Podcasts about new york presbyterian hospital

Is yoga actually more effective than aerobic exercise?Can it really reduce stress by up to 50% and should doctors be prescribing it?In this mind-expanding episode, Celest sits down with Dr Jonathan Rosenthal, physician, neuroscientist and founder of the Yoga & Neuroscience Conference, to explore what the latest research is revealing about the power of yoga. And spoiler: it's more than just flexibility.You'll learn:Why yoga is now being recommended in cancer treatment guidelinesWhat makes it more effective than exercise for stress, mood and even memoryThe game-changing studies comparing yoga to CBT, aerobic exercise and even “sham yoga”What the data says about yoga's unique blend of movement, breath and meditation and why that mattersThe surprising reason why doing yoga even when you don't enjoy it… still worksIf you've ever struggled to explain why yoga helps you feel better, this episode will give you the science to back it up.About JonathanDr Jonathan Rosenthal is a neurologist in New York, NY. Dr Rosenthal received his medical degree from New York University School of Medicine and completed his year in Internal Medicine and residency in Neurology at NYU Hospital, Bellevue Hospital, and the Manhattan VA. He completed his fellowship in clinical neurophysiology at Weill-Cornell Medicine Center, New York Presbyterian Hospital, and Memorial Sloan Kettering. Dr. Rosenthal subspecializes in clinical neurophysiology, with interests in intraoperative monitoring and EEG. Dr Rosenthal has 4 publications and over 100 citings. He is also interested in yoga and meditation as interventions in medicine and hosts the Neuroscience and Yoga Conference.Follow Dr Rosenthal on Instagram.Learn more with Alba Yoga Academy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Learn more about our Yoga Teacher Training here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch our extensive library of YouTube videos.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Hannah on Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Celest on Instagram ⁠⁠⁠⁠⁠

Are your allergies getting worse, or is it the environment? In this episode of Backtable ENT, Dr. Jennifer Villwock, a rhinologist at the University of Kansas, and Dr. William Reisacher, an otolaryngologist at New York Presbyterian Hospital, join the podcast to discuss the impact of environmental extremes on the unified airway with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Topics include the increasing prevalence of allergies and asthma due to climate change, the effects of environmental pollutants and particulates on respiratory health, and the role of healthcare providers in educating and advocating for patients. The conversation also addresses practical strategies for managing symptoms, the importance of urban planning and sustainable practices, and the hope that collective individual efforts can lead to meaningful change. --- TIMESTAMPS 00:00 - Introduction 01:43 - Understanding the Unified Airway03:09 - Patient Concerns and Environmental Factors10:24 - Impact of Temperature and CO2 on Allergies14:57 - Barometric Pressure and Migraines21:03 - Pollution, Particulate Matter, and Solutions24:49 - Urban Planning29:32 - Epigenetics and Environmental Impact34:15 - Indoor Air Quality and Mold Issues41:01 - Advocacy and Environmental Health45:46 - Final Thoughts and Hope for the Future --- RESOURCES Dr. Jennifer Villwockhttps://www.kumc.edu/jvillwock.html Dr. William Reisacher https://weillcornell.org/wreisacher

Today, Dr. Andy Cutler interviews Dr. Katharine Phillips about identifying and treating body dysmorphic disorder (BDD). Join the discussion as they talk about how BDD presents, the treatments available for this debilitating disorder, and how clinicians can help their patients reach remission.  Katharine Phillips, MD is a renowned psychiatrist and leading authority on body dysmorphic disorder (BDD). She serves as Professor of Psychiatry and DeWitt Wallace Senior Scholar at Weill Cornell Medical College and is an attending psychiatrist at New York-Presbyterian Hospital.   Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.    Resources  BDD Treatment Manuals International OCD Foundation - BDD     Never miss an episode!

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.

The journey from trying to conceive, to pregnancy, to postpartum, can be the most beautiful time of someone's life, but also the hardest, and that's where finding the right support is key. Dr. Catherine Birndorf is a reproductive psychiatrist, the co-founder, CEO, and Medical Director of The Motherhood Center of New York, and the Founding Director of the Payne Whitney Women's Programme at Weill Cornell Medicine, New York Presbyterian Hospital. She is also a clinical associate professor of psychiatry and obstetrics and gynecology, and the author of multiple books, including What No One Tells You: A Guide to Your Emotions from Pregnancy to Motherhood. During this episode, we dive into a huge variety of topics, including perinatal, mood and anxiety disorders (PMADS), medication, and more. From how to know when something is wrong and where to seek the necessary support to understanding treatability, we cover it all. Thanks for listening!  

Scott Rodeo, MD, Professor of Orthopaedic Surgery at Weill Medical College of Cornell University, Attending Surgeon at the New York-Presbyterian Hospital and the Hospital for Special Surgery, and Head Team Physician for the New York Giants, talks about his experience at the Olympics, the importance of the team around you, the current state of biologics and regenerative medicine, and more.

The Bulletin welcomes Lydia Dugdale for a conversation about measles, public health, and the creative work of God. Find us on YouTube. In this episode of The Bulletin, Clarissa Moll speaks with Lydia Dugdale, professor of medicine at Columbia University's medical center and director of the Center for Clinical Medical Ethics. They discuss a recent measles outbreak in Texas, vaccinations, and Robert F. Kennedy Jr.'s statements on the disease.   GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in your podcast app of choice. ABOUT THE GUEST:  Lydia Dugdale is the Dorothy L. and Daniel H. Silberberg Professor of Medicine at the Columbia University Medical Center and director of the Center for Clinical Medical Ethics. She also serves as codirector of clinical ethics at NewYork-Presbyterian Hospital, Columbia University Irving Medical Center. A practicing internist, Dugdale moved to Columbia in 2019 from Yale University, where she previously served as associate director of the Program for Biomedical Ethics. Her scholarship focuses on end-of-life issues, the role of aesthetics in teaching ethics, moral injury, and the doctor-patient relationship.  ABOUT THE BULLETIN: The Bulletin is a weekly (and sometimes more!) current events show from Christianity Today hosted and moderated by Clarissa Moll, with senior commentary from Russell Moore (Christianity Today's editor in chief) and Mike Cosper (director, CT Media). Each week, the show explores current events and breaking news and shares a Christian perspective on issues that are shaping our world. We also offer special one-on-one conversations with writers, artists, and thought leaders whose impact on the world brings important significance to a Christian worldview, like Bono, Sharon McMahon, Harrison Scott Key, Frank Bruni, and more. The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: Kevin Morris Music: Dan Phelps Executive Producers: Erik Petrik and Mike Cosper Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this special episode of Health Matters, we celebrate Doctor's Day. Dr. David Slotwiner, Chief of Cardiology at NewYork-Presbyterian Queens, shares how he balances his life at the hospital with a new hobby: herding sheep with his Border Collie named Cosmo. As part of an ongoing series this year, Dr. Slotwiner is our first highlight in showcasing doctors' hobbies!___David Slotwiner, MD, is the Chief of Cardiology at NewYork-Presbyterian Queens. Dr. Slotwiner is a board certified Cardiologist specializing in Clinical Cardiac Electrophysiology practicing at NewYork-Presbyterian Queens hospital located in Flushing, NY. He received his medical degree from the University of Chicago Pritzker School of Medicine, completed his internship in Internal Medicine, residency in Cardiovascular Disease and fellowship in Clinical Cardiac Electrophysiology at NewYork-Presbyterian Hospital. Dr. Slotwiner is board certified in Cardiovascular Disease and Clinical Cardiac Electrophysiology. He specializes in heart diseases such as congenital heart defects, coronary artery disease, heart rhythm disorders, and heart failure.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

In this episode of Beauty Bosses, Dr. Lara Devgan sits down with Dr. Gail Saltz, Clinical Associate Professor of Psychiatry at The New York Presbyterian Hospital, Media expert in Mental Health, Author, and Podcast Host, to discuss the current state of the social media and mental health and the evolution of the associated stigma over time.Discover insights into how to protect and maintain your mental wellness with trusted advice from Dr. Saltz, including everyday tips that you can integrate into your daily routine. Beauty Bosses Podcast RSS

In this episode of Beauty Bosses, Dr. Lara Devgan sits down with Dr. Gail Saltz, Clinical Associate Professor of Psychiatry at The New York Presbyterian Hospital, Media expert in Mental Health, Author, and Podcast Host, to discuss the current state of the social media and mental health and the evolution of the associated stigma over time.Discover insights into how to protect and maintain your mental wellness with trusted advice from Dr. Saltz, including everyday tips that you can integrate into your daily routine. Beauty Bosses Podcast RSS

