Podcasts about mris

Ten years after my diagnosis, I still get nervous about MRIs. No matter how stable I've been, there's always that fear that they'll find something. A new or active lesion. And it'll be the best start of my decline. Will it take away my ability to walk, to see, or be ME? What will they find? And what will it mean for my future?

  A Chiropractor's Road to Ghana: Dr. Craig Slapinski on Travel, Spinal Decompression, and Finding Your Path Episode Sponsor This episode of Conversations with a Chiropractor is supported by Lemongrove Oil. Visit Lemongrove Oil and use coupon code DRSTEPHANIE at checkout to save 10% on your next order. This offer is exclusive to Conversations with a Chiropractor listeners. Lemongrove Oil: https://www.lemongroveoil.com/ Episode Description In this episode of Conversations with a Chiropractor, Dr. Stephanie Wautier sits down with Dr. Craig Slapinski, a chiropractor and former Palmer College classmate whose career has taken him from the Midwest to Ghana, Nigeria, and beyond. Dr. Craig shares how a love of travel shaped his life long before chiropractic school. From building houses in Mexico as a teenager to studying abroad in London, backpacking through Europe, exploring China, and traveling through Southeast Asia, his path has always included curiosity, adventure, and a willingness to step into unfamiliar places. That same spirit eventually led him to Ghana after chiropractic school, where he worked in a high-volume clinic and quickly learned how to trust his hands, sharpen his adjusting skills, and serve patients with limited equipment and a lot of real-world pressure. Years later, he returned to West Africa with a more focused mission: to bring nonsurgical spinal decompression care to communities where access to this type of treatment was limited. Stephanie and Dr. Craig talk about chiropractic in Ghana and Nigeria, what makes the healthcare experience different from the United States, and how his clinics use spinal decompression, cold laser, exercise, ergonomics, and rehabilitation to help patients dealing with disc-related back pain. This conversation is also about finding your own path. Dr. Craig's story is a reminder that a chiropractic career can take many shapes, and that sometimes the road you end up on is not the one you planned, but the one that fits who you are becoming. This episode is meant to inform and inspire, not replace personal medical advice. If you are dealing with back pain, disc issues, sciatica, or considering surgery, please work with a qualified healthcare professional who can evaluate your individual situation. In This Episode, Discover How Dr. Craig Slapinski and Dr. Stephanie Wautier met at Palmer College of Chiropractic Dr. Craig's early love of international travel What he learned from traveling through Mexico, Europe, China, Thailand, Laos, and Cambodia How a planned move to China turned into an unexpected opportunity in Ghana What it was like practicing chiropractic in Ghana right out of school How high-volume care helped Dr. Craig sharpen his adjusting skills How he became interested in nonsurgical spinal decompression What spinal decompression is designed to do for disc-related back pain Why some patients may explore decompression before considering surgery How Dr. Craig combines decompression, cold laser, exercise, and ergonomics Why he returned to Ghana and eventually expanded into Nigeria The differences between insurance-driven care in the United States and cash-based care in Africa What healthcare access, MRIs, and patient education can look like in Ghana and Nigeria How Dr. Craig's clinics serve patients across West Africa Why chiropractic careers can take many different paths Stay Connected & Explore Learn More About Dr. Craig Slapinski: To learn more about Dr. Craig's work in West Africa, search: Spine and Nerve Center Ghana Spine and Nerve Center Nigeria Episode Sponsor: Lemongrove Oil: https://www.lemongroveoil.com/ Use coupon code DRSTEPHANIE at checkout for 10% off. Connect with Conversations with a Chiropractor: Follow Us on YouTube: http://www.youtube.com/@ConversationswithaChiro Follow Dr. Stephanie on Facebook: https://www.facebook.com/wautierwellness Email for show-related inquiries and sponsorships: drstephaniewautier@yahoo.com Want to be a guest on Conversations with a Chiropractor? Send Stephanie Wautier a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/drstephanie Credits Podcast production by Brand|Sound. Start your podcast journey by emailing brandsoundpodcasts@gmail.com. Chapters 00:00 Introduction to Conversations with a Chiropractor 01:00 Meet Dr. Craig Slapinski 01:19 A Love of Travel Begins 02:41 Backpacking Through Southeast Asia 03:31 Navigating Different Cultures and Languages 04:35 From a China Plan to a Ghana Opportunity 05:07 Practicing Chiropractic in Ghana 06:31 Building Confidence as a Chiropractor 07:11 Returning to the US and Discovering Decompression 08:00 Lemongrove Oil Sponsor Message 09:52 What Nonsurgical Spinal Decompression Does 11:10 Disc Pain, Surgery, and Other Options 12:08 Bringing Decompression Back to Ghana 13:03 Opening Clinics in Ghana and Nigeria 15:05 Building a Team Across West Africa 15:47 Chiropractic Training and Practice in Africa 16:40 Chiropractic, Insurance, and Patient Choice 18:17 Caring for a Wide Range of Patients 19:00 Food and Culture in Ghana 20:16 Educating Patients Across Languages 21:15 Staffing and Patient Care in the Clinics 22:00 MRIs, Cost, and Access to Imaging 23:09 What Treatment Looks Like 25:00 Is Decompression Comfortable? 25:54 Results With Decompression Care 26:40 How to Find Dr. Craig Slapinski 27:23 Finding Your Path in Chiropractic 28:00 Closing Thoughts 28:37 Lemongrove Oil Sponsor Message

The #1 illness of our time has nothing to do with your body. Dr. Lisa Miller, Columbia University researcher and author of The Spiritual Child, has spent over a decade scanning human brains to understand how we're built for God's presence. What those MRIs reveal is both startling and deeply hopeful. You were not built for scarcity or isolation. Three specific circuits in every human brain light up when you connect to something greater than yourself, a bonding network, an attention network, and a parietal network, each wired to receive love, guidance, and the awareness that you are never alone. The awakened brain is one-third innate, two-thirds cultivated. Which means you can build it. The research on teens will stop you cold. A strong shared spiritual life is 82% protective against completed suicide, which has now surpassed auto accidents as the leading cause of teen death. 80% protective against the onset of addiction. This is not philosophy. These are numbers from global studies of 270,000 children. The path to your best life might not require more effort. It might require a different kind of listening. The Awakened Brain: The New Science of Spirituality and Our Quest for an Inspired Life Amazon Ebook Audiobook The Spiritual Child: The New Science on Parenting for Health and Lifelong Thriving Amazon Ebook Audiobook Dr. Lisa's Instagram Dr. Lisa's Website In this episode you will: Learn why the #1 illness of our time is an ailment of perception, not biology, and what that means for how you live Discover the three brain circuits that hardwire every human being for spiritual connection and how to activate them starting today Recognize the difference between achieving relationships and awakened relationships, and why that shift changes every room you walk into Explore the 4 P's framework developed with the Pentagon for raising spiritually grounded children and adults Understand why a shared spiritual life is the single most protective factor against teen depression, addiction, and suicide, and what every parent can do right now For more information go to https://lewishowes.com/1938 For more Greatness text PODCAST to +1 (614) 350-3960 Follow The Daily Motivation for essential highlights from The School of Greatness More SOG episodes we think you'll love: Lewis Howes Solo [I Owed THIS To God] Dr Joe Dispenza Dr. Daniel Amen TOPICS Dr. Lisa Miller, awakened brain, The Spiritual Child, spiritual fitness, achieving vs. awakened relationships, 4 P's framework, adolescent spirituality, spiritual parenting, spiritual injury, post-traumatic spiritual growth Get More From Lewis! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Stephanie Thaler has lived many lives in one. She survived thyroid cancer at 18, gained 60 pounds during radiation treatment while being isolated in a hospital with zero human contact, and came out the other side with a calling — massage therapy. What followed was 28 years of relentless learning, Guinness World Record-breaking fitness (715 burpees in 60 minutes), becoming the massage therapist for the Minnesota Vikings and the 2022 US Women's Olympic Hockey Team, founding the first barefoot massage school in Minnesota, and becoming the highest-paid manual therapist in her state through a technique called adhesion release methods — a specialized approach to releasing nerve entrapments that only 50 practitioners worldwide are certified in. In this conversation with Freddie, Stephanie breaks down what adhesions actually are, why nerve entrapment goes undetected on MRIs and gets dismissed by conventional medicine, how she's getting results in four to six sessions for people who have been in chronic pain for years, and what the difference is between radial and focused shockwave therapy when treating specific nerve pathways. The second half of this episode goes somewhere deeply personal. Stephanie shares that her father died by suicide on Thanksgiving when she was five years old — and that she spent the next 38 years living in a state of chronic fight or flight, cycling through every SSRI, CBT protocol, and alternative therapy available, never finding lasting relief. Until ketamine. In two weeks of six IV sessions, she healed more trauma than 18 years of cognitive behavioral therapy ever touched. Her father came to her in session. God held her. And she came out glowing. She now does at-home ketamine therapy three to five days a week and credits it with putting her depression into remission and fueling the most successful chapter of her career. This is an honest, science-grounded, spiritually rich conversation about healing the body and the nervous system from the inside out — and what becomes possible when you finally feel safe. Highlighted Moments  [00:00] Understanding Collagen and Nerve Entrapment  [01:56] The Science Behind Red Light Therapy  [03:21] Supporting Immune Function with SilverBiotics  [04:13] Personal Journey: From Cancer to Fitness  [05:27] Training for a World Record in Burpees  [06:49] The Impact of Cancer on Body and Mind  [10:26] Tissue Mechanics and Emotional Trauma  [13:17] Evolving Techniques in Bodywork and Therapy  [16:25] Releasing Nerve Adhesions for Pain Relief  [18:12] Chronic Nerve Entrapment and Treatment Duration  [19:24] Cost and Value of Advanced Therapy Sessions  [21:30] Practitioner Longevity and Body Care  [23:01] Working with High-End Athletes  [25:32] Biohacking Tools and Self-Care Routines  [31:35] Focused Shockwave and Brand Technologies  [35:17] Home Biohacking and Contrast Therapy  [37:36] Future Vision: Wellness Barns and Community Spaces  [41:33] Advice for Aspiring Practitioners  [46:57] Being Beautifully Broken: Embracing Imperfection  [48:00] Ketamine and Mental Health Transformation  [50:54] The Power of Neural Rewiring and Support  [53:31] The Role of Set and Setting in Therapy  [56:27] Research and Future of Medical Psychedelics  [57:17] Where to Find Stephanie and Resources Connect with Stephanie: https://stephaniethalerlmt.com Upgrade Your Health LightPathLED: https://lightpathled.pxf.io/c/3438432/2059835/25794 Code: beautifullybroken Silver Biotics Wound Healing Gel: https://bit.ly/3JnxyDD 30% off with Code: BEAUTIFULLYBROKEN Bimini: https://biminihydrotherapy.com/?rfsn=8883833.3df4c7 Code: beautifullyborken CONNECT WITH FREDDIEWork with Me: https://www.beautifullybroken.world/biological-blueprintWebsite and Store: (http://www.beautifullybroken.world) Instagram: (https://www.instagram.com/freddie.kimmelYouTube: https://www.youtube.com/@beautifullybrokenworld Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if your headaches are actually coming from your neck?In this episode of the Headache Doctor Podcast, Dr. Taves breaks down one of the most overlooked—and most important—headache diagnoses: cervicogenic headache.A cervicogenic headache simply means a headache that originates from the neck. Yet despite being incredibly common, it's often missed, misdiagnosed, or mistaken for migraines, occipital neuralgia, vestibular disorders, and other headache conditions.Dr. Taves explains why traditional imaging often misses the problem, how the upper neck can refer pain into the head and face, and why understanding the source of your symptoms is critical for finding lasting relief.We cover:What a cervicogenic headache actually isWhy neck problems are frequently overlookedHow neck dysfunction can create migraine-like symptomsWhy X-rays and MRIs often miss the root issueThe connection between cervicogenic headaches and dizzinessHow the three-spoke framework helps uncover the real cause of symptomsIf you've been told your scans are normal but you still have headaches, migraines, dizziness, or pain behind the eye, this episode may change the way you think about your symptoms.

“ Iran will have permanent control over the Strait of Hormuz. As though that necessarily, in and of itself, is bullish for oil prices. I would argue that, in fact, it isn't. “Doomberg, Substack Author, Energy AnalystThis was another great discussion with Doomberg, and we had over 100k listens and views, plus even more impact from social media during his last visit. This discussion included several key quotes, and I have about 10 of them listed below the video.Make no mistake, the global energy, oil, and gas markets have changed permanently.“Energy security starts at home. Energy dominance is displayed through your exports. “Stu Turley, Energy News Beat Podcast HostWe recommend https://newsletter.doomberg.com/1. Geopolitical Control of the Strait of HormuzThe hosts explore Iran's potential permanent control over the Strait of Hormuz and what this means for global energy markets. The key insight is that while many assume this would drive oil prices higher, the real issue is about sanctions and U.S. dollar hegemony—Iran would need sanctions lifted to collect tolls, which threatens the dollar's position in the global financial system. Long-term, alternative pipelines and infrastructure will mitigate any supply disruptions.2. North American Energy DominanceA major focus is on how the Western Hemisphere (particularly the U.S. and Canada) is becoming an energy powerhouse through:Natural gas production and LNG exports (growing from near-zero to ~30 BCF/day by decade's end)Oil development in Argentina (Vaca Marta), Guyana, Venezuela, and BrazilPipeline infrastructure like Mountain Valley PipelineThe concept of “energy security starts at home” and exporting energy as a display of dominance3. Qatar's LNG Disruptions and Helium CrisisWhile Qatar supplies 20% of global LNG, the real story is helium—Qatar controls about a third of the global helium market. Helium is critical for semiconductors and MRIs, and there's no easy replacement. Recent attacks have disrupted Qatar's production.4. The AI Bubble and Market DynamicsThe hosts discuss:The SpaceX IPO as a potential “top of the Ponzi cycle” with a $1.75 trillion valuationHow AI is simultaneously a transformative technology AND a massive bubble (like railroads and the internet before it)The importance of AI validation and verification—AI without accountability wastes moneyHow companies must be built with AI at their core to survive; large legacy companies may struggle to adapt5. AI Implementation and Business TransformationPractical discussion on:How AI can eliminate inefficiencies (e.g., reducing invoice processing from 2 months to 2 minutes)The need for human oversight and “AI-aware” workers vs. “AI-ignorant” onesAuthentic human content creation remaining valuable in an AI-saturated worldHow small, lean businesses with owner mentality adapt faster than bloated corporations6. Future Economic Blocs and Global RealignmentThe hosts predict a shift toward new trading blocks: the U.S., India, Russia, Saudi Arabia, UAE, China, and Japan forming alternative economic structures, with the EU and UK potentially falling behind.Global Oil and Gas Markets Update - Doomberg's insights and opinionsCheck out the Energy News Beat SubStack https://theenergynewsbeat.substack.com/A shout-out to Steve Reese and the Reese Energy Consulting group for sponsoring the Podcast https://reeseenergyconsulting.com/.Data2 if you have any business systems, can you trust A? Well, they have the patent on validation. . https://data2.zoholandingpage.com/energyAnd we have WellDatabase rolling in as a new sponsor. https://welldatabase.com/

Becky has spent her entire life adapting to a world that was not built for her. As a woman with dwarfism who stands four feet tall, she has learned to problem solve, improvise, and push forward in spaces that were never designed with her in mind. She has built the confidence and strength to ignore the stares and the laughs. She has figured out children's recliners and gaming chairs and car beds and oxygen tanks and every other logistical puzzle that life has thrown at her. And then she lost Jackson. And something unexpected happened. The fear went away. Jackson Robert was born on August 9th, 2021, a perfect baby who arrived after 39 weeks, a NICU stay, 20 days of sleep studies, a car bed, oxygen for sleeping, and a yellow sheet of paper with 20 specialist appointments waiting on the other side of discharge day. He also had dwarfism, just like his mama, and Becky will tell you that getting that news was the best news she had ever received. He was her boy. He was going to be like her. He was six months and twenty-one days old when he died, following a catastrophic loss of oxygen during a routine sleep study at the hospital. He had not been breathing for thirty minutes before anyone noticed. The code team took four minutes to arrive. Becky was thrown out of the room. His father came back from the hotel not even having had enough time to remove his shoes. Twelve days in the ICU followed. Twelve days of fighting to understand what had happened while simultaneously fighting to give Jackson the best possible care. Twelve days of MRIs and heart rate changes and a physical therapist who came once, lifted his leg, watched it fall, and never came back. Twelve days of Becky going to the hotel every night to sleep, so she could be fully present for him every morning. And at 8:09 PM on March 2nd, 2022, Jackson passed away in her arms. 8:09. August 9th. His birthday. In this conversation, Becky speaks with remarkable honesty about everything that has come since. The IVF journey that stretched across two years and three states before falling apart. The massive spinal surgery that left her hospitalized for 72 days and still requiring care today. The layers of grief she has carried all at once, the loss of her son, the loss of her mobility, the loss of her marriage, and the grief that began even before Jackson was born, in every diagnosis and every appointment and every moment of bracing for what might come next. And through all of it, she has kept going. She has written. She has sought therapy. She has found her people, slowly and imperfectly, in support groups and retreats and monthly meetings with parents who lost children around Jackson's age. She has put his photo on her hospital room walls and his picture with Santa in the family Christmas photos and his image on her phone so that every new nurse who walks into her room asks about him. She says she used to wake up in the middle of the night consumed by a fear of death. The moment Jackson died in her arms, that fear disappeared. She is in no rush. She has a lot to do here on Earth. But she knows she will get to see him again. And part of what she has to do is make sure Jackson is never just a blip. She is working on a book. She is doing inclusivity advocacy so that the world he never got to grow up in becomes the world she would have wanted for him. She is telling anyone who will listen about her boy and his giggles and his determination during tummy time and the way he was, as she puts it simply and perfectly, the brightest light. Jackson made Becky a mama. And in the end, he made her fearless too. For more on Becky, visit beckymotivates.com

Hour 3 for 6/3/26 Drew and Dr. Sean O'Mara discuss the best exercises to optimize health (1:10). Topics/Calls: feeling stuck (12:41), need for calories (14:55), exercise and the gut (21:55), how much should you exercise (25:44), water aerobics (29:34), weight training (31:01), arthritis (34:30), losing weight (35:54), MRIs (40:50), fermented foods (43:19), probiotics (46:23), and thyroid issues (48:03). Links: radiologyassist.com https://x.com/DrSeanOMara https://drseanomara.com/

Dr. Bradley Erickson, Director of the Mayo AI Lab, speaks with HexAI podcast host, Jordan Gass-Pooré in advance of the University of Pittsburgh's annual AI Summer School program in Medical Imaging Informatics organized by Pitt's Health and Explainable AI Research Lab (HexAI) and the Computational Pathology and AI center of Excellence (CPACE). The episode simulates two different professional vantage point scenarios to help students visualize the vast, multi-dimensional landscape of artificial intelligence in healthcare and radiology.The first half of the episode drops students directly into the vantage point of an AI expert attending a technical conference, where medical imaging informatics are being contrasted with everyday computer vision. Dr. Erickson explains how medical data often extends into multiple dimensions by incorporating complex spatial matrices and tissue properties like T1 and T2 tracking on MRIs, far surpassing standard 2D photographic pixels. He highlights why generic consumer AI tools like simple heat maps or saliency maps fall short of establishing clinical trust; while they can successfully point to where a brain tumor is, they completely fail to explain what that tumor is or why it is changing texture. Furthermore, Dr. Erickson discusses the profound challenge of "ground truth" uncertainty in medicine, explaining that training predictive algorithms is incredibly difficult because definitive biological labels are frequently masked by biological reactions or a lack of definitive longitudinal data.The second half of the podcast episode places students into the role and vantage point of a hospital administrator, exposing students to the active economic and structural deliberations currently playing out in modern hospital boardrooms. Dr. Erickson underscores the considerations and financial constraints that hospitals contend with and explains that while new narrowly focused diagnostic AI tools are attractive, the most immediate return on investment for hospitals often comes from practical, language-based text summarization and ambient patient recording systems. Crucially, this administrative perspective teaches students that the health industry desperately needs supportive roles beyond traditional doctors and researchers, such as AI project managers, integration specialists, and governance officers who can oversee model confidence and decide exactly when to adapt AI solutions or pull failing applications or algorithms back.Dr. Erickson emphasizes that entering this revolutionary field requires a willingness to learn through iteration, push back on assumptions, and manage the critical intersections of technology, safety, and human care. Through an open exploration of technical hurdles and administrative realities, the episode provides a rich conceptual primer for AI Summer School participants designed to cultivate critical thinking informing views on AI in medical imaging, hands-on project development and coding.

