Podcasts about mri

Eno and DVR discuss a busy weekend around the league including the announcement that Chase Burns will make his Reds debut Tuesday night against the Yankees. Plus, key injuries to Chris Sale and Adley Rutschman, awaiting MRI results on Corbin Carroll, Francisco Alvarez's demotion to Triple-A, and where the money went with pickups in fantasy baseball leagues over the weekend.Rundown2:18 Chase Burns to Debut on Tuesday v. Yankees6:59 Corbin Carroll's Thumb Injury; D-backs' Offense Continues to Roll12:16 Chris Sale's Fractured Rib Cage; Opportunity for Didier Fuentes18:29 Adley Rutschman's Absence Through the All-Star Break20:15 Francisco Alvarez Optioned to Triple-A27:30 Injury Follow-Ups and Other News32:08 Moving Quickly Ranking Rookie Pitchers40:00 Where the Money Went, Brady House's Interesting Approach53:49 Lingering Concern About Max Scherzer's Thumb?Follow Eno on Bluesky: @enosarris.bsky.socialFollow DVR on Bluesky: @dvr.bsky.sociale-mail: ratesandbarrels@gmail.comJoin our Discord: https://discord.gg/FyBa9f3wFeSubscribe to The Athletic: theathletic.com/ratesandbarrelsHosts: Derek VanRiper & Eno SarrisProducer: Brian SmithExecutive Producer: Derek VanRiper Hosted on Acast. See acast.com/privacy for more information.

Episode 194: Acute low back pain.  Future Dr. Ibrahim presents a clinical case to explain the essential points in the evaluation of back pain.  Future Dr. Redden adds information about differentiating between a back strain and more serious diseases such as cancer, and Dr. Arreaza shares information about returning to work after back strain.Written by Michael Ibrahim, MSIV. Editing and comments by Jordan Redden, MSIV, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza:Welcome back, everyone. Today's topic is one that every primary care provider, emergency doctor, and even specialist sees routinely: low back pain. It's so common that studies estimate up to 80% of adults will experience it at some point in their lives. But despite how frequent it is, the challenge is to identify which cases are benign and which demand urgent attention.Jordan:Exactly. Low back pain is usually self-limiting and mechanical in nature, but we always need to keep an eye out for the rare but serious causes: things like infection, malignancy, or neurological compromise. That's why a good history and physical exam are our best tools right out of the gate.Michael:And to ground this in a real example, let me introduce a patient we saw recently. John is a 45-year-old warehouse worker who came in with two weeks of lower back pain that started after lifting a 50-lb box. He describes it as a dull, aching pain that radiates from his lower back down the posterior left thigh into the calf. He says it gets worse with bending or coughing, but he feels better when lying flat. He also mentioned some numbness in his left foot, but he denies any bowel or bladder issues. His vitals are completely normal. On exam, he had lumbar paraspinal tenderness, a positive straight leg-raise at 40 degrees on the left and decreased sensation in the L5 dermatome, though reflexes were still intact.Dr. Arreaza:That's a great case. Let's take a minute and talk about the straight leg raise test. This is a bedside tool we use to assess for lumbar nerve root irritation often caused by a herniated disc. ***Here's how it works: the patient lies supine, and you slowly raise their straight leg. If pain radiates below the knee between 30° and 70°, that suggests radiculopathy, especially involving the L5 or S1 nerve roots. Pain at higher angles is more likely due to hamstring tightness or mechanical strain.Michael:Right. So, stepping back: what do we mean by "low back pain"? Broadly, it's any pain localized to the lumbar spine, but it's often classified by type or cause:Mechanical (like muscle strain or degenerative disc disease), Radicular (nerve root involvement), Referred pain (like from pelvic or abdominal organs), Inflammatory (AS), and Systemic or serious causes like infection or malignancy. Jordan:In John's case, we're thinking radicular pain, most likely from a herniated disc compressing the L5 nerve root. That's supported by the dermatomal numbness, the leg pain, and that positive straight leg test.Dr. Arreaza:Good reasoning. Now, anytime we see back pain, our brains should run a checklist for red flags. These help us pick up more serious causes that require urgent attention. Let's run through the red flags.Michael:Sure. For fracture, we think about major trauma or even minor trauma in the elderly, especially those with osteoporosis or on chronic steroids. Also, anyone over 70 years old.Jordan:Then we have infections, which could include things like discitis, vertebral osteomyelitis, or epidural abscess. Red flags include fever, IV drug use, recent surgery, or immunosuppression.Michael:Malignancy is another critical one, especially if there's a history of breast, prostate, lung, kidney, or thyroid cancer. Clues include unexplained weight loss, night pain, or constant pain not relieved by rest.Jordan:And don't forget about inflammatory back pain, like ankylosing spondylitis, which is often seen in younger patients with morning stiffness that lasts more than 30 minutes and improves with activity.Dr. Arreaza:And of course, we always rule out cauda equina syndrome: a surgical emergency. That's urinary retention or incontinence, saddle anesthesia, bilateral leg weakness, or fecal incontinence. Missing this diagnosis can be catastrophic.Michael:Thankfully, in John's case, we don't see any red flags. His presentation is classic for uncomplicated lumbar radiculopathy. But we must stay vigilant, because sometimes patients don't offer up key symptoms unless we ask directly.Jordan:And that's where associated symptoms help guide us. For example:Radicular symptoms like numbness or weakness follow dermatomal patterns. Constitutional symptoms like fever or weight loss raise red flags. Bladder/bowel changes or saddle anesthesia raise alarms for cauda equina. Pain that wakes patients up at night might point to malignancy. Dr. Arreaza:So when do we order labs or imaging?Michael:Not right away. For most patients with acute low back pain, imaging is not needed unless they have red flags. If infection is suspected, we'd get CBC, ESR, and CRP. For cancer, maybe PSA or serum protein electrophoresis. And if inflammatory back disease is suspected, HLA-B27 can be helpful.Jordan:Yes, imaging should be delayed for at least six weeks unless red flags or significant neurologic deficits are present. When we do image, MRI is our go-to especially for suspected radiculopathy or cauda equina. X-rays can help if we're thinking about fractures, but they won't show soft tissue or nerve root issues.Michael:In the example from our case, since the patient doesn't have red flags, we'd go with conservative management: start NSAIDs and recommend activity modification. As this is the acute setting, physical therapy would not be recommended.Jordan:For the acute phase, research shows no serious difference between those with PT and those without in the long term. However, physical therapy is really the cornerstone of management for chronic back pain. It's not just movement: it's education, body mechanics, and teaching patients how to move safely. And PT can actually reduce opioid use, imaging, and injections down the line for patient struggling with long term back pain.Dr. Arreaza:Yes, and PT is not one-size-fits-all. PT might include McKenzie exercises, manual therapy, postural retraining, or even neuromuscular re-education. The goal is always to build core stability, promote healthy movement patterns, and reduce fear of motion.Jordan:Let's take a minute to talk about the McKenzie Method, a physical therapy approach used to treat lumbar disc herniation by identifying a specific movement, (often spinal extension) that reduces or centralizes pain. A common exercise is the prone press-up, (cobra pose for yoga fans) where the patient lies face down and pushes the upper body upward while keeping the hips on the floor to relieve pressure on the disc. These exercises should be done carefully, ideally under professional guidance, and discontinued if symptoms worsen.Michael:For our case patient, our working diagnosis is mechanical low back pain with L5 radiculopathy. No imaging needed now, no red flags. We'll treat conservatively and educate him about proper lifting, staying active, and recovery expectations.Jordan:We also emphasized to him that bed rest isn't helpful. In fact, bed rest can make things worse. Keeping active while avoiding heavy lifting for now is key.Dr. Arreaza:Return-to-work recommendations should be individualized. For example, an office worker, positioning while working, or work hours may be able to return to work promptly. However, those with physically demanding jobs may need light duty or be off work.Ice: no evidence of benefit. Heat: may reduce pain and disability in pain of less than 3 months, although the benefit was small and short.And we should always teach safe lifting techniques: bend at the knees, keep the load close, avoid twisting. It's basic knowledge, but it is very effective in preventing recurrence.Jordan:Now, if a patient fails to improve after 6 weeks of conservative therapy, or if they develop new neurologic deficits, that's when we think about referral to spine specialists or surgical consultation.Michael:And as previously mentioned: in cases where back pain becomes chronic (lasting more than 12 weeks) a multidisciplinary approach works best. That can include:Physical therapy, Cognitive behavioral therapy (CBT) And sometimes pain management interventions. Jordan:We can't forget the psychological toll either. Chronic back pain is associated with depression, anxiety, and opioid dependence. Increased risk factors include obesity, smoking, sedentary lifestyle, and previous back injuries.Dr. Arreaza:Well said. So, let's summarize. Michael?Michael:Sure! Low back pain is common, and most cases are benign. But we have to know the red flags that point to serious pathology. A focused history and physical exam are more powerful than many people realize. And the first step in treatment is almost always conservative, with a strong emphasis on maintaining physical activity.Jordan:And don't underestimate the value of patient education. Helping patients understand their pain, set realistic expectations, and stay active is often just as important as the medications or therapies we offer.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006Deyo, R. A., Mirza, S. K., Turner, J. A., & Martin, B. I. (2009). Overtreating chronic back pain: Time to back off? Journal of the American Board of Family Medicine, 22(1), 62–68. https://doi.org/10.3122/jabfm.2009.01.080102National Institute for Health and Care Excellence. (2020). Low back pain and sciatica in over 16s: Assessment and management (NICE Guideline No. NG59). https://www.nice.org.uk/guidance/ng59Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367UpToDate. (n.d.). Evaluation and treatment of low back pain in adults. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Dr. Peter Diamandis first joined me, along with guest Tony Robbins, for the show: “Tony Robbins, Peter Diamandis & Ben Greenfield Reveal New Anti-Aging Biohacks & Breakthroughs in Precision Medicine You’ve Never Heard Of Before.” Today, the physician, investor, entrepreneur, and longevity enthusiast is back to reveal the secrets from his brand new book, Longevity Guidebook: How to Slow, Stop, and Reverse Aging—and NOT Die from Something Stupid, which includes tactics such as: Implementing proven lifestyle practices to optimize your diet, sleep, exercise, and mindset, all enabling extended healthspan. Understanding advancements in diagnostic and therapeutic technologies to find and reverse disease at the earliest time possible. Receiving insights on how to “NOT die from something stupid” and the breakthroughs that can save your life and the lives of those you love. Maximizing female healthspan through every stage of life. Building and maintaining a “longevity mindset” (coupled with the routines that will transform your health). You'll also get to explore what truly correlates with heart disease (the answer may surprise you), why your genes might matter less than you think, and the practical steps Dr. Diamandis personally takes to optimize muscle, metabolism, and sleep well into his 60s. From the impact of GLP-1s and the real story on alcohol's effect on longevity, to biohacks for sleep and the promise (and practical realities) of advanced diagnostics like full-body MRI and AI-powered heart scans—nothing is off the table. Whether you’re a health tech enthusiast, longevity nerd, or just curious about actionable strategies to dramatically extend your healthspan, this episode is packed with groundbreaking science, inspiring personal stories, and a glimpse into the future of human potential. Full show notes: https://bengreenfieldlife.com/longevityguide Episode Sponsors: CAROL Bike: The science is clear—CAROL Bike is your ticket to a healthier, more vibrant life. And for a limited time, you can get $100 off yours with the code BEN. Don't wait any longer, join over 25,000 riders and visit carolbike.com/ben today. Organifi Shilajit Gummies: Harness the ancient power of pure Himalayan shilajit anytime you want with these convenient and tasty gummies. Get them now for 20% off at organifi.com/Ben. LVLUP Health: Head over to lvluphealth.com/BGL and use code BEN15 for a special discount on their game-changing range of products. MOSH: MOSH's signature blend offers a plant-based high-protein bar. They are a great source of vitamin D and an excellent source of vitamin B12. Head to moshlife.com/BEN to save 20% off, plus FREE shipping on either the Best Sellers Trial Pack or the new Plant-Based Trial Pack. Pique: Go to Piquelife.com/Ben to get 20% off for life, plus a free starter kit with a rechargeable frother and glass beaker to elevate your ritual.See omnystudio.com/listener for privacy information.

