Podcasts about mri

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.

Broadcast from KSQD, Santa Cruz on 5-30-2024 and 5-29-2925: Cognitive errors in medicine dismissing unusual presentations as psychological A case of Pediatric Autoimmune Neuropsychiatric disorders Associated with Streptococcal Infections (PANDAS) Anti-NMDA receptor encephalitis causing psychiatric symptoms Failures of genetic research to identify causes Need for integrating neurology and psychiatry; Importance of testing for antibodies and using MRI scans Detailed explanation of immune tolerance, peripheral tolerance, and the phenomenon of molecular mimicry in diseases like multiple sclerosis and celiac disease Importance of addressing root causes rather than just symptoms Historical context and current advancements in treating autoimmune diseases like type 1 diabetes, lupus, and multiple sclerosis using reprogrammed immune cells and iron oxide nanoparticles Explanation of how the liver filters blood and helps establish immune tolerance by processing cellular debris and antigens Advances in engineering regulatory T cells to target specific disease sites and calm inflammatory responses Exploration of new diagnostic tools and the potential of AI in understanding complex psychiatric conditions Detection of colds and other diseases by analysis of voice frequency patterns

This week's topics include the worldwide burden of skin cancers, risk of a second stroke when a person is taking anticoagulants, patients supporting each other for weight loss maintenance, and imaging for dense breasts.Program notes:0:45 Dense breast tissue imaging1:40 MRI and contrast enhanced mammography superior2:40 Giving IV contrast with mammography2:53 Burden of skin cancer in older adults worldwide3:52 Greater disease burden in men4:53 More likely to have exam and biopsy5:48 Atrial fibrillation, recurrent stroke risk and anticoagulants6:50 One in six will recur7:50 Atrial appendage occulsion?8:20 Patient delivered weight loss management9:20 Five percent or greater initial weight loss10:20 Reduced the amount of weight regain11:22 Much less than a professional's care12:49 End

Join Elevated GP: www.theelevatedgp.com Free Class II Masterclass - Click Here to Join Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Dr. Drew McDonald is a board-certified orthodontic specialist renowned for his expertise in airway and temporomandibular joint (TMJ)-focused treatment planning, surgically facilitated orthodontic therapy (SFOT), and complex interdisciplinary care. He is based in St. Petersburg, Florida, where he leads McDonald Orthodontics, a practice dedicated to comprehensive, patient-centered orthodontic solutions. 

In the second installment of this three-part series, Dr. Elizabeth Zollos discusses the use of magnetic resonance imaging (MRI) in multiple sclerosis diagnosis.  

In this episode of Rehab Science, Dr. Tom Walters, DPT, breaks down cervical radiculopathy—a common condition involving compression or irritation of the nerve roots in the neck. He explores the relevant cervical spine anatomy, including how disc herniations or degenerative changes like bone spurs can narrow the neural foramina and impinge nerve roots, leading to symptoms that radiate from the neck into the arm and hand. Dr. Walters reviews hallmark symptoms such as radiating pain, numbness, tingling, and muscle weakness, and discusses how these typically follow a dermatomal distribution depending on the affected cervical level. Dr. Walters also explains the clinical examination process for diagnosing cervical radiculopathy, including provocative orthopedic tests and the role of imaging like MRI when necessary. He outlines both medical and physical therapy approaches to treatment—ranging from anti-inflammatory medications and injections to targeted rehab strategies like cervical traction, neural mobilization, postural correction, and strengthening exercises. The episode wraps up with practical advice for managing this condition through movement-based rehabilitation. YouTube Video with Exercises Nerve Mobilization Exercises Amazon Book Link

Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hollis Potter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MRI of Shoulder and Elbow Baseball Injuries⁠⁠⁠⁠"⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Bible's Faith Hall of Fame includes the name of a harlot. Pastor Ray Bentley says that's not the only surprise about Rahab. Do you realize Rahab is in the genealogy of Jesus Christ, the Messiah, the incarnate God, manifest in the flesh? So, wow. An MRI harlot becomes a believer. What does that tell you about our king and about his kingdom spreading?

In today's episode, we welcome a very special guest, 18-year-old Australian phenom Cameron Myers. Dive into Cam's professional journey, his unique training under legendary coach Dick Telford, and his exciting 2025 race schedule. The crew also shares personal updates, including Olli's murder mystery, Morgan's MRI love affair, George's upcoming steeple season debut, and candid discussions on track and field's biggest topics like the Grand Slam Track series and its current impact on the sport.If you enjoyed this episode, please consider leaving us a 5 star review! It helps the pod a lot, and most importantly it helps Gus.Special Guest: https://www.instagram.com/camer0nmyers/Thumbnail Photo: https://www.instagram.com/jacob_gower_/Follow us here:Instagram: https://www.instagram.com/coffeeclub.pod/George Beamish: https://www.instagram.com/georgebeamish/Morgan McDonald: https://www.instagram.com/morganmcdonald__/Olli Hoare: https://www.instagram.com/ollihoare/Tom Wang: https://www.instagram.com/womtang/Coffee Club Merch: https://coffeeclubpod.comMorgan's discord: https://discord.gg/uaCSeHDpgsMorgan's YouTube: https://www.youtube.com/@MorganMcDonaldisaloserIntro Artwork by The Orange Runner: https://www.instagram.com/theorangerunner/Intro Music by Nick Harris: https://open.spotify.com/artist/3Zab8WxvAPsDlhlBTcbuPi0:00 Cameron Myers Prophecy1:25 Welcome to Coffee Club Podcast (Ep. 187)1:50 Jakob Ingebrigtsen Injury Update2:51 Track Fest Preview: LA & Sound Running3:48 Ollie's Training, Frustrations & Coffee Habits5:52 Happy Birthday, Rob!7:20 Ollie's Coffee & Burger Obsessions9:35 In-N-Out Expansion11:37 Car Hunting & Tariff Concerns15:47 Morgan's Injury & MRI Update18:18 First Water Jump Since Olympics20:00 Track Fest Race Previews & OAC Runners26:00 George's Steeplechase & Morgan Haircut Update31:00 Interview with Cameron Myers39:13 Cameron Myers' Training & Race Schedule47:45 Cameron Myers on Jingy Comparisons & NCAA Decision57:38 Ollie's Commonwealth Games Story1:01:40 Cam Myers' Wisdom1:04:37 Post-Interview Thoughts & Training Discussion1:08:18 Grand Slam Track Debate Continues1:16:03 Why Sprints are "Boring"1:22:20 Ideal Track Meet Format1:25:40 Outro & Call to Action

Send us a textWhen Final Destination: Bloodlines shattered box office expectations with a $100 million worldwide haul, it proved that even after 14 years, Death's design still captivates audiences hungry for creative kills and nail-biting tension. But how does this sixth installment stack up against its predecessors?Join hosts Alex, Max, and Erica as they journey through the entire Final Destination franchise, ranking all six films and dissecting what makes these movies uniquely addictive despite their often schlocky nature. From the high-concept original that launched the series in 2000 to the roller coaster thrills of Final Destination 3 and beyond, we explore how each film contributes to the franchise's legacy.The conversation dives deep into the franchise's most memorable moments – that infamous highway log truck scene from the second film, the tanning bed sequence that made an entire generation claustrophobic, and the MRI machine magnetic catastrophe in the latest installment. We examine how these films function as perfect time capsules of their respective eras, particularly Final Destination 3's pitch-perfect capture of mid-2000s teen culture complete with low-rise jeans, flip phones, and digital cameras.Beyond the kills, we appreciate the connective tissue binding these films together – Tony Todd's ominous presence, recurring motifs like Heist Pale Ale appearances, and the number 180 popping up throughout. We also explore the franchise's possible origins in a specific Twilight Zone episode and debate whether Bloodlines' hereditary curse concept successfully evolves the series.Whether you're a long-time fan who's seen every installment or someone curious about this enduring horror phenomenon, our ranking provides the perfect roadmap through Death's design. Listen now, and remember – you can't cheat death, but you can enjoy watching others try.Support the show

Shyam Natarajan, Founder and CEO of Avenda Health, is utilizing the Unfold AI platform that combines imaging, pathology, and clinical data to provide a comprehensive 3D visualization of prostate cancer. This platform has demonstrated significantly higher accuracy than conventional imaging techniques, enabling physicians to make more informed diagnoses and treatment decisions. The technology has been integrated into the clinical workflow to provide real-time insights and precision-guided interventions, minimizing treatment-related side effects and preserving patient quality of life. Shyam explains, "Unfold AI is unique in that it's multimodal. We take in imaging biomarkers, pathology, and clinical information as input. And conventional imaging really doesn't show you exactly everywhere the cancer is. MRI today misses two-thirds of the disease by volume, and so imaging is really good at screening and that initial diagnosis. But when it comes time to decide how to treat patients, the standard of care is challenging today because, really, up to a third of patients end up having cancer left behind after treatment. So what we're trying to solve is this pain point where cancer is missed, and as a consequence, cancer is left behind."  "This product is really for patients who have a diagnosis of what we call clinically significant or cancer that you have to do something about. So, it's not the very low-risk, where being on what's called surveillance, watch and wait, is probably more appropriate. But this product, you touched upon the value proposition where a lot of patients are coming to their doctor saying, Hey Doc, I don't want to get surgery because I'm scared of the quality of life outcomes or the side effect profile. They want to get a targeted therapy. Well, physicians really can't offer targeted therapy in a broad sense unless they know where the cancer is. And so, AI is empowering and enabling physicians to perform precision-guided therapy or focal therapy." #AvendaHealth #UnfoldAi #ProstateCancer #ProstateCancerTreatment #HealthcareAI #CancerAI #RadiologyAI #DiagnosticAI #MedicalAI #AIinHealthcare avendahealth.com Download the transcript here

Shyam Natarajan, Founder and CEO of Avenda Health, is utilizing the Unfold AI platform that combines imaging, pathology, and clinical data to provide a comprehensive 3D visualization of prostate cancer. This platform has demonstrated significantly higher accuracy than conventional imaging techniques, enabling physicians to make more informed diagnoses and treatment decisions. The technology has been integrated into the clinical workflow to provide real-time insights and precision-guided interventions, minimizing treatment-related side effects and preserving patient quality of life. Shyam explains, "Unfold AI is unique in that it's multimodal. We take in imaging biomarkers, pathology, and clinical information as input. And conventional imaging really doesn't show you exactly everywhere the cancer is. MRI today misses two-thirds of the disease by volume, and so imaging is really good at screening and that initial diagnosis. But when it comes time to decide how to treat patients, the standard of care is challenging today because, really, up to a third of patients end up having cancer left behind after treatment. So what we're trying to solve is this pain point where cancer is missed, and as a consequence, cancer is left behind." "This product is really for patients who have a diagnosis of what we call clinically significant or cancer that you have to do something about. So, it's not the very low-risk, where being on what's called surveillance, watch and wait, is probably more appropriate. But this product, you touched upon the value proposition where a lot of patients are coming to their doctor saying, Hey Doc, I don't want to get surgery because I'm scared of the quality of life outcomes or the side effect profile. They want to get a targeted therapy. Well, physicians really can't offer targeted therapy in a broad sense unless they know where the cancer is. And so, AI is empowering and enabling physicians to perform precision-guided therapy or focal therapy." #AvendaHealth #UnfoldAi #ProstateCancer #ProstateCancerTreatment #HealthcareAI #CancerAI #RadiologyAI #DiagnosticAI #MedicalAI #AIinHealthcare avendahealth.com Listen to the podcast here

It's Prostate Week in Podcastistan: what happens when an MRI scan for prostatitis includes the injection of rare earth metals—should you, or shouldn't you? Gadolinium crosses the blood-brain barrier if the barrier is not fully intact—does that affect your decision? Then: a letter from an MD-PhD student at Harvard prompts musings on the federal funding of science, what science is for, how complicit universities and many scientists have been for years, and what to do. Also: uterine transplants for “trans women.”*****Our sponsors:Timeline: Accelerate the clearing of damaged mitochondria to improve strength and endurance: Go to http://www.timeline.com/darkhorse and use code darkhorse for 10% off your first order.Caraway: Non-toxic & beautiful cookware. Save $150 on a cookware set over buying individual pieces, and get 10% off your order at http://Carawayhome.com/DarkHorse10.ARMRA Colostrum is an ancient bioactive whole food that can strengthen your immune system. Go to http://www.tryarmra.com/DARKHORSE to get 15% off your first order.*****Join us on Locals! Get access to our Discord server, exclusive live streams, live chats for all streams, and early access to many podcasts: https://darkhorse.locals.comHeather's newsletter, Natural Selections (subscribe to get free weekly essays in your inbox): https://naturalselections.substack.comOur book, A Hunter-Gatherer's Guide to the 21st Century, is available everywhere books are sold, including from Amazon: https://amzn.to/3AGANGg (commission earned)Check out our store! Epic tabby, digital book burning, saddle up the dire wolves, and more: https://darkhorsestore.org*****Mentioned in this episode:Gadolinium Contrast Dye: https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-warns-gadolinium-based-contrast-agents-gbcas-are-retained-bodyLetter from Harvard: https://naturalselections.substack.com/p/letter-from-harvard/commentsHigher Education Research & Development Survey: https://ncses.nsf.gov/surveys/higher-education-research-development/2023#dataJones et al 2018. Uterine transplantation in transgender women. Bjog 126(2): 152-156: https://pmc.ncbi.nlm.nih.gov/articles/PMC6492192/pdf/BJO-126-152.pdfSupport the show

In this episode with Dr Stacey Hardin, we explore an interesting case study of a 25 year old soccer player who sustained a groin injury during match play. We cover:Subjective historyOn-field examination Differential diagnosis within this body areaObjective historySurgical vs conservative management Role of MRI in the management of this injuryRole of multidisciplinary managementDr Stacey Hardin is a physical therapist and athletic trainer based in the United States. She has worked in elite soccer for over 10 years and currently works as the Director of Medical for Bay FC. In addition to her work in professional soccer, Hardin is actively involved in applied research and education.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio from Physio Network

Today, I'm joined by Dr. Michael Doney, Executive Medical Director of Biograph.   A preventative health and diagnostics clinic, Biograph combines comprehensive testing and personalized lifestyle interventions for a complete concierge medical experience. In this episode, we explore its approach to designing a next-gen patient journey.   We also cover:   Making data actionable Balancing scale with clinical rigor How Biograph differs from primary care   Subscribe to the podcast → insider.fitt.co/podcast  Subscribe to our newsletter → insider.fitt.co/subscribe  Follow us on LinkedIn → linkedin.com/company/fittinsider   Biograph Website: https://www.biograph.health/    -   The Fitt Insider Podcast is brought to you by EGYM. Visit EGYM.com to learn more about its smart workout solutions for fitness and health facilities.   Fitt Talent: https://talent.fitt.co/  Consulting: https://consulting.fitt.co/  Investments: https://capital.fitt.co/    Chapters: (00:00) Introduction (02:00) Michael's background and transition to preventative health (04:05) How Biograph emerged from stealth mode (06:05) The comprehensive patient journey experience (08:45) Turning data into actionable health outcomes (13:05) The evidence-based approach to health span (17:20) Why more data doesn't always mean better health (19:40) Addressing concerns about accessibility in preventative health (21:20) Biograph's growth roadmap and digital platforms (23:15) Why physical locations remain essential (26:30) The clinical rigor behind whole body MRI programs (31:35) Supporting rather than disrupting primary care (35:45) Conclusion  

Understanding Unicornuate Uterus: What It Is, Prevalence, Risks, and a Positive Outlook A unicornuate uterus is a rare congenital condition where the uterus develops with only one half, or "horn," instead of the typical two-horned shape of a normal uterus. This happens during fetal development when one of the Müllerian ducts, which form the uterus, fails to develop fully. As a result, the uterus is smaller, has only one functioning fallopian tube, and may or may not have a rudimentary horn (a small, underdeveloped second horn). This condition falls under the category of Müllerian duct anomalies, which affect the female reproductive tract. For those diagnosed, understanding the condition, its implications, and the potential for a healthy pregnancy can provide reassurance and hope.   What Is a Unicornuate Uterus? The uterus typically forms as a pear-shaped organ with two symmetrical halves that fuse during fetal development. In a unicornuate uterus, only one half develops fully, creating a smaller-than-average uterine cavity. This anomaly can occur with or without a rudimentary horn, which may or may not be connected to the main uterine cavity. If a rudimentary horn is present, it might cause complications like pain if it accumulates menstrual blood, as it often lacks a connection to the cervix or vagina. The condition is often diagnosed during routine imaging, such as an ultrasound, MRI, or hysterosalpingogram (HSG), typically when a woman seeks medical advice for fertility issues, pelvic pain, or irregular menstruation. In some cases, it's discovered incidentally during pregnancy or unrelated medical evaluations.   How Prevalent Is It? Unicornuate uterus is one of the rarest Müllerian duct anomalies, occurring in approximately 0.1% to 0.4% of women in the general population. Among women with Müllerian anomalies, it accounts for about 2% to 13% of cases. The condition is congenital, meaning it's present at birth, but it often goes undiagnosed until adulthood because many women experience no symptoms. Its rarity can make it feel isolating for those diagnosed, but awareness and medical advancements have made it easier to manage and understand. Risks Associated with Unicornuate Uterus While many women with a unicornuate uterus lead healthy lives, the condition can pose challenges, particularly related to fertility and pregnancy. The smaller uterine cavity and reduced endometrial surface area can increase the risk of certain complications, though these are not inevitable. Below are some potential risks: Fertility Challenges: The smaller uterus and single fallopian tube may slightly reduce the chances of conception, especially if the rudimentary horn or other structural issues interfere with ovulation or implantation. However, many women with a unicornuate uterus conceive naturally without intervention. Miscarriage: The limited space in the uterine cavity can increase the risk of miscarriage, particularly in the first trimester. Studies suggest miscarriage rates may be higher (around 20-30%) compared to women with a typical uterus, though exact figures vary. Preterm Birth: The smaller uterus may not accommodate a growing fetus as easily, potentially leading to preterm labor or delivery before 37 weeks. Research indicates preterm birth rates in women with a unicornuate uterus range from 10-20%. Fetal Growth Restriction: The restricted uterine space can sometimes limit fetal growth, leading to low birth weight or intrauterine growth restriction (IUGR). Malpresentation: Babies in a unicornuate uterus may be more likely to position themselves in a breech or transverse position due to the confined space, which could complicate delivery. Cesarean Section: While not mandatory, a cesarean may be recommended in cases of malpresentation, preterm labor, or other complications. However, this is not a universal requirement. Other Complications: Women with a unicornuate uterus may have a higher risk of endometriosis or painful periods, especially if a non-communicating rudimentary horn is present. Kidney abnormalities are also associated with Müllerian anomalies, as the kidneys and reproductive tract develop simultaneously in the fetus. Despite these risks, it's critical to note that not every woman with a unicornuate uterus will experience these complications. With proper medical care, many achieve successful pregnancies and deliveries.   A Positive Outlook: Normal Vaginal Delivery Is Probable The diagnosis of a unicornuate uterus can feel daunting, but it's important to emphasize that a healthy, full-term pregnancy and a normal vaginal delivery are entirely possible. Advances in obstetrics and prenatal care have significantly improved outcomes for women with this condition. Here's why you can remain optimistic: Personalized Care: Working with an experienced obstetrician or maternal-fetal medicine specialist ensures close monitoring throughout pregnancy. Regular ultrasounds can track fetal growth, position, and amniotic fluid levels, allowing for timely interventions if needed. Not Doomed to Cesarean: While some women may need a cesarean due to specific complications, many with a unicornuate uterus deliver vaginally without issue. The decision depends on factors like fetal position, labor progression, and overall health, not the uterine anomaly alone. Full-Term Pregnancies Are Achievable: With careful monitoring, many women carry their pregnancies to term (37-40 weeks). Preterm birth is a risk, but it's not a certainty, and modern neonatal care can support babies born slightly early if needed. Healthy Babies: Countless women with a unicornuate uterus give birth to healthy, thriving babies. The condition does not inherently affect the baby's development or genetic health. Support and Advocacy: Connecting with others who have similar experiences, whether through online communities or support groups, can provide emotional strength and practical advice. Knowing you're not alone can make all the difference. A unicornuate uterus is a rare but manageable condition that requires awareness and, in some cases, specialized care. While there are risks to consider, they are not insurmountable, and many women with this anomaly experience successful pregnancies and vaginal deliveries without complications. With the right support, you can embrace your unique journey, knowing that a unicornuate uterus does not mean you're destined for preterm birth, cesarean delivery, or pregnancy complications. Instead, it's a testament to your resilience and the incredible capabilities of modern medicine to support you every step of the way.   Connect With Us: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .    

