Podcasts about neurological surgeons

Dr. Sandberg is Professor of Pediatric Surgery and Neurosurgery and is the Dr. Marnie Rose Professor of Pediatric Neurosurgery at McGovern Medical School/UT Health. He received his undergraduate degree from Harvard University and his medical degree from the Johns Hopkins University School of Medicine. He completed neurosurgery residency training at Weill Cornell Medical College at Cornell University and New York-Presbyterian Hospital. He was awarded the Resident Traveling Fellowship in Pediatric Neurosurgery by the American Association of Neurological Surgeons and the Congress of Neurological Surgeons. He completed this fellowship at the Hospital for Sick Children in Toronto. After residency, he completed fellowship training in pediatric neurosurgery at the Children's Hospital Los Angeles. After 8 years on the faculty of the Miller School of Medicine of the University of Miami and Miami Children's Hospital, he moved to Houston to become the Director of Pediatric Neurosurgery at the McGovern School of Medicine at the University of Texas Health Science Center at Houston. He holds a joint faculty appointment at the University of Texas MD Anderson Cancer Center, where he is co-director of the Pediatric Brain Tumor Program. His major research interest involves novel delivery methods to treat malignant brain tumors in children.

Real strength shows up when life knocks you down and you choose to rise with gratitude, faith, and community. Dr. Douglas Burton shares how a life-altering diagnosis transformed not just his health journey, but his entire perspective on what it means to truly live well. From the operating room to the other side of the patient experience, he opens his heart about the emotional weight of caregiving, the spiritual awakening that came through illness, and the small, intentional shifts that have brought him greater peace than ever before. His story is a powerful reminder that joy is not found in doing more—it's found in slowing down, showing up, and surrounding yourself with love. Key Takeaways: Slowing down and creating space for joy can be more healing than constant striving. Practicing daily gratitude builds emotional resilience and a deeper sense of peace. Community support is a critical part of mental, emotional, and spiritual well-being. Faith and surrender can bring clarity and calm when facing uncertainty or illness. True healing isn't just physical—it's also spiritual, relational, and deeply personal.   About Dr. Douglas Burton: Douglas Burton, M.D. is the Marc and Elinor Asher Spine Professor and Chair of the Department of Orthopedic Surgery at the University of Kansas Medical Center. He received his undergraduate degree from Kansas State University in Manhattan, KS and his MD from the University of Texas Southwestern in Dallas, TX. He completed his residency at the University of Kansas Medical Center and completed spine fellowships at The Texas Back Institute in Plano, TX and at Thomas Jefferson University in Philadelphia, PA. In 2003 he was awarded the Marc and Elinor Asher Spine Professorship. Dr. Burton's clinical practice is focused on the diagnosis and treatment of complex spinal disorders in both pediatric and adult patients. In addition to his primary practice location at the University of Kansas Hospital, he also travels to both Hutchinson and Salina, KS for a monthly outreach clinic to provide health care to patients in rural parts of Kansas. He is a member of the American Academy of Orthopaedic Surgeons, the American Orthopaedic Association, the Interurban Orthopaedic Society, the North American Spine Society and the Scoliosis Research Society, where he is the incoming Chair-Elect of the Research Council and member of the Board of Directors. He served as President of the Federation of Spine Associations from 2018 to 2019. In 2019, The American Association of Neurological Surgeons and the American Academy of Orthopaedic Surgeons announced a new partnership, the American Spine Registry (ASR), which will be jointly owned and developed by both organizations. Dr. Burton currently serves as co-chair of the Data Use Committee for the ASR. His research interests include the development of disease specific health related quality of life instruments and the study of complications and outcomes associated with spinal deformity surgery. He has authored or co-authored over 236 peer reviewed publications and serves as a Deputy Editor of Spine Deformity, the official journal of the Scoliosis Research Society. In 2006 he helped found and remains on the Executive Council of the International Spine Study Group. This is a consortium of spinal deformity surgeons and researchers at over 15 top academic centers in the United States and Canada with collaborators in Europe and Japan. They have been performing prospective and retrospective studies on surgical and non-surgical Adult Spinal Deformity patients since their inception.   Connect with Dr. Michelle and Bayleigh at: https://smallchangesbigshifts.com hello@smallchangesbigshifts.com https://www.linkedin.com/company/smallchangesbigshifts https://www.facebook.com/SmallChangesBigShifts https://www.instagram.com/smallchangesbigshiftsco   Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app. Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.

Today, Nikki is taking over the show for a solo episode that dives deep into her setbacks and triumphs after a traumatic injury put her physical and mental health at risk. Recently Nikki sat down with her neurosurgeon, Dr. Uribe, for a highly anticipated conversation at the 2025 Spine Summit in Tampa, Florica with the Congress of Neurological Surgeons. In a revealing, honest, and very personal episode, Nikki goes deep on getting the news that she had an injury that most doctors defined as career-ending, the physical challenges she faced in the ring that audiences didn't know about, and long-term damage she risked with her famous Rack Attack finisher. While most doctors weren't willing to look at what was actually possible for Nikki to have a healthy and happy life outside of the ring, Dr. Uribe was willing to push the boundaries and help Nikki achieve a happy life for years to come. Nikki Splattered vertebrae, a long road to physical recovery, and fostered the mentality to keep going when times got tough; Nikki explains that she focused on mind over matter and committed to getting better and healing. Nikki explains in detail how she worked on her body and mind with the help of a great support system to bring back confidence, crush uncertainty, and the routines that helped keep her focused on helping her achieve her goals…and the moment that mindset paid off. Nikki closes things out with a Special Inspiration & Affirmation that connects to her philosophy as a woman overcoming difficult things and being encouraged by so many women who have faced challenges before her and succeeded.  Call Nikki & Brie at 833-GARCIA2 and leave a voicemail! Follow Nikki & Brie on Instagram, follow the show on Instagram and TikTok and send Nikki & Brie a message on Threads! Follow Bonita Bonita on Instagram Book a reservation at the Bonita Bonita Speakeasy To watch exclusive videos of this week's episode, follow The Nikki & Brie Show on YouTube, Facebook, and TikTok! You can also catch The Nikki & Brie Show on SiriusXM Stars 109!

Whether you're a seasoned professional or just starting out, finding the right job in orthopaedics can be a complex and daunting task. In this episode, we're examining the tools for making this daunting task as easy as possible. Joining us to share valuable insights on this topic are Dr. Sanjeev Bhatia and David Mandell. Dr. Sanjeev Bhatia is an orthopedic sports medicine surgeon at Northwestern Medical and is on faculty of the Northwestern University Feinberg School of Medicine. He remembers well the stress of evaluating jobs as he came out of training from Northwestern, Rush University and the Steadman-Philippon Research Institute. Even at that stage, Sanjeev was helping his colleagues analyze the financial implications of different jobs, sharing a financial model he had developed. His interest in helping fellow physicians only increased when he changed jobs a few years into his career. Sanjeev writes often on financial and career topics in his monthly column for Orthopedics Today. David Mandell is an attorney in The Law Office of David B. Mandell, PC, and principal of the nationally-known wealth management firm OJM Group, LLC. He holds a bachelor's degree, with honors, from Harvard University. His law degree is from the UCLA School of Law, and he also earned an MBA from UCLA's Anderson School of Management. David has addressed many of the nation's leading medical conferences, including The American Osteopathic Academy of Orthopedics, the American Section of the International College of Surgeons, the American Association of Neurological Surgeons, the American Society of Plastic Surgeons, the Ortho Summit, the American Association of Orthopaedic Executives, and numerous others. In this episode, we answer questions which you might have on navigating the orthopedic job market and making better job decisions like; What are some of the important things that chief residents and fellows do not pay much attention to when looking for jobs? What is “The Doctors Agents” and how does it help young doctors to secure jobs? What are helpful sources to look at when searching for jobs in order to be better prepared? and more. Find out more about The Doctors Agents here: https://www.thedoctorsagents.com/  Learn more about and purchase the AI generated contract review tool here: https://www.thedoctorsagents.com/what-we-do/#ai-contract-eval   

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: November 13, 2017 How often do you call the plumber and say, "My faucet is leaking," and then the plumber REMOVES your faucet? Problem solved, right? Ironically, this simplistic approach works extremely well in a variety of epileptic conditions. In this week's show, Dr. Myriam Abdennadher and Danielle Becker comment on the protocol and efficacy for surgery in patients with drug-resistant epilepsy. Produced by James E. Siegler. Music by Little Glass Men, Montplaisir, Three Chain Links, and Squire Tuck. Voiceover by Isa Smrstik. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCESDeGiorgio CM, Krahl SE. Neurostimulation for drug-resistant epilepsy. Continuum (Minneap Minn) 2013;19(3 Epilepsy):743-55. PMID 23739108Engel J Jr, Wiebe S, French J, et al. Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the Quality Standards Subcommittee of the American Academy of Neurology, in association with the American Epilepsy Society and the American Association of Neurological Surgeons. Neurology 2003;60(4):538-47. Erratum in: Neurology 2003;60(8):1396. PMID 12601090Englot DJ, Wang DD, Rolston JD, Shih TT, Chang EF. Rates and predictors of long-term seizure freedom after frontal lobe epilepsy surgery: a systematic review and meta-analysis. J Neurosurg 2012;116(5):1042-8. PMID 22304450Jobst BC, Cascino GD. Resective epilepsy surgery for drug-resistant focal epilepsy: a review. JAMA 2015;313(3):285-93. PMID 25602999Schwartz TH, Spencer DD. Strategies for reoperation after comprehensive epilepsy surgery. J Neurosurg 2001;95(4):615-23. PMID 11596956Spencer S, Huh L. Outcomes of epilepsy surgery in adults and children. Lancet Neurol 2008;7(6):525-37. PMID 18485316 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Dr. Hanna Aliashkevich is a Neuroscientist and former neurosurgeon with a decade of expertise spanning clinical and research domains, including neuro-oncology, reconstructive and spine neurosurgery. As a renowned neurosurgeon in Eastern Europe and internationally recognized scientist, Anna has contributed to pioneering research on antiviral treatment for glial brain tumors. This work has led to several publications in top-tier, peer-reviewed journals and presentations at internationally acclaimed conferences. Esteemed member of European Association of Neurosurgical Societies, Congress of Neurological Surgeons, Association for Women in Science. Currently Hanna continues her career as a neuroscientist in the US. Adept of neurotechnologies. Engaging speaker and talented poetess, art lover. Passionate about social impact. Takeaways: 1. Gratitude is a powerful practice that can enhance the brain, heart, and soul. 2. Success is not just about achieving goals, but also about making an impact and finding a balance between giving and receiving. 3. Supportive relationships and mentors play a crucial role in personal and professional development. 4. Embracing both scientific and artistic pursuits can lead to a more fulfilling and balanced life. 5. Mindset and attitude are key in navigating challenges and finding happiness. Chapters: 00:00 Introduction and Background 08:15 Defining Success and Finding Balance 14:24 The Role of Luck in Life and Career 29:04 Mindset, Emotions, and Brain Function Order some merch, Iconic Luxury Streetwear: ⁠https://www.iconicluxurystreetwear.com/⁠ Podcast & Content Creation Course: ⁠https://tanakatava.gumroad.com/l/LVySW⁠ The Download (Keys & Codes) - Newsletter featuring previous episodes of Iconic Conversations and musings of my mind: ⁠https://tanakatava.substack.com/https://tanakatava.substack.com/⁠ Book a FREE consulting call to discuss your creative strategy or business idea: ⁠https://calendly.com/tanakatava/tava-consulting-20-minute-meeting⁠ Listen to this podcast (but in audio form): ⁠Listen to Podcast⁠ GUEST: Dr. Hanna Aliashkevich

Dr. Konstantin Slavin is Professor and Chief of Section and Fellowship Director for Stereotactic and Functional Neurosurgery in the Department of Neurosurgery at the University of Illinois at Chicago (UIC). Dr. Slavin graduated from medical school in Baku, Azerbaijan in the Soviet Union and completed his neurosurgery residency in Moscow. He then completed his second neurosurgery residency at UIC and a fellowship in functional and stereotactic neurosurgery at Oregon Health Sciences University in Portland, Oregon. Dr. Slavin is current President of the World Society for Stereotactic and Functional Neurosurgery and the Past President of the American Society for Stereotactic and Functional Neurosurgery. He is also the President-Elect of the International Neuromodulation Society (INS) and past Secretary of the North American Neuromodulation Society (NANS). For many years, he serves on the Medical Advisory Board of the Facial Pain Association, the premier patient organization for those who suffer from trigeminal neuralgia and other facial pain syndromes. In addition, he is on the Board of non profit organization “Neuromodulation Foundation”, the publisher of Wikistim, and for more than a decade was an Executive Committee member of the Joint Section on Pain of the American Association of Neurological Surgeons and Congress of Neurological Surgeons. Dr. Slavin has published in many books and peer-reviewed journals and is an associate editor or editorial board member for a number of publications, including Neuromodulation, Neurosurgery, Brain Sciences, Stereotactic and Functional Neurosurgery, Acta Neurochirurgica and others; he is the current editor-in-chief of Progress in Neurological Surgery. His first book on Peripheral Nerve Stimulation was published in 2011; another book, co-edited with Sam Eljamel on Neurostimulation: Practice and Principles, came out in 2013; the third one, Stimulation of Peripheral Nervous System: The Neuromodulation Frontier was released in 2015. The most recent – and most relevant for this audience – book on Neuromodulation for Facial Pain came out in 2021.

Two of the most common symptoms during the menopause journey are increased levels of anxiety and depression. The decline of women's sex hormones creates a plethora of adverse effects, such as weight gain, insomnia or fragmented sleep, hair loss, loose skin, loss of lean muscle mass, brain fog, night sweats, loss of libido, vaginal dryness, and more. These devastating changes are driving women to feel frustrated, confused, and depressed about their current state of health, including how they look and feel. Building your healthcare team during this time is essential for overall mind-body health. This should include a NAMS-certified OBGYN, an OBGYN who is well-versed in HRT, a General Physician, or a Functional Medicine MD, a health coach to help you navigate lifestyle behavior changes, a fitness expert to help you stay strong, and, for some women, a therapist or psychiatrist to support your mental and emotional well-being so you can continue to thrive in life.Psychiatrists prescribe psychopharmacology to their patients and most leave it at that. What if there was a psychiatrist who also prescribed healthy lifestyle behavior modifications alongside medication? My next guest practices something called cosmetic psychiatry and it's fascinating. Dr. Andreea Seicean, MD, PhD, MPH, is the Clinical Director of Like MySelf Wellness. She is an ABPN Board-Certified Adolescent and Adult Psychiatrist, clinical investigator, scientist, and Professor. She completed her training at Case Western Reserve University, the Cleveland Clinic, and the University of Illinois at Chicago (UIC). Her PhD is in epidemiology and biostatistics and she's an expert in outcomes, cost-effectiveness, and quality improvement. She has over 40 publications and received multiple awards from The National Institute of Mental Health, The American Psychiatric Association, and The American Association of Neurological Surgeons. Dr. Seicean has served as Psychiatrist and Clinical Director of the MidAmerica Mental Health clinics in Indiana and River North Psychiatry in Chicago. Dr Seicean is an Adjunct Professor at the University of Illinois at Chicago where she continues to be active in research and teaches psychopharmacology (medication management) to psychiatry residents. She has extensive experience reviewing and managing medications and treating depression, anxiety, OCD, bipolar, PTSD/trauma, ADHD, and addiction. She also specializes in cosmetic psychiatry, focusing on improving performance, quality of life, and self-esteem. This can include stress eating and weight loss, school and work performance, insomnia, irritability, stress, and life transitions. Med Disclaimer:By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.To find Dr. Seicean:https://likemyselfwellness.com/providersPodcast Resources:Peptide to increase libido: Bremelanotide, also called PT-141Research: https://pubmed.ncbi.nlm.nih.gov/35076581/Vyleesi: https://www.vyleesi.com/Addyi: https://addyi.com/what-to-expect/Stay connected with me:Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videosFollow me on Instagram: https://www.instagram.com/jillfooswellness/Follow me on Facebook: https://www.facebook.com/jillfooswellnessGrab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-productsEnjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:https://us.fullscript.com/welcome/jillfooswellnessSubscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Increase Your Protein in 5 Easy Steps and your FREE Protein Powder Recipe Ebook. Schedule a free 30-minute consultation with me and start to discover your unique longevity plan:https://calendly.com/jillfooswellness/30-minute-zoom-consultations

Just as you mend bones and restore mobility, it's equally crucial to safeguard your hard-earned assets from unforeseen risks and challenges. In this episode, David Mandell joins us as we embark on a journey to explore the strategies, insights, and practical tips tailored towards protecting your assets as an orthopaedic. David Mandell is an attorney in The Law Office of David B. Mandell, PC, and principal of the nationally-known wealth management firm OJM Group, LLC. He holds a bachelor's degree, with honors, from Harvard University. His law degree is from the UCLA School of Law, and he also earned an MBA from UCLA's Anderson School of Management. Mr Mandell is the author of more than fifteen books written specifically for doctors. These include the past book Wealth Protection Planning for Orthopaedic Surgeons & Sports Medicine Specialists and his most recent Wealth Planning for the Modern Physician: Residency to Retirement, which is also the title of a podcast Mr. Mandell hosts, now in its 3rd season. His expertise from these books has allowed him to write articles in over 100 publications, including AAOS Now and Orthopedics Today, where he and orthopedic surgeon Dr. Sanjeev Bhatia have an ongoing monthly column called Forward Thinking. He has also appeared as an authority on television, including Fox and Bloomberg TV. Mr. Mandell has addressed many of the nation's leading medical conferences, including The American Osteopathic Academy of Orthopedics, the American Section of the International College of Surgeons, the American Association of Neurological Surgeons, the American Society of Plastic Surgeons, the Ortho Summit, the American Association of Orthopaedic Executives, and numerous others. In this episode, David shares about protecting your assets, and he shares some informative points on queries you may have about asset protection, like: What is asset protection and why should orthopedists care about it? What type of risks are orthopedists concerned about? Doesn't insurance protect us against these risks? What are some examples you've seen where doctors' assets have not been protected? What kind of assets are we talking about protecting? And more! Get a free book from David on Wealth Planning by following the steps: Step 1: Visit ojmbookstore.com Step 2: Enter promo code NAILEDIT23 at checkout. or simply Text NAILEDIT23 to 844-418-1212 and click the link in the reply text to order.   This episode is sponsored by Lawrence B. Keller of Physician Financial Services.  Larry has been dealing with disability insurance and term life insurance for physicians, and other healthcare professionals, since 1990. In many cases, Larry has access to Guaranteed Standard Issue (GSI) disability insurance policies for Medical Resident and Fellows that does not require medical underwriting. To learn more or to have your existing policies reviewed, feel free to reach out to Larry at (516) 677-6211, by email to Lkeller@physicianfinancialservices.com or visitwww.physicianfinancialservices.com. While he might not be a doctor's first phone call regarding their insurance needs, he is often their last.