What happens when a superintendent builds the hospital… and years later, his own daughter becomes a patient there? In this unforgettable episode, Jason sits down with one of his all-time favorite humans: Jake Smaellie, a master builder with a story that will hit you right in the gut. From healthcare construction to personal healing, Jake opens up about:   The emotional moment he walked his daughter into an MRI room he built. Why cleaning jobsite bathrooms (yes, really) sets the tone for leadership. The power of saying “good morning” and how it's a secret weapon for team culture. His incredible 180-pound weight loss and training for a 200-mile bike ride. How to lead by example, not by title. Funny. Raw. Inspiring. This is more than construction, it's a masterclass in humility, grit, and taking care of people.

MOVE NOW to Fight Cancer Podcast / DARE TO BE VITAL BOOKFIVE PRIMARY POINTS of this Week's Podcast* Stop injecting cortisone for knee or elbow pain.A newly published MRI study of 210 patients showed that even one cortisone shot accelerated knee-osteoarthritis progression and carried risks such as bone-marrow lesions and rapid joint destruction. Dr. Mishra argues that “doing nothing” is safer than cortisone and recommends a “better biologics flywheel” of weight control, muscle building, and vitamin D optimization instead.* Whole-body vibration (WBV) is a promising muscle- and bone-builder.A meta-analysis of 21 randomized trials (~750 healthy women) found WBV platforms significantly improved lower-body strength and femoral bone density; benefits were greatest with >12 weeks of training at frequencies above 30 Hz, and in post-menopausal women.* Musculoskeletal health underpins long-term vitality.Losing mobility cascades into weight gain, cardiovascular decline, and even cognitive slowdown. Dr. Mishra positions whole-body vibration, strength training, and biologic approaches (muscle, bone, vitamin D) as an “all-in strategy” to safeguard movement capacity and overall life performance.* Interacting with dogs measurably boosts brain health and mood.An EEG study of 30 adults showed activities like playing, grooming, and walking a dog lowered stress markers and heightened relaxation, attention, and creativity, branding dogs as “verified vitality enhancers.”* Weekly action plan—do the right thing because it is right.Inspired by Kant's dictum, the episode's practical call-outs are: skip cortisone, build muscle via whole body vibration and spend time with a dog to spark calm and creativity. Implementing even one of these evidence-based steps moves you toward Dr. Mishra's goal of optimizing vitality and performance “one person at a time.” This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit vitalityexplorers.substack.com/subscribe

FINAL DESTINATION 6 LIVES UP TO THE HYPE!!! Final Destination Bloodlines Full Reaction Watch Along:   / thereelrejects   Stay Better Informed thru unbiased reporting w/ Straight Arrow News! Visit https://www.san.com/reejrects to download. At long last, the Boys are back to give their Final Destination: Bloodlines Reaction, Recap, Commentary, Analysis, & Spoiler Review!! Join Aaron Alexander, Andrew Gordon & John Humphrey as they race through the chilling return of the Final Destination series with Final Destination: Bloodlines (2025), directed by Zach Lipovsky & Adam Stein (Freaks) and written by Guy Busick & Lori Evans Taylor. College student Stefani Reyes (Kaitlyn Santa Juana, The Friendship Game) has premonitions tied to her grandmother's near-tragic past and returns home to uncover a horrifying pattern targeting her family's descendants. The film introduces a gripping ensemble: Charlie Reyes (Teo Briones, Chucky) and Erik Campbell (Richard Harmon, The 100)—the tattoo-artist cousin whose gruesome MRI death ranks among the franchise's most talked-about kills. Bobby Campbell (Owen Patrick Joyner, Julie and the Phantoms) meets his end via a spring-launched vending machine, while Darlene (Rya Kihlstedt, Obi‑Wan Kenobi) is bisected in a lamp-post trap. The late Tony Todd returns as the enigmatic William Bludworth, delivering a final, haunting chapter to his character—one of his last performances before his passing. Our hosts dig into the film's inventive Rube-Goldberg death sequences, the emotional family bonds tested by fate, and the standout callback-filled ending that ties back to the original 2000 disaster. Tune in as we break down every shocking twist, celebrity cameo, and cinematic Easter egg—then hit like, subscribe, and ring the bell for more deep dives into horror's biggest hits! #FinalDestinationBloodlines #KaitlynSantaJuana #TeoBriones #TonyTodd #MRIshock #RubeGoldbergKills #MovieReaction #ReactionReview #AaronAlexander #AndrewGordon #JohnHumphrey #React #ReactTo #Reaction #Movie #Movies #NewMovie #NewMovie #HorrorMovie #HorrorMovies #RIPTonyTodd #FDFollow Aaron On Instagram: https://www.instagram.com/therealaaronalexander/?hl=en Follow Andrew Gordon on Socials:  YouTube: https://www.youtube.com/@MovieSource Instagram:  https://www.instagram.com/agor711/?hl=en Twitter:  https://twitter.com/Agor711 Intense Suspense by Audionautix is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/... Support The Channel By Getting Some REEL REJECTS Apparel! https://www.rejectnationshop.com/ Follow Us On Socials:  Instagram: https://www.instagram.com/reelrejects/  Tik-Tok: https://www.tiktok.com/@reelrejects?lang=en Twitter: https://x.com/reelrejects Facebook: https://www.facebook.com/TheReelRejects/ Music Used In Ad:  Hat the Jazz by Twin Musicom is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Happy Alley by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/... POWERED BY @GFUEL Visit https://gfuel.ly/3wD5Ygo and use code REJECTNATION for 20% off select tubs!! Head Editor: https://www.instagram.com/praperhq/?hl=en Co-Editor: Greg Alba Co-Editor: John Humphrey Music In Video: Airport Lounge - Disco Ultralounge by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Ask Us A QUESTION On CAMEO: https://www.cameo.com/thereelrejects Follow TheReelRejects On FACEBOOK, TWITTER, & INSTAGRAM:  FB:  https://www.facebook.com/TheReelRejects/ INSTAGRAM:  https://www.instagram.com/reelrejects/ TWITTER:  https://twitter.com/thereelrejects Follow GREG ON INSTAGRAM & TWITTER: INSTAGRAM:  https://www.instagram.com/thegregalba/ TWITTER:  https://twitter.com/thegregalba Learn more about your ad choices. Visit megaphone.fm/adchoices

Shannon Sharpe & special guest Bun B talk about Bun B restaurant Trill Burger and getting the Key to the City of Port Arthur, Texas, Tyrese Halliburton suffers a calf strain, MRI to determine severity, Lebron pushes back on ring culture and much more!03:13 - Trill Burger17:12 - Bun B got key to city of Port Arthur, TX22:53 - Shams reports Hali calf strain concern32:11 - Bron pushes back on Ring Culture51:38 - Doc Rivers pushing back on Giannis trade rumors58:20 - Univ of SC’s Sellers turns down 8m NIL(Timestamps may vary based on advertisements.)#Volume #ClubSee omnystudio.com/listener for privacy information.

Send us a textIn this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols breaks down one of the most commonly overlooked causes of infertility: elevated prolactin levels, also known as hyperprolactinemia.If you've ever been asked about nipple discharge at a fertility consult and thought, “What does that have to do with getting pregnant?”—this episode is for you.Dr. Amols dives into:What prolactin is and why your body produces itHow elevated prolactin shuts down ovulation by disrupting GnRH, FSH, and LHThe connection between dopamine and prolactin controlCauses of high prolactin—including prolactinomas, medications, thyroid issues, and even stress or exerciseDiagnostic steps: when to repeat the test, when to order an MRI, and how to rule out macroprolactinFirst-line treatments (cabergoline, bromocriptine) and what to expect during recoveryHow untreated hyperprolactinemia affects IUI, Clomid, Letrozole, and IVF outcomesLearn how to identify this hormone imbalance, when to treat it, and how correcting it can restore ovulation and dramatically improve your chances of pregnancy.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

LIVE footage from the Elbo Room shows Nate Schmidt shotgunning beer with fans. The chat goes in on Leroy for his confusion on the location of the Cats and fat shaming a fruit. Road to Repeat Complete! The NBA Finals resume tomorrow night with Game 6 between the Pacers and Thunder. OKC leads the series 3-2 Tyrese Haliburton has a calf strain and is getting a MRI to determine the severity.