So You've Been Diagnosed With Cancer: Now What? That “now what” is the big question everyone faces when they hear those dreaded worlds: You have cancer. Tune into this episode to hear some helpful advice from Heather's “chief of staff” (aka one of the best friends) Amy Dieterich, and Dr. Starr Mautner, a Board-certified surgeon with clinical expertise in breast surgical oncology of the Breast Center at Miami Cancer Institute, a part of Baptist Health South Florida. Bio: Starr Mautner, M.D., F.A.C.S. Dr. Mautner is a board-certified breast surgical oncologist at the Miami Cancer Institute (MCI) in Miami, Florida. She specializes in performing breast surgical procedures for women with breast cancer, high risk lesions, or women with a genetic predisposition to breast cancer. She grew up in South Florida and earned her undergraduate and medical school degrees as part of the University of Miami's 7-year Medical Scholars Program. She then completed her general surgery residency at Weill Cornell's New York Presbyterian Hospital and clinical fellowship in breast surgical oncology at Memorial Sloan Kettering Cancer Center before moving back to Miami to join the Miami Cancer Institute in 2015. She is the co-chair of the Memorial Sloan Kettering Alliance Education Committee and is very involved in community engagement and educational programs in South Florida. She is also the lead physician for breast surgical oncology clinical trials at MCI and a member of the Breast Cancer Alliance Medical Advisory Board. In her free time, she enjoys spending time with her husband and children exploring Miami or traveling on adventures around the world together. Bio: A dedicated philanthropist with a deep passion for supporting families and children, Amy Dieterich is committed to making a meaningful impact in healthcare and advocacy. As a member of the Chairman's Circle at NYU Hospital and the Children's Advisory Council of New York-Presbyterian Komansky Center for Children's Health, she plays a vital role in shaping initiatives that enhance pediatric care. Her leadership extends to Breakthrough T1D, where she has spearheaded giving campaigns and initiatives to advance research and support for those affected by Type 1 Diabetes. Beyond her philanthropic efforts, she is a strong advocate for women, fostering connections and uplifting women in business. A devoted mom of four boys, she embraces adventure and cherishes traveling with her family, always seeking new experiences and meaningful ways to give back. Find Yonni & Heather here https://www.herhealthcompass.com/

In today's episode of The Root Cause Medicine Podcast, we shed light on how menopause impacts the brain and how to successfully navigate this transition with Dr. Lisa Mosconi. You'll hear us discuss: 1. The impact of menopause on cognitive function and sleep 2. The lack of research on women's brain health during menopause 3. Brain fog during menopause 4. How to assess brain health in menopause 5. The Menopause Brain book Dr. Lisa Mosconi is an Associate Professor in Neuroscience, specializing in Neurology and Radiology, at Weill Cornell Medicine. She also leads the Alzheimer's Prevention Program there and at NewYork-Presbyterian Hospital. Recognized as a leading neuroscientist, she has been among the top 1% in her field over the last 20 years. The Time named Dr. Mosconi one of the most influential living female scientists while ELLE International called her "the Mona Lisa of Neuroscience." She has published more than 150 peer-reviewed scientific articles and wrote "The Menopause Brain: New Science Empowers Women to Navigate the Pivotal Transition with Knowledge and Confidence." Order tests through Rupa Health, the BEST place to order functional medicine lab tests from 30+ labs - https://www.rupahealth.com/reference-guide

Hosted by Jennie Berkovich, DO, this episode dives into the complexities of trauma, its effects on the mind and body, and the latest advancements in treatment. Dr. Kobernick, a trauma specialist, shares her expertise on the most common types of trauma she encounters, the evolution of our understanding of its impact, and the critical role early childhood experiences play in shaping resilience. Together, they explore evidence-based treatments like CBT and DBT, debunk common misconceptions, and discuss how families can support loved ones on their healing journey. Whether you're a healthcare professional, someone affected by trauma, or simply curious about the field, this conversation offers valuable insights and actionable advice.Dr. Kobernick is a licensed clinical psychologist and the Founder and Director of The CBT/DBT Center. She received her doctorate at Long Island University – Post Campus where she studied under Dr. Jill Rathus, co-developer of DBT for adolescents. She completed training at New York Presbyterian Hospital's personality disorders unit where she provided individual and group Dialectical Behavior Therapy (DBT) and participated in case consultation with Otto Kernberg, M.D. She then provided Cognitive Behavior Therapy (CBT) and comprehensive DBT at Northwell Health's Behavioral Health College Partnership. Upon completing her training at Northwell Health, she recognized the need for trauma-focused training for her DBT clients who completed stage 1 DBT. At Rutgers University's college counseling program, she focused her training on evidence-based trauma treatments including Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT).Dr. Kobernick has advanced training in DBT and specialized training in adaptations of DBT for adolescents and children. She has been supervised by Francheska Perepletchikova, PhD, developer of DBT for children (DBT-C), and is a trainer for DBT-C. While Dr. Kobernick enjoys practicing DBT, she is trained in other evidence-based modalities and is passionate about training and supervising other clinicians in her hopes to disseminate these modalities within the Orthodox Jewish community. She has also received specialized training in suicide prevention, evidence-based approaches in addiction treatment, CBT for insomnia, Motivational Interviewing, Psychological First Aid, Teaching and Supervising CBT from the Beck Institute, Behavioral Parent Management Training, Trauma Art Narrative Therapy, Prolonged Exposure, Cognitive Processing Therapy, and Trauma-Focused CBT for children. She has co-led therapy groups on CBT for social anxiety and Mindfulness-Based Cognitive Therapy (MBCT) for people with repeated episodes of depression.Dr. Kobernick's research interests include implementation and dissemination of evidence-based treatments within the Orthodox Jewish community, suicidality and nonsuicidal self-injury, and education and training in health service psychology. She has published and presented on these topics at the local and national levels.__________________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org Follow us on Instagram! www.instagram.com/JOWMA_org Follow us on Twitter! www.twitter.com/JOWMA_med Follow us on Facebook! https://www.facebook.com/JOWMAorg Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

We speak with Emeka Iloegbu, a DrPH student and global health leader with over 15 years of experience in tackling infectious diseases and strengthening health systems. From his early days volunteering with the Red Cross in New York City to playing critical roles in pandemic responses for H1N1, Zika, Ebola, COVID-19, and monkeypox, Emeka has worked at the intersection of laboratory science, public health, and policy. As an assistant professor at CUNY and a United Nations representative, he is engaged in HIV research, antimicrobial resistance, and the integration of molecular diagnostics into public health strategies. He discusses his transition from analyzing cells under a microscope at NewYork-Presbyterian Hospital to influencing policy decisions at the UN and Department of Health, emphasizing the importance of adaptive leadership, community-based surveillance, and strengthening global health infrastructure. We also dive into his research in implementation science, his role in advancing sickle cell disease interventions, and how he is using his vast experience to bridge the gap between scientific discovery and real-world impact. To learn more about the NYU School of Global Public Health, and how our innovative programs are training the next generation of public health leaders, visit http://www.publichealth.nyu.edu.

Dr. Mark Allen is a double board-certified psychiatrist specializing in child, adolescent, and adult mental health. He completed his medical education and general psychiatry residency at the University of Texas Health Science Center at San Antonio, followed by a child psychiatry fellowship at New York-Presbyterian Hospital of Columbia and Cornell. He also spent a post-fellowship year with the Canterbury District Health Board in Christchurch, New Zealand, further enriching his global perspective on mental health care.Dr. Allen has advanced, sport-specific training, including the International Olympic Committee's Diploma in Mental Health in Elite Sport, the FIFA Diploma in Football Medicine, and the ISSP's Certificate of Additional Training in Sports Psychiatry. Currently, he serves as Chairman of the American Board of Sports & Performance Psychiatry (ABSPP) and is a member of the editorial board for Sports Psychiatry: The Journal of Sports & Exercise Psychiatry.In his clinical practice, Dr. Allen works with athletes across all levels, from high school to Olympic and professional competitors. He is honored to serve as the consulting psychiatrist for the Los Angeles Dodgers baseball team. Beyond his practice, he contributes to the athlete mental health community through his roles on the medical advisory boards of two non-profits—The Hidden Opponent and Alston For Athletes—and as a contributor to the youth sports mental performance platform MaxU.Based in Denver, Colorado, Dr. Allen enjoys spending his free time playing golf and pickleball, hiking, and relaxing with his wife, two sons, and their beloved fur-kids.Mark's Info:WebsiteLinkedInInstagramSupport the show

In our January episode, we got to know Dr. Lela Mayers, the Benefit Funds' new Deputy Chief Medical Officer. In this month's Key Note, Dr. Mayers discusses the wide range of wellness resources members can take advantage of to support them on their health journeys.   The Takeaway We want to hear from you! Drop us a line at our social media channels: Facebook// Instagram // YouTube Start your health journey by making an appointment with your primary care physician. Visit our Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Talk to your doctor about any screenings you may need: 1199SEIUBenefits.org/healthybodies. Know your numbers to find out where you stand: 1199SEIUBenefits.org/healthyhearts. Get inspired by fellow members through our Members' Voices series: www.1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to view webinars on managing stress, building healthy meals and more: www.1199SEIUBenefits.org/videos. Visit our YouTube Channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists Sample our wellness classes to exercise body and mind: www.1199SEIUBenefits.org/wellnessevents. Guest Bio Dr. Lela Mayers is the Deputy Chief Medical Officer (DCMO) of the 1199SEIU Benefit Funds, which provide comprehensive self-insured, self-administered healthcare benefits to more than 450,000 healthcare workers, retirees and their families. As DCMO, Dr. Mayers assists the Chief Medical Officer with the Benefit Funds' clinical and care management strategies, as well as health and wellness initiatives. Prior to joining the Benefit Funds, Dr. Mayers served as Senior Medical Director at CVS Health/Aetna. There she collaborated with the account management teams, pharmacy teams, consulting firms and plan sponsors to drive improved health outcomes for commercial and labor health plan members. Prior to that, she served as Chief of Medicine at Premier Healthcare, where she managed five ambulatory health centers across New York City. Her previous experience with union membership was earned at the Benefit Fund of the New York Hotel Trades, where she was medical director of the Harlem Health Center. Dr. Mayers worked for many years as a primary care physician at the Farrell Health Center of NewYork-Presbyterian Hospital, where she served as faculty and medical director of the resident training program. Dr. Mayers continues to hold a position as voluntary faculty/instructor in clinical medicine at Columbia University's Center for Family and Community Medicine. She is a licensed physician in New York State and is board certified with the American Board of Family Medicine. Dr. Mayers received a Bachelor of Arts from Cornell University, a Doctor of Medicine from Cornell University Medical College (now Weill Cornell Medical College) and a Master of Public Health from the Mailman School of Public Health at Columbia University.

