?⁠⁠ ⁠⁠Which cooking method is the healthiest?⁠⁠ A Bababam Originals podcast written and realised by Joseph Chance. First Broadcast: 11/12/2025 Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode Overview:  In this episode of The Penis Project Podcast, Melissa sits down with Will McDonald, Channel 9 news reporter, PCFA ambassador, Ironman finisher, skydiver and father, for a candid and inspiring conversation.    Will was 42 when he was diagnosed with stage 4 prostate cancer that had metastasised to his hip. He was fit, active and had no urinary symptoms whatsoever. The first sign anything was wrong was a nagging pain in his left hip that simply never got better. Six weeks later an MRI revealed lesions that were almost certainly cancerous, and his PSA, when it was finally tested, confirmed prostate cancer as the source.  What followed was hormone therapy, chemotherapy, radiation to his prostate, lymph nodes and hip, and the beginning of a very different kind of life. Six years on, Will's PSA remains undetectable. He is still on androgen deprivation therapy, taking medication twice daily alongside a three-monthly injection. He describes the treatment honestly. He dislikes it, it changes your body, and there are days when it is genuinely hard. But he has found that resistance training, diet, mindset and refusing to make cancer the centre of his identity has made an enormous difference.  The episode also covers Will's decision to bank sperm before treatment, the five rounds of IVF he and his partner went through, and the arrival of their son Alfie in 2023. And then there is the Ironman: a 3.8km swim, a 180km ride and a 42km run, completed on ADT to raise funds for the Prostate Cancer Foundation of Australia, because sometimes the best answer to cancer is to go and do the hardest thing you can think of.  This is a conversation about prostate cancer, yes, but it is also about identity, resilience, fatherhood, fear, gratitude and what it really means to keep living.    Golden Tip: Prostate cancer is often entirely silent. Will had no urinary symptoms, no sexual dysfunction, nothing. His cancer was found in his bones first. Do not wait for a symptom to get a PSA test.     In This Episode, We Cover  Prostate cancer is often completely silent — screening matters even without symptoms  Why family history is a critical risk factor, and why sons and brothers of affected men should start screening from 40  The case for a national PSA screening program, and why early diagnosis changes outcomes  Long-term hormone therapy (ADT) causes fatigue, weight and body changes, and emotional shifts — resistance training is one of the most effective counter-measures  Exercise as medicine: how targeted resistance training can ease treatment side effects and may help slow disease progression  Fertility preservation and IVF are important conversations to have early in a cancer diagnosis, before treatment begins  Partners of cancer patients need their own support, not just a supporting role  Advanced or metastatic prostate cancer doesn't have to mean the end of an active, meaningful life    Key Message from Will  His message is simple. Do not let fear of what might happen stop you from living. You cannot control the buses. You can control what you do with the time you have.  Resources & Links  Will McDonald, PCFA ambassador https://www.pcfa.org.au/news-media/news/cancer-champion-takes-on-cairns-ironman-for-charity/   Book a telehealth consult with one of our sexual health nurse practitioners at Restorative Health Clinic  For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com  Prostate Cancer Foundation of Australia https://www.pcfa.org.au/  PCFA specialist prostate cancer nurses https://www.pcfa.org.au/support/prostate-cancer-specialist-nurses/    For more information visit our websites:  www.rshealth.com.au  www.makehardeasy.com.au  www.melissahadleybarrett.com    Need Support?  At Restorative Health Clinic, we support men and their partners with:  Penile rehabilitation after prostate cancer treatment  Erectile dysfunction  Vacuum pump and constriction ring education and prescription  Penile injection therapy  Intimacy and sexual recovery  Partner-inclusive support where appropriate  Practical, evidence-based strategies for rebuilding confidence and function    We offer telehealth consultations Australia-wide and internationally, making it easier for men to access experienced, compassionate support no matter where they live. If Steve's story sounds familiar, we would love to hear from you.    Restorative Health Clinic also has a psychologist-sexologist joining the team. If you are struggling with the emotional or psychological side of erectile dysfunction, prostate cancer recovery, or intimacy, we can support you there too – as an individual or as a couple.    Listen & Subscribe  If you found this episode helpful, please subscribe, rate, and review The Penis Project Podcast. Your feedback helps more men and their partners find these conversations. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app.    We also have a free email list for updates, episodes, and resources. You can sign up via our website.     Connect With Us  We love hearing from real people navigating their health. If you would like to share your story or ask a question, get in touch.    Email: admin@rshealth.com.au    Websites:  rshealth.com.au   makehardeasy.com.au  melissahadleybarrett.com    Instagram:  @melissahadleybarrett  @restorativehealth.clinic    YouTube:  Melissa Hadley Barrett    TikTok:  @melissahadleybarrett    Facebook:  Melissa Hadley Barrett  Restorative Health Clinic    LinkedIn:  Melissa Hadley Barrett    TEDx Talk:  Watch on YouTube 

Mazel Morons! Today we welcome back Botched's Dr. Terry Dubrow! We go over the quest to combat aging, Ben's ulnar nerve entrapment, the pros and cons of full body MRI scans, and when men should be getting a colonoscopy. Then, the problems with peptides, gaining muscle without the weights, blocking out food noise, and streaming in the gym with no headphones. What are ya nuts?! Love ya! Write us! Send your messages to goodguyspodcast1@gmail.com  Follow us on Instagram and TikTok!  Sponsors: Give them meals + snacks that are actually right for where kids are developmentally—balanced, intentional and made to support real growth. Go to littlespoon.com/GOODGUYS and enter code GOODGUYS for 30% off your first order. Go to ro.co/goodguys to see if you qualify and get started on Ro. Download the Bilt app and join the membership for where you live, at joinbilt.com/goodguys. Go to IM8HEALTH.com/goodguys RIGHT NOW or click on the link in the description and use code goodguys for a Free Welcome Kit, five free travel sachets, plus ten percent off your order. Once you try it on a first meeting, it's hard to go without. You can try it totally free—head to granola.ai/goodguys. Download Whatnot today and get $20 off your first purchase. Search Whatnot in the app store, sign up, and start finding the best deals on the products you love with $20 off your first purchase. Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode. Produced by Dear Media. Learn more about your ad choices. Visit megaphone.fm/adchoices

One of the best things you can do with your time is hire a boat that you can sleep on and float up a river for a few days.Time stops.Absorb the weather, whatever form it takes, but sunny is best. Breathe in the air. Sleep as the boat gently bobs up and down. Contemplate. Talk. Play games. Eat. Swim.Peace descends and nothing much matters any more.I've done this several times on the Thames and, having just spent a few days in Serbia, I now plan to do the same thing on the Danube. I just had a little taster. I flew out to Serbia because I was speaking and performing at Liberpulco, the European brother of Anarchapulco, an anarchy meet-up - I hesitate to call it a conference - held every year in Acapulco. The idea is that the European version should take place in Liberland.Wait! What? Where?Gornja Siga is a small area of river islands and floodplain in the Danube about three square miles in size (more when the river is low). For some context, it would be about the size of Gibraltar.The Danube forms the border between Serbia and Croatia. Following the break-up of Yugoslavia, there was no agreement as to who owned this floodplain. It was terra nulla.Enter Vít Jedlička, a Czech politician and entrepreneur, who declared the territory the Free Republic of Liberland and has been trying to establish his own micronation ever since. “We are building the greatest tax haven the world has ever seen,” I once heard him declare in a presentation.Jedlička is a wonderful speaker, a great publicist and highly entrepreneurial. For obvious reasons, the project appealed to alienated libertarians around the world.He began selling passports and citizenship. He appointed various ministers. The nation's coffers were held in bitcoin. The nation even declares an annual profit.However, he needs another nation to recognise Liberland, which no one has yet done (despite, I gather, Argentine president Javier Millei being a citizen), and of course the idea has gone down like a bucket of sick at the UN.You also can't currently access the island by boat from Serbia without running into the Croatian police. If you should attempt to dock your boat, the police will arrest you. I think the grounds are entering the EU illegally. I swam to within about 5 feet of depth but then lost my nerve as the Croatia police boat approached and swam back into deeper water. Keeping a boat permanently stationed there is costing the Croatian police millions. Most days nothing happens. The police just sit there bored. What a waste of a life.You can access Liberland from the Croatian side, and some settlers live there in tents. Might for fun for a bit, but probably not a long-term option except for the most dedicated.Jedlička has now bought a plot of land beside a lake in the nearby Serbian town of Apatin, called it Ark and declared a government in exile. They have built a campsite, a small conference centre and various other facilities. It feels as much like a holiday resort as a country.Here is your author by said lake giving his best salmon impersonation.I don't know the ins and outs of the whole thing, but the project appeals to me if only because I find its sheer irreverence very funny. And because everyone wants to start their own nation. Who actually does?So that was what brought me to Serbia. And I am most grateful to the organizers for having me.Dogs and cigarettesWe flew into Belgrade, which itself is a tricky place to get to (try getting there from the south of France) and from there drove three hours to the town of Sombor and our hotel.I loved Sombor.I felt as though I had gone back in time to how European cities used to be: sleepy, friendly and safe. The country is 99% Christian Orthodox, and, from what little I experienced, both there and in Belgrade pretty monocultural. Serbs mostly seem to speak very good English. They are shy, polite, respectful, ambitious, hard working, driven and they take whatever they are doing very seriously.It's not like many other countries I could mention where you get accosted everywhere you go. People mostly left you alone to get on with whatever you were doing. But if you needed anything, they couldn't have been more helpful.In Belgrade, for example, taxis don't seem to stop on the street and there is no Uber. It took me more than 24 hours to work this out. But randoms on the street were more than happy to stop, get their phones out and call a taxi for me. If I asked a random in London to call me a taxi, Lord knows where that would end up.The food was delicious. Lots of trout, catfish and pork. Not particularly cheap.People looked pretty healthy, I must say. No rampant obesity. Although there were plenty of older men who looked as though they had drunk their fair share of beer over the years.That was another thing that took me back in time. Everybody smokes. Lots of sitting around in cafés, smoking and presumably discussing existentialism. You go into restaurants and there is a smoking area and a non-smoking area, and the smoking area is often more crowded. I'm so used to non-smoking restaurants that I have to say I didn't particularly like the smell.Belgrade was the same. Not particularly cheap. Some excellent food. As good a steak as I have ever eaten.Av ery high dog per capita ratio too. Everyone seems to own a dog and, what I liked, even in the capital many seemed to walk their dogs off a lead. Like the UK in the 1970s early 80s before pitbulls, health and safety arrived.Belgrade's location where the Danube and Sava rivers meet means it has been enormously important strategically. How about this for a stat? It has been fought over in 115 wars and razed 44 timesLots of splendid Orthodox churches. Look at all that gold leaf.Quite a bit of graffiti too. I couldn't understand what it said, but presumably something to do with the war. It has an unpopular and corrupt government that faces weekly protests. According to one taxi driver, always a reliable source of political opinion, it promises to join the EU and never does. Like somewhere else I could mention, the population is split 50:50 as to whether joining the EU is a good idea or not. A beautiful central park with a fortress that looks like Helms Deep. Lovely walks along the Danube. Lots of views. Here's one of them.I managed to rupture a tendon in my knee playing pickleball a month back, and this gave me an unexpected insight into the Serbian healthcare system. My knee was hurting so I took to google and got an appointment that same day with an orthopaedic surgeon. The clinic was not in the centre of town so we got some insight into ‘the real Belgrade”. What struck me was the relationship between the doctors and their patients. It seemed so good. They all seemed to know each other. There was affection. They seemed to feel part of the same community. It was so good to see. I then had an MRI the following day, all for about a quarter of what I would have expected to pay in the UK. That was a good experience too.I liked Serbia and will go back. Next time I am going to get a boat and drift up the Danube for a few days. There is something about being on a river that strips life down to its essentials. For a few days at least, I will drift, gently sway, bob up and down and nothing much will matter any more.Here is this week's commentary, in case you missed it.Until next time,Happy Sunday,DominicIf you live in a third world country such as the UK, I urge you to own gold or silver. The pound will be further devalued, as will the euro and dollar. The bullion dealer I use and recommend is The Pure Gold Company. They deliver to the UK, the US, Canada and Europe. More here. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.theflyingfrisby.com/subscribe