Dr. Chris Honey is Professor and Head of the Division of Neurosurgery at the University of British Columbia.  He obtained his medical degree from the University of Toronto and his doctoral degree from Oxford University as a Canadian Rhodes Scholar. He completed his Royal College training in neurosurgery in Vancouver in 1995 and became a diplomat of the American Board of Neurological Surgeons in 2000. He has completed an additional year of training at Harvard Medical School and is a Scholar in Surgical Leadership. His research is focused on the treatment of movement disorders and pain. He headed the world's first trial of DBS for spasmodic dysphonia and published the results in 2021. He was the first physician to recognize and successfully treat hemi-laryngopharyngeal spasm (HELPS syndrome) in 2014. He discovered and successfully treated the first person in the world with VANCOUVER syndrome in 2019. He has made fundamental changes to the understanding of human pain pathways. In this episode, get a first-hand listen to some of the ways in which Chris' entire medical perspective expanded through his experiences with patients, both personally and culturally. Patrick and Chris very briefly touch into the politics of medicine in British Columbia but don't hang out there very long before they get into the delicate nature of brain surgery, the medical discoveries Chris and his team have pioneered, what and who compelled Chris to write his book, his superpower, and his kryptonite! Chris feels brain surgery was his calling and it's certainly evident in the passion and knowledge he brings to the conversation and his ongoing work. In deep appreciation of excellence, Chris expresses the joy for the team he now works with, shares his journey in athletics and the shift he has made from competitor to collaborator.  Dr. Honey's book, The Tenth Nerve, published by Penguin Random House Canada, is now available at Indigo, local bookstores and drchrishoney.com. It is an homage to seven patients who taught him more about medicine than any lecture or textbook.

In part two of this series, Dr. Willie Underwood, chair of the AMA Board of Trustees continues to lead our panel discussion on what's next in Medicare payment reform. Panelists include Dr. G. Ray Callas, president elect of the Texas Medical Association; Katie Orrico, senior vice president of Health Policy and Advocacy at the American Association of Neurological Surgeons and Congress of Neurological Surgeons; and Todd Askew, senior vice president of Advocacy at the AMA. 

Dr. Willie Underwood, chair of the AMA Board of Trustees moderates this panel discussion on what's next in Medicare payment reform. Panelists include Dr. G. Ray Callas, president elect of the Texas Medical Association; Katie Orrico, senior vice president of Health Policy and Advocacy at the American Association of Neurological Surgeons and Congress of Neurological Surgeons; and Todd Askew, senior vice president of Advocacy at the AMA. 

Dr. Gabrielle Morris is the Chief Medical Officer of Duber Medical, a leader in medical cannabis doctor consultations with a mission to educate patients on the medical benefits of cannabis. Dr. Morris brings her more than 30 years medical experience to a unique medical cannabis practice. Duber Medical is a physician and woman-owned practice that works with a diverse population of more than 10,000 patients across eleven states, collecting real data on the clinical benefits of medical cannabis.Dr. Morris is certified by the National Board of Neurological Surgeons. Her career spans a myriad of specialties including Neurological Surgery, Trauma, Complex Orthopedic Spinal Surgery, and Emergency Medicine.Dr. Morris has been a long-time proponent of medical cannabis and was an early supporter of California's Proposition 215, which first legalized medical marijuana treatment for patients in 1996. On today's show she shares with Joyce how her work at a local trauma center led to her understanding that medical cannabis is a viable and beneficial treatment option for many patients who seek to improve their quality of life.Joyce also speaks with Nurse Lisa Capitani about her Mindful Metrics: Conscious Cannabis Consumption Tracking Journal, now available on Amazon. This journal is designed for both the seasoned cannabis user and those just beginning their exploration, to optimize the therapeutic potential of cannabis.Culture Corner: Joyce recommends a mini-series that documents the Charles Stuart case - 1989 murder of his pregnant wife and uses it to tell a story about racism in Boston – it's called Murder in Boston.Topics Discussed(1:08) Welcome(3:05) Connect with Tia Moskalenko(3:44) Lisa Capitani, Tracking Journal(4:20) Culture Corner: Murder in Boston(8:14) The Hemp Guitar(9:05) Dr. Gabrielle Morris Intro(10:37) Epiphany at ER(15:21) Audio Intro(17:40) Patient Range(21:50) Patient Stories(22:48) Women Blooming on Cannabis(24:37) Feeling Again(25:03) Motherhood and Cannabis(29:35) Lisa Capitani – Journal(37:15) Lisa's Canna Journey(39:25) Connect with Lisa on Website or Instagram(40:28) Happy Medicine(42:40) Individualized Medicine(45:50) Duber Medical Website and YouTube(47:30) Still Fighting Stigma in 2024(49:35) Dubermedical.com: code DUBERMED The Canna Mom Show wants to thank:Josh Lamkin and Bella Jaffe for writing and performing TCMS theme music and Fortuna Design for creating TCMS website.    

It's been over 3 years since my episode with Dr Jack Kruse, and this is still my most downloaded and viewed episode in over 180 episodes. As I near my 200th episode, I wanted to reshare this episode for my newer listeners because it is so valuable! Dr. Jack Kruse is a world-respected neurosurgeon and CEO of Optimized Life and Kruse Longevity Center. Dr. Kruse's focus is  on the foundations of how we work. Using science he explains the deep connection between thermodynamics in biology and the processing of energy and information. Dr. Jack reveals how there are diseases all around the world and they all come back to - light, water, and magnetism. Dr. Kruse's research has been published in respected dental and medical journals and his popular blog, www.JackKruse.com, gets over 250,000 unique worldwide visitors. Dr. Kruse is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group.Join us for part 2 of this 2-part podcast as we explore:The deuterium content in water and grass and the great migration from the Serengeti nature reserve to the Masai Mara nature reserveYour eye as a clock and your skin as a solar panelWhy 5G and EMF is changing the gameTopological surfaces and quantum spin statesWhy Africa is the 1 continent that can lead biologyWhy people who watch more TV get fatterHow light can bend space and timeQuantum tunnelingHow Mitochondrial energy efficiency links to your purpose- your calling and belief is your greatest magnetic field!Support the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/

It's been over 3 years since my episode with Dr Jack Kruse, and this is still my most downloaded and viewed episode in over 180 episodes. As I near my 200th episode, I wanted to reshare this episode for my newer listeners because it is so valuable! Dr. Jack Kruse is a world-respected neurosurgeon and CEO of Optimized Life and Kruse Longevity Center. Dr. Kruse's focus is  on the foundations of how we work. Using science he explains the deep connection between thermodynamics in biology and the processing of energy and information. Dr. Jack reveals how there are diseases all around the world and they all come back to - light, water, and magnetism. Dr. Kruse's research has been published in respected dental and medical journals and his popular blog, www.JackKruse.com, gets over 250,000 unique worldwide visitors. Dr. Kruse is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group.Join us for part 1 of this 2-part podcast as we explore:How Jack's tearing of his medial meniscus and a monk who sold his Ferrari revealed the world of the leptin melanocortin pathway in the brain and a discovery of passion meets purpose.The 3-legged stool of life.Why you should have your nuts in the sun and your skin in the game.Why medical school teaches doctors to be “obedient idiots” for those who control the paradigm.Why water is the most amazing chemical in the universe.Physics, biochemistry, mitochondrial genomes, autophagy and apoptosis and so much more!Support the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/

A Fresh Story, season 5, episode 10 We had the honor of talking to three-time Emmy-winning media and public speaking trainer Kathryn Janicek. Kathryn helps leaders communicate more effectively with the media and any audience. We talked to Kathryn about her own fresh starts in her career, and how she is passionate about supporting people in finding their voice and conquering communications. We chatted about how she met her husband, going through IVF and the loss of her twins, and how she held out hope for her daughter. We loved her advice on how to “balance it all,” and she has so many wise gems throughout the whole episode! Kathryn's 25+ years of experience running live news TV shows, as a media executive, and as a spokesperson means she brings expert perspective and guidance on shaping messaging and delivering with impact. Kathryn Janicek Productions is a team of experts who train in leadership development, executive presence, public speaking, media interview performance, communications, sales and relationship building, and wellness. They train Fortune 500 executives, physicians across the country, and they are the go-to training firm for the American Dental Association, the College of American Pathologists, the Congress of Neurological Surgeons, the American Society of Plastic Surgeons, and other medical associations. Enjoy this episode with Kathryn, check out her website, and follow Kathryn on Instagram.

In this episode we discussed posterior interspinous fusion with Dr. Larry Khoo and Dr. Anuj Shah. We talked about patient selection, what to look for on imaging, and the safety profile of the Minuteman procedure. Dr. Khoo also discussed the biomechanics of interspinous fusion, including sagittal balance.  We wrapped up the episode talking about how spine surgeons and pain physicians can work together to treat spinal stenosis.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ https://www.instagram.com/patdbmd/?hl=en Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ https://twitter.com/doctdeer?lang=en https://www.instagram.com/timdeer30a/?hl=en Guest, Dr. Larry Khoo, MD: Dr. Khoo is a neurosurgeon  who practices in Los Angeles, CA and Hawaii. Dr. Khoo is a resident member of the American Academy of Neurological Surgeons and the Congress of Neurological Surgeons, as well as a member of the AANS/CNS Joint Section on Spine & Peripheral Nerve Surgery and the North American Spine Society. Guest, Dr. Anuj Shah, DO: Dr. Shah is a PGY-4 PMR resident in Detroit, Michigan. He has matched in a pain fellowship at Cornell.  About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg https://www.instagram.com/aspn_painneuro/ https://www.facebook.com/PainNeuro https://www.linkedin.com/in/aspn/ https://twitter.com/aspn_painneuro Our sponsors: Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life. https://mainstaymedical.com/ Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind. https://www.vertosmed.com/ Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman! https://spinalsimplicity.com/ APM Wealth: Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces. https://apm-wealth.com/ https://apmsuccess.com/ Moxy Company: Moxy is a marketing healthcare and communications firm with a strategic and deep understanding of the complex and ever-changing world of healthcare. https://www.moxycompany.com/

In this episode of the Smarter Not Harder Podcast, our guest Dr. Jack Kruse joins our host Dr. Ted Achacoso to give one-cent solutions to life's $64,000 questions that include: How has the COVID-19 pandemic influenced the shift towards decentralized medicine and what role does patient informed consent and medical freedom play in this shift? What is the impact of centralized medicine on naturopathic doctors, chiropractors, and Eastern medicine practitioners, and how can this be addressed by decentralized medicine? What are the implications of technology on public health, specifically in terms of electronic health records and how it can potentially undermine or enhance the healthcare system?   Dr. Jack Kruse is a neurosurgeon and CEO of Optimized Life, a health and wellness company dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group. As a neurosurgeon, Dr. Kruse's research has been published in respected dental and medical journals.    What We Discuss: (0:01:21) - Navigating the Future of Healthcare with Decentralized Medicine (0:09:15) - Medical Sovereignty and its Role in Shaping Decentralized Medicine (0:24:31) - Impact of Decentralized Medicine on Modern Healthcare Systems (0:34:16) - The Fallacy of Statins and Proposing a Shift towards Decentralized Medicine (0:42:21) - Implementing a Tripartite System for Efficient Healthcare Administration (0:46:41) - Penalties for Doctors in the Decentralized Medicine Landscape (1:02:35) - Journey into the Core Principles of Decentralized Medicine (1:17:53) - Envisioning the Future of Medicine Through Decentralization (1:32:48) - Evolution of Medical Education in the Era of Decentralized Medicine (1:40:59) - Photosynthesis, Geographical Latitudes, and Potential Extinction Events (1:47:04) - Understanding the Quantum Effects of Light and Psychedelics (1:59:59) - Quantum Coherence and its Role in Mitochondrial Functioning (2:11:59) - Embracing Decentralized Medicine: Advice for a Healthy Life (2:22:01) - A Sneak Peak into the Upcoming Film Depicting Jack's Life and Contributions to Medicine. Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg   Find out more from  Dr. Jack Kruse: Instagram: ​​https://www.instagram.com/drjackkruse Website: https://jackkruse.com/ Get 10% Off Your Purchase of the Metabolomics Module by using PODCAST10 at https://www.homehope.org   Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com   Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.  

Get a FREE BOOK by doing the following steps: Step 1: Visit ojmbookstore.com Step 2: Enter promo code NAILEDIT23 at checkout or simply Text NAILEDIT23 to 844-418-1212 and click the link in the reply text to order. _______________________ Listen to our episode with David Mandell on Finding Financial Advisors. David is an attorney in The Law Office of David B. Mandell, PC, and principal of the nationally-known wealth management firm OJM Group, LLC. Mr. Mandell is the author of more than fifteen books written specifically for doctors. These include the past book Wealth Protection Planning for Orthopaedic Surgeons & Sports Medicine Specialists and his most recent Wealth Planning for the Modern Physician: Residency to Retirement, which is also the title of a podcast Mr. Mandell hosts, now in its 3rd season. His expertise from these books has allowed him to write articles in over 100 publications, including AAOS Now and Orthopedics Today, where he and orthopedic surgeon Dr. Sanjeev Bhatia have an ongoing monthly column called Forward Thinking. He has also appeared as an authority on television, including Fox and Bloomberg TV. Mr. Mandell has addressed many of the nation's leading medical conferences, including The American Osteopathic Academy of Orthopedics, the American Section of the International College of Surgeons, the American Association of Neurological Surgeons, the American Society of Plastic Surgeons, the Ortho Summit, the American Association of Orthopaedic Executives, and numerous others. Mr. Mandell holds a bachelor's degree, with honors, from Harvard University. His law degree is from the UCLA School of Law, and he also earned an MBA from UCLA's Anderson School of Management. In this episode, David shared about finding the right Financial Advisor. And he shared some informative points on queries you may have about finance, like: The 3 key elements of wealth planning that are applicable for young physicians, even us in training Importance of Savings. Finding a financial advisor that is right for you.  What's your number one rule when advising a physician on finding an advisor? What is fiduciary? Four key questions we can ask a financial advisor. And more! This episode is sponsored by Locumstory:   Everyone has a story. Different needs, wants, and goals, and how to attain them. Your story determines your solution. Whatever your situation and story, locum tenens should be part of the conversation. How do you find out if locums is a good option for you? Go to an unbiased, informative source like locumstory.com. You'll learn all the ins and outs of locums, details on travel and housing, assignment coordination, tax information, and more. You'll also hear firsthand stories from locums physicians from all walks of life, so you get a bigger picture of the diverse options. Get a comprehensive view of locums, and decide if it's right for you  at www.locumstory.com.

Communication Tips: Giving and Receiving Feedback featuring Stacey Wolfe, MD, FAANSStacey Quintero Wolfe, MD is a neurosurgeon with Wake Forest Baptist Health in Winston-Salem, North Carolina.She is a board-certified neurosurgeon, specializing in disorders of blood vessels, brain trauma and spine. She completed fellowships in endovascular and cerebrovascular/skull base neurosurgery at the University of Miami.  As a 21-year US Navy veteran, she earned the Meritorious Service Medal and developed the Stroke and Neurotrauma Programs at Tripler Army Medical Center. She joined Wake Forest Baptist Health in 2013 as Director of Neurointerventional Surgery and Residency Program Director. She built a hemorrhagic stroke research program and am co-Principal Investigator of National Institute of Health (NIH) StrokeNet at Wake Forest Baptist Health. She leads multiple NIH and national clinical trials in stroke and brain hemorrhage, and is studying neuroinflammation, genetic risk factors, and genetic mutations in the development of cerebral Arteriovenous malformations (AVMs) in her research lab. She has served on the American Association of Neurological Surgeons Board of Directors, Executive Committee of the Congress of Neurological Surgery and Society of Neurological Surgeons, American Heart Association Mission Stroke Task Force, and as Chair of Women in Neurosurgery. She has published over 100 peer-reviewed articles and review for five journals. She was awarded the national 2021 ACGME Courage to Teach Award for innovation and mentorship in education, and am dedicated to providing cutting edge care for patients with neurologic disease.She lives in Winston-Salem with her husband and two children. In her free time, she volunteers at a local school and in the community.  

"We have this new appreciation for combining the CBD and the THC; historically, we made it a big deal to separate them. And it turns out when you put them together, the brain receptors like it." - Dr. Morris of Duber MedicalFrom the early days of 1996 to the intricate landscapes of cannabis in medicine today, Dr. Morris delves deep into the transformative potential and challenges of cannabis. Discover the evolution of cannabis for therapeutic success, the shattered societal stigmas, and the complexities surrounding its use during pregnancy. She also briefly touches on terpenes, their therapeutic effects, and how they can help with sleep. This conversation outlines the current state of cannabis in medicine and focuses on advocating for it since 1996. She provides an in-depth look at the improvements that have been made in terms of quality control and scientific research. Additionally, Dr. Morris shares her thoughts on the stigmas surrounding cannabis as a medicine and how physicians are becoming increasingly open to discussing its use. It is crucial to spread awareness about the benefits of cannabis products through professional associations and networks. This isn't just about recreation; it's about revolutionizing healthcare.Timestamps[00:00 - 09:59] Cannabis as a Medicine: From 1996 to Now, Quality Control and Therapeutic Success[10:00 - 19:40] How Medical Professionals are Promoting Cannabis for Chronic Pain Management[19:41 - 30:54] Exploring the Benefits and Challenges of Medical Marijuana[30:55 - 38:11] Benefits, Risks, and Regulations of Medical Marijuana[38:12 - 44:30] How Different States Are Handling Medical Marijuana[44:31 - 52:41] Exploring the Variations of Cannabis Use Across States [52:42 - 54:09] The Future of DuberGuest bioDr. Morris is the Chief Medical Officer of Duber Medical. Her physician and woman-owned practice works with a diverse population of more than 8,000 patients across 11 states, gaining first-hand knowledge of the clinical benefits of medical marijuana! With more than 30 years of medical experience, Dr. Gabrielle Morris possesses a BS in Chemistry from West Virginia University and a Doctorate of Medicine from Marshall University. She is board-certified by the American Board of Neurological Surgeons, the American Board of Independent Medical Examiners, and the National Board of Medical Examiners. Her career spans a myriad of specialties, including Neurological Surgery, Trauma, Complex Orthopedic Spinal Surgery, and Emergency Medicine.Connect with Dr. Morris!Website: https://www.dubermedical.comEmail: drgfmorris@dubermedical.com 

Join Dr. Kyle Schmidt, a neurosurgeon at Monument Health in Rapid City, SD, as he discusses the various conditions that can affect the back, neck, and spine. Dr. Schmidt will talk about what a neurosurgeon does, the different types of spinal surgeries he performs, and the latest treatments for back pain and other spinal disorders.If you are experiencing back, neck, or spine pain, or if you have been diagnosed with a spinal disorder, this podcast is for you. Dr. Schmidt is a member of the American Association of Neurosurgical Surgeons and the Congress of Neurological Surgeons with extensive experience in treating a variety of spinal conditions. He will provide you with accurate and up-to-date information about your condition and the best treatment options available. Hosted on Acast. See acast.com/privacy for more information.

This week we sit down with Myron Rolle, MD, MSc to discuss his book The 2% Way - How a philosophy of small improvements took me to Oxford, the NFL, and Neurosurgery. Dr. Rolle is a chief neurosurgery resident and Global Neurosurgery Fellow at  Harvard-Massachusetts General Hospital, Rhodes Scholar, author, and former professional football player in the National Football League. He holds a Doctor of Medicine from Florida State University College of Medicine, a Master of Science in medical anthropology from the University of Oxford and a Bachelor of Science in exercise science from Florida State University. He developed and published the Rolle Scoring System, a public health rating scale used to determine a developing country's governance around helmet safety to prevent traumatic brain injury. He has been recognized by the Congress of Neurological Surgeons for demonstrating the best operative technique in the reconstruction of upper extremity motor function using intercostal nerve transfers after a traumatic brachial plexus injury. Dr. Rolle is the chairman of the Caribbean Neurosurgery Foundation - a not-for-profit which houses capacity-building and health system-strengthening initiatives for improved neurosurgical care in the Caribbean. His foundation has impacted over 3.5 million people in the Caribbean through the upscaling of policy, service delivery, infrastructure, and workforce development. He is the best-selling author of The 2% Way - How a philosophy of small improvements took me to Oxford, the NFL, and Neurosurgery. You can find his book here.  