In this episode, we sit down with Dr. Lela Mayers, the Benefit Funds' Deputy Chief Medical Officer (DCMO). Dr. Mayers recently joined us to work alongside Chief Medical Officer Dr. Van Dunn in supporting our members' health journeys. In our conversation, we get to know more about our new DCMO, who began her career as a family medicine physician. Among other things, we learn what she loved about family medicine, why she made the transition to her current role at the Benefit Funds, why it's so important for healthcare workers to make their own health a priority, what she's learned from walking in our members' shoes and what she looked for when she found the perfect doctor for her parents – and what we can all look for, too. The Takeaway Start your health journey by making an appointment with your primary care physician. Visit our Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Talk to your doctor about any screenings you may need: 1199SEIUBenefits.org/healthybodies. Know your numbers to find out where you stand: 1199SEIUBenefits.org/healthyhearts. Get inspired by fellow members through our Members' Voices series: www.1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to view webinars on managing stress, building healthy meals and more: www.1199SEIUBenefits.org/videos. Visit our YouTube Channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists Sample our wellness classes to exercise body and mind: www.1199SEIUBenefits.org/wellnessevents. We want to hear from you! Drop us a line at our social media channels: Facebook // Instagram // YouTube Guest Bio Dr. Lela Mayers is the Deputy Chief Medical Officer (DCMO) of the 1199SEIU Benefit Funds, which provide comprehensive self-insured, self-administered healthcare benefits to more than 450,000 healthcare workers, retirees and their families. As DCMO, Dr. Mayers assists the Chief Medical Officer with the Benefit Funds' clinical, care management and analytics functions, as well as health and wellness initiatives and value-based strategies. Prior to joining the Benefit Funds, Dr. Mayers served as Senior Medical Director at CVS Health/Aetna. There she collaborated with the account management teams, pharmacy teams, consulting firms and plan sponsors to drive improved health outcomes for commercial and labor health plan members. Prior to that, she served as Chief of Medicine at Premier Healthcare, where she managed five ambulatory health centers across New York City. Her previous experience with union membership was earned at the Benefit Fund of the New York Hotel Trades, where she was medial director of the Harlem Health Center. Dr. Mayers worked for many years as a primary care physician at the Farrell Health Center of NewYork-Presbyterian Hospital, where she served as faculty and medical director of the resident training program. Dr. Mayers continues to hold a position as voluntary faculty/instructor in clinical medicine at Columbia University's Center for Family and Community Medicine. She is a licensed physician in New York State and is board certified with the American Board of Family Medicine. Dr. Mayers received a Bachelor of Arts from Cornell University, a Doctor of Medicine from Cornell University Medical College (now Weill Cornell Medical College) and a Master of Public Health from the Mailman School of Public Health at Columbia University.

Welcome to the Oncology Brothers podcast! In this episode, hosts Rahul and Rohit Gosain are joined by Dr. John Allan from New York Presbyterian Hospital to discuss the latest highlights from ASH 2024, focusing on Chronic Lymphocytic Leukemia (CLL). We dived into three key studies: 1.⁠ ⁠SEQUOIA Update: Discover how this study led to the approval of Zanubrutinib in the frontline setting and its impressive progression-free survival rates compared to traditional chemotherapy. 2.⁠ ⁠AMPLIFY Study: Learn about the exciting combination of Acalabrutinib with Venetoclax and Obinutuzumab, and how it may pave the way for the first oral doublet/triplet combination approval in the U.S. 3.⁠ ⁠Ongoing Trials: We touch on the CELESTIAL TN-CLL trial and the promising combination of Zanubrutinib with Sonrotoclax, a new BCL-2 inhibitor. Additionally, we discuss the evolving role of CAR-T therapy in CLL, especially for patients who have progressed through multiple lines of treatment. Join us for an insightful discussion on the future of CLL treatment options, the importance of balancing efficacy and side effects, and the exciting developments in the field. Don't forget to check out our other ASH and SABCS 2024 discussions! Subscribe to stay updated on the latest in oncology research and treatments! Website: http://www.oncbrothers.com/ X/Twitter: https://twitter.com/oncbrothers Contact us at info@oncbrothers.com

Krystle Barnes-Iwediebo, director of disability and absence management for New York-Presbyterian Hospital, redesigned processes to improve efficiencies, ensure a person-centered approach, and deliver an impressive return on investment. As the first winner of the DMEC Kaleta-Carruthers Innovation Award, Barnes-Iwediebo exemplifies leadership in integrated disability and absence management. Listen in to her story!More resources:Read more about the inaugural DMEC Kaleta-Carruthers Innovation Award and the 2024 DMEC Emerging Leader Award winner in the @Work magazine article Celebrating Leadership and Innovation in Disability and Absence ManagementThe True Payoff to Integrated Disability ManagementDMEC Awards

Join us for the 5th Annual JOWMA Conference: Transforming Healthcare Through Innovation & Research on January 5, 2025, from 8am to 5pm in NYC! Spend the day immersed in expert-led scientific sessions, hands-on surgical simulations, specialty roundtables, and a networking lunch tailored for healthcare professionals and students. PLUS, we're offering a full premed program with panels, roundtables, and networking dedicated to aspiring medical students.

Dr. Chaya Lieba Kobernick is a licensed clinical psychologist and the Founder and Director of The CBT/DBY Center (https://www.thecbtdbtcenter.com/ … email  DrK@TheCBTDBTCenter.com), with clientele in both Israel and the U.S. She received her doctorate at Long Island University, and also trained at New York Presbyterian Hospital, Northwell Health, and Rutgers University.   Among the topics discussed are her services and types of clients within the Orthodox community, attitudes toward getting mental health treatment (stigma?), how she melds her personal Orthodoxy with her treatment and the value that brings to the table, the rise in mental health issues among teenagers, the impact of the war, and more.

Len Berman and Michael Riedel speak with Dr. Gail Saltz about how to deal with election related stress. Dr. Gail goes over techniques to use when dealing with election related stress, and how to deal with people around you who may have affected that stress.

Thomas Wickiewicz, MD, attending Orthopaedic Surgeon at the Hospital for Special Surgery in New York City, Professor of Clinical Surgery in Orthopaedics at Weill-Cornell Medical College, and Attending Surgeon at New York-Presbyterian Hospital, shares his “hot takes” about the state of ACL repair and medical education today, his fond memories of John Marshall, the beauty of New Jersey, and more.

What happens when life throws you a curveball? In today's episode of "Step Into the Pivot," we are joined by the inspiring Dr. Elizabeth Grill, a health psychologist and medical researcher who shares her journey through the tumultuous waters of divorce and family court battles. Dr. Grill opens up about the survival mode mindset that took over during these challenging times, and the crucial role a strong support system played in her resilience.Imagine suddenly finding yourself as a full-time parent without financial stability or childcare support. A life-altering court decision propelled Elizabeth into immediate problem-solving mode, eventually resulting in personal growth and the birth of new business ideas. It's a story of resilience and innovation, where channeling energy into positive pursuits not only restored confidence but also inspired others along the way. “By listening to empowering narratives during my daily commutes, I found purpose and motivation amid adversity, reinforcing the belief that every challenge can be an opportunity in disguise.”Guest Bio:Dr. Elizabeth Grill is the Director of psychological services at the Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine and is Associate Professor of Clinical Psychology in the Departments of Obstetrics and Gynecology, Reproductive Medicine, and Psychiatry at Weill Cornell Medicine. She is also an Assistant Attending Psychologist at New York-Presbyterian Hospital.Dr. Grill is established as a nationally recognized expert and innovator in reproductive and sexual mental health.  She is the current Chair of RESOLVE, the National Infertility Patient Organization, the Past Chair of the Mental Health Professional Group of the American Society for Reproductive Medicine and the Past President of the Society for Sex Therapy and Research. Dr. Grill is experienced as a health psychologist and medical researcher with a special focus on the emotional aspects of infertility, IVF treatment, third party reproduction, oncofertility, fertility preservation, sexual dysfunction, and stress and infertility.  She is also the co-owner of FertiCalm and FertiStrong, the first digital apps developed to reduce distress for those experiencing infertility, using research proven modalities. Dr. Grill is an editorial reviewer for the top peer reviewed journals in the field, the author of numerous articles and book chapters, has lectured worldwide to patient and medical audiences and has participated in media interviews related to the emotional aspects of reproductive medicine. Connect with Elizabeth:LinkedIn: https://www.linkedin.com/in/drlizgrill/ Connect with Theresa and Ivana: Websites: Theresa, True Strategy Consultants: https://tsc-consultants.com/ Ivana, Courageous Being: https://www.courageousbeing.com/ Instagram: Ivana: https://www.instagram.com/courbeing/ Theresa: https://www.instagram.com/tscconsultants/ LinkedIn: Step into the Pivot: https://www.linkedin.com/showcase/step-into-the-pivot/ Theresa: https://www.linkedin.com/in/tree-conti/ Ivana: https://www.linkedin.com/in/ivipol/