Most men who undergo a prostate biopsy may not have cancer found at all—and the bigger mistake may be rushing from a single elevated PSA straight to the needle.Dr. James Wysock, an NYU urologist with deep expertise in prostate cancer diagnostics and image-guided biopsy, explains why the modern biopsy decision is no longer about PSA alone. Repeat testing, prostate MRI, PSA density, blood and urine biomarkers, and expert image targeting can dramatically change who should be biopsied and how that biopsy should be performed.Just as surprising: transperineal biopsy is not automatically “better” in every case. It clearly lowers infection and antibiotic exposure, but biopsy accuracy still depends heavily on imaging, fusion quality, sampling technique, and operator experience.In this episode, you'll learn...Why one elevated PSA should often be repeated before escalating testing.Why MRI may be the most important next test when biopsy risk remains concerning.How transperineal and transrectal biopsies really compare.How new fusion, needle and tissue-preservation technologies could make future biopsies shorter, more precise and less invasive.___________________________________

This Week In Startups is made possible by: Odoo - http://Odoo.com/twist Northwest Registered Agent - https://www.northwestregisteredagent.com/twistdomain Rippling - http://Rippling.ai/twist Today's show: Your doctor almost certainly isn't testing your insulin. Dr. Mark Hyman sits down with Jason to explain the broken system that Function is fixing, and what 100 million biomarkers say about how sick America actually is. Learn why insulin beats blood sugar as an early warning for TKTKTK. Why might "normal" lab ranges be unreliable? PLUS, how does an expert like Dr. Hyman feel about GLP-1s and psychedelics? Guests: Dr. Mark Hyman on X: https://x.com/drmarkhyman Function: https://www.functionhealth.com/ Relevant Links: The Dr. Hyman Show — https://podcasts.apple.com/us/podcast/the-dr-hyman-show/id1382804627 Function pricing — https://www.functionhealth.com/pricing Ezra — the full-body MRI company Function acquired https://ezra.com/ Galleri (GRAIL) — the multi-cancer early detection blood test — https://www.galleri.com/ Tufts / JACC study — the source of the "93% of Americans have metabolic dysfunction" — https://now.tufts.edu/2022/07/05/only-7-american-adults-have-good-cardiometabolic-health American College of Cardiology — https://www.acc.org/ Dr. Jorge Plutzky — https://www.health.harvard.edu/authors/jorge-plutzky-md OpenEvidence — https://www.openevidence.com/ Stanford Metabolic Psychiatry Clinic — https://med.stanford.edu/news/all-news/2022/11/metabolic-psychiatry.html Stanford Medicine on the ibogaine findings → https://med.stanford.edu/news/all-news/2024/01/ibogaine-ptsd.html Texas SB 2308 — the $50M state investment in ibogaine trials — https://www.texastribune.org/2026/03/31/texas-ibogaine-research-clinical-trials-psychedelics/ Timestamps: 0:00 What Function actually is 6:43 Healthspan vs. sick care 10:16 Odoo - The all-in-one business platform. Your first app is free! Get started today at https://Odoo.com/twist 11:32 A $300 vitamin D test vs. a $10 one 18:08 Should a 25-year-old get a whole-body MRI? 20:42 Northwest Registered Agent - Got a new business idea? Northwest Registered Agent helps you bring it to life. Get a free domain, email, phone number, and more - with no purchase required! Learn more at https://www.northwestregisteredagent.com/twistdomain 24:23 Why medicine is still running on paper 25:41 The study where the chatbot beat the doctors 27:02 micro1, doctors in the loop, and why AI still needs guardrails 28:50 Wearables, records, and the CD-ROM problem 30:07 Rippling - Thanks to our partners at Rippling! Head to https://Rippling.ai/twist and get the only AI built to give you full visibility across your startup and take complex actions across your entire business. 32:51 The wearable that caught Jason's Covid 34:31 Alcohol, sugar, and why almost nobody tests your insulin 40:00 GLP-1s: Jason's 213-to-168 story 42:22 Microdosing GLP-1s, muscle loss, and "skinny fat" 48:48 Overdiagnosing mental illness: SSRIs, Adderall, and a lost decade 50:17 The biology underneath depression and anxiety 54:32 Psychedelics: ketamine, ibogaine, and the second revolution in psychiatry   Subscribe to the TWiST500 newsletter: https://ticker.thisweekinstartups.com Check out the TWIST500: https://www.twist500.com Subscribe to This Week in Startups on Apple: https://rb.gy/v19fcp Follow Lon: X: https://x.com/lons Follow Jason: X: https://twitter.com/Jason LinkedIn: https://www.linkedin.com/in/jasoncalacanis Thank you to our partners: Check out all our partner offers: https://partners.launch.co/ Great TWIST interviews: Will Guidara, Eoghan McCabe, Steve Huffman, Brian Chesky, Bob Moesta, Aaron Levie, Sophia Amoruso, Reid Hoffman, Frank Slootman, Billy McFarland Check out Jason's suite of newsletters: https://substack.com/@calacanis Follow TWiST: Twitter: https://twitter.com/TWiStartups YouTube: https://www.youtube.com/thisweekin Instagram: https://www.instagram.com/thisweekinstartups TikTok: https://www.tiktok.com/@thisweekinstartups Substack: https://twistartups.substack.com

Broadcast from KSQD, Santa Cruz on 9-03-2026: With CDC vaccine guidance politically contested, major medical societies (AAFP, AAP, ACOG, IDSA) issued their own recommendations through the Vaccine Integrity Project. Dr. Dawn recommends flu shots in October for peak Thanksgiving antibodies, high-dose flu vaccine (not adjuvanted) for frail seniors, and COVID/flu/RSV given at the same visit—except delay COVID vaccination four to six months after recent infection. Pregnant women should receive RSV vaccine at 32-36 weeks, and infants under eight months entering their first RSV season need vaccination if the mother wasn't vaccinated. RSV is one-time only for adults 75+, or for high-risk 50-74-year-olds. Measles is the most contagious human disease, transmissible through brief incidental contact (buses, taxis, carnival rides). Beyond acute mortality (one in 5,000 pre-vaccine), survivors face rare but catastrophic subacute sclerosing panencephalitis 10-40 years later—immune-mediated brain destruction comparable to Huntington's. Thirty percent of current outbreak cases are in adults reflecting decades of under-vaccination in certain communities, and pregnant unvaccinated mothers create a dangerous one-year window since the live vaccine cannot be given during pregnancy. Inlicitide (brand name Lipithandra) is the first oral PCSK9 inhibitor for LDL reduction, priced at $315/month versus $600 for the injectable version. Dr. Dawn positions it strictly as a treatment—not preventive—drug for patients who've had a heart attack or equivalent event and cannot achieve target LDL on statins alone, with prior authorization typically successful given documented disease. Updated cancer screening guidance from major societies: cervical cancer screening at 25 for HPV-vaccinated women (earlier if unvaccinated), annual mammograms from 45-54 then biennial, PSA screening starting at 50, and low-dose CT lung cancer screening at 50-80 for heavy smokers. Dr. Dawn pushes back on the 2018 Task Force downplaying of PSA screening, noting MRI-targeted transperineal biopsies have dramatically reduced false-positive complications. She also warns about rising male cancer diagnoses at later stages for stomach, lung, tongue, and throat cancers, and recommends the vinegar test for suspicious oral white spots. Parkinson's disease develops through a decades-long prodromal phase before motor symptoms appear—by tremor onset, at least half the substantia nigra neurons are dead. Four early warning signs: persistent loss of smell (90% of Parkinson's patients experience this up to 20 years before diagnosis; free scratch-and-sniff cards available from The Michael J. Fox Foundation), REM sleep behavior disorder (acting out dreams; 50-70% develop Parkinson's or Lewy body dementia within 5-10 years, 130-fold higher risk if over 50), chronic constipation (possibly linked to gut microbiome production of misfolded alpha-synuclein), and orthostatic hypotension. Available diagnostics include alpha-synuclein seed amplifier assay (CSF), skin biopsy, and DaTscan SPECT imaging (typically covered with "clinical uncertainty" documentation). A caller with insomnia asks about using vinegar to clean his new CPAP machine. Dr. Dawn recommends one part white vinegar to three parts warm water, then rinsing—or unscented Dr. Bronner's castile soap. She emphasizes avoiding bleach, alcohol, ammonia, scented soaps, and moisturizers, since mold prevention is the primary cleaning goal. Columbia University's STAR (Sperm Track and Recovery) AI system, inspired by astronomical star-detection algorithms, hunts vanishingly rare sperm in men with azoospermia by streaming semen through a hair-thin channel imaged 300 times per second. A robotic arm extracts flagged cells within milliseconds. Of 175 patients tested, 30% had recoverable sperm, and the system produced its first baby late last year for a couple with 20 years of infertility.

Godwin reveals the mysterious mass that sent him for an urgent MRI and now has him headed for surgery. Uncle Si looks back on meeting Medal of Honor recipient Sammy Davis, the real-life inspiration behind part of ‘Forrest Gump,' and the sentimental moment they shared over his service. Martin's harmonica national anthem story sends Si down memory lane about Vietnam, while the boys spiral into surprise piranhas and a deep dive into the wild world of honeybees. Plus, Si revisits one of his funniest ‘Duck Dynasty' moments with his infamous hunting poodle, Killer. Duck Call Room episode #584 is sponsored by: http://ponchooutdoors.com/DUCK — Get $10 off your first order and free shipping! https://drinkag1.com/duck - Save 20% on your first subscription order of AG1 Next Gen or AG1 Pro! https://trees.com/ - Get an additional 20% OFF with code DUCK at checkout https://duckstamp.com - Get your digital duck stamp online and keep it right on your phone! - Learn more about your ad choices. Visit megaphone.fm/adchoices

Ready for the episode that might just rewire how you think about therapy? We're heading straight to the cerebellum, the tiny, mighty brain region that holds 80% of your client's neurons despite taking up just 10% of total brain volume. If you work with kids with childhood apraxia of speech, developmental language disorder, autism, ADHD, stuttering, dyslexia, or speech sound disorders... this episode is for you. Your caseload's cerebellum is talking. It's time we start listening. In this episode, you'll learn: • Why the cerebellum matters so much more than we've been taught, and why “drill and kill” isn't reaching it • The surprising overlap between developmental coordination disorder and the communication disorders already on your caseload • The 2022 research study that used functional MRI to prove task-oriented movement activities can literally grow gray matter in the cerebellum in just 10 weeks • The 5-part “secret sauce” of the CO-OP approach (Task-Oriented Movement Therapy), and exactly how to bring it into your sessions Monday morning • A real, hands-on example using Pete the Cat: Rocking in My School Shoes to show you how goal-setting, environment (not hands-on) cueing, multi-step problem solving, varied movement, and cognitive flexibility come together in one activity • How to layer your actual speech and language targets into these movement-based sessions without losing focus on either The 5 Ingredients of the Secret Sauce 1. A clear goal: dopamine-driven motivation that makes learning stick 2. Touch the environment, not the child: let their body do the problem-solving 3. A multi-step process: problem, then plan, then action, then check (real executive function practice) 4. Multiple, varied movements: keeping the cerebellum working, not coasting 5. Cognitive flexibility: changing what “success” looks like from one step to the next This isn't about abandoning your speech and language goals. It's about treating the whole child, cerebellum included, so the change you create actually lasts. Want the Ready-Made Version of This Activity? You just heard how this works in theory, but you don't have to build it from scratch. The exact Pete the Kitty movement activity (and dozens more like it) is already sitting inside the SIS membership, done-for-you and ready to print for your next session. If you're tired of reinventing therapy at 9 pm on a Sunday, this is your sign. Inside SIS, you get the research-backed, whole-child activities that target the cerebellum and your speech-language goals, so you can walk into every session knowing exactly what to do and why it works. You don't have to do this alone. Come join your people.