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin (jennifer.marin@chp.edu) from UPMC Children's Hospital of Pittsburgh. They explore the evidence behind ultrasound, CT, and MRI, strategies to reduce low-value imaging, and the role of shared decision-making in selecting the appropriate diagnostic […]

In this episode of the Heal Your Homes podcast, Dr. Danielle Desroche shares her experience with Prenuvo, a non-invasive MRI screening tool designed to detect potential health issues early. She discusses her motivations for undergoing the scan, the process of scheduling and preparing for it, her experience during the scan, and the results she received. Dr. Desroche emphasizes the importance of early detection and the potential life-saving benefits of such screenings, while also addressing the limitations and challenges of the process.Click here to learn more about Prenuvo. Code PHYSDANIELLEDESROCHE300 will save you $300 on your next scan.-----Have a topic you want covered? DM me on Instagram @drdanielle.nd⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Schedule your strategy call here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join the newsletter here!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Fullscript Supplement Dispensary⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Romana Schirhagl, co-founder, and Deepak Veeregowda, CEO of QT Sense, are interviewed by Yuval Boger. QT Sense develops quantum sensing technology using NV center sensors in nanodiamonds for biomedical applications. Romana explains how their technology measures magnetic noise from free radicals inside cells, indicating cellular stress, similar to a small-scale MRI. Deepak discusses the company's product, Quantum Nova, which is available for research and diagnostic purposes, particularly in cancer and infectious disease detection. QT Sense describes their technology as having subcellular resolution and nanomolar sensitivity, sees a key advantage in applying NV sensors in living systems where the sensors move and rotate, and aim to impact millions of patients by 2030.

Miljarden microbelletjes helpen al decennia bij interne beeldvorming van het lichaam, maar die gasgevulde belletjes kunnen voor veel meer medische toepassingen gebruikt worden. Onderzoekers aan de Universiteit Twente werken aan nieuwe belletjes met speciale eigenschappen, maar ook de bestaande belletjes zijn in staat om zelfs behandelingen van kanker te versnellen. In deze aflevering van BNR Beter spreekt Nina van den Dungen met natuurkundige Tim Segers en technisch geneeskundige Erik Groot Jebbink die allebei werken met microbellen aan de Universiteit Twente. Ze vertellen over de technologie achter de microbellen en hoe deze innovaties in de praktijk gebruikt kunnen worden. De basis van de microbellen is relatief simpel: ze bestaan uit een gasbelletje omhuld door een dunne coating van bijvoorbeeld lipiden of eiwitten. Dankzij hun bijzondere samenstelling reageren ze sterk op ultrageluid, waardoor ze goed zichtbaar zijn op echobeelden. Maar er is meer mogelijk. Door gerichte trillingen toe te passen, kunnen de microbellen bijvoorbeeld tijdelijk de bloed-hersenbarrière openen of zelfs medicatie direct in tumorweefsel afgeven. Dit biedt hoop voor behandelingen van onder andere leverkanker en neurologische aandoeningen. Erik Groot Jebbink onderzoekt daarnaast hoe bestaande microbellen gebruikt kunnen worden voor de diagnostiek en behandeling van leverkanker. Het voordeel van microbellen is dat het gemakkelijk te maken is en vrij goedkoop toe te passen. Zeker in vergelijking met een MRI-scanner. De belletjes van Tim moeten alleen nog goedgekeurd worden door veiligheidsinstanties, voordat ze gebruikt mogen worden in het lichaam. See omnystudio.com/listener for privacy information.

When Peloton's stock debuted in 2019, CFO Jill Woodworth believed the playbook was air‑tight. She had shifted fiscal calendars, re‑segmented reporting and shaped statements that “tell a story,” she tells us. Then COVID hit. Orders “flew nine‑fold overnight,” marketing was switched off, and customer focus narrowed to a single metric: getting bikes from order to doorstep. Wait times ballooned to “four or five months,” but earlier bets—a vertically integrated Taiwanese factory and Peloton‑owned delivery crews—proved “fortuitous,” enabling a sprint to drive delivery toward one week. When demand fell just as quickly, Woodworth slashed the bike's price and led a restructuring that cut “$800 million of costs,” announcing it days after the board replaced the CEO. The lesson, she says, is clear: even elegant models need room for the unimaginable.That conviction now guides her first months at Prenuvo, where a patient can slip into an MRI bore and, under an hour later, leave with a radiologist‑written report on every organ and joint, Woodworth tells us. She is “learning the business” alongside technology, AI and clinical teams, convinced the company holds “so many different ways to grow,” including a new biomarker offering. Finance remains small yet “mighty,” but she will embed analysts so thoroughly that the head of clinical practice “doesn't want to be in a meeting without” them. Acting as co‑pilot to the CEO, she intends to safeguard a balance sheet that grants “every available option” for raising capital—ensuring, this time, finance anticipates both the surge and the calm that follow ahead.

Dave and Chuck the Freak talk about why a lady shot a guy in the balls, a fight with sex toys, what happened when a gun got too close to an MRI machine, the judge who sentenced a woman to work at a fast food restaurant, what makes the perfect ass, a woman who tried out sex toys right in the aisle of a store, when sex almost lead to death for you, a listener’s dad’s nipple rings, having sex at your grandparents’ house, a deadly accident involving a driverless car, safe drinking recommendations in Canada, a Mexican elf spotted in a tree, why a woman tried to run over her boyfriend, a family who realized the dog they had raised for a couple of years was actually a bear and more!

Shirley Manson is a singer and songwriter, most notably from the band Garbage, whose new record, Let All That We Imagine Be the Light, is out May 30th. We chat with Shirley from her home in Los Angeles about Diddy updates, DJ Akademiks, Esq., Chris is flying out of Newark tomorrow, walking in Los Angeles without a dog, octopuses are sentient beings, what she listens to in the MRI machine, how Chris cleans his bathroom, her shower schedule, sloppy seconds, when she gets nervous, streaming revenue, she says the phrase "player, please", the best ways for a band to break up, touring with Noel Gallagher, opening for My Chemical Romance, and the last time she did ecstacy. instagram.com/garbage twitter.com/donetodeath twitter.com/themjeans howlonggone.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Top Eight Most Shocking Claims in Cassie's Testimony Against Diddy What happens when the veil drops on one of hip-hop's most powerful figures? In this episode, we dive deep into Cassie Ventura's harrowing courtroom testimony against Sean “Diddy” Combs — a testimony so graphic, so disturbing, that at times the courtroom reportedly fell into total silence. Cassie, the former pop star and longtime partner of Diddy, outlined a pattern of abuse that prosecutors allege amounts to sex trafficking, coercive control, and sexual assault. In her raw and emotional testimony, she described what she called a “machine of control” — fueled by fear, drugs, humiliation, and surveillance. In this episode, we break down the 8 most disturbing allegations from her testimony, including: The 2016 Beverly Hills hotel assault — caught on surveillance footage and played in court. The coerced and drug-fueled “freak-offs” — with Cassie allegedly forced to perform while being filmed. The urination and degradation acts she endured — which she says pushed her into psychological dissociation. A shocking moment where Diddy allegedly obtained her private MRI results, monitoring even her attempts to seek medical help. The explosive claim that Diddy threatened rapper Kid Cudi — and then Cudi's car exploded. And finally, the most heartbreaking revelation: the 2018 rape allegation that marked her final escape. This is not tabloid gossip. These are federal allegations, with hard evidence backing parts of Ventura's account — including video, corroborating witnesses, and detailed timelines. If you've been following the Diddy trial, this is the episode you need to hear. No fluff. Just the most chilling, courtroom-verified claims from one of the most high-profile abuse cases in music industry history. Subscribe now for full coverage, expert analysis, and survivor-centered storytelling. #DiddyTrial #CassieTestimony #SexTrafficking #TrueCrime #HipHopScandal #CourtroomDrama #CassieVentura #SurvivorVoices #DiddyAllegations #CelebrityTrial Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Top Eight Most Shocking Claims in Cassie's Testimony Against Diddy What happens when the veil drops on one of hip-hop's most powerful figures? In this episode, we dive deep into Cassie Ventura's harrowing courtroom testimony against Sean “Diddy” Combs — a testimony so graphic, so disturbing, that at times the courtroom reportedly fell into total silence. Cassie, the former pop star and longtime partner of Diddy, outlined a pattern of abuse that prosecutors allege amounts to sex trafficking, coercive control, and sexual assault. In her raw and emotional testimony, she described what she called a “machine of control” — fueled by fear, drugs, humiliation, and surveillance. In this episode, we break down the 8 most disturbing allegations from her testimony, including: The 2016 Beverly Hills hotel assault — caught on surveillance footage and played in court. The coerced and drug-fueled “freak-offs” — with Cassie allegedly forced to perform while being filmed. The urination and degradation acts she endured — which she says pushed her into psychological dissociation. A shocking moment where Diddy allegedly obtained her private MRI results, monitoring even her attempts to seek medical help. The explosive claim that Diddy threatened rapper Kid Cudi — and then Cudi's car exploded. And finally, the most heartbreaking revelation: the 2018 rape allegation that marked her final escape. This is not tabloid gossip. These are federal allegations, with hard evidence backing parts of Ventura's account — including video, corroborating witnesses, and detailed timelines. If you've been following the Diddy trial, this is the episode you need to hear. No fluff. Just the most chilling, courtroom-verified claims from one of the most high-profile abuse cases in music industry history. Subscribe now for full coverage, expert analysis, and survivor-centered storytelling. #DiddyTrial #CassieTestimony #SexTrafficking #TrueCrime #HipHopScandal #CourtroomDrama #CassieVentura #SurvivorVoices #DiddyAllegations #CelebrityTrial Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

In today's episode, Darren and I open up about some of the most pivotal moments in our health journeys—times when we had to go against medical advice and follow our intuition instead. From stopping a surgery that could have taken a turn for the worse, to insisting on a second opinion after an MRI was misread, we share real examples of how advocating for yourself (or your loved one) can literally save a life. This isn't about ignoring doctors—it's about remembering you are the expert on your body. You're allowed to ask questions, get second opinions, and pause when something doesn't feel right.

On New Year's Eve of 2017 Ashley had a seizure and passed out. She woke up in an ambulance, passed out again and woke up in an emergency room. An MRI revealed a glioma, a type of brain tumor. After surgery, recovery has been long, but in the hands of expert neuro-oncologist Dr. Naveed Wagle at Pacific Neuroscience Institute - South Bay, Ashley is hopeful, determined, and full of her original spirit. Watch this heartwarming and courageous story.

In this episode of Medsider Radio, we sat down with Dr. Arun Menawat, Chairman and CEO of Profound Medical. Profound is commercializing the TULSA-PRO system, an alternative approach to prostate cancer treatment that uses MRI-guided thermal ultrasound to target and eliminate cancerous tissue without surgical incisions. Before joining Profound in 2016, Arun served as the Chairman and CEO of Novadaq Technologies for 13 years, guiding the company from a startup to one of the fastest-growing, NASDAQ-listed medical technology businesses with a market cap exceeding one billion USD. Earlier in his career, Arun served as President of Cedara Software, a company that developed the industry's first medical imaging software platform. Today, it's part of IBM's Watson Health.In this interview, Arun shares insights on building credibility with physicians, the strategic approach to clinical trials that led to their recent Medicare reimbursement coverage, and his vision for transforming the future of surgery beyond prostate cancer.Before we dive into the discussion, I wanted to mention a few things:First, if you're into learning from medical device and health technology founders and CEOs, and want to know when new interviews are live, head over to Medsider.com and sign up for our free newsletter.Second, if you want to peek behind the curtain of the world's most successful startups, you should consider a Medsider premium membership. You'll learn the strategies and tactics that founders and CEOs use to build and grow companies like Silk Road Medical, AliveCor, Shockwave Medical, and hundreds more!We recently introduced some fantastic additions exclusively for Medsider premium members, including playbooks, which are curated collections of our top Medsider interviews on key topics like capital fundraising and risk mitigation, and 3 packages that will help you make use of our database of 750+ life science investors more efficiently for your fundraise and help you discover your next medical device or health technology investor!In addition to the entire back catalog of Medsider interviews over the past decade, premium members also get a copy of every volume of Medsider Mentors at no additional cost, including the latest Medsider Mentors Volume VII. If you're interested, go to medsider.com/subscribe to learn more.Lastly, if you'd rather read than listen, here's a link to the full interview with Arun Menawat.

Cognitive FX can help your long term concussion sufferers get back to normal daily function. Imagine 8 hours per day for 2 weeks focused on restoring your cognitive function. Explain what Cognitive FX is. Functional MRI FMRI - use the same scanner, the process is different, and the information is different Located in Utah Athletic trainers are integral and 1/15 of the treatment team, a large, multidisciplinary, interconnected team Intense approach to therapy, rather than 1 or 2 appointments, it is an 8-hour appointment for 2 weeks, patients come from all over the world  What role does the Athletic Trainer play in CognitiveFX?   At least 3 ATs on staff. Athletic Trainers have not been easy to find. We have gone to the NATA and other conferences. We need them. CognitiveFX will train the ATs to understand functional MRI and how the brain is connected to the body. Cranial nerves and integration. Use a lot of AT tools with the body mechanism  See patients between 18-40 and they do lots of sports, ex. Skiing, sports, slipping, and falling on ice. They do a lot of specialized training, which is connecting the brain to the body What are you looking for in an Athletic Trainer? Looking for someone that is willing to learn, some right out of school and some 20+ years, someone that is always curious and eager to learn, don't know everything about the brain, cognitive fx is an exciting science, booking for curious and trainable, not focused on experience. Every concussion is not the same What are the statute of limitations…can we “fix” a 4-year-old cognitive deficit from a sports concussion? every one knows 5 people that have had concussions and have lingering symptoms, they are not the same but they look normal so they get ignored, no statute of limitations, have pts from 3 months to 3 decades after injury and still see improvement, younger and closer the better, still have seen huge improvements even decades later I appreciate that the pricing is listed on the website. How often do insurances cover some of the treatments afterwards? Insurance reimbursement is different based on insurance companies, on average, 60-80% coverage depending on your insurance plan. The therphies are ones that people can get everywhere, so no problem with insurance. The scans are when insurance gets iffy, the companies don't understand why we need 4 scans:  2 Brain FMRI and 2 Neck FMRI  Typically, insurance companies don't cover all of the MRI exams, the therapies do get covered The costs are because so much attention is given to the patient for 8 hours a day. 24,700 price for two weeks 13,000 for one week Athletic Trainers stay a long time Insurance isn't timing the therapists, so they can do what they want at the clinic. They can alter plans without having to do insurance approval.  The first clinic was in paternship with Tom Brady and his best friend who is a Trainer, opened TB12 in Foxburrough., treat a lot of professional athletes, everyone gets concussions and they worked with the best of the best athletes, some people seem superhuman because they heal so differently, wants everyone to feel that their brain can change if given the special attention EPIC treatment: is it like a camp where patients stay overnight? Clinic is in utah, people from all over the world, 3 pts from netherlands, 2 from canada, rest from US all over, 2 from utah, 15 pts this week, they are there for 2 solid weeks back to back, this scan is different, using a regular MRI but lying down and doing neuro psy tasks, not looking at structures instead having them do tasks, FMRI picks up changing happening in the brain, that is when they see some parts of the brain are not working well and some are componstating for other parts Each scan looks different, looking at how the brain metabolizes oxygen, intense program built around the patient

In this episode of The Everyday Ironman Podcast, Mike shares his unforgettable experience racing the very last Ironman 70.3 in St. George, Utah. From the stunning red rock landscape to the incredible hospitality of the Argyle family, Mike paints a vivid picture of the days leading up to race day.However, the race took an unexpected turn when Mike was involved in a bike crash around mile 6, damaging both his brand new Canyon Speedmax and his shoulder. Battling intense pain, Mike faced multiple moments where quitting seemed like the only option. Determined to finish, he began the run planning to power walk the half marathon—only to realize by mile 4 that he wouldn't make the cutoff.In a gutsy move, Mike found a way to stabilize his injured arm and “run” the downhill sections, ultimately crossing the finish line with 27 minutes to spare. Post-race, he was evaluated by medical staff and is currently awaiting x-ray results, with a possible MRI still ahead.Despite the pain and setbacks, Mike reflects on the weekend with gratitude and zero regrets. This episode is a raw, inspiring reminder of the resilience found within every Age Group Athlete.Fit, Healthy & Happy Podcast Welcome to the Fit, Healthy and Happy Podcast hosted by Josh and Kyle from Colossus...Listen on: Apple Podcasts Spotify