Sheri Dewan, MD is a full-time, board-certified neurosurgeon practicing in the metro Chicago area, affiliated with Northwestern Medicine. She is one of roughly two hundred board-certified women neurosurgeons in the United States. She completed her neurosurgery residency at Brown University and her graduate degree at Northwestern University. She is a proud board member of Women in Neurosurgery (WINS), the Congress of Neurological Surgeons, and American Association of Neurological Surgeons. Dr. Dewan donates her time performing charity surgery in Southern India and sits on multiple charity foundation boards. She is also currently studying business and finance at the University of Oxford Executive Education program in London, England. Dr. Dewan is trilingual and has lived in five countries. In her spare time, she enjoys traveling, yoga, and spending time with her husband and three children. Resources: • Website:www.drsheridewan.com • Instagram: @drsheridewan Advertisers + Sponsors: • Shaman School: shamandurek.com/the-shaman-school • Lit Verified Store: shamandurek.com/lit-verified-shop Learn more about your ad choices. Visit megaphone.fm/adchoices

*SUPPORT RED PILL BUDDHAS: Donate here: https://www.paypal.com/donate/?hosted_button_id=GNE2TRVRDJJUG Jack Kruse links:  https://jackkruse.com/ https://www.patreon.com/DrJackKruse   Dr. Kruse is a member of the American Association of Neurological Surgeons, the Congress of Neurological Surgeons and Age Management Medicine Group. He has helped pioneer a totally new medical field – Quantum Mitochondrial Health. Building on his deep medical expertise, he has also built a vibrant community while being a bitcoin maximalist; he is dedicated to helping people build critical thinking skills. He continues to challenge our currently implemented systems and look for more feasible solutions to benefit everyone.  To join Phil and Ben's Big Fat Challenge: https://www.thebigfatchallenge.com   For The Red Pill Revolution Book and subsequent publications:
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This guideline was developed by the American Heart Association/American Stroke Association and reviewed for evidence-based integrity and endorsed by the American Association of Neurological Surgeons and Congress of Neurological Surgeons. This podcast focuses on the surgical management of ICH and how evidence has evolved as well as future research needs. J. Bradley Elder, MD J Mocco, MD, MS Carlos M. Alvarez, MD

Hello, and welcome to Beauty and the Biz where we talk about the business and marketing side of plastic surgery and reputation management. I'm your host, Catherine Maley, author of Your Aesthetic Practice – What your patients are saying, as well as consultant to plastic surgeons, to get them more patients, more profits and stellar reputations. Now, today's episode is called "Reputation Management — with Jeffrey J. Segal, MD, JD". At the medical conferences I speak at, there's usually a talk about reputation management and how to keep %*@^ from hitting the fan and ruining your name.  So, I invited one of the country's leading authorities on medical malpractice and reputation management to update you on how to stay out of trouble and keep your reputation as stellar as possible.  Jeffrey Segal, MD, JD is a board-certified neurosurgeon, but he's also an attorney and partner at ByrdAdatto law firm. He's also a reputation management expert. Dr. Segal focuses on keeping doctors from being sued for frivolous reasons and to minimize the need for difficult reputation management. On this week's Beauty and the Biz Podcast on reputation management, Dr. Segal and I talked about: How to protect, preserve and manage your reputation online How to spot trouble early so your reputation management take far less effort How to handle patients with mental health issues who can cause havoc with your reputation management and a lot more… Every surgeon who has done enough surgery has or will experience patients who become problems, so this episode gives you strategies to help with your reputation management. Visit the website of Jeffrey J. Segal, MD, JD P.S. If you enjoy Beauty and the Biz, I would appreciate a 5-Star Review to grow the audience to help more surgeons.

David W. Smith MD, ACP, BS (Chemistry), Board Certified (Internal Medicine Specialist), recognized as a visiting scientist for both The Human Performance Laboratory for the Division of Sports Medicine at Cincinnati Children's Hospital Medical Center and the North Shore Division of Neurosurgery and North Shore Neurological Institute, Chicago Illinois. Over his 30-year medical career, he served as Chief of Medicine at Reid Hospital and Healthcare Services. In addition, he founded commercial companies for developing his innovative product concepts XennovateMedical LLC, TBI Innovations LLC, and Delta Chase LLC. As Chief Science Officer, he has served as lead design and medical education consultant to GlaxoSmithKline (GSK), a $90B+ Pharmaceutical and Healthcare company, GENTEX Corp, the largest manufacturer of USAF helmets, and Materials Modification Inc., nano–materials and coating pioneer to the military complex. Consistent with his Internal Medicine credentials, Dr. Smith has Intellectual Property and peer-reviewed publications in diverse fields of science, providing him with a unique perspective in overcoming a broad spectrum of significant medical paradigms. Specifically, his solid background in analytical chemistry (with an added emphasis in physics), combined with his medical degree and internal medical career, allowed him to bring a better understanding of energy interactions and impartations to the human body, which has proven particularly useful in the study of Traumatic Brain Injury (TBI). Dr. Smith discovered and then pioneered “SLOSH Theory,” which represents the basis of his Q-Collar invention for humans designed to mitigate SLOSH energy absorption by the soft tissues of the brain, proven to reduce the risk of brain damage from traumatic events (first product authorized by the FDA for this purpose). Further, he co-authored with Julian Bailes MD, a world-renowned neurosurgeon, a presentation on “The Physics of Traumatic Brain Injury-Revisited,” delivered at the Congress of Neurological Surgeons, Annual Meeting, San Diego, CA, Sept 2016. This venue represents the largest gathering of Neurosurgeons and Brain Injury Specialists worldwide. This event provided the backdrop for Dr. Smith's disclosure of his latest thinking on how “cavitation” explains how the physics of a concussive wave can produce the chemistry of a TBI. In his scientific role with Xennovate Medical, he presented several novel battlefield dressings to the Department of the Army Research Lab (DARPA) at the Aberdeen Proving Grounds, Aberdeen, MD. Dr. Smith assisted Gentex Corp, who was successfully awarded a $90M contract in the field of mitigating the forces involved in human ejections from supersonic aircraft. He was the lead scientist in Xennovate's two-year funding effort with DARPA's Joint Improvised Explosive Device Defeat Organization (JEIDDO). Dr. David Smith stuff https://davidsmithmd.com/ https://q30.com/ Instagram: https://www.instagram.com/davidwsmithmd/ Twitter: https://twitter.com/DavidWSmithMD Facebook: https://www.facebook.com/davidwsmithmd --- Support this podcast: https://podcasters.spotify.com/pod/show/somethingsomethingpodcast/support

The Congress of Neurological Surgeons and the Neurocritical Care Society present this joint podcast on Management of Intracranial Pressure. Listeners will learn bedside approaches to the management of elevated intracranial pressure with emphasis on the practical implementation of tiered therapies. Moderator: Ryan Kitagawa Guest faculty: Ebonye Green

We proudly present Part 2 of our conversation with Dr. Ann Parr from the University of Minnesota!Dr. Parr received both her undergraduate degree and medical degree from Queen's University, Kingston, Ontario. She then completed her PhD studies in neural stem cell transplantation for spinal cord injury during neurosurgical residency at the University of Toronto. During this time she was affiliated with the Institute of Medical Science and the Clinical Investigator Program. She then received further training in complex spine at the University of Miami/Jackson Memorial Hospital, Miami, FL. After her training Dr. Parr came to the University of Minnesota where she is currently an Associate Professor in the Department of Neurosurgery, as well as the Vice Chair of Research, Medical Director for Spine, Neurotrauma Systemwide Program Lead, and Principal Investigator of the Parr Lab at the Stem Cell Institute. She is Past-Chair of both the Minnesota Neurosurgical Society and the Section for Women in Neurosurgery, a Joint Section of the American Association of Neurological Surgeons.Dr. Parr is a Board Certified Neurosurgeon and interested in finding new therapies for spinal cord injury. She is also a faculty member in the Graduate Program in Neuroscience and the Stem Cell Institute. Dr. Parr's research centers on transplanting neural stem cells grown from a patient's own skin into the injured spinal cord. She has an active translational research laboratory, and is interested in examining mechanisms of functional recovery using techniques such as histology and immunohistochemistry, cell culture, optogenetics and animal modeling.Special thanks to Dr. Ann Parr for being our guest! This production is a collaborative effort of volunteers working to create a quality audio and visual experience around the subject of spinal cord injury. A special shout out of appreciation to Clientek for providing studio space and top-notch recording equipment. Host, David Stevens supplied video equipment and endless technical and editing support. Most importantly, thank YOU for being part of the Spinal Cast audience!Interested in watching these episodes?! Check out our YouTube playlist! https://youtube.com/playlist?list=PL40rLlxGS4VzgAjW8P6Pz1mVWiN0Jou3vIf you'd like to learn more about the Morton Cure Paralysis Fund you can visit our website at https://mcpf.org/Donations are always welcomed - https://mcpf.org/you-can-help/Thanks for listening!

The Congress of Neurological Surgeons and the Neurocritical Care Society present this joint podcast on Complication Management in TBI. This episode will be a dialogue of the different complications as well as the medical management of these issues. The topics will range from blood thinners in traumatic brain injury to the medical management of cerebral edema. Moderator: Ryan Kitagawa Guest faculty: Mehrnaz Pajoumand

In this episode, we interview Dr. Ann Parr from the University of Minnesota!Dr. Parr received both her undergraduate degree and medical degree from Queen's University, Kingston, Ontario. She then completed her PhD studies in neural stem cell transplantation for spinal cord injury during neurosurgical residency at the University of Toronto. During this time she was affiliated with the Institute of Medical Science and the Clinical Investigator Program. She then received further training in complex spine at the University of Miami/Jackson Memorial Hospital, Miami, FL. After her training Dr. Parr came to the University of Minnesota where she is currently an Associate Professor in the Department of Neurosurgery, as well as the Vice Chair of Research, Medical Director for Spine, Neurotrauma Systemwide Program Lead, and Principal Investigator of the Parr Lab at the Stem Cell Institute. She is Past-Chair of both the Minnesota Neurosurgical Society and the Section for Women in Neurosurgery, a Joint Section of the American Association of Neurological Surgeons.Dr. Parr is a Board Certified Neurosurgeon and interested in finding new therapies for spinal cord injury. She is also a faculty member in the Graduate Program in Neuroscience and the Stem Cell Institute. Dr. Parr's research centers on transplanting neural stem cells grown from a patient's own skin into the injured spinal cord. She has an active translational research laboratory, and is interested in examining mechanisms of functional recovery using techniques such as histology and immunohistochemistry, cell culture, optogenetics and animal modeling.Interested in watching these episodes?! Check out our YouTube playlist! https://youtube.com/playlist?list=PL40rLlxGS4VzgAjW8P6Pz1mVWiN0Jou3vIf you'd like to learn more about the Morton Cure Paralysis Fund you can visit our website at https://mcpf.org/Donations are always welcomed - https://mcpf.org/you-can-help/Thanks for listening!

Dr. Jian Guan is a fellowship trained neurosurgeon with a special focus on complex spine surgery at Pacific Neuroscience Institute. Dedicated to the care of patients with spine and neck conditions, he practices at PNI-South Bay / Spine Institute at Little Company of Mary in Torrance, California. With over 75 peer-reviewed publications, Dr. Guan has a particular clinical and research interest in ways of maximizing benefit to patients following neurosurgical procedures. Born in Beijing, China, Dr. Guan spent the majority of his childhood in southeast Michigan. He obtained his undergraduate education at the University of Michigan in Ann Arbor, and went on to receive his medical degree at Columbia University in New York City. His residency was completed at the University of Utah in Salt Lake City, during which time he finished a fellowship in complex neurosurgical spine at the Lahey Clinic in Massachusetts. National award highlights include the Julius Goodman Resident Award presented by the Congress of Neurological Surgeons, and the Charles Kuntz Scholar Award presented by the Joint Neurosurgical Spine Section.

[include file=get-in-itunes.html]Dr. Jack Kruse joined us today in yet another fascinating show. As you know we have had many interesting guests but something about talking to Dr. Kruse was different. I love his story and his understanding of epigenetics, quantum theory and how it relates to our physiology and biology. We talked extensively about two protocols (he has many others which I recommend) called The Cold Thermogenesis Protocol and The Leptin Prescription. If you'd like to get $157 off of this normally $206 package click this link to watch both webinars which are exclusive to Extreme Health Radio listeners. Isn't Jack great? We talked a lot interestingly enough about the dangers of blue light, electromagnetic field radiation and how to protect yourself from these unnatural frequencies that we're being bombarded with on a daily basis. We like the products from http://www.lessemf.com (you can listen to our show with Dr. Emil De Toffol if you'd like). Dr. Jack Kruse really drilled the point in that all of these magnetic and electromagnetic frequencies are damaging our health, our hormones and even our lives. We talked also about the hormone leptin and how it ties into our body and how it gets out of balance. Without hormones you're going to have less sex drive, less motivation in life, you'll feel more depressed, store body fat and much more. Hormones are the master switches and because of exposures to plastics, blue light and other xeno estrogens and chemicals in our daily lives, our hormones are getting way out of balance. Women are going through menopause way too early, young girls are starting their menstruation cycles too early, people are having a hard time getting pregnant as well as more and more people are obese. These can all be tied back interestingly enough to blue light, radiation, chemicals and plastics which cause our hormones to go out of balance. Another interesting thing Dr. Kruse said was that he put food #4 on his list of the most important factors that are disrupting our health. Can you imagine that? We're living such plastic and artificial lives these days that food itself is #4 on the list of things to get right when you're trying to turn your health around. We must really be screwing things up in terms of our lifestyles. If food and cleansing can reverse cancer it must be powerful. But he's saying there are other things which are MORE important. I can't say that I disagree with him. Eating high quality food is critical but we're missing the mark in terms of how we live on a day to day basis. We found Dr. Kruse to be one of the most interesting guests we've ever talked with. He was entertaining, funny and very inspirational. I'm going to get a copy of the webinars for the Leptin Prescription and the Cold Thermogenesis Protocol and try them out so I can report back to you what we experience with them! I hope you enjoyed this interview with Dr. Jack Kruse. If you did would you please consider sharing this show with your friends by using the buttons at the top of this post? Kate and I would be so grateful! :) - Get Notified:[ois skin="Show Page2"] - Please Subscribe: Subscribe To Our Radio Show For Updates! - Other Shows:[include file=show-links.html] | All Shows With This Guest - Show Date:Friday 11/8/2013 - Show Guest:Dr. Jack Kruse - Guest Info:Dr. Jack Kruse is a respected neurosurgeon and CEO of Optimized Life, a health and wellness company dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group. Read More... - Topic:Cold thermogenesis, the Leptin Protocol, weight loss, paleo diet and much more! - Guest Website(s): http://www.jackkruse.com/

Are you interested in neurosurgical interventions for cerebral palsy or have you considered consulting with a physiatrist for care for your child? Listen up to learn more! In Episode 10 of "Let's Talk CP" host, Jen Lyman, talks with physiatrist, Dr. Debbie Song and neurosurgeon, Dr. Marcie Ward, from Gillette Specialty Healthcare about interventions neurosurgeons and physiatrists use to treat the symptoms of cerebral palsy, including baclofen pumps and selective dorsal rhizotomy (SDR). They also discuss how this team works together with families in their approach to treatment and interventions at Gillette Children's, to focus on maximizing function and participation for their young patients. Gillette Specialty Healthcare in Saint Paul Minnesota is one of the world's top cerebral palsy centers, home to leading specialists in treatments for cerebral palsy, including orthopedics, neurology and neurosurgery, as well as operating one of the world's busiest and most respected clinical gait and motion analysis centers. Dr. Marcy Ward is a pediatric physiatrist, short for Pediatric Physical Medicine and Rehabilitation Physician, at Gillette Specialty Healthcare. She treats pediatric patients who have cerebral palsy, spina bifida, muscular dystrophy, brain injuries, spinal cord injuries and other conditions that result in childhood-onset disability. She is a member of the American Academy of Physical Medicine and Rehabilitation, the American Academy for Cerebral Palsy and Developmental Medicine, and the American Academy of Pediatrics. Debbie Song is a pediatric neurosurgeon at Gillette Specialty Healthcare where she evaluates and treats patients with a wide range of brain and spinal cord pathologies including tumors, Chiari malformations, craniosynostosis, hydrocephalus, and cerebral palsy and spina bifida. She is a member of Congress of Neurological Surgeons, American Association of Neurological Surgeons. We hope you enjoy this episode and don't forget to subscribe to "Let's Talk CP" on your favorite podcast platforms including Apple podcasts, iHeartRadio, Spotify, Google podcasts, Stitcher and many more.

Laura Dyrda shares the latest news on the Orthopedic and Spine industry.

Steven Kalkanis, M.D., CEO of the Henry Ford Medical Group (HFMG) and Senior Vice President and Chief Academic Officer of Henry Ford Health System, provides strategic leadership and direction over the 1,900-member HFMG physicians and researchers responsible for all aspects of clinical performance across 40 specialties. In this episode, Dr. Kalkanis speaks on mentorship, the important role mentors have played in his life, and how to be a mentor for others. Steven tells Manny about his 15-year experience in medical school and what it taught him about enjoying the journey rather than focusing on the end destination. They talk about Henry Ford's presence in Detroit and the ways the medical group is contributing to the community wellness in Detroit. LISTEN / SUBSCRIBE TO THE PODCASTApple Podcasts: https://apple.co/31iAcsoSpotify: https://spoti.fi/3d7VUSxABOUT DR. STEVEN KALKANISDr. Kalkanis joined Henry Ford in 2004 as a board-certified neurosurgeon after completing neurosurgical residency training at the Harvard - Massachusetts General Hospital program. In May 2014, he was named chair of Henry Ford's Department of Neurosurgery, which is nationally recognized for research and clinical excellence.An internationally recognized brain tumor expert, Dr. Kalkanis serves as president of the Congress of Neurological Surgeons, the largest association of its kind and as a Director of the American Board of Neurological Surgery, the profession's highest honor.Actively involved in clinical trials and research, Dr. Kalkanis leads a translational research laboratory investigating the molecular genetic differences between short- and long-term brain tumor survivors with the goal of refining future personalized medicine treatment protocols.* * * * *CONNECT WITH MANNYPodcast: At The Podium with Manuel AmezcuaFinancial Planning Practice: Podium Risk ManagementWebsite: https://podiumriskmanagement.com/Instagram: http://instagram.com/detroitmannyLinkedIn: https://www.linkedin.com/in/mannyamezcua/NEW TO THE PODCAST?At The Podium with Manuel Amezcua features interviews with the most innovative minds in business, sports, and entertainment to uncover the habits, disciplines, and mindsets that lead to success.

Robert Spetzler, MD, is a world-renowned neurosurgeon who is a pioneer and legend in the field. He has been honored by professional societies, including the American College of Surgeons and the Congress of Neurological Surgeons. In 1994, Dr. Spetzler was chosen to be the Honored Guest of Congress of Neurological Surgeons. At age 49, he was the youngest recipient of this prestigious honor.Dr. Spetzler was born in Stierhoefstetten, Germany, and moved to the United States at the age of 11. He received his B.S. from Knox College in Galesburg, Illinois, and his doctorate of medicine from Northwestern Medical School in Chicago. His postgraduate training was completed at Wesley Memorial Hospital–Northwestern in Chicago. He completed a residency in neurosurgery at the University of California – San FranciscoIn 1983 Dr. Spetzler left his position as associate professor of neurosurgery at Case Western Reserve University School of Medicine in Cleveland to assume a position as Chair of the Department of Neurosurgery at Barrow Neurological Institute at Dignity Health St. Joseph's Hospital and Medical Center in Phoenix. He served as President and CEO of Barrow from 1986 to 2017. He is also emeritus chair of neurosurgery at the Phoenix campus of The University of Arizona College of Medicine. Dr. Spetzler has published more than 300 articles and 180 book chapters in the neuroscience literature. He has co-edited a number of neurosurgical textbooks, including the Color Atlas of Microneurosurgery.