EP960: Bryan and Kris try to help his Starbuck's boyfriend through trying times in the open MRI! TCB is a The Commercial Break LLC production Visit: www.TCBpodcast.com Insta: @thecommercialbreakBryan Green on Insta: @BryanWGreen Hosts: Bryan Green & Krissy Hoadley Created by: Bryan Green Written by: Bryan Green, Krissy Hoadley Produced by: Astrid Green & Gustavo Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

You can work on every physical root cause of Long COVID and still feel stuck. What if part of what's holding you back isn't physical at all? If you've been working on the physical side of Long COVID for a while and something still feels stuck, this conversation might land differently. Julie Ryan is a medical intuitive who has worked with thousands of people, many of them dealing with Long COVID. She sees the body in a way most of us have never considered, and after all those years one pattern stands out to her: there is always an emotional component in place before an illness sets in. The physical work still matters. But if you're carrying an emotional block, she says, your body can't run on full power. Julie Ryan is not a physician and this episode is not medical advice. It's a conversation about a different way of looking at the body and the energy around it, so you can decide what resonates with you. In this episode, you'll learn: Why Julie says there is always an emotional component in place before any illness sets in, and what that means for Long COVID and chronic fatigue The "energy field membrane" analogy: how an old emotional event, from this life or a past one, can leave your body leaking power How Julie describes scanning a body like a human MRI, why she always goes in blind first, and what an energetic healing looks like from the client's side Why she sees energy healing as part of the same healing equation as Western medicine, from radiologists and EKGs to the more than 800 US hospitals with energy healing departments What Western testing can miss, from mold to EMFs, and the story of a 30-year-old client with osteoporosis Guest: Julie Ryan is an author, entrepreneur, podcaster, and medical intuitive whose work explores health, spirituality, animals, and life transitions. She hosts Ask Julie Ryan, a weekly call-in show heard in more than 100 countries and ranked in the top 0.05% of podcasts. Julie is the author of Angelic Attendants and the Angel Messages® children's book series. Her work also includes psychic mediumship and spiritual support around end-of-life questions. A businesswoman and inventor, Julie has founded nine companies across five industries, and her surgical-device inventions are sold globally. Discover your fatigue score and the root causes keeping you stuck: https://myfatiguescore.com Free Fatigue Masterclass: https://fixyourfatigue.com See real results: https://energymdmethod.com/results Chapters: 00:00 - Healing Beyond the Physical: Meet Julie Ryan 02:08 - What a Medical Intuitive Sees in People With Long COVID 10:43 - Intuition, Energy Healing, and Where Western Medicine Fits In 18:19 - What Standard Testing Misses: Mold, EMFs, and Osteoporosis at 30 26:04 - The Toxic 5, the Emotional Component, and the Energy Field Membrane 33:21 - Past Lives, Ancestral Trauma, and Tuning Into Spirit 44:27 - Julie's Training and her Free Book Connect with Julie Ryan: Website: http://askjulieryan.com Free Resources: http://julieryangift.com Subscribe to the EnergyMD Podcast for weekly conversations with leading experts on resolving ME/CFS and Long COVID by addressing the real root causes. . 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.

Your mom or dad has been diagnosed with mild cognitive impairment or early Alzheimer's, and the neurologist says Leqembi or Kisunla may be an option.Now comes the harder question:Just because they qualify, does that mean treatment is actually worth it?There are a few pieces of information that can meaningfully change that answer. Some are obvious. Others are easy to misunderstand. And one commonly discussed Alzheimer's biomarker may not tell you nearly as much about treatment benefit as you might assume.In this final episode of my three-part series, I'll show you how to put benefit, risk, treatment burden, and your parent's priorities into the same decision.And I'll give you one question to ask the neurologist that may reveal more than almost anything else you ask during the appointment.What to Listen For[00:00] Why being eligible for Leqembi or Kisunla is only the beginning of the decision[02:15] The first thing that needs to be established before treatment is even considered[07:00] The Alzheimer's biomarker that sounds more predictive than it actually is [09:15] Why a small-looking trial result may—or may not—matter more over time[11:34] The five factors that can shift ARIA risk higher or lower[16:15] Why ARIA risk factors can guide the conversation without predicting exactly what will happen[21:21] The practical differences between Leqembi and Kisunla that may matter to your family[23:15] Why comparing their headline trial percentages can lead you to the wrong conclusion[24:25] The medical question versus the personal question[29:00] The one neurologist question that may reveal more than almost anything else you askListen to the full episode, download the free decision-making checklist, and bring it to your next neurology appointment so you can ask better questions and participate more confidently in the conversation.And if this three-part series has helped your family, please subscribe to Happy and Healthy with Amy and share it with the brother, sister, spouse, or friend who is navigating this decision with you.Recommended Complimentary EpisodesPart 1: Do Leqembi and Kisunla Work? The 2 Key Factors Start here for the efficacy data and why disease stage and tau burden matter.Part 2: Understanding ARIA: How Risky Are Leqembi and Kisunla? The essential companion to this episode, covering brain swelling, bleeding, APOE4 and MRI monitoring.Is Alzheimer's Really Hereditary? What you need to know about APOE4 and your genetic risk.How to Prevent Cognitive Decline: What the U.S. POINTER Study Reveals.RESOURCES:Download the FREE Excerpt of Thoughts Are Habits TooPurchase Thoughts Are Habits TooBook a FREE Discovery Call with AmyDownload After Mom's Alzheimer's Diagnosis: The First 8 Things to Know and learn how to support her with more calm, clarity, and confidence.Download the RESTORED Protocol: Eight Essential Protective Factors to Build an Alzheimer's-Resistant BrainSchedule your Breakthrough Roadmap session with AmyFollow Amy on Instagram @amylangcoaching  and on Facebook @amylangcoachingSubscribe to Amy's YouTube channel @happyandhealthywithamy