MASTERMIND MINUTES - ONE GUEST, ONE QUESTION, ONE EXPERT ANSWER IN MINUTES NOT HOURS... Today's guest is Michael Esposito the Co-Managing Partner, Franchise Equity Partners. Prior to co-founding FEP, Mike spent 28 years at Goldman Sachs in Investment Banking and was a Partner for 20 years. He ran the Global Financial Institutions Group in the Investment Banking Division (“IBD”). He also served as the Co-Chairman of the Firm-wide Commitments Committee which underwrites all equity transactions; Co-Chair of the IBD's Client and Business Standards Committee; a member of the Partnership Committee and a member of IBD's Executive Committee. Mike is a member of the Board of Trustees at the Hospital For Special Surgery, New York Presbyterian Hospital, Woods Hole Oceanographic Institution, and the Inner-City Scholarship Fund in New York City. Mike is a graduate of Brown University and Harvard Business School. Contact Mike at: https://www.fep-us.com/ Contact Gary Info@frangrow.com Visit: www.frangrow.com --- Support this podcast: https://podcasters.spotify.com/pod/show/gary5396/support

Dr. Gail Saltz speaks with Len Berman and Michael Riedel about the rise of loneliness in adults. Dr. Gail talks about what caused this rise and the lasting effects of loneliness.

I am delighted and honored today to interview Dr. Lisa Mosconi. She is an Associate Professor of Neuroscience in neurology and radiology at Cornell Medicine and Director of the Women's BRAIN Initiative and the Alzheimer's Prevention Clinic at Weill Cornell Medicine, New York Presbyterian Hospital. She is also a globally acclaimed neuroscientist with a Ph.D. in neuroscience and nuclear medicine and the author of the New York Times bestseller The XX Brain and, more recently, The Menopause Brain. In our conversation, we discuss how women's brains change during perimenopause and menopause, looking at the significance of puberty, pregnancy, and perimenopause, as well as the lack of medical research on women and medical gaslighting. We explore the concept of bikini medicine and its misconceptions regarding women's health and hormones alongside the crucial roles of hormones like estradiol, progesterone, and testosterone in our neuroendocrine system. Dr. Mosconi also provides insights into evolving menopausal treatments, including lifestyle interventions.  Dr. Mosconi is an esteemed figure in neuroscience and a prominent voice in women's health. I am confident you will gain valuable insights and perspectives from my discussion with her today. IN THIS EPISODE YOU WILL LEARN: How women's brains change during perimenopause and menopause How the lack of information for young girls can lead to medical gaslighting and confusion during perimenopause Dr. Mosconi explains how a simple sugar is used as a tracer to track glucose metabolism in the brain during perimenopause Why brain changes during menopause may lead to mental fatigue and brain fog How the lack of training and research on menopause in medical residency programs leads to a poor understanding among clinicians Why women need to consider their brain and metabolic health during perimenopause Why estrogen is essential after menopause The benefits of HRT for menopausal women How stress impacts hormone production Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Lisa Mosconi On her website On Instagram

Featuring Randy Subramany, Director of Supply Chain at New York Presbyterian Hospital. In this conversation we dive deep into the role of technology in driving supply chain innovation. Randy shares his insights on how hospital logistics are evolving, creating a ripple effect throughout healthcare. Discover how leaders like Randy are integrating AI and advanced tech, while navigating disruption to foster healthcare resilience. Find Randy's work at nyp.org Subscribe and stay on the forefront of the digital healthcare revolution. Watch the full video on YouTube @TheDigitalHealthcareExperience The Digital Healthcare Experience is a hub to connect healthcare leaders and tech enthusiasts. Powered by Taylor Healthcare, this podcast is your gateway to the latest trends and breakthroughs in digital health. About Us: Taylor Healthcare empowers healthcare organizations to thrive in the digital world. Our technology streamlines critical workflows such as procedural and surgical informed consent, ransomware downtime mitigation, contactless patient check-in, RX color coding solutions and more. Learn more at taylor.com/digital-healthcare   The Digital Healthcare Experience Podcast Powered by Taylor Healthcare Produced by Naomi Schwimmer  Hosted by Chris Civitarese Edited by Eli Banks Music by Nicholas Bach  

In our September episode, Dr. Chiti Parikh joined us to explore how setting a health intention and focusing on four basics of well-being – nutrition, sleep, exercise and stress management – can support you on your health journey. In this month's Key Note episode, Dr. Parikh shares a brief overview of her book, Intentional Health, and the inspiration behind it. The Takeaway Start your health journey by making an appointment with your primary care physician. Don't have one? Find one at our Provider Directory: www.1199SEIUBenefits.org/find-a-provider. Visit the Healthy Living Resource Center for wellness tips, information and resources; www.1199SEIUBenefits.org/healthyliving. Join WeightWatchers at a discounted rate of just $8 a month; $0 if you are living with diabetes or prediabetes: www.1199SEIUBenefits.org/ww. If you are living with type 2 diabetes, find out more about our partner Virta's diabetes reversal program: www.1199SEIUBenefits.org/news/virta. Get inspired by fellow members through our Members' Voices series: www.1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to view webinars on managing stress, building healthy meals and more: www.1199SEIUBenefits.org/videos. Visit our YouTube channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists Sample our wellness classes to exercise body and mind: www.1199SEIUBenefits.org/wellnessevents. For more information about the Integrative Health and Wellbeing program, visit www.nyp.org/integrative-health-program To find Dr. Parikh's book, visit www.intentionalhealth.io. Guest Bio Chiti Parikh, MD, is the Executive Director of Integrative Health and Wellbeing at NewYork-Presbyterian Hospital, Weill Cornell Medicine. She is board certified in Internal Medicine and Integrative Medicine, with additional training in Functional Medicine, Medical Acupuncture and Ayurveda.    To provide the highest level of compassionate and individualized care, Dr. Parikh combines cutting-edge Western medicine with Eastern traditions into a truly holistic approach. She has co-founded the Integrative Health and Wellbeing Program, the leading integrative center in the country, which offers modalities such as acupuncture, meditation, yoga, nutrition and psychotherapy. Dr. Parikh's focus on prevention helps her address not just the physical but also psychological, social and environmental influences on health and healing. She recently published her first book, Intentional Health. Dr. Parikh has been featured on NBC News and Vice news, and in Rolling Stone, The New York Times, Women's Health and The Wall Street Journal.

Dr. Gail Saltz joins Len Berman and Michael Riedel to speak about the problem with helicopter parents and how it is affecting their children even into adulthood. Dr. Saltz talks about how it may come from a place of love, it can be very detrimental to the development of a child.

In this episode, Shaun Smith, SVP & Chief People & Culture Officer at New York Presbyterian Hospital Group, discusses the evolving role of people leadership in healthcare, the importance of culture and teamwork, and how NYP is shaping the future through talent development and innovative strategies.