Dr. Mindy talks about her trip and what's wrong with Heather's buttcheek. And then Dr. Mindy answers questions about seeing Joey's B.H., peptides, numbing in your body, exhaustion, allergies, super poopers, MRIs, Shingles, more allergies and Joey's lack of sleep. https://www.youtube.com/@TheDrMindyExperimentSee omnystudio.com/listener for privacy information.

Partner with Jay: https://www.jayschwedelson.com/contactㅤPre-order Jay Schwedelson's new book, Stupider People Have Done It (out June 9, 2026).All net proceeds are donated to The V Foundation for Cancer Research, let's kick cancer's butt: https://www.amazon.com/Stupider-People-Have-Done-Marketing/dp/1637635206ㅤSubscribe to Jay's newsletter for weekly marketing tips and tactics: https://www.jayschwedelson.com/newsletterㅤRegister for Eventastic (FREE + VIRTUAL!) https://www.eventastic.comㅤRegister for GuruConference (FREE + VIRTUAL!) https://www.guruconference.comㅤConnect with Jay on LinkedIn: https://www.linkedin.com/in/schwedelson/Check out Jay's YouTube channel: https://www.youtube.com/@schwedelsonCheck out Jay's Instagram: https://www.instagram.com/jayschwedelson/Ask Jay anything: https://www.jayschwedelson.com/askㅤLeave a comment and follow the show, it really helps us out!ㅤEver asked an AI tool to explain your own company and cringed at how wrong it got things? This week there's a genuinely simple fix for that, and Jay Schwedelson lays it out in a way that turns those AI answers into a ready-made content plan. He somehow gets there by way of a hospital collab and a four-dollar Instagram upgrade he's weirdly excited about, which tells you everything about how this one flows.ㅤBest Moments:(00:16) Disney teams up with Philips to surround kids with ambient Disney characters during their MRIs(01:36) The gut-punch stat, 88 percent of CMOs are getting grilled on AI visibility while most have no plan(02:06) Most marketers have already caught AI describing their company completely wrong(03:40) Ask all four AI tools the same question, then build content around the answers they all share(04:52) Meta's new Instagram add-on lets your stories outlive the 24-hour cutoff, and Jay thinks it's worth it(06:45) The Eventastic pitch arrives with DJs, a cannonball guy, and a Taylor Swift dance contest

In this episode of It Happened To Me, we continue our conversation with Dr. David Traster, a clinical neurologist and educator who works with patients experiencing complex neurological conditions. In Part 1, Dr. Traster introduced clinical neurology, shared his personal experience with chronic illness and delayed diagnosis, and explained how neuroplasticity can help the brain adapt and recover. In Part 2, the conversation expands into how the nervous system affects far more than movement, including pain, digestion, heart rate, fatigue, balance, vision, and everyday functioning. Dr. Traster explains how different areas of the brain and nervous system influence the body, and why neurological symptoms do not always appear clearly on imaging or lab results. He discusses how patients can feel dismissed when their symptoms are real but difficult to measure, and offers practical insight into how people can advocate for themselves while seeking a diagnosis and appropriate care. Cathy and Dr. Traster also explore the connection between balance, vision, the inner ear, and spatial orientation. Using clear examples, Dr. Traster explains how the brain integrates information from the eyes, body, and vestibular system, and how dizziness, vertigo, motion sensitivity, or imbalance can occur when those systems are not communicating properly. The episode also looks at neurological recovery across the lifespan. Dr. Traster emphasizes that people are never “too old” or “too sick” to improve brain function, although each person's recovery depends on their condition, limitations, and consistency. He explains the importance of repetition and targeted exercise in strengthening brain pathways, and why practice can help make functional improvements more lasting. This conversation closes with a hopeful look at the future of neurological recovery, including the role of technology, AI, advanced imaging, and new tools that may help us better understand and support the brain. In This Episode, We Discuss: How the nervous system affects pain, digestion, heart rate, fatigue, and emotions Why some neurological symptoms do not show up on MRIs, CT scans, or lab work The challenges patients face when symptoms are dismissed or misunderstood How to advocate for yourself when something feels wrong Why diagnosis matters before treatment can be effective How balance, vision, the inner ear, and body awareness work together What can cause dizziness, vertigo, motion sensitivity, and imbalance How people with vision loss or visual limitations can strengthen other systems Why neurological recovery is possible at every age How exercise, nutrition, social connection, and learning support brain health The role of repetition and targeted exercises in retraining the nervous system Common misconceptions about the brain's ability to heal Why technology may transform the future of neurological care About Dr. David Traster Dr. David Traster is a clinical neurologist and educator with nearly two decades of experience working with patients experiencing complex neurological conditions. His background as an athlete and personal trainer, along with his own experience navigating injury and chronic health challenges, shaped his approach to neurological recovery and rehabilitation. Dr. Traster has advanced training in concussion, dizziness and vertigo, movement disorders, autonomic nervous system conditions, and childhood developmental disorders. His work focuses on helping patients improve function through neurorehabilitation, targeted exercises, and individualized care. Listen to Part 1 Listen to Part 1 of this conversation on Episode 85 of It Happened To Me to hear Dr. Traster explain clinical neurology, his own experience with delayed diagnosis and Lyme disease, concussion recovery, targeted brain rehabilitation, and neuroplasticity. Connect With Us   Stay tuned for the next new episode of “It Happened To Me”! In the meantime, you can listen to our previous episodes on Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “It Happened To Me”.    “It Happened To Me” is created and hosted by Cathy Gildenhorn and Beth Glassman. DNA Today's Kira Dineen is our executive producer and marketing lead. Amanda Andreoli is our associate producer. Ashlyn Enokian is our graphic designer.   See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, ItHappenedToMePod.com. Questions/inquiries can be sent to ItHappenedToMePod@gmail.com.   

What does it really mean to have dense breasts—and how does breast density affect what a mammogram can see?In this episode of The SEAM Podcast, Amy Cohen Epstein sits down with Dr. Hannah Milch, a breast-specialized radiologist at UCLA, for a clear, candid conversation about breast cancer screening, mammograms, ultrasounds, MRIs, and the evolving role of artificial intelligence in early detection.Dr. Milch explains why dense breast tissue is so common, why mammography remains the foundation of breast cancer screening, when supplemental imaging may be recommended, and why there is no one-size-fits-all answer for every woman. Amy and Dr. Milch also discuss the emotional reality of preventive care: what women can control, what they cannot, and how better information can help patients make more confident choices.This conversation is especially helpful for anyone wondering:What does breast density mean?Should I get an ultrasound with my mammogram?When is a breast MRI recommended?What are the limits of mammography?How could AI improve breast cancer screening?The SEAM Podcast is produced by the Lynne Cohen Foundation, a nonprofit dedicated to breast and ovarian cancer prevention, early detection, and expanded access to preventive care. https://lynnecohenfoundation.org/ Hosted on Acast. See acast.com/privacy for more information.

Neurologist Majid Fotuhi is leading the charge in revolutionising how we understand human intelligence, brain health and age-related cognitive decline. By uncovering the true wonder of how the brain works and its infinite potential for growth and change, Majid will reveal how targeted lifestyle changes can prevent, treat, and even reverse cognitive decline. Following Majid's 12-week programme, more than 80% of patients achieve exceptional improvements in memory, focus and other cognitive functions. In elderly patients with mild cognitive impairment, MRIs show a 3% increase in the volume of the hippocampus, the key brain region for learning and memory. Drawing on these clinical trials, Majid will provide essential strategies to optimize brain health through diet, sleep, and managing stress. Majid will also offer practical, scalable techniques to enhance memory, problem-solving, and focus. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Young people today face extraordinary pressures. Social media overload, academic stress, peer expectations, school violence, immigration fears, and family instability have all contributed to rising rates of anxiety and depression among teenagers. For many young people, the burden becomes even heavier when incarceration, deportation, or injustice directly impacts their families.At the same time, adults navigating serious health challenges face their own emotional struggles, including fear, uncertainty, and the need to find meaning amid illness and change.In two compelling conversations, author and criminal justice activist Amy Friedman and surgeon-author Dr. Anthony Goodman explore the emotional realities of trauma, healing, compassion, and resilience from very different perspectives — yet with remarkably similar themes of humanity and hope.Amy Friedman, co-founder of POPS (Pain of the Prison System) the Club and editor of A SECRET CHORD: Stories, Poetry, and Art, discusses how PATHfinder and POPS Clubs across the country provide teenagers affected by incarceration, deportation, and injustice with safe spaces to express themselves through writing and art. These programs allow young people to transform pain into creativity while finding support, understanding, and connection.Friedman explains why policymakers, educators, parents, and community leaders must prioritize the mental health and emotional well-being of teenagers, especially during a time of growing uncertainty and fear. She also highlights the importance of encouraging creative expression through essays, poetry, storytelling, music, photography, and visual art as powerful tools for healing and self-discovery.Joining the program as well is Dr. Anthony Goodman, a highly respected surgeon whose career spanned decades of major medical advances before the era of CAT scans, MRIs, and minimally invasive surgery. In his book GREAT SAVES AND TERRIBLE LOSSES: The Journeys of a Surgeon, Dr. Goodman reflects on the triumphs and heartbreaks of life in medicine — and on the deeply personal challenge of being diagnosed with mild Alzheimer's disease.Now experiencing healthcare from the patient's perspective, Dr. Goodman offers a rare and honest look at living with Alzheimer's while maintaining purpose, joy, and dignity. Accompanied by his wife, Maribeth, he discusses coping strategies, treatment approaches, and the emotional impact of the diagnosis. He also addresses larger issues within today's healthcare system, including how profit-driven medicine can undermine compassion and trust between doctors and patients.Together, these two conversations reveal the profound importance of empathy, storytelling, emotional support, and human connection. Whether helping teenagers process trauma through creative expression or helping patients navigate devastating medical diagnoses with dignity and hope, both guests remind us that healing is about far more than medicine or policy alone — it is about being heard, understood, and cared for as human beings.Become a supporter of this podcast: https://www.spreaker.com/podcast/late-night-health-radio--2804369/support.

On this deeply personal episode of SHE MD, co-host Mary Alice Haney sits down with her lifelong best friend, Stacey Hunt, to share the story of how listening to the podcast led Stacey to advocate for herself, and ultimately, catch her breast cancer early enough to save her life.After hearing the Olivia Munn episode and learning about lifetime breast cancer risk assessments, dense breast tissue, and the importance of MRIs for high-risk women, Stacey decided to take action. Despite having a recent “clear” mammogram and no symptoms, she pushed for additional testing after learning her lifetime risk score was 28%. That MRI revealed a tiny invasive lobular breast cancer hidden beneath extremely dense breast tissue; something her mammogram missed entirely.Together, Stacey, Mary Alice, and Thais Aliabadi have an emotional and eye-opening conversation about self-advocacy, early detection, dense breasts, genetic testing, the realities of a breast cancer diagnosis, treatment decisions, reconstruction options, menopause after cancer, and the emotional toll that comes with survivorship. This episode is both a powerful reminder that early detection saves lives and a call for every woman to know her lifetime risk of breast cancer.Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.SponsorsMyriad: Go to GetMyRisk.com to learn more about hereditary cancer testing and how you can use Myriad's virtual care option for fast, at-home testing - no office visit required.What You'll LearnWhy every woman should know her lifetime breast cancer risk scoreThe difference between 2D and 3D mammogramsWhy women with dense breasts may need ultrasounds and MRIsWhat the Myriad genetic test measuresThe difference between ductal and lobular breast cancerWhy invasive lobular cancer can be harder to detectHow to advocate for yourself when a doctor dismisses your concernsThe emotional reality of receiving a breast cancer diagnosisThe connection between menopause, breast cancer, and hormone replacement therapyNon-hormonal options for managing menopause symptoms after breast cancerWhy repetition and education empower women to take control of their healthKey Timestamps00:00 Why You're Tired Even When You're Doing Everything Right01:40 The Random Phone Call That Changed Everything02:30 This Story Honestly Scared Me03:29 The Podcast Episode That Literally Saved Her Life04:14 The Breast Cancer Test Nobody Told Her About05:42 She Got Her Results Back… And Freaked Out09:16 Her Doctor Basically Said “You're Fine”11:58 When Your Doctor Makes You Feel Dramatic13:26 The MRI That Found What Everyone Missed14:11 The Type Of Breast Cancer That Hides16:49 The Call Nobody Ever Wants To Get19:18 What Having Cancer Actually Feels Like22:50 Why She Removed Both Breasts30:44 The Hormone Question Everyone is Asking41:58 How Cancer Completely Changed Her Perspective43:49 The Advice Every Woman Needs To HearKey TakeawaysEarly detection can dramatically improve breast cancer outcomes, especially for aggressive or hard-to-detect cancers.Dense breast tissue can make mammograms less effective, which is why additional imaging may be necessary.A normal mammogram does not always mean you are cancer-free.Knowing your lifetime risk of breast cancer can help determine the right screening protocol for you.Self-advocacy can save your life, even when medical professionals initially dismiss your concerns.Invasive lobular breast cancer is often more difficult to detect than ductal breast cancer.Every woman's treatment journey is personal, and mental health and peace of mind matter when making decisions.There are non-hormonal ways to manage menopause symptoms after breast cancer.Community, education, and shared experiences can empower women to take action for their health.The “SHE MD effect” is real: informed women help save other women's lives.Guest BioStacey Hunt is a breast cancer survivor, mother, and longtime friend of Mary Alice Haney whose life was changed after listening to SHE MD. Inspired by the podcast's conversations around breast cancer risk assessments and early detection, Stacey advocated for additional screening despite having a recent negative mammogram and no symptoms. Her persistence led to the discovery of an early-stage invasive lobular breast cancer hidden beneath extremely dense breast tissue; a diagnosis that may have otherwise gone undetected for years.In this powerful episode, Stacey shares her deeply personal journey through diagnosis, self-advocacy, treatment, and recovery, offering an inspiring reminder of the importance of knowing your risk, trusting your instincts, and speaking up for your health.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Young people today face extraordinary pressures. Social media overload, academic stress, peer expectations, school violence, immigration fears, and family instability have all contributed to rising rates of anxiety and depression among teenagers. For many young people, the burden becomes even heavier when incarceration, deportation, or injustice directly impacts their families.At the same time, adults navigating serious health challenges face their own emotional struggles, including fear, uncertainty, and the need to find meaning amid illness and change.In two compelling conversations, author and criminal justice activist Amy Friedman and surgeon-author Dr. Anthony Goodman explore the emotional realities of trauma, healing, compassion, and resilience from very different perspectives — yet with remarkably similar themes of humanity and hope.Amy Friedman, co-founder of POPS (Pain of the Prison System) the Club and editor of A SECRET CHORD: Stories, Poetry, and Art, discusses how PATHfinder and POPS Clubs across the country provide teenagers affected by incarceration, deportation, and injustice with safe spaces to express themselves through writing and art. These programs allow young people to transform pain into creativity while finding support, understanding, and connection.Friedman explains why policymakers, educators, parents, and community leaders must prioritize the mental health and emotional well-being of teenagers, especially during a time of growing uncertainty and fear. She also highlights the importance of encouraging creative expression through essays, poetry, storytelling, music, photography, and visual art as powerful tools for healing and self-discovery.Joining the program as well is Dr. Anthony Goodman, a highly respected surgeon whose career spanned decades of major medical advances before the era of CAT scans, MRIs, and minimally invasive surgery. In his book GREAT SAVES AND TERRIBLE LOSSES: The Journeys of a Surgeon, Dr. Goodman reflects on the triumphs and heartbreaks of life in medicine — and on the deeply personal challenge of being diagnosed with mild Alzheimer's disease.Now experiencing healthcare from the patient's perspective, Dr. Goodman offers a rare and honest look at living with Alzheimer's while maintaining purpose, joy, and dignity. Accompanied by his wife, Maribeth, he discusses coping strategies, treatment approaches, and the emotional impact of the diagnosis. He also addresses larger issues within today's healthcare system, including how profit-driven medicine can undermine compassion and trust between doctors and patients.Together, these two conversations reveal the profound importance of empathy, storytelling, emotional support, and human connection. Whether helping teenagers process trauma through creative expression or helping patients navigate devastating medical diagnoses with dignity and hope, both guests remind us that healing is about far more than medicine or policy alone — it is about being heard, understood, and cared for as human beings.Become a supporter of this podcast: https://www.spreaker.com/podcast/late-night-health-radio--2804369/support.

Episode 9: Referral Leakage, Potato Fields, and Johnny Cash with Zac Rice On this episode hosts Angie Shin and Dave Smith engage with healthcare operations and analytics professional, Zac Rice from Bingham Memorial in Blackfoot, Idaho. Zac walks through the full arc: how you find internal referral leaks, fix them with people and process, then partner with the right technology to turn a one-time win into a compounding system that funds MRIs, robots, and better care for a rural community. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Chronic pain is a pervasive issue that affects 1.5 billion people worldwide. If you or anyone you know has ever suffered from chronic pain issues, you understand that persistent pain day in and day out can cause a diminished quality of life, lead to mental health issues, and a variety of other health concerns. Today, we're going to talk about real, science-backed solutions for treating chronic pain.   Dr. Howard Schubiner is a researcher and educator whose work has influenced the development of innovative treatments for chronic pain. His work explores the role the mind plays in a host of chronic issues, not limited to migraines, back and neck pain, anxiety, and depression. His new book, Unlearn Your Pain, unpacks the neuroplastic causes to chronic pain and how to assess and treat pain.  Dr. Schubiner joins this episode of The Model Health Show to explain the fascinating results of his research, including how the mind can impact our physical and emotional pain. You're going to learn about the science of neuroplastic pain, the interconnectedness of the mind and body, and so much more. This information is truly transformative, I hope you enjoy this episode and share it out with someone you think could use these tools to recover from chronic pain  In this episode you'll discover: What pain actually is, and why it's a function of the brain. (3:04) How pain can occur without an injury. (4:17) A powerful question you can ask yourself when experiencing pain. (7:35) The details of the Boulder Back Pain Study. (8:37) What Pain Reprocessing Therapy is. (11:48) Why scans like MRIs don't tell the full story when it comes to pain. (14:09) What you can learn from pain that comes and goes. (15:30) The neuroscience of predictive processing. (22:50) The interesting science of how neurocircuits can be learned. (33:09) What happens when pain persists after an injury heals. (38:51) How to determine if you have neuroplastic pain or a structural injury. (44:58) The role emotional awareness can play in treating pain. (1:05:37) How to process anger and sadness. (1:10:33)  The power of the spiral of recovery. (1:15:53 Items mentioned in this episode include: WildPastures.com/model - High-quality, responsibly sourced meat—delivered right to your door. Wild Pastures makes it easy to eat clean without overpaying. Get 20% off every box + $15 off your first order. DrinkLMNT.com/model - Get a truly meaningful dose of electrolytes in a science-backed ratio. Free sample pack with any order. Unlearn Your Pain by Dr. Howard Schubiner - Get your copy of the book today!  Connect with Dr. Howard Schubiner Website / Instagram / YouTube  Be sure you are subscribed to this podcast to automatically receive your episodes:  Apple Podcasts Spotify Soundcloud Pandora YouTube  This episode of The Model Health Show is brought to you by Wild Pastures and LMNT  High-quality, responsibly sourced meat—delivered right to your door. Wild Pastures makes it easy to eat clean without overpaying. Get 20% off every box + $15 off your first order at wildpastures.com/model Most people are underhydrated—and it's costing you energy, focus, and performance. LMNT delivers a science-backed electrolyte ratio with no sugar, no junk—just what your body actually needs. Get a free sample pack with any order at drinklmnt.com/model. 