Ladies, if you have ever been told your labs look normal while your body says otherwise, this one is for you. Dr. Amy Loden is a physician who nearly died from preeclampsia and now builds her practice around what medicine misses in women. She breaks down why pregnancy complications are a warning sign, what perimenopause is really doing to you, and why heart disease deserves your attention more than you think. You will walk away knowing what to ask for and why it matters.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 pregnancy complications reveal health risks that were already there.Why perimenopause symptoms get dismissed as normal aging.The heart disease signs that look nothing like the classic ones.Why good quality sleep matters more than hours in bed.How to eat and move to protect your metabolic health.Episode References/Links:Vitality Medical and Wellness - https://www.vitalitymwc.orgDr. Amy's TEDx talk on pregnancy - https://beitpod.com/amytedxDr. Amy Tiffany on Instagram - https://www.instagram.com/dramytiffanyDr. Amy Loden on LinkedIn - https://www.linkedin.com/in/amy-lodenThe Postpartum Pivot by Dr. Amy Loden - https://vitalitymwc.org/read-the-bookSubmit your wins or questions - https://beitpod.com/questionsGuest Bio:Dr. Amy Loden Tiffany is a St. Louis-based physician entrepreneur, author, and TEDx speaker dedicated to women's metabolic, hormonal, and cardiovascular health. After surviving severe preeclampsia and experiencing burnout in traditional, high-volume medicine, she pivoted her career toward a personalized, root-cause approach to patient care. As the founder of Vitality, she guides women through major life transitions—from postpartum to perimenopause—to help them recognize subtle warning signs and prevent long-term illness. Through her clinical work and her book, The Postpartum Pivot, Dr. Loden empowers high-achieving women to listen to their bodies, optimize performance, and take control of their long-term health.  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:Amy Loden Tiffany, MD, MBA 0:00  If we're going to call pregnancy a stress test, which is becoming an increasingly common term, is pregnancy a stress test of a woman's metabolism and her cardiovascular system? Then we have to ask, what are we stressing it for? And the way I'm looking at this is a little bit different than how I was trained, which again was if you got the problem, the solution is in the pregnancy. So what if we started looking at pregnancy from the perspective of this is an unveiling, an unveiling of what was already there, and that nothing's actually gone wrong. Lesley Logan 0:29  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 1:11  Oh my God, Be It babe. Get ready. Get your notepad out. Get ready. If you're driving, listen. You're gonna re-listen. You're gonna share this episode with everybody. I am so freaking stoked about the guest that we have. I fell in love with her with every single answer, and we need women like this in the medical world. So Dr. Amy Loden is our guest today. We're going to talk everything from postpartum to perimenopause and heart health, because ladies, you can't be it till you see it if you get sick, cannot. And I know it's confusing. There's so much information out there in the world, and it's like, who do we trust? What do we do? And I'm just so grateful I found her, and you're gonna love it. So make sure you get ready to hit share on this episode for women in your life and the men who need to know about what women are going through. My mind is blown on the episode. Here's Dr. Amy Loden.Lesley Logan 1:54  All right, Be It babe, I'm excited. I'm super stoked. We're gonna talk about all things women, health-related, with an amazing professional person who actually studies this stuff, not what I've read, and then I'm asserting to you because I don't want to be that influencer. I think those people need to take a little step back and let the professionals do it. We have Dr. Amy Loden here on the show, who's going to tell us everything we need to know. But Dr. Amy, we tell everyone who you are and what you rock at, kind of how you got here.Amy Loden Tiffany, MD, MBA 2:20  Sure, thanks for inviting me. I'm happy to be here, Dr. Amy Loden. I am in St. Louis, Missouri. I help primarily women over 40, but certainly anyone who's like, "How are my hormones working for my life or not? How is my weight in the mirror matching the weight in my head or not?" And all the things that come with life transitions from postpartum to perimenopause, beyond, my goal is that women who've interacted with our team will have a better care experience because it's the care experience we want each of us to have had ourselves, and because each of us are not only professionals within the medical nursing communities, we're patients too, or daughters and sisters and mothers and neighbors and all the things. We know how much it sucks to be patient, right? And so we've tried to redesign what is the best thing for our ladies. Now, in full transparency, we do have a few dudes, but most of them have had their arms twisted by our rock-star ladies, and they are the ones that are coming because they're forced to. And eventually, they decide they like us, but we're pretty cool too. So that's who we serve, and that's what we do. And happy to go into any detail or rabbit hole you want to chase?Lesley Logan 3:21  Oh my God, Amy! I love that. When people ask about the people who listen to this podcast, we have mostly women and a few good men because there are some men out there, including my husband. They want to be interested. They want to. They want their partners, the women, their lives. They want to get what's going on. They don't want them to feel like an alien or like they're alone in this journey. So I think that's really, really cool. I also just want to highlight. I love that you brought up your patients too, because as someone who I feel very lucky to go through my perimenopause journey in today's time when people actually are talking about it, versus even 10 years ago, generations were not talking about this stuff, and I just feel it's really nice because then there's information I would never have known about HRT unless my girlfriend had told me about it. Oh, that could be going on, and then I could talk to someone. Can we go back though? Yeah, I feel like to be a doctor like yourself, who has empathy and understands, like you must have gone through a journey as well. You don't just want to do this Amy Loden Tiffany, MD, MBA 4:13  Because you wanted to do this. That's true. Lesley Logan 4:16  Maybe there are a few. There might be a few, but typically, like there there has there's a story there that got you to be like I want to care about this. So can you tell us a little bit more about that?Amy Loden Tiffany, MD, MBA 4:24  Absolutely, yeah. So definitely with the traditional college to medical school road, really didn't understand that there's a and I say this with all the love in my heart, but there is a bit of brainwashing to be a good doctor, right? And what is a good doctor was who you've been told it is. It's not necessarily an external criteria. It's who does academic medical center say, and that was very different. I learned through transferring all of my non-medical student fears into the actual application of those fears, and then being a patient and living those fears. That I realized there's a whole lot we're not talking about. There's a whole lot that we're not being told, both as doctors and as women, as patients, and it's hard to realize you don't know what you don't know if you've been told you're the expert and you know everything, right? And most doctors don't go around saying they know everything, but there's enough patients who feel like that's what's communicated, that that's the language I'm using.Lesley Logan 5:18  Yeah.Amy Loden Tiffany, MD, MBA 5:19  And that's really frustrating as a patient, so I didn't realize how frustrating though it was until I was a patient, and I'm a mom of five kids, my third and fourth are twins, and really I am so grateful to live in the United States in a time in history where complicated pregnancies does not mean that mom dies, because I developed severe preeclampsia with heart failure, and my twins came 31 weeks instead of at least 37, and I nearly died the night they were born. They nearly died the night they were born, and I just am grateful that God let me be in this situation that I had the help I needed. Historically, these are not good situations. We see this on TV and in movies frequently. And something like 70,000 women a year across the globe die of the same disease I had, preeclampsia. So it's not nothing, even in our day and age, in certain countries, and even in countries where you have advanced medical care and they do everything right. It can still happen. So, that for me was the pinnacle of this isn't working. What we're telling people to do isn't working because I had done all the things.Lesley Logan 6:30  Right, you were a doctor. You did all the things. I did all the things. You enjoyed all the appointments. You were probably doing, and this is your third and fourth. So you knew what it should feel like. You knew what you should be eating. You knew all the vitamins to take.Amy Loden Tiffany, MD, MBA 6:41  Correct, and it didn't work, right? It didn't work, and so I think that is the fundamental kind of if you place a pivot on why did I change how I think about healthcare as a doctor, it was because of my experience as a patient for myself. My husband had cancer twice, so being the advocate for him in those types of things, guiding my children and now my parents through healthcare, you start to carry a lot of stories, and you start to see, wow, they're not doing what I think is just the bare minimum. And if they're not doing that for me or for my family, I know they're not doing it for everybody else.Lesley Logan 7:11  Yeah.Amy Loden Tiffany, MD, MBA 7:12  And then at the same time, holding a ton of grace in my heart because that's—they're doing what they were taught.Lesley Logan 7:17  Right?Amy Loden Tiffany, MD, MBA 7:17  Right. And they can't do differently if they don't know differently. You can't be better if you don't know to be better.Lesley Logan 7:23  Yeah.Amy Loden Tiffany, MD, MBA 7:23  So that is a really tight tension. But I thought I would just keep plodding through and just be a better doctor in that context of me being a patient until a little—I guess it was two years later. My daughter at that time, my oldest, was seven, and I had about 3000 patients. I was working somewhere between 65 and 80 hours a week, and had four kids at that time. And my daughter came up to me one night, and I'm opening the computer. I'm doing work like I do every night, and she says, "You're gonna make my birthday gifts. Like, can I help?" Right, totally innocent seven-year-old looking forward to her birthday knows that her mom shops online, right? And so she's like, "I want to pick my birthday presents," and I kind of stared at her. I was like, "No, no, I'm going to work. We'll do that later," and go watch whatever show. It's probably Paw Patrol for all I know, right? That's in the background. Go watch it. It's gonna be bedtime soon. And she just stands there, and I haven't even looked at her at this point. My eyes are on my computer. I'm just telling her this as I'm going. I'm totally not in the moment, right?Lesley Logan 8:19  Of course, because like you have so many, you have 3000 patients and four kids.Amy Loden Tiffany, MD, MBA 8:23   I can't keep up. I can't keep up. Right? I'm barely getting enough sleep. I'm not exercising, and I'm just trying to survive. And she doesn't move. And so I remember not totally slow motion, but I remember turning to her and feeling like I was going to be like, "What?" Right? What do you need? And she's just got out of the shower, so her hair's wet. She's got her pink pajamas on, bright big blue eyes, and they're full of tears. And there are just silent tears tracking down her face, and I'm horrified. Oh my gosh, what's wrong? Right now, I'm in fix-it mode.Lesley Logan 8:55  Yeah.Amy Loden Tiffany, MD, MBA 8:55  And she still doesn't really budge, and she just says in a very sad voice, "Mommy. Why do you love your job more than me?"Lesley Logan 9:05  Oh.Amy Loden Tiffany, MD, MBA 9:07  Yes. So the twins tried to kill me. She did kill me, right? Like, that was a knife in my heart because nothing ever had I wanted to be better than a so-called good doctor than to be a good mom.Lesley Logan 9:17  Yeah.Amy Loden Tiffany, MD, MBA 9:18  And that was for me the moment that I realized I'm not doing either of these well, and I'm not showing up how I want to be personally or professionally. I'm certainly not taking care of my health. I'm not doing the things I'm telling my patients to do. Like, it was a moment where I really felt the failures. I felt all the feelings, and I told my husband that night, "This is not working anymore." And he actually thought I thought was talking about our marriage, and so he was like, "Oh my gosh, what's wrong with our marriage?" Right? No, but I need to, like, redo. We have to redo this. I either have to retire, or I have to do something different.Lesley Logan 9:51  Yeah.Amy Loden Tiffany, MD, MBA 9:51  And he was like, "You're not retiring. You will drive me crazy. Go find something different to do, and I will make sure our family is okay." And so I did. And this June will be five years of having Vitality here in St. Louis and serving women and trying to lean into all the pain and the things and the feelings they're dealing with from all the things and the feelings I dealt with having walked that path.Lesley Logan 10:13  Yeah. Oh, Dr. Amy, I love that you shared that whole story because I think there's so many women who are listening here and, like, they don't have, they may have one kid or they have no kids, but, like, I think we can all relate to, like, having just too much on the plate because.Amy Loden Tiffany, MD, MBA 10:27  Right.Lesley Logan 10:28  Hello, my high-achieving woman. I see you, everyone here listening. We call recovering perfectionists and overachievers. There's nothing wrong with being a high achiever, but what happens is we tend to just keep saying yes to things, and we're like, yeah, we can fit that one more thing in, that one more thing. All of a sudden, it just comes to, like, a volcano breaking point. Yes, and because we don't, we don't see the signs early that we are at the breaking point. We don't, you know, we, it's almost, it's actually proven to be not true. But everyone uses the frog in the boiling water, right? Like, we just kind of, like, you don't realize how hot it's getting until it's until your daughter is crying in front of you. Oh, exactly.Amy Loden Tiffany, MD, MBA 11:05  Yes, it was awful. I never want to relive that moment.Lesley Logan 11:08  Yeah, but also, like, thank goodness for her because that she felt brave enough to say that. Like, what a badass she is. I mean, she's just going to be, like, she's just going to be a girl who speaks her mind. She does.Amy Loden Tiffany, MD, MBA 11:18  She's 13 now, and she heard me tell that story once, and now she's like, "Well, you have to credit me for opening your business because I hadn't said what I did." I was like, "Won't you just tone it down a notch, please?"Lesley Logan 11:27  It's called balance, babe. It's called balance. Yes. Okay. So, can we, like, let's get to some of the health stuff that I think our listeners want to—I want to definitely get into perimenopause, but I do want to, because we started with a pregnancy, and I have had family members who, you know, have had preeclampsia in their, and it's scary. So, how are pregnancy complications connected to long-term heart risk? I don't think anyone's thought about that. I just thought, like, if it's because I don't have kids, like it's going to screw up your pelvic floor, and you might have to rebuild your abs and these other things. But I didn't know it can affect your heart long term.Amy Loden Tiffany, MD, MBA 12:01  I had no idea. I'm so glad you brought that up. So I actually did a TEDx talk on this very topic, where the idea is pregnancy is so much more than just the birth of a kid. That's how we think about pregnancy in our culture. That's even how we think of it medically, right? Like if you have preeclampsia, you have gestational diabetes, you have high blood pressure, whatever in pregnancy, the answer is end the pregnancy, deliver the kid if they're old enough, right? Like, get, move it along and it's gone. But that I strongly believe is not true. We can't test this in a lab, so you have to do a little bit of extrapolation here. But if we're going to call pregnancy a stress test, which is becoming an increasingly common term, is pregnancy a stress test of a woman's metabolism and her cardiovascular system? Then we have to ask, what are we stressing it for? And the way I'm looking at this is a little bit different than how I was trained, which again was, if you got the problem, the solution is in the pregnancy. So, what if we started looking at pregnancy from the perspective of this is an unveiling, an unveiling of what was already there, and that nothing's actually gone wrong. It's scary. It's horrifying. And yes, absolutely, people die. So how can I say nothing's gone wrong? What I mean is nothing has gone wrong in the context of the situation we put your body in. It's exactly responding the way it should for the context it's in. So if I have underlying insulin resistance, and then I put a pregnancy on top of that or perimenopause, and I'm starting to have more insulin resistance. Well, of course I'm going to develop gestational diabetes. If I'm having a lot more fluid retention and I'm putting up a low weight, of course my blood pressure is going to go up, right? If I've got underlying inflammation, of course preeclampsia is going to develop. So I think we need to stop and think about it as it's not done; it is unmasked.Lesley Logan 13:42  Got it. Amy Loden Tiffany, MD, MBA 13:42  And then once you know it's unmasked, you treat it.Lesley Logan 13:45  I see. I see. Because again, we think of pregnancy as just the baby, so you have the baby, but it's well, but there's a problem, an underlying problem that the pregnancy revealed is what you're saying. And so great if having the baby is the safest thing for both people, we do that. But also, you still have this underlying issue.Amy Loden Tiffany, MD, MBA 14:01  Yes, it's still there. Correct.Lesley Logan 14:03  Yes, and I don't think anyone does that. I think they're just, "Okay. Now you don't have gestational diabetes anymore." But I have had clients who had it, and then afterwards, so what do we got? Oh, I'm fine. Are you correct? I don't think so. I'm not a doctor, but they're not fine. Don't just be diabetes. Yeah, for a moment. Yes.Amy Loden Tiffany, MD, MBA 14:19  So I actually experienced this as a patient too. I went in after my first pregnancy with gestational diabetes. At the time, I was living in New York City. I walked everywhere. I was a normal weight. I ate pretty clean, and despite being in residency, I'd got decent sleep. I didn't have any other kids. It's my first kid, so I got decent sleep. Right, but I had the baby after having had gestational diabetes. I go see my OB, and she's, "Oh, just follow up with your primary doctor." I go see my primary doctor, and he's, "Your weight's normal, your labs are normal. We're done," and that is how I was trained too. So again, lots of love in my heart. They're not; they're just not told. But for more than 10 years, we've known that women who have these high-risk pregnancies are at high risk not just for diabetes, but heart disease, stroke, kidney failure, dementia. Listen, I can't treat dementia well in the clinic, right? So why wouldn't I want all hands on deck trying to prevent it?Lesley Logan 15:07  Yeah.Amy Loden Tiffany, MD, MBA 15:07  But that's not how our medical professionals are trained—nurses, advanced practice providers, any of them. And so we're asking people and expecting people to fill in a gap they don't know exists, and so all these reproductive-age women are falling into it. And then where it gets really interesting is some of the same things you have immediately postpartum in all your different types of hormone fluctuations are matched intermittently for 10 to 15 years before menopause when you're in the perimenopausal years.Lesley Logan 15:32  What?Amy Loden Tiffany, MD, MBA 15:33  Correct, but that's why these women are feeling, "I'm going to my doctor, I'm putting on weight, I'm doing all the things, it's not working," and they're being gaslit, partly because their doctors don't know what they don't know, and partly because we're not acknowledging this is the same physiologic status of hormones that are different than baseline. So we're not in a country, and we don't have the testing that would promote or facilitate checking what is your normal hormone level at 18, so that we know what 18 should look like, and then by 45, you know, we're not. So we're trying to patchwork together a whole bunch of tests, and different labs have different testing, and different people say different things about testing. It's very confusing.Lesley Logan 16:10  Yeah.Amy Loden Tiffany, MD, MBA 16:11  And you end up with women suffering. And at the end of the day, that's the problem I'm trying to solve: is how do we stop these women from suffering? Because they are called to live big lives, to be ambitious for a purpose, for a calling. They have a lot to do, and their health is one of their biggest assets. It should not be a liability.Lesley Logan 16:27  Yeah.Amy Loden Tiffany, MD, MBA 16:27  And that's what's happening, especially for women who are trying to not work just in the home but outside the home. Right? There's a lot they're carrying. Yeah. So that's, I don't remember. Sorry, I'm having a total perimenopause moment. I don't remember where we started with that question here. I'll stop there. Lesley Logan 16:42  Don't worry, babe. I got my focus meds on the ADHD today, so I'm tracking. So we're good. But we were talking about the postpartum, and then we got into those hormones that switch as, and they can repeat into perimenopause. And I think this is fascinating. I love that you brought up. It doesn't matter if you're in the home or out of the home. We have big lives. Correct. We can't have our health be a liability, and I think for a lot of us, it feels like, like my girlfriend's a weight-loss coach for women over 40 who feel like their body gave a middle finger. That's what her coaching is, and it's all about not going to yo-yo diet. That's not going to work. We have to figure out what is the underlying issues, and it can only go so far because you said we don't test our hormones at 18. We don't do that, so we don't know what is normal for us, and I remember I was having a lot of health issues, digestive issues in my 30s, and no doctor could help me. In fact, one doctor sending me to, I was in this weird part where they study HIV and Ebola in the hospital, and she's like, "Do you know why you're here?" I don't know why I'm here. I don't. This scares the hell out of me. This feels like a department I should not be in. I'm not in any pain. I feel like I'm taking someone's spot, and so because he could, he just couldn't figure out what's going on my stomach. So I found someone who did an actual test of everything. He's so range normal. We don't know what normal is for you. We just know what the average person of this population of people that who knows who they were that were tested. So what is normal for you might not be the average. And I was, "Oh well, that's the first time anyone said anything that makes sense. That's the first time." So you can be in range, but for your hormones, but it wasn't in range for you because maybe you were used to higher testosterone, you're used to higher things. And so I love that people like you exist. I'm sorry for the frustration of your own journey, but also without people like you, women like me wouldn't have someone going, "Hey, actually, maybe you should be on testosterone right now," even though the, this is what it is. Mine was actually zero, but people, you know, we can actually get you help because I feel so much better because someone finally was listening to me and thought, "Yes, we're not going to compare you to a random person. We got to compare you to how you're used to feeling."Amy Loden Tiffany, MD, MBA 18:42  Correct. And for most people, that can't happen in the traditional system.Lesley Logan 18:47  Yeah.Amy Loden Tiffany, MD, MBA 18:47  You can't do that in a 10-minute visit.Lesley Logan 18:49  Right.Amy Loden Tiffany, MD, MBA 18:50  You can't do it when your doctor has 3000 patients, 10-minute visits, and they really don't actually know who you are.Lesley Logan 18:55  Yeah.Amy Loden Tiffany, MD, MBA 18:56  You just can't. So we've got a little bit of unrealistic expectations as a society, and then you know any women's magazine or journal article you read says, "Talk to your doctor about this." So then you go in, I'm all prepared. I have my list. I've done it too, folks. Right? This is not a criticism, but they, they can't. They don't have the ability to process it, and the way they're paid is based on the questions they ask you for insurance. So every incentive is misaligned, and at the end of the day, women, people are being screwed.Lesley Logan 19:22  Yeah, yeah. No, it's so true. So I'm glad we talked about the postpartum. I want to get into now. We're in the perimenopause, and yep, this is hard because you mentioned the hormone shift of people after postpartum is its own crazy world. I keep checking on my sister-in-law every day. How are you feeling? Are you feeling okay? Right. You feel okay? She's, "I'm fine." Are you fine? Let me just, I just want you to know. It's okay if you feel different, right? I think I'm crazy, but I know that that people don't realize how they're feeling, and it's hard to get to the doctor until it's too late. So I'm just, I'm on her. But for people like me, we didn't have children, so we have never experienced a crazy shift. We just start to experience, "I don't feel like my, anymore," and all the symptoms are so different for every single person. I'm not having hot flashes, but I'm, I got to keep my hair still here. But my inflammation was insane. I was putting on weight and working out and eating the same. And I don't understand what's going on. You know, so can we talk a little bit about what, I don't know where you want to start with that. So you tell me where you want to start with my post, my perimenopausal people who are not necessarily attributing these changes to that.Amy Loden Tiffany, MD, MBA 20:27  So I think the biggest confusion I see in the exam room conversations is that there's just question of, am I in perimenopause or not? And it's more of a less of a yes-no and more of, are you on the spectrum, and where on the spectrum are you? And so if you think of it as a sliding scale, because some months those ovaries are working really great, and you feel all the feels, and you're 18 again, but a lot of months maybe you're more like 20 or 25, right? And then maybe out of the blue, I feel like I got run over by shock. Nothing's working for two or three months, and then we're back to 25, right? And so it's ups and downs. You're like, what is happening? It is a roller coaster, and it runs anywhere from 10 to 15 years before you actually go through menopause. So I think of it as reverse adolescence, and I think it's completely ironic that God lets us have teenage girls when moms are going through perimenopause because that is just double-adolescence whammy, right?Lesley Logan 21:19  And no wonder, no wonder marriages don't survive certain things. Right, you have a daughter going through puberty and a wife with a pair of menopause. Good luck to the husband. Correct, becauseAmy Loden Tiffany, MD, MBA 21:28  I want to have sex. I don't want to have sex. I have pimples all over my face. I don't want to go to the house. I do. My belly's bloated. It's not like my mood's up. All the things, and it's all in reverse. So it's a it's a period of a woman's life that I think needs to be acknowledged, and then within the healthcare system, there's more noise about it over the last five years. You're seeing more and more people talk about this, but there's not a lot of standardization, and so you're getting chiropractic, functional medicine, traditional medicine. You're getting all sorts of different recommendations. So my hope is that over the next decade, we start to see some standardization, and we start to say this is what is normal for this population. You still have to apply it to the person. You cannot take population data and apply it to individuals and say that you're going to have good luck, bye. We'll see you in a year. That doesn't work. What I do think is that women need to know what's normal for that time, and then they need to decide, do they want to do something about it beyond what their body is experiencing? And here's some really interesting data that I hope your listeners suddenly stop and listen. If they don't hear anything I've said yet, this will be really important for women who have hot flashes and night sweats. Either one, they're actually the same thing. We call them vasomotor symptoms. When you have those at a certain degree, so that they're happening most days of the week, more than 10 times a day would be an easy target to kind of pay attention to. You have that, and you choose not to take hormones. You actually have an increased risk for cardiovascular disease and stroke. That does not mean every woman in that category can or should take it. There may be reasons they can't, but the hormones we use today are different than what in the Women's Health Initiative that came out in the early 2000s. So you're getting a lot of confusion because women are reading about data from that, not realizing that it has changed, and that study is not going to be redone. It was a huge study. We're not going to see data like that, so we have to make really informed decisions. But cardiovascular disease, hear me, ladies. Cardiovascular disease, which includes stroke and heart failure, kills more women every year than all your cancers combined. Yeah, I get the women and they come in religiously for their mammograms or their Pap tests, right? But they don't know that the bigger risk is that they're going to die of heart disease, cardiovascular stroke, and we know that one in eight women, roughly, have breast cancer risk, and those women get it. One in two women are getting heart disease. So there's one inLesley Logan 23:50  Two.Amy Loden Tiffany, MD, MBA 23:51  One in two. So that means there's two of us on this call, right? We already know I'm going to get it because I had preeclampsia. So I'm the one. Lesley Logan 23:56  I was going to say. I hope it's not maybe. I hope it's not you. But, like, thank God you know that because I think it's one and two, especially if you don't know. Because if you know that you're at risk, you do. Then you can you do something. I am. I'm double the risk for breast cancer, so I have to do an MRI and a mammogram every six months, and I have some decisions I might have to make in my life. But because I know.Amy Loden Tiffany, MD, MBA 24:18  Right, I can take.Lesley Logan 24:20  I can take action. Yeah, correct.Amy Loden Tiffany, MD, MBA 24:22  And you know, using that same kind of history, if someone comes in my office and says that I don't want to take hormones because I was a breast cancer, I'm like, that's fine. But let's look at all the facts. Let's lay it out like your financial advisor does, and then you can make an informed decision. Because just acting out of fear or reacting is not wise either.Lesley Logan 24:38  I actually really appreciate you mentioning that because it's true. If I'm, I'm very lucky in that I still get to do the HRT that I'm on, even with my risk. But also they're checking me every six months, and I'm checking me. So if anything's going to happen, we're going to catch it so much more quicker. Whereas the hard stuff, there's only so much you can do with that. And so if you're, especially if you're not aware. Say there's all conversations, but I liked the way you laid it out with the wealth manager. I just met with mine. He laid out here's where we're being aggressive. Here's where we're doing this. Here's what's going on here. We're going to move this over here because we're going to risk-manage these risks. And I think that's that's a better way to look at it because we're not going to, every single one of us is unfortunately going to experience something because it's a body. We're not a machine. Amy Loden Tiffany, MD, MBA 25:21  It wears out.Lesley Logan 25:22  I did not know it was one in two, girl.Amy Loden Tiffany, MD, MBA 25:26  Yeah, and what's even more disturbing, you may have heard a lot of women have by now that women's heart disease presents differently than men.Lesley Logan 25:32  Yeah, can you tell us just in case my people haven't heard because I didn't know it was one in two? So let's go over the signs.Amy Loden Tiffany, MD, MBA 25:38  A lot of times people think of what's the so-called traditional? It's the jaw pain, the radiation of pain from your chest up to your jaw, to your back, down your left arm. Very classic symptoms. Classic because it was studied in men, and then we have these so-called atypical for women because they're not typical compared to men, but they're classic for women. And so, got a little bit of lingo here that it doesn't make total sense. But for women, sometimes it's they just feel a lot more anxious than they've been for unclear reasons. They have this sense that something bad is on the horizon. They can't really place why their sleep is different. Maybe they're having some shortness of breath they didn't used to have. Maybe they go up the stairs in their house, with a laundry basket, and they're huffing and puffing when six months ago they weren't. So it can be very subtle differences. It could be a new fatigue. Check labs are normal, but the fatigue's still there. That worries me when I hear women say this. Unfortunately, the number one sign that you have heart disease is sudden death.Lesley Logan 26:33  Oh.Amy Loden Tiffany, MD, MBA 26:34  So let that sink in for a second. So we can't always wait on what the signs are.Lesley Logan 26:39  Yeah, we can't fix that. Right. Correct. Okay, so that's hard because our signs are also. I feel like high-achieving women would so easily brush away that anxiety.Amy Loden Tiffany, MD, MBA 26:51  All the stuff. Correct. Because I have a lot of tabs open.Lesley Logan 26:54  Yeah, I got this going on, or I haven't been working out, so of course I'm out of breath going up the stairs. They would just so easily.Amy Loden Tiffany, MD, MBA 26:58  It's May, it's graduation season. It's wedding season, right? This is just aging, and that's not the story at all. The problem is 10-minute visit with your doctor who has 3000 patients. They don't know who you are. They're not going to notice that this is different for you.Lesley Logan 27:13  Yeah.Amy Loden Tiffany, MD, MBA 27:13  Decreased exercise tolerance is a big one. And so, if you could walk three miles every day in your neighborhood, now you're like, "Wow, I'm really struggling to get through one." I'm worried about that. I want to know what's going on and why.Lesley Logan 27:25  Yeah. So I guess since one getting a 10-minute visit is hard. I, where I live in, I live in Las Vegas. Last I heard, we are short general practitioners by 1400. I don't have one. I go to a women's clinic, and I'm really grateful. It's a, it's also a student-teacher thing. So I actually, they've caught things because the students are asking the questions because they'reAmy Loden Tiffany, MD, MBA 27:44  Yes, yes.Lesley Logan 27:46  I love them. I'm so grateful for them, but are there things that women can do to check their heart, or is it just being, is it just noticing the one mile versus a three mile? What can we, what are the signs we need to be checking on?Amy Loden Tiffany, MD, MBA 27:57  Certainly be aware of what your body is telling you. Again, if you have to remember nothing else, this is another one: is that your body is smart; it will talk to you, but you have to listen.Lesley Logan 28:05  Yeah.Amy Loden Tiffany, MD, MBA 28:06  So that's really essential. If something's different, say something. You're right. There's a big collapse, if you will, of how much support we have in healthcare, whether it's nurse practitioners or chiropractor or whatever. And the issue is not all of them are trained the same way. So when I worked in the OB/GYN clinic, it became apparent to both of us, on both sides of it, that OBs know stuff about women's health. I don't know, but I know stuff about metabolic and heart health that the OBs aren't taught, and most women use their OBs as their primary care, at least to a certain age.Lesley Logan 28:32  Right.Amy Loden Tiffany, MD, MBA 28:33  And again, you don't know what you don't know, so you don't realize what you're not looking for that you should be. And our system's not set up for good collaboration. So if I could tell women, here's a checklist of things I want to make sure you get, your doctor is going to give you some resistance, most likely because they don't realize that lipoprotein with a little a, it's like in parentheses at the end of it, not the big A. Lipoprotein little a. If you have that mutation, and 10 to 20% of our population does, you have a different rate of plaque development, at least risk for that than the average risk will miss. If you have high insulin levels, you have a higher risk that you're going to be on a pathway toward diabetes. Those are not things that are standard checks. So knowing that there's other tests you can ask for, and even if your insurance doesn't cover it, they're not expensive tests. Just get it once, right? Have an idea of what's going on in your body once gives you a ton of information. I offer a lot of our patients to wear different glucose monitors, even if they're not on diabetes. And all my physicians who are listening to this are probably like, "You do what?" But the reason is, if you can figure out that your glucose and insulin are high before you develop diabetes or pre-diabetes, if you figured out that insulin-resistant stage, that's a lot easier to fix, and our doctors aren't even taught about what is insulin resistance, what is the criteria for it, and how do we reverse it?Lesley Logan 29:47  Right, because there's some prevention we can do if we have information.Amy Loden Tiffany, MD, MBA 29:50  There's a ton, and it's things women can do in their homes or their businesses. It's not stuff I'm doing in the exam room.Lesley Logan 29:56  Yeah, and that's also, you know, you're listening to this podcast, you're kind of a go. Anyway, so you're gonna, you'll take the action. Our health insurance is very bizarre. I thought it was crap because, but it has a lot of preventative stuff that goes on with it. Hey, we want to put this thing in your house and check your heart and some other levels every, I don't know, two or three times a week. They keep calling them. I have two adults. We have two ADHD adults in this household. The box is here. One of us will open it when it becomes the pressure. I just have to hang tight. We'll get there. But I'm really impressed by that because we don't have access to a regular doctor. So what information can we gather so we could be watching it and monitoring it? So we can advocate for ourselves if something comes up. So having that prevention is really amazing. Okay, so we talked a little bit about the perimenopause and the different things. What are some simple shifts that women can make now to protect their future? I mean, obviously we have a wide range of women, so the now is different. But what are some things that they could be doing? Because I do think that they are getting information from the magazines and the Instagrams, and we should get it from the person who's experienced it and has seen it. You know, so you.Amy Loden Tiffany, MD, MBA 31:00  Some easy things, and I say easy relative because they're easy to do, which means they're easy not to do. So acknowledging that, right? It's real. Number one, understanding that just because you get eight hours of sleep, if they're not high-quality hours, you've got a metabolic risk from your sleep not being normal. That's important to understand because you spend a third of your life asleep, right?Lesley Logan 31:19  What's a metabolic risk? Just in case my people. So.Amy Loden Tiffany, MD, MBA 31:22  If you don't get good-quality sleep, your cortisol goes up. It's one of your stress hormones, and when cortisol goes up, glucose goes up. When glucose goes up, insulin goes up. Insulin's your fat-storing hormone. So even without your sex hormones being involved, or the ghrelin and leptin you're hearing about with weight and GLPs and all that, just those, you're not getting good sleep. It's going to be a problem. Insulin resistance is going to go up. Insulin resistance means your cells are not listening to the insulin your body is giving it, so your body works harder to get more insulin, and the cells work harder to ignore it, and it just keeps going in a vicious cycle. So if we consider that that's the root cause of a lot of these problems we've been talking about, we fix that. Number one is get good sleep, get good-quality sleep, and it's not, not just enough time in bed.Lesley Logan 32:02  Yeah, so.Amy Loden Tiffany, MD, MBA 32:03  That's important. Number two is most people don't realize that they're doing it backwards. They're, if they're, if they're even able to get exercise in their life right now, right? So we're going to make the assumption that you figured out some exercise regimen you like. We're, we're at that level, but they're doing it at the wrong time, and they're doing it in a way that they're sabotaging their end result. So rather than going to the gym and then going and eating dinner, or going to the gym first thing in the morning and skipping breakfast and all these things, you need to eat protein and fat, and then you need to move your thighs. I don't care if that's jumping jacks, going for a walk, running up the stairs, something where your thighs are moving regularly for 10 minutes. So make it whatever you like doing. This can be the mom at home who's doing all sorts of fun class activity with her kid, right? Like moving the baby around or the teenager can be equally fun to move around for what it's worth. And then it could be the CEO who's getting ready for a meeting and has 10 minutes after eating whatever lunch she had in the five-minute break she did, right? So looking at what makes sense in your life, but 10 minutes of physical activity, ideally after every meal, that's not realistic, but that's ideal. And then you start with the one meal a day you can do, and you do it most days of the week to start with, because most of us have to figure out how to make it a habit.Lesley Logan 33:15  Yeah.Amy Loden Tiffany, MD, MBA 33:15  But movement for 10 minutes after eating, it's, it's crucial. I cannot stress that enough.Lesley Logan 33:20  I didn't realize it was. It makes total sense moving your body after eating because I like to go for a walk after I have lunch. Otherwise, I'm tired. Correct. I can't go back to work now. Amy Loden Tiffany, MD, MBA 33:30  The reason you're tired though is because your glucose goes up and your insulin went up to match it. When you walk right after you eat, glucose still goes up, but it's less, and so you have less insulin spike. Insulin is the bright driver here, and so you've got to do the movement after. And if it helps to understand why, think back to what our ancestors did 1000 years ago. Right? We weren't checking hormones. We weren't checking insulin. We weren't talking about hacks. We were trying to survive most of the time. Yeah. But the things they did is they, if they, what, after they ate, they moved around. Right? Like they were building their shelters. They were taking care of the kids. They were moving in the community, helping build, create, relocate, whatever. They were always moving, and they did not get the whole three square meals a day. That's bogus. You don't need three meals a day, okay? And most of my ladies don't realize that they're eating their nutrients potentially in the wrong order for their body. That they're eating them in the wrong time for the cycle of the month they're in, they're not getting enough protein, not getting enough fat for their hormones and their brain, and it doesn't happen quickly, right? It's months, years, maybe even a couple decades before they're, I don't know what happened, but my body in the mirror is not the body in my head. This is not who I am. There's a disconnect, and they finally are at that place where they have to do something, where the body is forcing them to stop because they've pushed it as hot as you know.Lesley Logan 34:44  Oh my God, that's a whole episode. We're having you back. I'm just telling you right now because I want to have a whole episode on the whole. Because what I do know is if you eat certain things, if you work out too late, if you get your cortisol up, sleep that. I have been trying to figure out sleep for over a decade, and I, I get good-quality sleep most of the time. But I'm obsessed with it because I'm like, I don't want Alzheimer's. I do not want heart problems. It doesn't really matter what I'm doing at the gym if I'm not sleeping. None of that matters. Doesn't matter what you're, If you don't get good sleep, all the rest is gonna just fall apart anyways. So it's interesting. It makes sense about the food because I remember when I was having problems with my cycle and I had my one of my doctor friends, she said you should try seed cycling because I just, the worst cramps and, like, the worst everything was just the worst in the world, and so I tried seed cycling and my goodness, you know, I'm not a woo-woo girl, but the seed cycling makes, I got, I had no more zits, my boobs didn't hurt as bad, everything leveled out, and I didn't need any extra hormones for it. I was, whoa, so now there must be more. We need to know about it. So we'll have to have you back for that. I can talk to you forever. So we'll just, this is part one of many. I'm just going to take a brief break and then find out if people can find you, follow you, and work with you. All right, Dr. Amy Loden, where do you hang out? You mentioned St. Louis. Can people work with you if they're not in St. Louis? How does this work?Amy Loden Tiffany, MD, MBA 36:03  Yes, absolutely. Best way to get into contact with our office is just going to our website, www.vitalitymwc.org. They can sign up for a consultation, and we can go through what their options are. There is also lots of opportunity if you don't want to work with us directly, but you want to continue the conversation and hear what we're seeing. I do all the social media I can so that people can hear what's being said in their exam rooms and have it in their real lives too. So you can do that on follow me at Dr. Amy Tiffany, whether it's on Instagram or TikTok or Facebook. You find it where they're also on LinkedIn at Dr. Amy Loden. So lots of places depends on what their needs are. One special offer I do have for your audience: we talked about pregnancy and perimenopausal bit through this conversation, they can contact my office for a free physical copy of my book, The Postpartum Pivot. And before you stop listening, ladies, and you think, "Well, I'm not postpartum." If you've had a baby, you're postpartum even it's 20 years ago. Your body's different than it was before that baby, and so you can understand what does this look like for perimenopause and other types of areas that we go through as we grow less young, but grow more wise.Lesley Logan 37:03  Oh my God! Every one of my female females, that's where your Christmas present is. Sorry, just gonna get a doctor because they don't. It's, if their doctor doesn't tell them, they don't know, right? And then they are just going through it. And I feel so bad because every woman in my life is such a badass, and then they get their body doesn't keep up with what they're wanting to do in life, and then it just becomes not just like a liability, but like this hangup. So you are amazing. Okay, you've given us some great stuff already. I mean, we're gonna have to rewind, and I'll listen to this. I've got, you know, getting my notepad out, but our bold, executable, intrinsic, or targeted steps people can take to be it till they see it. What do you have for us?Amy Loden Tiffany, MD, MBA 37:37  I want each one. When you be it as you see it, I want you to be true to what your body's telling you, and recognize nothing's gone wrong. Listen when things are happening and they seem like it's a crisis. Nothing's gone wrong. Your body's talking to you. Listen, and when you listen, you become more wise. You become a better version of yourself.Lesley Logan 37:55  Okay, I really love that. We talked about that earlier, but it's true. Some of us think our body is against us, and it's doing something to us. But really, it's like, hello. The alarm bells. Amy Loden Tiffany, MD, MBA 38:05  It's doing exactly what it should do for the situation we've put it in. That doesn't mean we like it. You get diabetes. No one's like, oh yeah, my body did exactly what it's supposed to do. But if we understand that, then it becomes a neutral thought. It's not bad or wrong. It's I didn't listen, so now I'm going to stop, and the best place to reverse is as soon as you realize you're going in the direction. Right? It's not to keep going in the wrong direction. So nothing has gone wrong. We just need to listen. We need to turn around, create a better story.Lesley Logan 38:33  Love it. Love it. This is and then so enlightening. This is so fun. Thank you so much for being you and your and and the journey that you've been on is something we can all benefit from. So thank you for that, you guys. We all need to share this episode with all the women in our lives, and I would love for you to make sure that Dr. Amy knows your favorite takeaways. Send them to the Be It Pod as well. And since I'm going to have her back, not that I even like asked her beforehand, but I'm just going to tell her she's doing that. You can send your questions, and we'll make sure we get that. So, beitpod.com/questions. Until next time, my loves, Be It Till You See It. Lesley Logan 39:03  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 39:45  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 39:50  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 39:54  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 40:02  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 40:05  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.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Matt chats all things liver MRI with gastrointestinal radiologists Katy Hickman and Ed Godfrey, covering contrast agents, protocols and emerging imaging techniques. Plus, Frank goes on not one but two semi-expletive-laden rants. The Odyssey, a monkey knee, Dixonovist and more.   Radiopaedia Lecture Collection ► https://radiopaedia.org/courses/lecture-collection Become a supporter ► https://radiopaedia.org/supporters Get an All-Access Pass ► https://radiopaedia.org/courses/all-access-course-pass Radiopaedia Community chat ► http://radiopaedia.org/chat Ideas and Feedback ► podcast@radiopaedia.org   The Reading Room is a radiology podcast intended primarily for radiologists, radiology registrars and residents. 