In this episode with Dr. Chiti Parikh, you'll get to explore practical solutions for enhancing your well-being through the integration of ancient Eastern healing practices into modern life. Dr. Parikh provides actionable insights on aligning your daily routines with circadian rhythms and harnessing the benefits of mindful eating, therapeutic oil massages, and her powerful 28-day reset. We also dive into the science behind detox diets and the ancient Kayakalpa practice, offering strategies to rejuvenate and revitalize your health. Tune in to discover how blending traditional wisdom with contemporary science can address common health challenges and optimize your overall wellness! Dr. Chiti Parikh is one of the leading integrative medicine physicians in the country and the founder of Integrative Health & Wellbeing at Weill Cornell Medicine, New York Presbyterian Hospital. She is also the author of Intentional Health: Detoxify, Nourish and Rejuvenate Your Body into Balance (a fascinating and resourceful newly published book she and I discuss on this podcast!). Her book aims to bring your body into a healthier state of balance, giving you a better chance to ward off disease and providing you with a deeper understanding of your health. It equips you with all the tools you need to maintain that balance, especially when life happens. You'll learn how to detox, nourish, and rejuvenate, with your body as your best ally. As a holistic doctor, Dr. Chiti does not focus on weight, diet, or exercise; instead, she prioritizes body fat percentage and metabolism, which she will explain during our podcast. She emphasizes the importance of meal timing, intermittent fasting, and overall physical activity on well-being, going beyond just diets or gym routines. She also explores the link between gut health and metabolism, discussing how probiotics, prebiotics, and a healthy gut microbiome contribute to overall metabolic well-being. You'll also get to hear the incredible story of the 185-year-old yogi and discover longevity secrets through an ancient detox ritual that is backed by cutting-edge science. By activating their stem cells, yogis can theoretically reverse their biological clock, rejuvenate their appearance, and infuse vitality at any age. Dr. Chiti personally experienced these benefits, using them to heal her long COVID symptoms and inspiring the transformative 28-day reset provided in Intentional Health. Full Show Notes: https://bengreenfieldlife.com/intentionalhealth Episode Sponsors:  Kineon: Visit shop.kineon.io/bengreenfield today and receive 10% off your purchase with code BGLIFE. BON CHARGE: Go to boncharge.com/GREENFIELD and use coupon code GREENFIELD to save 15%. BIOptimizers Mushroom Breakthrough: Go to bioptimizers.com/ben now and enter promo code BEN10 to get 10% off any order. Metabolism Fixxr: Visit thefixxrs.com/ben and use code BEN10 for 10% off. Joovv: Get an exclusive discount on your first order of my favorite in-home light therapy devices. Just go to Joovv.com/ben and apply code BEN.See omnystudio.com/listener for privacy information.

When Dr. Chiti Parikh meets a new patient, the first question she asks is “What is your health intention?” In the Integrative Health and Wellbeing program at NewYork-Presbyterian, Dr. Parikh treats each patient as a whole person, not just a collection of symptoms – a philosophy the Benefit Funds have long embraced. In this episode, Dr. Parikh explains how setting a health intention and focusing on four basics of well-being – nutrition, sleep, exercise and stress management – can support you on your health journey. The Takeaway Start your health journey by making an appointment with your primary care physician. Don't have one? Find one at our Provider Directory: www.1199SEIUBenefits.org/find-a-provider. Visit the Healthy Living Resource Center for wellness tips, information and resources; www.1199SEIUBenefits.org/healthyliving. Join WeightWatchers at a discounted rate of just $8 a month; $0 if you are living with diabetes or prediabetes: www.1199SEIUBenefits.org/ww. If you are living with type 2 diabetes, find out more about our partner Virta's diabetes reversal program: www.1199SEIUBenefits.org/news/virta. Get inspired by fellow members through our Members' Voices series: www.1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to view webinars on managing stress, building healthy meals and more: www.1199SEIUBenefits.org/videos. Visit our YouTube channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists Sample our wellness classes to exercise body and mind: www.1199SEIUBenefits.org/wellnessevents. For more information about the Integrative Health and Wellbeing program, visit www.nyp.org/integrative-health-program To find Dr. Parikh's book, visit www.intentionalhealth.io. Guest Bio Chiti Parikh, MD, is the Executive Director of Integrative Health and Wellbeing at NewYork-Presbyterian Hospital, Weill Cornell Medicine. She is board certified in Internal Medicine and Integrative Medicine, with additional training in Functional Medicine, Medical Acupuncture and Ayurveda.  To provide the highest level of compassionate and individualized care, Dr. Parikh combines cutting-edge Western medicine with Eastern traditions into a truly holistic approach. She has co-founded the Integrative Health and Wellbeing Program, the leading integrative center in the country, which offers modalities such as acupuncture, meditation, yoga, nutrition and psychotherapy. Dr. Parikh's focus on prevention helps her address not just the physical but also psychological, social and environmental influences on health and healing. She recently published her first book, Intentional Health. Dr. Parikh has been featured on NBC News and Vice news, and in Rolling Stone, The New York Times, Women's Health and The Wall Street Journal.

In this episode of the Brain & Life podcast, co-host Dr. Daniel Correa is joined by Deborah Roberts, award-winning ABC News correspondent and co-anchor of the prestigious news magazine 20/20. Deborah shares how she has dealt with vestibular migraine and vertigo while traveling for work, raising her family, and everywhere in between. She discusses symptom management and how these experiences have changed her outlook on life. Dr. Correa is then joined by Dr. Matthew Robbins, Associate Attending Neurologist at New York-Presbyterian Hospital and Associate Professor of Neurology, Weill Cornell Medical College. He shares his specialized knowledge on migraine, cluster headache, and other headache disorders and explains what may cause symptoms and treatment options.    Additional Resources Broadcast Journalist Deborah Roberts Shares How She Manages Vertigo 7 Ways To Reduce Migraine Attacks Busting Myths About Migraine What is Migraine? Other Brain & Life Episodes on this Topic Julia Easterlin on Being a Performer with Migraine Mulling over Migraines with Photographer Bill Wadman Brain Function and Migraine Treatment: Answering Your Questions   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media:   Guests: Deborah Roberts @debrobertsabc; Dr. Matthew Robbins @weillcornell Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

About Omkar Kulkarni:Omkar P. Kulkarni is the first chief innovation officer at Children's Hospital Los Angeles. In his role, Kulkarni is responsible for fostering innovation across Children's Hospital Los Angeles's clinical and research enterprises – including launching an enterprise virtual care program, incubating and implementing new digital health tools and medical devices, and rallying communities inside and outside of the hospital to solve problems in the field of pediatrics – all with the goal of enhancing the experience and outcomes for the children and families Children's Hospital Los Angeles serves. Kulkarni is also the founder and managing director of KidsX, a consortium-based digital health accelerator that is comprised of over fifteen leading pediatric hospitals from around the world.Prior to joining Children's Hospital Los Angeles, Kulkarni served as executive director of the Cedars-Sinai Accelerator powered by Techstars, where he helped build and launch the accelerator program. In that role, he evaluated over 3,000 healthcare start-ups and provided extensive mentoring, serving as the main liaison between the start-up community and Cedars-Sinai Medical Center. Kulkarni also led the performance improvement department at Cedars-Sinai for many years and has experience in financial process redesign at NewYork-Presbyterian Hospital. Kulkarni has a master's degree in public health and health care management from Columbia University and a bachelor's degree in business administration from George Washington University.Things You'll Learn:AI can predict patient no-shows and optimize scheduling, freeing up crucial appointment slots and ensuring resources are optimally allocated.Adopting new solutions not only streamlines processes but boosts staff engagement and patient satisfaction by refocusing skilled labor on patient care rather than auxiliary tasks.Beyond financial health, measuring access, clinical outcomes, and patient/family engagement provides a more comprehensive view of organizational success.The challenge of serving a diverse, multilingual patient population, many of whom are under the poverty line.How CHLA manages to provide top-tier clinical care, groundbreaking research, and education, all while "defying gravity" in the face of financial struggles.Resources:Connect with and follow Omkar Kulkarni on LinkedIn.Learn more about Children's Hospital Los Angeles on their LinkedIn and website.

Today's guest is Jen Gilkie, Chief Marketing Officer for Dartmouth Health, one of the largest health systems in northern New England. Jen has had a fascinating and surprising career journey from studying theater here at the University of New Hampshire to being the chief of staff for the 2014 Super Bowl Host Committee to finding her way to healthcare and marketing. In this podcast we discuss rebranding, messaging during COVID, and more. Thank you for reading Health Leader Forge. This post is public so feel free to share it.Links discussed in this podcast:Dartmouth Health https://www.dartmouth-health.org/NewYork-Presbyterian Hospital https://www.nyp.org/UNH Theatre and Dance https://cola.unh.edu/theatre-danceLincoln Center for the Performing Arts https://www.lincolncenter.org/homeOther options to listen to this podcast:YouTube: Apple Podcasts: This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthleaderforge.substack.com

Today's podcast is titled, “A Conversation with Walter Wriston and Herbert Pardes.” Recorded in 2004, Walter B. Wriston, Former Chairman and CEO, Citicorp/Citibank and Herbert Pardes, MD, President and CEO, New York Presbyterian Hospital discuss healthcare costs, HMOs, and the impact of technology on medicine. Listen now, and don't forget to subscribe to get updates each week for the Free To Choose Media Podcast.

Join Molly Gamble as she chats with Rick Evans, SVP at NewYork-Presbyterian Hospital, and Steve McMillen, Principal at ECG Management Consultants, about the startling national wait times for new patients. They dive into the impacts on health equity, discuss NewYork-Presbyterian's efforts to streamline patient access, and offer practical advice for both patients facing delays and providers aiming for improvement. Tune in for an insightful discussion on addressing one of healthcare's most pressing challenges.This episode is sponsored by ECG Management Consultants.