In this episode of unMASKing with Male Educators, Ashanti Branch sits down with Nigel Williams, a longtime friend from Oakland, retired probation professional, high school basketball coach, father, entrepreneur, and founder of Future Rich.Nigel reflects on the masks he wears as a man who leads with heart, hope, and resilience, while carrying the hidden pressure of looking good, seeming like he has wealth figured out, and navigating the unspoken shame many men carry around money, health, and struggle.He shares his journey from Calvin Simmons Middle School and Fremont High School to 25 years in probation, where he worked with young people, challenged systems that were not serving youth well, and learned the importance of giving people resources before they reach crisis. Nigel also opens up about his health journey, including surviving a staph infection and facing prostate cancer with a commitment to early detection, honesty, and helping other men take their health seriously.In this episode, we talk about:The mask of looking like everything is figured out Why men often hide money struggles instead of talking about them Growing up in Oakland and learning from mentors, family, and community Nigel's 25-year career in probation and juvenile justice The difference between punishment, accountability, and real support Why young people need financial literacy earlierThe story behind Future RichCompound interest, the Rule of 72, and long-term discipline ETF dividend funds and building generational wealthWhy “future rich” is about freedom, not just money Men's health, early detection, and prostate cancer awarenessStarting today, even if you did not start yesterday0:00 Welcome and introduction1:18 Nigel's Oakland roots and Future Rich5:57 From engineering to education9:50 Nigel shares his mask16:43 Ashanti shares his mask21:22 Lessons from 25 years in probation29:32 The beginning of Future Rich36:14 Money, masculinity, and young men39:14 ETF dividend funds explained42:31 Compound interest and the Rule of 7247:52 Men's health and early detection51:03 PSA numbers, MRIs, and prostate cancer54:42 Start today57:46 Closing and Million Mask Movement invitationConnect with Nigel Williams Website: futurerichnow.com Also mentioned: buildfuturerichnow.com TikTok / Instagram / Facebook: Nigel Williams Project: Future Rich Book / Resource: Future Rich book, workbook, and teacher's guide Mentioned in this episode Future Rich Rich Dad Poor Dad by Robert Kiyosaki Connect with Ashanti BranchInstagram: https://www.instagram.com/branchspeaks/Facebook: https://www.facebook.com/BranchSpeaksX: https://x.com/BranchSpeaksLinkedIn: https://www.linkedin.com/in/ashantibranch/Website: https://www.branchspeaks.com/Support the Podcast & Ever Forward ClubHelp us continue creating spaces for young men to be seen, heard, and supported:https://podcasters.spotify.com/pod/show/branch-speaks/supportConnect with Ever Forward ClubInstagram: https://www.instagram.com/everforwardclubFacebook: https://www.facebook.com/everforwardclubX: https://x.com/everforwardclubLinkedIn: https://www.linkedin.com/company/the-ever-forward-club/#UnMASKingWithMaleEducators #NigelWilliams #FutureRich #FinancialLiteracy #GenerationalWealth #MaleEducators #MensHealth #ProstateCancerAwareness #EarlyDetection #YouthMentorship #OaklandEducators #MillionMaskMovement #EverForwardClub

Jon Rudnitsky returns to the studio to talk about MRIs, being in your own way, getting in trouble online, getting in trouble at school, hardcore shows, generating chaos, and the toughest Jon has ever been. Stick around for the public call-out at the end.Follow Jon on instagram HERE.Head to https://factormeals.com/ripjordan50off and use code "ripjordan50off" to get 50% off and free daily greens per box.If you're struggling with OCD or unrelenting intrusive thoughts, NOCD can help. Book a free 15 minute call to get started: https://learn.nocd.com/jordanjensenFind LUCY near you at https://lucy.co/stores, or save 20% on your first online order at lucy.co/RIP with promo code "RIP".Ready to ditch the corporate chemicals? Go to http://vanman.shop/jensen and use code JENSEN for 15% off your first order.The RIPJJ Patreon is now live! Become a member HERE.Catch Jordan out on the road! Tickets @ https://punchup.live/jordanjensenThe RIP Jordan Jensen Theme Song is "Superstition" by Music BandFollow Jordan on YouTube, Instagram & TikTok

Being told you need an MRI scan has long meant long waits, sometimes long journeys to get one. But, cheaper portable versions are now showing up in more remote parts of Canada and are being shared and used in new ways that deal with the old problems.Also: Emergency room doctors are testing out AI doctors — powerful diagnostic AI models that can quickly assess the sick and injured in a crisis. The tech can read symptoms and suggest treatment. So far it's scoring well compared to human physicians.And: There's a flood of cheaply made videos on YouTube churned out by AI and aimed at toddlers. But closer looks find many spew nonsense and show things it would be dangerous for kids to try.Plus: Renewable energy is now plentiful enough to offset fossil fuels trapped in the Gulf, a fitness fad that combines dance floors and saunas, “prediction markets” spread claiming they're not just online betting, and more.

Welcome to Episode 81 of It's Never About Money. To conclude this health-focused season, I'm doing something a little different – and frankly, it's pretty confronting.   Because of my family history of stroke, cancer and high blood pressure, I've long carried a belief that I wouldn't live a long life. That mindset has shaped the way I live, work, manage money and plan for the future – but it's always been driven by fear rather than fact.   So I decided to change that.   I recently undertook the HealthScreen Platinum Program with Dr David Badov – a full-day, hospital-grade diagnostic deep dive that examines everything from heart health, cancer risk and genetic markers to biological age, gut health and over 100 blood biomarkers.    Rather than guessing about my future, I wanted to understand – in clear, data-backed terms – where I actually stand, and whether, despite my genetics, there's a way I can influence my environment to live not just a long life, but a healthy one.   In this episode, I share the entire experience, including: My mindset before completing the HealthScreen The preparation process What the assessment involved, from MRIs and ultrasounds to blood tests and body composition scans The cost and my honest reflections on the experience My cardiac, cholesterol, blood and hormonal results – and my doctor's recommendations How my environment and lifestyle choices have influenced my health My family's reaction How this knowledge will change the way I live and plan for the future We often say we want to invest in our health. Yet when it comes to proactive testing, many of us avoid it – much like estate planning or writing a Will – because it forces us to confront uncomfortable possibilities.   Wherever you are on your own health journey, I hope this episode provides clarity, perspective and the impetus to prioritise your own wellbeing and longevity. Because money means very little if you're not here to enjoy it.   Disclosure: I received a 20% discount on my HealthScreen and donated this amount to Cufa – an independent Australian not-for-profit development agency focused on alleviating poverty in the Asia-Pacific region.   HealthScreen is offering It's Never About Money listeners a 10% discount. Click here to book your appointment, enter "Joe10" in the comments section, and pay a refundable $750 deposit to secure your appointment. The 10% discount will be automatically applied to your final invoice.   FIND OUT MORE:   https://healthscreen.com.au/   ABOUT IT'S NEVER ABOUT MONEY:   Joe Stephan is a Financial Planner with Stephan Independent Advisory, based in Melbourne, Australia: https://siadvisory.com.au/    It's Never About Money is powered by Stephan Independent Advisory: https://itsneveraboutmoney.com.au   It's Never About Money is a proud supporter of Cufa: https://www.cufa.org.au/   

A single blood draw promises to screen for more than fifty cancers. A full-body MRI can capture you head to thigh in under an hour. But should you actually take one? In this episode, Jeff Krasno walks through the science, the marketing, and his own experience taking the Galleri test after his father's death from cancer. He compares Galleri to direct-to-consumer MRIs from Prenuvo and Ezra, and lays out what the evidence does and doesn't support. How Galleri and full-body MRI actually work What the recent NHS Galleri trial showed Lead time bias, overdiagnosis, and the diagnostic cascade Four honest questions to ask before getting screened Why lifestyle remains the biggest lever for cancer risk This episode is for anyone considering direct-to-consumer cancer screening, navigating a family cancer history, or trying to read between the lines of wellness marketing. This episode was made possible by: Beyond Biohacking: Save $400 on any ticket with code COMMUNE400 at beyondconference.com. LMNT: Get a free 8-count Sample Pack of LMNT's most popular drink mix flavors with any purchase at drinklmnt.com/commune. Sunlighten: Visit sunlighten.com/commune Up to 2,100 off saunas and $50 off Red Light Products with code “COMMUNE” Vivobarefoot: Try Vivobarefoot risk-free with a 100-day return guarantee, and get 15% off your order at vivobarefoot.com/commune. Stripes: Visit stripesbeauty.com and use the code COMMUNE20 for 20% off our entire product line.

Many veterans experience chronic pain even when imaging studies such as MRIs or X-rays appear normal. This can be frustrating and confusing, especially when symptoms are real but diagnostic tests do not provide clear answers.In this episode, we explore why imaging does not always correlate with pain in veterans. We discuss how the nervous system processes pain, why structural findings on imaging do not always explain symptoms, and how chronic stress, prior injuries, and nervous system sensitization can influence pain perception.Understanding the science behind pain can help explain why some veterans continue to experience symptoms even when traditional imaging studies appear normal.Topics CoveredWhy imaging findings don't always explain painHow the nervous system processes pain signalsThe difference between structural injury and pain perceptionWhy some imaging abnormalities cause no symptomsChronic pain and nervous system sensitization in veteransWhy pain can persist even after injuries heal

This week on The Life Lab, Brent Franson sits down with Dr. Adam Brickman, a leading expert in brain aging and Alzheimer's research at Columbia University, to unpack what we actually know about measuring brain health. Drawing on nearly three decades of research, Brickman explains the real value and limitations of biomarkers like ApoE genetics, p-tau blood tests, MRIs, and PET scans, and why more information is not always the same as better information. The conversation also explores whether people without symptoms should pursue early testing, the emotional tradeoffs of knowing your risk, and why many of the most effective strategies for protecting the brain remain surprisingly simple. He's a great resource and a wonderful guest. Hope you enjoy.

Michael Flomenhaft, Esq. is the principal of the Flomenhaft Law Firm PLLC in New York, New York. His practice focuses on trying cases for victims of traumatic brain injury and severe chronic pain. Renowned for his vast knowledge of neuroscience—including neuroimaging, neuropsychology, neurobiology, and the neuroanatomy of chronic pain—Mr. Flomenhaft serves on the board of advisors for the Center for Neuroscience and Law at Fordham Law School and was a director of neurolaw for the Program for Imaging and Cognitive Sciences at Columbia University. He is a graduate of Boston University School of Law and the Trial Lawyers College.In this second conversation with attorney Michael Flomenhaft, host Bethany Lewis dives deeper into the most challenging aspects of concussion recovery and litigation. They begin by tackling the difficult subject of malingering—why it is often alleged, how objective imaging and biographical evidence can refute it, and why standard MRIs are insufficient for visualizing white matter damage. Michael explains why traditional concussion return-to-play protocols are "gray matter protocols" applied to a white matter injury, leaving athletes at unrecognized risk. The discussion then shifts to chronic pain, its atrophic (brain-shrinking) effects, the role of specialists like osteopaths and craniosacral therapists for headache relief, and the powerful potential of neurofeedback in brain rehabilitation. This episode provides essential education for anyone navigating the legal, medical, and personal realities of persistent post-concussion symptoms.Resources Mentioned by Michael Flomenhaft:Website: www.brainjusticeny.comEmail: mflomenhaft@brainjusticeny.comPhone: 917-359-8023Previous Episode (Part 1): Episode 134  https://www.youtube.com/watch?v=AU96lajw5oQ&t=240sImaging & Techniques referenced:Susceptibility Weighted Imaging (microbleeds)Diffusion Tensor Imaging (DTI) – to visualize white matter injuryVolumetric MRI (to show brain atrophy over time)PET scansQuantitative Electroencephalography (qEEG)Neurofeedback (recommended as a top intervention for leveraging Connect with Bethany:Website: https://theconcussioncoach.com/Free Guide: "5 Best Ways to Support Your Loved One Dealing with a Concussion" on the websiteFree Coaching Consultation: https://theconcussioncoach.com/free-consultation

When is it appropriate to consider an MRI for your TMD patient? What's actually involved in MRI of the TMJ? Can you use any MRI machine, or is the choice of imaging center crucial? And who should be reporting on these scans — does it really matter? (Hint: yes, it does!) Dr. Kevin Lotzof, a straight-talking radiologist, joins Jaz for a controversial deep dive into the role of MRI in Temporomandibular Disorders. While many experts downplay its importance, Kevin argues that TMJs are under-imaged and under-diagnosed — and that we may be missing critical pathology. They explore the practicalities of imaging, how to set expectations with your patients, and why strong but differing views in TMD care can ultimately help you refine your own clinical approach. https://youtu.be/-yo_Qx4Zg5Q Watch PDP265 on YouTube  Protrusive Dental Pearl: Adopt the mindset of “Find the cancer today.”When carrying out examinations—whether soft tissue or extraoral—approach it with the intention of detecting oral or skin cancers early. This mindset helps clinicians look beyond just teeth, catch unusual or suspicious lesions, and potentially save lives. Key Takeaways TMJ is often overlooked but is crucial for overall health. MRI is essential for accurate TMJ diagnosis. Cone beam CT cannot replace MRI for TMD assessment. Patients with headaches may have undiagnosed TMD. Education on TMJ imaging is lacking among dental professionals. Asymptomatic patients should still be scanned for TMJ issues. The quality of imaging directly impacts diagnosis accuracy. Patients often feel anxious about MRI procedures. Understanding patient perspectives can improve care. There is a need for better collaboration between dentists and radiologists. Highlight of the episode: 00:00 Teaser 00:55 Intro 05:20 Protrusive dental pearl 06:36 Interview with Dr. Kevin Lotzof 09:38 Under-Imaging and Differing Perspectives 13:27 Access and MRI Centers in the UK 17:51 TMJ MRI: Patient Expectations 22:17 Midroll 25:53 Open MRI Machines 27:26 Ideal Candidates for MRI Imaging 29:55 Cone Beam CT vs. MRI 31:53 Screening and Asymptomatic Patients 38:43 Centers with Reliable TMJ Imaging 41:27 Encouragement for General Dentists 46:33 Outro Where to Get Reliable TMJ Imaging ⭐ Top Pick: Orion, Wimpole Street, London(Full contact details available via the Protrusive Guidance App)

Syringomyelia in Cavaliers and Beyond: What Every Breeder Needs to Know Dr. Marty Greer joins Laura Reeves to answer a listener question and break down one of the most serious and underdiagnosed neurological conditions affecting small breed dogs. If you've never heard of syringomyelia, you're not alone — but if you breed Cavalier King Charles Spaniels, Brussels Griffons, Pomeranians or other small brachycephalic breeds, this episode could change how you think about your breeding program. Dr. Marty Greer walks Laura through the difference between Chiari-like malformation and syringomyelia (SM), two conditions that often get lumped together but aren't quite the same thing. The short version: when the skull is too small for the cerebellum, fluid circulation gets disrupted and painful pockets of fluid can form along the spinal cord. The result is a dog in chronic, often invisible pain. The symptoms are easy to miss. Phantom scratching near the neck, sleeping with the head elevated, flinching when picked up or eating from a floor-level bowl — all of these can look like something minor. In Cavaliers especially, an ear condition with overlapping symptoms makes diagnosis even trickier. Only an MRI gives you a definitive answer, and that's where things get complicated fast. MRIs run anywhere from $1,500 to $3,000. Dogs need to be fully anesthetized. Cavaliers aren't the easiest anesthetic candidates for a variety of reasons. And even after all that investment, the genetics are multifactorial and polygenetic, meaning two "clear" dogs can still produce affected offspring. The numbers are sobering. When screening efforts launched in the U.S., the breed incidence was estimated at 60 to 80 percent. Careful screening cut that roughly in half — but that still leaves the breed sitting around 35 to 40 percent affected, and only a fraction of dogs are ever screened. Treatment options exist but aren't encouraging. Surgical intervention has a relapse rate of over 50 percent. Long-term management means gabapentin, steroids and other medications for the life of the dog. It's a heavy burden for dogs and owners alike. So what can breeders actually do right now? Marty and Laura make the case for breeding normal to normal as consistently as possible, tracking health outcomes across generations and pushing for group MRI clinics to bring costs down through volume. One breeder they profile used to pack 8 to 10 dogs into a vehicle and drive to Canada just to get affordable scans. That's dedication — but it shouldn't be the only option. If you have access to an underutilized MRI machine or you're actively doing DNA research on this condition, Laura wants to hear from you. This is exactly the kind of problem the Pure Dog Talk community wants to tackle. Email: Laura@puredogtalk.com Find more detailed information about syringomyelia HERE.

If you've recently had imaging with contrast dye, you may be asking how to best support your body afterward.     Many people are told the dye will clear on its own, but often the real question is how to best support your natural detox pathways once the procedure is complete.     On today's show I'll explain the difference between common contrast agents used in MRIs and CT scans, and how your kidneys, liver, lymphatic system, and bowels work together to process and eliminate them.     You'll also learn practical strategies that can help your body recover more efficiently after imaging.     So join me on today's Cabral Concept 3735 to discover how to detox dyes from MRIs and CT scans naturally while supporting your body's built-in healing systems.   - - - For Everything Mentioned In Today's Show: StephenCabral.com/3735 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

In episode 621, Tina, James and Mike K talk about the evidence around whole-body MRIs. We discuss how many abnormalities are found, how many cancers are actually found, and finally the lost opportunity costs. You need to know these numbers to talk to your patients about the value or lack thereof of doing this test. […]

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Eve: God bless you for all you do. I had a routine mammogram in early 2025, followed by a bilateral breast ultrasound, they recommended 6 month monitoring due to multiple small cysts/masses (I have very dense breasts). I was advised to continue to monitor with ultrasounds every 6 months. At my March 2026 follow-up, they recommended a biopsy because one mass at the 9 o'clock position increased from 1 cm to 1.5 cm. For context, I had a benign biopsy in 2024 in the same breast (10 o'clock) and regret doing it out of fear. I feel that poking and probing can be more harmful. I'm worried about unnecessary procedures but don't want to ignore anything serious. Would short-term monitoring (repeat ultrasound in 3 months) be reasonable? The tech seemed inexperienced, could measurement error be possible?      Eve: Hi it's me again, I wrote in yesterday and after I spoke to my PCP about my hesitation on getting a breast biopsy, she was supportive and said why don't we do an MRI instead to be certain instead of poking and probing before knowing what it really is. The only thing is that it would have to be with contrast. What do you think? Less invasive, more real answers, but the contrast makes me anxious. Can I do a detox if I opt for the MRI vs the breast biopsy? Ty Doc.      Anonymous: Hi! Can you help provide advice on how to help with orange hands/elbows/feet? I've tested extremely high for beta carotene. I'm not sure why as I wasn't eating bushels of carrots, just trying to get a diversity of plants in each week but guess I steer towards vegetables with higher concentrations (squash, dark leafy greens, broccoli etc). I've practically eliminated all sources of it, but still seems not to improve much. Any advice would be helpful as it is embarrassing. Thanks!      Anonymous: Hi! What are your thoughts on using clean sources of nicotine treat things like long COVID, chronic fatigue, brain fog etc.. Thanks!      Nikita: Hi Dr Cabral, After 4 years of heavy hairloss, I finally corrected my iron-deficiency anemia (through prescription iron pills- only thing that worked). 6 months later my hairloss has finally slowed down a lot. However, I'm not noticing any type of regrowth. I'd love to get some of my density back after those 4 years of bad hairloss. I wanted to know your opinion on starting minoxidil for a temporary period of time just to wake up the hair follicles? I never took it before bc I don't want to commit to it forever, but do you think it could work for this case and then maybe I can stop it and the hair won't fall out again because now   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3733 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