The gag order is lifted. For ten months Ted answered "what have you been flying lately?" with a cheerful bunch of nothing, because he had quietly bet everything, sport pilot privileges included, on getting his FAA medical. If you apply and get denied, there is no crawling back to sport. He applied anyway. This week the curse-word-laden victory text went out: Ted has his medical, he is legal PIC again, and by his own math he'll have "probably 12 ratings in the next 60 days."Same week, same show: Ben formally accepted a charter job flying SIC in a Phenom 300. ("It didn't say Chrysler 300. It said Phenom, right?") He says he feels like the dog that's been chasing the school bus and finally caught it, and the chat has already decided his Piston Peasant shirt must be surrendered for a Turbine Tyrant model.Ted then opens the books on how the medical actually got won: five months of preparation before submitting anything, more records than his AME could upload (they faxed the rest), a cash MRI, a concierge neurologist one block off Rodeo Drive with an F1 replica car out front, a congressional inquiry, and a personally logged bill of $21,000. Disclaimer on disclaimer on disclaimer: that was Ted's very specific situation, not a recipe. Talk to AOPA Medical Services, Wingman Med, a HIMS AME, anybody but us.Also aboard: Mark, officially the fourth host ("the fifth wheel... it's really nice for redundancy"), is off to build airplanes in the Czech Republic, which Brian was reminded has not been called Czechoslovakia for quite some time. Brian pulled the power at 10,500 feet over a very hot Tennessee and glided Lucy all the way home ("the Icarus approach," per the chat). Plus a five-star review titled "New Era of Hangar Talk," sport pilot altitude rules straight from the 700-page MOSAIC reading (61.315: unchanged), and the non-event event on September 19 at McCollum Field (RYY).Tonight's wisdom, via Mike Alpha Golf: luck favors the prepared.Mentioned on the show:Chrysler 300: https://en.wikipedia.org/wiki/Chrysler_300Phenom 300: https://en.wikipedia.org/wiki/Embraer_Phenom_300Raven Career Development: https://ravencareers.com/Ted's video, "first flight after ten months grounded: my faa medical certification story": https://www.youtube.com/watch?v=TCt_6pCuLgoIson Law, The Pilot Lawyers: https://thepilotlawyer.com/AOPA Medical Resources: https://www.aopa.org/go-fly/medical-resourcesAOPA MedXpress Simulator: https://wingmanmed.com/medxpress-simulator/Wingman Med: https://wingmanmed.com/Dissolution of Czechoslovakia: https://en.wikipedia.org/wiki/Dissolution_of_Czechoslovakia