Cancer care is difficult enough to navigate as someone with little to no healthcare/biology background, but what does it mean when a physician faces similar challenges within the healthcare system? Dr. Jean-Luc “JL” Neptune shares his compelling caregiver story of caring for his mother and father's cancer diagnoses simultaneously with the help of his sister. We delve into how his experience impacted his career, his outlook into the flaws of the healthcare system, and his perspective on what patients (and caregivers) can do to get the most out of their care.  Key Highlights: 1. Access to contextualized information is not easy; information online without context can be overwhelming and not specific to the patient. 2. The best source of information about your diagnosis and prognosis is likely a doctor in the field, but finding one with the time to fully inform you is not an easy feat either. Fee-for-service care is the current healthcare model, which arguably promotes quantity over quality. However, the tide is slowly but surely shifting towards value-based care. 3. To achieve the highest quality care today, the best thing you can do is advocate for yourself and seek multiple expert opinions. Keeping track of your symptoms is a good idea for effectively and efficiently contextualizing your treatment plan with your provider(s). About our guest: Jean-Luc (“JL”) Neptune, MD MBA is a physician executive, digital health leader, investor and advisor with 20+ years of experience in the health innovation space. Dr. Neptune most recently served as the CEO, Chief Medical Officer, and co-founder of Suntra Modern Recovery, which provided early addiction intervention and treatment services at scale. Prior to Suntra Modern Recovery Dr. Neptune was the founder of Athletik Health Inc., which operated modern sports medicine clinics offering the “athlete in everyone” outstanding clinical care and customer service. Dr. Neptune served as entrepreneur-in-residence at the Hospital For Special Surgery (“HSS”), the #1 rated orthopedic hospital in the United States, working closely with the leadership team of the HSS Innovation Institute. Dr. Neptune was also General Manager at Blueprint Health where he oversaw investments into dozens of digital health companies (including RubiconMD, NexHealth, Moving Analytics, and CleanSlate UV), and continues as a partner in the Blueprint investment funds. Dr. Neptune earned a BA from Columbia College at Columbia University, an MD from the Columbia College of Physicians and Surgeons, and an MBA at the Wharton School. Dr. Neptune completed a residency in internal medicine at New York Presbyterian Hospital and is licensed to practice medicine in the state of New York. Key Moments: At 10:55 “I've often debated with people online about access to information and really as a patient, should you be like going on the internet and looking at all these sites? And my argument is you shouldn't because unless you can contextualize this information, make it specific to you and cut out all of the noise from the signal, you're probably only making yourself more stressed out, more confused by seeking information from all these places.” Visit the Manta Cares website  Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions.

With perspectives spanning hepatobiliary, gynecologic, and cardiac surgeries, NewYork-Presbyterian's Dr. Jason Hawksworth (Columbia), Dr. Tamatha Fenster (Weill Cornell Medicine), and Dr. Arnar Geirsson (Columbia) describe how they each came to incorporate robotics into their practices. One of the biggest takeaways: robotic surgeries allow for more accuracy in minimally-invasive approaches; so patients experience shorter hospital stays and quicker recoveries, even after major procedures. But there are some limitations to robotic surgeries that the doctors are still navigating. Dr. Fenster discusses how there are haptics limitations in robotic surgery. As a result, she shares more about her innovative smartHER 3D MRI program that is addressing this issue and details how her and her team are developing a way of holographically projecting 3D MRIs over patients to help guide surgeons while they operate. For more information visit nyp.org/Advances

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast Dr. Evan Kalin-Hajdu - Assistant Professor of Ophthalmology at the University of Montreal. Dr. Kalin-Hajdu is the host of the current "Oculofacial Podcast Journal Club". Dr. Bryan J. Winn - Professor of Ophthalmology and Vice Chair and Division Director for Oculofacial Plastic Surgery at UCSF. He also serves as the Chief of Ophthalmology at the San Francisco VA Healthcare System. Dr. Davin Ashraf - Assistant Professor of Ophthalmology at Oregon Health & Science University (OHSU). Dr. Kyle J. Godfrey - Assistant Professor of Ophthalmology at Weill Cornell Medicine and the New York Presbyterian Hospital. He is also the Director of the Ophthalmology Residency Program and a member of the Departments of Ophthalmology and Neurological Surgery. Episode Summary: In this engaging episode of the Oculofacial Podcast Journal Club, distinguished host Dr. Evan Kalin-Hajdu from the University of Montreal is joined by renowned experts Dr. Bryan J. Winn, Dr. Davin Ashraf, and Dr. Kyle J. Godfrey to discuss three key articles from the May-June 2024 issue of the Ophthalmic Plastic and Reconstructive Surgery (OPRS) journal. The discussion delves into short-term versus long-term results of teprotumumab, a more custom management of patients with thyroid eye diseases, as well as rapidly popular transorbital surgery. The episode begins with Dr. Bryan J. Winn summarizing an article on teprotumumab for recalcitrant thyroid eye disease. The panelists then discuss the strengths and weaknesses of the paper, highlighting the medication's short-term effectiveness but raising concerns about its long-term durability. Following this, Dr. Davin Ashraf provides insights into a study that compared teprotumumab versus orbital decompression for thyroid eye disease, highlighting the likely additive effects of these combined treatments, but also raising compelling points about regression of proptosis that was only observed in the teprotumumab group. Dr. Kyle J. Godfrey then wraps up with an in-depth look at a novel transorbital endoscopic approach to the foramen rotundum for infraorbital nerve stripping, emphasizing the technique's potential utility, risks, and anatomical considerations. The participants then discussed the growing popularity of transorbital surgery from the standpoint of oculofacial plastic surgeons. Key Takeaways: Teprotumumab's Effectiveness: Teprotumumab shows significant short-term efficacy in reducing proptosis and clinical activity scores in recalcitrant thyroid eye disease, but data on long-term durability remains unknown in that cohort. Teprotumumab versus decompression: Combining teprotumumab with orbital decompression may provide additive benefits for proptosis reduction. Surgical decompression provides the greatest proptosis reduction and does not appear to wane in time. However, patients treated solely with teprotumumab appear to start regressing within months of therapy. Evolving Treatment Protocols: The participants theorize a potential shift in managing thyroid eye disease, gradually incorporating a more evidence-based approach with an effective short-term modulator, like teprotumumab, followed by a long-term disease modifier, like tocilizumab or radiation therapy. Advanced Surgical Techniques: Introducing a transorbital endoscopic approach for infraorbital nerve stripping could expand the surgical arsenal for managing complex orbital and perineural pathologies. Resources: Dr. Evan Kalin-Hajdu: University of Montreal Dr. Bryan J. Winn: UCSF Department of Ophthalmology Dr. Davin Ashraf: OHSU Knight Cancer Institute Dr. Kyle J. Godfrey: Weill Cornell Medicine

This piece is part of our coverage of Euroanaesthesia, one of the most important and influential annual congresses in anaesthesiology and intensive care. Organised by The European Society of Intensive Care Medicine (ESICM). The British Journal of Anaesthesia (BJA) publishes high-impact original work in all branches of anaesthesia, critical care medicine, pain medicine and perioperative medicine. This piece gets into AI generated content, sustainability and the Editorial Fellowship Program. Presented by Kate Leslie with Desiree Chappell and their guests Hugh Hemmings, Editor in Chief of the BJA, Senior Associate Dean for Research, Anesthesiologist at New York Presbyterian Hospital, Professor and Chair of Anesthesiology at Weill Cornell Medicine and Beatrijs Valk, Resident Göttingen University Medical Center, Editorial Fellow BJA.

Women's brain health remains one of the most under researched, underdiagnosed, and undertreated fields of medicine – and someone needs to fix it. Enter today's brilliant guest, Dr. Lisa Mosconi. She is the director of the Women's Brain Initiative at the Alzheimer's Prevention Program at Weill Cornell Medicine, New York Presbyterian Hospital. In this conversation, we explore menopause's effect on the body, brain, and hormones. Dr. Mosconi expertly clarifies what menopause is and isn't with a strong focus on the impact of menopause on brain health, cognitive health, and mental health. Dr. Mosconi walks us through the map of our reproductive health from pre to post menopause, highlighting hallmark signs and symptoms of transitions from each phase to the next. She shares why the old clinical ways of looking at menopause aren't effective, and introduces new science and technology that allows women to have more knowledge around how menopause affects the brain. Dr. Mosconi explains the risks and benefits of hormone replacement therapy, surgical menopause and also provides non-hormonal, lifestyle advice for managing the symptoms of menopause.It is my dream for everyone to be as healthy as possible, equipped with the knowledge necessary to make empowered, informed decisions about living their best lives. I'm deeply grateful to Dr. Lisa Mosconi for generously sharing her expertise with us, enabling women to navigate menopause with ease and understanding.We also cover:(00:00:46) The Menopause Map: Defining Phases & Symptoms(00:22:13) Risks & Benefits of Hormone Replacement Therapy(00:33:45) Menopause & the Brain: Unveiling New Scientific Developments (00:48:43) Exploring Surgical Menopause & Non-Hormonal Solutions (01:02:42) Dr. Mosconi's Neuroscientific Approach to Helping Women through Menopause Resources:• Click here for full show notes• Instagram: @dr_mosconi• Read: The Menopause Brain by Dr. Lisa Mosconi• Read: New Study Showing Brain's Estrogen Activity Changes During Menopause• Website: lisamosconi.comConnect with Kelly:• kellyleveque.com• Instagram: @bewellbykelly• Facebook: www.facebook.com/bewellbykelly* Content from this podcast is provided for information and education purposes only, and is not intended as a substitute for the advice provided by your physician or other healthcare professional. The use of information from this podcast is at the user's own risk. Always speak with your healthcare professional before taking any medication, nutritional or herbal supplement.Be Well By Kelly is produced by Crate Media.Mentioned in this episode:BWBK Protein Powder | Get $10 off your order with PODCAST10 at bewellbykelly.com.AG1 | Get a FREE 1-year supply of Vitamin D3+K2 AND 5 free AG1 Travel Packs with your first subscription at 