ANOTHER ONE! The Florida Panthers are back to back Stanley Cup Champions beating the Edmonton Oilers down 5-1 in Game 6. We start the celebration by going over Sam Reinhart and Matthew Tkachuk goals and this ranging case of CAT FEVERRRRR! Our favorite Goaltender Sergei Bobrovsky finishes with 28 saves in the win. Public enemy number one Sam Bennett gets named the Conn Smythe Trophy winner! The celebration continues with open phone lines! Cat Nation calls in to celebrate this monumental day alongside us and JFig!!! While Leroy tries to alter her perception, JFig claims hockey is the toughest sport after Matthew Tkachuk revealed he had a torn abductor off the bone. Cats Head Coach Paul Maurice reveals Sam Reinhart played with a torn MCL and Barkov played with a bad cut on his hand that had to get glued shut after it kept opening. As live footage continues to roll in from Fort Lauderdale Beach, JFig bottles up the true scent of the Elbo Room to give listeners an idea of what Cat Nation is experiencing this morning. Cats in 6, JFig was right! Tobin continues to insist that it should've been Cats in 5. Edmonton Oilers head coach Kris Knoblauch Connor McDavid Marcos Mixed Bag! Tobin gets exotic... LIVE footage from the Elbo Room shows Nate Schmidt shotgunning beer with fans. The chat goes in on Leroy for his confusion on the location of the Cats... He then follows up by fat shaming a fruit. Road to a (complete) Repeat! Marcos does his research and only to find that we have "Baby Good Luck Charms" for the Florida Panthers! Where will things stand between the Panthers and Brad Marchand, Sam Bennett, and Aaron Ekblad after this outstanding season where contracts expire... Who's to stay, who's to go? The NBA Finals resume tomorrow night with Game 6 between the Pacers and Thunder. OKC leads the series 3-2. Tyrese Haliburton has a calf strain and is getting a MRI to determine the severity. We take a break from Praising the Panthers to give you some NFL Breaking News The Baltimore Ravens sign Jaire Alexander. Tyreek Hill mocks Noah Lyles after Lyles pulls out race this weekend citing personal reasons. Conor McGregor knocks out a man in a club in Ibiza... on brand? The Miami Marlins handle the Philadelphia Phillies 8 to 3. We review some of Frogboy's footage from this morning's festivities at Elbo Room Leroy asks Dolphin Fans to make up their damn mind The Stanley Cup takes damage after spending a 2nd straight season in South Florida Tobin demands the Cup be Soaked in Ocean Water Frog Boy disrespects a Key member of the 2003 Marlins team The guys take time praising Sergei Bobrovsky

Caitlin Clark abused by idiots - refs no help in protecting her, so Sophie Cunningham brought some street justice to the WNBA! Tyrese Haliburton getting an MRI on his calf. The result will determine whether he will play in tomorrow night's Game Four! Colts are a potential playoff team because they are going to be better - AND they play in the AFC South! Here is the link for the only autobiography ever published without praise for its author: https://www.amazon.com/Oops-Art-Learning-Mistakes-Adventures/dp/173420740X

Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression.  In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics.  Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri.  It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

I greet you in Jesus' precious name! It is Wednesday morning, the 18th of June, 2025, and this is your friend, Angus Buchan, with a thought for today. We go to the Gospel of Luke 8:48: “And He said to her (Jesus), “Daughter, be of good cheer; your faith has made you well. Go in peace.” Then we go to Romans 8:11: “But if the Spirit of Him who raised Jesus from the dead dwells in you, He who raised Christ from the dead will also give life to your mortal bodies through His Spirit who dwells in you.” What beautiful scriptures! Remember the woman who had the issue of blood? She could not stop bleeding. She had been to the doctors. She had spent all her money and the doctors had tried to help her, twelve years she was in that state then she went on her own when she knew Jesus was coming. She pushed through the crowd and she said to herself, “If I can only just touch the hem of His garment, I'll be healed." And of course, she did, she pushed through, I can just imagine her going through the crowd and getting nice and low, touching the hem of His garment, and instantly the blood dried up and she was healed. Jesus turned around and said, “Who touched Me?” And the disciples said, “Lord, there are people pushing from all angles. How can we know who touched You?” And she said, “It was me, Lord.” And what did Jesus say? He said, “Go in peace because your faith has made you well.”On Easter Sunday, Resurrection Sunday, just a short while ago, I took the service here at Shalom, and I told them I would be praying for the sick. A lady brought her son to be healed. He was a grown man. He had cancer of the brain. She came forward, we anointed him with oil like we did with all the people who came forward. We prayed a simple prayer of faith, and God, through the power of His Holy Spirit, touched that young man and healed him. Now, she went to the specialist the next week, and she said to the specialist, “My son has been healed in Jesus' name.” She claimed his healing! The specialist looked at her and said, “No, he has got cancer.” She said, “Please do another MRI on him, another test." He did that.He was very, very skeptical and he wanted to know what happened. She said she had been to a healing meeting and she believed her son was healed. Well, reluctantly, he went and did it and afterwards he came out and his face was quite pale. And he said to her, “There is no cancer in your son's brain. He is healed!”Today, claim your healing from Jesus.Have a wonderful day!

"The Real Jonathan Smith Show" was loaded today! * Zach Pereles on the NBA Finals* The Fever fight* The Pacers have to win the NBA Finals this year* Myles Turner's future* Haliburton had an MRI on his calf* Anthony Richardson is still in the competition Get full access to The Real Jonathan Smith Substack at shootingtheshmitt.substack.com/subscribe

This episode is brought to you by Better Beer. TRAINING WEEKS
 The 2025 FTK podcast hosts are back together are giving up their spot for last week's FTK OG takeover. Jack cracks 160km in his 3x key workout week at Font Romeu where he spends plenty of time training with Sondre Moen (2:05:48 Marathon PB). Joel does another big mileage week that sees him running more often than he's used to and unfortunately for him a fair bit slower than he's used to (especially at this weekend's Ferny Creek run). Tess updates the listeners on the medical issue that surfaced in an MRI which explained why she needed to play it safe and skip some runs later in the week. THE BIG Q
 Tess asks Jack and Joel their opinion on how to coach an athlete that is struggling for motivation this deep into a marathon block. The team discuss a variety of answers that should help the athlete enjoy their upcoming race without the pressure of a pre-negotiated "goal time". GIVE SOME KUDOS 
 Jack sends his Kudos to an incredibly fast runner while Tess uses self-reflection during this short period of injury to give kudos. Joel goes left of centre and sends his in the direction of Uranium glass. TWHSOITWTWATSA
 Tess is not sure about a certain promotional video seen on the Verve socials. Jack submits his entry which is an interview from a Villanova athlete before his 5000m at the NCAA champs. Joel can't decide between two this week so he does the noble thing and submits both. One recipient has received this award numerous times throughout the season while the second submission is of an anonymous poster of the Facebook page Athletes Australia wanting advice on what super shoes to buy their 9 year old child.   SIGN UP TO OUR PATREON TODAY: www.patreon.com/forthekudos Instagram: https://www.instagram.com/forthekudos Facebook: https://www.facebook.com/forthekudos TikTok: https://www.tiktok.com/@forthekudos Jack: https://www.instagram.com/jackrayner7 Joel: https://www.instagram.com/joeltobinblack Tess: https://www.instagram.com/tesssicaa_

Happy Hump Day, yo. Last day in the 70's for awhile. Looking at temps in the mid-to-upper 90's this weekend. Uffdah. Started the morning by talking about the death of celebrity chef Anne Burrell…a lawsuit against Tyler Perry…a Breyer's recall…and a report that most Americans get their news from social media. In sports, the Brewers dropped the series opener to the Cubs last night, the Panthers beat the Oilers to capture a consecutive Stanley Cup, the NBA Finals continue tonight, Tyrese Haliburton has to get an MRI on his calf, and Carson Hocevar was penalized for his comments about Mexico City last weekend. Elsewhere in sports, there's a new PGA Tour Commissioner, and the Tyreke Hill/Noah Lyles race is off, apparently. We talked about what's on TV today, and we discussed a list of cheap hobbies you can pick-up during the summer. A new study finds that 24% of Americans want to take a break from sex for some reason, and there's one trait that has the power to make you happier for the rest of your life! Funny story about a 102 year-old woman who wanted a stripper for her birthday recently…and check out these mowing companies in Kansas that got together to help their community! Father's Day was this weekend and a baseball team in Japan wanted to celebrate dads by asking their fans to share stories involving their dad & the baseball team…and it kinda backfired. And in today's edition of "Bad News with Happy Music", we had stories about a guy who tried to kill his friend with a wooden stake because he thought his friend was a werewolf, a woman who legally married her ex without him knowing,See omnystudio.com/listener for privacy information.

Dr. Linda Chu speaks with Dr. Rajiv Gupta and Dr. Andrea Diociasi about new findings linking repetitive blast exposure in Special Operations Forces (SOF) members to distinct changes in brain connectivity and cortical volume. They discuss how advanced MRI techniques and predictive models are uncovering correlations between neuroimaging markers and long-term neurobehavioral symptoms. Distinct Functional MRI Connectivity Patterns and CorticalVolume Variations Associated with Repetitive BlastExposure in Special Operations Forces Members. Diociasi et al. Radiology 2025; 315(1):e233264.

How do the experts balance organ preservation, oncologic control, and emerging therapies in both localized and metastatic cases of penile cancer? This episode of BackTable Tumor Board focuses on penile cancer diagnosis and treatment, featuring urologic oncologist Dr. Charles Peyton (UAB), radiation oncologist Dr. Juanita Crook (UBC), and medical oncologist Dr. Andrea Apolo (NCI). --- This podcast is supported by:Ferring Pharmaceuticals --- SYNPOSIS This session covers case studies ranging from localized to advanced penile cancer, diagnostic practices, imaging preferences (MRI vs. CT), and treatment options, including surgery, brachytherapy, chemoradiation, and neoadjuvant chemotherapy. The multidisciplinary team highlights the complexities of treating this rare cancer, underscores the importance of physical exams, and stresses the necessity of personalized treatment plans. They also delve into the challenges of managing metastatic stages, potential salvage therapies, and the importance of clinical trials in enhancing treatment efficacy. The doctors also emphasize the potential of immunotherapy and chemotherapy combinations for metastatic disease. --- TIMESTAMPS 00:00 - Introduction02:23 - Imaging Preferences03:29 - Biopsy vs Immediate Surgery06:04 - Lymph Node Dissection vs Radiation13:48 - Brachytherapy Techniques and Case Study23:21 - Challenges in Advanced Penile Cancer27:03 - Chemotherapy and Chemoradiation30:15 - InPACT Trial37:12 - Salvage Therapies and Exploring New Treatment Frontiers44:25 - Support and Awareness for Penile Cancer51:29 - Final Thoughts --- RESOURCES Society of Urologic Oncologyhttps://suonet.org/home.aspx

What if prostate cancer could be treated without surgery or full-gland radiation?In this episode of the Dr. Geo Prostate Podcast, Dr. Geo is joined by Dr. Aaron Katz, Chairman of Urology at NYU Long Island, a pioneer in prostate cryotherapy and integrative urology.With over 130 peer-reviewed publications and two books on prostate health, Dr. Katz has helped redefine prostate cancer treatment through focal cryotherapy—a minimally invasive technique that targets only the tumor, preserving sexual and urinary function.Together, they explore:The difference between whole-gland and focal cryotherapyHow imaging (like MRI and fusion biopsy) guides precision treatmentWho is an ideal candidate—and who is notWhy cryotherapy is gaining attention as a frontline optionWhat men should know after President Biden's prostate cancer diagnosisA holistic, patient-centered view of long-term prostate healthWhether you're newly diagnosed or exploring treatment alternatives, this episode will give you clarity, confidence, and options._________________________ Thank you to our June 2025 Sponsor LynxDx.Discover MyProstateScore 2.0 (MPS2), the next-generation urine test that helps you understand your prostate cancer risk. MPS2 analyzes a powerful panel of 18 biomarkers to deliver a personalized risk score, helping you and your doctor decide if further testing or a biopsy is right for you. MPS2 brings clarity and convenience to your prostate cancer screening journey with easy at-home or in-office collection. Visit lynxdx.com to learn more

Delaying diagnosis of parkinsonism can mean delaying care. In a study recently published in JAMA Neurology, David Vaillancourt, PhD, and colleagues tested the ability of an AI model to differentiate between Parkinson disease and other neurodegenerative disorders when paired with MRI. He joins JAMA and JAMA+ AI Associate Editor Yulin Hswen, ScD, MPH to discuss. Related Content: A Large Proportion of Parkinson Disease Diagnoses Are Wrong—Here's How AI Could Help Automated Imaging Differentiation for Parkinsonism