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Chapters 00:00 Gang Back Together 01:23 Mental Health Corner 01:39 Back Pain Diagnosis 07:09 Dental Insurance Racket 12:34 Post Surge Recovery 19:24 Surgery And Withdrawal 24:36 Sponsor One Skin 26:23 Terminal Widget Reveal 31:24 Widgets And Visualizations 34:51 Release Plans And Review 36:56 Universal Bundle Pricing 37:38 AI Boosts Mark II Sales 39:20 Leaving Oracle Behind 40:03 Ninety Hour Workweeks 41:55 NV Ultra Vaporware Woes 43:17 Missing Collaborators Online 45:09 Dan Peterson Secret App 46:23 The Pit TV Complaints 50:49 ER Nostalgia and Cast 54:01 Season Two and Other Shows 58:33 Gratitude App Picks 01:00:09 AI Tools and Claude Code 01:04:35 Bookshelves and Audiobooks 01:07:10 Wrap Up and Sleep Show Links TerminalWidget Marked 3 Bezel BookShelves Claude app Join the Conversation Merch! Come chat on Discord! Twitter/ovrtrd Instagram/ovrtrd Youtube Get the Newsletter Thanks! You’re downloading today’s show from CacheFly’s network BackBeat Media Podcast Network Transcript Projects and Pitt-falls Gang Back Together Christina: [00:00:00] What’s that? Do you see a podcast update in your feed? Well that’s because you’re back on, on Overtired and, uh, and I’m Christina Warren and I’m joined by, uh, Jeff Severns Guntzel and Brett Terpstra. What do you know? The whole gang is back together. Overtired, everybody what Jeff: Hi everybody. Brett: I need a, we need a party sound. We need a Christina: we do. We need a soundboard. We need a soundboard and we need a, a way to be like what Gangs all here. Some sort of a like a either a a we need a horn. That’s what we need. We need one of those. Those horns they play at at at football games. Jeff: would like that very much. Brett: or that like B. Christina: exactly. Jeff: yeah, Brett: That would really wake people up. Christina: It really would. And, and especially, um, all of us. ’cause I we’re recording this earlier than we ever do. Brett’s been up for a really long time and, uh, I think Jeff is probably like raring to go, but I’m like, I, well now Jeff: raring to go, but I’m warming [00:01:00] up. Christina: Yeah, I, I, I’ve been up since like five 30, so I’m okay too, but yeah. Brett: I wrote an entire shortcuts in shortcut intense interface for my new app this morning, and it’s actually working. I’ve never written for shortcuts before. Christina: Well, Ooh, we will, yeah, you gotta talk to us more about that ’cause I wanna hear more about that. Mental Health Corner Christina: Um, but first I think we should probably do, um, because it’s been a while since we’ve all been together, we should probably do a little bit of a mental health corner. Brett: yeah, Who wants to kick that off? Okay, fine. I will. Jeff: health. Mental health. Silence. Back Pain Diagnosis Brett: I, uh, I, I, my sleep has gotten a little worse than it was before when I told you it was bad. Um, I’m, now, I’m back down to like five hours a night and I just wake up at like 2:00 AM. And like I go to bed by eight or nine and I get up at [00:02:00] 2:00 AM every morning and I just cannot, for the life of me fall back asleep. And for like the first hour I’m up, I’m not even really awake. Um, I’m just kind of sitting on the couch staring at my computer and not be, not able to do anything After about an hour. Um. I, I, I’ll get some coffee, I’ll take my meds and like then it’s kind of like most people’s, like maybe 10:00 AM 11:00 AM um, by, by like 3:00 AM but it’s still wearing me down. Um, I got, so I’ve had back pain, um, for a while now. Uh, I can’t stand up for more than about five minutes and I can’t walk for more than three to five minutes, which has really put a dent in my, um, ability to exercise. And, um, so I finally got, I got an MRI [00:03:00] done, and they. Diagnose me with stenosis, which I think is kind of a, a broad term, but like a couple of the discs in my lower back have collapsed and, um, they, they, they think I can be treated with, uh, with shots and not surgery. Um, so I’m hoping, I’m hoping to get that figured out because, okay, so right now, uh, we, we always go on walks in the wildlife refuge, um, like the wetlands refuge near us, and I love it. We, we see so much cool stuff there and I hadn’t really been able to, but what I found was this little, it’s like. Folded up, it’s like two feet tall, uh, camp chair and it, it’s like a camp stool. And so I carry that with us while we walk and then like every three minutes I’ll like have to set it up on [00:04:00] the side of the trail sit. And if I sit for two minutes, the pain goes away, I can then walk again immediately. Um, but like after, after three to five minutes, like my back freezes up and I, like, I literally, I can’t move anymore. Um, so this little, uh, take carrying a chair and doing it in three minutes stints, um, has at least allowed me to get out and get some green time. But that’s kinda where I’m at. Jeff: What does this little chair look like? Uh Brett: It’s blue Jeff: huh. Brett: and it has four legs and it’s can canvas. Jeff: is it like an adorable little camp chair that you’re supposed to be able to like Brett: I think it’s a toddler’s ch camp chair. Jeff: Excellent. This is the detail I Brett: like, it’s smaller than my butt. Like I’m perching on it, but it’s enough to like get my back, uh, into feeling. Okay. And it’s not too heavy to like carry[00:05:00] Jeff: Show art, but the art, the art is you perching. Just to be really clear. Brett: Yes. My, my 280 pounds pound perched on a two foot camp stool, it’ll be great. Jeff: Wow. Well, I’m glad there’s something like some kind of thing Brett: Yeah, no, it’s actually really good. It’s really good to get the stenosis diagnosis and ’cause for a long time I just assumed because I gained weight, my, my back wouldn’t work anymore, which was depressing. But the more I thought about it, the more I realized I’ve been this heavy before and I have not had this pain. And even after my first like 50 pound sudden weight gain, I didn’t have back pain. So it didn’t make sense that my body just couldn’t handle it, uh, like something else had to be going on. So it was actually much like any diagnosis, I think, um, other than, you know, terminal illness, but for like A [00:06:00] DHD or stenosis or any like mental health condition, it’s a relief to get a diagnosis and find out you weren’t crazy, you weren’t making things up. So yeah, I’m, I’m grateful. Christina: No, I completely like, can, can relate to that. ’cause when I, like with my back, well my cervical spine, um, it was kind of a similar thing. Obviously mine was more acute and it was a different scenario because I got, um, like the, you know, diagnosis relatively quickly, although it still felt like it took longer than, than I wanted it to, to, to get my MRIs and whatnot. Um, but it was similar to you. It was like kind of a relief to be like, oh, okay, so you have like a major problem. This isn’t just you being a wimp and, Brett: Yeah, exactly. Christina: exhilarating pain. Right. Like excruciating pain. Right. And, and just even having that, even knowing, okay, I don’t love that I have to go through [00:07:00] this whole thing. Um, I’m, I’m still like relieved to have a diagnosis and a plan forward. Dental Insurance Racket Brett: Oh, and also I, so I’m on state. Healthcare, and that includes, um, Delta Dental, but it’s this weird version of Delta Dental that nobody in my town accepts. Um, so I have to, I have to drive 45 minutes to get dental care and even then they can’t, he can’t do root canals or anything. And I needed two root canals and that would’ve involved driving two and a half hours or three hours and then going back to the 45 minute away place. And so what I did was I took the extra money I had saved outside of my, like, nest egg savings, but like my working savings. And I paid for a year of actual Delta Dental, um, and started going to a place [00:08:00] just really close to me and, um. It turns out that the best dental health insurance is still shit like it. I don’t know how much dental work you guys get done, but it is, Christina: it’s, it is crappy. Brett: it’s a, it’s, it’s a racket. And I actually watched a YouTube video on why dental insurance is a scam. And it like interviewed Dennis who actually take these like Delta Dental and the Medicaid dentists. Um, and it is truly a scam. And what I found, and this is much the same experience, uh, Christina talked about with her, um, MRII think it was that you did a cash pay. Um, I talked to the dentist and I said, do you have a cash paid discount? And he’s like, oh yeah. And basically. I can just pay cash and do everything for about 60% of the normal cost, and that is better than what [00:09:00] Delta does for me in most cases. Plus, I need so much work that my $2,000 cap with Delta is gone. Christina: Well, I was, I was gonna say like, so when I joined Microsoft, Microsoft used to have really good. Dental insurance, um, respectively speaking as, as good as it can be. But there were still, you know, caps on how much work would be done. But I found like a good person to go to. ’cause I had an incident, um, about a year after I moved to Seattle, maybe less than that, where um, I had to have an emergency root canal and like that sucked. Um, like I went into a normal dentist. She was like, this is what you need. And then I had to like, take an Uber, like over to a guy and see him like that day at like 5:00 PM and I’m like, you know, all like drugged up and, and getting the root canal. And that was not great. And I needed a lot of, of, of work done. Um, and so we split it over like she was a really good dentist and so we split it over. We were like, I was coming close to. The, the end of the calendar year. So she was like, okay, we’re gonna do all of this work and then we will start the next year [00:10:00] when things go forward. And like she knew how to play the system and was like a really good dentist. Well then Micro, then I went to GitHub. GitHub used, um, you know, uh, Delta Dental. And, and that can vary based on plan. Microsoft is apparently on them too. Google also had them on a slightly different plan, and it’s like you never know what you’re getting. And yeah, to your point, because if you need a lot of work done, if you have anything specialized, if you’re, you’re lucky if you get the right plan and you can see a provider in your area, great. But if you don’t, to your point, it is often, this is just fucked up. Like, especially if you’re having to pay out of pocket for it anyway. If it’s part of your employer, you know, benefits, maybe it’s a little different, but it’s like even then it can still wind up being less expensive to just pay the cash stuff than whatever your deductibles are, which have a cap anyway. And, and, and, and, and then, yeah, the, the, the way that the, the Medicaid or, or even insurance pricing works, stuff that they might charge you a very nominal fee for, for like a cleaning or whatever is, or a cavity fill [00:11:00] is gonna be, you know, they’re gonna bill insurance like three or four times that Brett: Right, exactly. So I pay, I pay like 800 bucks for a year of Delta, and that gives me basically $2,000 to work with, plus whatever price they can negotiate. Um, but like you said, like they, they bill three times. Um, so like what still comes out of my like $2,000 pot, um, is higher than I would’ve paid with Christina: If you just paid cash, if you just had an $800 budget, or if you got like, yeah, that’s the thing. Okay. This is an AI app that somebody should build. And I’m saying this hoping that maybe something the audience will, or maybe one of us could vibe code it, because this seems like this would be a relatively easy calculator to do with like certain providers if they, if they, you know, list their things where you could like run the costs and be like, okay, this is, I’m gonna put in this number. This is what my, you know, provider’s fees are. This is what my [00:12:00] insurance thing is. Um, Brett: what my cash pay Christina: this is what my cash pay is. Is it cheaper for me to spend $800 a year on Delta Dental or to just pay cash directly with my, my dentist? Brett: Yeah. Have you as I’ve, as I’ve said to people who have pitched ideas to me in the past, you’re talking about a spreadsheet? Christina: Yes. It is a spreadsheet to be completely out. Yes. But I can now use cloud code to, to to, to, you know, figure out the formula for me is the real thing. Brett: Yeah. There you go. All right. Who’s up? Post Surge Recovery Jeff: Dr. To, um, I can talk, uh, uh, I’m, I mean, I’m doing really well. Uh, I we’re a couple months past, or, you know, a couple months past the operation Metro surge stuff here in January and February, in a little bit of December, but really January. And that was, I’d never kind of experienced like a, a full [00:13:00] taxing of every single person and kind of person I knew and which was amazing. Um, and, uh, and it took a minute when things settled here, um, to, for everybody to kind of figure out what. How to just even enter into the world every day because everything had been driven by what was happening on a almost hourly to hourly basis for, for some time. And, um, and so I kind of moved through that, that period, which was like quite a sort of come down, uh, of adrenaline and, and amygdala sparking. Um, and, and have kind of smoothed a little bit. And, um, and I’m just doing well. I’m having a nice, a nice goal of it right now. Christina: Good. Great to hear. Brett: I, I guess that everything’s relative. Right? Jeff: Yeah. Everything’s relative. Yeah. Yeah. But I think I would call this a nice go of it, uh, even outside the context of comparing [00:14:00] to, to Operation Metro Surge. Brett: that’s, that’s, I, I’m happy for you. That’s awesome. Jeff: I think actually the last time I was on the podcast was with you, Christina, in January right after we had had a raid in our alley, which was even before the surge Christina: You before the big surge, even before Jeff: of an early start. Christina: I was gonna say even before, like I, I, I don’t even know if, if, if the, the, the murder had happened. Um, Jeff: not at all. In fact, we only had 100 extra ice agents here at the time and within a couple of weeks there’d be a woman in front of my house, uh, being pulled out of her car ’cause she was following ice agents and throwing me her phone as she gets tossed into a, into a fucking ice truck. And like it was just, everything happened so fast and so slowly all at the same time. And, and obviously there’s still all sorts of stuff going on, but it is indisputably not what it was in January and February. Brett: I was gonna ask you about that. ’cause like the total number of deportations is only slightly [00:15:00] lower right now than it was during the surge. Um, and they, they removed, they added like, what, 3000 agents and they removed like 800 of them. So, Jeff: they’ve removed way more than Brett: Hey, have they Jeff: oh, yeah. We’re down to, I haven’t, I don’t wanna say the numbers because I haven’t looked at them. We’re, we’re back down to like the high hundreds and we, our baseline is like 1 25. Brett: Okay. Jeff: Yeah. You can tell. Um, it’s, yeah, you can tell. And I, and I’ve been down to the WPO Federal building a a few times, um, which is where ICE was kind of headquartered and there’s just the level of activity there is very low. Um, they had some new vehicles come in at one point about a month ago, but mostly those are replacing rentals that they were using. So it wasn’t like people took it as kind of an indication that they were, you know, staffing up or suiting up again. But it was really just kind of replacing their, their really weird, like sort of duct tape together invasion. Um, it’s kinda like in Iraq when they decided they were gonna [00:16:00] actually armor the Humvees, it was kind of like a little bit of a switch of, of vehicles. Um. Yeah, it’s much different. And like, you know, all the people either in my life or in my community that were in hiding or not, I mean, for the most part, not in hiding anymore vulnerable folks and undocumented folks. And, um, so it’s like, it’s qualitatively and nervous, systemly different Brett: Yeah. Yeah. Jeff: for everybody and still sucks. And there’s still a risk and a threat and, and a horror. And a terror. Brett: Yeah, down here in southern Minnesota, I have not gotten a call to do a food delivery or a grocery delivery for, yeah, a couple months. Um, so yeah, I guess it really has calmed down across the state. Jeff: Yeah. Thank God. I mean, who knows what they’re up to that isn’t as visible, but thank God Brett: exactly. Jeff: over. So yeah, I, I mean it’s, and I actually just had my, my brother’s been in town and every time someone kind of comes to visit, they wanna like. You know, kind of hear or take in what the thing was and you start describing it again, and [00:17:00] now it just, I mean, it felt like a dream at the time. It just felt like, how could this be real? But you were just so in it, like every single person, like you said, Brett, like people were doing grocery deliveries or people were, you know, cooking food for the people that were kind of on the front lines, or you were following ice, or you were dispatching people to follow ice, whatever. It was like every. Single person I could think of as doing something. And uh, and, and so when you try to describe it now, when you look around, especially in my neighborhood where they were all over, um, it it, it seems like, was this, was this real, um, like, was it even real because like, I don’t know, like the end here. ’cause this could go on forever, but I don’t know if any of you saw the footage that went around of a high school called Roosevelt High School, where, uh, where Bovino showed up and there was all this crazy shit and the, the footage of this, um, went around the country and like it was, you know, reposted by freaking everybody that was my son’s school in my neighborhood. And, and so like, it was just this constant thing of like, bovino at my son’s school, binos at my gas station. Like, it was just [00:18:00] utterly insane. And now, and, and every street felt almost, you could feel ice on the streets. Like you would see ghost cars where they had taken people or whatever. You could like, feel ’em on the streets. And so you walk around, you walk around the same streets now, and it’s just birds and kids playing and you’re just like, did that, was that real? Brett: There, there was a tow truck driver that was interviewed who had taken it upon himself to tow those ghost cars for free back to their origin. Um, and just like leave them for people. Jeff: at least, or he would take them in and not charge if you came in for them. And it’s, and that’s just it. Everybody, everybody. It was incredible. It was incredible. Christina: It’s crazy. Jeff: Yeah. All Christina: I hope, I genuinely hope that they’ve lost interest and, and have moved on to other things. Brett: Like Seattle. Christina: yeah. Well, I mean, Seattle is obviously a very different situation and, and that had a, a longstanding, I think, impact. Um, and, and I, I, I. I’ve said this, I said this at the time, people who made that really bad were the [00:19:00] activists who came in outside the so-called activists and putting that in quotation marks who came in, who didn’t even live in the city and agitated things and made things way worse than, than they, than it should have been. Um, but yeah, but I hope that it’s like Seattle, that it just kind of falls like the, the government doesn’t come back and, and continue this, you know, reign of terror. Jeff: Yeah, yeah, yeah, for sure. Surgery And Withdrawal Christina: Um, well, I’ll, I’ll be quick. So I, I had surgery since I guess the last time I was on, Jeff: Sure did. Christina: that went well. Um, the surgery itself, I’m still in some pain, um, in my shoulder after the surgery, uh, which was not like you were fi fixing my cervical spine. But, um, they, uh, I guess however it worked, like I, I think as muscular, um, I, I’ve been going to to to PT for the last few weeks. Um, but I still having some, some shoulder pain. That’s, that’s getting better. Um, the hardest thing was actually some of the medication stuff. So [00:20:00] I, uh, gabapentin, um, I know it’s a lifesaver for a lot of people. I don’t have a good reaction to it. Like I’m one of those people. Like, it, it a, it makes me feel kind of loopy. I don’t like it. B it’s very difficult for me to sleep on it. Um, which, which is a problem and, you know, but, but the big thing is it just kind of makes me like, feel like I’m not kind of in my own head. Like I feel like, don’t know, like, um, altered on it. I, I would say. And so I went off they gabapentin and no one told me, and I am gonna put this as a PSA out there. ’cause I know a lot of people take it. Do not go off of that cold Turkey. Jeff: mm. Christina: They didn’t tell me that. Um, which someone should have, but no one told me that. And it can actually cause seizures if you do other things. But in my case, the real thing was that I had withdrawal. That was some of the worst withdrawal I’ve ever had. In my life ever. And, um, it like awful, like awful, awful, awful to the point that to go off the Gabapentin and they had me on like a, a decent dosage. It [00:21:00] took me a month because I had to keep going basically down like one pill like every week to step down. And, but I mean, I was getting, you know, like, like hot and cold sweats, you know, like feeling like my teeth were gnashing, you know, like nauseous, just like awful, awful stuff. So it took me, you know, a month to go off of that. I had to extend my medical leave in part because of the medication withdrawal stuff, because I was like, I can’t go back to work if I’m gonna be like, still dealing with, with medication bullshit. Um, so, um, that was actually, you know, in some ways like more, uh, of an issue than like recovering from the surgery itself, which was major. Like I, I tried to kind of downplay like what it was, but it was, it was major surgery and um. Um, I’m glad that it’s over. So, you know, onwards and upwards. I’m, I’ve been back at work for a couple weeks. Um, still kind of settling in on that, but, uh, but yeah. Brett: That [00:22:00] withdrawal sounds terrible. Usually you have to do opiates to get that kind of fun. Christina: Yeah, well that was the thing. I saw somebody on, I read it, which of course is anecdotal. I don’t usually look for this stuff, but sometimes you just wanna feel like, okay, is it, is it common for me to have this withdrawal or not? And somebody, and one of the subreddits was like, this was worse than coming off of heroin and I in a jail cell, and I should know because I’ve done that. And I was like, okay, I, I’m not going to equate it at that level, you know, for, for me. But it was definitely like that bad. It was, let me put it this way, it was bad enough that at first I thought. It was the opiate withdrawal because I, they gave me some, some oxy, um, um, contin. Um, and then the doctor was like, no, that’s not a high enough dosage. This is, you know, um, it, it, it probably was gabapentin and, and it, it. What pissed me off is that one of the physician’s assistants or whatever, when I’m telling like my doctor about this, I’m like, okay, if I need another nerve drug, then we need to find something [00:23:00] else. I can go on select so I can go on, you know, something else. But, but I, I clearly can’t stay on this. A, they kind of gaslit me because I’m a woman and obviously my pain and my symptoms can’t be real. So that’s like number one. And that’s just a fact. I don’t care if you’re a male or female doctor, they don’t take you seriously. I’ve complained about that before. Um, b like she had the nerves to say, she was like, well, you know, if the withdrawal is that bad, then why don’t you just stay on the medic medication? It’s not that it, it, it, it’s fine. I’m like, no, it’s not fine. It makes me feel altered. You’re telling me that it’s for nerve pain, that my nerve pain should be fixed if my nerve pain isn’t fixed and if I need something for nerve stuff, then that’s one thing and we could maybe look at an alternative, something that doesn’t make me feel loopy and lets me sleep. But if your suggestion is, oh, to avoid the bad withdrawal, just stay on the drug. I’m sorry, what the fuck are we doing? Um, and, and then the doctor’s like, well, you know, we get this all the time. We never see side effects. And then I looked it up, you know, in the actual drug literature and no, there are side effects exactly like the ones I experienced. So I was like, I recognize that. [00:24:00] I always am usually that like one percentile person who gets like the weird side effect. Like, that’s who I am. I get that. But Brett: crazy. I’ve, I’ve gone off of gabapentin. It sucks. I You’re not crazy at all. Christina: yeah. But, but it just, it just was frustrating to me that like the, the suggestions like, we’ll just stay on it. It’s like, no, like that’s, that’s, that’s not actually gonna be a thing anyway, but onward and upward. Jeff: Yeah. Wow. I’m glad you’re through that. Like Christina: Yeah, me too. Me too. Okay. Sponsor One Skin Christina: Well, I know we have some other topics we wanna get to, but before we do that, um, let’s take a moment to talk about our sponsor of today’s episode One Skin. So, um, you know, I, I’ve gone through a number of different things with my skincare routine over the years. Some have been more effective than other. Um, you know, um, my skin kind of goes back and forth between being too oily and too dry. I’m kind of in a dry [00:25:00] phase right now, and, um, there are tons of products out there that, that promise results. And then you, you get them in the, and they’re, they don’t necessarily work. So, uh, I wanna talk to you about One Skin, which was founded by scientists, and it’s dedicated to longevity. And, um, the, the brand is actually committed to being real science over marketing hype. And so, uh. What they wind up. Uh, what, how, how this works is that they use OSO uh, zero one, which is a proprietary peptide, which is designed to help deactivate the damaged cells that contribute to aging skin. And, um, I’ve been using one skin, um, for a little bit, and I, I’m, I’m liking it. I like how it makes my face feel. Um, I like, um, the fact that, uh, it’s. You know, what the peptides are supposed to do is help basically, uh, support collagen, uh, uh, of production and, and, and strengthening the skin barrier. Um, I’m not alone. There are over 10,005 star reviews and there’s validation from clinical studies and, and it’s making a name for itself in the skincare industry.[00:26:00] So if you are interested in trying one skin for yourself, you can get 15% off your order with the code Overtired at one skin.co/ Overtired. That’s 15% off at one skin. Do co slash Overtired and use that code Overtired. So thank you one skin for supporting our show and check them out. Brett: Awesome. Terminal Widget Reveal Brett: Do you guys, can I tell you about terminal widget? Jeff: Terminal widget. Yes. Set it up. Terminal widget. Brett Terpstra. What’s Brett: so I, I, I wanted, I had scripts running in the background and I wanted a quick way to check them and I thought it should be easy to put. Script output into a, like a widget on the desktop. And I could not find anything that actually worked. Like Shellfish has a widget, but it, it takes minutes to update and it’s flaky and, and the other apps out there [00:27:00] did not work for me. So I thought I would build my own. So I think I started it a month ago. Um, I built a, just something for, you can run a terminal command and update a progress bar or an image or, uh, like sparkline text or just straight up text output from your. Terminal, all kinds of charts and everything, and, and it updates instantly on your desktop, uh, with like a 0.5 to one second delay, uh, which I wasn’t able to find anywhere else. I had to like, use JSON payloads and like basically a cloud kit watcher, um, cloud kit because I did also port it to iOS. And, um, so I can run one command in my terminal or from a script in the background and have my iPhone and my desktop update with progress. Um, I am working [00:28:00] on a watch version of it that is not, I, I have it working in the app, but I wanna make it so it works as a complication. Um, that’s gonna take a little more doing, uh, but this morning and yesterday I spent working on. The Apple script and shortcuts interfaces for it. And I hate designing Apple Script dictionaries, uh, because there’s no, like, there’s no standard for like terminology and there’s no like golden way to do it. And I always end up messing it up even when I do have a plan. This time I think I actually succeeded in building out a dictionary that makes semantic sense and is somewhat. Predictable if you’ve ever written Apples script before, but I also added all of the widgets can be controlled from shortcuts. You just drag in like a chart widget into your shortcut and pass in like a value or like a, a chart of values. It can [00:29:00] do matrices and sign waves and, and line grass and bar charts, and it’s pretty nuts. You can check it out. It’s not available yet, but all of the documentation and all of the screenshots are at Terminal widget app. Um, and I am, I’m pretty impressed with myself and Christina: yeah. Brett: that’s what I’ve been working on while waiting for Mark III to make it through app store reviews so I can finally publish that. I, my latest rejection first, I got rejected, like a couple legitimate. Uh, concerns, but then I had a CLI that I wrote that was embedded in the app bundle and there was an option to create a sim link in your, in your terminal to use the CLI. And this was just a convenience method for like, you give it command line flags and it converts it into URL handlers and they rejected me for Christina: [00:30:00] I was gonna say, I was gonna say, they don’t let you do that. Like what I’ve seen with other apps do is usually there’s like a, um, in the app store is that usually you have to download a helper to install the CL. Brett: right. So what I did, uh, to get past the rejection was completely rip out the binary from the bundle. Uh, if you go to the install cli CLI tool menu item, it simply takes you to a webpage where there’s a, a notarized signed PKG file, or you can install from Homebrew, but it’s completely separate from the app store. And the last rejection said that I was requiring users to download an external app in order to use the app. Which is ridiculous on its face. Like it’s, it’s a convenience method. In no way do you need to download it. Um, there’s no requirement. In fact, it’s almost buried that you would even want it. Um, [00:31:00] and so I argued with the reviewer for a couple days ’cause they were replying like once a day. Um, and then they told me I had to go through a re uh, the appeal process. So I submitted an appeal at four 50 this morning. We’ll see how long that takes now. But in the meantime, terminal Widget is keeping me sane. I’m having a lot of fun with that. Widgets And Visualizations Jeff: I have some terminal widget questions. I’m looking at the site right now. Um, so talk to me about, um, talk to us about your, your initial use case, like was, which you’ve kind of described already, which is you just wanted to be able to check on these scripts Brett: Yeah. I just wanted a progress Jeff: But then Brett Terpstra kicks in ’cause like I just wanted a progress bar and now I’m looking at all the flags and everything else that you could have. You know, I’m curious like of all of the options that are in there, I want you to just share something that might not be intuitive or might not guess you can do. And then I’m curious of like if you have something you’re like, and what I [00:32:00] really want it to be able to do is. Brett: So you can pass it up to a hundred numbers, like a, a list of space or canvas, separated numbers that you can output from whatever script you’re developing. And you can have it, uh, output a sine wave or a um, uh, a waveform. I like the waveform visualization for it. And so you can get like pretty cool visualizations out of. Tabular data basically. And I also just added, um, tabular, like you can, you can give it a CSV file and it’ll generate a table for you. And it really only works well on like the large widget size. Um, but on both, on both iOS and Mac, uh, the tables look pretty good. Jeff: Nice. Christina: That’s awesome. I, I have a, I have a nerdy, uh, well, but less nerdy question. [00:33:00] Um, on the Terminal WIT app website, um, you have like a, a video of a, like, you know, showing off like, um, you know, your, your, your terminal app open and, um, the, the text being typed out. What did you use to create that? Did you use a remotion or did you use something else to generate that Brett: I scripted that, um, I, I wrote if there’s a helper Christina: charm or something? Brett: No, Christina: Okay. Brett: I, it’s a helper. It’s a helper script that it, it clears the screen and then it takes a table of commands and it types the command out with like a jitter delay. So it looks somewhat natural, like typing. And then it actually runs the command in the background. And then once the command’s finished, it clears the screen and does the same thing with the next one. Um, so I can just feed it like a, a, uh, a file with all the commands. I wanna run one per line. Um, and it just types them out and executes them. Jeff: That’s awesome. Christina: Cool. Brett: I know, [00:34:00] like I looked into like using like as, as as cinema. Um, and it just to get that kind of really. Smooth, rapid typing out of it, uh, without, you know, all the backspace and everything. I, it was, I found it difficult to program it to, to code it. And by the time I had it figured out, I figured I should just write my own script for it. Christina: Yeah. There’s, um, there, there’s a, a. Service called Remotion, which can do some of that sort of graphical work, which is what I thought you might’ve used at first. Um, charm has a thing called VHS, which is basically like a CLI home home recorder, which is pretty cool. Um, and I’ve used that before, but yeah, I was just kind of curious, um, what you did, but yeah, you just built your own. That’s awesome. Very cool. Release Plans And Review Christina: Um, now for your, your, when do you think like, because I, I noticed that you have like for for blog book and for terminal widget, you have like coming soon. Is that like, ’cause [00:35:00] you’re still kind of like working on stuff or, um, are you going through review hell with those as well? Brett: I haven’t even tried getting either of those reviewed. Um, blog book I is approved for test flight, um, and anyone who wants in on that can just contact me. It is getting the slowest development out of all my projects right now just because it is, it’s a more niche app that I don’t think is gonna make a ton of money. But, um, mark III is where most of my effort is going. Then I’m working on porting mark three’s, uh, store kit stuff into NV Ultra, and then I can focus on trying to usher terminal widget through app review. Um, I have a feeling that’s going to go very poorly and I may end up just releasing outside the app store, but because it has an iOS Christina: I was gonna say with the iOS component is the hard part. Brett: I kind of have to, so we’ll see what happens. Christina: Yeah. [00:36:00] ’cause I was gonna say, ’cause like, I mean I guess what you could do is if you did something for the iOS F would make it different though. Like if it’s just, ’cause I’m sure it has, it’s working out. It’s pretty much just remote instance that’s showing Brett: No, no, it’s got, it’s a, Christina: you, you built in your own terminal emulator into it. Brett: no, there’s no, no, no, no, no, no. There’s no terminal in this app at all. Like, you use it from whatever terminal or from shortcuts. Um, so it’s all native widgets on both. Christina: right. I was just saying in terms of the app store thing, like, I guess like if since there’s not a native terminal on, on iOS, it’s, I’m assuming that it’s, it’s a remote widget is what I was trying to get at. Brett: Essentially, yes. But if you write a shortcut on iOS that updates the widget, it updates both iOS and Mac os. So it is usable entirely. You could just buy it for iOS and, and it would be a functional app. Christina: okay. Okay. Universal Bundle Pricing Brett: But I do intend, I hope [00:37:00] to sell it as one universal bundle. So you pay like 9 99 and you get the iOS, the Mac, and the watch app without having to buy for every platform separately. Um, I just don’t see it being like such a valuable app that it’s worth making people go through that rigamarole. Christina: right. No, I was just trying to think. Brett: and everyone I’ve shown it to so far has been excited about it and the most common response I get is I will buy this as soon as I figure out what I would use it for. I’m like, yeah, okay. Jeff: Okay, fine. Awesome. AI Boosts Mark II Sales Jeff: And can you talk about how, because the whole world now works in markdown marked, has gotten a bump because I think that’s an amazing story. Brett: Well, yeah, it was. was a few months ago now, maybe six months. Um, my sales just started increasing and I was looking everywhere through all my traffic and all my logs [00:38:00] to figure out where this, where these people were coming from. Um, and it was eventually pointed out to me that if you ask any agent, any AI agent what you should use to view markdown, um, they would point you to Mark two. And it was now, for the last four months, five months, it’s been doing five times the sales year over year. What it was doing, Jeff: How close is it to the highest it ever was? Brett: um, the highest it ever was was actually when it was only 2 99. And Gruber wrote about it. Uh, back in this is like 2000. This was over a decade ago. And, um, back when, like one tweet from Gruber meant like success and that I made that year, I made almost a hundred thousand dollars on it.[00:39:00] Um, this is nowhere near that. This is doing like Jeff: But it’s a highly unexpected bump, right? Like in a delightful, delightful bump. Brett: yeah. It’s doing, it’s doing without even releasing Mark iii, I’m making about half of my former salary off of it. Jeff: Nice. I’m happy for you. Leaving Oracle Behind Brett: Also, uh, one year, um, in two days I’ll be one year out of Oracle and I quite happy about it. Jeff: that’s great. I was wondering about that, Brett: I don’t miss my corporate job. I miss, I miss some aspects, health insurance, paychecks, things like that. But Jeff: that aren’t at all about the content of the job, right? Brett: Well, like that stuff has never mattered all that much to me if I’m happy doing the work. And I really wasn’t happy doing the work. Christina: Well, that’s, that’s the thing. I’m glad that you’re, I’m glad things have been going well. I’m glad that, that the, the agents have, uh, been telling everybody about Mark two. Hopefully they will also tell them [00:40:00] about Mark three. Um. Ninety Hour Workweeks Brett: My, my dentist was doing was doing small talk with me, and he knows I’m a app developer and he asked me, so how many hours a week do you work? And I happen to know the answer because I had just read my timing app report for last week and I said, 90. And he said, oh wow. How much do you make? And he’s like, if you don’t mind me asking. So I told him and uh, it saying it out loud, it’s basically like 20 bucks an hour I get paid. And like, it’s not nothing, but once these apps are out and I can sit back and just make some passive income off of it, I will, I’ll be much Jeff: So it’s 90 because you’re, you’re developing multiple things right now and, and you love it. Brett: I’m pretty much, I’m pretty much on my machine all day except for like an hour for [00:41:00] like getting out, exercising, getting on my recumbent bicycle and an hour for eating. Um, Jeff: Is it time for you to get a trike? I’m serious. Brett: I don’t, I don’t know, I, I actually want to try just getting back on a regular bicycle. Jeff: Hmm. Brett: Um, but I, yeah, like a recumbent tricycle, that’d be pretty awesome. Jeff: dad uses him. He actually just converted one to an to an E-bike. Plus it’s hot now ’cause of DTF St. Louis. Christina: right. Jeff: Awesome. Uh, is that it for your app development because wow, that’s like, uh, quite a, quite a deal. You got anything else in the cooker? Brett: Well, like we talked about blog book. Right? Jeff: Yep. Brett: Okay. Yeah, that’s, that’s what I got. Jeff: Nice. Brett: that’s my big ones. NV Ultra Vaporware Woes Brett: NV Ultra is, um, literally only waiting on me to [00:42:00] get Mark three out and then NV Ultra will be out. And it is well passed a time when it would’ve been a smash hit. Um, when, when Nv, when NVL first started dying before, uh, before something like obsidian really Christina: I was gonna say, if sitting is unfortunately Brett: yeah, they obsidian and five or six other apps have really eaten up market share for, uh, NV Ultra. But it would be nice just to get it published. I have been talking about a replacement for NV for over a decade, and Jeff: Am I gonna get sued if I say this is not your fault. Brett: It’s, it’s not my fault, like none of them have been my fault. Like they’ve all fallen through on me. Um, but I think people don’t believe me anymore when I say it’s coming. In fact, it, in fact, if you ask an AI agent, they will tell you that MB Ultra is vaporware.[00:43:00] Christina: Well, Jeff: a lot ai. Christina: I mean, look at this point, even though yeah, it’s been in beta and you’ve had other things going on. I mean, like it, you know, again, it wasn’t your fault, but, but, but you know, we’ve all been in those situations where you’re like, it’s coming, it’s coming. Or this thing is like, at a certain point you’re like, okay. Like Brett: Yeah. Missing Collaborators Online Brett: Well that there was Bit Writer Christina: TechMate too. Brett: Bit Writer was one that preceded NV Ultra and I was working on that with David Halter, who was a co contributor on VT and. He disappeared. I don’t know if he died or what, but about years ago he just stopped replying to emails, disappeared off of Slack, disappeared from the internet. Just I, and I don’t ha I don’t know his next of kin. I don’t have anyone I can like ask, Hey, whatever happened to David. So if you’re out there, if you’re listening, I’d love to hear from you just to know you’re alive. Just to, just to [00:44:00] check in. Um, I’ve actually had a few people disappear over the last couple months that ha it’s been disconcert when, when you’re used to hearing from someone at least, you know, once a week even. But some of these people were like every day, um, I. Jeff: from them, meaning seeing them somewhere or corresponding or. Brett: Uh, online. These are, these are people I only know online. So like seeing them on Macedon or Facebook or getting emails or text messages from them. Um, a couple of them were in their eighties or nineties, and so it’s not, Jeff: That might be your problem. Brett: it, it’s not out of the realm of the possibility that they have passed on. Um, but some of them were younger than me and one of them has come back after two weeks of messaging, like every other day, like, Hey, are you okay? Haven’t heard from you. Um, finally they’re like, oh, yeah, I’m here. [00:45:00] And offered no explanation for where they’d been or why they went silent, but I didn’t pry either. So. Dan Peterson Secret App Jeff: What is your project with Dan Peterson? That’s on our, our list. Brett: I don’t know if I’m allowed to say a lot about it, but I’ve been working. Dan Peterson is one, the original designer of one password and worked with them for like 20 years before he struck out on his own. And we’ve teamed up, we’re working on a couple things, but one is a a, an IO iOS app that he has put in. I, I don’t even know how many hours into the design of it, like 3D modeling, spline rendering, and um, and then we ported it into an iOS interface. And it is gorgeous. It, it will it when, when it gets to market, which we’re hoping to have it in [00:46:00] testate in time for Max stock in July. Um, it’ll be the best looking app I’ve ever been a part of. It’s gonna be so cool. Jeff: Nice. Christina: That’s awesome. Jeff: Busy time. Brett: Yeah. Jeff: It’s Christina: That’s awesome. Jeff: What else do we got? I mean, Brett, you showed up with a big list. The Pit TV Complaints Christina: I was gonna, is anybody watching anything? Uh, good on TV or rewatching anything? Jeff: I have a serious complaint to put into the world, so I’ve avoided the pit for a long time. Uh, just ’cause I’m, I don’t, I’m not a huge like yeah, Brett: drama. Jeff: it is great. Except are there two separate writing teams for the stars and staff and the people that come in as patients? Because the writing for the people that come in patients is. Awful. They acting sometimes too. Sometimes there’s some people that sell it. I’m only through season one, uh, but I was like, I have been yelling at the tv, uh, about this [00:47:00] for some time. Um, besides also yelling at the TV for the point at which, um, our young friend with a w as a last name Whitaker, who, uh, gets blood all over his face and then they don’t actually immediately clean it up. Um, uh, so I yell at the screen and I like the show, but I yell. I haven’t had a TV show that I’m like, oh, for fuck’s sake now. I mean, I can handle that in The Walking Dead. I can handle that in that kind of movie. But in the ER thing I’m like, come on, you can’t get a writer to handle the patients. I don’t understand. You’ve got an incredible cast, like an incredible cast. Brett: It’s actually all ad-libbed. Jeff: all ad-libs, like the clown. There’s a clown, I won’t give it up, but there’s a, there’s a clown that has been through a mass event and he’s in the, uh, he’s in the ER with his clown makeup on still, and some blood going down his face and at some point he looks around and he goes, what a circus. I just think they, I think, I don’t understand. This confuses me very much [00:48:00] in TV shows when you’re like, okay, you’ve got a great writing team, but clearly you have a separate writing team that is doing just this little job that is actually quite important. So that’s my complaint about the pit. Otherwise, I like it quite a bit. I’m very excited to start season two, probably this weekend. Christina: it’s a good season. It’s a good season. So, yeah, ’cause, because, because I, I, I, um, it, it ended last week and I’m, I’m a big fan of the pit. I will say this, the pit fandom is insane and not in a good way. Like these are people who don’t understand how to watch television shows and don’t understand. Like how television shows work, and, and then also become very entitled about like, how, like their vision of the characters and things should be on a level. Like the last time I’ve seen it, it it’s the same, it’s similar with heated rivalry, but it’s somehow worse because this isn’t like a genre show like that. It’s like low quality for like, you know, middle aged like white women, um, in the suburbs. Um, who, who just like to see two, two hockey players. [00:49:00] You know? Fuck. Um, like, like the pit is actually like, I’m not gonna call it Prestige TV because it’s not er level, but it’s a very good show and it’s extremely well acted. And I think the writing, um, I, I think make a good point about the, uh, the patients not getting as good of storylines as the doctors. But, um, Jeff: no. I don’t need storylines. I Christina: no, I I mean the Jeff: words they Christina: Yeah. Yeah. No, that, that’s, that, that, that that’s what I mean, like, like that, that, that, that I, I, I hear, I hear your Jeff: Because where there’s a patient storyline, those are almost exclusively great. Christina: Yeah, it, so you’re more talking about like, like, like the kind of the background characters, like, kind of like the, the, the one-offs. Yeah, I think, I think that’s fair. Well, a lot of the writing staff and like executive producers are doctors or people who have like, you know, worked, um, extensively in healthcare. And so I, I, I wonder if like, that’s kind of part of it, um, where Brett: they’re really good at writing the doctor’s parts. They’re not so good at Jeff: so good. Oh my God, so Christina: so good at doing the doctor’s parts and, and the procedures. Like they wanna be medically [00:50:00] accurate and like they really, they really are committed to that. There are, um, there are a couple of, I’m trying to think, um, the, the Whitaker thing, I think that was just, I enjoyed that myself. Like the fact that he’s always getting blood Jeff: Oh, I loved the bit, I just couldn’t believe that. I couldn’t believe that through quite, you know, a couple of different bits after that. The blood’s still on his face. I’m like, there has to be a protocol to get blood off your face. Christina: No, there definitely has to be, but I mean, part also one of the running gags first season two. And, and sorry for spoilers, for anyone who hasn’t watched the pit Jeff: Wait, I’m gonna close my ears. Okay. Go ahead. Wave when you’re done. Christina: Rob Robbie can’t pee. And, uh, this wasn’t a real spoiler, but like, but one of the things is like, you know, Robbie’s never able to like, go to the bathroom. Like he can never find a way to pee. So Jeff: I’m back. Brett: you’re safe now. Jeff: I’m back. Christina: you, you’re safe. And I didn’t spoil anything. I was ER Nostalgia and Cast Jeff: The other thing I’ll say about the pit that surprised I did not watch ER and not ’cause out of bad attitude. Uh, it was just a point in my life when I wasn’t watching a lot of tv. Um, I also didn’t realize until I was [00:51:00] like five episodes in that Noah Wiley was a big character in er. I think that’s really cool. Um, Christina: Okay. Okay. I, I understand you weren’t watching TV then, but how did you not realize that Noah Wiley was Jeff: I didn’t know Noah Wiley’s name. Like I, this is just not, I don’t hold names of people. I, you know, I also, on the albums, I love that. I don’t remember song, I don’t know song titles half the time. Um, so I don’t mind You can, you can be very disappointed and express it. And I will accept it. I will receive it. Christina: No, I’m just shocked Jeff: to be better. Christina: because I, I mean, ’cause because I was like 10 years old when ER came out and like, I don’t know, like they were like, that was the number one show on television Jeff: Totally. And I mean, Clooney, come on. I know Clooney. Christina: course Clooney, but, but like, but it was Clooney. It was, but but like the, the, the, the, the original, it was Clooney, it was uh, uh, Sherry Stringfeld, it was um, um, uh, Eric Lesal. It was Juliana Margolis, it was Noah Wiley, and it was Anthony Edwards. So like, Jeff: Oh, my favorite Timber Christina: and I was gonna say ironically going into when er came out, like the, the name was Anthony [00:52:00] Edwards, like, he was like number one on the call sheet, right? Like Clooney I think was like four. Um, and, and then, and then Clooney because he’s a good guy, like blew the fuck up and then still did them a solid and did like a full freaking five years on that show, Jeff: Yeah, which is awesome. Christina: he did not, David, David Caruso, it like David Caruso, who famously like had one, you know, big season of NYPD Blue fucks off to go do a movie career. The movie career implodes, there’s a clause in his contract because A, b, C was so furious about how the way he quit NYPD Blue, that they were like, okay, well you can’t do any television for x number of years. And then his movie career dies and then he has to like come like hat in hand to like CSI Miami. Jeff: Yeah. Yeah. Well I love the pit and this thing that surprised me is the thing I always stayed away from is like I can handle gore in almost every context except real life. And so like I can do all the gore of the Walking Dead. I can do all the gore of Game of Thrones or something, but like, I was like, I don’t know if I want, [00:53:00] yeah. Gore. I love it. I mean, I love it. ’cause I’m fascinated. I’m just fascinated. I’m like, oh, that’s what it looks like when you do that. Like, right. Like you just snip the fingertip off. That’s what it looks like when you do that. Like, Christina: no, Jeff: the first Christina: they show some of the stuff, Jeff: yeah, the first half. I did this every time I covered my face whenever it was like that. And then all of a sudden I could handle it. And I was like, this is fascinating. This is totally Christina: What episode are you, are you up to? How many do you Jeff: I actually, I only have 15 left. I have the last episode left. Um, and unfortunately, like we’ve had, like my brother’s, not unfortunately, my brother’s been, we had stuff every night until late for like three or four days. And I’m so ready to watch that thing. And now, now my wife’s going outta town, so I’m not sure we’ll even see it for another week. It’s making me crazy. Brett: are you watching it together? And you have to wait for her. Jeff: Yeah. Well, and we, and, and sometimes it’s easy for us to find a show together and sometimes there’s just a long dry spell. And so it’s also just like nice. It’s just nice to have a show together always. Um, and so it’s the combination of like, that’s just nice to do and I’m right at the end and I’m just ready to Christina: And you just wanna do that together? [00:54:00] Yeah, no, it makes sense. Season Two and Other Shows Christina: Um, I, I’m, I’m curious to see what you’ll think of season two. Um, I, I, um, it’s, it’s different in some ways. It doesn’t have like the, the, I’m not spoiling anything, but like, it doesn’t have like a big like, catalyzing event, like, like season one does. Um, but I still think it’s, it’s really good TV and, uh, yeah, definitely one of my favorite shows, um, hacks is Back for its final season. That’s definitely one of my favorite Brett: That Jeff: I never Brett: good. I, I finished season one. Um, I think there’s three seasons or is there more? Christina: This, it is now in its fifth season. Yeah. Brett: Okay. Yeah. I, I finished season one and then kind of forgot about it, and then I just saw some trailers for the new season and thought, oh, I should get back into this. It looks, it looks like it, it, it looks like it did well, um, Christina: No, I mean, shrinking. Yeah. Brett: I was gonna say, the new season of shrinking is really good too. Christina: Yeah, it is. Yeah. Um, well, well, uh, bill Lawrence is, is, uh, who created that and he created Scrubs and Spin City and [00:55:00] some other things. Like he’s, he’s really, really, um, good. He also did Rooster, which is now on HBO Max. Um, but, oh, the Scrubs Revival. Speaking of, of new shows, I don’t know if it’s gonna get like renewed because it hasn’t been renewed yet. And so I’m a little bit concerned that it hasn’t been renewed yet, and I only did nine episodes for the first season. But the, the Scrubs reboot, revival, whatever you wanna call it, and I say this is somebody who was a huge scrub fan. I, I don’t consider the, the final season to be scrubs like that. It is not part of Canon to me. Like, I feel like that, that, that wasn’t it, but I thought they actually did an amazing job, um, with the, with the reboot. Like I actually. And, and it was hard for them too because John c McGinley is on Rooster and, um, uh, Judy Reyes is on, um, uh, high Potential. And, um, so, you know, the only like, you know, main characters from the original that they have back in every single episode [00:56:00] are, um, uh, Elliot, JD and Turk. Um, but, uh, and then, and then you see, you know, kind of like, like Carla just isn’t in the office sometimes, but she has some guest appearances. Um, but they actually managed to, to do this, they managed to do like a next generation type of story, but still focused on like the main characters you love, but still kind of bring in like new younger doctors in like a way that I’m genuinely really impressed with how they did it. And, and like it kept the heart and kind of the, the feel of the original, like I, it, it was, I was very, very impressed that they were able to recapture. What made that show so good, um, for, its, I guess they’re calling it its 10th season, but, um, I, I really hope that it comes back because that’s a really good show. Brett: Speaking of reboots, um, they’re rebooting, um, Malcolm in the middle, Jeff: I Christina: Yes, they did. [00:57:00] Yeah. They did a four episode thing. Brett: but what I saw an, I saw Hot ones versus with, um, uh, Frankie Muni and whatever. How Christina: Yeah. Brian Cranston. Who, Brian Cranston. Who, who was, who was the, the father of, of, of Mel King on the pit. Brett: Oh, there you go. Jeff: is so cool. I love her so much. Brett: but anyway, they’re talking about why Dewey wouldn’t come back and basically he was like, I haven’t acted since I was nine. He’s like, he is busy. He is got a life Christina: He’s in grad school, like he went to Harvard and stuff like, like, he’s like, uh, I, which I, I love. And I’m like, okay. You know, I mean, I would’ve loved to see Joey too, but I don’t blame him for being like, no. Brett: Yeah. Jeff: Yeah. Yeah. Brett: neither, neither did the other actors, I don’t think. I think, uh, it, it wasn’t necessary to Christina: no, I was gonna say he wasn’t because Brett: the Yeah, Christina: mean, look, they were able to do Fuller House without the Olson [00:58:00] twins who were a much bigger part of that show Jeff: Fuller Christina: ever was. And, and I, I, I’m not even like defending Fuller house. Like it was, it was fine. It was whatever. But like, even that, you were like, there were enough characters where you’re like, okay, so, so Michelle isn’t here. And that would’ve been weird, to be honest. I don’t think that, like I know that everybody would’ve loved having the cameo, but it’s like, how in the hell are you gonna have the Olson twins, like as adults, even in a cameo on Fuller House without just completely taking you out of the whole thing. You know what I mean? Brett: Yeah. Christina: Like, it just, it just wouldn’t be possible. But Gratitude App Picks Brett: we try to fit in a gude before Jeff: Should we grab, Christina: yeah. Let’s do a gratitude. Brett: Um, I can kick it off. I got one I’m excited about. Um, found this app called Bezel. Um, I needed to do iOS screenshots and I needed to do iOS recordings, and I played around with using Screen flow and screen Studio and Camtasia, and I didn’t like [00:59:00] any of the ways that they recorded iOS movies. And then I found Bezel and I mean, c So screen recording built into iOS, in my opinion, is better than any of the like screen casting apps can do. Um, but bezel, if you, if you hard co hardwire your phone to your computer and turn on screen, mirroring it can record. Perfect. Um. iOS recordings, and it’s really good at just taking screenshots with a single key key command. You get a screenshot with a bezel like the outline of the phone and a desktop background behind it. So I can just hit command S as I like, move through my phone, uh, and then my right hand on my phone, my left hand on my keyboard, and I can get a dozen iOS screenshots in five minutes, and they’re ready to go, like ready to [01:00:00] publish. It’s really nice. Jeff: That’s really awesome. I’m gonna try that. Christina: Same, same. Do you have one Brett, or do you want me to, or uh, Jeff do or do you want me to go. AI Tools and Claude Code Jeff: Uh, I’m happy to go. Um, so this is, this is, uh, an easy one in a way, but I, I wanna be specific about what’s been so useful. So I’ve been using cloud code and vs code forever. I mean for the last, I’d say two or three months. ’cause I’ve got really, really deep into using cloud code actually for qualitative work. Um, but also a totally bananas project I built that has both a. Physical component and a heavy duty code component, which I’ll talk about sometime. Um, but, um, I, and I’ve used the desktop app for cowork and for like just the standard chat and I’ve loved that, but I never used it for cloud code until this latest update, which added like a really amazing interface for cloud code. Um, which is kind of my gratitude is that tab of the desktop app, which like, when you open it up, it gives you like just an awesome little like, work summary of like comedy sessions [01:01:00] you’ve had, how many total tokens you’ve used, like overall the last 30 days, the last seven days, what your peak hour is your longest streak. It has the like GitHub, like little chart that fills in. Um, and, uh, and, and that’s like been really cool to see. Um, and you can also see your usage of various models. It’s just a nice little thing that pops up. And then when you’re actually working, it’s really amazing because you can pull up these sidebars that have like diffs or like a preview or you can just get a terminal open in there. Um, and I have. I have loved that. I still like feel more at home in the VS.