Send us Fan MailFind Deanna and her book Choice Maker at deannakeith.com.Some stories are not for scrolling past. This one belongs to Deanna Keith.Her first memory on this earth is being assaulted at three years old. Her second memory is telling her mother.The abuse lasted until she was fifteen.She met her husband Stan forty years ago. He led her to the Lord and he set up the counseling that started her healing. Two weeks after their wedding, at twenty three, she had a stroke. She fell over while they watched the wedding video. She could not speak or open her eyes for seventy two hours.Inside the MRI machine she asked God one question. If you are here and you hear me, I need to know if I am going to be okay. Her eyes opened long enough to see her father smiling through the waiting room window.Years later her grandmother died. Deanna told her mother to let the man who hurt her come to the funeral, and she would stay home.He came. At a family dinner afterward, her mother found him sobbing in the garage. There was water on the floor and she thought the cooler was leaking. It was his tears. She asked if he was crying over his mother. He said no. He was crying over what he did to Deanna.What happened next is the center of this episode. Deanna's husband got the family in one room. She gave him the gospel. So did her brother. Forgiveness was given.Reconciliation was not. She is clear that those are two different things.She also walks through the spiritual abuse she came out of, where a leader used scripture as a way to control people. She names the book that put words to it, and she talks about confronting it and leaving.Through all of it there is one word. Choose. Her therapist Jodi told her she was not stuck. She was committed to a thought that did not serve her life. Deanna chose something else.She has been journaling since she was eleven. Tubs of them. Out of that came her book, Choice Maker, which she keeps off Amazon on purpose so she can stay in touch with her readers. She says she wrote it for impact, not commerce.Her last word in the episode is one to write down. Attach yourself to the decisions God makes for you, not the decisions other people make for you.This is The Calling Table Sessions on the Stuck No More Voices Podcast. One seat. One woman. One story handled with care.If you are a Christian woman leader with a story that could reach the woman you used to be, there is a seat here for you at theresacroft.com/yourseat.Share this episode with the woman who came to mind while you were listening.Register Click HERE:  The Calling Activation Study; Discover the Story That Connects Your Calling to the People You're Meant to Serve.To be a guest on the Calling series:  https://theresacroft.com/your-seatHome TheresaCroft.comInstagram: https://instagram.com/theresacroftFacebook: https://Facebook.com/theresamcroftYouTube: https://YouTube.com/@theresacroftMore Podcast Episodes on Apple and Spotify