In this episode, we chat with Neil Herbert, Chairman of Pulsar Helium, a leading primary helium exploration and development company listed in Canada and the United Kingdom, with its flagship Topaz Project in Minnesota, USA, which has one of the world's highest concentrations of helium. Neil brings over 30 years leading and advising companies from start up, through IPOs, development and over US$3bn of M&A.  KEY TAKEAWAYS Pulsar Helium is focused on a primary helium project in Minnesota, which boasts some of the highest concentrations of helium globally, with a significant advantage of having no hydrocarbon association. Helium is increasingly vital for various technological applications, particularly in microprocessor production and healthcare (e.g., MRI scanners).  The U.S. federal government is actively supporting projects like Pulsar Helium, aiming to ensure local supply chains for critical materials.  The project requires relatively modest capital expenditure (between $10 million to $50 million) due to its small footprint and the absence of toxic gases. Financing options include existing bank facilities and potential state and federal support. If current testing goes well, Pulsar Helium aims to reach a financial investment decision (FID) early next year, with potential production starting as early as 2026, depending on the success of ongoing operations and permitting processes. BEST MOMENTS "The value of helium is around 100 times that of natural gas. It's a very high value product, and the potential returns on these projects could be phenomenal." "We started looking at projects in Africa, but when this opportunity came up in the States, it was just a no brainer. It was a project that was so good, you couldn't miss it." "The biggest consumer in the world of helium is actually the United States. They have a big space program and a big healthcare industry, making local supply crucial." "We're looking at a range of CapEx around 10 to 50 million. Given the relative modest amounts of money involved, I don't expect enormous problems with that." VALUABLE RESOURCES Mail:        rob@mining-international.org LinkedIn: https://www.linkedin.com/in/rob-tyson-3a26a68/ X:              https://twitter.com/MiningRobTyson YouTube: https://www.youtube.com/c/DigDeepTheMiningPodcast  Web:        http://www.mining-international.org This episode is sponsored by Hawcroft, leaders in property risk management since 1992. They offer: Insurance risk surveys recognised as an industry standard Construction risk reviews Asset criticality assessments and more Working across over 600 sites globally, Hawcroft supports mining, processing, smelting, power, refining, ports, and rail operations. For bespoke property risk management services, visit www.hawcroft.com GUEST SOCIALS  X > https://x.com/pulsarhelium LinkedIn > https://www.linkedin.com/company/pulsar-helium-inc YouTube > https://www.youtube.com/watch?v=EHGkYuAePJw $PLSR Insights > https://pulsarhelium.com/Community/PLSR-Insights/default.aspx https://www.pulsarhelium.com/overview/default.aspx connect@pulsarhelium.com CONTACT METHOD rob@mining-international.org https://www.linkedin.com/in/rob-tyson-3a26a68/ Podcast Description Rob Tyson is an established recruiter in the mining and quarrying sector and decided to produce the “Dig Deep” The Mining Podcast to provide valuable and informative content around the mining industry. He has a passion and desire to promote the industry and the podcast aims to offer the mining community an insight into people's experiences and careers covering any mining discipline, giving the listeners helpful advice and guidance on industry topics.  This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Lina: Hi Dr. Cabral, My neck has been feeling very fatigue for the past months. My spinal X-ray revealed a mild C5-6 disc space narrowing with endplate osteophyte formation. I am applying castor oil onto this area daily as I believe it help disintegrate bone spurs. Can you please provide guidance on what more I can do to break up these bone spurs and strengthen that area of my neck? Besides neck exercises which I am doing, are there any dietary suggestions or supplementation that would help. I am very grateful for all you do for us in this community. With much thanks, Lina                        Heather: Hello Dr. Cabral! I am a 47-year-old woman who has been experiencing double vision upon waking that usually lasts until around 11 AM, It does not happen every day but has been happening for a year and a half. It also happens when I have alcohol. I went to my optometrist and he said everything looked good, I went to my PCP and he wanted to run labs. No red flags, so he wanted to do an MRI on my brain. I decided to run the big five labs instead and found out I was low on all the B vitamins, had SIBO & Candida. I did The 21 day detox, completed the CBO protocol and will be starting a heavy metal detox next week. As of writing this I still am experiencing the double vision intermittently. Thank you!                                                                                                                                  Thomas: Thanks for all your work. It has been a very helpful resource for my family and I as we continue to improve our health. My question is about SPMs (specialized pro-resolving mediators). Can you speak about their efficacy or the lack thereof and whether you've personally used them or use them in your practice?          Michelle: Hi! Thank you for your show, I've learned so much from listening to your podcast! I'm just wondering your thoughts on a dental procedure. After my last dentist appointment I was told I needed two root canals or if I wanted to spend a little more I could have two implants. My question is, which one is safer? I've heard root canals can cause problems like low grade infections lasting a long time but I haven't heard anyone talk about any bad side affects from implants. Thank you for all you do. Michelle                                                                                                                                        Savannah: Hypothyroidism runs in my family both my mom and dad have it and both my grandmothers had it. I was diagnosed in my early 20's but I haven't been on medicine since having my son in 2023 and was wondering what's the best protocol of supplements and foods to help keep the thyroid healthy or heal it if possible. Thanks!   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3418 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

In this powerful episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Preston Sprenkle, leading urologic oncologist at Yale School of Medicine, to explore the emerging role of focal therapy in prostate cancer care. A pioneer in MRI-ultrasound fusion biopsy using the Artemis Device, Dr. Sprenkle shares how focal treatments can offer cancer control while preserving quality of life.Whether you're on active surveillance or facing a Gleason 7 or 8 diagnosis, this episode helps you better understand:When focal therapy is appropriate—and when it's notKey differences between cryoablation, IRE (NanoKnife), and Tulsa Pro How patient goals (erectile function, continence, cancer control) shape treatmentWhat recent research shows about focal therapy success ratesHow to approach higher-risk prostate cancer (Gleason 8–10) with focal therapyWhat to know about PSMA PET scans, genomic tests, and repeat biopsiesThe real risks of skipping follow-up on active surveillanceYou'll also hear candid reflections on the evolution of holistic and integrative urology, and why building trust with your urologist matters more than ever.

'Stros Welcome Carlos Correa & the TWINS to Daikin Park Friday Night; AND- Astros Send Parades for MRI full 794 Sat, 14 Jun 2025 00:16:50 +0000 NzoSOJ3A4uYyUIPRJ3Sf8FC6PnO44awM mlb,minnesota twins,houston astros,jose altuve,carlos correa,twins,astros,mlb news,white sox,al west,htown,parades,correa,altuve,astros news,stros,daikin park,sports The Drive with Stoerner and Hughley mlb,minnesota twins,houston astros,jose altuve,carlos correa,twins,astros,mlb news,white sox,al west,htown,parades,correa,altuve,astros news,stros,daikin park,sports 'Stros Welcome Carlos Correa & the TWINS to Daikin Park Friday Night; AND- Astros Send Parades for MRI 2-6PM M-F © 2025 Audacy, Inc. Sports False

In "Episode 6" of the series on "Present and future of diagnostics in prostate cancer", Assoc. Prof. Pawel Rajwa (PL) speaks with Prof. Peter Carroll (US) about the shifting landscape of active surveillance for intermediate-risk prostate cancer.Traditionally reserved for low-risk cases, active surveillance is now being considered for select patients with grade group 2 disease - especially when diagnosed through advanced techniques like MRI-targeted biopsy.Prof. Carroll explains how MRI has changed both the decision-making process and the biopsy approach, helping identify candidates with low risk of progression. The conversation addresses the potential to reduce overtreatment, minimise invasive follow-ups, and improve quality of life without compromising outcomes. Together, they examine how emerging data and imaging innovations are informing a more nuanced, patient-specific approach to prostate cancer care.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.

The Washington Commanders just went through their 3 day mandatory minicamp, where CB Marshon Lattimore and LT Laremy Tunsil participated, but WR Terry McLaurin continues to skip out while wanting a new deal. There are many names to discuss that got positive attention, inclduing TE Ben Sinnott, WR Luke McCaffrey and LB Jordan Magee. Who stood out to you at minicamp from what you've heard and read?WR Deebo Samuel was trending on Twitter for jogging through a route in a group install, that immediately received backing from former teammate TE George Kittle and current teammate LB Bobby Wagner. We discuss Deebo and expectations for him coming up this season.WR Noah Brown was carted off the field with an injury and an MRI was taken yesterday while we await the results from it. If he misses the season, whom do we expect to step up amongst the current WR corps?WR Terry McLaurin continues to miss offseason activities while he attempts to work out a new deal. Amit speculates that Terry wants a 4th year in his new deal, which could be holding things up.The Comment Mailbag features 15 comments. Thank you all for the comments! We appreciate them as always.TIMECODES0:00 Intro1:26 Minicamp Takeaways18:28 Deebo Samuel25:06 Noah Brown Injury37:57 Terry McLaurin Holdout45:42 Comment Mailbag#commanders #deebosamuel #terrymclaurin

HOUR #4 - Astros Welcome Correa & Twins to Daikin Friday Night; &-Parades getting MRI on Leg Injured Thurs vs CWS full 2507 Fri, 13 Jun 2025 23:56:45 +0000 ORNnZEi3GMalNfpBWAUyrLG1prNDflFh nfl,mlb,nba,nba finals,texans,astros,rockets,altuve,sports The Drive with Stoerner and Hughley nfl,mlb,nba,nba finals,texans,astros,rockets,altuve,sports HOUR #4 - Astros Welcome Correa & Twins to Daikin Friday Night; &-Parades getting MRI on Leg Injured Thurs vs CWS 2-6PM M-F © 2025 Audacy, Inc. Sports False

Meet James Brown. In his first year of law school he began experiencing noticeable neurological symptoms. An MRI scan revealed a massive brain tumor. Though doctors anticipated a smooth recovery after surgery, James faced serious complications that left him in a coma for two months and dealing with lasting disabilities. But instead of giving up, he chose to fight back. He returned to Colorado, became a father, and boldly started a new career in web programming. Along the way he earned a master's degree in philosophy from the University of Illinois.Now living in Texas, James dedicates his time to leading multiple support groups, helping others navigate life after brain injury.  He shares practical tips for managing day-to-day life, the value of having a structured routine, and the vital role support groups play in recovery. He also reflects on the emotional and philosophical aspects of living with a brain injury, offering wisdom, hope, and encouragement to anyone facing their own "new normal."Support the showNew episodes drop every other Thursday everywhere you listen to podcasts.