In this episode, Jason interviews Dr. Jack Kruse! Dr. Jack Kruse is a respected neurosurgeon and CEO of Kruse Longevity Center at Destin, a health and wellness company dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group.Stay accountable for your health with community: check out our FREE Facebook Group - Discussions with Dads: join.discussionswithdadsgroup.comBook your free 15 min health consultation call here: https://calendly.com/dadbodhealth/health-consult  Stay Connected with Jason PriestWebsiteFacebookInstagramLinkedInAbout The Dad Bod PodA podcast for men looking to improve their health and re-define their Dad Bods. A place for men to learn, grow and live the healthiest life possible.Don't forget to follow us on IG @thefatherhoodexperience!

On Episode 9 of the Stroke Alert Podcast, host Dr. Negar Asdaghi highlights two articles from the October 2021 issue of Stroke: “Endovascular Therapy of Anterior Circulation Tandem Occlusions” and “Automated Perfusion-Diffusion Magnetic Resonance Imaging in Childhood Arterial Ischemic Stroke.” She also interviews Dr. Sepideh Amin-Hanjani about her article “Outcome Following Hemorrhage From Cranial Dural Arteriovenous Fistulae.” Dr. Negar Asdaghi: 1) Should perfusion imaging be incorporated into routine neuroimaging for stroke-like presentation in the pediatric population? 2) Is performing emergent cervical carotid stenting beneficial in patients undergoing endovascular thrombectomy for a tandem occlusion? 3) What are the outcomes of patients with intracranial hemorrhage secondary to dural AV fistula? These are the questions that we will answer in our podcast today. Stay with us. Dr. Negar Asdaghi:                        Welcome back to Stroke Alert Podcast. My name is Negar Asdaghi. I'm an Associate Professor of Neurology at the University of Miami Miller School of Medicine and your host for the monthly Stroke Alert Podcast. For the October 2021 issue of Stroke, we have a comprehensive list of publications, from studying the role of C-reactive protein in outcome prediction after subarachnoid hemorrhage to studying the association of over 81 classes of routinely prescribed drugs with the risk of ischemic stroke, which I encourage you to review in addition to our podcast today. Later in the podcast, I have the pleasure of interviewing Dr. Sepideh Amin-Hanjani on her work with outcome prediction in patients with dural AV fistula–related intracranial hemorrhage. But first, with these two articles. Dr. Negar Asdaghi:                        Between 10-20% of patients with an anterior circulation large vessel occlusion have tandem occlusions. That means that they have a concurrent cervical carotid occlusion or significant stenosis in addition to their target intracranial occlusion. Performing endovascular therapy for a tandem occlusion is often difficult, providing technical and access challenges for the operator. Dr. Negar Asdaghi:                        In practicality, we have two options for carotid treatment in the acute setting. One option is doing nothing, or do carotid angioplasty predominantly to gain access to that target intercranial occlusion. But the second option is to do an emergent carotid stenting. Currently, we have two ongoing clinical trials to assess the very question of whether emergent cervical carotid stenting is an option in tandem occlusions. One is the ongoing TITAN trial out of France, and the second one is a Canadian trial, Endovascular Acute Stroke Intervention - Tandem OCclusion Trial, or EASI-TOC. Dr. Negar Asdaghi:                        And while we await the completion of these trials, the treatment option for cervical carotid remains a contentious subject. Though performing emergent cervical ICA stenting is feasible, the opponents of the procedure highlight that emergent stenting is associated with higher rates of intracranial hemorrhage, a high risk of in-stent thrombosis, iatrogenic artery-to-artery embolization, and hemodynamic instability during stent deployment. Not to mention that it will increase time to reperfusion if stenting is done prior to the intracranial recanalization. In contrast, the proponents of emergent cervical ICA stenting argue that leaving the carotid alone can lead to an increased risk of infarct recurrence and infarct progression. Of course, it goes without saying that the current practice pattern is widely variable. So, in the current issue of the journal, Dr. Mohammad Anadani, from the Department of Neurology at Washington University School of Medicine, and a group of international collaborators from the TITAN and ETIS registries compared the outcomes of endovascularly treated patients with tandem occlusions in the anterior circulation who received concurrent carotid stenting to those who did not receive stenting of the carotid. Dr. Negar Asdaghi:                        It is important to note that the no-stent group included those with either no cervical carotid intervention or angioplasty alone. So, the authors identified 760 patients with a tandem occlusion that were included in the pooled analysis of TITAN and ETIS registries. TITAN stands for Thrombectomy in Tandem Lesions and endovascular treatment in ischemic stroke. That included EVT-treated patients; these are endovascularly treated patients with tandem occlusions from 18 comprehensive stroke centers across Europe and United States. And ETIS is an ongoing prospective multicenter registry that enrolls all patients treated with endovascular thrombectomy at six large comprehensive stroke centers in France. In both cohorts, treatment of cervical ICA was left at the discretion of the treating physician. Overall, cervical ICA stenting was performed in 56% of total patients with tandem occlusion. In the adjusted model, they found that the odds of favorable outcome and successful reperfusion were higher in the stent group. In contrast, the risk of any hemorrhage was higher in the stent group, but the rate of symptomatic hemorrhage was not different within the two groups. Dr. Negar Asdaghi:                        Some very important findings from their subgroup analysis include a stronger benefit from emergent carotid stenting, unfavorable outcome in patients with lower NIH Stroke Scale, and in patients in whom the etiology of carotid stenosis or occlusion was deemed to be related to atherosclerosis rather than dissection. Dr. Negar Asdaghi:                        So, what are the top three things we learned from this paper? Number one, we learned that emergent carotid stenting overall increased the odds of favorable outcome in patients with tandem occlusion. Number two, emergent cervical ICA stenting came with a cost of increased hemorrhage, perhaps related to the necessity of administering antiplatelet therapies in the angiosuite. Number three, benefit from emergent carotid ICA stenting in the setting of endovascular therapy was confined to patients with carotid occlusion or significant stenosis in whom the etiology was deemed to be related to athero and not dissection. And of course, people seem to benefit from emergent cervical ICA stenting in whom the presenting NIH Stroke Scale was mild. So, many things to keep in mind, and most important of all, that these results are from registry-based data, and we still have to wait for the results of the two ongoing trials to confirm these findings. Dr. Negar Asdaghi:                        Diagnosis of stroke in children is often delayed beyond the conventional thrombolytic and endovascular time windows. In 2018, randomized trials in adults showed that patients with an ischemic mismatch, that is the presence of a large ischemic penumbra in a setting of a small ischemic core, can significantly benefit from endovascular therapy. Whether these results can be directly applied to the pediatric population from simply the adult population is, of course, unknown. In this issue of Stroke, Dr. Mark Mackay and Melissa Visser, from the Department of Neurology, Royal Children's Hospital of Melbourne, and colleagues present the results of a retrospective, observational cohort study of 29 children who underwent MRI diffusion and dynamic susceptibility contrast perfusion imaging within 72 hours of stroke onset. Perfusion-diffusion mismatch was estimated using the RAPID software with the same criteria used in adults, which was defining ischemic penumbra as regions with a Tmax delay of more than six seconds and core as defined by diffusion positive lesions with corresponding low signal on the apparent diffusion coefficient, or ADC, map with values less than 620. Dr. Negar Asdaghi:                        Favorable mismatch profile was defined the same way that they are defined in the adult population, that is, core volumes less than 70 mL and mismatch volumes of over 15 mL with a mismatch ratio of over 1.8. Now, the primary goal of this paper was to demonstrate feasibility of assessing automated perfusion-diffusion mismatch in childhood stroke. So, among 187 children with confirmed stroke on MR imaging, 58 underwent perfusion imaging in the study and only 29 fulfilled the inclusion criteria. Most cases had cryptogenic stroke followed by local cerebral arteriopathy as part of their etiology of stroke. Vessel occlusion was confirmed in 12 cases, two of which involve the posterior circulation. So, RAPID detected an ischemic core in 66% of patients only, remembering that the remaining diffusion positive cases were excluded from this finding simply because either the ADC values were not below the 620 value or they had a smaller infarct core, at which point determining the ADC values becomes very difficult. Dr. Negar Asdaghi:                        Overall, three patients only had favorable mismatch profile as we defined earlier and we use to guide us for thrombectomy in the adult population. Of the three children who met the target mismatch criteria, only one received IV alteplase and none underwent thrombectomy, which makes this difficult to validate the penumbral thresholds that are used in the adults for the pediatric population. Dr. Negar Asdaghi:                        So, what are the top two points from the study? Number one, in this large cohort of children with confirmed ischemic stroke, only a third had perfusion imaging, and most cases received their neuroimaging more than 72 hours after their symptom onset. Number two, the ischemic mismatch as defined by the adult criteria was present in children even as late as 23 hours from symptom onset. So, in summary, this study and others confirm the feasibility of performing perfusion imaging in the pediatric population, but there remains a necessary reluctance in adoption of perfusion imaging as part of the stroke protocols in pediatric centers. Dr. Negar Asdaghi:                        There are a number of concerns that we should keep in mind, including contrast-induced nephrogenic systemic fibrosis and gadolinium deposition in the brain, which are major concerns in the pediatric population, especially in those kids with impaired renal function or those requiring multiple scans over time. You have to also consider unfamiliarity with stroke imaging protocols, given that the majority of stroke-like presentations in children are non-ischemic in origin, in which case, perfusion imaging performance is of little or no value. And there should also be technical considerations, including uncertainty regarding the optimal bolus injection dose, rate, and scan duration of kids. Lots to learn, but still, studies like this represent the first step forward to further our understanding of the role of perfusion imaging in pediatric stroke. Dr. Negar Asdaghi:                        Dural arteriovenous fistulas, or dural AVFs, are intracranial vascular malformations defined by abnormal communications within the dural leaf that's between meningeal arteries and dural venous sinuses and/or cortical veins. Dural AV fistulas represent approximately 10-15% of all intracranial vascular malformations and can remain asymptomatic or have a variety of neurological presentations, the most feared of which is intracranial hemorrhage. It is important to remember that much of the research on the topic is focused on high-risk features of dural AV fistulas associated with the risk of either initial or recurrent hemorrhage, things such as the pattern of venous drainage or location of the fistulas. But less is known about the clinical outcomes of these patients after they present with a bleed. Dr. Negar Asdaghi:                        The CONsortium for Dural arteriovenous fistula Outcomes Research, or CONDOR, Registry is an international multi-institutional database to study the outcomes of dural AV fistulas. In the current issue of the journal, in the study titled “Outcome Following Hemorrhage After Cranial Dural Arteriovenous Fistulae: Analysis of Multicenter CONDOR Registry,” Dr. Matthew Koch, from the Department of Neurosurgery at the University of Illinois in Chicago, and colleagues used this registry to determine the morbidity and mortality of dural AV fistula–related intracranial hemorrhage. I'm joined today by the senior author of the study, Dr. Sepideh Amin-Hanjani, to discuss this paper. Dr. Negar Asdaghi:                        Dr. Amin-Hanjani needs no introduction to the Stroke readership. She's a Professor of Neurosurgery and Co-Director of Neurovascular Surgery at the University of Illinois. She's the past Chair of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons Cerebrovascular Section. She serves on multiple national and international cerebrovascular committees, including serving as the Chair of the Neurovascular Intervention Committee for the American Heart Association Stroke Council. Good morning to you, Sepi, and thank you for joining us on the podcast. Dr. Sepideh Amin-Hanjani:          Good morning, Negar. I really appreciate the opportunity to have time to discuss this paper a little bit with you and the folks listening in today. Dr. Negar Asdaghi:                        Great, Sepi, let's start off with discussing the prevalence of dural AV fistulas. In the current era of increased availability and accessibility of vascular imaging, how often are these malformations found? And importantly, what are the known predictors of so-called bad neurological behavior or intracranial hemorrhage in these fistulas? Dr. Sepideh Amin-Hanjani:          So, I would say these are rare lesions, which is, I think, what makes it particularly useful sometimes to pay a little bit more attention to them because they're less frequently encountered, and so there's not as much thought about looking for these lesions when a patient presents with neurological symptoms or hemorrhage. And so I think highlighting it here is important. They are rare. They're probably, as you mentioned, only about 10-15% of all vascular malformations. The crude incidence is probably somewhere around 0.5 per 100,000. So, again, infrequently encountered. Dr. Sepideh Amin-Hanjani:          Because of the nature of the lesion, they're not as easily, I would say, identified incidentally. Unlike AVMs that will show up on routine MRI or aneurysms that'll show up on routine MRA, fistulas may or may not be apparent because of their nature. They're fed by dural arterial feeders; the fistula itself is within the dural leaflets. They can have venous drainage or ectasia associated with them. So, the secondary phenomenon of the venous congestion may show up on MR, but the actual fistula may be hard to identify. And I think, in some ways, that's why we tend to see them a little bit less incidentally, at least in my own practice, in my own experience, than we do when they present with symptoms, either non-hemorrhagic or hemorrhagic symptoms. Dr. Sepideh Amin-Hanjani:          There are some features of these fistulas that tend to predict if they're going to be bad actors, so to speak, if they're going to have those more aggressive symptoms of neurological dysfunction from venous congestion. Things like seizures, headaches, even dementia as a prolonged effect of venous congestion, or the most dreaded complications, in some ways, hemorrhage, which relates to if there is evidence of significant cortical venous reflux from the fistula itself. Dr. Negar Asdaghi:                        Perfect. So this is a great start to get us now to the topic of the registry. What was the overall purpose of the CONDOR Registry? Please tell us a little bit about the patient population, specifically the population of your interest that you included in your study. Dr. Sepideh Amin-Hanjani:          So, given the rarity of the condition, you find that in the literature, there's lots of kind of relatively smaller case series, and it's hard to make broader assessments of outcomes and treatments, etc., when you're looking at small retrospective series. So, the idea behind CONDOR, which was really launched by one of my colleagues, neurosurgeon Greg Zipfel at Wash. U. in St. Louis, was the idea of getting together a consortium of centers who have either previously published or have a particular interest in dural AV fistulas to collate our series and get a larger cohort of patients together that could be analyzed for just the kinds of interventions and outcomes that would be of interest in looking at a larger sample size. Dr. Sepideh Amin-Hanjani:          So, the consortium now is up to, I think, 16 or 17 centers. The data that was collected and analyzed for the purposes of this particular manuscript came from 12 centers and was over a thousand patients. So, really a large cohort that allowed us to do a deeper dive analysis on a number of topics, including looking at folks who had presented with hemorrhage. There's a number of other studies that have come out of this registry, and the collaboration to form the registry has also been published as well. And it's retrospective data, but the hope is that CONDOR will eventually transform into a prospective database that will allow us to get even higher level data for this condition. Dr. Negar Asdaghi:                        So, perfect. Sepi, I was going to ask this question of whether the registry's ongoing, so thank you for clarifying that, but coming back to your paper. So, you included those patients who have bled. This was data up until 2017. And it's important to look at this number, 25% of patients with dural AV fistulas in the CONDOR Registry up until the time that you looked at the data. That's 1 in 4 patients presented with an intracranial hemorrhage. Is this an overall good estimate of the risk of hemorrhage for this malformation, especially when we're counseling patients on this? Or do you think this number is higher than routine practice and that it's just basically biased because it's a hospital-based registry? Dr. Sepideh Amin-Hanjani:          I think both things are true in some ways, meaning that because this is a consortium of tertiary care centers, obviously there's a referral bias. Patients who are symptomatic or who have hemorrhage are more likely to be cared for in that setting. So, we are going to tend to see a higher proportion of the patients that are presenting with aggressive symptoms or with hemorrhage within this kind of cohort. Dr. Sepideh Amin-Hanjani:          But along with that, similarly, if you look at the features of these fistulae, they're the ones that have the cortical venous reflux, the high-risk features. So, in as much as to say, "do 25% of all fistulas hemorrhage?" No, because presumably there's a lot of more benign fistulas, ones that aren't discovered or aren't worked up that are low risk for hemorrhage that don't show up. But within the paradigm of, again, the construct of a consortium where you're looking at centers who are really taking care of patients presumably presenting more actively with neurological symptoms, I think this proportion is fairly representative. And it, again, speaks to the fact that depending on the type of fistula and the features of the fistula, it's going to be more or less likely to present in an aggressive manner, hemorrhage being one of those presentations. Dr. Negar Asdaghi:                        Perfect. So now let's talk about treatment modalities. A majority of patients in your study had undergone surgical intervention of the fistula. What was the most common intervention in this registry? And can you briefly tell us about the current treatment modalities, whether endovascular or surgical, that are available for dural fistulas? Dr. Sepideh Amin-Hanjani:          So, I think what we found with this registry, and these were centers both within the U.S. and internationally, that the most common treatment paradigm is endovascular, so embolization of AV fistulas. And I think that very much reflects current practice because of the relative, I think, being not an endovascular person, I probably shouldn't comment on the ease or lack thereof, but the ability to access these fistulae endovascularly and use a number of agents, including glue or other embolization materials to obliterate them. So, we certainly found that in the series, embolization, either alone or in combination with other modalities, was the most prevalent. Dr. Sepideh Amin-Hanjani:          Having said that, surgical intervention still has a significant role. Sometimes these fistulas can be difficult to access, depending on their supply or drainage endovascularly, and then the surgical option for obliterating them becomes important as well. And then, more rarely, lesions that are not amenable to either of those modalities can be treated with radiosurgery, although the concern there always with a hemorrhagic lesion is that the effect is not immediate, as opposed to embolization or surgery, where your goal is to obliterate the fistula and remove the source of hemorrhage, which is really the cortical venous reflux, immediately to make sure that there's not a risk for recurrence. Dr. Negar Asdaghi:                        Thank you. This is a great review of AV fistulas. So, coming back to the paper now to recap, you had a highly selected group of AV fistulas that presented with an intercranial hemorrhage, the majority of which underwent embolization in this cohort. So, what were the outcomes? And let's start with just a brief overview of what outcomes are actually collected in your study, and what did you find? Dr. Sepideh Amin-Hanjani:          Yeah, so we were interested to see, in kind of the current paradigm of management of these fistulae, when they present with hemorrhage. As you said, the great majority were treated. So, this is not a natural history study in the sense that it's not looking at untreated malformations after hemorrhage. It's looking at patients in the real world who pragmatically are going to present into tertiary centers with hemorrhage. What is their overall outcome with the current state of interventions that are available and with whatever primary injury is caused by the hemorrhage itself? Dr. Sepideh Amin-Hanjani:          That's really what the study is looking at, is what is morbidity and mortality after hemorrhage from a lesion like this, and current management paradigm for these fistulas. And in that context, we were looking to see if there were predictors of worse or better outcome in that situation following the hemorrhage itself, and defining morbidity as Modified Rankin score of 3 or greater, with the idea of looking at independent versus dependent outcome, and also looking at mortality. Dr. Sepideh Amin-Hanjani:          In other words, how severe are these patients in terms of their neurological outcomes if they do suffer hemorrhage event? We were able to define and look at a variety of potential predictors of outcome. The hemorrhage from dural AV fistulas can be either intraparenchymal intracranial hemorrhage or it can be subarachnoid, or it can be a combination thereof. There can be intraventricular hemorrhage, all depending on the venous congestion pattern related to the fistula. And the idea was, do any of those hemorrhage subtypes matter? Do the comorbidities of the patient matter? Do the specific angio-architecture or location of the fistula matter as relates to the outcome from the hemorrhage? Dr. Negar Asdaghi:                        Perfect. So, at 13% morbidity and 3.6% mortality associated with AV fistula hemorrhages in your study, tell us please about some of the independent factors associated with this primary outcome. Dr. Sepideh Amin-Hanjani:          Yeah. So, after we analyzed the features that were available within the database, really age emerged as a predictor of poor outcome. And I think that's not surprising. That's very true for the full range of cerebrovascular conditions. If we thresholded at age 65, folks older than 65 had a twofold risk of a worse outcome. Dr. Sepideh Amin-Hanjani:          The other things that we found, really a lot of the other features fell out on multivariate analysis, but the couple that remained strongly associated with poor outcome were folks who were on anticoagulants at the time of the hemorrhage. It was a small number within the cohort, but nonetheless, a very robust effect in that those folks did worse following their hemorrhage and certainly recurrent hemorrhage. Dr. Sepideh Amin-Hanjani:          Now, a lot of these fistulae were treated, but in the instance where recurrent hemorrhage did occur prior to treatment, or if the patient had not undergone treatment, recurrent hemorrhage certainly had a really significant effect on worsening outcome as well. That age effect, as I said, has been seen in other vascular conditions. Anticoagulant use as a predictor of poor outcome at the time of hemorrhage has also been seen as a predictor of worse outcomes and other conditions like aneurysmal hemorrhage, things of that nature, and, similarly recurrent hemorrhage. So we're finding similar features as have been described for other cerebrovascular conditions as relates to hemorrhagic lesions as being important predictors of poor outcome. Dr. Negar Asdaghi:                        Perfect. Very important features to keep in mind when we are dealing with patients with intracranial hemorrhage that are found to have these fistulas. So, things that you mentioned that I want to repeat just for our listeners were: age; recurrent hemorrhage that occurs if a patient is not treated and presented with a hemorrhage initially and added a recurrent one prior to receiving the appropriate therapy; and obviously, and not surprisingly as you mentioned, being on anticoagulants at the time of presentation with their hemorrhage. So, 1 in 6 patients, in summary, with dural AV fistula–associated hemorrhage in your study is dead or dependent follow-up. How does this morbidity and mortality, Sepi, compare to the outcomes from other vascular malformations, say, for instance, that of AVMs? Dr. Sepideh Amin-Hanjani:          Yeah, I think that's one of the things we're particularly interested to kind of compare and contrast. Now, one end of the spectrum, you have aneurysmal subarachnoid hemorrhage. I think out of all hemorrhagic vascular lesions, that has the worst outcome. We know morbidity and mortality of that far exceeds 50%. For AVMs, it's been pretty well described even from prospective series that you can have 10-15% mortality and about 30% morbidity related to an AVM hemorrhage. Dr. Sepideh Amin-Hanjani:          And we were interested to see if that was similar profile for fistulas. I think our results show that it's somewhat better than the AVM hemorrhage. The mortality is lower at about 3-4%, like you noted, and the morbidity is around 13% for survivors. But all in all, if you aggregate that, that is, as you say, a 1 in 6 chance of a very poor outcome. So, it's not trivial by any means and certainly much higher than the hemorrhagic consequences of something like cavernous malformations, where hemorrhages from cavernous malformations are rarely fatal. These dural AV fistula hemorrhages can be fatal and can result in long-term morbidity. I think that has implications in terms of how we think about risk-benefit profile of treatment for a malformation, an AV fistula that's discovered and has predictors that would indicate it's at high risk for hemorrhage. Dr. Negar Asdaghi:                        Thank you very much, Sepi. I think you've already eloquently summarized all of this, but I want us to leave our listeners with your top two or three takeaway messages on the topic. Dr. Sepideh Amin-Hanjani:          Thanks, Negar. So, I think the key takeaways that we took from looking at this analysis is that we now at least have some idea about what the morbidity and mortality related to dural AV fistula hemorrhage is. That 1 in 6 number, as you indicated, really benchmarks what morbidity and mortality for the condition is. Now, what's the relevance of that? I think, by inference, we can take this into practice in a couple of different ways. Dr. Sepideh Amin-Hanjani:          First would be that if a patient presents with a fistula with high-risk features for hemorrhage, that knowing this morbidity and mortality related to hemorrhage certainly informs that discussion about treatment and certainly favors the idea of treating fistulas at high risk for hemorrhage based on cortical venous drainage early to prevent this morbidity and mortality from occurring. Dr. Sepideh Amin-Hanjani:          Secondly, I think it argues towards making sure that there's a thorough workup done when a dural AV fistula is suspected, even if it's presenting with more benign symptoms like tinnitus, for example, or is discovered incidentally, and that workup really should be thorough enough to determine if there are high-risk features from this fistula. And that workup really entails catheter angiography because that's truly the way to determine if these cortical venous reflux and other features that are most associated with hemorrhage are present or not. So, I think those two key elements should be kept in mind. Dr. Sepideh Amin-Hanjani:          And finally, given the rarity of the condition and because these are complex and heterogeneous lesions, I think it makes sense upon discovery or suspicion of a dural fistula to really refer these to tertiary centers that manage these conditions frequently enough to be able to determine those risk features and to offer the appropriate type of treatment for it, whether it be, as we discussed, mostly embolization or surgery. Dr. Negar Asdaghi:                        Dr. Sepideh Amin-Hanjani, congratulations on this work, a huge collaboration and a great addition to the existing literature of vascular malformation–related intracranial hemorrhage. It was a pleasure having you on the podcast today. Dr. Sepideh Amin-Hanjani:          Thank you so much, Negar, much appreciated. Dr. Negar Asdaghi:                        And this concludes our podcast for the October 2021 issue of Stroke. Please be sure to check out this month's table of contents for the full list of publications, including two articles published online in September simultaneous with their presentation at the European Stroke Conference, which appear in the October issue of Stroke. The first article is on clinical outcome of thrombolysis with tenecteplase, and the second one discusses the effects of fluoxetine on outcomes after acute stroke, results from EFFECTS randomized controlled trial. Dr. Negar Asdaghi:                        Now, for a second year in a row, the European Stroke Conference was entirely online, bringing a wealth of knowledge and stroke expertise from all over the world to a completely virtual audience. Now, we hope to soon return to our good old times when we traveled for conferences, but let's take a moment and think about the magnitude of this virtual accomplishment, the incredible role that technology plays in our abilities to do research and provide healthcare. And we owe this to the men and women that pioneered the development and the ever-growing fast-paced progress of computer sciences. Dr. Negar Asdaghi:                        Ten years ago in October, the world lost one such pioneer. Steve Jobs, the father of mobile technology and digital revolution, is recognized not just for his technical creations but also for his way of life, his incredible mind that led to the seemingly utopian ideas for how things should be. In a powerful commencement speech he delivered at Stanford University a few years before his death, he talked about his life experiences, the power of mind, and the power that lies in doing every part of one's work with absolute perfection and love. So, in honor of his genius and the legacy he left behind, we end our October podcast with his parting words of wisdom to the graduating class of 2005: "Stay hungry, stay foolish." And, as always, stay alert with Stroke Alert. Dr. Negar Asdaghi:                        This program is copyright of the American Heart Association, 2021. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, visit AHAjournals.org.