Most of medicine is built around snapshots. You feel something, you test for it, and by the time you find it, you're already behind. But what if the problem isn't the test—it's how we use it? In this episode, I sit down with physicist and imaging pioneer Dr. Daniel Sodickson, Chief Medical Scientist at Function Health and author of The Future of Seeing. We break down why tools like MRI are shifting from one-time scans to something far more powerful: tracking your health over time. Watch the full conversation on YouTube, or listen wherever you get your podcasts. In this episode, we cover: • Why waiting for symptoms puts you behind—and how to get ahead • What an MRI can reveal about your body that bloodwork can't • How tracking your health over time helps you catch problems sooner • Why having a baseline could change the way you make health decisions • What it means to shift from reacting to disease to actually predicting it When you stop looking at a single result and start looking at patterns, you can catch changes earlier, reduce false alarms, and better predict where your health is headed. View Show Notes From This Episode Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman's Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive This episode is brought to you by BON CHARGE, Maui Nui, Sunlighten, Paleovalley, Fatty15 and BIOptimizers. Head to boncharge.com/hyman and use code HYMAN for 15% off. Go to mauinuivenison.com/hyman to claim your free 6-pack of their Wild Axis Venison Jerky Sticks. Visit sunlighten.com and use code HYMAN to save up to $1600 today! Head to paleovalley.com/hyman to save 15% off your first order today. Head to fatty15.com/HYMAN today and use code HYMAN for 15% off your 90-day subscription Starter Kit. Head to bioptimizers.com/hyman and use promo code HYMAN at checkout to save 15%. (0:00) Introduction and overview of modern medical imaging (3:26) Discussion with Dr. Daniel K. Sodickson begins (3:45) Full body MRIs: Benefits, risks, and the inspiration behind "The Future of Seeing" (7:52) Extending senses and paradigm shifts in imaging technology (14:55) Longitudinal imaging and its benefits (19:17) Future of personalized health data and imaging technology (23:54) Addressing information overload and reducing false positives through AI (28:33) Cost, accessibility, and innovations in imaging techniques (32:00) Vision for ubiquitous and continuous health scanning (33:30) Imaging vs. blood work: Comprehensive health assessment (35:29) Real-life examples and early detection through imaging (39:27) Historical context and real-time health data collection (41:46) Who should get baseline MRIs and scan frequency (47:26) The everywhere scanner: Future implications and cancer detection (52:35) Medical intelligence and transforming health monitoring (57:47) Preventive measures, early detection, and course correction (1:00:30) Medical intelligence labs and the future of healthcare (1:03:32) Future of personal data-driven healthcare and closing remarks