Dysfunction of the supranuclear ocular motor pathways typically causes highly localizable deficits. With sophisticated neuroimaging, it is critical to better understand structure-function relationships and precisely localize pathology within the brain. In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Gregory P. Van Stavern, MD, author of the article “Supranuclear Disorders of Eye Movements” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Van Stavern is the Robert C. Drews professor of ophthalmology and visual sciences at Washington University in St Louis, Missouri. Additional Resources Read the article: Internuclear and Supranuclear Disorders of Eye Movements 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: @LyellJ 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 Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today I'm interviewing Dr Gregory Van Stavern, who recently authored an article on intranuclear and supranuclear disorders of eye movements for our latest Continuum issue on neuro-ophthalmology. Dr Van Stavern is the Robert C Drews professor of ophthalmology and visual sciences at Washington University in Saint Louis. Dr Van Stavern, welcome, and thank you for joining us today. Why don't you introduce yourself to our audience? Dr Van Stavern: Hi, my name is Gregory Van Stavern. I'm a neuro-ophthalmologist located in Saint Louis, and I'm pleased to be on this show today. Dr Jones: We appreciate you being here, and obviously, any discussion of the visual system is worthwhile. The visual system is important. It's how most of us and most of our patients navigate the world. Roughly 40% of the brain---you can correct me if I'm wrong---is in some way assigned to our visual system. But it's not just about the sensory experience, right? The afferent visual processing. We also have motor systems of control that align our vision and allow us to accurately direct our vision to visual targets of interest. The circuitry is complex, which I think is intimidating to many of us. It's much easier to see a diagram of that than to describe it on a podcast. But I think this is a good opportunity for us to talk about the ocular motor exam and how it helps us localize lesions and, and better understand diagnoses for certain disorders. So, let's get right to it, Dr Van Stavern. If you had from your article, which is outstanding, a single most important message for our listeners about recognizing or treating patients with ocular motor disorders, what would that message be? Dr Van Stavern: Well, I think if we can basically zoom out a little to the big picture, I think it really emphasizes the continuing importance of the examination. History as well, but the examination. I was reading an article the other day that was essentially downplaying the importance of the physical examination in the modern era with modern imaging techniques and technology. But for neurology, and especially neuro-ophthalmology, the history and the examination should still drive clinical decision-making. And doing a careful assessment of the ocular motor system should be able to tell you exactly where the lesion is located, because it's very easy to order a brain MRI, but the MRI is, like Forrest Gump might say, it's like a box of chocolates. You never know what you're going to find. You may find a lot of things, but because you've done the history and the examination, you can see if whatever lesion is uncovered by the MRI is the lesion that explains what's going on with the patient. So even today, even with the most modern imaging techniques we have, it is still really important to know what you're looking for. And that's where the oculomotor examination can be very helpful. Dr Jones: I did not have Forrest Gump on my bingo card today, Dr Van Stavern, but that's a really good analogy, right? If you order the MRI, you don't know what you're going to get. And then- and if you don't have a really well-formed question, then sometimes you get misleading information, right?  Dr Van Stavern: Exactly. Dr Jones: We'll get into some technology here in a minute, because I think that's relevant for this discussion. I think most of our listeners are going to agree with us that the exam is important in neuro-ophthalmology, and neurology broadly. So, I think you have some sympathetic listeners there. Again, the point of the exam is to localize and then lead to a diagnosis that we can help patients with. When you think about neurologic disorders where the ocular motor exam helps you get to the right diagnosis, obviously disorders of eye movements, but sometimes it's a clue to a broader neurologic syndrome. And you have some nice discussions in your article about the ocular motor clues to Parkinson disease or to progressive supranuclear palsy. Tell us a little more about that. In your practice, which neurologic disorders do you find the ocular motor exam being most helpful? Dr Van Stavern: Well, just a very brief digression. So, I started off being an ophthalmology resident, and I do two years of ophthalmology and then switch to neurology. And during neurology residency, I was debating which subspecialty to go into, and I realized that neuro-ophthalmology touches every other subspecialty in neurology. And it goes back to the fact that the visual system is so pervasive and widely distributed throughout the brain. So, if you have a neurologic disease, there is a very good chance it is going to affect vision, maybe in a minor way or a major way. That's why careful assessment of the visual system, and particularly the oculomotor system, is really helpful for many neurologic diseases. Neuromuscular disease, obviously, myasthenia gravis and certain myopathies affect the eye movements. Neurodegenerative diseases, in particular Parkinson's disease and parkinsonian conditions, often affect the eye movements. And in particular, when you're trying to differentiate, is this classic Parkinson's disease? Or is this progressive supranuclear palsy? Is it some broad spectrum multisystem atrophy? The differences between the eye movement disorders, even allowing for the fact that there's overlap, can really help point in one direction to the other, and again, prevent unnecessary testing, unnecessary treatment, and so on. Dr Jones: Very good. And I think, to follow on a thread from that concept with patients who have movement disorders, in my practice, seeing older patients who have a little bit of restriction of vertical gaze is not that uncommon. And it's more common in patients who have idiopathic Parkinson disease. And then we use that part of the exam to help us screen patients for other neurodegenerative syndromes like progressive nuclear- supranuclear palsy. So, do you have any tips for our listeners to- how to look at, maybe, vertical gaze and say, this is maybe a normal age-related degree of change. This is something that might suggest idiopathic Parkinson disease. Or maybe something a little more progressive and sinister like progressive super nuclear palsy? Dr Van Stavern: Well, I think part of the issue- and it's harder to do this without the visual aspect. One of my colleagues always likes to say for a neurologist, the eye movement exam begins and ends with the neurology benediction, just doing the sign of the cross and checking the eye movements. And that's a good place to start. But I think it's important to remember that all you're looking at is smooth pursuit and range of eye movements, and there's much more to the oculomotor examination than that. There's other aspects of eye movement. Looking at saccades can be really helpful; in particular, classically, saccadic movements are selectively abnormal in PSP versus Parkinson's with progressive supranuclear palsy. Saccades, which are essentially rapid movements of the eyes---up and down, in this case---are going to be affected in downward gaze. So, the patient is going to have more difficulty initiating downward saccades, slower saccades, and less range of movement of saccades in downgaze. Whereas in Parkinson's, it's classically upward eye movements and upgaze. So, I think that's something you won't be able to see if you're just doing, looking at, you know, your classic, look at your eye movements, which are just assessing, smooth pursuit. Looking carefully at the eye movements during fixation can be helpful. Another aspect of many parkinsonian conditions is saccadic intrusions, where there's quick movements or saccades of the eye that are interrupting fixation. Much, much more common in PSP than in Parkinson's disease. The saccadic intrusions are what we call square-wave jerks because of what they look like. Eye movement recordings are much larger amplitude in PSP and other multisystem atrophy diseases than with Parkinson's. And none of these are perfect differentiators, but the constellation of those findings, a patient with slow downwards saccades, very large amplitude, and frequent saccadic intrusions might point you more towards this being PSP rather than Parkinson's. Dr Jones: That's a great pearl, thinking about the saccades in addition to the smooth pursuit. So, thank you for that. And you mentioned eye movement measurements. I think it's simultaneously impressive and a little scary that my phone can tell when I'm looking at it within a few degrees of visual attention. So, I imagine there are automated tools to analyze eye movement. Tell us, what's the state of the art there, and what should our listeners be aware of in terms of tools that are available and what they can and can't do? Dr Van Stavern: Well, I could tell you, I mean, I see neuro-ophthalmic patients with eye movement disorders every day and we do not have any automated tools for eye movement. We have a ton of imaging techniques for imaging the optic nerve and the retina in different ways, but we don't routinely employ eye movement recording devices. The only time we usually do that is in somebody where we suspect they have a central or peripheral vestibular disease and we send them for vestibular testing, for eye movement recordings. There is interest in using- I know, again, sort of another digression, but if you're looking at the HINTS technique, which is described in the chapter to differentiate central from peripheral disease, which is a very easy, useful way to differentiate central from peripheral or peripheral vestibular disease. And again, in the acute setting, is this a stroke or not a stroke? Is it the brain or is it the inner ear? Part of the problem is that if you're deploying this widespread, the people who are doing it may not be sufficiently good enough at doing the test to differentiate, is a positive or negative test? And that's where some people have started introducing this into the emergency room, these eye movement recording devices, to give the- using, potentially, AI and algorithms to help the emergency room physicians say, all right, this looks like a stroke, we need to admit the patient, get an MRI and so on, versus, this is vestibular neuritis or an inner ear problem, treat them symptomatically, follow up as an outpatient. That has not yet been widely employed. It's a similar way that a lot of institutions are having fundus photography and OCT devices placed in the emergency room to aid the emergency room physician for patients who present with acute vision issues. So, I think that could be the future. It probably would be something that would be AI-assisted or AI-driven. But I can tell you at least at our institution and most of the ones I know of, it is not routinely employed yet. Dr Jones: So maybe on the horizon, AI kind of facilitated tools for eye movement disorder interpretation, but it's not ready for prime time yet. Is that a fair summary? Dr Van Stavern: In my opinion, yes. Dr Jones: Good to know. This has struck me every time I've read about ocular motor anatomy and ocular motor disorders, whether they're supranuclear or intranuclear disorders. The anatomy is complex, the circuitry is very complicated. Which means I learn it and then I forget it and then I relearn it. But some of the anatomy isn't even fully understood yet. This is a very complex real estate in the brainstem. Why do you think the neurophysiology and neuroanatomy is not fully clarified yet? And is there anything on the horizon that might clarify some of this anatomy? Dr Van Stavern: The very first time I encountered this topic as an ophthalmology resident and later as a neurology resident, I just couldn't understand how anyone could really understand all of the circuitry involved. And there is a lot of circuitry that is involved in us simply having clear, single binocular vision with the afferent and efferent system working in concert. Even in arch. In my chapter, when you look at the anatomy and physiology of the smooth pursuit system or the vertical gaze pathways, there's a lot of, I'll admit it, there's a lot of hand waving and we don't completely understand it. I think a lot of it has to do with, in the old days, a lot of the anatomy was based on lesions, you know, lesion this area either experimentally or clinically. And that's how you would determine, this is what this region of the brain is responsible for. Although we've gotten more sophisticated with better imaging, with functional connectivity MRI and so on, all of those have limitations. And that's why I still don't think we completely understand all the way this information is integrated and synthesized, and, to get even more big level and esoteric, how this makes its way into our conscious mind. And that has to do with self-awareness and consciousness, which is a whole other kettle of fish. It's just really complicated. I think when I'm at least talking to other neurologists and residents, I try to keep it as simple as possible from a clinical standpoint. If you see someone with an eye movement problem, try to see if you can localize it to which level you're dealing with. Is it a muscle problem? Is it neuromuscular junction? Is it nerve? Is it nucleus? Is it supranuclear? If you can put it at even one of those two levels, you have eliminated huge territories of neurologic real estate, and that will definitely help you target and tailor your workup. So, again, you're not costing the patient in the healthcare system hundreds of thousands of dollars. Dr Jones: Great points in there. And I think, you know, if we can't get it down to the rostral interstitial nucleus of the medial longitudinal fasciculus, if we can get it to the brainstem, I think that's obviously- that's helpful in its own right. And I imagine, Dr Van Stavern, managing patients with persistent ocular motor disorders is a challenge. We take foveation for granted, right, when we can create these single cortical images. And I imagine it's important for daily function and difficult for patients who lose that ability to maintain their ocular alignment. What are some of the clinical tools that you use in your practice that our listeners should be aware of to help patients that have a persistent supranuclear disorder of ocular movement? Dr Van Stavern: Well, I think you tailor your treatment to the symptoms, and if it's directly due to underlying condition, obviously you treat the underlying condition. If they have sixth nerve palsy because of a skull base tumor, obviously you treat the skull base tumor. But from a practical standpoint, I think it depends on what the symptom is, what's causing it, and how much it's affecting their quality of life. And everyone is really different. Some patients have higher levels of tolerance for blurred vision and double vision. For things- for patients who have double vision, depending upon the underlying cause we can sometimes use prisms and glasses. Prisms are simply- a lot of people just think prism is this, like, mystical word that means a lot. It's simply just an optical device that bends light. So, it essentially bends light to allow the eyes- basically, the image to fall on the fovea in both eyes. And whether the prisms help or not is partly dependent upon how large the misalignment is. If somebody has a large degree of misalignment, you're not going to fix that with prism. The amount of prism you'd need to bend the light enough to land on the fovea in both eyes would cause so much blur and distortion that it would essentially be a glorified patch. So, for small ranges of misalignment, prisms are often very helpful, that we can paste over glasses or grind into glasses. For larger degrees of misalignment that- let's say it is due to some skull base tumor or brain stem lesion that is not going to get better, then eye muscle surgery is a very effective option. We usually like to give people a long enough period of time to make sure there's no change before proceeding with eye muscle surgery. Dr Jones: Very helpful. So, prisms will help to a limited extent with misalignment, and then surgery is always an option if it's persistent. That's a good pearl for, I think, our listeners to take away. Dr Van Stavern: And even in those circumstances, even prisms and eye muscle surgery, the goal is primarily to cause single binocular vision and primary gaze at near. Even in those cases, even with the best results, patients are still going to have double vision, eccentric gaze. For most people, that's not a big issue, but we have had a few patients… I had a couple of patients who were truck drivers who were really bothered by the fact that when they look to the left, let's say because it's a 4th nerve palsy on the right, they have double vision. I had a patient who was a golfer who was really, really unhappy with that. Most people are okay with that, but it all depends upon the individual patient and what they use their vision for. Dr Jones: That's a great point. There's not enough neurologists in the world. I know for a fact there are not enough neuro-ophthalmologists in the world, right? There's just not many people that have that dual expertise. You mentioned that you started with ophthalmology and then did neurology training. What do you think the pipeline looks like for neuro-ophthalmology? Do you see growing interest in this among trainees, or unchanged? What are your thoughts about that? Dr Van Stavern: No, that's a continuing discussion we're having within our own field about how to attract more residents into neuro-ophthalmology. And there's been a huge shift. In the past, this was primarily ophthalmology-driven. Most neuro-ophthalmologists were trained in ophthalmology initially before doing a fellowship. The last twenty years, it switched. Now there's an almost 50/50 division between neurologists and ophthalmologists, as more neurologists have become more interested. This is probably a topic more for the ophthalmology equivalent of Continuum. One of the perceptions is this is not a surgical subspecialty, so a lot of ophthalmology residents are disincentivized to pursue it. So, we have tried to change that. You can do neuro-ophthalmology and do eye muscle surgery or general ophthalmology. I think it really depends upon whether you have exposure to a neuro-ophthalmologist during your neurology residency. If you do not have any exposure to neuro-ophthalmology, this field will always seem mysterious, a huge black box, something intimidating, and something that is not appealing to a neurologist. I and most of my colleagues make sure to include neurology residents in our clinic so they at least have exposure to it. Dr Jones: That's a great point. If you never see it, it's hard to envision yourself in that practice. So, a little bit of a self-fulfilling prophecy. If you don't have neuro-ophthalmologists, it's hard to expose that practice to trainees. Dr Van Stavern: And we're also trying; I mean, we make sure to include medical students, bring them to our meetings, present research to try to get them interested in this field at a very early stage. Dr Jones: Dr Van Stavern, great discussion, very helpful. I want to thank you for joining us today. I want to thank you for not just a great podcast, but also just a wonderful article on ocular motor disorders, supranuclear and intranuclear. I learned a lot, and hopefully our listeners did too. Dr Van Stavern: Well, thanks. I really appreciate doing this. And I love Continuum. I learn something new every time I get another issue. Dr Jones: Well, thanks for reading it. And I'll tell you as the editor of Continuum, I learn a lot reading these articles. So, it's really a joy to get to read, up to the minute, cutting-edge clinical content for neurology. Again, we've been speaking with Dr Gregory Van Stavern, author of a fantastic article on intranuclear and supranuclear disorders of eye movements in Continuum's most recent issue on neuro-ophthalmology. Please check it out, 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.

Dr. Daniel Durand, Chief Medical Officer at Prenuvo, joins The Radiology Report to discuss the rise of proactive whole-body MRI, the data behind early disease detection, and how radiologists can help shape the future of preventive imaging.

Experts from the University of Dundee say that people at risk of cardiovascular disease could be identified through a simple MRI scan a decade before they have a heart attack or stroke.We're joined by lead author Jill Belch, ​professor ​of ​Vascular ​Medicine ​at ​the ​University ​of ​Dundee.A government-built AI tool has been used for the first time to summarise public responses to a consultation, and is now set to be rolled out more widely.Greek authorities issued a temporary tsunami warning on Wednesday, following a 5.9 magnitude earthquake close to Crete.Also in this episode:-Engineers create a new tiny device that detects hand movement, stores memories and processes information like the human brain.-Belle and Sebastian frontman joins campaigners to call for urgent action on ME-The UK amphibians making ‘remarkable comeback' in South Downs Hosted on Acast. See acast.com/privacy for more information.

The Celtics lost to the Knicks last night. They are down in the series 3-1 and Jayson Tatum was injured; he had to be helped off the court. MRI results should be given today. Kendall and Kylie Jenner, Timothee Chalamet, Cardi B and Bad Bunny were all in attendance. Mavericks picked up the first overall draft pick. Worchester City Hall will be shut down today due to a protest of an ICE arrest. Trump will start a four-day trip to the Middle East. The final American hostage was released.  

Which imaging techniques should you prioritize for TMD patients? Does a panoramic radiograph hold any value?  When should you consider taking a CBCT of the joints instead? How about an MRI scan for the TMJ? Dr. Dania Tamimi joins Jaz for the first AES 2026 Takeover episode, diving deep into the complexities of TMD diagnosis and TMJ Imaging. They break down the key imaging techniques, how to use them effectively, and the importance of accurate reports in patient care. They also discuss key strategies for making sense of MRIs and CBCTs, highlighting how the quality of reports can significantly impact patient care and diagnosis. Understanding these concepts early can make all the difference in effectively managing TMD cases. https://youtu.be/NBCdqhs5oNY Watch PDP223 on Youtube Protrusive Dental Pearl: Don't lose touch with the magic of in-person learning — balance online education with attending live conferences to connect with peers, meet mentors, and experience the true essence of dentistry! Join us in Chicago AES 2026 where Jaz and Mahmoud will also be speaking among superstars such as Jeff Rouse and Lukasz Lassmann! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Imaging should follow clinical diagnosis → not replace it. Every imaging modality answers different questions; choose wisely. TMJ disorders affect more than the jaw → they influence face, airway, growth, posture. Think beyond replacing teeth → treatment should serve function, not just fill space. Avoid “satisfaction of search error” → finding one problem shouldn't stop broader evaluation. Highlights of this episode: 02:52  Protrusive Dental Pearl 06:01 Meet Dr. Dania Tamimi 09:04 Understanding TMJ Imaging 16:00 TMJ Soft Tissue Anatomy  21:04 The Miracle Joint: TMJ Self-Repair 24:26 The Role of Imaging in TMJ Diagnosis 28:15 Acquiring Panoramic Images 39:35 Guidelines for Using Different Imaging Techniques 41:26 Case Study: Misdiagnosis and Its Consequences 45:46 Balancing Clinical Diagnosis and Imaging 50:17 Role of Imaging in Orthodontics 53:18 The Importance of Accurate MRI Reporting 58:27 Final Thoughts on Imaging and Diagnosis 01:00:54 Upcoming Events and Learning Opportunities

On today's show, Pat, AJ Hawk, and the boys recap WWE Backlash, & the NBA & NHL  playoff action from this weekend including the Pacers blowing out the Cavaliers in Game 4, the Dallas Stars taking the lead over the Winnipeg Jets, and of course the fall out from Pat's match against Gunther. In the first hour, we are joined by ESPN's Senior NBA Insider Shams Charania for an update on Giannis Antetokounmpo's openness to finding a new home in the league, Cavs' Guard Donovan Mitchell's MRI on his re-aggravated ankle injury, what to look for in the NBA Draft Lottery tonight, and more. Also in the first hour, ESPN's NHL play-by-play announcer Steve Levy stops by to chat about the main storylines from the Stanley Cup playoffs thus far, including Mikko Rantanen's outrageous production, what the Maple Leafs need to do against the Florida Panthers, and more. In the second hour, NFL Network's Senior Insider & friend of the progrum Ian Rapoport stops by to talk about the announcement of opening night between the Super Bowl Champion Philadelphia Eagles & the Dallas Cowboys, what to expect from schedule releases this week, an update on the Trey Hendrickson, Cincinnati Bengals contract stalemate, Derek Carr's retirement, the attention around Cleveland Browns' OTAs, and more. To wrap things up, we debuted a new iteration of Things That Are Happening In the Sports World. Make sure to subscribe to youtube.com/thepatmcafeeshow or watch on ESPN (12-2 EDT), ESPN's YouTube (12-3 EDT), or ESPN+. We appreciate the hell out of all of you. See you tomorrow. Cheers.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Raleigh and Carli Williams interview Roger Rasmussen, author of "Finding Fenbendazole" and a cancer survivor who healed his prostate cancer using alternative methods. Roger shares his journey from diagnosis to remission, detailing how a chance conversation led him to discover Fenbendazole, and how COVID unexpectedly provided him the time to explore this unconventional path. He discusses his protocol, the scientific research behind these compounds, and his decision to document his experience to help others. This conversation offers valuable insights for anyone exploring options beyond standard cancer treatments and demonstrates the power of following your intuition when facing life-threatening conditions.[00:00] Introduction to Roger Rasmussen and his cancer healing journey[00:47] Roger describes his initial diagnosis and prognosis[03:02] How COVID delayed Roger's surgery, creating an opportunity to try alternative treatments[04:15] The Joe Tippens blog that influenced Roger's decision[08:13] Roger's treatment protocol with Fenbendazole and supplements[10:45] Roger's decision to get his own MRI and cancel surgery[14:02] Roger's brother's success with the same protocol[18:36] Current recommended protocol and dosing considerations[25:07] Monitoring liver health while on the protocol[28:50] Discussion of research on Fenbendazole and cancer[30:38] The accidental 2008 discovery of Fenbendazole's effect on cancer[39:29] Roger's mission in writing "Finding Fenbendazole"[42:17] Roger's analytical framework for matching protocols to cancer typesFinding Fenbendazole - Roger Rasmussen's book websiteAmazon link for "Finding Fenbendazole" CancerCrew.com - Private community for cancer patientsFierce Health - Source for ivermectin prescriptions (use code "podcast" for 10% off)Fenbendazole taken 6-7 days per week (split between morning and evening doses)Join Raleigh and Carli's private community at CancerCrew.com to connect with others exploring alternative cancer treatments and to access Roger's cancer protocol framework.