Crypto currency is not only here to stay, and a force to be reckoned with, it can have a significant effect on the health care industry.Leading the charge in this area is Dr. Jack Kruse.He is a member of the American Association of Neurological Surgeons, the Congress of Neurological Surgeons and Age Management Medicine Group.  Dr. Kruse has helped pioneer a totally new medical field - Quantum Mitochondrial Health - which has allowed him to help tens of thousands of patients and members to reverse chronic diseases and achieve optimal health. Building on his deep medical expertise, he has also built a vibrant community dedicated to helping people build critical thinking skills and to be able to see the world as it really is, challenging the myths and false conventional wisdom that prop up our health system, our financial system, our media and our governments.Listen in to learn about how Dr. Kruse is disrupting the industry with cutting edge thinking, and crypto currency.Find episode links, notes and artwork at:https://blog.dirobi.comThis show is for informational purposes only. None of the information in this podcast should be construed as dispensing medical advice. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

Know Stroke Podcast S2E1-Brian Harris Interview-MedRhythmsAbout Our Guest: Brian Harris is the Co-Founder and CEO of MedRhythms; a digital therapeutics company focused on the intersection music, neuroscience and technology.  Brian is a board-certified music therapist and one of 350 Neurologic Music Therapist Fellows in the world. Brian's clinical work is focused at Spaulding Rehabilitation Hospital in Boston, USA where he created and implemented their first inpatient full time Neurologic Music Therapy program, specializing in Traumatic Brain Injury, Stroke, and neurologic disease and built this program to be the most comprehensive NMT program in the country.  Brian is also the Co-Founder of the Arts & Neuroscience group at the American Congress of Rehabilitation Medicine and sits on the Advisory Council of the Academy of Neurologic Music Therapy. He has been an invited speaker at venues throughout the world including: the American Association of Neurological Surgeons, Harvard Medical School, the American Congress of Rehabilitation Medicine, Stanford University, Berklee College of Music, The Neurology Foundation of India, and Google.  Brian is an author on multiple publications related to music and rehabilitation and is listed as an inventor on several patents related to MedRhythms digital therapeutic platform.  His work has also been featured in Forbes, CNBC, The Huffington Post, TechCrunch, Pitchfork, Mashable, The Boston Herald, XConomy, MedTech Boston and on Chronicle Boston. Brian has been named to MedTech Boston's 40 Under 40 Healthcare Innovators and Top 100 Innovation CEOs by World Biz Magazine.To connect with Brian Harris and the MedRhythms Team:Web: https://www.medrhythms.comLinkedIn: https://www.linkedin.com/company/medrhythms/Facebook: https://www.facebook.com/MedRhythmsInstagram: https://www.instagram.com/medrhythms/Twitter: https://twitter.com/medrhythmsYouTube:https://www.youtube.com/channel/UCGbpHpHMXKCbAbYLv1cig2QTo watch this episode on our YouTube Channel visit: https://youtu.be/gPM97xor7N8Music Credit and Podcast Production by Jake Dansereau, connect at JAKEEZo on Soundcloud  @user-257386777About the Know Stroke PodcastWelcome to the Know Stroke Podcast of Co-Founders David Dansereau and Michael Garrow to support the reach of our growing TeamEnable Us Community and the Mission of our EnableUs Digital Stroke Support Platform at enable4us.comWe get you caught up on the latest stroke science, worldwide community support collaborations and interview top researchers and health care experts in the field. We also invite all stroke thrivers to join us so together we can share success to help you manage your own condition and maximize your true rehabilitation potential and preventive care.Want to join us as a stroke thriver guest and tell your stroke story on our website or this podcast? Contact us here: https://enable4us.com/survivor-storiesComplete our know stroke patient survey at https://know-stroke.orgPlease support the show https://paypal.me/SmartMovesPTGet this latest episode and all previous podcast episodes here: https://knowstrokepodcast.buzzsprout.com/Reach out to make a one time donation to our mission or inquire about becoming a Know Stroke show sponsor at https://enable4us.comFor more information about joining our show or advertising with us visit: https://enable4us.comSupport the show (https://paypal.me/SmartMovesPT)

Today might be one of the most interesting conversations we've ever had. Dr. Jack Kruse joined us to discuss all manner of things. We started off talking about light and mitochondria. One of the main takeaways I got from this enlightening conversation was that we desperately need to reconnect with nature. Since listening to Dr. Jack Kruse I adjusted the Flux on my computer screen for daytime settings to 2700 kelvin. If you are working on computers, looking into a cell phone or working indoors, you MUST listen to this. That list of 3 things that I listed right there, probably accounts for 99.9% of people living in the modern world. We talked about simple things we can do to biohack our modern lives so that they don't deplete our energy and our very lives. The modern life we set up and live in, is just an illusion. From banking, politics, health and everything in between, it's all fake and causing disease. We were never meant to live in doors and breathe toxic air or be inside exposed to all of the radiation and blue light coming from our electronic devices. It's not normal to live this way. Dr. Jack Kruse gave the science behind why we are becoming "de gene-d". Our genes are literally coming apart and breaking down with modern sicknesses. These are what they called degenerative diseases. The other take away I got from Dr. Jack Kruse was how our mitochonria are responsible for the genetic expression going awry. People are now focusing on the human genome and genetic expression but what Dr. Kruse is saying is that mitochondria control genes, which you will not hear many people say because they probably haven't done the research that he has. I really would like to have him on more often like once a month if he'd be willing. What do you think? I find him to be incredibly fascinating. Anybody who loses 133lbs in a year without changing their diet or exercising is up to something interesting. The books we talked about during the show were Cosmosapiens: Human Evolution from the Origin of the Universe and The Fourth Phase of Water: Beyond Solid, Liquid, and Vapor. Our previous show with Dr. Jack Kruse can be found by clicking here. On Last Thing! As always your support via your donations and bookmarking our Amazon link to use each time you purchase is how we keep our show going. Thank you for bookmarking our Amazon link even if you're not buying anything right now! :) Thank you all! Justin, Kate and Maggie Sponsor For This Episode: Earthing Grounded Products Berkey Water Filters PerpetualHealing.me (members only) The Relax FAR Infrared Sauna The Biomat Featured Products For This Episode: We are now commercial free but only if you click here to support us to keep making commercial free shows! :) Qigong Program Chemical Free Organic Skincare! Activation Products - Ocean's Alive & Magnesium Find Extreme Health Radio On: [include file=showpage-itunes-soundcloud-stitcher.html] Please Subscribe: Subscribe To Our Radio Show For Updates! Other Shows: [include file=show-links.html] Listen to other shows with this guest. Show Date: Saturday 10/8/2016 Show Guest: Dr. Jack Kruse Guest Info: Dr. Jack Kruse is a respected neurosurgeon and CEO of Optimized Life, a health and wellness company dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group. Guest Website(s): http://www.jackkruse.com/ http://www.facebook.com/drjackkruse http://www.twitter.com/drjackkruse https://thequantlet.com/ Guest Product(s): Please Support Us If You Are Able: (Opens in a new window - Every bit helps us to keep delivering even better shows that help you heal & thrive!) [spp-transcript]

Dr. Gregory Corradino is a neurosurgeon by trade, a business owner, and most recently an author of the book, “Beyond Medical School: secrets of successful doctors”. He is a member of the American Association of Neurological Surgeons, the Congress of Neurological Surgeons, and the North American Spine Society. He is also the Vice President of East Tennessee Brain and Spine. Dr. Corradino also enjoys painting, traveling, and spending time with his wife and children. Welcome to leading the rounds! Questions we asked: How can trainees learn about business, finance, and leadership before they begin practicing? How should medical schools be educating future physicians about these topics? What are your tips for choosing a medical practice? Why do you think doctors, who are trained on empathy, historically poorly treat their staff? How do you hire the right people? What would you tell new physicians about hiring great accountants, advisors, lawyers, financial planners, insurance agents, mentors?How do you build a great team to work with? Can you explain what a mastermind group is? How can we become better communicators? As an owner of a private practice, how do you not let the business affect your relationships with patients? Quotes & Ideas: The culture within an organization trickles down directly from the leader. Poor leadership within a medical practice will lead to employees who treat patients poorly and represent the practice poorly. “If you don't treat people well… they are going to figure out a way to treat you poorly.” Your level of competence and prestige never gives you the right to treat people poorly. “One of the best ways to get proper advice is to ask around.” “If you think you can do it alone, you're going to waste a lot of time, money, and emotional stress.” “You're the sum of the 5 people that you spend the most time with.” -Jim Rohn “Do you want a culture of design or a culture of default?”Mastermind Groups “You have got to be able to get your point across effectively” Important facets of building a medical practice: Business/Marketing Operations Human Resources/People/StaffFinances Books: How to Win Friends and Influence People by Dale CarnegieTrust Based Marketing by Dan Kennedy Think and Grow Rich by Napoleon Hill 

Dr. Lim is the Professor and Chair of the Department of Neurosurgery and a board-certified neurosurgeon specializing in brain tumors. Prior to becoming Chair of Neurosurgery at Stanford at Johns Hopkins, Dr. Lim was Professor of Neurosurgery at Johns Hopkins where he built one of the largest brain tumor practices. Dr. Lim's research involves the development of immunotherapies for brain tumors and focuses on understanding mechanisms of immune evasion by cancer cells. He has been the Principal Investigator of several large national immunotherapy clinical trials for brain tumors. A world leader in immunotherapy for brain tumors, Dr. Lim has published over 200 manuscripts on the treatment of brain tumors and trigeminal neuralgia.  Dr. Lim is a member of the American Society for Clinical Oncology, Congress of Neurological Surgeons, the American Association of Neurological Surgeons, and the Society for Neuro-Oncology. Dr. Lim served as the program co-chair of the Society for Neuro-Oncology and CNS section of the American Society for Clinical Oncology. He also served on many executive committees, including the Executive Committee for the Joint Tumor Section of the American Association of Neurological Surgeons and Congress of Neurological Surgeons.

Nature itself is decentralized, so it only makes sense that as more of us wake up, we want to take control of our time, health, and wealth.    For centuries, all the money in the world has been controlled by the powers-that-be, so how do we even begin to take it back? More importantly, if we're on a path to optimization and higher vibration, how much does money matter?    In this episode, Dr. Jack Kruse explains the surprising link between Bitcoin, sovereignty, and our natural states.  Three Curiosity-Driven Takeaways    The double-edged sword of material wealth What good is money if we have no time or relationships with our loved ones?   What money means today We're living in a technocracy where data has replaced monetary energy, so just how much control does money have over us?    How to stop being a pawn in the hands of the elites How are the powers that be stopping us from gaining access to the truth, and what can we do to move past the lies?   Guest Bio-    Dr. Jack Kruse is the CEO of Kruse Longevity Center at Destin. A respected neurosurgeon, Dr. Kruse's center is aimed at helping patients avoid the healthcare problems we typically experience with age. Dr. Kruse is also a member of the American Association of Neurological Surgeons, as well as the Age Management Medicine Group and the Congress of Neurological Surgeons.    To find out more, go to:https://jackkruse.com/  https://www.patreon.com/DrJackKruse https://quantumhealth.tv/  Or email him at kruse@destin.com    To find out more about Bitcoin, visit: https://www.swanbitcoin.com/

Dr. Kruse is a member of the American Association of Neurological Surgeons, the Congress of Neurological Surgeons and Age Management Medicine Group.  He has helped pioneer a totally new medical field - Quantum Mitochondrial Health. Building on his deep medical expertise, he has also built a vibrant community while being a bitcoin maximalist; he is dedicated to helping people build critical thinking skills. He continues to challenge our currently implemented systems and look for more feasible solutions to benefit everyone. In this episode Dr. Kruse joins host Ethan for a look into how Decentralized finance and healthcare can help us live better lives. Some more topics covered in this episode: How to Optimize Time, Health & Wealth Building Wealth now to Compound & Take Care of Your Health in the Future How the Thermodynamics of Currencies & the Thermodynamics of Your Cellular Biology Are Related   Get 20% OFF + Free Shipping with promo code BLOCKCHAIN at MANSCAPED.com