Recently, sophisticated myelographic techniques to precisely subtype and localize CSF leaks have been developed and refined. These techniques improve the detection of various types of CSF leaks thereby enabling targeted therapies. In this episode, Katie Grouse, MD, FAAN, speaks with Ajay A. Madhavan, MD, author of the article “Radiographic Evaluation of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Madhavan is assistant professor of radiology at the Mayo Clinic in Rochester, Minnesota. Additional Resources Read the article: Radiographic Evaluation of Spontaneous Intracranial Hypotension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Jones:  This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse:  This is Dr Katie Grouse. Today I'm interviewing Dr Ajay Madhavan about his article on Radiographic Evaluation of Spontaneous Intracranial Hypotension, which he wrote with Dr Levi Chazen. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr Madhavan:  Hi, thanks a lot, Katie. Yeah, so I'm Ajay Madhaven. I'm a neuroradiologist at the Mayo Clinic in Rochester, Minnesota. I did all my training here, so, I've been here for a long time. And I have a lot of interest in spinal CSF leaks, and I do a lot of that work. And so I'm really excited to be talking about this article with you. Dr Grouse:  I'm really excited too. And in fact, it's such a pleasure to have you here talking today on this topic. I know a lot's changed in this field, and I'm sure many of our listeners are really interested in learning about the developments and imaging techniques to improve detection and treatment of CSF leaks, especially since maybe we've learned about this in training. I want to start by asking you what you think is the most important takeaway from your article. Dr Madhavan:  Yeah, that's a great question. I think---and you kind of already alluded to it---I think the main thing is, I hope people recognize that this field has really changed a lot in the last five to ten years, through a lot of multi-institutional collaboration and also collaboration between different specialties. We've learned a lot about different types of spinal CSF leaks, how we can recognize the disease, particularly the types of myelography that we need to be using to accurately localize and treat these leaks. Those are the things that have really evolved in the last five to ten years, and they've really helped us improve these patients' lives. Dr Grouse:  Can you remind us of the different common types of spinal leaks that can cause spontaneous intracranial hypotension? Dr Madhavan:  Yeah, so there are a number of different spinal CSF leaks, types, and I would say the three most common ones that really most people should try to be aware of and cognizant of are: first, ventral dural tears. So those are, like, just physical holes in the dura. And they're usually caused by little bone spurs that come from the vertebral columns. So, they're often patients who have some degenerative changes in their spine. And those are really very common. Another type of spinal CSF leak that we commonly see is a lateral dural tear. So that's like the same thing in a slightly different location. So instead of being in the front, it's off to the side of the dura laterally. And so, it's also just a hole in the dura. And then the third and most recently discovered type of spinal CSF leak is a CSF-venous fistula. So those are direct connections between the subarachnoid space and little paraspinal vein. And it took us a long time to even realize that this was a real pathology. But now that it's been recognized, we've found that this is actually quite common. So those three types of leaks are probably the three most common that we see. And there's certainly others out there, but I would say over 90% of them fall into one of those three categories. Dr Grouse:  That's a great review, thank you. Just as another quick review, as we talk more about this topic, can you remind us of some of the most common or typical brain imaging findings that you'll see in cases of spontaneous intracranial hypotension? Dr Madhavan:  Yeah, absolutely. So, when you do a brain MRI in a patient who has spontaneous intracranial hypotension, you will usually, though not always, see typical brain MRI abnormalities. And I kind of think of those as falling into three different categories. So, the first one I think of is dural enhancement or thickening. So that's enlargement or engorgement of the dura, the pachymeninges, and enhancement on postgadolinium imaging. So, that's kind of the first category. The second is that, when you lose spinal fluid volume, other things often expand to take up the space. So, for example, you can get distension or enlargement of the dural venous sinuses, and sometimes you can also get subdural food collections or hematomas. They can arise spontaneously. And I kind of think of those as, you know, you, you've lost the cerebrospinal fluid volume and something else is kind of filling up the space. And then the third category is called brain sagging. And that's a constellation of findings where the posterior fossa structures and the pituitary gland in the cell have become abnormal because you've lost the fluid that normally cushions those structures and causes them to float up. For example, the brain stem will sag down, the distance between the mammillary body and the ponds may become reduced. The suprasellar cistern space may be reduced such that the optic chiasm becomes very close to the pituitary gland, and the prepontine cistern may also become reduced in size. And there are various measurements that can be used to determine whether something is subtly abnormal. But just generally speaking, those are really the three categories of brain MRI abnormalities you'll see. Dr Grouse:  That was a great review. And of course, I think in many times when we are thinking about or suspecting this diagnosis, we may be lucky to find those imaging findings to reinforce a diagnosis. Because as it turns out, after reading your article, I was really surprised to find out that in as many as 19% of cases we actually see normal brain imaging, which really was a surprise to me, I have to say. And I think that this really encompasses why spontaneous intercranial hypotension is such a difficult diagnosis to make. I think a lot of us struggle with how far to take the workup when, you know, spontaneous intercranial hypotension is clinically suspected, but multiple imaging studies are normal. Do you have any guidance on how to approach these more difficult cases? Dr Madhavan:  So, that's a really good question. And you know, it's- as you can imagine, that's a topic that comes up in most meetings where people discuss this, and it's been a continued challenge. And so, like you said, about 19 or 20% of patients who have this disease can have a, a normal brain MRI. And we've tried to do some work to figure out why that is and how we can identify patients who still have the disease. And I can just provide, I guess, some tips that have helped me in my clinical practice. One thing is, if I ever see a patient with a normal brain MRI where this disease is clinically suspected---for example, maybe they have orthostatic headaches or other very typical symptoms and we don't know why, but their brain MRI is normal---the first thing I do is I try to look back at their old imaging. So many times, these patients who present to us at Mayo, who, when we do their MRI scan here, their brain MRI looks normal… if you really look back at imaging that they've had done elsewhere---maybe even two to three years prior---at the time their symptoms started, they actually had some abnormalities. So, I might see that a patient, two years ago, had dural enhancement that spontaneously resolved; but now they still have symptoms of SIH and they may still have a CSF leak that we can find and treat, but their brain MRI has, for whatever reason, normalized. So, I always start by looking back at old imaging, and I found that to be very helpful. The other thing is, if you see a patient with a normal brain MRI, it's also important to look at their spine MRI because that can provide clues that might suggest that they could still have a spinal CSF leak. And the two things I look for on the spine MRI: one, if there's any extradural CSF. So, spinal fluid outside of where it's supposed to be within the confines of the subarachnoid space. And you know, really, if you see extradural CSF, you know they probably have a spinal fluid leak somewhere. Even if their brain MRI is normal, that just gives you the information that there is a dural tear probably somewhere. And so, in those patients we'll definitely still proceed to myelography or other testing, even if they have a normal brain MRI. And then the last thing I look for is whether or not they have prominent meningeal diverticula. Patients with CSF venous fistulas almost always have one or more prominent diverticula on their spine along the nerve root sleeves. And that's probably because most of these fistulas come from nerve root sleeve diverticula. We don't completely understand the pathogenesis of CSF venous fistulas, but they're clearly associated with meningeal diverticula. So, if I see a patient who has a normal brain MRI, but I see on their spine MRI that they have many meningeal diverticula that are relatively prominent, that makes me more inclined to be a little bit more aggressive in doing myelography to find a CSF leak. And then I look at other demographic features, too. So, for example, elevated BMI and older age are associated with CSF venous fistulas. So, that can help you determine whether or not it's warranted to go on to more advanced imaging, too. So those are all just a variety of different things that we've used to help us. Dr Grouse:  Thank you for sharing that. I wanted to go on to say that, you know, reading your article, of course, as you mentioned, you alluded to the fact there's lots of new imaging modalities out there. It was very illuminating and just an excellent resource for the options that exist and when they're useful. You did a great job summarizing it. And I encourage our readers to check out your article, to refresh themselves, update themselves on what's happened in this space. And of course, we can't summarize them all today, but I was wondering if you could possibly walk us through a hypothetical case of a patient who comes in with a history very suspicious for SIH? How would you approach this patient? Say you have gotten imaging that suggested that there is a spinal fluid leak and now you have to figure out where it is. Dr Madhavan:  Yeah. So, you know, I think the most typical scenario it'll be a patient who has been seen by one of my excellent neurology colleagues and they've done a brain MRI and they've made the diagnosis through a combination of clinical information and brain MRI finding. And then the next thing we'll do always is, we'll obtain a spine MRI. So, I think of the purpose of the spine MRI as to determine what type of spinal fluid leak they have. On the spine MRI, if you see extradural CSF, those patients essentially always will have a dural tear. And it may be a ventral dural tear or a lateral dural tear. But if you see extradural CSF, that is pretty much what they have. And conversely, if you don't see extradural CSF---if you just see, for example, many meningeal diverticula, but you don't see anything else particularly abnormal---most of those patients have a CSF venous fistula, just common things being common. So I use the spine MRI to determine what type of leak they have. And then the next thing I think about is, okay, I'm going to do a myelogram on this patient. How do I want to position them? Because it turns out that positioning is probably the most important factor for finding these spinal fluid leaks. You have to have the patient positioned correctly to find the leak that you're trying to localize. And so, if I suspect they have a ventral dural tear, I will always position those patients prone for their myelogram. And I might do one of many different types of myelograms. And, you know, the article talks about things like digital subtraction myelography and dynamic CT myelography. And you can find any of these leaks with any of those techniques, but you just have to have the patient positioned correctly. So, if I think I have a ventral dural tear, I'll put them prone for the myelogram. If I think they have a lateral dural tear, I'll put them in the cubitus position for the myelogram. And also, if they- if I think they have a CSF-venous fistula, I'll also put them in the decubitus position. Obviously if you're putting them in the decubitus position, you have to decide whether it's going to be left or right side down. So that may require a two-day exam. Sometimes you don't have to; in many cases, we're able to just do everything in one day. But those are all the different factors I think about when I'm trying to determine how I'm going to work those patients up further. So, I really use the spine MRI chiefly to think about what type of leak they're going to have and how I'm going to plan the myelogram. Dr Grouse:  That's really great. And it's, I think, really nice to emphasize how much the positioning matters in all this, which I think is not something we've been classically taught as far as the diagnosis of spinal leaks. Another thing I'm really interested in your opinion on is, you talked a lot about how to optimize and what can make you successful at diagnosis. I'm curious what you think one of the easiest mistakes to make or, you know, that we should hopefully avoid when treating patients with this disease. Dr Madhavan:  Yeah. And I think, you know, one other thing that's been discussed a lot in this topic… you know, we've talked about the patients with a normal brain MRI. Another barrier or challenge particularly with CSF-venous fistulas is, sometimes they can be very subtle on imaging. So, it's not always you see it very definitive CSF-venous fistula where you can say, like, there's no question, that's a fistula. There are many times where we do a good-quality myelogram and we see something that looks, like, possible for a CSF venous fistula, or probable. If I had to put a number on it, maybe there's a 50 to 70% chance of real. So, in those cases, we end up wondering, like, should we treat this suspected leak? And I think one common mistake  or one thing that needs to be looked at further is, how do we handle these patients where we don't know whether the fistula is real or not? That's usually something where I will have a discussion with the patient, and I'm usually just very upfront with him about my interpretation of the imaging. I'll just tell them, we did a good-quality myelogram. You did a great job. We got good images. I don't see anything definitive, but I see this thing that I think has maybe a 60% chance of being real. And then I'll confer with one of my neurology colleagues and we'll decide whether it's worth treating that or not. And we'll just be very upfront with a patient about whether- about the likelihood of its success and what their long-term prognosis is. And oftentimes we let them make the decision. But I think that remains to be one of the big challenges is, how do we treat these patients who have suspected leaks that are not definitive on imaging. Dr Grouse:  That sounds absolutely like an important area where there can be problems, so I appreciate that insight. I'm interested what you think in your article would come as the biggest surprise to our listeners who may not have kept up as much with all of the changes that have happened in recent years? Dr Madhavan:  One of the things that was certainly, at least, a surprise to me as I was going through my training and learning about this topic is how diverse myelography has really become. You know, when I was a radiology resident, I learned about myelography as this thing that we've been doing for 30 to 40 years. And historically we've used myelograms just to look for degenerative changes: disc bulges, you know, disc herniations and things like that. Now that MRI is more prevalent, we don't use it as much, but it has turned out that it has a very big role in patients with spinal fluid leaks. Furthermore, something that I've learned is just how diverse these different types of myelograms have become. It used to kind of be just that a myelogram is a myelogram is a myelogram, but now we have different types of positioning, different types of equipment that we use. We vary the timing between contrast injection and imaging to optimize success for finding spinal fluid leaks. So, I think many times I talk to people who may not be as familiar with this field and they're surprised at just how diverse that has become and how sophisticated some of the various myelographic techniques have become and how much that really makes a difference in being able to accurately diagnose these patients. Dr Grouse:  Well, I can say it was a surprise to me. Even as someone who does treat quite a few patients with this condition, I was surprised to see the breadth of different options that have become available. And then kind of a follow-up to that, what do you think the current area of controversy is in this area of diagnosis and treatment? Dr Madhavan:  The biggest ones are ones you've sort of already alluded to. So, one big one is, how far do we go in patients who have a normal brain MRI who still have a clinical suspicion of the disease? And sometimes it's really hard, because sometimes you will find patients who clinically have a very strong case for having spontaneous intracranial hypotension. You look at them, they have very acute-onset orthostatic headaches. There's no better explanation for their symptoms that we know of. And it's hard to know what to do with those patients, because some of them want to continue to undergo diagnostic workup, but you can only do so many myelograms and you can only do so much with this diagnostic workup that requires some radiation dose before it becomes very challenging. That's a major point of just, I guess, ongoing research as to what can we do better for that subset of patients. Fortunately, it's not all of them, it's a subset of them, but I think we could help those patients better in the future as we learn more about the disease. So that's one. And the other one is treating these equivocal findings, like I discussed.  And where should our threshold be to treat a patient, and what type of treatment should we do in patients where we don't know whether a leak is real? Should we just do a very noninvasive- relatively noninvasive blood patch? Do we do an embolization where we're leaving a foreign body there? Is it worth sending those patients to surgery? Those are all unanswered questions and things that continue to spark ongoing debate. Dr Grouse:  Do you think that there's going to be any new big breakthroughs, or even, do you know of any big developments on the horizon that we should be keeping our eyes out for? Dr Madhavan:  You know, I think for me the biggest thing is, imaging is dramatically improving. We talked a little bit about photon counting detector CT in our article, and that's one of the newest and best techniques for imaging these patients because it has very, very high resolution, it has a lower radiation dose, it has allowed us to find leaks that we were not able to find before. And there are other high-resolution modalities that are emerging and becoming more accessible to things like cone beam CT which we do in addition to digital subtraction myelography. And on top of that, we've started to use AI-based tools to make images look a lot better. So, there are various AI algorithms that have come out that allow us to remove artifacts from imaging. They help us image patients with a bigger body habitus better without running into a lot of imaging artifacts. They help us reduce noise in imaging. They can just give us better-quality images and aid us in the diagnosis. For me as a radiologist, those are some of the most exciting things. We're finding less invasive ways with less radiation to better diagnose these patients with just better-quality imaging. Dr Grouse:  Well, that is definitely something to be excited about. So, I just want to thank you so much for talking with us today. It's been such an interesting, informative discussion and a real privilege to talk with you about this important topic. Dr Madhavan:  Yeah, thanks so much. I really appreciate the time to talk with you, and I look forward to seeing the article out there and hopefully getting some interesting questions. Dr Grouse:  Again, today I've been interviewing Dr Ajay Madhavan about his article on Radiographic Evaluation of Spontaneous Intracranial Hypotension, which he wrote with Dr Levi Chasen. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved.Post-arrest care and recovery are the final two links in the chain of survival.Identification of ROSC during CPR.Initial patient management goals after identifying ROSC.The patient's GCS/LOC should be evaluated to determine if targeted temperature management (TTM) is indicated.Patients that cannot obey simple commands should receive TTM for at least 24 hours.Recently published studies on TTM and ACLS's current standard.Monitoring the patient's core temperature during TTM.Patients can undergo EEG, CT, MRI, & PCI while receiving TTM.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Pelvic Floor Foundations Community Challenge!We just got started with a HUGE community on our Pelvic Floor Foundations course to move through it together this month! If you missed out on the Early Bird Discount, not to worry! As a podcast listener, you can use code OPTIMAL20 to still get the Early Bird price! Hundreds of people will be moving through this together over the next couple of weeks. There is even a private Instagram chat available to have your questions personally answered by Doc Jen! Come joint us!LMNT Electrolytes: Free Gift with Purchase!Fuel every system within the body and the brain with LMNT! Keep yourself hydrated on a cellular level by replenishing the sodium, potassium, and magnesium that our body needs for basic cellular processes like nerve signaling, smooth muscle contractions, unnecessary fatigue, aches and pain, brain fog, and recovery! Get a free gift with every purchase and try some new flavors as you stay hydrated! ⁠⁠⁠⁠Get Your Free Gift!We think you'll love:Pelvic Floor FoundationsJen's InstagramDom's InstagramYouTube ChannelFor full show notes and resources go to https://jen.health/podcast/412What You'll Learn:2:45 Discussion on how overused diagnoses and imaging can be more harmful than helpful.3:22 Explaining that age-related changes on imaging are common and not always linked to pain.4:21 How people identify with diagnoses and the importance of not letting them define you.6:32 Research shows structural knee changes are common and not always related to pain; term “chondromalacia patella” is outdated.7:57 Studies show patellar alignment changes on MRI have minimal association with pain or function.9:53 A listener's story about anxiety from imaging results and the pitfalls of overemphasizing degenerative disc disease.11:51 Studies show high rates of disc herniation and degeneration in people without back pain.14:48 Rotator cuff tears are common on imaging, often found in people without shoulder pain.16:04 Routine imaging for shoulder pain is discouraged unless there are specific severe symptoms.19:20 “Shoulder impingement” is often misdiagnosed; structural changes don't always cause pain.21:01 Research shows surgery for impingement isn't always better than physical therapy.22:49 A listener avoided surgery and recovered from a severe disc herniation with time and rehab.