Have you or do you feel stress? What is stress and how can we deal with it? Our guest this time is Rachelle Stone who discusses those very questions with us. Rachelle grew up in a very small town in Massachusetts. After attending community college, she had an opportunity to study and work at Disney World in Florida and has never looked back.   Rachelle loved her Disney work and entered the hospitality industry spending much of 27 years working for or running her own destination management company. She will describe how one day after a successful career, at the age of 48, she suffered what today we know as burnout. She didn't know how to describe her feelings at the time, but she will tell us how she eventually discovered what was going on with her.   She began to explore and then study the profession of coaching. Rachelle will tell us about coaches and clients and how what coaches do can help change lives in so many ways.   This episode is full of the kind of thoughts and ideas we all experience as well as insights on how we can move forward when our mindsets are keeping us from moving forward. Rachelle has a down-to-Earth way of explaining what she wants to say that we all can appreciate.       About the Guest:   “As your leadership consultant, I will help you hone your leadership, so you are ready for your next career move. As your executive coach, I will partner with you to overcome challenges and obstacles so you can execute your goals.”     Hi, I'm Rachelle. I spent over 25 years as an entrepreneur and leader in the Special Event industry in Miami, building, flipping, and selling Destination Management Companies (DMCs).  While I loved and thrived in the excitement and chaos of the industry, I still managed to hit a level of burnout that was wholly unexpected and unacceptable to me, resulting in early retirement at 48.   Now, as a trained Leadership Consultant and Executive Coach, I've made it my mission to combine this hard-won wisdom and experience to crack the code on burnout and balance for others so they can continue to thrive in careers they love. I am Brené Brown Dare to Lead ™ trained, a Certified Positive Intelligence ® Mental Fitness coach, and an accredited Professional Certified Coach by the ICF (International Coaching Federation, the most recognized global accreditation body in the coaching industry).   I continue to grow my expertise and show my commitment to the next generation of coaches by serving on the ICF-Central Florida chapter board of directors. I am serving as President-Elect and Chapter Liaison to the global organization. I also support those new to the coaching industry by mentoring other coaches to obtain advanced coaching credentials.   I maintain my well-being by practicing Pilates & Pvolve ® a few days a week, taking daily walks, loving on my Pug, Max, and making time for beach walks when possible.   Ways to connect Rachel:   www.rstoneconsulting.com https://www.linkedin.com/in/rstoneconsulting/ Instagram: @even_wonderwoman_gets_tired   About the Host:   Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/   https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset .   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.       Transcription Notes:   Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. Well, hi and welcome to unstoppable mindset where inclusion diversity and the unexpected meet. But you know, the more fun thing about it is the unexpected. Unexpected is always a good thing, and unexpected is really anything that doesn't have anything directly to do with inclusion or diversity, which is most of what we get to deal with in the course of the podcast, including with our guest today, Rachelle Stone, who worked in the hospitality industry in a variety of ways during a lot of her life, and then switched to being a coach and a leadership expert. And I am fascinated to learn about that and what what brought her to that? And we'll get to that at some point in the course of the day. But Rachelle, welcome to unstoppable mindset. We're glad you're here. Thank   Rachelle Stone ** 02:08 you, Michael. I'm honored to be here. Excited to be talking to you today.   Michael Hingson ** 02:12 Well, it's a lot of fun now. You're in Florida. I am. I'm in the Clearwater   Rachelle Stone ** 02:16 Dunedin area. I like to say I live in Dunedin, Florida without the zip code.   Michael Hingson ** 02:22 Yeah. Well, I hear you, you know, then makes it harder to find you that way, right?   Rachelle Stone ** 02:28 Physically. Yeah, right, exactly. Danita, without the zip code, we'll stick with that. Yeah,   Michael Hingson ** 02:33 yeah, that works. Well, I'm really glad you're here. Why don't we start by maybe you talking to us a little bit about the early Rachelle growing up and some of that stuff.   Rachelle Stone ** 02:43 Yeah, I was lucky. I grew up in rural Western Massachusetts, little po doc town called Greenfield, Massachusetts. We were 18 miles from the Vermont border, which was literally a mile and a half from the New Hampshire border. So I grew up in this very interesting area where it was like a tri state area, and our idea of fun growing up, well, it was, we were always outdoors, playing very much outdoors. I had three siblings, and I was the youngest, and it was one of those childhoods where you came home from school, and mom would say, go outside, don't come back in the house until you hear the whistle. And every house on the street, every mother had a whistle. There were only seven houses because there was a Boy Scout camp at the end of the road. So as the sun was setting and the street lights would come on, you would hear different whistles, and different family kids would be going home the stone kids up, that's your mom. Go home, see you next time that was it was great. And you know, as I got older and more adventurous, it was cow tipping and keg parties and behind and all sorts of things that we probably shouldn't have been doing in our later teen years, but it was fun. Behind   Michael Hingson ** 04:04 is it's four wheeling,   Rachelle Stone ** 04:08 going up rough terrain. We had these. It was very, very hilly, where I was lot of lot of small mountains that you could conquer.   Michael Hingson ** 04:17 So in the winter, does that mean you got to do some fun things, like sledding in the snow. Yeah, yeah.   Rachelle Stone ** 04:24 We had a great hill in the back of our yard, so I learned to ski in my own backyard, and we had three acres of woods, so we would go snowshoeing. We were also close to a private school called Northfield Mount Hermon, which had beautiful, beautiful grounds, and in the winter, we would go cross country skiing there. So again, year round, we were, we were outdoors a lot.   Michael Hingson ** 04:52 Well, my time in Massachusetts was three years living in Winthrop so I was basically East Boston. Yeah. Yes and and very much enjoyed it. Loved the environment. I've been all over Massachusetts in one way or another, so I'm familiar with where you were. I am, and I will admit, although the winters were were cold, that wasn't as much a bother as it was when the snow turned to ice or started to melt, and then that night it froze. That got to be pretty slippery,   05:25 very dangerous, very dangerous.   Michael Hingson ** 05:29 I then experienced it again later, when we lived in New Jersey and and I actually our house to take the dogs out. We had no fenced yards, so I had to take them out on leash, and I would go down to our basement and go out and walk out basement onto a small deck or patio, actually, and then I had to go down a hill to take the dogs where they could go do their business. And I remember the last year we were in New Jersey, it snowed in May, and the snow started to melt the next day, and then that night, it froze, and it and it stayed that way for like about a day and a half. And so it was as slick as glass is. Glass could be. So eventually I couldn't I could go down a hill, it was very dangerous, but going back up a hill to come back in the house was not safe. So eventually, I just used a very long flex leash that was like 20 feet long, and I sent the dogs down the hill. I stayed at the top.   Rachelle Stone ** 06:33 Was smart, wow. And they didn't mind. They just wanted to go do their business, and they wanted to get back in the house too. It's cold, yeah?   Michael Hingson ** 06:41 They didn't seem to be always in an incredible hurry to come back into the house. But they had no problem coming up the hill. That's the the advantage of having claws,   Rachelle Stone ** 06:51 yes. Pause, yeah, four of them to boot, right? Yeah, which   Michael Hingson ** 06:54 really helped a great deal. But, you know, I remember it. I love it. I loved it. Then now I live in in a place in California where we're on what's called the high desert, so it doesn't get as cold, and we get hardly any of the precipitation that even some of the surrounding areas do, from Los Angeles and Long Beach and so on to on the one side, up in the mountains where the Snow is for the ski resorts on the other so Los Angeles can have, or parts of La can have three or four inches of rain, and we might get a half inch.   Rachelle Stone ** 07:28 Wow. So it stays relatively dry. Do you? Do you ever have to deal like down here, we have something called black ice, which we get on the road when it rains after it hasn't rained in a long time? Do you get that there in California,   Michael Hingson ** 07:41 there are places, yeah, not here where I live, because it generally doesn't get cold enough. It can. It's already this well, in 2023 late 2023 we got down to 24 degrees one night, and it can get a little bit colder, but generally we're above freezing. So, no, we don't get the black ice here that other places around us can and do. Got it. Got it. So you had I obviously a fun, what you regard as a fun childhood.   Rachelle Stone ** 08:14 Yeah, I remember the first day I walked into I went to a community college, and I it was a very last minute, impulsive, spontaneous decision. Wow, that kind of plays into the rest of my life too. I make very quick decisions, and I decided I wanted to go to college, and it was open enrollment. I went down to the school, and they asked me, What do you want to study? I'm like, I don't know. I just know I want to have fun. So they said, you might want to explore Recreation and Leisure Services. So that's what I wound up going to school for. And I like to say I have a degree in fun and games.   Michael Hingson ** 08:47 There you go. Yeah. Did you go beyond community college or community college enough?   Rachelle Stone ** 08:53 Yeah, that was so I transferred. It took me four years to get a two year degree. And the reason was, I was working full time, I moved out. I just at 17, I wanted to be on my own, and just moved into an apartment with three other people and went to college and worked. It was a fabulous way to live. It was wonderful. But then when I transferred to the University, I felt like I was a bit bored, because I think the other students were, I was dealing with a lot of students coming in for the first time, where I had already been in school for four years, in college for four years, so the experience wasn't what I was looking for. I wanted the education. And I saw a poster, and it was Mickey Mouse on the poster, and it was Walt Disney World College program now accepting applications. So I wrote down the phone number, email, whatever it was, and and I applied. I got an interview again. Remember Michael? I was really bored. I was going to school. It was my first semester in my four year program, and I just anyway. I got a call back and. And I was accepted into the Disney College Program. So, um, they at that time, they only took about 800 students a year. So it was back in 1989 long time ago. And I was thrilled. I left Massachusetts on january 31 1989 in the blizzard of 89 Yeah, and I drove down to Orlando, Florida, and I never left. I'm still here in Florida. That was the beginning of my entire career. Was applying for the Disney College Program.   Michael Hingson ** 10:36 So what was that like, being there at the Disney College, pro nominal, phenomenal. I have to ask one thing, did you have to go through some sort of operation to get rid of your Massachusetts accent? Does   Rachelle Stone ** 10:50 it sound like it worked? No, I didn't have well, it was funny, because I was hoping I would be cast as Minnie Mouse. I'm four foot 10. I have learned that to be Mini or Mickey Mouse, you have to be four, eight or shorter. So I missed many by two inches. My second choice was being a lifeguard, and I wound up what I they offered me was Epcot parking lot, and I loved it, believe it or not, helping to park cars at Epcot Center. I still remember my spiel to the letter that I used to give because there was a live person on the back of the tram speaking and then another one at the front of the tram driving it to get you from the parking lot to the front entrance of the gate. But the whole experience was amazing. It was I attended classes, I earned my Master's degree. I picked up a second and third job because I wanted to get into hotels, and so I worked one day a week at the Disney Inn, which is now their military resorts. And then I took that third job, was as a contractor for a recreation management company. So I was working in the field that I had my associates in. I was working at a hotel one day a week, just because I wanted to learn about hotels. I thought that was the industry I wanted to go into. And I was I was driving the tram and spieling on the back of the tram five days a week. I loved it was phenomenal.   Michael Hingson ** 12:20 I have a friend who is blind who just retired from, I don't know, 20 or 25 years at Disneyland, working a lot in the reservation centers and and so on. And speaks very highly of, of course, all the experiences of being involved with Disney.   Rachelle Stone ** 12:38 Yeah, it's really, I'm It was a wonderful experience. I think it gave me a great foundation for the work in hospitality that I did following. It was a great i i think it made me a better leader, better hospitality person for it well,   Michael Hingson ** 12:57 and there is an art to doing it. It isn't just something where you can arbitrarily decide, I'm going to be a successful and great hospitality person, and then do it if you don't learn how to relate to people, if you don't learn how to talk to people, and if you're not having fun doing it   Rachelle Stone ** 13:14 exactly. Yes, Fun. Fun is everything. It's   Michael Hingson ** 13:18 sort of like this podcast I love to tell people now that the only hard and fast rule about the podcast is we both have to have fun, or it's not worth doing.   Rachelle Stone ** 13:25 That's right. I'm right there with you. Gotta Have fun,   Michael Hingson ** 13:30 yeah? Well, so you So, how long were you with Disney? What made you switched? Oh, so   Rachelle Stone ** 13:36 Disney College Program. It was, at that time, it was called the Magic Kingdom college program, MK, CP, and it's grown quite significantly. I think they have five or 7000 students from around the world now, but at that time it was just a one semester program. I think for international students, it's a one year program. So when my three and a half months were up. My semester, I could either go back. I was supposed to go back to school back in Massachusetts, but the recreation management company I was working for offered me a full time position, so I wound up staying. I stayed in Orlando for almost three and a half years, and ultimately I wound up moving to South Florida and getting a role, a new role, with a different sort of company called a destination management company. And that was that was really the onset destination management was my career for 27 years. 26   Michael Hingson ** 14:38 years. So what is a destination management company. So   Rachelle Stone ** 14:41 a destination management company is, they are the company that receives a group into a destination, meetings, conventions, events. So for instance, let's say, let's say Fathom note taker. Wants to have an in person meeting, and they're going to hold it at the Lowe's Miami Beach, and they're bringing in 400 of their top clients, and and and sales people and operations people. They need someone on the receiving end to pick everybody up at the airport, to put together the theme parties, provide the private tours and excursions. Do the exciting restaurant, Dine Around the entertainment, the amenities. So I did all the fun. And again, sticking with the fun theme here, yeah, I did all of the auxiliary meeting fun add ons in the destination that what you would do. And I would say I did about 175 to 225, meetings a year.   Michael Hingson ** 15:44 So you didn't actually book the meetings, or go out and solicit to book the meetings. You were the person who took over. Once a meeting was arranged,   Rachelle Stone ** 15:53 once a meeting was booked in the destination, right? If they needed a company like mine, then it would be then I would work with them. If I would be the company. There were several companies I did what I do, especially in Miami, because Miami was a top tier destination, so a client may book the lows Miami Beach and then reach out to two to three different DMCs to learn how can they partner with them to make the meeting the most successful. So it was always a competitive situation. And it was always, you know, needing to do our best and give our best and be creative and out of the box. And, yeah, it was, it was an exciting industry. So what makes   Michael Hingson ** 16:41 the best destination management company, or what makes you very successful? Why would people view you as successful at at what you do, and why they would want to choose you to be the company to work with? Because obviously, as you said, it's competitive.   Rachelle Stone ** 16:59 Everybody well, and there's choice. Everybody has choice. I always believed there was enough business to go around for everybody. Very good friends with some of my my hardiest competitors. Interestingly, you know, although we're competing, it's a very friendly industry. We all network together. We all dance in the same network. You know, if we're going to an industry network, we're all together. What? Why would somebody choose me over somebody else? Was really always a decision. It was sometimes it was creativity. Sometimes it was just a feeling for them. They felt the relationship just felt more authentic. Other times it was they they just really needed a cut and dry service. It just every client was always different. There were never two programs the same. I might have somebody just wanting to book a flamenco guitarist for three hours, and that's all they need. And another group may need. The transportation, the tours, the entertainment, the theme parties, the amenities, the whole ball of Fox, every group was different, which is, I think, what made it so exciting, it's that relationship building, I think, more than anything. Because these companies are doing meetings all over the country, sometimes some of them all over the world. So relationships were really, really important to them to be able to go into a destination and say to their partner in that destination, hey, I'm going to be there next May. This is what I need. Are you available? Can you help? So I think on the initial front end, it is, when it's a competitive bid, you're starting from scratch to build a relationship. Once that's relationship is established, it is easier to build on that relationship when things go wrong. Let's talk about what worked, what didn't, and how we can do better next time, instead of throwing the entire relationship out with the bathwater and starting from scratch again. So it was a great industry. I loved it, and   Michael Hingson ** 19:00 obviously you must have been pretty successful at it.   Rachelle Stone ** 19:04 I was, I was lucky. Well, luck and skill, I have to give myself credit there too. I worked for other DMCs. I worked for event companies that wanted to expand into the DMC industry. And I helped, I helped them build that corporate division, or that DMC division. I owned my own agency for, I think, 14 years, still alive and thriving. And then I worked for angel investors, helping them flip and underperforming. It was actually a franchise. It was an office franchise of a global DMC at the time. So I've had success in different areas of Destination Management, and I was lucky in that I believe in accreditation and certification. That's important to me. Credibility matters. And so I. Involved in the association called the association of Destination Management executives international admei I know it's a mouthful, but I wound up serving on their board of directors and their certification and accreditation board for 14 years, throughout my career, and on the cab their certification accreditation board, my company was one of the first companies in the country to become a certified company, admc certified. I was so proud of that, and I had all of my staff. I paid for all of them to earn their certification, which was a destination management Certified Professional. That's the designation. I loved, that we could be a part of it. And I helped write a course, a university level course, and it was only nine weeks, so half a semester in teaching students what destination management is that took me three years. It was a passion project with a couple of other board members on the cab that we put together, and really glad to be a part of that and contributing to writing the book best practices in destination management, first and second edition. So I feel lucky that I was in this field at a time where it was really growing deeper roots. It had been transport the industry. When I went into it was maybe 20 years young, and when I left it, it been around for 40 plus years. So it's kind of exciting. So you so you   Michael Hingson ** 21:41 said that you started a company and you were with it for 4014 years, or you ran it for 14 years, and you said, it's still around. Are you involved with it at all? Now, I   Rachelle Stone ** 21:51 am not. I did a buyout with the I had two partners at the time. And without going into too much detail, there were some things going on that I felt were I could not align with. I felt it was unethical. I felt it was immoral, and I struggled for a year to make the decision. I spoke to a therapist, and I ultimately consulted an attorney, and I did a buyout, and I walked away from my this was my legacy. This was my baby. I built it from scratch. I was the face of the company. So to give that up my legacy, it was a really tough decision, but it really did come full circle, because late last year, something happened which brought me back to that decision, and I can, with 100% certainty, say it was a values driven decision for me, and I'm so happy I made that decision. So I am today. Yeah,   Michael Hingson ** 22:57 and, and let's, let's get to that a little bit so you at some point, you said that you had burnout and you left the industry. Why did you do that?   Rachelle Stone ** 23:08 So after I did, sold my my business, I worked for angel investors for about three and a half years. They brought me in. This was an underperforming office that the franchisee, because they had owned it for 10 years, had done a buyout themselves and sold it back to the angel investors or the private equity so they brought me in to run the office and bring it from surviving to thriving again. And it took me about 18 months, and I brought it from under a million to over 5.3 million in 18 months. So it's quite successful. And I had said to the owners, as they're thanking me and rewarding me, and it was a great first two years, I had said to them, please don't expect this again. This was a fluke. People were following me. There was a lot of curiosity in the industry, because this was a really big move for me to sell my company and then go work for this one. It was big news. So it was a great time. But the expectation for me to repeat, rinse and repeat, that kind of productivity was not realistic. It just wasn't realistic. And about a year and a half later, I just, I was driving from the Lowe's Miami Beach. It's funny, because I used that as an example before, to the breakers in Palm Beach. And if you know South Florida at all, it's, it's, you're taking your life in your hands every time you get on 95 it's a nightmare. Anyway, so I'm driving from the lows to the breakers, and I just left a kind of a rough meeting. I don't even remember what it was anymore, because that was back in 2014 and I'm driving to another meeting at the breakers, and I hang up the phone with somebody my. Son calls about something, Mom, this is going on for graduation. Can you be there? And I'm realizing I'm going to be out of town yet again for work, and I'm driving to the breakers, and I'm having this I just had this vision of myself in the middle of 95 slamming the brakes on in my car, coming to a full stop in the middle of the highway. I did not do this this, and I don't recommend you do this. And I opened up my car door, and I literally just walked away from my car. That was the image in my mind. And in that moment, I knew it was time for me to leave. I had gone as high as I could go. I'd done as much as I could do. I'd served on boards, contributed to books, spoken on panels. I wanted to go back to being an entrepreneur. I didn't want to work for angel investors anymore. I wanted to work for myself. I wanted to build something new, and I didn't want to do it in the DMC world. So I went home that night thinking I was going to just resign. Instead, I wrote a letter of retirement, and I retired from the industry, I walked away two and a half weeks later, and I said I was never going to return.   Michael Hingson ** 26:09 And so I burnt out, though at the time, what? What eventually made you realize that it was all burnt out, or a lot of it was burnt out. So I   Rachelle Stone ** 26:17 didn't know anything about burnout at that time. I just knew I was incredibly frustrated. I was bored. I was over in competence, and I just wanted out. Was just done. I had done well enough in my industry that I could take a little time. I had a lot of people asking me to take on consulting projects. So I did. I started doing some consulting in hospitality. And while I was doing that, I was kind of peeling away the layers of the onion, saying, What do I want to do next? I did not want to do DMC. That's all I knew. So I started this exploration, and what came out of it was an interest in exploring the field of coaching. So I did some research. I went to the coachingfederation.org which is the ICF International coaching Federation, is the leading accreditation body for coaches in the world. And through them, I researched Who were some of the accredited schools. I narrowed it down. I finally settled on one, and I said, I'm going to sign up for one course. I just want to see what this coaching is all about. So I signed up for a foundations course with the with the school out of Pennsylvania, and probably about three weeks into the course, the professor said something which was like a light bulb moment for me, and that I realized like, oh my   Speaker 1 ** 27:40 god, I burnt out. And I was literally, at this   Rachelle Stone ** 27:46 time, we're in school, we're on the phone. It was not zoom. We didn't have all this yet. It was you were on the phone, and then you were pulling up documents on your computer so the teacher couldn't see me crying. I was just sobbing, knowing that this is i i was so I was I was stunned. I didn't say anything. I sat on this for a while. In fact, I sat on it. I started researching it, but I didn't tell anybody for two years. It took me two years before I finally admitted to somebody that I had burnt out. I was so ashamed, embarrassed, humiliated, I was this successful, high over achiever. How could I have possibly burnt out?   Michael Hingson ** 28:34 What? What did the teacher say   Rachelle Stone ** 28:37 it was? I don't even remember what it was, but I remember that shock of realization of wellness, of it was, you know what it was that question, is this all? There is a lot of times when we were they were talking about, I believe, what they were talking about, midlife crisis and what really brings them on. And it is that pivotal question, is this really all there is, is this what I'm meant to be doing? And then in their conversation, I don't even remember the full conversation, it was that recognition of that's what's happened to me. And as I started researching it, this isn't now. This is in 2015 as I'm researching it and learning there's not a lot on it. I mean, there's some, mostly people's experiences that are being shared. Then in 2019 the World Health Organization officially, officially recognizes burnout as a phenomenon, an occupational phenomenon.   Michael Hingson ** 29:38 And how would you define burnout? Burnout is,   Rachelle Stone ** 29:43 is generally defined in three areas. It is. It's the the, oh, I always struggle with it. It's that disconnect, the disconnect, or disassociation from. Um, wanting to succeed, from your commitment to the work. It is the knowing, the belief that no one can do it well or right. It is there. There's that. It's an emotional disconnect from from from caring about what you're doing and how you're showing up, and it shows up in your personal life too, which is the horrible thing, because it your it impacts your family so negatively, it's horrible.   Michael Hingson ** 30:39 And it it, it does take a toll. And it takes, did it take any kind of a physical toll on you?   