Familiarity with the clinical, MRI, CSF, and serologic features of MOGAD can help neurologists recognize this condition in clinical practice. Awareness of the utility and pitfalls of the MOG antibody test is critical. The current therapeutic approach is guided by retrospective studies and the application of immunotherapies used in other autoimmune neurologic disorders. In this episode, Gordon Smith, MD, FAAN, speaks with Eoin P. Flanagan, MBBCh, coauthor of the article "Myelin Oligodendrocyte Glycoprotein Antibody–Associated Disease" in the Continuum® April 2026 Multiple Sclerosis and Related Disorders issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Flanagan is a professor of neurology and the division chair of the Division of Multiple Sclerosis and Autoimmune Neurology in the Department of Neurology at Mayo Clinic in Rochester, Minnesota. Additional Resources Read the article: Myelin Oligodendrocyte Glycoprotein Antibody–Associated Disease 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: @GordonSmithMD Full episode transcript available here Dr Smith: So, what neurological disorder can cause bilateral optic neuritis, transverse myelitis, ADEM, or can mimic acute flaccid myelitis, intracranial hypertension, viral encephalitis, or cause seizures? Sounds like the great imitator, perhaps. If you want to know and learn more about this syndrome and how you can treat it---and it is very treatable---keep listening. My name is Gordon Smith, and today I have the great opportunity to talk with Dr Eoin Flanagan from the Mayo Clinic on his article on myelin oligodendrocyte glycoprotein antibody associated disease, or MOGAD, which is in the April 2026 issue of Continuum on Multiple Sclerosis and Related Disorders.  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 Smith: This is Dr Gordon Smith. Today I'm interviewing Dr Eoin Flanagan about his article on myelin oligodendrocyte glycoprotein associated disease, or MOGAD, which appears in the April 2026 Continuum issue on multiple sclerosis and related disorders. Eoin, welcome to the podcast, and please introduce yourself to our audience.  Dr Flanagan: Yeah, thanks so much. I'm Eoin Flanagan. I'm a neurologist at the Mayo Clinic. I'm originally from Ireland. I work in the neuroimmunology lab at the Mayo Clinic, and work and see patients with MS, MOG, and autoimmune disorders here in Rochester, Minnesota.  Dr Smith: Your article is super interesting, I think, and this has been a really rapidly evolving area over the last, you know, many years. We have many more antibodies, and MOG is something that's been around for a while, but we've certainly learned a lot more about it. This is a topic that I think will be familiar to most of our listeners, but I wonder if maybe you can just begin by laying the foundation. Like, what is MOG? What's its typical presentation?   Dr Flanagan: So, MOG is a protein on the surface of the oligodendrocyte or its CNS myelin, and it was always of interest as a potential antibody target, and initially it was investigated in multiple sclerosis. But subsequently, we recognized that the antibodies to MOG have a specific syndrome, of which about a quarter of patients are pediatric and then the remainder are adults. And they can present with a variety of syndromes, probably most commonly optic neuritis, but also acute disseminated encephalomyelitis, or ADEM. Transverse myelitis can also occur, and then some other unusual brain and brainstem cerebellar syndromes can also occur.   Dr Smith: I was really impressed in the very broad phenotypic spectrum of MOG. We'll talk more about that, of course. But I wonder if maybe you can tell us when we should be ordering MOG antibody? Given this broad variability, does anyone who has a CNS demyelinating disease need a MOG assay, only specific phenotypes? What guidance do you have for our listeners?   Dr Flanagan: Yeah. It's a great question. So, I think you have to be a little bit careful because the MOG antibody test is a little bit sticky. So sometimes we can see some low-positive false positives. So, we don't wanna order it in every single patient with classical MS. So, I suppose we'll start with who not to order it in. I think it's also a very optic nerve- and optic neuritis-central disease, so I think you really need to be considering this in a patient with optic neuritis who does not have lesions in the brain suggestive of multiple sclerosis. And then we think about some of the features: if the lesion, the enhancement along the optic nerve is long, if it's bilateral, if there's a lot of optic disc edema accompanying that, we tend to think about MOG antibodies. And then children with demyelinating disease, MOG is over-represented in that cohort, so it accounts for about a third of those. So, if you have a child with CNS demyelinating disease, particularly if they're under twelve, with ADEM presentations or other presentations, you probably want to be ordering the MOG antibody test. And then a longitudinally extensive transverse myelitis in adults, certain types of cerebral phenotypes that we can get into, you would want to consider ordering MOG antibodies too.   Dr Smith: Now, you point out in the article that it's really important that laboratories use the cell-based assay for MOG as opposed to an ELISA, for instance. Is this something folks need to be very attentive to, or are all of the commercial laboratories now using a cell-based assay?   Dr Flanagan: Yeah. I think all of the commercial labs are using cell-based assays, so we don't really get into much of an issue. There are some differences between serum and CSF, so really, serum is the optimal sample to order. There is also some differences between the live cell-based assay and the fixed cell-based assay, where the live cell-based assay may have some advantages in terms of sensitivity. And then CSF is kind of still under evaluation about its role in the condition. So in general, it's a serum test. And then we have to remember that the antibody tends to be highest at the onset, and then it goes down over time. So, if you delay your testing or you're testing a patient long after the condition, it can go negative, for example. So it tends to be highest both around the relapses and particularly at the onset of the condition.   Dr Smith: You mentioned earlier that the test is sticky, which I take to mean that there is some risk for low-titer false positives. How do you navigate that situation? When should we be suspicious about a false positive?   Dr Flanagan: Yeah. I think there's some very useful features that can help you. You know, the main differential diagnosis is going to be multiple sclerosis, particularly in the US, in regions of the northern US where MS is particularly common. So, you really wanna be making sure that if you get a positive result, low positive, that it's not multiple sclerosis. And some of the best discriminating features are CSF oligoclonal bands. They're about 85% in MS and about 15% in MOG, so an easy number to remember, 85 and 15. And then the lesions in MOG, the brain lesions, tend to disappear over time. So, if you have the advantage of that follow-up MRI a year down the line, about 70% of lesions in MOGAD will resolve, while in MS, as we know, the term means multiple scars, so the MS lesions tend to persist over time. So, they are two quite useful features that can help discriminate.   Dr Smith: And how about specific phenotypes or areas of involvement or imaging abnormalities that suggest MOG? One of the things I found really interesting in your article is there are a host of different syndromes that I think had largely been previously described, many of them, that became clear later that these were really tied to MOG antibodies. Presumably, that's helpful in interpreting the antibody assay in that patients who have, perhaps, a borderline low titer, for instance, but have a very typical phenotype are more likely to have MOG than those who have a more clearly MS-type phenotype.   Dr Flanagan: Yeah, absolutely right. Yes. So, there's certain phenotypes that we don't tend to see with MS. The acute disseminated encephalomyelitis, or ADEM, is one that's particularly common in children. And about half of people that have ADEM will be positive for the MOG antibody. So that's a syndrome you need to look out for, which would be often in children, encephalopathy, and they would have multifocal white matter lesions, sometimes involving the gray matter. A second syndrome that was an interesting discovery from a Japanese group was this unilateral cerebral cortical encephalitis, where patients can have this swelling and T2 hyperintensity, often just on one side of the brain. And it's in the cortex, and some of those patients won't have any white matter lesions. And in that situation, it's important to order the MOG antibody, and that seems to be a specific phenotype of MOGAD. But sometimes people don't think about it because the white matter is not involved. So, if you see these patients, they often present with seizures, sometimes they even have fever accompanied by it. And if you see those patients and see this radiological feature, then you really want to consider ordering the MOG antibody too.   Dr Smith: Yeah, I found that really interesting. And I- actually, my next question is perhaps a good follow-up on that, is, what are the diagnostic pitfalls? You give a lot of examples of situations and I think some cases where it's easy to get tripped up and misdiagnose someone who has MOG with another fairly common neurological problem.   Dr Flanagan: Yeah, I think some of the things that can help you when you're determining if the MOG is a true positive or false positive is the level of the antibodies. The super high titers, if it's a clear positive or very strong positive, the likelihood is that that is much more likely to be MOGAD than those low positives just above the cutoff. So that can be useful to help you discriminate from false positives. Those lesions, again, if all the lesions persist over time, that's going to be more suggestive of multiple sclerosis. Other diagnostic pitfalls, I suppose, if it's a syndrome that's not really associated with MOG, like peripheral neuropathy or other syndromes where we'll see some case reports, but usually I would be very cautious about those kind of presentations. So usually, having the antibody at a high level, and then also if they've had other symptoms suggestive of MOGAD, like if a patient has had recurrent optic neuritis and then they have an unusual brain syndrome, or they start out with an unusual brain syndrome and then have recurrent optic neuritis. You know, there are situations that make it more likely if they're having other typical phenotypes of the MOGAD where we can kind of expand the spectrum, but we have to be careful.   Dr Smith: I was really curious about the dynamic imaging findings. And you point this out both in terms of the resolution of imaging findings, but also in that patients who have an acute MOG syndrome often have very rapid evolution of the imaging abnormalities. I'm just curious, you know, why is that, and what do you make of it? Does it have a mechanistic implication, do you think?   Dr Flanagan: I don't think we know for sure. I think there's probably a lot more happening than we see on MRIs sometimes. What sometimes can happen in about 10% of patients is the initial MRI can be normal. We don't tend to see that with multiple sclerosis or NMOSD. Then what we see is it evolving over time. So, at that time, if you do a CSF, you'll often see inflammation, but we don't see the lesions. Now, that might be because the MRI is not very good at picking up cortical involvement. That can be difficult to see in MRI. Or there could be other factors. It could be a functional effect on the MOG but without frank demyelination yet, for example. Or there could be edema that you- myelin edema that you can't see as a lesion yet on MRI. But we do see that if you repeat the MRI, sometimes it'll change a lot. So, you may go from one or two lesions on the first MRI to twenty lesions on the second MRI a week later. So, it does tend to change a lot. And then over time, those lesions also resolve. So, what I say is if it's a very suspicious situation---like a child comes in with new-onset encephalitis, has inflammatory CSF---you might wanna consider repeating that MRI down the line and seeing if it's changing. And then over time, you know, a repeat MRI a year after the onset when there's brain or spinal cord lesions can be very helpful just to make sure you're on the right track, because lots of those lesions will then disappear, and that's a very clear discriminator from multiple sclerosis.   Dr Smith: Yeah, thanks. I mean, I was wondering the same thing about whether that particular feature might imply, you know, a functional abnormality as opposed to more of a structural abnormality. So probably a lot more to learn as we move forward. There are now consensus diagnostic criteria that were published a couple of years ago. I think you've already touched on kind of the general approach, but do you want to speak to those? I found your summary pretty helpful.   Dr Flanagan: Yeah, I think that those criteria are quite useful. They have three main parts to them. The first part is having a characteristic clinical syndrome. So, we talked about ADEM, we talked about cerebral cortical encephalitis, transverse myelitis that's often longitudinally extensive, and optic neuritis being the main syndromes, but sometimes other brainstem or cerebellar involvement can be seen. And then the second part is having a positive MOG antibody. And then there's some caveats there. So, if you have a high positive, then you don't really need any additional supportive criteria. On the other hand, if you're low positive, to get at those sticky antibodies that make sure it's not a false positive, you need some additional supportive clinical or MRI criteria. Or if you're only positive in CSF, you need that additional criteria. You also need to be negative for the aquaporin-4 antibody, because they can overlap clinically. And some of those supportive criteria are things that we talked about a little bit earlier, longer lesions within the optic nerve, bilateral involvement, involvement of the nerve sheath or optic disc edema. This is a situation, MOG antibody disease, where your fundoscope is useful and looking in the back of the eye and seeing swelling, because we don't tend to see that quite as often. It's less common in multiple sclerosis, but we often see prominent edema in MOGAD. And then in the spinal cord, the lesions tend to be central in the cord. Sometimes they form this H sign where it's restricted to the gray matter, and they tend to be longer, sometimes involving the conus. Patients will often have neurogenic bowel or bladder. And then in the brain, deep gray involvement, those large lesions along the cortex with swelling are some of the typical features. And then the final step is exclusion of another diagnosis. Just like with any test that we do in neurology, our final step is going to be to put that into context. So that's just a normal thing that we will always do when we get a group of test results back that we don't know what it means. We have to put it into context. So, make sure it's not multiple sclerosis, everything else does not look like multiple sclerosis, and then you can be on your way to make a diagnosis.   Dr Smith: Definitely encourage listeners to read your article. I guess I say that with every time I- or with everyone I talk to for Continuum Audio, but the images are really fantastic and the cases are fantastic. So, everything you've described is well-illustrated, including really nice schematic sort of diagrams that help differentiate NMO from MOG and MS. So, if you like MRI scans and good imaging frameworks, then this is the article for you.   Dr Flanagan: I think that's true, and the other thing is that the imaging is quite helpful because it takes a while for that antibody to come back. We're lucky at Mayo Clinic, if you work here, it, it comes back faster for you. But for many places, that time of sending it in, so a lot of times you don't know right away. So, looking at scrutinizing that MRI can be very helpful to guide you on your way and to know what you're dealing with and how to approach both the acute treatment and plans to have potentially a steroid taper after the acute treatment and those kind of things that can help guide you in that regard.   Dr Smith: Yeah. So, let's talk about treatment. You know, what's your approach to treating a patient who has an acute demyelinating syndrome related to MOG?   Dr Flanagan: So similar to other things, MOG is very steroid responsive. So, we use high-dose IV methylprednisolone in adults. That would be one gram IV for five days. And then we also will sometimes use oral steroids, twelve hundred and fifty milligrams. That's a bit of a hassle because it's twenty-five fifty-milligram tablets, it doesn't come in a larger tablet version. But it's very helpful to patients because they can get started on it right away. You don't have to set up an infusion center. So, we have used those oral steroids often in people who don't have access to an infusion center, are not in the hospital. And particularly as it's often optic neuritis, some of those patients are seen in the outpatient setting, so we can get in with treatment quickly. In patients where it's more severe, it doesn't recover quickly with steroids, then we would consider escalating to plasma exchange as our second-line treatment, and there's some retrospective data that suggests that plasma exchange can be useful. That's gonna be particularly for those people who don't have that quick response to steroids, or maybe more severe phenotypes like that brain involvement with ADEM or cerebral cortical encephalitis, where those patients might be in the hospital and quite unwell. I will say, we might get on to this, that sometimes MOG can be very, very severe and even fulminant, where there can be increased intracranial pressure, and these patients can be in the ICU, and it can be life-threatening. And so, it's really important to treat those patients aggressively, and some patients have even required hemicraniectomy or additional treatment. Sometimes IL-6 blocking medications have been used in that situation. So, monitoring and treating increased intracranial pressure in those rare patients, probably 2 or 3% that have the very severe attack, is important.   Dr Smith: I think one of the things I found interesting, and then I'd love to get your feedback on this, is that most patients with MOG seem to have a very readily treatable disorder that's monophasic, right? You treat them with steroids, and they do well. On the other extreme, there are these patients that have a much more malignant presentation, and there are some that sound like they benefit from prophylactic or some chronic therapy. What's your approach, right? In MS, we do serial scans to monitor, and obviously, our patients are on, you know, chronic disease-modifying therapy. How do you decide when you're going to provide some sort of prophylactic therapy? How do you monitor it? How long do you continue it?   Dr Flanagan: That's a great point. We don't know for sure yet, but I think for the most part, our approach has been if the patient has a single episode, they recover well from that episode. So, if that's optic neuritis, they're back to twenty/twenty vision. They have recovered well. We don't tend to use chronic maintenance immunotherapy. Sometimes after the first attack, we'll do a little bit of a slow taper, maybe over four, six weeks. We have done longer than that. And then we won't place them on any long-term treatment, because it's about 50% of patients that may have a monophasic disease, so we don't want to treat all those people who are destined never to have another relapse. On the other hand, if a patient had a very severe episode, they're in the ICU, they're intubated, some of those patients then afterwards we will start them at least temporarily on an attack prevention medication for at least a few years to get them through. Some patients will be very fearful of future relapses in that situation. Or if they don't recover well, if they're blind in one eye after an episode and then their other eye is vulnerable, or they're left with some residual deficits neurologically from a myelitis, then we would often sometimes put those patients after the first attack. But most of the time, we're gonna wait and see if they get that second attack, and then once they have the second attack, that is when we would consider a steroid-sparing medication. But I will say that there's no proven medications. We don't have any clinical trial data available yet. So some of those patients with relapsing disease, we'll either try to enroll them in a clinical trial, or we'll use an off-label treatment to try and manage their disease based on what we've learned from neuromyelitis optica or from multiple sclerosis. A few different options seem to be better, and we can maybe get into that too.   Dr Smith: Yeah, let's go there. So, what options are there? You mentioned in more fulminant disease IL-6 inhibitors, and by that I assume you mean tocilizumab, but what are the options when you want to use prophylactic therapy?   Dr Flanagan: So, that tocilizumab can be beneficial in the very acute situation, in that malignant situation. But also as an attack prevention treatment, the IL-6 blockers seem to- some of the retrospective data seems to look like it works reasonably well, so we work and see if we can get that approved. Another medication that can work well is IVIG or subcutaneous immunoglobulin as a maintenance treatment, so we would sometimes give that, like, at least one gram per kilogram once a month. The benefit of that is it doesn't lower your immune system, so there's some advantages there, particularly in people who may be more prone to infections, older people. So, we'll sometimes use that. But we do get into a lot of challenges with insurance coverage, and it can be difficult to get these approved by insurance because we only have retrospective data out there. So then for some patients, if they're in a region where there's a clinical trial available, we might try to enroll them in a clinical trial. And there are some clinical trials underway now, so hopefully in the future we'll be able to have some FDA-approved medications that can have some Class 1 data that we can follow. Because it's hard when you're just following retrospective data or anecdotal reports, it's a little bit difficult to know exactly how well you're doing with your treatments.   Dr Smith: Well, Eoin, I wonder if we could finish up by just looking into the future, right? I mean, it sounds like a fun patient population to take care of because you've got lots of great therapies and can have a durable impact. But sure would be nice to have more evidence-based therapies and an FDA approval. What trials are going on? What's the future look like?   Dr Flanagan: Yep. So, there's some trials going on in the- a couple of worldwide trials. One is on an FCRN blocker called rozanolixizumab, which is kind of like a plasma exchange-type treatment which removes your antibodies, and it's a weekly subcutaneous treatment where adults are enrolled. And the second one is called satralizumab, which is another IL-6 blocking medication. And again, that one's given once monthly under the skin. And the trial for that also includes children down to age eighteen, so for adolescents, too, that can be an option. There are trials, I believe, in Asia for tocilizumab too, and there's one starting in Australia for rituximab. So, the good news is that we're going to have some really good data down the line for lots of different agents, and we'll be able to figure out which treatments work. And this will be really of great benefit to our patients when we get that Class 1 data to kind of guide us on what we should be using and really build on the success of some of the other conditions like neuromyelitis optica spectrum disorder, where we now have four or five approved, medications that work very well.   Dr Smith: Well, Eoin, thank you. This is a great conversation. I will say that it... the topic that I was a little intimidated about. I'm a simple peripheral nerve guy, as you know. But I think moreso than any other Continuum article I've read recently, I'm, like, loaded for bear. I can't wait to go back on the inpatient service and look for some MOG patients, because your article really left me feeling kind of prepared to think through this in a clinical setting. So, thank you for the conversation, and congratulations on a really wonderful piece for Continuum.   Dr Flanagan: Yeah, thanks so much. Always a great honor to be involved in the Continuum, and thanks to all the readers out there.   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. Dave Clarke returns to Ditch the Labcoat to dig deeper into something medicine still doesn't talk about enough: what happens when your body creates real, debilitating symptoms but there's nothing structurally wrong.This isn't about imaginary illness or psychosomatic complaints. This is about the brain physically changing in response to stress, trauma, and unresolved emotional burdens, and manifesting those changes as chronic pain, migraines, irritable bowel syndrome, fibromyalgia, chronic fatigue, and dozens of other conditions that standard medical tests can't explain.Dr. Clarke walks through what neuroplastic treatment actually looks like. How he identifies patients whose symptoms stem from adverse childhood experiences, current stressors, or past traumas they've buried so deep they don't even recognize the connection. How he helps them see that their bodies are okay, their brains have just learned to create symptoms as a warning signal. And how, once that fear is removed and the real stressors are addressed, symptoms that have plagued people for years can resolve. Sometimes dramatically, sometimes over time with therapy.The conversation challenges everything medicine teaches about the link between pathology and symptoms. Why do ten people with identical "bone-on-bone" knee arthritis x-rays experience completely different levels of pain? Why do half of people over 40 have abnormal spine MRIs but no symptoms at all? Why do patients get told their spine is "abnormal" or they have Ehlers-Danlos or chronic Lyme when the real issue is unprocessed trauma from childhood?Dr. Clarke also addresses the system failures that keep neuroplastic treatment on the margins. Why physicians trained to think about organs and structures struggle to diagnose conditions rooted in the mind. Why patients resist the idea that their pain could be brain-generated, even when it's the only explanation that fits. And why collaborative care between medical doctors and trauma-informed mental health professionals is the most cost-effective intervention we're not using.If you've ever wondered why so many people have unexplained symptoms, why standard treatments fail them, or what actually works when medicine runs out of answers, this episode will reframe how you see chronic illness.Dr. Dave Clarke's Website:  https://www.symptomatic.me/Episode Takeaways1. Neuroplastic conditions are not imaginary. The brain has physically changed in response to stress or trauma, creating real symptoms in the body.2. Over 40% of people who present to primary care have medically unexplained symptoms, and at least a quarter to a third of adults experience neuroplastic conditions.3. More than half of people over age 40 have abnormal spine MRIs with zero symptoms, proving that structural abnormalities don't always correlate with pain.4. Pain reprocessing therapy starts with reassurance: your body is okay, you don't need to fear lifelong disability, and shifting attention from body to mind begins reducing symptoms.5. Adverse childhood experiences (ACEs) are often subtle. Not just physical or sexual abuse, but emotional neglect, perfectionism, or growing up in chaotic households create lasting neuroplastic effects.6. The key to uncovering hidden trauma: ask patients to imagine their own child growing up exactly as they did. This reframe helps them see experiences they minimized as actually harmful.7. Collaborative care between medical doctors and trauma-informed mental health professionals produces the best outcomes and is highly cost-effective, reducing ER visits and healthcare utilization.8. Resources are now widely available: apps (Curable, Nirvana, Digestible, FreeMe), self-help books, the Association for the Treatment of Neuroplastic Symptoms (symptomatic.me), and trained providers worldwide.Episode Timestamps03:45 – What Neuroplastic Treatment Actually Looks Like07:09 – The Stress Evaluation: Finding the Link Between Trauma and Symptoms13:35 – How to Get Patients to Believe Their Brain Creates Physical Pain18:55 – Placebo, Nocebo, and Why Pain is Always Generated by the Brain24:46 – Conditions That Benefit from Neuroplastic Treatment29:35 – Why the System Still Doesn't Believe This36:53 – How to Uncover Hidden Childhood Trauma46:45 – Resources for People Who Can't Access Specialized CareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Question and Response #76 You asked… so we answered. What do carbon chains have to do with Greek words? How do MRIs make “3D pixels”? Is that pool smell actually chlorine? And wait… are birds blue, or is that just a trick of the light? This episode is a rapid-fire round of your questions, and the chemistry behind them. Support this podcast on Patreon Buy Podcast Merch and Apparel Check out our website at chemforyourlife.com Watch our episodes on YouTube Find us on Instagram, Twitter, and Facebook @ChemForYourLife Timestamps 0:00 – Intro + “Ask a Chemist” episode setup 1:20 – Listener shoutout + why we love your questions 2:20 – Why a 20-carbon chain is called “icosane” (Greek roots) 6:00 – MRI “3D pixels” explained (and the Minecraft analogy) 9:20 – What is a particle accelerator actually doing? 12:40 – Can we really taste CO₂? (and Pop Rocks teaser) 13:40 – Why birds look blue (without blue pigment) 16:20 – “Isn't this physics?” + bird stories from listeners 21:30 – Pool chemistry questions: chlorine, salt, and safety 22:20 – What that “pool smell” actually is 23:30 – Why pool chemistry feels different from “real” chemistry 27:00 – Stabilized chlorine + lingering pool mysteries 28:50 – Wrap-up + how to send in your questions Support this podcast on Patreon Buy Podcast Merch and Apparel Check out our website at chemforyourlife.com Watch our episodes on YouTube Find us on Instagram, Twitter, and Facebook @ChemForYourLife References from the Episode: Thanks to our monthly supporters Bri Summer Alden Amanda Raymond Kyle McCray Justine Ash Vince W Julie S. Heather Ragusa Autoclave Dorien VD Scott Beyer Jessie Reder J0HNTR0Y Jeannette Napoleon Cullyn R Erica Bee Elizabeth P Rachel Reina Letila Katrina Barnum-Huckins Suzanne Phillips Venus Rebholz Jacob Taber Brian Kimball Kristina Gotfredsen Timothy Parker Steven Boyles Chris Skupien Chelsea B Avishai Barnoy Hunter Reardon Support this podcast on Patreon Buy Podcast Merch and Apparel Check out our website at chemforyourlife.com Watch our episodes on YouTube Find us on Instagram, Twitter, and Facebook @ChemForYourLife Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Some private clinics in Canada are offering whole-body MRIs that can run thousands of dollars. They claim these scans can detect a range of issues, and can find cancers in the early stages. Dr. Iain Kirkpatrick, the head of radiology at St. Boniface Hospital in Winnipeg, explains what a whole-body MRI can - and can't - tell you about your health.