Join us on the latest episode, hosted by Jared S. Taylor!Our Guest: Dr. Danna Chung, Chief Medical Officer at Ezra.What you'll get out of this episode:Dr. Danna Chung's Diverse Medical Journey: From health policy and community clinics to innovative startups and AI-driven diagnostics.Personal Catalyst for Joining Ezra: A family cancer diagnosis led Dr. Chung to seek better early detection tools, ultimately connecting her to Ezra.The Power of Early Detection: Emphasizes how early cancer diagnosis, especially via total-body MRI, can dramatically improve survival rates.Ezra's Tech-Driven Approach: AI-assisted scoring, personalized follow-up, and longitudinal health tracking make their screening more effective and responsible.Strategic Growth with Function Health: Recent acquisition boosts combined offerings of lab testing and imaging, expanding access and affordability.To learn more about Ezra:Website http://ezra.com Linkedin https://www.linkedin.com/company/ezrainc/Our sponsors for this episode are:Sage Growth Partners https://www.sage-growth.com/Quantum Health https://www.quantum-health.com/Show and Host's Socials:Slice of HealthcareLinkedIn: https://www.linkedin.com/company/sliceofhealthcare/Jared S TaylorLinkedIn: https://www.linkedin.com/in/jaredstaylor/WHAT IS SLICE OF HEALTHCARE?The go-to site for digital health executive/provider interviews, technology updates, and industry news. Listed to in 65+ countries.

We're diving into some real talk about how to kickstart your career in radiology. Today, I'm answering your burning questions—everything from how to get into MRI tech without a fancy degree to the nitty-gritty on whether radiation is actually dangerous for us techs. Spoiler alert: it's not as scary as it sounds, and I'm here to clear up those misconceptions! We're also chatting about the money side of things—because let's be honest, who doesn't want to know which modalities can help pad the wallet? Whether you're a seasoned pro or just dipping your toes into the world of medical imaging, there's something here for everyone. So grab your favorite drink, kick back, and let's get this Q&A party started!If you've ever wondered what it's like to step into the world of radiology, you're in for a treat! In this lively episode, Chaundria takes us on a journey through the frequently asked questions that have been pouring in from her social media followers. With a casual tone that feels like a chat over coffee, she tackles everything from the pathways to becoming an MRI tech to the realities of radiation exposure for techs. One of the standout moments is her breakdown of the educational requirements—turns out, you don't need a fancy bachelor's degree to get started in this field! What's truly refreshing is how Chaundria blends her professional expertise with relatable anecdotes, ensuring that listeners feel both informed and entertained. For instance, she addresses concerns surrounding radiation safety with a mix of solid facts and a light-hearted approach, reassuring aspiring techs that the risk is considerably low with proper safety measures in place. Throughout the episode, there's a palpable sense of camaraderie as Chaundria encourages her audience to explore their options and think strategically about their careers. And just when you think the episode can't get any better, she dives into the money side of things, discussing which modalities might bring in more cash. Whether you're a seasoned pro or just curious about the field, this episode promises to be both enlightening and enjoyable, leaving listeners with a better grasp of radiology and perhaps even a few laughs along the way!Takeaways: To become an MRI tech in the US, you don't need a BSc; an associate's degree will do! Radiology offers various pathways, so think strategically about your education and certifications. Working in radiology does not significantly increase cancer risks; safety protocols are in place. If you want to switch modalities, explore additional certifications to boost your marketability. Before investing in a radiology program, check how your criminal record might affect licensing. Different radiology modalities offer varying salaries; research is key to knowing your worth. Links referenced in this episode:racheltheradiographer.comradiology, MRI technologist, medical imaging, radiologic technology, ARRT certification, radiologic sciences, healthcare careers, radiation safety, medical imaging education, radiology job market, cross-training modalities, radiation therapy, ultrasound technology, interventional radiology, dosimetry, healthcare certifications, radiology Q&A, radiology podcast, career advancement in radiology, medical imaging professions© 2025 A Couple of Rad Techs Podcast