Rachelle Stone ** 30:45 Well, what I didn't realize when I when I took this time, I was about 25 pounds overweight. I was on about 18 different medications, including all my vitamins. I was taking a lot of vitamins at that time too. Um, I chronic sciatica, insomnia. I was self medicating. I was also going out, eating rich dinners and drinking, um, because you're because of the work I was doing. I had to entertain. That was part of that was part of of my job. So as I was looking at myself, Yes, physically, it turns out that this weight gain, the insomnia, the self medication, are also taught signs of of risk of burnout. It's how we manage our stress, and that's really what it comes down to, that we didn't even know. We don't even know. People don't no one teaches us how to process our stress, and that that's really probably one of the biggest things that I've through, everything that I've studied, and then the pandemic hitting it. No one teaches us how to manage our stress. No one tells us that if we process stress, then the tough stuff isn't as hard anymore. It's more manageable. No one teaches us about how to shift our mindsets so we can look at changing our perspective at things, or only seeing things through our lizard brain instead of our curious brain. These are all things that I had no idea were keeping me I didn't know how to do, and that were part of contributing to my burnout. Right?   Michael Hingson ** 32:43 Is stress more self created, or is it? Is it an actual thing? In other words, when, when there is stress in the world? Is it something that, really, you create out of a fear or cause to happen in some way, and in reality, there are ways to not necessarily be stressful, and maybe that's what you're talking about, as far as learning to control it and process it, well,   Rachelle Stone ** 33:09 there's actually there's stresses. Stressors are external. Stress is internal. So a stressor could be the nagging boss. It could be your kid has a fever and you're going to be late for work, or you're going to miss a meeting because you have to take them to the doctor. That's an external stressor, right? So that external stressor goes away, you know, the traffic breaks up, or your your husband takes the kid to the doctor so you can get to your meeting. Whatever that external stress, or is gone, you still have to deal with the stress that's in your body. Your that stress, that stress builds up. It's it's cortisol, and that's what starts with the physical impact. So those physical symptoms that I was telling you about, that I had, that I didn't know, were part of my burnout. It was unprocessed stress. Now at that time, I couldn't even touch my toes. I wasn't doing any sort of exercise for my body. I wasn't and that is one of the best ways you can process stress. Stress actually has to cycle out of your body. No one tells us that. No one teaches us that. So how do you learn how to do that?   Michael Hingson ** 34:21 Well, of course, that's Go ahead. Go ahead. Well, I was gonna   Rachelle Stone ** 34:24 say it's learning. It's being willing to look internally, what's going on in your body. How are you really getting in touch with your emotions and feelings and and processing them well?   Michael Hingson ** 34:37 And you talk about stressors being external, but you have control. You may not have control directly over the stressor happening, but don't you have control over how you decide to deal with the external stress? Creator,   Rachelle Stone ** 34:55 yes, and that external stress will always. Go away. The deadline will come and go. The sun will still rise tomorrow in set tomorrow night. Stressors always go away, but they're also constantly there. So you've got, for instance, the nagging boss is always going to bring you stress. It's how you process the stress inside. You can choose to ignore the stressor, but then you're setting yourself up for maybe not following through on your job, or doing   Michael Hingson ** 35:29 right. And I wouldn't suggest ignoring the stressor, but you it's processing that   Rachelle Stone ** 35:34 stress in your body. It's not so let's say, at the end of the rough day, the stressors gone. You still, whether you choose to go for a walk or you choose to go home and say, Honey, I just need a really like I need a 62nd full on contact, bear hug from you, because I'm holding a lot of stress in my body right now, and I've got to let it out So that physical contact will move stress through your body. This isn't this is they that? You can see this in MRI studies. You see the decrease in the stress. Neuroscience now shows this to be true. You've got to move it through your body. Now before I wanted to kind of give you the formal definition of burnout, it is, it is they call it a occupational phenomenal, okay, it by that they're not calling it a disease. It is not classified as a disease, but it is noted in the International Classification of Diseases, and it has a code now it is they do tie it directly to chronic workplace stress, and this is where I have a problem with the World Health Organization, because when they added this to the International Classification of diseases in 2019 they didn't have COVID. 19 hybrid or work from home environments in mind, and it is totally changed. Stress and burnout are following people around. It's very difficult for them to escape. So besides that, that disconnect that I was talking about, it's really complete exhaustion, depletion of your energy just drained from all of the stressors. And again, it's that reduced efficiency in your work that you're producing because you don't care as much. It's that disconnect so and then the physical symptoms do build up. And burnout isn't like this. It's not an overnight thing. It's a build up, just like gaining 25 pounds, just like getting sick enough that I need a little bit more medication for different issues, that stuff builds up on you and when you when you're recovering from burnout, you didn't get there overnight. You're not going to get out of it overnight either. It's I worked with a personal trainer until I could touch my toes, and then she's pushed me out to go join a gym. But again, it's step by step, and learning to eat healthy, and then ultimately, the third piece that really changed the game for me was learning about the muscles in my brain and getting mentally fit. That was really the third leg of getting my health back.   Michael Hingson ** 38:33 So how does all of that help you deal with stress and the potential of burnout today? Yeah,   Rachelle Stone ** 38:43 more than anything, I know how to prevent it. That is my, my the number one thing I know when I'm sensing a stressor that is impacting me, I can quickly get rid of it. Now, for instance, I'll give you a good example. I was on my the board of directors for my Homeowners Association, and that's always   Michael Hingson ** 39:03 stressful. I've been there, right? Well, I   Rachelle Stone ** 39:06 was up for an hour and a half one night ruminating, and I I realized, because I coach a lot of people around burnout and symptoms, so when I was ruminating, I recognized, oh my gosh, that HOA does not deserve that much oxygen in my brain. And what did I do the next day? I resigned. Resigned, yeah, so removing the stressors so I can process the stress. I process my stress. I always make sure I schedule a beach walk for low tide. I will block my calendar for that so I can make sure I'm there, because that fills my tank. That's self care for me. I make sure I'm exercising, I'm eating good food. I actually worked with a health coach last year because I felt like my eating was getting a little off kilter again. So I just hired a coach for a few months to help me get back on track. Of getting support where I need it. That support circle is really important to maintain and process your stress and prevent burnout.   Michael Hingson ** 40:10 So we've talked a lot about stress and dealing with it and so on. And like to get back to the idea of you went, you explored working with the international coaching Federation, and you went to a school. So what did you then do? What really made you attracted to the idea of coaching, and what do you get out of it?   Rachelle Stone ** 40:35 Oh, great question. Thanks for that. So for me, once I I was in this foundations course, I recognized or realized what had happened to me. I i again, kept my mouth shut, and I just continued with the course. By the end of the course, I really, really enjoyed it, and I saw I decided I wanted to continue on to become a coach. So I just continued in my training. By the end of 2015 early 2016 I was a coach. I went and joined the international coaching Federation, and they offer accreditation. So I wanted to get accredited, because, as I said, from my first industry, a big proponent for credit accreditation. I think it's very important, especially in an unregulated industry like coaching. So we're not bound by HIPAA laws. We are not doctors, we are coaches. It's very different lane, and we do self regulate. So getting accredited is important to me. And I thought my ACC, which my associate a certified coach in 2016 when I moved to the area I'm living in now, in 2017 and I joined the local chapter here, I just continued on. I continued with education. I knew my lane is, is, is burnout. I started to own it. I started to bring it forward a little bit and talk about my experiences with with other coaches and clients to help them through the years and and it felt natural. So with the ICF, I wanted to make sure I stayed in a path that would allow me to hang my shingle proudly, and everything I did in the destination management world I'm now doing in the coaching world. I wound up on the board of directors for our local chapter as a programming director, which was so perfect for me because I'm coming from meetings and events, so as a perfect person to do their programming, and now I am their chapter liaison, and I am President Elect, so I'm taking the same sort of leadership I had in destination management and wrapping my arms around it in the coaching industry,   Michael Hingson ** 42:56 you talk about People honing their leadership skills to help prepare them for a career move or their next career. It isn't always that way, though, right? It isn't always necessarily that they're going to be going to a different career. Yep,   Rachelle Stone ** 43:11 correct. Yeah. I mean, not everybody's looking for trans transition. Some people are looking for that to break through the glass ceiling. I have other clients that are just wanting to maybe move laterally. Others are just trying to figure it out every client is different. While I specialize in hospitality and burnout, I probably have more clients in the leadership lane, Senior VP level, that are trying to figure out their next step, if they want to go higher, or if they're content where they are, and a lot of that comes from that ability to find the right balance for you in between your career and your personal life. I think there comes a point when we're in our younger careers, we are fully identified by what we do. I don't think that's true for upcoming generations, but for our generation, and maybe Jen, maybe some millennials, very identified by what they do, there comes a point in your career, and I'm going to say somewhere between 35 and 50, where you recognize that those two Things need to be separate,   Michael Hingson ** 44:20 and the two things being   Rachelle Stone ** 44:23 your identity, who you are from what you do, got it two different things. And a lot of leaders on their journey get so wrapped up in what they do, they lose who they are.   Michael Hingson ** 44:39 What really makes a good leader,   Rachelle Stone ** 44:42 authenticity. I'm a big proponent of heart based leadership. Brene Brown, I'm Brene Brown trained. I am not a facilitator, but I love her work, and I introduce all my clients to it, especially my newer leaders. I think it's that. Authenticity that you know the command and control leadership no longer works. And I can tell you, I do work with some leaders that are trying to improve their human skills, and by that I mean their emotional intelligence, their social skills, their ability to interact on a human level with others, because when they have that high command and control directive type of leadership, they're not connecting with their people. And we now have five generations in the workforce that all need to be interacted with differently. So command and control is a tough kind of leadership style that I actually unless they're willing to unless they're open to exploring other ways of leading, I won't work with them. Yeah,   Michael Hingson ** 45:44 and the reality is, I'm not sure command and control as such ever really worked. Yeah, maybe you control people. But did it really get you and the other person and the company? What what you needed.   Rachelle Stone ** 46:01 Generally, that's what we now call a toxic environment. Yes, yes. But that, you know, this has been, we've been on a path of, you know, this work ethic was supposed to, was supposed to become a leisure ethic in the 70s, you know, we went to 40 hour work weeks. Where are we now? We're back up to 6070, hour work week. Yeah, we're trying to lower the age that so kids can start working this is not a leisure ethic that we were headed towards. And now with AI, okay, let's change this conversation. Yeah, toxic environments are not going to work. Moving forward that command and control leadership. There's not a lot of it left, but there's, it's lingering, and some of the old guard, you know, there it's, it's slowly changing.   Michael Hingson ** 46:49 It is, I think, high time that we learn a lot more about the whole concept of teamwork and true, real team building. And there's a lot to be said for there's no I in team, that's right, and it's an extremely important thing to learn. And I think there are way to, still, way too many people who don't recognize that, but it is something that I agree with you. Over time, it's it's starting to evolve to a different world, and the pandemic actually was one, and is one of the things that helps it, because we introduced the hybrid environment, for example, and people are starting to realize that they can still get things done, and they don't necessarily have to do it the way they did before, and they're better off for it.   Rachelle Stone ** 47:38 That's right. Innovation is beautiful. I actually, I mean, as horrible as the pandemic was it, there was a lot of good that came out of it, to your point. And it's interesting, because I've watched this in coaching people. I remember early in the pandemic, I had a new client, and they came to the they came to their first call on Zoom, really slumped down in the chair like I could barely see their nose and up and, you know, as we're kind of talking, getting to know each other. One of the things they said to me, because they were working from home, they were working like 1011, hours a day. Had two kids, a husband, and they also had yet they're, they're, they're like, I one of the things they said to me, which blew my mind, was, I don't have time to put on a load of laundry. They're working from home. Yeah? It's that mindset that you own my time because you're paying me, yeah, versus I'm productive and I'm doing good work for you. Is why you're paying for paying me? Yeah? So it's that perception and trying to shift one person at a time, shifting that perspective   Michael Hingson ** 48:54 you talked before about you're a coach, you're not a doctor, which I absolutely appreciate and understand and in studying coaching and so on, one of the things that I read a great deal about is the whole concept of coaches are not therapists. A therapist provides a decision or a position or a decision, and they are more the one that provides a lot of the answers, because they have the expertise. And a coach is a guide who, if they're doing their job right, leads you to you figuring out the answer. That's   Rachelle Stone ** 49:34 a great way to put it, and it's pretty clear. That's, that's, that's pretty, pretty close the I like to say therapy is a doctor patient relationship. It's hierarchy so and the doctor is diagnosing, it's about repair and recovery, and it's rooted in the past, diagnosing, prescribing, and then the patient following orders and recovering. Hmm, in coaching, it's a peer to peer relationship. So it's, we're co creators, and we're equal. And it's, it's based on future goals only. It's only based on behavior change and future goals. So when I have clients and they dabble backwards, I will that's crossing the line. I can't support you there. I will refer clients to therapy. And actually, what I'm doing right now, I'm taking a mental health literacy course through Harvard Medical Center and McLean University. And the reason I'm doing this is because so many of my clients, I would say 80% of my clients are also in therapy, and it's very common. We have a lot of mental health issues in the world right now as a result of the pandemic, and we have a lot of awareness coming forward. So I want to make sure I'm doing the best for my clients in recognizing when they're at need or at risk and being able to properly refer them.   Michael Hingson ** 51:04 Do you think, though, that even in a doctor patient relationship, that more doctors are recognizing that they accomplish more when they create more of a teaming environment? Yes,   51:18 oh, I'm so glad you   Rachelle Stone ** 51:20 brought that up, okay, go ahead. Go ahead. Love that. I have clients who are in therapy, and I ask them to ask their therapist so that if they're comfortable with this trio. And it works beautifully. Yes,   Michael Hingson ** 51:36 it is. It just seems to me that, again, there's so much more to be said for the whole concept of teaming and teamwork, and patients do better when doctors or therapists and so on explain and bring them into the process, which almost makes them not a coach as you are, but an adjunct to what you do, which is what I think it's all about. Or are we the adjunct to what they do? Or use the adjunct to what they do? Yeah, it's a team, which is what it should be.   52:11 Yeah, it's, I always it's like the Oreo cookie, right?   Michael Hingson ** 52:16 Yeah, and the frosting is in the middle, yeah, crying   Rachelle Stone ** 52:19 in the middle. But it's true, like a therapist can work both in the past and in the future, but that partnership and that team mentality and supporting a client, it helps them move faster and further in their in their desired goals. Yeah,   Michael Hingson ** 52:37 it's beautiful, yeah, yeah. And I think it's extremely important, tell me about this whole idea of mental fitness. I know you're studying that. Tell me more about that. Is it real? Is it okay? Or what? You know, a lot of people talk about it and they say it's who cares. They all roll   Rachelle Stone ** 52:56 their eyes mental fitness. What are you talking about? Yeah, um, I like to say mental fitness is the third leg of our is what keeps us healthy. I like to look at humans as a three legged stool, and that mental fitness, that mental wellness, is that third piece. So you have your spiritual and community wellness, you have your physical wellness, and then you have your mental wellness. And that mental wellness encompasses your mental health, your mental fitness. Now, mental fitness, by definition, is your ability to respond to life's challenges from a positive rather than a negative mindset. And there's a new science out there called positive it was actually not a new science. It's based on four sciences, Positive Intelligence, it's a cognitive behavioral science, or psychology, positive psychology, performance psychology, and drawing a bank anyway, four sciences and this body of work determined that there's actually a tipping point we live in our amygdala, mostly, and there's a reason, when we were cavemen, we needed to know what was coming that outside stressor was going to eat us, or if we could eat it. Yeah, but we have language now. We don't need that, not as much as we did, not in the same way, not in the same way, exactly. We do need to be aware of threats, but not every piece of information that comes into the brain. When that information comes in our brains, amplify it by a factor of three to one. So with that amplification, it makes that little, little tiny Ember into a burning, raging fire in our brain. And then we get stuck in stress. So it's recognizing, and there's actually you are building. If you do yoga, meditation, tai chi, gratitude journaling, any sort of those practices, you're flexing that muscle. You talk to somebody who does gratitude journaling who just started a month in, they're going to tell. You, they're happier. They're going to tell you they're not having as many ruminating thoughts, and they're going to say, I'm I'm smiling more. I started a new journal this year, and I said, I'm singing more. I'm singing songs that I haven't thought of in years. Yeah, out of the blue, popping into my head. Yeah. And I'm happier. So the the concept of mental fitness is really practicing flexing this muscle every day. We take care of our bodies by eating good food, we exercise or walk. We do that to take care of our physical body. We do nothing to take care of our brain other than scroll social media and get anxiety because everybody's life looks so perfect,   Michael Hingson ** 55:38 yeah, and all we're doing is using social media as a stressor.   Rachelle Stone ** 55:42 That's right, I'm actually not on social media on LinkedIn. That's it.   Michael Hingson ** 55:48 I have accounts, but I don't go to it exactly. My excuse is it takes way too long with a screen reader, and I don't have the time to do it. I don't mind posting occasionally, but I just don't see the need to be on social media for hours every day.   Rachelle Stone ** 56:05 No, no, I do, like, like a lot of businesses, especially local small businesses, are they advertise. They only have they don't have websites. They're only on Facebook. So I do need to go to social media for things like that. But the most part, no, I'm not there. Not at all. It's   Michael Hingson ** 56:20 it's way too much work. I am amazed sometimes when I'll post something, and I'm amazed at how quickly sometimes people respond. And I'm wondering to myself, how do you have the time to just be there to see this? It can't all be coincidence. You've got to be constantly on active social media to see it. Yeah,   Rachelle Stone ** 56:39 yeah, yeah. Which is and this, this whole concept of mental fitness is really about building a practice, a habit. It's a new habit, just like going to the gym, and it's so important for all of us. We are our behaviors are based on how we interpret these messages as they come in, yeah, so learning to reframe or recognize the message and give a different answer is imperative in order to have better communication, to be more productive and and less chaos. How   Michael Hingson ** 57:12 do we teach people to recognize that they have a whole lot more control over fear than they think they do, and that that really fear can be a very positive guide in our lives. And I say that because I talked about not being afraid of escaping from the World Trade Center over a 22 year period, what I realized I never did was to teach people how to do that. And so now I wrote a book that will be out later in the year. It's called Live like a guide dog, stories of from a blind man and his dogs, about being brave, overcoming adversity and walking in faith. And the point of it is to say that you can control your fear. I'm not saying don't be afraid, but you have control over how you let that fear affect you and what you deal with and how you deal it's all choice. It is all choice. But how do we teach people to to deal with that better, rather than just letting fear build up   Rachelle Stone ** 58:12 it? Michael, I think these conversations are so important. Number one is that learner's mind, that willingness, that openness to be interested in finding a better way to live. I always say that's a really hard way to live when you're living in fear. Yeah, so step number one is an openness, or a willingness or a curiosity about wanting to live life better,   Michael Hingson ** 58:40 and we have to instill that in people and get them to realize that they all that we all have the ability to be more curious if we choose to do it.   Rachelle Stone ** 58:49 But again, choice and that, that's the big thing so many and then there's also, you know, Michael, I can't wait to read your book. I'm looking forward to this. I'm also know that you speak. I can't wait to see you speak. The thing is, when we speak or write and share this information, we give them insight. It's what they do with it that matters, which is why, when I with the whole with the mental fitness training that I do, it's seven weeks, yeah, I want them to start to build that habit, and I give them three extra months so they can continue to work on that habit, because it's that important for them to start. It's foundational your spirit. When you talk about your experience in the World Trade Center, and you say you weren't fearful, your spiritual practice is such a big part of that, and that's part of mental fitness too. That's on that layers on top of your ability to flex those mental muscles and lean into your spirituality and not be afraid.   Michael Hingson ** 59:55 Well, I'd love to come down and speak. If you know anybody that needs a speaker down there. I. I'm always looking for speaking opportunities, so love your help, and   1:00:03 my ears open for sure and live like   Michael Hingson ** 1:00:06 a guide dog. Will be out later this year. It's, it's, I've already gotten a couple of Google Alerts. The the publisher has been putting out some things, which is great. So we're really excited about it.   Rachelle Stone ** 1:00:16 Wonderful. I can't wait to see it. So what's   Michael Hingson ** 1:00:19 up for you in 2024   Rachelle Stone ** 1:00:22 so I actually have a couple of things coming up this year that are pretty big. I have a partner. Her name's vimari Roman. She's down in Miami, and I'm up here in the Dunedin Clearwater area. But we're both hospitality professionals that went into coaching, and we're both professional certified coaches, and we're both certified mental fitness coaches. When the pandemic hit, she's also a Career Strategist. She went she started coaching at conferences because the hospitality industry was hit so hard, she reached out to me and brought me in too. So in 2024 we've been coaching at so many conferences, we can't do it. We can't do it. It's just too much, but we also know that we can provide a great service. So we've started a new company. It's called coaches for conferences, and it's going to be like a I'll call it a clearing house for securing pro bono coaches for your conferences. So that means, let's say you're having a conference in in LA and they'd like to offer coaching, pro bono coaching to their attendees as an added value. I'll we'll make the arrangements for the coaches, local in your area to to come coach. You just have to provide them with a room and food and beverage and a place to coach on your conference floor and a breakout. So we're excited for that that's getting ready to launch. And I think 2024 is going to be the year for me to dip my toe in start writing my own story. I think it's time   Michael Hingson ** 1:02:02 writing a book. You can say it. I'm gonna do it.   Rachelle Stone ** 1:02:05 I'm gonna write a book Good. I've said it out loud. I've started to pull together some thoughts around I mean, I've been thinking about it for years. But yeah, if the timing feels right,   Michael Hingson ** 1:02:21 then it probably is, yep, which makes sense. Well, this has been fun. It's been wonderful. Can you believe we've already been at this for more than an hour? So clearly we   1:02:33 this went so fast. Clearly we   Michael Hingson ** 1:02:35 did have fun. We followed the rule, this was fun. Yeah, absolutely. Well, I want to thank you for being here, and I want to thank you all for listening and for watching, if you're on YouTube watching, and all I can ask is that, wherever you are, please give us a five star rating for the podcast. We appreciate it. And anything that you want to say, we would love it. And I would appreciate you feeling free to email me and let me know your thoughts. You can reach me at Michael H, I m, I C, H, A, E, L, H i at accessibe, A, C, C, E, S, S, I, B, e.com, would love to hear from you. You can also go to our podcast page, www, dot Michael hingson.com/podcast, and it's m, I C, H, A, E, L, H, I N, G, s, O, N, and as I said to Rochelle just a minute ago, if any of you need a speaker, we'd love to talk with you about that. You can also email me at speaker@michaelhingson.com love to hear from you and love to talk about speaking. So however you you reach out and for whatever reason, love to hear from you, and for all of you and Rochelle, you, if you know anyone else who ought to be a guest on unstoppable mindset, let us know we're always looking for people who want to come on the podcast. Doesn't cost anything other than your time and putting up with me for a while, but we appreciate it, and hope that you'll decide to to introduce us to other people. So with that, I again want to say, Rochelle, thank you to you. We really appreciate you being here and taking the time to chat with us today.   Rachelle Stone ** 1:04:13 It's been the fastest hour of my life. I'm gonna have to watch the replay. Thank you so much for having me. It's been my pleasure to join you.   **Michael Hingson ** 1:04:24 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