Dr. Jack Kruse joins us to talk about 5G and light. Somebody the other day asked me what guests have influenced me the most and I had to say after 574 episodes I'd have to say Dr. Jack Kruse and Dr. Richard Massey. There are probably two of the most unique people I have ever had conversations with. Atom Bergstrom is right there as well. I don't agree with all of them but that's not the point. All 3 of these great people bring something unique to the table that nobody else seems to bring. I highly encourage you to go back through our archives and listen to the shows with these folks. Just remember, Dr. Jack Kruse is not god, neither is Dr. Massey nor Atom Bergstrom. Everybody brings a unique part of the puzzle and we can't fall into the trap of making anybody the health authority. Check all of their ideas, research, experiment and see what works for you. Nobody knows your body better than you do. I don't care how eloquent these fine people are, only you can make decisions about your health that will make a difference. Please do not bow down to them, they're just people and they'll tell you that! In this episode Dr. Jack Kruse talks about non native EMF (NNEMF), blue light, 5G, wireless technology and how to mitigate it to the best of our ability. Here are some things we talked about.. Getting DHA directly from Algae, Acid Rain Ultraviolet Blood Irradiation Windows and UV Light How does AM sun help take in more UVA? Eating food locally while traveling? Wearing sunglasses in the car or plane Is mixing 4g with 5g like chemicals in a drug? Has it been studied? What about grounding and Dr. Sam Milham? Does light effect dogs just like it does humans? Greenhouse and windows with light On Last Thing! As always your support via your donations and bookmarking our Amazon link to use each time you purchase is how we keep our show going. Thank you for bookmarking our Amazon link even if you're not buying anything right now! :) Thank you all! Justin :) Sponsor For This Episode: Extreme Health Academy Use code EHR14 to start your free 14 day trial Earthing Grounded Products Bellicon Rebounder Omron Nebulizer BARF World Raw Dog Food Magnetico Sleep Pads Iris Blue Blocking Computer Software BluBlox Blue Blocking Glasses True Dark Blue Blocking Glasses Featured Products For This Episode: Consider donating per episode on Patreon! The Relax FAR Infrared Sauna Berkey Water Filters The Biomat Qigong Program Chemical Free Organic Skincare! Activation Products - Ocean's Alive & Magnesium Show Guest: Dr. Jack Kruse Guest Info: Dr. Jack Kruse is a respected neurosurgeon and CEO of Optimized Life, a health and wellness company dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group. Guest Website(s): http://www.jackkruse.com/ http://www.facebook.com/drjackkruse http://www.twitter.com/drjackkruse https://thequantlet.com/ Guest Product(s): Please Support Us If You Are Able: (Opens in a new window - Every bit helps us to keep delivering even better shows that help you heal & thrive!) [spp-transcript]

About This Episode: Dr. Jack Kruse is a respected neurosurgeon and CEO of Kruse Longevity Center, a health and wellness company dedicated to helping patients avoid the healthcare burdens typically encountered as one ages. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons and Age Management Medicine Group. Dr. Kruse has helped pioneer a totally new medical field - Quantum Mitochondrial Health - which has allowed him to help tens of thousands of patients and members to reverse chronic diseases and achieve optimal health. Building on his deep medical expertise, he has also built a vibrant community dedicated to helping people build critical thinking skills and to be able to see the world as it really is, challenging the myths and false conventional wisdom that prop up our health system, our financial system, our media and our governments. Find out more about Dr. Jack at: Dr. Jack's website - www.jackkruse.com Twitter - twitter.com/drjackkruse Facebook - facebook.com/drjackkruse Instagram - instagram.com/drjackkruse Quantum Health TV - https://quantumhealth.tv/ Check out our YouTube Channel: Jeremyryanslatebiz Make Extraordinary a reality: jeremyryanslate.com/extraordinary See the Show Notes: www.jeremyryanslate.com/864 Sponsors: Command Your Brand Media: Be featured as a guest on top-rated podcasts, just like this one, for massive attention for your brand. www.commandyourbrand.media/apply  Audible: Get a free 30 day free trial and 1 free audiobook from thousands of available books. Right now I'm reading "The Science of Getting Rich,"by Wallace D. Wattles, about building real wealth. www.jeremyryanslate.com/book  

About This Episode: Dr. Jack Kruse is a respected neurosurgeon and CEO of Kruse Longevity Center, a health and wellness company dedicated to helping patients avoid the healthcare burdens typically encountered as one ages. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons and Age Management Medicine Group. Dr. Kruse has helped pioneer a totally new medical field - Quantum Mitochondrial Health - which has allowed him to help tens of thousands of patients and members to reverse chronic diseases and achieve optimal health. Building on his deep medical expertise, he has also built a vibrant community dedicated to helping people build critical thinking skills and to be able to see the world as it really is, challenging the myths and false conventional wisdom that prop up our health system, our financial system, our media and our governments. Find out more about Dr. Jack at: Dr. Jack's website - www.jackkruse.com Twitter - twitter.com/drjackkruse Facebook - facebook.com/drjackkruse Instagram - instagram.com/drjackkruse Quantum Health TV - https://quantumhealth.tv/ Check out our YouTube Channel: Jeremyryanslatebiz Make Extraordinary a reality: jeremyryanslate.com/extraordinary See the Show Notes: www.jeremyryanslate.com/864 Sponsors: Command Your Brand Media: Be featured as a guest on top-rated podcasts, just like this one, for massive attention for your brand. www.commandyourbrand.media/apply  Audible: Get a free 30 day free trial and 1 free audiobook from thousands of available books. Right now I'm reading "The Science of Getting Rich,"by Wallace D. Wattles, about building real wealth. www.jeremyryanslate.com/book  

Welcome to Episode 4 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Full show Notes for Episode 4 of “The 2 View” can be found here: https://docs.google.com/document/d/1Awc9VPm2igzhKwNoDO07eq269bZTgrPtfSCJVVCvu6U/edit?usp=sharing Sickle Cell Brandow AM, Carroll CP, Creary S, et al. American Society of Hematology 2020 guidelines for sickle cell disease: management of acute and chronic pain. Blood Adv. 2020;4(12):2656-2701. Accessed April 5, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322963/ Della-Moretta S, Delatore L, Purcell M, et al. The Effect of Use of Individualized Pain Plans in Sickle Cell Patients Presenting to the Emergency Department. Ann Emerg Med. Published September 2020. Accessed March 17, 2021. https://www.sciencedirect.com/science/article/pii/S019606442030648X Table from Cisewski D. ED Management of Sickle Cell Vaso-occlusive Crises: Myths, Facts, and A Novel Approach to Acute Pain Management. emDocs. Updated April 15, 2019. Accessed April 5, 2021. https://www.emdocs.net/ed-management-of-sickle-cell-vaso-occlusive-crises-myths-facts-and-a-novel-approach-to-acute-pain-management/ A Practical Approach to Pain Management in the Acute Care Setting with Dr. Sergey Motov, MD / EM Boot Camp Faculty Forum #2. Updated December 2, 2020. Accessed April 5, 2021. https://youtu.be/lJSioPsGw3A Sickle Cell Disease. CorePendium. EM:RAP.org, 2020. Updated December 7, 2020. Accessed April 5, 2021. https://www.emrap.org/corependium/chapter/recZWicqx0K20uwsz/Sickle-Cell-Disease Procedure IM Shots Roberts M, Roberts JR. Intramuscular Injections: 101 — The Proceduralist. The Proceduralist. Accessed March 17, 2021. https://www.theproceduralist.org/thecases/intramusclar-injections-101 You Call the Shots – Vaccine Administration: Intramuscular (IM) Injection Adults 19 years of age and older. Cdc.gov. Published November 16, 2020. Accessed March 17, 2021. https://www.cdc.gov/vaccines/hcp/admin/downloads/IM-Injection-adult.pdf Documentation Henry, Greg, MD. What You Must Know to Avoid Being Sued. Original Emergency Medicine Boot Camp. December 2019. Las Vegas. Accessed March 17, 2021. Risk Management Monthly. The Center for Medical Education. Accessed March 17, 2021. https://www.ccme.org/riskmgmt/ Weinstock MB; Longstreth R; Henry GL. Bouncebacks! Emergency Department Cases: ED Returns. 2nd ed. Anadem; 2018. First Time Seizures Epilepsy. American Association of Neurological Surgeons. Accessed March 17, 2021. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Epilepsy Types of Seizures. Johns Hopkins Medicine. Accessed March 17, 2021. https://www.hopkinsmedicine.org/health/conditions-and-diseases/epilepsy/types-of-seizures Billet, M MD, Khouja, D MBBS. Seizures in Adults. EM:RAP CorePendium. Emrap.org. Updated September 15, 2020. Accessed March 17, 2021. https://www.emrap.org/corependium/chapter/recLTpXKGatE7jq2r/Seizures-in-Adults Pohlmann-Eden B, Beghi E, Camfield C, Camfield P. The first seizure and its management in adults and children. BMJ. Published February 11, 2006. Accessed March 17, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1363913/ Adamolekun, B MD. Seizure Disorders. Merck Manuals. Content last modified July 2020. Accessed March 17, 2021. https://www.merckmanuals.com/professional/neurologic-disorders/seizure-disorders/seizure-disorders Neurology. American Academy of Neurology. Accessed March 17, 2021. https://n.neurology.org/ Ho K, Lawn N, Bynevelt M, Lee J, Dunne J. Neuroimaging of first-ever seizure: Contribution of MRI if CT is normal. Neurol Clin Pract. Published October 2013. Accessed March 17, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765827/ First Time Seizure. Emrap.org. Published August 2017. Accessed March 17, 2021. https://www.emrap.org/episode/c3seizures/seizuresfirst Trivia Question: Send answers to 2viewcast@gmail.com Please note that for this month, if you get the trivia question correct, you will win 20% off any CCME course you want. That's right, ANY CCME course you want, including live courses. You can buy it for yourself or give it to a friend - it's your 20% off. So, download and listen to the episode for the question! Please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, LVT, VTS SAIM and of course Brittany Laflen RVT, VTS Neuro as we talk about: The inflammation of the brain and beyond, oh yes, we are talking Meningitis, meningoencephalitis, meningoencephalomyelitis; OH MY!!!!   Question of the Week What’s your experience with meningitis? Any cool stories? Leave a comment at https://imfpp.org/episode63   Resources We Mentioned in the Show  American Association of Neurological Surgeons:  https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Anatomy-of-the-Brain Berkeley: The nervous System https://mcb.berkeley.edu/courses/mcb135e/nervous.html; https://www.ncbi.nlm.nih.gov/books/NBK279390/  Linda Merrill, (2012). Small Animal Internal Medicine for Veterinary Technicians and Nurses. Ames: Wiley-Blackwell. Colville, T., Bassert, J. (2016). Clinical Anatomy and Physiology for Veterinary Technicians. St. Louis: Mosby, Inc.   Thanks so much for tuning in. Join us again next week for another episode!  Want to earn some RACE approved CE credits for listening to the podcast? You can earn between 0.5-1.0  hour of RACE approved CE credit for each podcast episode you listen to.    Join the Internal Medicine For Vet Techs Membership to earn and keep track of your continuing education hours as you get your learn on!   Join now! http://internalmedicineforvettechsmembership.com/   Get Access to the Membership Site for your RACE approved CE certificates Sign up at https://internalmedicineforvettechsmembership.com  Get Access to the Technician Treasure Trove  Sign up at https://imfpp.org/treasuretrove    Thanks for listening!  – Yvonne and Jordan 

En este episodio conversamos con el Dr. Jaime Torres Corzo, Médico Neurocirujano, miembro del Consejo Mexicano de Cirugía Neurológica y del Congress of Neurological Surgeons desde 2011; acerca de cómo procesa el cerebro la información que percibe en el ambiente, de igual manera a que se debe la interpretación que cada persona otorga a esa información una vez que el cerebro la procesa.

Dr. Jack Kruse is a world-respected neurosurgeon and CEO of Optimized Life and Kruse Longevity Center. Dr. Jack reveals how there are diseases all around the world and they all come back to - light, water, and magnetism. Dr. Kruse's research has been published in respected dental and medical journals. Dr. Kruse is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group.Join us for part 2 of this 2-part podcast as we explore:The deuterium content in water and grass and the great migration from the Serengeti nature reserve to the Masai Mara nature reserveYour eye as a clock and your skin as a solar panelWhy 5G and EMF is changing the gameTopological surfaces and quantum spin statesWhy Africa is the 1 continent that can lead biologyWhy people who watch more TV get fatterHow light can bend space and timeQuantum tunnelingHow Mitochondrial energy efficiency links to your purpose- your calling and belief is your greatest magnetic field!Join our community:Facebook MadeToThriveZA; SteveStavsZAInstagram SteveStavsZAMentionsGame changershttps://gamechangersmovie.com/Book: ‘Life on the Edge: The Coming of Age of Quantum Biology', by Jim Al-Khalili and Johnjoe McFadden https://www.amazon.com/Life-Edge-Coming-Quantum-Biology/dp/0307986829/ref=sr_1_1?dchild=1&keywords=%E2%80%98Life+on+the+Edge%3A+The+Coming+of+Age+of+Quantum+Biology%E2%80%99%2C+by+Jim+Al-Khalili+and+Johnjoe+McFadden&qid=1599912176&sr=8-1Rasputin and animal magnetism https://historycollection.com/12-details-rasputins-controversial-life-not-many-people-know/8/Book: Going Somewhere: Truth about a Life in Science by Andrew A. Marinohttps://www.amazon.com/Going-Somewhere-Truth-about-Science/dp/0981854915/ref=sr_1_1?dchild=1&keywords=andrew+marino&qid=1599912998&sr=8-1Book: Ten Lectures on Basic Science of Laser Phototherapy by Tiina Karu https://www.amazon.com/Lectures-Basic-Science-Laser-Phototherapy/dp/9197647802/ref=sr_1_1?dchild=1&keywords=tiina+karu&qid=1599913676&s=books&sr=1-1Books: Books by Michael R Hamblin https://www.amazon.com/s?k=michael+R+hamblin&i=stripbooks-intl-ship&ref=nb_sb_nossBook: Power, Sex, Suicide: Mitochondria and the meaning of life by Nick Lanehttps://www.amazon.com/Power-Sex-Suicide-Mitochondria-Landmark/dp/0198831900/ref=sr_1_1?dchild=1&keywords=nick+lane+mitochondria&qid=1599913991&s=books&sr=1-1Douglas C Wallace https://www.youtube.com/watch?v=1aCHrHwm_AI&list=PLFpiDSbBHQnggENuBmeJhDFhfNiH1VJ1Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821041/Book: Becker the Researcher by Andrew Marinohttps://www.amazon.com/Becker-Researcher-Andrew-Marino/dp/0981854931Book: Cross Currents: The Perils of Electropollution, the Promise of Electromedicine by Robert O. Beckerhttps://www.amazon.com/Cross-Currents-Electropollution-Promise-Electromedicine/dp/0874776090Book: Electromagnetism and Life Paperback by Robert O. Becker and Andrew A. Marinohttps://www.amazon.co.uk/Electromagnetism-Life-Robert-Becker/dp/0981854907Book: The Sixth Extinction: An Unnatural History by Elizabeth Kolbert https://www.amazon.com/Sixth-Extinction-Unnatural-History/dp/1250062187/ref=sr_1_1?dchild=1&keywords=elizabeth+kolbert+the+extension&qid=1599914682&s=books&sr=1-1

Dr. Jack Kruse is a world-respected neurosurgeon and CEO of Optimized Life and Kruse Longevity Center. Dr. Kruse's focus is  on the foundations of how we work. Using science he explains the deep connection between thermodynamics in biology and the processing of energy and information. Dr. Jack reveals how there are diseases all around the world and they all come back to - light, water, and magnetism. Dr. Kruse's research has been published in respected dental and medical journals and his popular blog, www.JackKruse.com, gets over 250,000 unique worldwide visitors. Dr. Kruse is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group.Join us for part 1 of this 2-part podcast as we explore:How Jack's tearing of his medial meniscus and a monk who sold his Ferrari revealed the world of the leptin melanocortin pathway in the brain and a discovery of passion meets purposeThe 3-legged stool of lifeWhy you should have your nuts in the sun and your skin in the game Why Med School teaches Doctors to be obedient idiots for those who control the paradigmWhy water is the most amazing chemical in the universePhysics, bio chemistry, mitochondrial genomes, autophagy and apoptosis and so much more!Join our community:Facebook MadeToThriveZA; SteveStavsZAInstagram SteveStavsZAMentionsBook: Epi-paleo Rx: The Prescription for Disease Reversal and Optimal Health by Dr. Jack Krusehttps://www.amazon.com/Epi-paleo-Rx-Prescription-Disease-Reversal/dp/0989057739/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=The Qauntlet https://thequantlet.com/portfolio/3095/SPF Zero clothing from Kinikihttps://www.kiniki.com/BLUblox glassesMade To Thrive clients receive a 15% discount on any orders of BluBlox glasses. Enter the Promo Code SteveStavs on check out! Click here to find out more or to claim your discount.The Monk Who Sold His Ferrari: A Fable About Fulfilling Your Dreams & Reaching Your Destiny by Robin Sharma; https://www.amazon.com/Monk-Who-Sold-His-Ferrari/dp/0062515675/ref=sr_1_1?crid=1DUX66U0DEDM8&dchild=1&keywords=monk+who+sold+his+ferrari&qid=1599895455&s=books&sprefix=monk+who+sold%2Cstripbooks-intl-ship%2C566&sr=1-1The leptin melanocortin pathway https://jackkruse.com/cold-thermogenesis-6-the-ancient-pathway/Pollacks 4 phases of waterhttps://www.youtube.com/watch?v=PtXgewzT1FoDoug Wallacehttps://en.wikipedia.org/wiki/Douglas_C._WallaceMichael Faraday Law of Induction https://www.britannica.com/science/Faradays-law-of-inductionBook: The Fourth Phase of Water: Beyond Solid, Liquid, and Vapor by Gerald H Pollackhttps://www.amazon.com/s?k=book+by+gerald+pollack&i=stripbooks-intl-ship&ref=nb_sb_nossBook: The Body Electric: Electromagnetism And The Foundation Of Life by Robert Beckerhttps://www.amazon.com/Body-Electric-Electromagnetism-Foundation-Life/dp/0688069711Albert Szent-Györgyi: “if you look at the chemical state of biomolecules, they appear to be solid state devices”https://en.wikipedia.org/wiki/Albert_Szent-Gy%C3%B6rgyiBook: Health and Light: The extraordinary Study that Shows How light Affects Your Health and emotional well being by John N. Ott https://www.amazon.com/Health-Light-extraordinary-Affects-emotional/dp/0898040981/ref=sr_1_1?dchild=1&keywords=health+and+light+by+john&qid=1599898543&s=books&sr=1-1

Eben Alexander III is an American neurosurgeon and New York Times bestselling author. His book Proof of Heaven: A Neurosurgeon's Journey into the Afterlife describes his 2008 near-death experience (NDE) and explains that science can and will determine that the brain does not create consciousness and that consciousness survives bodily death.  In 2008 Eben fell into a spontaneous a meningitis-induced coma for 8 days which led him into the spirit realm to commune with entities that described the true nature of reality to him. Since the release of the book, he has presented hundreds of lectures around the world in churches, hospitals, medical schools, and academic symposia, besides appearing on TV shows including Super Soul Sunday with Oprah Winfrey. Alexander has also expanded on his NDE in the Congress of Neurological Surgeons and the peer-reviewed Journal of the Missouri State Medical Association. He is also the author of the 2014 book The Map of Heaven which builds on the claims in his previous book, and coauthor of the 2017 book Living in a Mindful Universe which describes his personal journey since 2008 along with co-author Karen Newell. In this conversation, Eben, Karen and I talk about his NDE, the afterlife, the nature of consciousness, and the lessons he’s brought back to teach from that moment in time.  