Spryker's Chief Product Officer, Elena Leonova, discusses the Spryker Business Intelligence platform and how working with AWS as a strategic advisor unlocked deeper opportunities for transformative growth.Topics Include:Elena Leonova introduces Spryker as digital commerce platformSpryker focuses on sophisticated B2B commerce transactionsTraditional industries: manufacturing, industrial goods, med techCustomers sell complex equipment like MRI machines, tractorsProducts are custom-built to order through procurement processesExtensive negotiation and aftermarket servicing are requiredCompetitors focus on fashion, food - not complex equipmentSpryker exclusively hosted on AWS cloud infrastructureAWS partnership enables new capabilities and customer innovationBusiness intelligence tools and AI capabilities now availableRicoh example: global manufacturer of industrial-grade printersRicoh sells through dealers and distributors worldwideS-Diverse: new automotive software marketplace partnership platformConnects automotive manufacturers with embedded software producersSpryker Business Intelligence powered by Amazon QuickSight launchedCommerce becoming more intelligent than traditional repeat purchasesComplex equipment buyers don't purchase MRI machines weeklyPlatform provides insights into customer portal navigation patternsCombines commerce data with search, CRM, competitive intelligenceHelps merchants identify revenue optimization signals from noiseBusiness intelligence integrated directly within Spryker platformCustomers should evaluate platform's future scalability and flexibilityRevenue optimization requires understanding what metrics to improveEasy-to-use data analysis prevents information overload problemsQuickSight's GenAI capabilities enable faster executive decision-makingAWS partnership provided cost optimization and innovation confidenceElena initially viewed AWS as just hosting providerBuilding shared vision with AWS unlocked deeper collaborationAWS became trusted advisor for strategy and partnershipsGenerative AI enables multi-persona communication across customer typesParticipants:Elena Leonova – Chief Product Officer, SprykerSee how Amazon Web Services gives you the freedom to migrate, innovate, and scale your software company at https://aws.amazon.com/isv/

Send us a textIn this week's Journal Club, Ben and Daphna dive into the latest report from the American Academy of Pediatrics on the management of patent ductus arteriosus (PDA) in preterm infants. They dissect the nuances of prophylactic versus selective treatment, review recent meta-analyses, and explore why early intervention might not yield better outcomes despite effective PDA closure. They also break down new echocardiographic criteria for diagnosing a hemodynamically significant PDA and discuss the role of transcatheter procedures.The conversation then shifts to MRI timing and classification in neonatal encephalopathy, highlighting recent Canadian consensus recommendations for standardizing imaging protocols post-therapeutic hypothermia. The episode wraps up with a look at the TOHOP trial on permissive hypotension, challenging long-standing blood pressure treatment thresholds in preterm infants.Listeners will gain a pragmatic view of evolving clinical practices and research gaps in neonatal care, particularly for infants with PDA and hypoxic-ischemic encephalopathy. If you're looking to stay current on evidence-based recommendations without the fluff, this episode is for you. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Dr. Grant Tinsley joins the discussion as the body composition expert.Myostatin is a key regulator of muscle growth.Wendy Whippete the most jacked muscled up dogThe concern of GLP-1 receptor agonists and muscle mass loss.Overview of Courage trial looking at semaglutide and trevogrumab and lean mass lossUpcoming Believe trial coming out (bimagrumab and semaglutide)Exercise remains crucial for muscle health and function.MRI data from SURPASS MRI provides new insights into muscle volume changes.The combination of medications may have varying effects on muscle mass.Caution is advised regarding the long-term effects of new drugs.Clinical benefits of medications often outweigh concerns about muscle loss.Future research will explore the synergy between exercise and medication.Other docs who lift podcasts with Dr. Grant:Tirzepatide muscle lossLean mass loss and GLP-1 meds

Dr Greg Zaharchuk joins Kristan and Bill for an in depth and educational discussion about Artificial Intelligence in MRI. Claim your Credit Here This MR iCast episode is supported by Bracco Diagnostics Inc. through an unrestricted educational grant.

What if the pain you've been told to ignore… was actually coming from your hips, your spine—or your immune system? In this deep-dive episode, Dr. Linda Bluestein is joined by Dr. Andrew Goldstein, an expert in sexual pain disorders, to unravel the misunderstood causes of vulvar and pelvic pain in people with EDS (Ehlers-Danlos Syndrome), MCAS (Mast Cell Activation Syndrome) , and POTS (Postural Orthostatic Tachycardia Syndrome). Dr. Goldstein reveals why the traditional diagnosis of “vulvodynia” might be missing the real problem, and how factors like labral tears, pudendal nerve compression, Tarlov cysts, pelvic organ prolapse, endometriosis, nerve proliferation, and mast cell disorders can all converge into debilitating pain—and be completely overlooked. He explains why pelvic floor physical therapy sometimes fails, when Botox is a game-changer, and how stigma and misinformation continue to prevent EDS patients from receiving proper care. If you've ever been told "it's all in your head"—this episode proves it's not. And it might be the roadmap you've been searching for. Takeaways: You might not feel hip pain at all—but your clitoris, rectum, or vulva will. A cyst that's left off your MRI report could be ruining your life. That pain during intimacy? It could be nerve sprouting—and it's not your fault. When physical therapy fails, it may not be the therapy's fault. He's performed 1,300+ surgeries. Here's how he decides if you really need one. Reference Links: Ep 130 with Dr. Goldstein: https://youtu.be/csiK_Zmb_hk Ep 116 with Dr. Feigenbaum: https://youtu.be/Uq4OrVa6deM https://www.gyncancer.org/ https://www.amazon.com/shop/hypermobilitymd/list/2LQLPARJY3CDS?ref_=aipsflist https://pubmed.ncbi.nlm.nih.gov/23875629/ https://pubmed.ncbi.nlm.nih.gov/23577645/ https://www.isswsh.org/ Want more Dr. Andrew Goldstein? Instagram: https://www.instagram.com/the.cvvd/ Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: https://algonot.com/coupon/bendbod/ Connect with the HypermobilityMD:  YouTube: ⁠youtube.com/@bendybodiespodcast⁠  Instagram: ⁠https://www.instagram.com/hypermobilitymd/⁠  Facebook: ⁠https://www.facebook.com/BendyBodiesPodcast⁠  X: ⁠https://twitter.com/BluesteinLinda⁠  LinkedIn: ⁠https://www.linkedin.com/in/hypermobilitymd/⁠  Newsletter: ⁠https://hypermobilitymd.substack.com/⁠ Shop my Amazon store ⁠https://www.amazon.com/shop/hypermobilitymd⁠ Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week we're resharing a classic of Episode 455 when Steve tells us about his hilarious MRI experience while we enjoy Harp Lager and Guinness Extra Stout. Cheers Big Ears!#beerclub #beerclubpodcast #bestnewpodcast #whatsinthefridge #WITF #beeroftheweek #notforthetaintofheart #newandnoteworthypodcast #bestpodcast #drinklocal #craftbeer #beertasting #youtubepodcast #spotifypodcast #applepodcast #beeradvocate #drinklocal #beer #beerreviews #guiness #harp

Send us a textIn this episode of The StrongHer Way, Alisha Carlson sits down with renowned clinical neuropsychologist Dr. Alina Fong to unpack the complexities of brain health and how traumatic brain injuries—both emotional and physical—impact behavior, cognition, and overall wellness. They dive deep into the cutting-edge science of neuropsychology, explore how functional MRI is revolutionizing the diagnosis and treatment of concussion symptoms, and spotlight the critical importance of individualized care in today's healthcare model.Dr. Fong shares her innovative Brain Boot Camp program, which uses cognitive therapy, nutrition, exercise, and sleep optimization to restore brain function and improve quality of life. This conversation challenges the outdated, one-size-fits-all approach to healthcare and introduces a holistic treatment model that empowers patients—especially women—to reclaim their health and vitality.Whether you're navigating your own brain fog, healing from trauma, or looking to optimize your mind for high performance, this episode offers tangible strategies rooted in science and backed by years of clinical practice.What You'll Learn in This Episode:How brain structures affect behavior, personality, and decision-makingThe link between emotional trauma and brain functionWhy concussions often go undiagnosed—and what signs to look forThe power of functional MRI in diagnosing and tracking brain injuriesHow neurohacking practices like sleep, movement, and learning new skills improve brain functionWhy women's health must include brain-focused, individualized careThe role of nutrition and exercise in cognitive recovery and brain optimizationHow community and connection support long-term wellnessThis episode is perfect for you if:You've struggled with brain fog, fatigue, or memory issuesYou want a more integrated approach to healthcareYou're curious about how to optimize brain health without medicationYou're a high-achieving woman looking for holistic wellness strategies

This week on Heart Doc VIP, Dr. Joel Kahn explores a groundbreaking new topic: predicting dementia before symptoms appear. Would you want to know if your brain health is at risk—even while your memory still feels sharp? New blood tests may offer insight, and the results could open the door to preventative strategies involving diet, sleep, exercise, and targeted supplements. Dr. Kahn also tackles several fast facts in the "hot topics" section: Is there a link between cell phone use and prostate cancer? Can EMF exposure during MRI scans contribute to disease? Does sugar intake—especially from sodas—actually increase your risk for type 2 diabetes? Plus, thanks to this week's sponsor, Igennus, whose chewable Vitamin C supplement is available now with the discount code DRKAHN. Tune in for practical tips, intriguing science, and the power of knowing—before it's too late.

In this episode, host Dr. Reni Butler speaks with Dr. Kalina Slavkova, Dr. Ruya Kang, Dr. Despina Kontos, and Dr. Habib Rahbar about their groundbreaking research using MRI-based radiomic features to improve risk stratification in ductal carcinoma in situ (DCIS). The discussion explores how combining clinical data, imaging, and AI-driven analysis could help personalize treatment and reduce overtreatment in breast cancer care. MRI-based Radiomic Features for Risk Stratification of Ductal Carcinoma in Situ in a Multicenter Setting (ECOG-ACRIN E4112 Trial). Slavkova and Kang et al. Radiology 2025; 315(1):e241628.

Are we entering a new era of prostate cancer testing? In this episode, Dr. Geo speaks with Dr. Jeffrey Tosoian—urologist, researcher, and lead author behind MyProstateScore 2.0 (MPS 2.0)—a cutting-edge urine test that may outperform PSA and even MRI in identifying clinically significant prostate cancer.

In this powerful and information-rich episode, Dr. Nasha Winters sits down with detox expert and RemedyLink founder Spencer Feldman to unravel the complexities of modern toxicity and detoxification. With over 20 years of experience in formulating novel detox protocols and delivery systems, Spencer shares a science-backed, deeply nuanced approach to helping the body eliminate harmful substances—ranging from heavy metals and forever chemicals to spike protein remnants and gadolinium toxicity.What starts as a discussion about the need for detoxification in our increasingly toxic world evolves into a compelling breakdown of how detox pathways really function, why certain therapies fail, and how to navigate these challenges using precise, phase-based support. Plus, Spencer gives us a rare look into his off-grid lifestyle, revealing the daily rituals and biohacks he uses to optimize his health and circadian rhythm.