Function Health has launched an FDA-cleared AI-powered full-body MRI that dramatically reduces scan time to 22 minutes and the cost to $499, making it more accessible for preventative health. In construction, Skanska has introduced Safety Sidekick, an AI assistant providing real-time safety guidance by consolidating crucial safety documents into a mobile and desktop resource, empowering safer decision-making on job sites. Google's Gemini 2.5 Pro Preview 'I/O edition' boasts significantly improved coding capabilities, ranking first on both LMArena for coding and the WebDev Arena Leaderboard, excelling particularly in building interactive web applications. This development coincides with predictions from Robert Scoble about Google's upcoming AI-powered glasses that will interact through eyes, hands, and voice, leveraging Google's vast personal data ecosystem, potentially posing a challenge to Apple. Meanwhile, OpenAI has decided to maintain its nonprofit control while restructuring its for-profit arm into a Public Benefit Corporation, legally requiring a balance between profit and public benefit, aligning with their mission of developing beneficial artificial general intelligence.@function @Scobleizer @Austen

On May 7, 2025, the Cincinnati Reds secured a narrow 4-3 victory over the Atlanta Braves at Truist Park, snapping a four-game losing streak and improving their record to 18-19. The game was highlighted by TJ Friedl's two home runs, which provided crucial offensive firepower, and a resilient bullpen effort led by Brent Suter and closer Emilio Pagan, who bounced back from a blown save the previous night to earn his ninth save in 11 opportunities. The Reds' starting rotation, ranked fifth in the majors in WAR and eighth in ERA, has been a cornerstone of their season, and this win underscored their ability to compete despite mounting challenges. However, the victory was overshadowed by a concerning injury to ace pitcher Hunter Greene, who exited in the fourth inning with a right groin injury. Greene, a 2024 All-Star and Cy Young contender, had been dominant through three scoreless innings, striking out six and allowing just two hits on 53 pitches. The injury occurred during warm-up pitches before the fourth, when Greene felt a “grab” in his groin, prompting manager Terry Francona and a trainer to remove him from the game. Greene, who remained optimistic postgame, is scheduled for an MRI on May 8 to determine the injury's severity. He expressed hope of avoiding the injured list but acknowledged uncertainty, stating, “I don't know what the future holds on this.” The Reds are already grappling with a slew of injuries, with key players like Noelvi Marte (oblique), Austin Hays (hamstring), and Jake Fraley (calf) sidelined or limited. Greene's potential absence could strain the team's pitching depth, especially after his stellar 2025 performance (4-2, 2.36 ERA, 61 strikeouts in 45.2 innings). If Greene misses time, 22-year-old prospect Chase Petty, who recently threw six no-hit innings inTriple-A, is a likely replacement, though his MLB debut was rocky. Despite the injury concerns, the Reds' resilience in holding off the Braves (17-18) offers hope. Francona emphasized the team's grit, noting that while Greene's exit was a blow, the win showcased their ability to adapt. As Cincinnati navigates this precarious moment, Greene's MRI results will be pivotal in determining whether their rotation can continue to anchor a season teetering on the edge.

Dr. Gil Blander welcomes Dr. Daniel Durand, Chief Medical Officer at Prenuvo, to Longevity by Design for a deep dive into the future of preventative healthcare. Dr. Durand shares how full-body MRI is redefining early detection by making advanced imaging accessible, non-invasive, and radiation-free. He explains why MRI, as a soft tissue imaging modality, offers unmatched insight into early-stage cancers and chronic conditions.The conversation unpacks misconceptions around overdiagnosis and false positives, challenging the idea that “not knowing” is safer. Dr. Durand outlines how AI-enhanced imaging, paired with structured follow-up care, reduces unnecessary biopsies and improves diagnostic accuracy. He also discusses the emotional and systemic costs and benefits of proactive screening.Looking ahead, Dr. Durand envisions a healthcare model built on data, personalization, and patient empowerment. He argues that gathering better information, earlier, will shift the focus from treatment to prevention and help more people maintain peak health for longer. Guest-at-a-Glance

Dr. Hoffman continues his conversation with Henry Abbott, former ESPN journalist, basketball expert, and author of "Ballistic: The New Science of Injury-Free Athletic Performance."

Henry Abbott, former ESPN journalist, basketball expert, and author of the highly anticipated book "Ballistic: The New Science of Injury-Free Athletic Performance," details how advanced biomechanical analysis can help prevent athletic injuries. Abbott explains the significance of movement patterns, particularly how techniques used by elite athletes at the Peak Performance Project (P3) in Santa Barbara can be applied to everyday people. The conversation covers various topics, including plyometrics, the importance of hip stability and mobility, and the potential for new technologies like AI and computer vision to bring these advanced assessments and training techniques to a wider audience. The episode is rich in practical advice for maintaining physical health and mobility through a lifelong commitment to better movement practices.

Things that upset our stomachs.. The toughest jobs.. Breaking up with friends.. Tom has problems with an MRI.. And why we hate hospital gowns.