Dr. Mark McLaughlin, MD, FACS, FAANS is a practicing board-certified neurosurgeon, a national media commentator, author of the book Cognitive Dominance: A Brain Surgeon’s Quest to Outthink Fear, and acclaimed keynote speaker.He is the founder of Princeton Brain and Spine Care where he practices surgery focusing on trigeminal neuralgia and cervical spine surgery. McLaughlin is also a thought leader in performance enhancement and physician hospital relations.His interests extend beyond medicine and speaking engagements. McLaughlin coaches youth wrestling and he co-founded and funded Trenton Youth Wrestling, a non-profit organization dedicated to providing inner city boys and girls with skills gained through wrestling and working with mentors.McLaughlin also has a special interest in educating and assisting in the training of United States Military Academy cadets. In his father’s honor, he endowed the Annual Albert C. Wedemeyer Strategic Leadership lecture series designed in collaboration with the Modern War Institute to foster the interests of America’s future military leadership. He delivers annual lectures on elite performance at the United States Military Academy and recently spoke to leadership of the 10th Special Forces Unit at Fort Carson, Colorado. He has been a visiting speaker at University of Notre Dame, Virginia Commonwealth University, and University of Buffalo.McLaughlin’s commentary regularly appears in Business Insider where he is a contributing author. His performance enhancement, medical interviews and original pieces have appeared in magazines and on websites including Entrepreneur, Reader’s Digest, MSN, Costco, Thrive Global, KevinMD, Becker’s Spine Review and the NCAA. He has been chosen to give keynote addresses that focus on coaching, traumatic brain injury, antidotes to aging, personal development, and youth coaching.He received his bachelor’s degree in philosophy at The College of William and Mary. He went on to receive his medical degree at Virginia Commonwealth University with Alpha Omega Alpha honors – equivalent of Phi Beta Kappa - and pursued his residency at University of Pittsburgh under the tutelage of world-renowned neurosurgeon Peter Jannetta, considered the father of modern neurosurgery. McLaughlin also completed a fellowship in complex spine surgery at Emory University. He was named a Castle Connolly Top Doctor for the last ten consecutive years and an NJ Monthly Top Doc. He has published over 100 articles on neurosurgery and one textbook on cervical spine surgery, edited one textbook on lumbar spine surgery, and spoken internationally about his field.A former NCAA Division I wrestler, McLaughlin was inducted into the National Wrestling Hall of Fame in 2016. He remains active in the wrestling world and is in his seventeenth year coaching with the Princeton Wrestling Club and in his fifth year of the Trenton Youth Wrestling organization.He has organized an international consultative link with Russian neurosurgeons with collaboration from the World Federation of Neurological Surgeons. He initiated the first ever Russian-American Spine Symposium in May 2000, in St. Petersburg, Russia. McLaughlin served as medical director for Princeton Brain and Spine from 2005 to 2015 before focusing on teaching, writing, and speaking. He is a member of the Congress of Neurological Surgeons and American Association of Neurological Surgeons. He resides in Princeton, New Jersey.https://www.markmclaughlinmd.com/For more interviews visit: www.iamrefocusedradio.comSponsors:Rockafellas Barber Shop San AntonioRico Rodriguez (Owner)www.facebook.com/Rockafellas-Barber-Shop-105026620034718/?ref=page_internal1733 BabcockSan Antonio, Texas 78229Phone: (210) 782-5188The Dear Agency specializes in helping you understand your coverage BEFORE you need it!We offer all lines of personal and commercial insurance, including Auto, Home and Life.Contact Dawn Dear at 210-507-2169 and visit us at 7529 N Loop 1604 in Live Oak, TX or farmersagent.com/ddearSupporters:Sanctuary of HopeA Place of RefugeSanctuary of Hope provides a caring and nurturing environment to single expectant mothers ages 12-22 and their children.Every Life CountsPregnant and not sure what to do? You are not alone. Learn more about how we can help you.Be a part of the inspired visionPlease consider joining efforts with the Sanctuary of Hope to help set a positive course for single young mothers and their unborn children.https://www.sohcares.org/ENGAGE! publishes the Christian Community Calendar weekly.www.facebook.com/engagesaProsperitus Solutions is headquartered on the Southwest side of San Antonio, Texas and serving the Department of Defense since 2011. Prosperitus employs more than 100 staff nationwide with footprints in over 8 states.Mission Statement: To attract and ignite talent resulting in prosperous solutions for our customers and community.Our skill-sets cover:• Medical Services• Information Technology• Logistics• Finance• Marketing• Human ResourcesWe have put together a Lean Experienced Corporate staff with one mission, to provide Exceptional Service to our customers and foster long lasting profitable partnerships with our teaming companies.www.prosperitussolutions.com/prosperitusI Am Refocused Podcast Sponsored by River City Donuts1723 Babock Rd. San Antonio, TX 78229I Am Refocused Podcast Sponsored by Bay Bay McClinton of All Sports Speed and Conditioningwww.allsportsfitness.netAll Sports Speed and Conditioning is the top sports performance training gyms in San Antonio, and has produce many collegiate and professional athletes since opening. All Sports was founded in 1997 by Bremond “Bay Bay” McClinton. All Sports is based out of the beautiful city of San Antonio, TX. Having accomplished his own career in professional sports; starting a company like All Sports was a natural transition for him. Bay Bay is a native of San Antonio, TX. His 100 meter dash in High School at Roosevelt High in San Antonio was not broken until recently. In college Bay Bay played opposite the great future hall of famer, Darrell Green. He went on to sign a professional career with the Houston Oilers, Dallas Cowboys and played 7 years in the European Leagues before returning to his home town to finish his career “San Antonio Texans”. In 2006, his company, All Sports administered the strength and conditioning program for the East vs West Shriners’s college senior bowl. In 2008-09, All Sports administered the strength and conditioning program for the Division II college Senior Cactus Bowl All Star game in Kingsville. Today All Sports Speed and Conditioning continues to train athletes to elevate their athletic performance to the next level in all sports.I Am Refocused Podcast Sponsored by D.W. Brooks Funeral Home2950 E. Houston St.San Antonio, TX 78202Email: info@dwbrooksfh.comPhone: 210-223-2045Website: dwbrooksfuneralhome.com

Dr. Mark McLaughlin, MD, FACS, FAANS is a practicing board-certified neurosurgeon, a national media commentator, author of the book Cognitive Dominance: A Brain Surgeon’s Quest to Outthink Fear, and acclaimed keynote speaker.He is the founder of Princeton Brain and Spine Care where he practices surgery focusing on trigeminal neuralgia and cervical spine surgery. McLaughlin is also a thought leader in performance enhancement and physician hospital relations.His interests extend beyond medicine and speaking engagements. McLaughlin coaches youth wrestling and he co-founded and funded Trenton Youth Wrestling, a non-profit organization dedicated to providing inner city boys and girls with skills gained through wrestling and working with mentors.McLaughlin also has a special interest in educating and assisting in the training of United States Military Academy cadets. In his father’s honor, he endowed the Annual Albert C. Wedemeyer Strategic Leadership lecture series designed in collaboration with the Modern War Institute to foster the interests of America’s future military leadership. He delivers annual lectures on elite performance at the United States Military Academy and recently spoke to leadership of the 10th Special Forces Unit at Fort Carson, Colorado. He has been a visiting speaker at University of Notre Dame, Virginia Commonwealth University, and University of Buffalo.McLaughlin’s commentary regularly appears in Business Insider where he is a contributing author. His performance enhancement, medical interviews and original pieces have appeared in magazines and on websites including Entrepreneur, Reader’s Digest, MSN, Costco, Thrive Global, KevinMD, Becker’s Spine Review and the NCAA. He has been chosen to give keynote addresses that focus on coaching, traumatic brain injury, antidotes to aging, personal development, and youth coaching.He received his bachelor’s degree in philosophy at The College of William and Mary. He went on to receive his medical degree at Virginia Commonwealth University with Alpha Omega Alpha honors – equivalent of Phi Beta Kappa - and pursued his residency at University of Pittsburgh under the tutelage of world-renowned neurosurgeon Peter Jannetta, considered the father of modern neurosurgery. McLaughlin also completed a fellowship in complex spine surgery at Emory University. He was named a Castle Connolly Top Doctor for the last ten consecutive years and an NJ Monthly Top Doc. He has published over 100 articles on neurosurgery and one textbook on cervical spine surgery, edited one textbook on lumbar spine surgery, and spoken internationally about his field.A former NCAA Division I wrestler, McLaughlin was inducted into the National Wrestling Hall of Fame in 2016. He remains active in the wrestling world and is in his seventeenth year coaching with the Princeton Wrestling Club and in his fifth year of the Trenton Youth Wrestling organization.He has organized an international consultative link with Russian neurosurgeons with collaboration from the World Federation of Neurological Surgeons. He initiated the first ever Russian-American Spine Symposium in May 2000, in St. Petersburg, Russia. McLaughlin served as medical director for Princeton Brain and Spine from 2005 to 2015 before focusing on teaching, writing, and speaking. He is a member of the Congress of Neurological Surgeons and American Association of Neurological Surgeons. He resides in Princeton, New Jersey.https://www.markmclaughlinmd.com/For more interviews visit: www.iamrefocusedradio.comSponsors:Rockafellas Barber Shop San AntonioRico Rodriguez (Owner)www.facebook.com/Rockafellas-Barber-Shop-105026620034718/?ref=page_internal1733 BabcockSan Antonio, Texas 78229Phone: (210) 782-5188The Dear Agency specializes in helping you understand your coverage BEFORE you need it!We offer all lines of personal and commercial insurance, including Auto, Home and Life.Contact Dawn Dear at 210-507-2169 and visit us at 7529 N Loop 1604 in Live Oak, TX or farmersagent.com/ddearSupporters:Sanctuary of HopeA Place of RefugeSanctuary of Hope provides a caring and nurturing environment to single expectant mothers ages 12-22 and their children.Every Life CountsPregnant and not sure what to do? You are not alone. Learn more about how we can help you.Be a part of the inspired visionPlease consider joining efforts with the Sanctuary of Hope to help set a positive course for single young mothers and their unborn children.https://www.sohcares.org/ENGAGE! publishes the Christian Community Calendar weekly.www.facebook.com/engagesaProsperitus Solutions is headquartered on the Southwest side of San Antonio, Texas and serving the Department of Defense since 2011. Prosperitus employs more than 100 staff nationwide with footprints in over 8 states.Mission Statement: To attract and ignite talent resulting in prosperous solutions for our customers and community.Our skill-sets cover:• Medical Services• Information Technology• Logistics• Finance• Marketing• Human ResourcesWe have put together a Lean Experienced Corporate staff with one mission, to provide Exceptional Service to our customers and foster long lasting profitable partnerships with our teaming companies.www.prosperitussolutions.com/prosperitusI Am Refocused Podcast Sponsored by River City Donuts1723 Babock Rd. San Antonio, TX 78229I Am Refocused Podcast Sponsored by Bay Bay McClinton of All Sports Speed and Conditioningwww.allsportsfitness.netAll Sports Speed and Conditioning is the top sports performance training gyms in San Antonio, and has produce many collegiate and professional athletes since opening. All Sports was founded in 1997 by Bremond “Bay Bay” McClinton. All Sports is based out of the beautiful city of San Antonio, TX. Having accomplished his own career in professional sports; starting a company like All Sports was a natural transition for him. Bay Bay is a native of San Antonio, TX. His 100 meter dash in High School at Roosevelt High in San Antonio was not broken until recently. In college Bay Bay played opposite the great future hall of famer, Darrell Green. He went on to sign a professional career with the Houston Oilers, Dallas Cowboys and played 7 years in the European Leagues before returning to his home town to finish his career “San Antonio Texans”. In 2006, his company, All Sports administered the strength and conditioning program for the East vs West Shriners’s college senior bowl. In 2008-09, All Sports administered the strength and conditioning program for the Division II college Senior Cactus Bowl All Star game in Kingsville. Today All Sports Speed and Conditioning continues to train athletes to elevate their athletic performance to the next level in all sports.I Am Refocused Podcast Sponsored by D.W. Brooks Funeral Home2950 E. Houston St.San Antonio, TX 78202Email: info@dwbrooksfh.comPhone: 210-223-2045Website: dwbrooksfuneralhome.com

Dr. Tony Asher, who specializes in brain and spine surgery, talks about the science of practice in this episode of Back Talk Doc. He introduces this concept, that’s being done on a national level, in order to accomplish three goals: boosting healthcare, cost efficiency and patient satisfaction. These outcome science programs aim to collect quantitative data based on studies and experience, and analyze that information, leading to better care for patients. He also shares how physicians can be involved in this initiative, without sacrificing the heart of medicine. There is a risk of devaluing the patient-physician relationship, especially if you only treat their case as part of a data set. This relationship should not be sacrificed for the sake of data. Dr. Asher stresses the importance of medical practitioners staying up-to-date with the latest knowledge and drawing up from their own experiences to determine the best course of action for them. Key moments in the episodeEvolution of clinical care in neurosurgery 05:48 Practical aspects of the neurosurgery practice 08:35 How healthcare groups are being measured in terms of performance, quality and outcomes 14:08 How the processes benefit patients 18:30 Efforts done on a national scale 21:23 How to reconcile the art and science of medicine 23:18 Clarifications 28:36 Additional resources for patients who want to be more involved in their care 30:42 Tips to improve your own personal health and wellness 33:14 Links mentioned in the episode  “The Science of Practice”, Neurosurgical Focus Journal (https://thejns.org/focus/view/journals/neurosurg-focus/34/1/neurosurg-focus.34.issue-1.xml) American Association of Neurological Surgeons (https://www.aans.org/) NeuroPoint Alliance (https://www.neuropoint.org/) American Academy of Orthopedic Surgery (https://www.aaos.org/) American Spine Registry (https://www.americanspineregistry.org/) Back Talk Doc is brought to you by Carolina Neurosurgery & Spine Associates, with offices in North and South Carolina. To learn more about Dr. Lakhia and treatment options for back and spine issues, go to  (http://www.carolinaneurosurgery.com/) .

Dr. Mark McLaughlin is no stranger to fear. A practicing board-certified neurosurgeon, he has helmed countless high-stakes surgeries in which any miscalculation could mean life or death. But decades performing under immense pressure in the operating room led Dr. McLaughlin to a surprising discovery: the secret to success isn't just conquering fear – it's engaging with it more productively. In his new book, Cognitive Dominance: A Brain Surgeons Quest to Out-Think Fear, Dr. McLaughlin shares a new framework for dealing with fear to think and perform at the top of your game during stressful situations. He combines philosophy, psychology, neuroscience and his own experiences to provide unique insight on how the brain processes fear and how we can change our mindset about this universal condition. “Cognitive Dominance is a way of thinking, a methodology, to get better and better at quickly performing at the limits of your mental and physical capacity under maximum pressure with the highest probability of success,” says Dr. McLaughlin, who first discovered the concept while teaching in military circles.  Dr. McLaughlin credits Cognitive Dominance with helping himself move past the common “Fear Freak Out” problem – that “deer-in-the-headlights” feeling under pressure – that holds us all back from high performance. Dr. Mark McLaughlin is a neurosurgeon, author, acclaimed keynote speaker and founder of Princeton Brain and Spine Care. His expert commentary regularly appears in national media outlets such as Business Insider, Entrepreneur, Reader's Digest, MSN, Costco, Thrive Global,  KevinMD, Becker's Spine Review and the NCAA. A member of the Congress of Neurological Surgeons and the American Association of Neurological Surgeons, he was named a Castle Connolly Top Doctor for the last 10 years and an NJ Monthly Top Doc.

On the Horizon – a Successful Treatment for New and Old Chronic Traumatic Brain Injuries Show Guest: Dr. John Michael Guest Co-Host: Dr. John Dewitt The American Association of Neurological Surgeons, describes a traumatic brain injury (TBI) as a blow to the head or a penetrating head injury that disrupts the normal function of the brain. The trauma to society is that about 1.7 million cases of TBI occur in the U.S. every year. Enter oSLO, Oxidized SLO, is an oxidized variation of a genetically engineered clone of streptolysin-O (SLO), the bacterial toxin which causes strep throat pain. oSLO’s targeted treatment is for chronic traumatic brain injury (cTBI), potentially reversing many of the cognition, motor, memory, mood, and personality deficits that define this condition. Join us as Dr. John Michael, President of Resolys Bio, the creator of oSLO shares how physicians at Brown University have been the first to apply the technology treat approximately 25 patients with cTBI over the last 3+ years. The results, oSLO has proven completely safe for every patient and reversed the condition in 90% of those treated. One patient sums up this miracle by saying, “It gave me my life back!”

John A. Boockvar, MD is vice chair of the Department of Neurosurgery at Lenox Hill Hospital, director of the Brain Tumor Center, and the Pituitary/Neuroendocrine Center of the Division of Neurological Surgery and the New York Head and Neck Institute at Lenox Hill and Manhattan Eye, Ear and Throat Hospitals. Dr. Boockvar is also a professor of Neurological Surgery and Otolaryngology/Head and Neck Surgery at the Zucker School of Medicine, and a professor at the Feinstein Institutes for Medical Research where he directs the Laboratory for Brain Tumor Biology and Therapy. Dr. Boockvar is internationally known for his surgical expertise and for providing patients with safe, effective, and minimally invasive treatment for brain tumors, skull base disorders, and disorders of the spine. Dr. Boockvar’s surgical expertise is in benign and malignant brain tumors, skull base and endoscopic pituitary surgery, spinal and peripheral nerve tumors, minimally invasive spinal surgery, and complex spinal disorders. Dr. Boockvar has been recognized for his novel research in brain tumors and stem cell biology. He has been named to the lists of New York Magazine’s Top Docs, Best Doctors in New York-Castle Connolly, SuperDoctors, America’s Top Surgeons, America’s Best Doctors, and America’s Best Doctors for Cancer. His research has been widely published and he has received numerous national awards including the Eric Lichtenstein Humanitarian Award from Voices Against Brain Cancer for his compassionate work in treating patients with brain cancer. In 2016, Dr. Boockvar was elected to the prestigious Academy of Neurological Surgeons.

Our guest for this episode is Dr. Odette Harris. She made history last year when Stanford’s department of neurosurgery announced she would become professor of neurosurgery — a feat that makes Odette the second female professor of neurosurgery at Stanford’s School of Medicine, and the second African-American female professor of neurosurgery anywhere...some truly remarkable achievements despite some serious headwinds.She was born in Jamaica and earned her undergraduate degree in biology from Dartmouth College in 1991. When she studied medicine at Stanford University, she was the only black woman in her 1996 graduating class. Then, she was one of two women in her residency. And while Odette has also earned a master’s of public health in epidemiology from UC Berkeley, and has received numerous honors and fellowships for her work — among them, awards from the Western Neurological Society and the American Association of Neurological Surgeons, and an appointment as the president of Women in Neurosurgery — she is continuously perceived as someone meant to do menial work on the hospital floor, whether it’s taking out the trash or cleaning the bathroom. As Odette puts it, when you’re black and female and working at a mostly white hospital, you’re constantly reminded of that. And asked time and again to defend your credentials. Odette credits her mentors for encouraging her to keep going. And today, Odette pays that forward as a professor and mentor of students of all kinds of backgrounds, and is vocal about using her own experience to change the norms for both women and people of color. And she does so with poise and positivity.