Full show notes: bengreenfieldlife.com/505 In this solosode, you'll get the latest on microplastics, spinal disc health, and what a heart scan sees that a cholesterol panel misses. A new seven-day trial pitted five plastic-avoidance strategies against each other, and the results tell you exactly where to spend your effort if you can't overhaul everything at once. You'll hear which plastic sources matter most and what I now take before bed with BrocElite® (use code BEN for 25% off your first month) to help clear microplastics from tissue. Then I get personal about my back. I'll walk you through my full-body MRI results, which show significant degeneration from L1 to S1, and explain why I still have almost zero back pain, from Dr. Stuart McGill's Big 3 to inversion hanging, the couch stretch, the founder stretch from Foundation Training, and my WALKOLUTION® treadmill desk ($100 off, enter your email for a unique code). You'll also learn why running was the only activity linked to healthier spinal discs in a study of more than 4,000 people, and why none of the sports people assume are hard on your back showed harm. Finally, you'll hear what a coronary CT angiography measures that your cholesterol panel cannot, why a 6,061-person study found plaque volume beats any standard risk calculator, what my own scan revealed, and the surprisingly simple thing that appears highly protective even when your plaque is already elevated. Episode Sponsors: ULTRA: ULTRA is a clean, nicotine-free, caffeine-free pouch that delivers smooth, sustained energy and focus using clinically backed nootropics and adaptogens, with no jitters, crashes, or sleep disruption. Visit takeultra.com and use code BENGREENFIELD for 15% off. Forkful: Forkful delivers chef-cooked, fresh, ready-to-eat meals made with premium ingredients like grass-fed bison and wild-caught salmon, with zero seed oils and no prep or cleanup, ready in under 3 minutes. Visit ForkfulMeals.com and use code BEN50 for 50% off your first order. Quantum Upgrade: Recent research revealed that the Quantum Upgrade was able to increase ATP production by a jaw-dropping 20 to 25% in human cells. Unlock a 15-day free trial with the code BEN15 at quantumupgrade.io. Supzential: More Than a Toothpaste: Created by biological dentist Dr. Dome, it combines highly bioavailable hydroxyapatite, a patented probiotic, xylitol, and lactoferrin to support enamel remineralization and a healthy oral microbiome, with no fluoride, SLS, or titanium dioxide. Visit Supzential.com and use code BEN20 for 20% off your order today. Active Skin Repair: Active Skin Repair uses hypochlorous acid, a molecule your body naturally produces, to support skin repair and defense without harsh chemicals, from post-workout irritation to everyday skin support. Go to ActiveSkinRepair.com and use code BEN for 20% off, or find it on Amazon and at your local CVS.See omnystudio.com/listener for privacy information.