Double vision is a symptom often experienced by patients with neurologic disease. An organized systematic approach to evaluating patients with diplopia needs a foundational understanding of the neuroanatomy and examination of eye movements and ocular alignment. In this episode, Teshamae Monteith, MD, FAAN, speaks with Devin Mackay, MD, FAAN, author of the article “Approach to Diplopia” in the Continuum® April 2025 Neuro-ophthalmology 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. Mackay is an associate professor of neurology, ophthalmology, and clinical neurosurgery at Indiana University School of Medicine in Indianapolis, Indiana. Additional Resources Read the article: Approach to Diplopia 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 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: This is Dr Teshamae Monteith. Today I'm interviewing Dr Devin Mackay about his article on approach to diplopia, which appears in the April 2025 Continuum issue on neuro-ophthalmology. Welcome to the podcast. How are you? Dr Mackay: Thank you. It's great to be here. Dr Monteith: Congratulations on your article. Dr Mackay: Thank you. I appreciate that. Dr Monteith: Why don't you start off with introducing yourself to our audience? Dr Mackay: So, yeah, my name is Devin Mackay. I'm a neuro-ophthalmologist at Indiana University. I did my residency at what was used to be known as the Partners Healthcare Program in Boston, and I did a fellowship in neuro-ophthalmology in Atlanta. And I've been in practice now for about ten years. Dr Monteith: Oh, wow. Okay. Tell us a little bit about your goals when you were writing the chapter. Dr Mackay: So, my goal with the approach to double vision was really to demystify double vision. I think double vision is something that as trainees, and even as faculty members and practicing neurologists, we really get intimidated by, I think. And it really helps to have a way to approach it that demystifies it and allows us to localize, just like we do with so many other problems in neurology. Dr Monteith: I love that, demystification. So why don't you tell us what got you interested in neuro-ophthalmology? Dr Mackay: Yeah, so neuro-ophthalmology I stumbled on during a rotation during residency. We rotated in different subspecialties of neurology and I did neuro-ophthalmology, and I was just amazed by the exam and how intricate it was, the value of neuroanatomy and localization, the ability to take a complicated problem and kind of approach it as a diagnostic specialist and really unravel the layers of it to make it better. To, you know, figure out what the problem is and make it better. Dr Monteith: Okay, so you had a calling, clearly. Dr Mackay: I sure did. Dr Monteith: You talked about latest developments in neuro-ophthalmology as it relates to diplopia. Why don't you share that with our listeners? Dr Mackay: Yeah. So, you know, double vision is something that's really been around since the beginning of time, essentially. So that part hasn't really changed a lot, but there are some changes that have happened in how we approach double vision. Probably one of the bigger ones has been, we used to teach that with a, you know, patient over the age of fifty with vascular risk factors who had a cranial nerve palsy of cranial nerves 3, 4, or 6, we used to automatically assume that was a microvascular palsy and we just wouldn't do any more testing and we'd just, you know, wait to see how they did. And it turns out we're missing some patients who have significant pathologies, sometimes, with that approach. And so, we've really shifted our teaching with that to emphasize that it's a lot easier to get an MRI, for example, than it ever has been. And it can be important to make sure we're not missing important pathology in patients, even if they have vascular risk factors over the age of fifty and they just have a cranial nerve 3, 4, or 6 palsy. So that's been one change. Dr Monteith: Interesting. And why don't you tell us a little bit about the essential points that you want to get across in the article? Dr Mackay: Yeah. So, I think one is to have a systematic approach to double vision. And a lot of that really revolves around localization. And it even begins with the history that we take from the patients. There's lots of interesting things we can ask about double vision from the patient. For example, the most important thing you can ever ask someone with double vision is, does it go away when you cover either eye? And that really helps us figure out the first question for us as neurologists, which is, is it neurologic or non-neurologic? If it's still there when covering one eye, then it is not neurologic and that's usually a problem for an ophthalmologist to sort out. So that's really number one. And then if it is binocular double vision, then we get into details about, is it horizontal or vertical misalignment? Is it- what makes it better and worse? Is there an associated ptosis or other symptoms? And based on all of that, we can really localize the abnormality with the double vision and get into details about further testing if needed, and so forth. I also love that that approach really reduces our need to rely on things like neuroimaging sometimes when we may not need it, or on other tests. So, I think it really helps us be more efficient and really take better care of patients. Dr Monteith: So definitely that cover/uncover test, top thing there. Your approach- and you mentioned, are you really getting that history, and are there any other kind of key factors when you're approaching diplopia before getting into some of the details? Dr Mackay: Yeah, that's a good question. I think also having some basics of how to examine the patient, because double vision is such a challenging thing. A lot of us aren't as familiar with the exam toolkit, so to speak, of what you would do with a patient with double vision. And so, I go over in the article a bit about a Maddox rod, which is a handy little tool that I always keep in my pocket of my lab coat. It allows you to assign a red line to one eye and a light to the other eye, and you can see if the eyes line up or not. And you don't need any other special equipment, you just need the light in that Maddox rod. That really helps us understand a lot about the pattern of misalignment, which is really important for evaluating double vision. So, for example, if someone has a right 6th nerve palsy, I'll expect a horizontal misalignment of the eyes that worsens when the patient looks to the right and improves when they look to the left. And especially if it's a partial palsy, it's not always easy to see that just by looking at their eye movements. And having a way to really measure the eye alignment and figure out, is it worse or better in certain directions, is really essential to localization, I think, in a lot of cases. Dr Monteith: You caught me. I skipped over that Maddox rod part, even though you spent a lot of time talking about Maddox rods. Kind of skipped over it. So, you're saying that I need one. Dr Mackay: Everyone needs one. I've converted some of our residents here to carry one with them. And yeah, I realize it's a daunting tool at first, but when you have a patient with double vision and their eye movements look normal, I feel like a lot of neurologists are- kind of, their hands seem like they're tied and they're like, oh, I don't know, I don't know what to do at this point. And if you can get some more details with a simple object like that, it can really change things. Dr Monteith: So, we've got to talk to the AAN store and make sure that they have enough of these, because now there's going to be lots of… Dr Mackay: We're going to sell out on Amazon today now because of this podcast. Dr Monteith: Cyber Monday. So, let's talk about the H pattern. And I didn't know it had the- well, yeah, I guess the official name is “H pattern.” In medical school, I mean, that's what I learned. But as a resident and, you know, certainly as an attendee, I see people doing all sorts of things. You're pro-H pattern, but are there other patterns that you also respect? Dr Mackay: It depends on what you're looking for, I think. The reason I like the H pattern is because you get to look at upgaze and downgaze in two different directions. So, you get to look at upgaze and downgaze when looking to the left, and up- and downgaze when looking to the right. And the reason that matters is because vertical movements of the eyes are actually controlled by different eye muscles depending on whether the eye is adducted toward the nose or abducted away from the nose. And so that's why I love the H pattern, is because it allows you to see that. If you just have them look up and down with just a cross pattern, for example, then you really lose that specificity of looking at both the adduction and abduction aspects. So, it's not wrong to do it another way with, like, the cross, for example, but I just think there are some cases where we'll be missing some information, and sometimes that can actually make a difference. Dr Monteith: Well, there you have it. Let's talk a little bit about eliciting diplopia during the neurologic exam. What other things should we be looking out for? Dr Mackay: So, in terms of eliciting diplopia, it really starts with the exam and again, figuring out, are we covering one eye? And figuring out, is this patient still having double vision? It's tricky because sometimes the patients won't even know the answer to that question or they've never done it, they've never covered one eye. And so, if that's the case, I really make them do it in the office with me and it's like, okay, well, are we having double vision right now? Well, great, okay, we are, then we're going to figure this out right now. And we cover one eye and say, is it still double? And that way we can really figure out, are we monocular or binocular? That's always step one. And then if we've established that it's binocular diplopia, then that's when we get into the other details that I mentioned before. And then as far as other things to look for, we're always in tune to other things that are going on in terms of symptoms, like ptosis, or if there's bulbar weakness, or some sensory change or motor problem that seems to be associated with it. Obviously, those will give us clues in the localization as well. Dr Monteith: And what about ocular malalignment? Dr Mackay: Yeah. So ocular malalignment, really, the cardinal symptom of that is going to be double vision. And so, if a patient has a misalignment of the eyes and they don't have double vision, then usually that means either we're wrong and they don't have double vision, or they do have double vision and they, you know, haven't said it correctly. Or it could be that the vision is poor in one eye. Sometimes that can happen. Or, some patients were actually born with an eye misalignment and their brain has learned in a way to kind of tune out or not allow the proper development of vision in one eye. And so that's also known as amblyopia, also known as the lazy eye, some people call it. But that finding can also make someone not experience double vision. But otherwise, if someone's had normal vision kind of throughout their life, they'll usually be pretty aware of when they first notice double vision. It'll be an obvious event for them in in most cases. Dr Monteith: And then the Cogan lid twitch? Dr Mackay: Oh yes, the Cogan lid twitch. So, the Cogan lid twitch is a feature of myasthenia gravis. The way you elicit it is, you have the patient look down. I'm not sure there's a standardization for how long; you want to have it long enough that you're resting the levator muscle, which is the muscle that pulls the upper lid open. And so, you rest that by having them look down for… I usually do about ten or fifteen seconds. And then I have them look up to looking straight forward. And you want to pay careful attention to their lid position as their eye settles in that straight-forward position. What will happen with a Cogan's lid twitch is, the lid will overshoot, and then it'll come back down and settle into its, kind of, proper position. And what we think is happening there is, it's almost like a little mini “rest test” in a way, where you're resting that muscle just long enough to allow some of the neurotransmission to recover. You get a normal contraction of the muscle, but it fades very quickly and comes back down. And that's experienced as a twitch. Dr Monteith: So, the patient can feel it. And it's something you can see? Dr Mackay: Yeah, the patient may not feel it as much. It's usually it's going to be something that the clinician can see if they're looking for it. And I would say that's one of the physical exam findings that can be a hallmark of myasthenia gravis, but certainly not the only one. Some others that we often look for are fatigable ptosis with sustained upgaze. You have the patient look up for a prolonged time and you'll see the lid droop down. So that can be one. Ice pack test is very popular nowadays, and it has pretty good sensitivity and specificity for myasthenia. So, you keep an ice pack over the closed eyes for two minutes and you compare the lid position before and after the ice pack test. And in the vast majority of myasthenia patients, if they have ptosis, the ptosis will have resolved, or at least significantly improved, in those patients. And yet one more sign is, if you find the patient's eye with ptosis and you lift open the eye manually, you'll often see that the other eyelid and the other eye will lower down. So, I'm not sure there's a name for that, but that can be a helpful sign as well. Dr Monteith: Since you're going through some of these, kind of, key features of different neurologic disease, why don't you tell us about a few others? Dr Mackay: Yeah, so another I mentioned in the in the article is measurement of levator function, which is really a test of eyelid strength. And so, that can be helpful if we have- someone has ptosis, or we're not sure if they have ptosis and we're trying to evaluate that to see if it's linked to the double vision, because that really changes the differential if ptosis is part of the clinical situation. So, the way that's measured is you have a patient look down as far as they can. And you get out a little ruler---I usually use a millimeter ruler---and I set the zero of the ruler at the upper lid margin when they're looking down. So, I hold the ruler there, and then I ask the patient to look up as far as they can without moving their head. Where the lid position stops of the upper lid is the new point on the ruler. And so, you measure that and see how much that is. And so, a normal patient may have a value somewhere between, I don't know, twelve or thirteen millimeters up to seventeen or eighteen millimeters, probably, in most cases. Especially if there is an asymmetric lid position, if you find that the levator function is symmetric, then it tells you that the muscle is working fine and that the ptosis is not from the muscle. So then the ptosis may be from dehiscence of the lid margin from the muscle. And so, that's a really common cause of ptosis, and that's often age-related or trauma-related. And we can dismiss that as being part of the symptom constellation of double vision. So, it can be really helpful to clarify, is this a muscle problem, which you'd expect with myasthenia or a third nerve palsy, or is this a mechanical problem with the lid, which is non-neurologic and really should be dismissed? So that can be a really helpful exam tool. Dr Monteith: So, you're just now getting into a little localization. So why don't we kind of start from the most proximal pistol with localization. Give us a little bit of tips. I know they just got to read your article, but give us a few tips. Dr Mackay: So, in terms of most proximal causes, there are supranuclear causes of ocular misalignment. For example, a skew deviation would qualify as that. Anything that's happening from some deficient input before you get to the cranial nerve nuclei, that we would consider supranuclear. So, we also see that with things like progressive supranuclear policy and certain other conditions. And then there can be lesions of the cranial nerve nuclei themselves. So, cranial nerves 3, 4, and 6 all have nuclei, and if they're lesioned they will cause double vision in specific patterns. And then there's also another subgroup, which is known as intranuclear problems with eye alignment. And so, the most common of that is going to be intranuclear ophthalmoplegia. And so that's very common in patients with demyelinating disorders, or it can also happen with strokes and tumors and other causes. And then there's infranuclear problems, which are from the cranial nerve nuclei out, and so those would be the cranial nerves themselves. So that's where your microvascular palsies, any tumor pressing on the nerve in those locations can cause palsies like that, any inflammatory disorder along that course. Then as we get more distal, we get into the orbit, we have the neuromuscular junction---so, the connection between the nerve and the muscle. And of course, that's our myasthenia gravis. And there are rare causes, things like botulinum and tick borne illnesses and certain other things that are more rare. And then, of course, we get to the muscle itself, and there can be different muscular dystrophies, different things like myositis or inflammatory disorders of the orbit or even physical trauma. So, if a patient, you know, had a trauma in trapping an extraocular muscle, that can be a localization. So really, anywhere along that pathway you can have double vision. So, I love to approach it from that perspective to help narrow down the diagnostic possibilities. Dr Monteith: Okay, just like everything? Dr Mackay: Just like all of the rest of the neurology. See, it's not that scary. Dr Monteith: You know, and so, yeah. And then you do a lot more than, you know, a few cranial nerves, right? Dr Mackay: Right. That's right. There's a lot more to double vision than that. I think as neurologists, we get lost if it's not a cranial nerve palsy, we're like, oh, I don't know what this is. And if it's not myasthenia, not a cranial nerve palsy. But it's worth also considering that there are ophthalmologic causes of someone having double vision that we often don't consider. So maybe someone who was born with strabismus, or maybe they have a little bit of a tendency toward an eye misalignment that their brain compensates, for and then it decompensates someday and that now they have a little bit of double vision intermittently, so that those can be causes to consider as well. Dr Monteith: Yeah, well, we'll just have to, you know, request those records from forty years ago. No problem. Dr Mackay: That's right. Dr Monteith: Why don't you also give us a little bit of tip when we're on the wards and we want to teach either a medical student or a resident, or if it's a resident listening, may want to teach a junior resident and seem like a star when approaching a patient with diplopia. Give us some teaching pearls. Dr Mackay: Yeah. So, I would love people teaching more about this at the bedside. I'd say probably the first thing to do would be to equip yourself by recognizing what some of the pertinent questions are to ask someone with double vision. Those things would include, is the double vision worse when looking in a certain direction? Does the double vision go away or not when you cover one eye? What happens when you tilt your head one direction or the other? Is it intermittent or constant? What makes it better? What makes it worse? Those kinds of things can really help us narrow down the possibilities. And then the other thing would be to equip yourself with some tools for examining. And it doesn't have to be physical tools. These can actually be things like, you mentioned the cross-cover test or cover/uncover test. That's described in the article. And I think knowing how to do that properly, knowing how to examine the eye movements properly and how to check for subtle things like a subtle intranuclear ophthalmoplegia, which is also mentioned in the article, being familiar with those things can be a really useful exercise in allowing you to teach others later on. Dr Monteith: Cool. Why don't you tell us about some of the things you're most excited about in the field? Dr Mackay: One of the things about our subspecialty for so long is we really haven't had big data with, you know, big trials and all these things that all the stroke people have. And that's starting to change slowly. There's been, for example, the idiopathic intracranial hypertension treatment trial that was published back in, I think it was 2014. You know, of course we had the optic neuritis treatment trial, back a few decades ago now. Some of the exciting ones coming up, there's going to be a randomized controlled trial looking at different treatments for idiopathic intracranial hypertension that are surgically based. So, for example, comparing venous sinus stenting with optic nerve sheath fenestration. And so, figuring out, is there a best practice for surgical intervention for patients with IIH? So, we're starting to have more trials like that now than I think we've had in the past. And so, it's exciting to get to have an evidence base for some of the things that we recommend and do. Dr Monteith: And what about some of the treatment for diplopia? Like prisms, and where are we with some of that? Dr Mackay: Yeah, great. So, it's a pretty simple concept, but still kind of difficult in practice. I kind of say there are four different ways to treat double vision: you can ignore it, you can patch or cover one eye, you can treat with prisms, and you can treat with eye muscle surgery. And so, those are the main ways other than, of course, treating the underlying disorder if there's a disorder causing double vision. So those are the main ways to treat. In terms of knowing if someone's going to be a candidate for prism therapy, we also have to remember that prisms are really going to be most helpful for when someone's looking straight forward. So, we need to make sure that their double vision is happening when they look straight forward. So, for example, if they're only having double vision looking to the left or to the right, that patient may not benefit from prisms as much as someone who is having double vision when they look straight forward. So that's one thing I look for. And then strabismus surgery is something to be considered if someone is not tolerating prisms and they're not helping and their eye alignment is stable. So, if you think about it, if someone's eye alignment is changing a lot, you're probably not going to want to do surgery for that patient because it's going to keep changing after surgery. And so, if someone's eye alignment is stable for six months or more and they're not getting the benefit they'd like from prisms, then maybe referral to a strabismus surgeon might be something to consider. Dr Monteith: Great. And then, I guess another question is just popping up in my head selfishly. What are your thoughts about patients that get referrals for exercises? Say they have, like, a convergence efficiency or something causing diplopia, maybe after a concussion. Maybe there's not a lot of evidence, but what is your take on exercising? Dr Mackay: Yeah, excellent question. So, there actually is evidence for exercises for convergence insufficiency. So, we know that those do work. Now where exercises are probably not as helpful, or at least not- there isn't an evidence base for them, is really with just about every other kind of eye misalignment in adults. We hear a lot about eye movement therapies for concussion and barely any other acquired misalignment of the eyes as well. And really, the evidence really hasn't shown us that that's helpful; again, with the exception being convergence insufficiency. So, we know that an office-based vision therapy type program for convergence insufficiency does work, but of course it's kind of inconvenient. It can cost money that may or may not be covered by insurance. And so, there are difficulties even with doing that. And so, I often recommend that patients with convergence insufficiency at least try something called pencil push-ups, where they take a pencil at arm's length and they bring it in and exercise that convergence ability. You know, that's a cheap, easy way to try to treat that initially. So yeah, there can be some limited utility for eye muscle exercises in certain conditions. Dr Monteith: My one example. I was- it was fuzzy, but in a different way. So, what do you do for fun? I mean, it sounds like you like to see a lot of eyeballs? Dr Mackay: I do. I like to see a lot of eyeballs. Dr Monteith: When you're not doing these things, what do you do for fun? Dr Mackay: So, people ask me what my hobbies are, and I laugh because my hobby is actually raising children. Dr Monteith: Oh, okay! Dr Mackay: So, my wife and I have eight kids- Dr Monteith: Oh, wow! Dr Mackay: Ages three to thirteen. So, kind of doesn't allow me to have other things right now. I'm sure I'll have more hobbies later on, but no, I really love my kids. And I- they give me plenty to do. There's no shortage of- in fact, they were really, they were really excited about this podcast today. They're so excited that Dad gets to be on a podcast, and so I'm going to have to show this to them later. They're going to be thrilled about it. Dr Monteith: Excellent. Well, thank you so much for being on the podcast. Dr Mackay: Thank you. It's been my pleasure. Dr Monteith: Again, today I've been interviewing Dr Devin Mackay about his article on approach to diplopia, which appears in the most recent issue of Continuum on neuro-ophthalmology. 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.