TRANSCRIPT The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care, and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Hello and welcome to the ASCO Guidelines Podcast series. My name is Shannon McKernin, and today I'm interviewing Dr. Susan Chang from the University of California San Francisco, lead author on "Anticonvulsant Prophylaxis and Steroid Use in Adults with Metastatic Brain Tumors: ASCO and SNO Joint Endorsement of the CNS Guidelines." Thank you for being here today, Dr. Chang. Thank you so much for this opportunity. So first, can you give us the general overview of what this guideline covers and about the endorsement process? Absolutely. So one of the things we've noticed, of course, is that the incidence of newly diagnosed adult patients with brain metastases is now estimated to be in the range of about 20,000 to 40,000 per year. And this has really been increasing because of several factors. This includes improved imaging tools, the fact that there's an increase in the number of cancers that are prone to spread to the brain, and the improved survival of patients with cancer. And so the Congress of Neurological Surgeons have developed a series of guidelines on the treatment of adults with metastatic brain tumors. That includes systemic therapy, as well as supportive care. There are two guidelines that address the role of anti-convulsant abuse and steroids in the care of patients with brain tumors. Specifically, the guideline questions were do prophylactic anti-epileptic drugs decrease the risk of seizures in both non-surgical and post-surgical patients, who are otherwise seizure free? So these are patients who have never had a seizure, does it make any sense to use these drugs? The second is do steroids, which are commonly used in patients when there is increased mass effect and cerebral edema, could that help to improve neurological functioning or quality of life, compared to supportive care or other treatments? And if they are used, what sort of dose should be used? So the process of endorsing these guidelines included an initial assessment by content evaluators from ASCO and members of the Society of Neuro Oncology, or SNO guidelines committee. And subsequently, it was determined that a detailed review of the guidelines should be pursued. So in this joint effort of both ASCO and SNO, a multidisciplinary expert panel of medical and radiation oncologists and neurosurgeons, neurologists, and others providing care for adults with metastatic brain tumors reviewed the content to determine the appropriateness for endorsement by the two professional societies. So what are the key recommendations of this guideline? The key recommendations of this guidelines include the fact that routine use of prophylactic anti-epileptic drugs is not recommended for patients who are seizure free, either in the non-surgical and post-surgical settings, and that steroids could be used when patients had mild, moderate, or severe symptoms that were related to mass effect in the brain. This choice of steroids that was recommended was dexamethasone, and the doses was about 4 to 16 milligrams, depending on the severity of the symptoms. Now, what they found was that there was insufficient evidence to recommend steroid use in asymptomatic patients, when they didn't have any mass effect. And one of the additional aspects that the panel provided was that the minimal effective dose should be used, and that nighttime doses should be avoided. And this is because of the known side effect of insomnia that a lot of our patients experience when taking this medication right before they go to sleep. So why is this guideline so important, and how will it change practice? Well, these guidelines provide a basis for oncologists to avoid the over prescription of anti-epileptics and steroids in patients with brain metastases, particularly in those who are asymptomatic and those without signs of mass effect. It also highlights that if steroids are going to be administered, that clinicians should be very familiar with both the short and long term sequelae of steroid therapy, and they should have a plan to taper the steroids as fast as can be clinically tolerated. So finally, how will these guideline recommendations affect patients? Well, both anti-epileptics and steroids have a wide range of toxicities that can adversely affect a patient's quality of life. And so the routine use of these drugs in patients with incidentally discovered or asymptomatic brain metastases is not supported by the available medical literature. For patients with symptoms related to mass effect, the best evidence supports the temporary use of steroids are the lowest effective dose with the intent to taper them off, and if tolerated, and after a definitive treatment of brain metastases has been initiated. And because of the well known side effects of insomnia and agitation, nighttime doses of steroids should be avoided. So the hope is that this will have a direct effect on how we care for our patients. Great. Thank you for your work on these important guidelines, and thank you for your time today, Dr. Chang. You're very welcome. It's such a pleasure to be able to provide this for patients and families. And thank you to all of our listeners for tuning into the ASCO Guidelines Podcast series. To read the full guideline, please go to www.asco.org/neurooncology-guidelines. And if you've enjoyed what you've heard today, please rate and review the podcast and refer the show to a colleague.

The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care, and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Hello and welcome to the ASCO Guidelines Podcast series. My name is Shannon McKernin, and today I'm interviewing Dr. Susan Chang from the University of California San Francisco, lead author on "Anticonvulsant Prophylaxis and Steroid Use in Adults with Metastatic Brain Tumors: ASCO and SNO Joint Endorsement of the CNS Guidelines." Thank you for being here today, Dr. Chang. Thank you so much for this opportunity. So first, can you give us the general overview of what this guideline covers and about the endorsement process? Absolutely. So one of the things we've noticed, of course, is that the incidence of newly diagnosed adult patients with brain metastases is now estimated to be in the range of about 20,000 to 40,000 per year. And this has really been increasing because of several factors. This includes improved imaging tools, the fact that there's an increase in the number of cancers that are prone to spread to the brain, and the improved survival of patients with cancer. And so the Congress of Neurological Surgeons have developed a series of guidelines on the treatment of adults with metastatic brain tumors. That includes systemic therapy, as well as supportive care. There are two guidelines that address the role of anti-convulsant abuse and steroids in the care of patients with brain tumors. Specifically, the guideline questions were do prophylactic anti-epileptic drugs decrease the risk of seizures in both non-surgical and post-surgical patients, who are otherwise seizure free? So these are patients who have never had a seizure, does it make any sense to use these drugs? The second is do steroids, which are commonly used in patients when there is increased mass effect and cerebral edema, could that help to improve neurological functioning or quality of life, compared to supportive care or other treatments? And if they are used, what sort of dose should be used? So the process of endorsing these guidelines included an initial assessment by content evaluators from ASCO and members of the Society of Neuro Oncology, or SNO guidelines committee. And subsequently, it was determined that a detailed review of the guidelines should be pursued. So in this joint effort of both ASCO and SNO, a multidisciplinary expert panel of medical and radiation oncologists and neurosurgeons, neurologists, and others providing care for adults with metastatic brain tumors reviewed the content to determine the appropriateness for endorsement by the two professional societies. So what are the key recommendations of this guideline? The key recommendations of this guidelines include the fact that routine use of prophylactic anti-epileptic drugs is not recommended for patients who are seizure free, either in the non-surgical and post-surgical settings, and that steroids could be used when patients had mild, moderate, or severe symptoms that were related to mass effect in the brain. This choice of steroids that was recommended was dexamethasone, and the doses was about 4 to 16 milligrams, depending on the severity of the symptoms. Now, what they found was that there was insufficient evidence to recommend steroid use in asymptomatic patients, when they didn't have any mass effect. And one of the additional aspects that the panel provided was that the minimal effective dose should be used, and that nighttime doses should be avoided. And this is because of the known side effect of insomnia that a lot of our patients experience when taking this medication right before they go to sleep. So why is this guideline so important, and how will it change practice? Well, these guidelines provide a basis for oncologists to avoid the over prescription of anti-epileptics and steroids in patients with brain metastases, particularly in those who are asymptomatic and those without signs of mass effect. It also highlights that if steroids are going to be administered, that clinicians should be very familiar with both the short and long term sequelae of steroid therapy, and they should have a plan to taper the steroids as fast as can be clinically tolerated. So finally, how will these guideline recommendations affect patients? Well, both anti-epileptics and steroids have a wide range of toxicities that can adversely affect a patient's quality of life. And so the routine use of these drugs in patients with incidentally discovered or asymptomatic brain metastases is not supported by the available medical literature. For patients with symptoms related to mass effect, the best evidence supports the temporary use of steroids are the lowest effective dose with the intent to taper them off, and if tolerated, and after a definitive treatment of brain metastases has been initiated. And because of the well known side effects of insomnia and agitation, nighttime doses of steroids should be avoided. So the hope is that this will have a direct effect on how we care for our patients. Great. Thank you for your work on these important guidelines, and thank you for your time today, Dr. Chang. You're very welcome. It's such a pleasure to be able to provide this for patients and families. And thank you to all of our listeners for tuning into the ASCO Guidelines Podcast series. To read the full guideline, please go to www.asco.org/neurooncology-guidelines. And if you've enjoyed what you've heard today, please rate and review the podcast and refer the show to a colleague.

You can purchase the six-hour audio course on healing your marriage from pornography ($29) here: https://geoff-steurer.mykajabi.com/p/marriage-recovery In this episode I interview Dr. Don Hilton, a world-renowned neurosurgeon and expert on the impact of pornography on the brain. He is the author of "He Restoreth My Soul: Understanding and Breaking the Chemical and Spiritual Chains of Pornography Addiction Through the Atonement of Jesus Christ". In this episode, we discuss: - Is pornography really an addiction? - What pornography does to the brain and why pornography is so addictive. - The different parts of the brain that are impacted by addiction - How the brain becomes out of balance so it’s more difficult to resist the addiction. - How can brain heals from the impact of pornography. - A challenge to the belief that it’s religious shame that causes pornography problems, not pornography itself. - How modern pornography is exploiting our mirror neurons to create more addiction. - The difference between “viewing" pornography versus “participating" in pornography and how future innovations in virtual reality and haptic devices will make pornography even more addictive. - Why we can’t minimize the need to do more in-depth treatment with individuals participating in pornography Biography Donald L. Hilton, Jr. M.D. graduated summa cum laude with a bachelor’s degree in biology from Lamar University, and cum laude with a medical degree from the University of Texas, where he was elected to Alpha Omega Alpha Medical Honor Society. He was trained as a neurosurgeon at the University of Tennessee, and is a clinical associate professor of neurosurgery at the University of Texas Medical School at San Antonio. Dr. Hilton speaks nationally and internationally in the field of minimally invasive spinal surgery, and has published book chapters, peer-reviewed journal papers, and developed techniques widely used in this subspecialty. He is currently listed in Best Doctors in America, and as a Texas Super Doctor and is a fellow of the American College of Surgeons and the American Association of Neurological Surgeons. Dr. Hilton also publishes and speaks on the subject of pornography and sexual addiction. He and his wife received the “Guardian of the Light” award from the anti-pornography organization Lighted Candle Society in 2008, where Dr. Hilton gave the keynote address, “Pornography and the Brain: Understanding the Addiction.” He authored the book He Restoreth My Soul, which explores the effects of pornography on the brain, along with spiritual paradigms of healing. His publications on the subject include Pornography Addiction: A Neuroscience Perspective. Surgical Neurology International, manuscript in press, Donald L. Hilton Jr., MD, Clark Watts, MD, JD. Slavemaster: How Pornography Drugs and Changes Your Brain. Salvo Magazine. Hagelin: Addiction to Porn is Real, Destructive. Washington Times “As a Swallowed Bait: How Pornography Addicts and Changes the Brain.” BYU Law School, “Stand for the Family” Symposium. He and his wife, Jana, are the parents of five children and have three grandchildren. Contact Dr. Hilton at dhiltonjr@sbcglobal.net The Illuminate podcast is brought to you by LifeStar of St. George, Utah, a program to help couples heal their betrayed marriages. Learn more at www.lifestarstgeorge.com

Niche Radio — Dr. Jack Kruse is a respected neurosurgeon with a site, forum and patreon blog dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He goes out of his way to help members and the public to understand the science. He is a quantum biologist which is covered in the show. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group. Using science he explains the deep connection between thermodynamics in biology and the processing of energy and information. With this information he also explains how nnEMF (including blue-light) is child abuse and what steps can be taken to mitigate it. www.linkedin.com · www.linkedin.com · jackkruse.com

Today Rob welcomes his admired and respected colleague,  Dr. Don Hilton. As an adjunct associate professor of neurosurgery at the University of Texas Health Center at San Antonio, Dr. Hilton has been at the forefront in expanding what we know about the neurobiology of addiction. He talks with Rob about the ways our brain learns addiction, how porn may be the “fast food of sex” and the need for our culture to catch up in education when it comes to sex and pornography. Dr. Hilton’s research and work help people get over the stigma shame of addiction and instead learn to create what we really all want - authentic human relationships with a valid connection.   TAKEAWAYS: [2:28] Dr. Hilton’s recent focus has been on pornography and the effect of pornography on the brain. About a decade ago he was in Australia to lecture on minimally invasive spine surgery, and met up with a dear friend who was a world-renowned scientist studying the natural instinctive brain craving for survival. The question came up about engines of desire, and what made animals crave things to help them survive. A research project grew out of those discussions, and they found that the same DNA gene sets that caused the animal model to desire salt also correlated with addiction. [5:52] Is pursuing sensation over emotion quite possibly all part of the evolutionary plan for us? [10:02] Virtual Reality is a double-edged sword - it may help people connect who are too socially shy or introverted, but it also brings up a confusing blend of emotions. Dr. Hilton feels as though we will, in the end, choose an emotional connection, and we are designed to connect and bond with each other as humans. [14:29] Porn strikes at our need for human connection and love most deeply. Rob looks at it in a way similar to alcohol, where for some people it’s a real issue, and some people can use it sporadically without a problem. Dr. Hilton feels as though there is a problem with the product itself in terms of the risks, use of drugs and alcohol and consent. [22:32] Dr. Hilton feels that America could follow a similar model to Britain’s to protect our minors. For parents to say it’s okay for their minors to partake in it, it’s important that they have an understanding of the reality of what they are watching. [28:02] It would be more helpful if counselors and educational supporters talked about real sex issues such as pornography with teenagers. Currently, only 20 states in America offer sex education as a standard to their high school students, and 12 require parental permission. [32:03] If a person can step back and realize an addiction such as porn is a problem, but it is not them and a problem with their brain. Recovery is a learning process where we come back to wholeness.   RESOURCES Sex and Relationship Healing @RobWeissMSW Sex Addiction 101 Out of the Doghouse Cruise Control Dr. Donald Hilton, M.D.   Bio Dr. Donald Hilton, M.D. Neurosurgeon, University of Texas, San Antonio -- Dr. Hilton is an adjunct associate professor of neurosurgery at the University of Texas Health Science Center at San Antonio, where he is the director of the spine fellowship and the director of neurosurgical training at the Methodist Hospital rotation. He is a fellow of the American College of Surgeons and of the American Association of Neurological Surgeons. His research and publishing interests have included traumatic brain injury, minimally invasive surgery, and neural mechanisms of addiction. He also serves on the board of directors of the Washington DC-based National Center on Sexual Exploitation (NCOSE), and on the board of directors of the Society for the Advancement of Sexual Health (SASH).  

How often do you call the plumber and say, "My faucet is leaking", and then the plumber REMOVES your faucet? Problem solved, right? Ironically, this simplistic approach works extremely well in a variety of epileptic conditions. In this week's show, Dr. Myriam Abdennadher and Danielle Becker comment on the protocol and efficacy for surgery in patients with drug-resistant epilepsy. Produced by James E. Siegler. Music by Little Glass Men, Montplaisir, Three Chain Links, and Squire Tuck. Voiceover by Isa Smrstik. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. REFERENCES Jobst BC and Cascino GD. Resective epilepsy surgery for drug-resistant focal epilepsy: a review. JAMA : the journal of the American Medical Association. 2015;313:285-93. Spencer S and Huh L. Outcomes of epilepsy surgery in adults and children. The Lancet Neurology. 2008;7:525-37. Schwartz TH and Spencer DD. Strategies for reoperation after comprehensive epilepsy surgery. Journal of neurosurgery. 2001;95:615-23. Engel J, Jr., Wiebe S, French J, Sperling M, Williamson P, Spencer D, Gumnit R, Zahn C, Westbrook E, Enos B, Quality Standards Subcommittee of the American Academy of N, American Epilepsy S and American Association of Neurological S. Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the Quality Standards Subcommittee of the American Academy of Neurology, in association with the American Epilepsy Society and the American Association of Neurological Surgeons. Neurology. 2003;60:538-47. Englot DJ, Wang DD, Rolston JD, Shih TT and Chang EF. Rates and predictors of long-term seizure freedom after frontal lobe epilepsy surgery: a systematic review and meta-analysis. Journal of neurosurgery. 2012;116:1042-8. DeGiorgio CM and Krahl SE. Neurostimulation for drug-resistant epilepsy. Continuum (Minneap Minn). 2013;19:743-55.

JNIS Associate Editor Joshua Hirsch is joined by Shazam Hussain (Cerebrovascular Center, Cleveland Clinic, Ohio, USA) and David Fiorella (Department of Neurosurgery, Stony Brook University, New York, USA) to discuss the June 2017's editorial in the Journal of Neurointerventional Surgery. In this commentary, they analyse the conclusions of the study “Public Health Urgency Created by the Success of Mechanical Thrombectomy Studies in Stroke”, published by Circulation, stating that the opinions of Drs Hopkins and Holmes “lead to unwarranted conclusions that have dangerous implications for patient care”. The authors of the JNIS editorial comment on three major points of controversy: (1) a disregard for training, expertise, and experience in the management of a disease that may lead to death or disability when treating physicians do not have them; (2) a misunderstanding of the fundamental underpinnings of stroke physiology and anatomy; (3) a false association between a real problem (undeveloped systems of care) and a spurious assumption (ie, that there are not enough physicians trained to perform intracranial MT). We examine these concerns below. The editorial “In defense of our patients” was written on behalf of the Society of NeuroInterventional Surgery, the Cerebrovascular Section of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons, and the Society of Vascular and Interventional Neurology. Read the full article on the JNIS website: jnis.bmj.com/content/9/6/525.

In today's podcast episode with the world famous neurosurgeon, biohacker and health expert , you're going to discover how to build a healthy home, how to take your existing home and make it healthier, and how to ensure that the environment in your home is optimizing your sleep, your performance and your recovery. This audio is jam-packed with practical tips and cutting-edge advice, including: -Shocking information about television, TV networking and cable... -Why your microwave is extremely dangerous even if you're not using it... -What kind of water filtration system is ideal... -The best way to filter and clean a swimming pool... -Why the lightbulbs in your house may be slowly killing you... -A healthy home hack for leftover wine bottles... -What the ultimate, healthy home gym should look like... -How climbing rocks and trees is one of the best ways to heal your body... -And my personal favorite: how to create the ultimate healthy man-cave (or woman-cave)... Resources Jack and I discuss during this episode: - - - - - - - - - (we don't talk about this one, but it's a great resource for chemicals, clean air, mold and toxins - which Jack and I didn't get a chance to discuss in this episode) About Dr. Jack Kruse: Dr. Jack Kruse is a respected neurosurgeon and CEO of Optimized Life, a health and wellness company dedicated to helping patients avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons, and Age Management Medicine Group. - (previous podcast with Jack) - (previous podcast with Jack) Leave your questions, comments and feedback at , and be sure to tune into "Biohacking A Healthy Home: Part 2" podcast coming up next month with !

Dr. Jack Kruse talks to me today about how to activate your fat burning pathway by optimizing your PPP. This pathway is crucial to understand how to lose weight simply by utilizing energy and water – and a Paleo diet. Transcript Click here to view the full transcript for #17 Activate Your Fat Burning Pathway with Dr. Jack Kruse.   PPP stands for the Pentose Phosphate Pathway and is the biochemical pathway critical for longevity, life and ultimate performance. About Dr. Kruse Dr. Jack Kruse is a respected neurosurgeon and CEO of Optimized Life, a health and wellness company dedicated to helping parents avoid the healthcare burdens we typically encounter as we age. He is a member of the American Association of Neurological Surgeons, the Congress of Neurologic Surgeons and Management Medicine Group. Books by Dr. Kruse Dr. Kruse is a big proponent of the Paleo Diet. His book the Epi-paleo Rx is the result of Kruse’s abundant research and clinical application in his practice as a neurosurgeon. Kruse questions conventional wisdom about human metabolism and chronic disease, arguing science has incomplete information when it comes to insulin resistance, diabetes, obesity, and their related illnesses. By examining the human body through the prism of our early beginnings and the science of epigenetics, we find each of us already possesses the “owner’s manual” to reverse disease and live optimally. Nutrition is a vital part of Dr. Kruse's protocols and regiments. He's put together this great Cookbook with all kinds of recipes. Upon purchase, you will receive new recipes, seasonal ideas. He is working on a “sauces” book. Special Offer ONLY for Liveto110.com™ Listeners Dr. Kruse is offering a special package for Liveto110.com™ listeners. For only $49 you will receive 2 webinars on the PPP and Fat Loss in Women and a free month membership to Jack’s Silver Klub. Total value of $206 for only $49! Click here to take advantage of this offer. Find Dr. Kruse View Dr. Kruse's Website at Jackkruse.com  If you’re enjoying the Live to 110 podcast, please leave Wendy a review in iTunes. Thanks! Are toxic metals causing your fatigue and health issues? Find out by taking Wendy’s Heavy Metals Quiz at

Guest: Gail Rosseau, MD Host: Bruce Japsen More than half of all students accepted into medical schools are women, but only a fraction of neurosurgeons are female. Dr. Gail Rosseau, of the American Association of Neurological Surgeons, tells host Bruce Japsen about a new paper that highlights these challenges and provides recommendations on how to improve the profession and care for patients.