Jase, Al, and Zach dive into the growing buzz around end-times prophecy and rising global tension, making the case that what Jesus finished on the cross reshapes how Christians should see it all. The guys explore why so many people still misunderstand the role of the temple and what it means to live under a new covenant. A chaotic mix of travel mishaps, MRIs, and a golf-game breakthrough turns into a surprisingly sharp lesson about changing your approach when something isn't working. In this episode: 1 Corinthians 7, verses 1–5; Genesis 2; 1 John 2, verse 5; 1 John 4, verses 12 and 17–21; 1 John 5; John 19, verses 28–30; Luke 24; Romans 8; Hebrews 2, verses 10–11; Hebrews 5, verses 7–9; Hebrews 7, verse 11; Hebrews 7, verse 28; Hebrews 8; Matthew 24; Numbers 19, verse 9; Ephesians 2, verses 1–22 “Unashamed” Episode 1311 is sponsored by: https://ruffgreens.com — Get a FREE Jumpstart Trial Bag for your dog today when you use promo code Unashamed! https://bravebooks.com/unashamed — Use code UNASHAMED for 20% off your first order! Check out Zocdoc and stop putting off those doctors appointments. Go to https://zocdoc.com/UNASHAMED to find and instantly book a top-rated doctor today. http://unashamedforhillsdale.com/ — Sign up now for free, and join the Unashamed hosts every Friday for Unashamed Academy Powered by Hillsdale College Listen to Not Yet Now with Zach Dasher on Apple, Spotify, iHeart, or anywhere you get podcasts. Check out At Home with Phil Robertson, nearly 800 episodes of Phil's unfiltered wisdom, humor, and biblical truth, available for free for the first time! Get it on Apple, Spotify, Amazon, and anywhere you listen to podcasts! https://open.spotify.com/show/3LY8eJ4ZBZHmsImGoDNK2l Chapters 00:00 Why Zach's Wife Has a Metal Plate in Her Head 06:08 Some People Aren't Meant for Athletics 11:53 The Wildest Church Sex Talk Ever 18:10 What 1 Corinthians 7 Is Really Saying 23:24 Jesus Finished What the Law Couldn't 30:41 Finished vs. Perfected in 1 John & Hebrews 37:24 Iran, Israel, & the Real Christian Battle 42:45 A Prophesied Perfect Priest  52:03 The True Temple Is Built in Christ — Learn more about your ad choices. Visit megaphone.fm/adchoices