The critical care management of spontaneous subarachnoid hemorrhage (SAH) is similar to that of other acute brain injuries, with the addition of detecting and treating delayed cerebral ischemia. Recent trials are influencing practice and providing guidance for standardizing management. In this episode, Kait Nevel, MD speaks with Soojin Park, MD, FAHA, FNCS, author of the article “Emergent Management of Spontaneous Subarachnoid Hemorrhage,” in the Continuum June 2024 Neurocritical Care issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Park is an associate professor of neurology (in biomedical informatics) at Vagelos College of Physicians and Surgeons, Columbia University in New York, New York and medical director of critical care data science and artificial intelligence at NewYork-Presbyterian Hospital in New York, New York. Additional Resources Read the article: Emergent Management of Spontaneous Subarachnoid Hemorrhage Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @soojin_soojin Full episode transcript   Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the show notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the show notes. AAN members, stay tuned after the episode to hear how you can get CME for listening.   Dr Nevel: This is Dr Kait Nevel. Today, I'm interviewing Dr Soojin Park about her article on emergent management of spontaneous subarachnoid hemorrhage, which is part of the June 2024 Continuum issue on neurocritical care. Welcome to the podcast. It's so great to be talking to you today.   Dr Park: Thank you so much, Kait. Nice to be here.   Dr Nevel: Before we get started, could you introduce yourself for the audience?   Dr Park: Sure. So, I am an Associate Professor of Neurology - also in Biomedical Informatics - at Columbia University here in New York City. I trained in vascular neurology and neurocritical care.   Dr Nevel: Great. And so, I always like to ask at the beginning of these interviews, you know, if we could take away one thing from your article — and this is specifically (I'll direct this) towards the neurologists out there that are covering inpatient consults and ER consults — and so, for our clinical neurologists listening out there, what is the most important thing that you think that they should take away from your article?   Dr Park: So, I guess the most important thing for the general neurologists out there is that it may have been a while since they were aware of some updates that have occurred. There are some recent trials that are influencing practice and will potentially influence practice in the next few years that readers should really know about, and it provides a little bit stronger guidance to drive more standardized management. There have been two recent guidelines published this year. But there remain several gray areas for management where you need to be a bit more nuanced, and so I'm hoping the article gives the readers a framework to deliver more expert care.   Dr Nevel: Yeah, and I really, of course, always urge the listeners to go back and read the article and reference the article, because I do think that you do that really nicely and are clear when there are things where there's more higher-level, evidence-based reasons for things and where there's, kind of, just more expertise and guidelines on certain things. So, could you tell the listeners a little bit more about yourself, what interests you about subarachnoid hemorrhage specifically, and how you approach that interest and clinical background in writing this article?   Dr Park: So, I mentioned that I trained in both vascular neurology and neurocritical care back when many people used to do that. As a result, I've trained or practiced in four different academic medical centers who have specialized neurointensive care units. And the patients with subarachnoid hemorrhage tend to have a substantial ICU length of stay, and the neurointensive care that we provide can have a very large impact on patient outcome. And what I saw, though (practicing across four different centers), was that the management of patients with subarach can be quite variable across institutions and across patients within institutions, and it's reflective of a couple of things. One, there's, like, complexity in detecting ischemia, even when your patient is a captive audience in their ICU room. Second, there's many clinical mimics that occur (the patients with subarachnoid hemorrhage, they have a risk for), such as hydrocephalus, seizure, and things like delirium. And then, finally, there's limitations in the technology that we even have available in terms of monitoring these patients. But, for me, it was this complexity and the variability of management that kind of posed an opportunity, and it really sparked my curiosity early on and has sustained me. So, I'm particularly interested in the role that, kind of, the complex analysis of existing monitoring technologies can play to improve outcome for patients with subarachnoid hemorrhage, and that's where the marriage of both being a neurointensive care physician and a biomedical informatics person comes in.   Dr Nevel: Yeah. That's really interesting, and I could see that, because I always felt, even during my training, that some of the management and, you know, what diagnostics were even ordered to follow patients throughout the ICU was expertise based and seemed to vary without a lot of really solid, again, high-level studies, guiding what was done. So how do you marry the bioinformatics with your interest in SAH?   Dr Park: Right. So, I have two grants on - basically, I guess you would say AI, but really data science - on how we can manage patients with bleeds, specifically ICH and subarachnoid hemorrhage and hydrocephalus. So, we use data that comes from the monitors and we process that in a multimodal fashion and apply signal processing and machine learning and we build predictive analytic tools. So, I'm very interested in this pipeline of developing clinical decision support (information that we don't really have), and we're trying to glean from all the data and turn it into information that clinicians might use. The problem in subarachnoid hemorrhage patients is that a lot of what we're looking for is subclinical - so, it's not quite obvious, either because you can't possibly be in the room to be constantly monitoring for it (and, currently, the best monitor is the human, is examination), but, specifically in patients who have disordered consciousness, even the examination can be somewhat limited, and that's where we rely upon some of our neuromonitors. So, my interest has come in taking those multimodal monitors - but even nonneurologic monitors (stuff about your physiology, like your heart rate and blood pressure, et cetera) - and able to find signals that might tell us that a patient is getting into a dangerous zone. So, that's what my research portfolio has been 100% about - it's about subarachnoid hemorrhage patients and trying to optimize management, both for prevention and intervening in a timely fashion.   Dr Nevel: Wow. That's really interesting and would be so wonderful, it sounds like, for this patient population, if, you know, something was able to be identified that you could easily monitor to kind of predict or catch things early. So, kind of segueing from that, what do you think are the most — and you outline these nicely in your article, and I'm going to reference the listeners to, I believe it's the first table (table 5-1) - but what are, just like in general, the most important initial steps a clinician should take when managing somebody with an aneurysmal subarachnoid hemorrhage?   Dr Park: So, I think it's sort of along the timeline. So, at the time of presentation of a patient with subarachnoid hemorrhage, the focus you should have should be really on differentiating the etiology of the subarachnoid hemorrhage. At the same time, if the patient has any coagulopathies, you should manage that coagulopathy reversal, blood pressure management, and then detection and management and treatment of hydrocephalus. That's first and foremost. But then there is a longer timeline of neurocritical care management, and that's really centered on prevention, detection, and treatment of delayed cerebral ischemia, and that can occur anytime from onset of subarachnoid hemorrhage to two to three weeks out. And then that period of neurocritical care is made challenging because you have early brain injury (which is the period of seventy-two hours after onset), cerebral edema, and then, like we talked about, disordered consciousness. This kind of knowing how to augment your management strategies with monitoring or imaging is really key.   Dr Nevel: Yeah. And you, you know, spend some time in your article really going through delayed cerebral ischemia really nicely. And I would love to hear your take on what is the most challenging aspects of delayed cerebral ischemia in both, you know, diagnosis and management - and you alluded to it a little bit earlier, I think, with some of your research, but I would love to hear you talk about that.   Dr Park: Yeah. And actually, this is probably one of - if there was a controversial area in this topic, it would be about this - because there does not seem to be one best way to operationalize how you either survey for, or monitor for, delayed cerebral ischemia. There has been, historically, a merging of these definitions of vasospasm and delayed cerebral ischemia, which are not the same thing.  And so, if you were to draw a Venn diagram, not all patients who have cerebral vasospasm end up having symptomatic or delayed cerebral ischemia, and not all patients who have delayed cerebral ischemia have any discernable vasospasm - and, so, to use the terms interchangeably leads to a little bit of confusion. I mentioned the clinical mimics - you know, the causes of which are myriad (could be delirium, or hydrocephalus, or early brain injury) - and so that also poses another challenge. And, so, what I always say is that delayed cerebral ischemia, sometimes - when you're thinking about it in the context of subarachnoid hemorrhage - is sometimes a retrospective diagnosis. And it really kind of came from a really earnest attempt to standardize what the community is talking about, so that we can better understand how to define (if you understand how to define it better, then you can tailor treatments, study treatments, you're talking about the same disease) - but we're still not there, and I think that's where a lot of the controversy or confusion comes from. My personal approach is really to focus on the symptomatology, so, if a patient has vasospasm - whether that is, you know, screened for with a transcranial Doppler (if your institution does use transcranial Dopplers, it might be a nice screening tool) - but the fact of the matter is that not all patients can get a transcranial Doppler every single day. You know, most of the institutions that I have worked in offer that technology Monday through Friday and not on holidays, not on weekends, and so you can't fully rely upon something like that. The advantage of it is that it has pretty high sensitivity but it does have a lower specificity (so it overcalls vasospasms), so to treat just based on a TCD would probably be erroneous. Not all people agree, but I think that's the majority of the sentiment - is that you should then be triggered to go look for confirmation with some neuroimaging and really potentially wait for symptoms so that it might be a trigger to optimize the patient in terms of volume and blood pressure, but not necessarily to treat. So, yeah, operationalizing that workflow of how do you trigger, you know, confirmatory neuroimaging, what type of neuroimaging you should then choose? This is where the variability exists. But, in general, I focus on symptomatology. The extra challenge comes in the patients who have disordered consciousness. And so, at an institution like mine, we do rely upon invasive neuromonitoring, and that's now called for in the guidelines as well.   