I'm joined by board-certified general surgeon Dr. Lee Howard, who walked away from traditional medicine. Why he feels traditional medicine doesn't really help its patients plus we cover what supplements are good for everyone to take, how to navigate allergy season with kids, what the heck the MTHFR gene is, how we should be approaching our kids' health, why were gonna start to hear more and more about creatine, ways we can help the aging process, plus perimenopause and menopause- how to minimize symptoms and recognize when we start to enter that stage. And we cover once and for all what those silly eye twitches are from. Clip 3: Low Testosterone and Alzheimer's RiskMost people think of testosterone as a hormone that just affects sex drive or muscle mass. But the brain is actually one of its biggest targets. A massive 2023 study from the University of Sydney looked at older men and found something shocking: men with low testosterone had a 26% higher risk of developing Alzheimer's disease. And we're not talking about late-stage life—these patterns start decades earlier. Testosterone helps regulate inflammation in the brain, supports memory circuits, and even promotes the growth of new neural connections. When levels drop too low, especially without being noticed, the brain becomes more vulnerable to decline. Here's the kicker: most men never get their levels checked. And if they do, the 'normal range' is often outdated or way too broad. What's normal for a 75-year-old is not what you want at 45. I've had women come in concerned about their partner's mood, irritability, even motivation—and it turns out his testosterone was tanked. If you're in a long-term relationship and your partner is acting like a different person, you're not imagining it. And getting his hormones evaluated might be the missing link to helping him feel like himself again—and preventing cognitive decline down the line.Study source: University of Sydney & Neuroscience Research Australia (2023)https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.1252Clip 5: Gut Health and MoodThere's a direct, two-way communication line between your gut and your brain—and researchers now believe that the gut may play just as much of a role in mental health as the brain itself. A major review from 2024 showed that people with poor gut diversity were significantly more likely to suffer from depression and anxiety, even when diet and lifestyle were controlled. Why? Because 90% of your serotonin is actually made in your gut. If your microbiome is inflamed or out of balance, your body literally has fewer raw materials to make feel-good brain chemicals. On top of that, gut inflammation sends stress signals to your brain—keeping you in a low-level “fight or flight” state, even when nothing's wrong. And if you've ever felt brain fog, irritability, or sadness after a weekend of sugar and alcohol… this is why. What's exciting is how quickly you can make a shift. Just increasing your fiber, adding fermented foods, or taking the right probiotic can make a measurable difference in just a few weeks. This isn't woo. This is the future of psychiatry. And if you've done therapy, made lifestyle changes, but still don't feel right—check your gut. It might be where your healing needs to start.Study source: Review from the Polish Society of Gastroenterology (2024)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811453Clip 8: Hormone Imbalances and MarriageYou'd be shocked how many couples come into my office thinking they have a communication problem—when what they really have is a hormone problem. He's irritable, unmotivated, maybe withdrawing. She's exhausted, anxious, snapping at small things. They think they've grown apart. They think the spark is gone. But when we test their hormones—testosterone, cortisol, DHEA, thyroid—what we find is that their biochemistry is off. And once we start restoring balance, everything shifts. The mood improves. The intimacy returns. The little things don't feel so overwhelming. We now have solid evidence that hormonal health directly impacts emotional regulation, sexual desire, and even empathy. And if both partners are dysregulated, it can feel like the marriage is falling apart—when really, it's just that their physiology is out of sync. This isn't a relationship failure. It's a hormone crisis. And once you name it, you can fix it. I've seen couples on the brink of divorce completely turn things around—because we stopped blaming each other and started healing their bodies.Study source: APA + American Journal of Men's Health (2023–24)https://journals.sagepub.com/doi/10.1177/15579883231166518Clip 11: Whole Milk in Schools Might Actually Be SmarterFor decades, schools have pushed low-fat or skim milk, based on outdated beliefs about fat and weight. But new evidence is flipping that script. A growing body of research now shows that children who drink whole milk are actually less likely to be overweight than those drinking low-fat milk. Why? Because fat makes food more satisfying. It helps with blood sugar regulation and keeps kids fuller longer—so they're less likely to snack on junk later. In 2025, there's increasing pushback from pediatricians and nutrition researchers against the one-size-fits-all low-fat approach. Some school districts are already considering bringing whole milk back, and they're seeing better nutrition outcomes. Whole milk also contains essential nutrients like vitamin D and calcium in more bioavailable forms, especially when paired with fat. It's time we stop fearing fat—especially when the data shows that cutting it hasn't actually reduced childhood obesity. In fact, we may have made things worse. So if your kid likes whole milk, don't feel guilty. It might just be the more nourishing option after all.Study source: Associated Press report (2025)https://apnews.com/article/e4868fdc2dc4e85aeb9375edcd27da49Clip 13: Hormone Fluctuations and Depression in WomenOne of the biggest blind spots in women's health is how powerful hormone fluctuations are—especially on mood. A 2025 study published in Biomedical Reports found that estrogen and progesterone shifts during puberty, pregnancy, postpartum, and perimenopause play a massive role in rates of depression. This isn't just anecdotal. These hormonal changes alter brain chemistry, sensitivity to stress, and even how the body processes trauma. In puberty, many girls who were previously confident begin to struggle with mood and self-esteem—but instead of checking hormones, we tell them to tough it out. In postpartum, we're finally starting to talk about depression more—but the hormonal crash that happens after birth still catches most women off guard. And in perimenopause, where mood swings and anxiety often resurface, women are still too often told it's “just part of aging.” It's not. It's biology. And the good news is, once you understand that hormones are a major player, you can treat the root cause instead of just masking symptoms. Whether it's bioidentical therapy, lifestyle shifts, or targeted nutrients, women deserve to know that their brains and their hormones are on the same team—and that relief is possible.Study source: Biomedical Reports (2025)https://pubmed.ncbi.nlm.nih.gov/40083602Clip 14: Social Media Changes Teen Brain WiringWe now have MRI data showing that the more often a teen checks social media, the more their brain becomes wired for external validation. In a study from UNC Chapel Hill, researchers found that teens who compulsively checked platforms like Instagram or Snapchat showed measurable changes in the brain's reward centers. These areas lit up more intensely over time, meaning their brains were becoming increasingly sensitive to likes, comments, and digital attention. This isn't just about being distracted. It's about a neurological shift in what they find rewarding—and that shift can impact everything from self-worth to emotional regulation. The researchers even found that this pattern predicts increased anxiety and depression, especially in girls. And it makes sense—when your self-esteem is tied to a number on a screen, even a small drop in engagement feels like social rejection. So what can parents do? First, understand that this isn't just 'teen stuff.' This is brain development. Second, set tech boundaries that prioritize boredom, creativity, and real-life interaction. Even a two-week break can reset the system. Social media isn't going away—but we have to teach kids how to use it without letting it rewire them.Study source: UNC-Chapel Hill (2023)https://www.unc.edu/posts/2023/01/03/study-shows-habitual-checking-of-social-media-may-impact-young-adolescents-brain-developmenClip 16: Screen Time and Toddlers' SleepSleep is how toddlers consolidate memory, regulate mood, and grow both physically and neurologically. But more and more research is showing that screen exposure—even if it's 'educational'—can seriously disrupt toddler sleep. A study published in JAMA Pediatrics found that children ages 2 to 5 who used screens within an hour of bedtime had shorter total sleep and more fragmented rest. Blue light delays melatonin production. Fast-paced content overstimulates the nervous system. And passive consumption before bed blunts their natural wind-down process. We think of it as relaxing—but their brains don't. What's worse is that these disruptions don't just affect nighttime. They carry over into the next day—affecting focus, mood, and even immune function. That's why experts now recommend at least 60 minutes of screen-free time before lights out—especially for young kids. Replace it with a bath, a book, a calm routine. These rituals help their circadian rhythm sync naturally. Sleep isn't just a health pillar—it's a developmental requirement. And screens may be the single biggest obstacle we're overlooking.Study source: JAMA Pediatrics (2024)https://jamanetwork.com/journals/jamapediatrics/fullarticle/282519Clip 18: Hormone-Disrupting Chemicals = Global Health RiskA sweeping review by the Endocrine Society in 2024 called endocrine-disrupting chemicals a 'global health threat.' These are substances—often found in plastics, pesticides, cosmetics, and even receipts—that can mimic, block, or interfere with your body's hormones. They've been linked to everything from infertility to obesity to neurological conditions and cancer. And they're everywhere. Prenatal exposure can affect fetal brain development. Chronic exposure is associated with thyroid dysfunction and metabolic syndrome. And it's not about one product—it's about cumulative load. What's scary is how underregulated many of these substances are in the U.S. compared to Europe. But what's hopeful is that you *can* reduce your exposure. Swap plastic for glass. Say no to fragrance. Wash produce well. Choose organic when you can. Each swap reduces total burden. This isn't alarmist. This is modern environmental medicine. And it affects every system in your body.Study source: Endocrine Society Global Consensus Statement (2024)https://www.endocrine.org/news-and-advocacy/news-room/2024/latest-science-shows-endocrine-disrupting-chemicals-in-pose-health-threats-globallyClip 19: Gut-Brain Axis and Mental HealthWe used to think the brain controlled everything. Now we know the gut plays just as big a role—especially in mental health. The gut-brain axis is a communication superhighway that links your microbiome to your nervous system. And studies show that disruptions in gut health are strongly linked to anxiety, depression, and even neurodevelopmental conditions like ADHD. Certain gut bacteria help produce neurotransmitters like serotonin and GABA. Others regulate inflammation, which directly impacts mood. A 2025 review of over 50 studies found that targeted probiotics improved symptoms of depression in many patients—sometimes as effectively as medication. What you eat, how you digest, and what lives in your gut may affect your mind more than your therapist knows. That doesn't mean meds aren't useful—but it means we have to zoom out. If your gut is inflamed, your brain is inflamed. And no amount of mindset work can override a body that's chemically out of balance. Heal the gut. Watch what changes.Study source: PubMed Meta-Review on Gut-Brain Axis (2025)https://pubmed.ncbi.nlm.nih.gov/3963000Perimenopause: Recognizing and Addressing Early SymptomsDid you know that up to 90% of women experience symptoms of perimenopause years before menopause actually begins? Despite that, most women are either dismissed by doctors or told they're too young to be entering that phase. Perimenopause can start as early as your mid-30s, and it's not just hot flashes—it's insomnia, anxiety, irritability, brain fog, and cycle irregularities. A study from Stanford's Center for Lifestyle Medicine in 2025 emphasized that when women are supported with hormone therapy earlier—during perimenopause, not just postmenopause—they report significantly better mental clarity, energy, and quality of life. But here's the problem: most conventional providers aren't trained to spot this transition, and women are left thinking it's just stress, parenting, or age catching up with them. When really, it's hormones shifting. Estradiol begins to fluctuate, progesterone declines, and the nervous system takes the hit. Women deserve to know what's happening inside their bodies—and what they can do about it. Simple steps like tracking symptoms, checking hormone levels through saliva or urine testing, and considering targeted bioidentical support can change everything. This isn't about vanity—it's about function, clarity, and reclaiming your life before things spiral. If you've ever thought, 'I just don't feel like myself anymore,' and your labs came back 'normal,' this is your sign to dig deeper. You're not crazy. You're not weak. You're likely perimenopausal. And you deserve care that actually sees you.Study source: Stanford Lifestyle Medicine (2025)https://longevity.stanford.edu/lifestyle/2025/03/06/menopause-hormone-therapy-is-making-a-comeback-is-it-safe-and-right-for-you/Menopause and Muscle Mass: The Critical Role of Resistance TrainingMuscle loss during and after menopause is one of the most overlooked drivers of weight gain, fatigue, and metabolic decline in women. In fact, women can lose up to 10% of their muscle mass in the first five years post-menopause. That's not just a cosmetic issue—it's a health crisis. Loss of muscle means decreased insulin sensitivity, weaker bones, and lower resting metabolic rate. But the good news? It's reversible. A landmark 2025 study from the University of Exeter showed that menopausal women who engaged in just 12 weeks of resistance training experienced a 21% improvement in lower body flexibility and significant increases in strength and mobility. What's even more promising is that these improvements came from just two to three sessions a week using basic strength exercises. Muscle is your metabolic engine. And during menopause, when estrogen drops, protecting that muscle becomes your superpower. This isn't about getting shredded or spending hours at the gym—it's about lifting enough weight to send your body the message that it's still needed. Because when your body doesn't get that message, it starts letting muscle go. This leads to increased fat gain, inflammation, and risk of chronic disease. If you're entering menopause or already postmenopausal and you're not lifting weights, you're missing one of the most effective, protective tools for your long-term health.Study source: University of Exeter (2025)https://news.exeter.ac.uk/faculty-of-health-and-life-sciences/first-of-its-kind-study-shows-resistance-training-can-improve-physical-function-during-menopause/The Importance of Sexual Activity as We AgeHere's something most people don't expect: research shows that sexual satisfaction actually improves with age. A 2025 study published in Social Psychology revealed that older adults reported higher levels of emotional intimacy, comfort, and fulfillment during sex—especially when partnered with someone long-term. It turns out that fewer distractions, better communication, and reduced self-consciousness all contribute to more satisfying experiences in later years. But biology still plays a role. Hormonal shifts—like lower estrogen or testosterone—can affect desire, arousal, and comfort. The good news? These challenges are highly treatable. We now have non-invasive, low-risk treatments like vaginal DHEA, testosterone therapy, or pelvic floor physical therapy that can radically improve function and satisfaction. And here's the key: sexual health isn't just about sex. It's about cardiovascular health, immune health, sleep, and mood. An active sex life improves oxytocin levels, reduces stress, and strengthens the emotional bond between partners. Unfortunately, a lot of providers still don't ask about it. And many people are too embarrassed to bring it up. But this is a health issue—and you deserve support. So if intimacy has changed, bring it into the conversation. Because aging doesn't have to mean disconnect—it can actually mean rediscovery.Study source: PsyPost (2025)https://www.psypost.org/sexual-satisfactions-link-to-marital-happiness-grows-stronger-with-age/Preventing Alzheimer's and Type 2 Diabetes: Blood Sugar and Brain HealthThere's a reason Alzheimer's is now being called 'Type 3 Diabetes.' A 2024 study published in JAMA Network Open found that people with Type 2 Diabetes who kept their A1C in the target range significantly lowered their risk of developing Alzheimer's disease. In fact, risk was reduced by up to 60%. Why? Because insulin resistance doesn't just affect your pancreas—it affects your brain. High insulin impairs memory centers like the hippocampus, increases inflammation, and accelerates plaque formation. That means your morning bagel and soda aren't just spiking your blood sugar—they may be spiking your dementia risk. The solution isn't extreme dieting. It's metabolic awareness. Simple tools like continuous glucose monitors, strength training, walking after meals, and eliminating ultra-processed carbs can dramatically stabilize blood sugar. Add in sleep and stress management, and you've got a recipe for brain protection. Most people wait until symptoms start. But prevention is where the power is. If you have a family history of Alzheimer's or Type 2 Diabetes, take this seriously. Your future brain is being built right now by the food on your plate.Study source: JAMA Network Open (2024)https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821878Testosterone and Aging: It's Not Just About Sex DriveMost people hear 'testosterone' and immediately think of sex drive. But this hormone does way more than that. Testosterone plays a critical role in muscle maintenance, bone density, energy, focus, and mood. A 2025 review from the HE Clinics found that testosterone levels in men start declining around age 30—and continue to drop about 1% per year. That might sound gradual, but by your late 40s or 50s, it's enough to cause noticeable issues: brain fog, irritability, fatigue, and loss of motivation. What's even more concerning is that low testosterone has now been linked to a 26% higher risk of developing Alzheimer's. The brain literally needs testosterone to function well. The challenge is, many men go undiagnosed because they don't get tested—or they get told their levels are 'normal for their age.' But 'normal' doesn't mean optimal. And restoring optimal levels, especially with bioidentical therapies under medical supervision, has been shown to improve mood, clarity, libido, and physical performance. This isn't about bodybuilder doses or quick fixes—it's about reversing a gradual decline that's robbing men of their edge. If you or your partner feels like something is off, it's worth investigating. Because aging doesn't have to mean decline. It can mean recalibration.Study source: HE Clinics (2025)https://heclinics.com/testosterone-therapy-in-older-men-recent-findings/Why Functional Medicine Is Gaining Ground Over Conventional CareIf you've ever felt dismissed in a 7-minute doctor's appointment, you're not alone. Traditional primary care is built for volume—not personalization. That's where functional medicine comes in. A 2019 study published in JAMA Network Open found that patients receiving care through a functional medicine model saw a 30% greater improvement in health-related quality of life than those in conventional care. Why? Because functional medicine is built around asking better questions, running more comprehensive labs, and looking for root causes—not just masking symptoms. Instead of saying 'your labs are normal,' we ask, 'are you thriving?' We look at hormones, nutrition, sleep, gut health, toxin exposure, and genetics as pieces of a bigger picture. This approach is proactive—not reactive. It focuses on reversing disease, not just managing it. More and more people are turning to this kind of care because they're tired of feeling unseen. If you've been told everything is fine but you still feel off, functional medicine might be the approach you need. You deserve care that listens longer, digs deeper, and treats the whole you.Study source: JAMA Network Open (2019)https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520A word from my sponsors:Quince - Get cozy in Quince's high-quality wardrobe essentials. Go to Quince.com/honest for free shipping on your order and 365-day returns. LMNT - Get your free LMNT Sample Pack with any purchase at drinklmnt.com/HONEST. Ritual - Support a balanced gut microbiome with Ritual's Synbiotic+. Get 25% off your first month at Ritual.com/BEHONEST. Happy Squatting. Primal Kitchen - primalkitchen.com/honest to save 20% off your next order with code HONEST at checkout.Fatty15 - You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/HONEST and using code HONEST at checkout.Bilt Rewards - Start earning points on rent you're already paying by going to joinbilt.com/HONEST. For more Let's Be Honest, follow along at:@kristincavallari on Instagram@kristincavallari and @dearmedia on TikTokLet's Be Honest with Kristin Cavallari on YouTubeProduced by Dear Media.This episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Scott Jenstad and Jeff Erickson break down the weekend news and the FAAB results of the week. ---00:00 MLB Pod 4-27-2500:30 Player Talk / Week 5 Preview01:00 Aaron Judge is just ridiculous (.432 / .520 / .792 – 270 wRC+)05:00 Taylor Ward (Worst OBP in baseball at .215)09:30 Marcus Semien (.179 with 2 HR / 1 SB – Keep playing him?)12:20 How good is Hunter Brown?14:40 Best winning % in the AL? Seattle Mariners – 6 wins in a row.17:20 NL West is wild, Dodgers 7 Wins in a row, Padres 5 wins in a row.19:10 7 Gamers: AL: Royals, White Sox; NL: Dodgers, DBacks, Braves, Reds19:40 Rockies: Home all week: 3 Det, 3 SD20:20 Padres: 3 @ NYY, 3 @ Col; Braves: 4 v Cin, 3 @ Pitt; Dodgers: 3 @ Mia, 4 @ AZ20:50 News and notes21:00 Triston Casas – Likely out for the year with a ruptured patellar tendon21:55 Shota Imanaga – Left early Sunday, left hamstring strain while covering first.23:50 Corbin Burnes – Missing start Monday with right shoulder inflammation – Dbacks hope no IL.24:25 Tommy Edman – 10 Day IL with an ankle injury.25:20 Yordan Alvarez – Missed the weekend with inflammation in right hand, no imaging needed25:40 Anthony Volpe – Sat Sunday after feeling pop in shoulder, but x-rays / MRI clean26:15 - Isiah Kiner-Falefa – IL with a right hammy strain; Otto Lopez – 10 Day IL with right ankle sprain26:30 Clarke Schmidt – Scratched Saturday with left side soreness, scheduled to now start Tuesday27:10 Jackson Merrill – Trending towards return on Monday; Jake Cronenworth – Could return next weekend31:50 Pitcher FAAB32:00 Starters32:15 Tony Gonsolin35:20 Gunnar Hoglund37:00 A.J. Smith-Shawver39:30 Ben Casparius (70% ME)41:50 Lance McCullers, Jr (Not available in most leagues)43:00 Ryan Weathers45:00 Michael Soroka46:00 Hunter Dobbins47:00 Logan Evans47:30 Relievers48:15 Evan Phillips49:30 Shelby Miller / Kevin Ginkel52:00 Hitter FAAB52:15 Coby Mayo & Hyeseong Kim53:35 Javier Baez (46% ME); Jeff McNeil (65% ME); Miguel Vargas (90% ME, 11% 12)57:30 Brandon Marsh (44% ME)1:00:00 Others - Daniel Schneeman; JP Crawford (58% ME); Chase Meidroth (51% ME); Zach Dezenzo (54% ME); Colt Ketih (42% ME); Javier Sanoja; Alexander Canario; Jorbit Vivas; Eli White; Addison Barger; Jhonkeny Noel; Zack Gelof; Jordan Lawlar Stash? (39% ME); Matt Shaw? (81% ME, 21% 12); Connor Wong (75% ME, 26% 12) Get the latest fantasy sports insights, expert analysis, and premium tools at RotoWire.com—enter promo code ROTO15 at checkout to receive 15% off any product.

Brendan Sagalow and Josie Marcellino join Zac Amico and they discuss rebooting Malcom in the Middle, Josie's Chipotle Karen story, the mom who posted on TikTok how ugly her baby is, Zac's fear of MRI machines, the alligators filmed in the sewers of Florida, people actually using the finger in the butt technique to stop dog fights, the guy who had car crash like injuries after tripping over his cat, the I Know What You Did Last Summer trailer, what flight attendants judge you for drinking, the man who came home to his wife having sex with her son and so much more!(Air Date: April 23rd, 2025)Help Replace Shannon's Cannons - https://www.gofundme.com/f/help-shannon-lee-replace-her-boobsZac Amico's Morning Zoo plug music can be found here: https://www.youtube.com/watch?v=oMgQJEcVToY&list=PLzjkiYUjXuevVG0fTOX4GCTzbU0ooHQ-O&ab_channel=BulbyTo advertise your product or service on GaS Digital podcasts please go to TheADSide.com and click on "Advertisers" for more information!Submit your artwork via postal mail to:GaS Digital Networkc/o Zac's Morning Zoo151 1st Ave, #311New York, NY 10003You can sign up at GaSDigital.com with promo code: ZOO for a discount of $1.50 on your subscription and access to every Zac Amico's Morning Zoo show ever recorded! On top of that you'll also have the same access to ALL the shows that GaS Digital Network has to offer!Follow the whole show on social media!Brendan SagalowTwitter: https://twitter.com/brendansagalowInstagram: https://instagram.com/brendansagalowComedy Special: https://youtube.com/brendansagalowTwitch: https://www.twitch.tv/sags2richesJosie MarcellinoInstagram: https://instagram.com/JosieMarcellinoYouTube: youtube.com/josiemarcellinoLuis J. GomezTwitter: https://twitter.com/luisjgomezInstagram: https://instagram.com/gomezcomedyYouTube: https://www.youtube.com/c/LuisJGomezComedyTwitch: https://www.twitch.tv/prrattlesnakeWebsite: https://www.luisofskanks.comZac AmicoTwitter: https://twitter.com/ZASpookShowInstagram: https://instagram.com/zacisnotfunnySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.