In today's episode, I sit down with Dr Alexander, CEO and co-founder of CoreViva, to talk about the power of early detection and why most healthcare is still reactive instead of proactive. We get into how full body MRIs are catching serious conditions before symptoms appear, including dozens of early-stage cancers, and why timing can be the difference between a simple fix and a life-altering diagnosis. Dr Alexander explains how his team built a faster, more comfortable experience with immediate results and clear action plans. We also discuss fear, cost, and why investing in your health might be the most important decision you make.

Michael Flomenhaft, Esq. is the principal of the Flomenhaft Law Firm, PLLC in New York. He is a renowned trial lawyer specializing in traumatic brain injury (TBI) and severe chronic pain. With a unique, deep expertise in neurosciences—including neuroimaging, neurobiology, and the neuroanatomy of chronic pain—Michael bridges the gap between complex brain science and the courtroom. He serves on the Board of Advisors for the Center for Neuroscience and Law at Fordham Law School and was a director of Neurolaw for the Program for Imaging and Cognitive Sciences at Columbia University. A graduate of Boston University School of Law and the Trial Lawyers College, he is passionate about advocating for clients whose brain injuries are often unrecognized or minimized.In this powerful episode, host Bethany Lewis (The Concussion Coach) sits down with attorney Michael Flomenhaft to uncover the challenging legal realities of living with a concussion. They discuss why standard ER scans (CAT scans, MRIs) often miss the white matter damage that causes persistent symptoms, and how this medical gap creates major hurdles in legal cases. Michael explains why a "normal" scan does not mean a normal brain, the progressive nature of brain atrophy, and the invisible emotional burdens of grief, shame, and fear that clients carry. He also introduces advanced imaging (DTI, NeuroQuant) and hopeful therapies like neurofeedback.Resources Mentioned by Michael FlomenhaftContact for Legal Help (New York/New Jersey & Nationwide Referrals):Email: mflomenhaft@brainjusticeny.comPhone: 917-359-8023Website: www.brainjusticeny.comKey Medical & Legal Concepts Discussed:DTI (Diffusion Tensor Imaging): Specialized MRI that evaluates white matter integrity (introduced into US jurisprudence by Mr. Flomenhaft in 2004).SWI (Susceptibility Weighted Imaging): MRI sequence sensitive to microscopic bleeds (hemosiderin).NeuroQuant: FDA-cleared computerized program to evaluate brain atrophy.Neurofeedback: Described as "going to the gym for your brain," a highly effective intervention for re-establishing white matter connectivity and recovering function.Connect with Bethany:Website: https://theconcussioncoach.com/Free Guide: "5 Best Ways to Support Your Loved One Dealing with a Concussion" on the websiteFree Coaching Consultation: https://theconcussioncoach.com/free-consultation

In this episode of Main Street Matters, Elaine Parker sits down with Dr. Lee Gross, president of Docs for Patient Care Foundation, to break down how America’s healthcare system became bloated, expensive, and inefficient—and what can actually fix it. Dr. Gross shares how direct primary care (DPC) is transforming healthcare by eliminating insurance middlemen, lowering costs, and restoring the doctor-patient relationship. From $2,000 lab tests costing just $80 to MRIs priced at a fraction of traditional rates, this conversation exposes the hidden drivers behind skyrocketing healthcare costs.See omnystudio.com/listener for privacy information.

You probably had a psychoactive drug today and didn't even realize it. In this Jack Westin MCAT Podcast episode, Mike and Molly break down every major class of psychoactive drugs you need to know for the MCAT, including how each one hijacks your synapses, which neurotransmitters are involved, and why some are incredibly addictive.Next episode: Magnetism and how MRIs actually workGet started with our resources!

Podcast Summary Unlock the secrets of AI and redefine your business strategy with insights from Seth Marrs, Sandler's Chief Strategy Officer. We promise you'll gain a clear understanding of how to wield AI's transformative power effectively without succumbing to the hype. Together, we'll navigate the tumultuous terrain of AI adoption, cutting through vendor-driven noise to focus on enhancing business efficiency. Learn how precision-targeted AI processes and smart technology investments can elevate your sales strategies while safeguarding data accuracy. Step into the future of sales training as technology and data investment revolutionize traditional methods. We explore how companies that embrace advanced data structures and generative AI are setting a new standard in sales enablement and leadership. From boosting conversation intelligence to redefining KPIs, discover how these advancements allow sales leaders to coach with precision and free teams from the shackles of outdated forecasting. This episode promises a remarkable journey into the next era of sales excellence, where strategic foresight and data-driven decision-making take center stage. Chapter 1: Introduction and Guest Setup 00:00:02 – 00:01:16 Dave Mattson introduces the How to Succeed podcast and frames the focus on attitudes, behaviors, and techniques. He welcomes guest Seth Marrs, Sandler's Chief Strategy Officer, and teases a discussion on where "the puck is going" in tech and AI for sales and leadership. Chapter 2: The Innovative Revenue Leader Podcast Overview 00:01:16 – 00:02:11 Seth explains his podcast format: deep-dives on a single topic across multiple episodes, featuring varied expert perspectives and a research-driven synthesis. The goal is to provide practical tools and insights leaders can apply to grow revenue. Chapter 3: Actionable Depth vs. High-Level Concepts 00:02:11 – 00:02:59 Dave highlights the gap between conceptual podcasts and actionable takeaways. Seth confirms they publish companion reports, citing one on five AI-driven capacity levers to ensure listeners leave with concrete steps. Chapter 4: The AI Hype Cycle and Vendor-Driven Chaos 00:02:59 – 00:04:56 They discuss the rapid acceleration of technology and AI since 2020 and a vendor-fueled market pushing "AI" everywhere. Executive pressure to "do AI" leads to misaligned investments, often neglecting foundational needs like data hygiene. Chapter 5: Why AI Initiatives Fail and What Works 00:04:56 – 00:06:08 Referencing studies with high AI failure rates, Seth argues success comes from mapping and improving specific processes with AI, not buying tools to fix problems. Proven change still follows process-first, tool-second discipline. Chapter 6: Pressure, Waste, and Upcoming Market Correction 00:06:08 – 00:08:41 Dave notes external pressure to adopt AI creates fear of being left behind. Both anticipate a near-term shift toward smarter, ROI-focused adoption, driven by CFO scrutiny and repeatable success stories clarifying where AI truly adds value. Chapter 7: Overlapping Tools and the "Can It Do It vs. Is It Good?" Test 00:08:41 – 00:10:24 They unpack redundancy in tech stacks (e.g., multiple tools that "write emails"). The real question is output quality and contextual relevance, echoing prior dynamics like using LinkedIn for accuracy and ZoomInfo for phone numbers. Chapter 8: Education Gap and Overpromising Vendors 00:10:24 – 00:11:18 Most practitioners don't understand nuanced tool differences, exacerbated by vendors claiming universal AI capability. This fuels confusion and misaligned purchasing. Chapter 9: Where the Puck Is Going: Data, Infrastructure, and Enablement 00:11:18 – 00:12:49 AI performance will only improve; organizations investing in data and infrastructure will compound gains. Seth predicts a transformation in enablement and training through conversation intelligence and role-play powered by GenAI. Chapter 10: From Training Events to Continuous, Visible Reinforcement 00:12:49 – 00:14:24 Enablement evolves from one-off training to ongoing assessment across calls and emails, with clear visibility into who applies the methodology and the outcomes. Leaders gain unprecedented insight to reinforce and optimize. Chapter 11: Science Over Art in Sales Performance 00:14:24 – 00:16:28 Dave likens the shift to medicine and pro sports: from art to data-driven science with MRIs and video review. Sales can now diagnose reality over self-reported optimism, though increased transparency may feel threatening to some. Chapter 12: Tools Elevate but Don't Replace Excellence 00:16:28 – 00:19:30 Seth asserts technology equips practitioners but doesn't eliminate the performance spectrum. Blindly following AI produces average results; top performers synthesize AI with judgment, adapting to context shifts like those during COVID. Chapter 13: Empowering High Performers and Institutionalizing Wins 00:19:30 – 00:21:28 AI can surface winning patterns from "rogue" top sellers and scale them across teams. Digital playbooks can capture best moments across individuals, but most organizations still fail to build and maintain them. Chapter 14: Culture, Curiosity, and Leveling the Field 00:21:28 – 00:22:55 Resistance stems from human nature and legacy structures that reward tenure over curiosity. The new environment favors sellers committed to craft, learning, and experimentation, expanding their opportunities. Chapter 15: Manager Adoption and the Coaching Opportunity 00:22:55 – 00:24:36 Historically, reps learned from call libraries more than managers used them. Pressure is mounting on managers to leverage these tools, shifting from generic call quotas to event-driven, targeted coaching triggers. Chapter 16: Span of Control and Precision Coaching 00:24:36 – 00:25:59 AI-driven diagnostics will increase managers' span of control by automating detection of coachable moments. Time shifts from ride-alongs and full-call reviews to focused intervention on specific gaps tied to deal impact. Chapter 17: Practical Playbook for Sales Leaders 00:25:59 – 00:27:39 Leaders should adopt tech for pinpoint coaching, grounded in recorded calls and captured emails. This enables loss mitigation via timely intervention, delivering more performance with less wasted managerial time. Chapter 18: Rethinking CRO Metrics and Forecasting 00:27:39 – 00:29:47 For CROs and owners, the mandate is a new set of leading indicators sourced from conversation and engagement data. Forecasts should become byproducts of actual selling activity rather than self-reported, error-prone rollups. Chapter 19: From Guesswork to Evidence-Based Operations 00:29:47 – 00:32:20 Leaders gain the ability to make forward-looking decisions from real interactions, not hedged numbers. Reclaiming time spent on forecasting and discovering bespoke conversational indicators creates durable competitive advantages. Chapter 20: Closing Guidance: Start Small, Solve One Problem 00:32:20 – end Seth advises choosing a single, well-defined problem, mapping it to a solvable action with a tool, and executing. Mastery and confidence build through iterative wins, avoiding the trap of broad, unfocused AI implementations. Dave closes by recapping takeaways and promoting Seth's podcast.

What if your chronic pain, stiffness, or recurring injuries are not just about aging, but signals from a nervous system that feels overwhelmed, inflamed, and under-supported? In this episode, Dr. Taz sits down with physical therapist Dr. Dan Ginader, author of The Pain-Free Body, to unpack how modern lifestyles, stress, and sedentary habits are quietly driving the rise of chronic pain.If you're dealing with ongoing pain, fatigue, or inflammation and want deeper, root-cause support, join the Circle here: 

AJ's big, grand vacation to SE Asia, complete with pretty caddies and full body MRIs, ends before it begins. Nixed. Kaput. Cancelled. The boys take guesses at who's to blame for the calamity and well… the result kinda speaks for itself. (Tip: One finger salute to @qatarairways.) After all the ranting and arm waving, AJ opens the floor for suggestions on how to fill the rest of his staycation. The boys ponder a multitude of golf activities while pining for a little more Tiger on the tube. The guys also run through the Warped Tour DC lineup for 2026 to gauge the Iceman's interest but he's too busy fantasy booking WWDC '26. No macrodosing here, it's a full 10mg dose of show this week.

In this week's episode of the We Didn't Plan For This series, Nora and Adrienne explore how sometimes life doesn't slowly change — sometimes it changes in an instant.Nora has done everything right. She took care of her health, exercised, ate well, and paid attention to her body — and she still got breast cancer.She shares the reality of diagnosis, biopsies, MRIs, and preparing for a double mastectomy and reconstructive surgery, along with the uncomfortable and often humiliating parts of female healthcare, and how breath work became the one thing she could control when everything else felt uncertain.From her time in the Air Force and deployment during Iraqi Freedom to the impact of burn pits, Nora reflects on how strength changes over time and what resilience actually means. She shares how breath, mindset, and her community are helping her get through one of the hardest seasons of her life.This episode is about awareness, about using hard things as fuel to help others, and about learning to control the things you can control — especially your breath.If you're listening to this in your car, take a moment before you get out, pause, and take one breath.Send us Fan MailWanna be on the show? Click here to fill out our guest info form or drop us a email at yogachanged@gmail.comFollow us on TikTok:https://www.tiktok.com/@yogachangedFollow us on Instagram:https://www.instagram.com/yogachanged/For more, go to https://howyogachangedmylife.comThe theme music for this episode, “Cenote Angelita”, was written and produced by Mar Abajo Rio AKA MAR Yoga Music. Dive deeper into this and other original yoga-inspired compositions by visiting bio.site/mcrworks. For the latest updates on upcoming events featuring his live music for yoga and meditation, be sure to follow @maryogamusic on Instagram. 

Send us a text if you want to be on the Podcast & explain why!Sciatica is one of the most misunderstood diagnoses in fitness and rehab. Many clients hear the word and immediately think they have a “slipped disc” or that surgery is inevitable. In reality, sciatica simply describes irritation of the sciatic nerve and the cause can vary widely.In this episode we break down what sciatica actually is, why so many MRIs create unnecessary fear, and how trainers can confidently work with clients who have low back or radiating leg pain.You'll learn the anatomy of the sciatic nerve, the most common causes of symptoms, and how to think through assessments involving the lumbar spine, hips, and movement patterns. We also discuss how the biopsychosocial model of pain plays a major role in recovery and why movement, education, and proper programming can often be more powerful than rest or passive treatments.If you're a personal trainer, coach, or fitness professional who wants to better understand back pain and help clients move with confidence again, this episode will give you a practical framework to approach sciatica without fear.Become a SUCCESSFUL personal trainer w/ SUF - CPT the fastest growing personal training certification in fitness.  sciatica, sciatica explained, sciatic nerve pain, sciatica exercises, low back pain, lumbar radiculopathy, nerve pain leg, personal trainer education, fitness education, biomechanics, movement assessment, back pain training, pain science, biopsychosocial model of pain, lumbar spine anatomy, exercise science, physical therapy concepts, strength training with back pain, injury prevention, trainer certification, show up fitness, SUF CPT, personal training podcast, coaching clients in pain, anatomy for trainersWant to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world! Want to ask us a question? Email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show! Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com

Jase feels nature's emergency call at the worst possible moment  in full view of small-town traffic! Revisiting the moment Moses pleaded for mercy and God relented, Zach, Al, and Jase wrestle with what it means for us today— whether our prayers can truly move the heart of God or if His will was always unfolding as planned. The guys explore the “lawlessness” of sin and why loving your neighbor could be the difference between mercy and destruction. In this episode: Exodus 32, verses 7–14; Exodus 33, verses 12–23; 1 John 3, verses 1–4; Hebrews 3, verses 1–14 “Unashamed” Episode 1282 is sponsored by: https://ruffgreens.com — Get a FREE Jumpstart Trial Bag for your dog today when you use promo code Unashamed! https://timtebow.com/tree-unashamed/ — Get your copy of If the Tree Could Speak by Tim Tebow on Amazon today! https://myphdweightloss.com — Find out how Al lost 80+ pounds. Schedule your one-on-one consultation today by visiting the website or calling 864-644-1900 and mention "AL" http://unashamedforhillsdale.com/ — Sign up now for free, and join the Unashamed hosts every Friday for Unashamed Academy Powered by Hillsdale College Check out At Home with Phil Robertson, nearly 800 episodes of Phil's unfiltered wisdom, humor, and biblical truth, available for free for the first time! Get it on Apple, Spotify, Amazon, and anywhere you listen to podcasts! https://podcasts.apple.com/us/podcast/at-home-with-phil-robertson/id1835224621 Listen to Not Yet Now with Zach Dasher on Apple, Spotify, iHeart, or anywhere you get podcasts. Chapters: 00:00 “I Love You” Is a Responsibility 06:48 A Field Covered in Civil War Bullets 12:15 An Emergency in the Cypress Grove 14:40 Claustrophobia, MRIs & Calling in Favors 17:50 ZachGPT is a Thing 22:05 Sin Is Lawlessness 28:20 The Golden Calf Rebellion 34:50 Did God Change His Mind? 41:10 Moses as a Foreshadow of Christ 48:05 God's Glory & Our Hope — Learn more about your ad choices. Visit megaphone.fm/adchoices

Bobbi sits down again with Sukihana, known today as "Suki the magician" to discuss Makeup deals, a music collaboration that's falling apart in real time, intimacy, full body MRIs and whether they're loyal to each other or just hanging out to go viral. If you want to try Prenuvo, they gave me a link for $300 off: https://prenuvo.com/?discount=BOBBI Learn more about your ad choices. Visit podcastchoices.com/adchoices