It's time! The Royals are promoting Jac Caglianone (2:15)! ... Spencer Schwellenbach had 11 strikeouts in back-to-back starts (8:29). ... Jesus Luzardo and Brandon Pfaadt got bombed this weekend (12:44). ... News (19:58): Corbin Burnes will have an MRI on his elbow. ... We had some other prospect promotions, including Cole Young to the Mariners and Jacob Melton to the Astros (31:32). ... Carlos Correa is hitting well since coming off the IL (43:40). ... Zebby Matthews had a mixed start this weekend (49:27). ... Start or sit these pitchers (55:01). ... We wrap up with leftovers, bullpens and streamers (58:46). Fantasy Baseball Today is available for free on the Audacy app as well as Apple Podcasts, Spotify and wherever else you listen to podcasts.  Subscribe to our YouTube channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/FantasyBaseballToday⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Download and Follow Fantasy Baseball Today on Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://sptfy.com/QiKv⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get awesome Fantasy Baseball Today merch here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://bit.ly/3y8dUqi⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow FBT on TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@fbtpod?_t=8WyMkPdKOJ1&_r=1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow our FBT team on Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@FBTPod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@CPTowers⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@CBSScottWhite⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@Roto_Frank⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our Facebook group at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/fantasybaseballtoday⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sign up for the FBT Newsletter at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/newsletters/fantasy-baseball-today/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more fantasy baseball coverage from CBS Sports, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/fantasy/baseball/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To hear more from the CBS Sports Podcast Network, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cbssports.com/podcasts/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ You can listen to Fantasy Baseball Today on your smart speakers! Simply say "Alexa, play the latest episode of the Fantasy Baseball Today podcast" or "Hey Google, play the latest episode of the Fantasy Baseball Today podcast." To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

A routine spa day flips paranormal when the masseuse pauses mid-rub, senses hidden fears about a looming MRI, and calmly announces she's psychic. Details spill out about a friend killed in a car crash, a family line of “seers,” and a gift the client insists she doesn't have—until every light in the room dies without anyone near the switch. Back home, dread pools in the dining room, whispers echo through empty halls, and a sister casually confirms the family's second sight. This is a daily EXTRA from The Grave Talks. Grave Confessions is an extra daily dose of true paranormal ghost stories told by the people who survived them! If you have a Grave Confession, Call it in 24/7 at 1-888-GHOST-13 (1-888-446-7813) Subscribe to get all of our true ghost stories EVERY DAY! Visit http://www.thegravetalks.com Please support us on Patreon and get access to our AD-FREE ARCHIVE, ADVANCE EPISODES & MORE at http://www.patreon.com/thegravetalks

The Nats four game win streak was snapped in Sunday afternoon's 3-1 loss in Arizona.  Mark (From Phoenix) & Al open with DBacks Ace Corbin Burnes leaving the game in the top of the 5th due to a potential elbow injury.  Burnes will have a MRI on Monday just a few minths after signing a 6-year/ $210M deal.(07:30) James Wood was hitless, but both team doubles came from the new guys in Robert Hassell III & Daylen Lile.  Nathaniel Lowe's RBI single in the 5th was the only source of offense.(09:30) Mitchell Parker struggled yet again the bottom of the 1st and all three Arizona runs came in that frame.  Should the team experiment going with an Opener in future Parker starts to try and right the ship? Parker's ERA in the 1st inning is astonishingly over 10.50 this season and roughly 3.50 in all other innings.  (19:45) The three relievers used combined for three scoreless frames. Eduardo Salazar escaped a jam in the bottom of the 6th his first appearance since he replaced Jorge Lopez on the roster.(22:00) The Cubs come to D.C. on Tuesday and are tied for the best record in the NL.  The hosts note that Chicago is far ahead of Washington despite the two franchises beginning their rebuilds at the exact same time in the summer of 2021.(25:05) If the Nats are in the Wild Card hunt ahead of the Trade Deadline, will they be buyers? The Deadline this season is on Thursday July 31st at 6PM. 

The Royals are promoting top prospect Jac Caglianone! Corbin Burnes will have an MRI on his elbow. It turns out Yordan Alvarez is dealing with a fracture in his hand. The Mariners also promoted Cole Young. Fantasy Baseball Today Express is available for free on the Audacy app as well as Apple Podcasts, Spotify and wherever else you listen to podcasts.  Get Fantasy Baseball Today merch here: ⁠⁠⁠⁠⁠⁠http://bit.ly/3y8dUqi⁠⁠⁠⁠⁠⁠ Follow FBT on TikTok: ⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@fbtpod?_t=8WyMkPdKOJ1&_r=1⁠⁠⁠⁠⁠⁠ Follow our FBT team on Twitter: ⁠⁠⁠⁠⁠⁠@FBTPod⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠@CPTowers⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠@CBSScottWhite⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠@Roto_Frank⁠⁠⁠⁠⁠⁠ Join our Facebook group at ⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/fantasybaseballtoday⁠⁠⁠⁠⁠⁠ Sign up for the FBT Newsletter at ⁠⁠⁠⁠⁠⁠https://www.cbssports.com/newsletters/fantasy-baseball-today/⁠⁠⁠⁠⁠⁠ For more fantasy baseball coverage from CBS Sports, visit ⁠⁠⁠⁠⁠⁠https://www.cbssports.com/fantasy/baseball/⁠⁠⁠⁠⁠⁠ To hear more from the CBS Sports Podcast Network, visit ⁠⁠⁠⁠⁠⁠https://www.cbssports.com/podcasts/⁠⁠⁠⁠⁠⁠ You can listen to Fantasy Baseball Today Express on your smart speakers! Simply say "Alexa, play the latest episode of the Fantasy Baseball Today in 5 podcast" or "Hey Google, play the latest episode of the Fantasy Baseball Today in 5 podcast." To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Things just keep getting worse for the Diamondbacks this season. After tossing four scoreless innings in the team's series finale win over the Nationals, D-backs starter Corbin Burnes exited the game early with an apparent elbow injury. While we wait for the results of the MRI, we discuss what the Snakes did to deserve this, how Ryne Nelson's role has potentially changed, and if Torey Lovullo is to blame for the injury. We also have answers to your Mailbag Monday questions and welcome back the one and only Damon Fairall to the show!An ALLCITY Network ProductionSUBSCRIBE to our YouTube: https://bit.ly/phnx_youtubeALL THINGS PHNX: http://linktr.ee/phnxsportsMERCH https://store.allcitynetwork.com/collections/phnx-lockerALLCITY Network, Inc. aka PHNX and PHNX Sports is in no way affiliated with or endorsed by the City of PhoenixPHNX Events: Get your tickets to PHNX events and takeovers here: https://gophnx.com/events/ALLCITY — including us here at PHNX — is teaming up with Big Brothers Big Sisters of America for an exciting three-year partnership. To learn more, visit https://www.bbbs.org/allcity/APS:  Find instant rebates, discounts and special offers on smart thermostats, energy-efficient appliances and more at https://marketplace.aps.com/default/heating-cooling/smart-thermostatsChicken N' Pickle: Family friendly fun awaits! Visit chickennpickle.com to plan your visit today!bet365: https://www.bet365.com/hub/en-us/app-hero-banner-1?utm_source=affiliate&utm_campaign=usapp&utm_medium=affiliate&affiliate=365_03485317 Use the code PHNX365 to sign up, deposit $10 and bet $5 to get $150 in bonus bets!Disclaimer: Must be 21+ and physically located in AZ.  If you or someone you know has a gambling problem and wants help, call 1-800-NEXT-STEP, text NEXTSTEP to 53342 or visit https://problemgambling.az.gov/Branded Bills: Use code BBPHNX at https://www.brandedbills.com/ for 20% off your first order!Gametime: Download the Gametime app, create an account, and use code PHNX for $20 off your first purchase. Terms apply.Shady Rays: Head to https://shadyrays.com and use code: PHNX for 35% off polarized sunglasses. Try for yourself the shades rated 5 stars by over 300,000 people.Circle K: Join Inner Circle for free by downloading the Circle K app today! Head to https://www.circlek.com/store-locator to find Circle Ks near you!Monarch Money: Use Monarch Money to get control of your overall finances with 50% off your first year at https://www.monarchmoney.com/phnxCarol Royse Team: To buy/sell your home, call Carol Royse at 480-776-5231 or visit carolroyseteam.comAll Pro Shade Concepts: Call 623-204-1476 or visit https://allproshadeconcepts.com/ now to schedule your free estimate!When you shop through links in the description, we may earn affiliate commissions. Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing.#dbacks #diamondbacks #arizonadiamondbacks #mlb #zacgallen#corbincarroll #ketelmarte #mlbtheshow #mlbtraderumors #tradedeadline #traderumors #allstargame 

Hosts Jim DeRogatis and Greg Kot pay tribute to the late singer-songwriter Jill Sobule. They revisit their 2009 conversation with Jill where they discuss her music and being a pioneer for crowdfunding art. They also review the new music from Shamir, Pelican and tUnE-yArDs.Join our Facebook Group: https://bit.ly/3sivr9TBecome a member on Patreon: https://bit.ly/3slWZvcSign up for our newsletter: https://bit.ly/3eEvRnGMake a donation via PayPal: https://bit.ly/3dmt9lUSend us a Voice Memo: Desktop: bit.ly/2RyD5Ah Mobile: sayhi.chat/soundops Featured Songs:Jill Sobule, "Supermodel," Jill Sobule, Lava, 1995The Beatles, "With A Little Help From My Friends," Sgt. Pepper's Lonely Hearts Club Band, Parlophone, 1967Tune-Yards, "Heartbreak," Better Dreaming, 4AD, 2025Tune-Yards, "Limelight," Better Dreaming, 4AD, 2025Tune-Yards, "See You There," Better Dreaming, 4AD, 2025Tune-Yards, "Never Look Back," Better Dreaming, 4AD, 2025Tune-Yards, "Sanctuary," Better Dreaming, 4AD, 2025Pelican, "Evergreen," Flickering Resonance, Run for Cover, 2025Pelican, "Flickering Stillness," Flickering Resonance, Run for Cover, 2025Pelican, "Pining For Ever," Flickering Resonance, Run for Cover, 2025Pelican, "Cascading Crescent," Flickering Resonance, Run for Cover, 2025Pelican, "Indelible," Flickering Resonance, Run for Cover, 2025Shamir, "Neverwannago," Ten, Kill Rock Stars, 2025Shamir, "Recording 291," Ten, Kill Rock Stars, 2025Shamir, "Pin," Ten, Kill Rock Stars, 2025Jill Sobule, "I Kissed a Girl," Jill Sobule, Lava, 1995Jill Sobule, "Palm Springs (Live on Sound Opinions)," California Years, MRI, 2009Jill Sobule, "San Francisco," California Years, MRI, 2009Katy Perry, "I Kissed a Girl," One of the Boys, Capitol, 2008Jill Sobule, "Nothing to Prove (Live on Sound Opinions)," California Years, MRI, 2009Jill Sobule, "Wendell Lee (Live on Sound Opinions)," California Years, MRI, 2009Diarrhea Planet, "Separations," I'm Rich Beyond Your Wildest Dreams, Infinite Cat, 2013See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.