A Mediocre Time with Tom and Dan — Episode Notes Episode: "Feathers and Bubbles" Hosts: Tom and Dan | Guest: Seth Petruzelli Sponsors / Ad Reads JustCallMoe.com — recording studio sponsor read at the top of the show; also plugged later as the presenting sponsor of the upcoming Tom and Dan Cruise. The Bart Marek Team (Bart Marek and Crystal Vann) — two full-time, experienced Florida realtors based in Clermont, offering "two-for-one" service for buying or selling; a personal testimonial about them helping sell a family member's house in St. Augustine; barttherealtor.com, call or text either agent directly. Fairvilla Megastore — sexual wellness superstore with multiple locations, described as having modern/high-tech products, costumes and lingerie for Halloween, Fairvilla University online educational courses, and a discreet "Secrets Hideaway" section; fairvilla.com. Don Mealy Chevrolet (Clermont) — longtime advertiser; contact GM JC Harrelson and mention Tom and Dan; plugged for Corvettes, trucks, and used vehicles, with a personal note about owning a Silverado and Traverse from them; DMChevy.com. Segment Rundown Cold open, grooming talk — Tom and Dan welcome Seth Petruzelli to the couch and razz him about his beard and blow-dried hair; a tangent on straighteners vs. blow-dryers leads into a bit about their wives' expensive Dyson hair tools. Recent celebrity deaths — The hosts run through a rough week of deaths, including Tim Curry, Dolly (referenced briefly), and the voice actor of Optimus Prime, riffing darkly on average lifespan. Seth's chronic chaos — Running bit that Seth is perpetually running late or juggling a crisis; today it's his dog and a vet appointment, plus it's revealed to be Seth's birthday. Seth's dog and Disney cruise — Seth brought his dog Rocky (a different Rocky than Tom's) on set; talk turns to Seth boarding him for four nights while Seth takes his first vacation in two and a half years, a Disney cruise with his wife and daughter Vera. Tom's dog Rocky and pet talk — Tom shows off his own dog Rocky on stream, admits he's been neglecting him since focusing on his young daughter, and the group jokes about pushing Tom's son Tommy toward wanting a dog or cat despite Tracy's reluctance. Karate class standards slipping — A tangent from the dojo talk about how kids today can't finish basic requirements (like a brown belt or three months of consistent training), tying into a broader "everything is getting weaker/no consequences" complaint, including schools making gym-class changing rooms optional now. Locker room embarrassment nostalgia — The hosts and Seth swap stories about being self-conscious getting undressed in front of others as kids and in a pro arena-football locker room as an adult. Seth's MRI/health update — Seth shares that he got a full-body MRI, compared it to one from two years prior, and got mostly good results except his prostate being "large side of normal." Seth's dojo being demolished — Seth explains his dojo's building is being torn down and he must vacate by November; he's negotiating a new space, planning to use students to help move (in exchange for food/drinks), and reflects on a black belt who's been especially helpful. Should Seth do a GoFundMe? — Debate over whether it's in good taste for a business to crowdfund when forced out by demolition, referencing a nearby business owner doing the same; jokes about a bikini car wash and a "GoFundMe vs. crowdfund" distinction (charity vs. general fundraising). The actual dojo car wash fundraiser — Dan recounts attending a real car-wash fundraiser for the dojo, paying more than requested because the kids did a thorough job. Daughter's Taco Bell complaint — Dan tells a story about his daughter filing an online complaint after Taco Bell repeatedly forgot part of her order. Joke about Seth's finances — Riffing on the idea that no one will donate to a GoFundMe for someone with a lakeside mansion, a boat, and a nice car, including a bit about trading in a BMW for a Hyundai. Dojo move logistics and mock fundraiser pitch — More detail on moving costs (a mirror company hired just to transport dojo mirrors, a dumpster for old equipment); the group jokingly pitches an absurd "buy a black belt" crowdfunding tier system, with Seth explaining the real distinction between an official ranked black belt and a "junior/in-house" one. AI in podcast production — The show discusses no longer paying a human for intro songs/jingles, now using AI for notes and occasionally songs (though they still do some manual ones too), and debate the line between AI convenience and "authenticity" compared to corporate radio. Prostitution sting debate — Sparked by 49ers owner Jed York's prostitution-sting arrest and a local Altamonte Springs sting ("Operation Midnight Heat," 37 arrests), the hosts argue undercover prostitution stings are a poor use of police resources compared to focusing on predators of minors, and make the case for regulating/legalizing sex work. Caller: Concrete Mike, prostitution talk — Concrete Mike calls in about hiring escorts for parties in the past; the call is plagued by a bad phone connection and cuts out repeatedly before the hosts move on. GTA 6 leak coverage — Detailed rundown of hacker "Cyber Leak's" leaked GTA 6 footage (starting August 18), new gameplay features (six-star wanted system, stamina and car-gas meters, a karma system, Red Dead-style bullet-time aiming), a leaked nudist-area clip, and a somber aside about how hyper-realistic "living a second life in a game" can feel. GTA franchise money talk — The hosts look up that the GTA franchise has made $11 billion total, with GTA 5 alone earning $815 million in its first 24 hours; confirmed November 19, 2026 release date for GTA 6. Caller: "J Volvo" — A young-sounding caller who turns out to be a 40-year-old Marine and brown belt calls in as a bit, pitching a "Fit Tom Fridays" 5K fundraiser idea for Seth's dojo; the hosts jokingly induct him as a rookie "cop" character and enjoy the surprise live call. New "Stage" Rock Band reboot — Discussion of an upcoming Rock Band-style rhythm game launching in December, with nostalgia about old Rock Band parties, and a broader riff on short attention spans/endless content (dating apps, streaming, mobile games) making it hard for any single game to hold interest. Six Flags roller coaster aneurysm story (teaser + full segment) — After a break, the hosts cover two women who suffered brain aneurysms riding Six Flags' X2 roller coaster, show POV footage of the ride's uniquely independently-spinning carts, and speculate (semi-jokingly) about the physics/anatomy behind why it happened. Flatulence and bathroom health talk — A crude tangent connecting back to Seth's MRI story, where he and the others discuss holding in gas, bowel habits, and general bathroom TMI. Voicemail: grandma question (Amedeus, Fort Myers) — A caller references a past on-air comment and asks which grandmother the hosts would rather "embarrass" in front of; leads to a riff on generational/cultural stereotypes about tougher vs. softer grandmothers. Voicemail: convenience store "big black mama" story (Debary Joe) — A caller shares a heartfelt/funny anecdote about a stranger's kindness at a gas station after a rough day, prompting brief pushback from a host about the framing of the story. Mad honey discussion — Seth explains he bought "mad honey" (a hallucinogenic honey from Nepal) and plans to have his wife try it first; the hosts detail its origins, effects, dangerous dosing risks, its history as an ancient biological weapon, and its recent viral popularity via a Joe Rogan clip. Nepal flooding aside — A brief, more serious detour about real disaster footage of catastrophic flooding in Nepal that circulated online. Psychedelics and mental health tangent — Talk shifts to Kratom, mushrooms, microdosing, and studies on psilocybin therapy for PTSD/anxiety; Seth admits he's more afraid of a mushroom trip than he ever was fighting professionally (referencing his MMA background against opponents like Kimbo Slice and Bob Sapp). Voicemail: adult content from caller "Mike" — A caller shares an explicit story from his younger years about hiring escorts for group parties at his house; the hosts summarize and react without repeating graphic detail. Voicemail: workplace exorcism question (BDM, Jacksonville) — A caller asks if anyone has heard of a business getting an exorcism, sparking a broader discussion about corporate superstition (feng shui, sage smudging, "energy"), with the hosts drawing a line between supernatural belief and legitimate ideas like attitude/mindset affecting outcomes. Voicemail: "Pure Pod" gadget — A caller points out that a produce-washing gadget advertised online is basically a vibrator; the hosts confirm the device is a real product marketed to skirt platform rules around selling sexual wellness items. Voicemail: old photo in ski resort system — A caller shares that a modern ski resort pulled up his decades-old childhood lift-ticket photo from a previous owner's records, leading to a discussion about how far back companies' digital recordkeeping goes and some personal skiing stories from the hosts. Dojo move update and wrap-up — Seth gives a final update: staying within a 3-mile radius under the new name "Soto Dojo," reviewing a lease, and dealing with a landlord dispute over alleged unpaid utility charges/liens the show insists were never billed properly. Studio/podcast future plugs and cruise pitch — The hosts float building a future glass-walled studio, mention recent released interviews (Patrick Warburton, Lorenzo Lamas), and give a detailed pitch for the upcoming Tom and Dan Cruise, including perks, cost, and booking details, before signing off. Key Dates / Plugs Mentioned November 2026 — Seth must vacate his current dojo location due to the building being demolished. November 19, 2026 — GTA 6 release date (confirmed unchanged despite ongoing leaks). December (2026) — New "Stage" Rock Band-style rhythm game launches. Ongoing — Seth relocating his dojo to a new spot within a 3-mile radius, tentatively named "Soto Dojo"; lease still being finalized. September 23–27, 2027 — Tom and Dan Cruise aboard the MSC Seashore (Thursday–Sunday), stopping in Nassau and a private island; includes unlimited drink package and free Wi-Fi for two, a live podcast taping, birthday party, and gambling night; $200 fully refundable deposit holds a spot, with payment installments available through Ahoy Cruises; presented by JustCallMoe.com. Recently released — New Patrick Warburton interview episode and a Lorenzo Lamas interview from the previous night. Notable Guests/Callers Seth Petruzelli — In-studio guest; martial arts instructor whose dojo is being forced to relocate. Concrete Mike — Phone-in caller; connection was too poor to complete his story. "J Volvo" — Phone-in caller; a 40-year-old Marine and brown belt who called in as a bit. Amedeus (Fort Myers) — Voicemail caller with a grandma-themed question. Debary Joe — Voicemail caller sharing a convenience-store story. Mike — Voicemail caller sharing a story from his past. BDM (Jacksonville) — Voicemail caller asking about a workplace exorcism. Unnamed caller — Voicemail about the "Pure Pod" produce washer. Unnamed caller (37 years old) — Voicemail about an old childhood ski resort photo resurfacing. ### Website: https://tomanddan.com/ App: https://tomanddan.com/app Become a BDM: https://tomanddan.com/registration Merch: https://tomanddan.myshopify.com/ YouTube: https://www.youtube.com/@TomandDanLive Twitch: https://www.twitch.tv/tomanddanlive Facebook: https://www.facebook.com/AMediocreTime Instagram: https://www.instagram.com/tomanddanlive/ X: https://x.com/TomAndDanLive TikTok: https://tiktok.com/@tomanddanshow Reddit: https://reddit.com/r/tomanddan ACT RSS: https://feeds.libsyn.com/61976/rss AMT RSS: https://feeds.libsyn.com/18904/rss