Dr Nevel: And I imagine these are high-intensity situations where also I would suspect decisions, you know, need to be made quickly on some of these things that you're talking about, too.   Dr Park: That's right.   Dr Nevel: What do you think is a misconception - or maybe (I hate to call it a mistake, but for lack of a better term) like an easy mistake that one can make - when treating patients with aneurysmal subarachnoid hemorrhage?   Dr Park: Hmm, an easy mistake. I guess, you know, time is brain, so it's an opportunity to miss ischemia - or actually attribute everything to ischemia and ignore the possibility for things like seizure (so nonconvulsive seizures), a resurgence of more of a delayed hydrocephalus - and so, I think it's important as you're managing a patient not to get kind of pigeonholed into looking for one particular thing (only looking for delayed cerebral ischemia), but being really vigilant that there could be lots of different reasons for a neurological change of a patient. And so, timely monitoring - kind of figuring out the etiology of a change in neurological status - is really important. And then, also, on the flip side of that, is we're really good at being aggressive in both inducing hypertension or managing a patient (trying to prevent ischemia), we're not that great about starting to pull back - and so I think being vigilant about opportunities to reassess your patient's risk for ongoing ischemia and deciding when that period of risk is over and starting to peel back on therapies, because these patients are also at risk for the down sides of inducing hypertension, which is PRES - and we have seen that in patients, and, you know, the phenotype of that will look very much like ischemia.   Dr Nevel: Yeah, it's complicated because you're taking care of patients with often impaired consciousness who have a lot of symptoms that could represent many different diagnoses that you would treat very differently, so I could see that that might be easy to do to kind of fall into the mindset of thinking that it's definitely one thing without fully evaluating for everything. So, caring for patients with aneurysmal subarachnoid hemorrhage obviously can be really, you know, challenging from the medical perspective, but also from the perspective of, you know, communication with families, and families asking questions about prognosis and things like that (and you mentioned this in your article about prognostication a little bit) - and can you talk a little bit about our ability to prognosticate long-term outcomes for patients who are in that acute phase (maybe even early first, you know, couple of days or a week) with a subarachnoid hemorrhage?   Dr Park: I think one of the most rewarding aspects of caring for patients with subarachnoid hemorrhage is that these patients can look, really, very sick in the beginning, and they're quite complex to manage, but you can see some very impressive recovery. And from a neurointensivist perspective, seeing that recovery in kind of a rapid timeline is rare - and we get to see that in subarach patients. We see patients who just have refractory recurrent vasospasm and delayed cerebral ischemia getting all of the tools thrown at them and you're really kind of, you know, concerned that there seems to be no end - but there is this peak of that injury, and then after that window of secondary brain injury risk kind of resolves, the patient can very much recover (so seeing patients who look the sickest be able to leave and go home). I think there is a hidden cost to subarachnoid hemorrhage where, maybe on our gross measures of outcome, patients look great, but there are this hidden cost of social psychological outcome that is unmeasured the way that we are currently measuring it. And I think our field is getting better at adopting some of the ability to measure those kind of hidden costs, and we're able to see that, even a year out, patients are really not back to where they were before (even though on the scales we currently have, they do look great, right, in terms of motor function, and things like that) - so, I think as clinicians, we have to be sensitive to that. So, when we talk to families, we have to remain hopeful that they are going to have a remarkable potential recovery but prepare families that they really should be on the lookout for any opportunity to rehabilitate in all aspects of function.   Dr Nevel: Yeah. And you mentioned in your article that as we're moving into the future  - and even currently - that there is some focus on gathering more patient-reported outcomes for people who are, you know, out of the ICU back in their normal lives after subarachnoid hemorrhage (which speaks to this that you're talking about, that even if their motor function is normal, they may not be back to their normal lives). So, what is something you think that's really important that we've learned in the past ten years - I'll give it ten years, you can go back further, make that time frame shorter if you want, but about the past ten years - about subarachnoid hemorrhage's impact on patient care, and then what do you think we're going to learn in the next ten years that will impact the way we care for these patients?   Dr Park: So, you know, subarach - in terms of the literature that is forming, that has formed - like I said, the guidelines had not been updated for over a decade, and we're fortunate to have not just one, but two sets of guidelines from two professional societies that were published right next to each other this past year in 2023 - but the field is fast moving, so even after the publication of those guidelines, there was one of the first randomized controlled trials in the field to be published maybe a month or two after that (that was the early lumbar drain trial). So, the key areas that I think where the literature has really helped strengthen our practice in terms of bringing standardization is in the antifibrinolytics. And so, in that space, recently, there was a very nicely performed randomized controlled trial for early administration of antifibrinolytics. It's a practice that, even when I was training, was sort of based on old literature back when we used to treat subarachnoid patients very differently - so we were really kind of extrapolating from that literature into our practice, and we were all sort of just giving it uniformly to patients early on with the good intention to try to prevent rebleeding, (which we understood, prior to aneurysm securement, was a high source of morbidity/mortality). So, in trying to reduce that risk of rebleeding (which happens very early) as much as we could, we were giving it. But the length of treatment (you know, who should we give that medication to) was really kind of uncertain - and this recent randomized controlled trial really gave a definitive answer to this, which is that it probably makes no difference. It should be seen with a caveat, though, that the trial (like any trial) was a very specific population. So, it could probably be said that for patients who are secured very early, there's no role for antifibrinolytic therapy, but, potentially, for patients who may be in a lower-middle-income environment or lower-income environment or for whatever reason can't reach aneurysm securement within that seventy two-hour period - you could consider, you know, greater than twenty-four hours you should consider the use of antifibrinolytics - but largely has brought an end to uniform administration of antifibrinolytics. This is where that expert nuanced care comes to, right?   Dr Nevel: Mm-hmm.   Dr Park: Another area is, really, kind of something as basic as blood pressure management. I think we were taught very early on that we should be very rigorous, bring that blood pressure down - and so, I think, across all types of stroke now, we're realizing there is a little bit of nuance, right? You have to think about your patient, about prior existing renal failure, about prior existing chronic hypertension that's poorly controlled - and in subarachnoid hemorrhage, the additional impact of that early brain injury. If you have cerebral edema, you should be considering, do we really want to control our blood pressure that low? Because we might be inducing secondary brain injury from our presumed protective intervention. So, these types of things are being revisited - so, the language around that in the new guidelines is a little bit softer, and it does sort of refer more to, “let's consider the whole patient”.   Dr Nevel: Yeah, rather than making a blanket statement that doesn't apply to maybe everybody.   Dr Park: Yeah. And you also asked about future.   Dr Nevel: Yeah. Where do you think things are heading in the future? What's exciting in research, and if you had a crystal ball, what do you think we're going to figure out in the next ten years that's going to impact care?   Dr Park: Well, fortunately, for patients with subarachnoid hemorrhage and for people like me who are treating patients with subarachnoid hemorrhage, there's a lot going on. So, I mentioned lumbar drainage because there was a very nice trial that was published - I think we'll see in the next few years how much of that diffusion of innovation travels across the country in the world about the usage of this. There are some who point to prior studies that may have conflicting results and so want to wait and see it be validated. Others are pretty convinced, you know, by the quality of the study that was done and are trying to incorporate it into their protocols now. I think we're going to see more usage and more study of things like intravenous milrinone, early stellate ganglion blockade, intraventricular nicardipine, and even maybe optimized goals for cerebral perfusion or blood pressure - and this is for looking at a myriad of outcomes, including the prevention and treatment of vasospasm and ischemia, improving outcomes, and preventing infarction. There's also a lot to come about early brain injury (and I kind of talked about that). It's like a seventy-two-hour period window after subarachnoid hemorrhage, and it comprises processes like microcirculatory dysfunction, blood-brain barrier breakdown, and things like oxidative cascades, et cetera. While currently, there doesn't exist any practice besides, like, the nuance and expert determination of blood pressure goals prior to aneurysm securement, I think this will be an area that hopefully will become a target for intervention, because it has an independent and influential impact on poor outcomes for subarachnoid hemorrhage patients. So, watch the space.   Dr Nevel: Yes, absolutely. Looking forward to seeing what comes. Well, thank you so much for talking to me, Dr Park, and joining me on Continuum Audio.   Dr Park: It was my pleasure.   Dr Nevel: Again, today, I've been interviewing Dr Soojin Park, whose article on emergent management of spontaneous subarachnoid hemorrhage appears in the most recent issue of Continuum in neurocritical care. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today.   Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice - and right now, during our spring special, all subscriptions are 15% off. Go to Continpub.com/Spring2024 or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members, go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.

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