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In this episode of Admissions Straight Talk, host Dr. Valerie Wherley sits down with Dr. Reynold Jaglal, program director of the Sacred Heart University Master of Science in Physician Assistant Studies (MSPAS) program, for an in-depth look at Sacred Heart's values-focused approach to physician assistant (PA) education. Dr. Jaglal breaks down the program's 27-month curriculum, including its team-taught didactic model, hands-on clinical rotations, and distinctive international clinical opportunities in Ireland and Spain.He also shares what makes Sacred Heart's primary care–focused training unique, such as its required orthopedics rotation, and provides clear, practical advice for PA school applicants on demonstrating their fit with the school's mission, communicating their personal values, and explaining their academic challenges. Whether you're preparing to apply, exploring clinical programs, or curious about global PA education, this episode offers a thoughtful, insider perspective.00:00 Welcome to the Admissions Straight Talk podcast00:35 Welcome our guest, Dr. Reynold Jaglal00:55 The PA program at Sacred Heart University02:07 PA program curriculum and faculty06:01 International training opportunities09:15 Clinical phase12:41 Dual degree: Bachelor's-MS in Physician Assistant Studies (BS-MSPAS)15:42 Growing interest in the PA degree17:35 How to create a competitive PA applicationRelated Resources:Dr. Reynold Jaglal contact informationSacred Heart University Master of Science in Physician Assistant StudiesSacred Heart University Bachelor's–MS in Physician Assistant StudiesThe Ultimate Guide to Becoming a Physician Assistant, a free Accepted guide Related Admissions Straight Talk EpisodesHow to Get Accepted to Duke's Physician Assistant Program [Episode 591]How to Get into Physician Assistant Programs [Episode 515]Inside the Emory PA Program: Admissions, Curriculum, and Keys to Success [Episode 603] Follow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553
Orthopedics is one of the busiest, and most equipment-intensive, service lines in health care. In this First Case Articles on the Go episode, Lindsay Joyce and Melanie Perry break down the Top 10 (plus one) foundational things every perioperative professional should know about working in orthopedic surgery. From nerve blocks and imaging to implants, positioning, labs, and dressings, this episode focuses on the universal essentials that set teams up for safe, efficient, and successful orthopedic cases.
Osteomyelitis in children is common enough to miss and serious enough to matter. In this episode of PEM Currents, we review a practical, evidence-based approach to pediatric acute hematogenous osteomyelitis, focusing on diagnostic strategy, imaging decisions including FAST MRI, and modern antibiotic management. Topics include age-based microbiology, empiric and pathogen-directed antibiotic selection with dosing, criteria for early transition to oral therapy, and indications for orthopedic and infectious diseases consultation. Special considerations such as MRSA, Kingella kingae, daycare clustering, and shortened treatment durations are discussed with an emphasis on safe, high-value care. Learning Objectives After listening to this episode, learners will be able to: Identify the key clinical, laboratory, and imaging findings that support the diagnosis of acute hematogenous osteomyelitis in children, including indications for FAST MRI and contrast-enhanced MRI. Select and dose appropriate empiric and pathogen-directed antibiotic regimens for pediatric osteomyelitis based on patient age, illness severity, and local MRSA prevalence, and determine when early transition to oral therapy is appropriate. Determine when consultation with orthopedics and infectious diseases is indicated, and recognize clinical features that warrant prolonged therapy or more conservative management. References Woods CR, Bradley JS, Chatterjee A, et al. Clinical practice guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2021 guideline on diagnosis and management of acute hematogenous osteomyelitis in pediatrics. J Pediatric Infect Dis Soc. 2021;10(8):801-844. doi:10.1093/jpids/piab027 Woods CR, Bradley JS, Chatterjee A, et al. Clinical practice guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2023 guideline on diagnosis and management of acute bacterial arthritis in pediatrics. J Pediatric Infect Dis Soc. 2024;13(1):1-59. doi:10.1093/jpids/piad089 Stephan AM, Platt S, Levine DA, et al. A novel risk score to guide the evaluation of acute hematogenous osteomyelitis in children. Pediatrics. 2024;153(1):e2023063153. doi:10.1542/peds.2023-063153 Alhinai Z, Elahi M, Park S, et al. Prediction of adverse outcomes in pediatric acute hematogenous osteomyelitis. Clin Infect Dis. 2020;71(9):e454-e464. doi:10.1093/cid/ciaa211 Burns JD, Upasani VV, Bastrom TP, et al. Age and C-reactive protein associated with improved tissue pathogen identification in children with blood culture-negative osteomyelitis: results from the CORTICES multicenter database. J Pediatr Orthop. 2023;43(8):e603-e607. doi:10.1097/BPO.0000000000002448 Peltola H, Pääkkönen M. Acute osteomyelitis in children. N Engl J Med. 2014;370(4):352-360. doi:10.1056/NEJMra1213956 Transcript This transcript was provided via use of the Descript AI application Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we're covering osteomyelitis in children. We're going to talk about diagnosis and imaging, and then spend most of our time where practice variation still exists: antibiotic selection, dosing, duration, and the evidence supporting early transition to oral therapy. We'll also talk about when to involve orthopedics, infectious diseases, and whether daycare outbreaks of osteomyelitis are actually a thing. So what do I mean by pediatric osteomyelitis? In children, osteomyelitis is most commonly acute hematogenous osteomyelitis. That means bacteria seed the bone via the bloodstream. The metaphysis of long bones is particularly vulnerable due to vascular anatomy that favors bacterial deposition. Age matters. In neonates, transphyseal vessels allow infection to cross into joints, increasing the risk of concomitant septic arthritis. In older children, those vessels involute, and infection tends to remain metaphyseal and confined to bone rather than spreading into the joint. For children three months of age and older, empiric therapy must primarily cover Staphylococcus aureus, which remains the dominant pathogen. Other common organisms include group A streptococcus and Streptococcus pneumoniae. In children six to 36 months of age, especially those in daycare, Kingella kingae is an important and often underrecognized pathogen. Kingella infections are typically milder, may present with lower inflammatory markers, and frequently yield negative routine cultures. Kingella is usually susceptible to beta-lactams like cefazolin, but is consistently resistant to vancomycin and often resistant to clindamycin and antistaphylococcal penicillins. This has direct implications for empiric antibiotic selection. Common clinical features of osteomyelitis include fever, localized bone pain, refusal to bear weight, and pain with movement of an adjacent joint. Fever may be absent early, particularly with less virulent organisms like Kingella. A normal white blood cell count does not exclude osteomyelitis. Only about one-third of children present with leukocytosis. CRP and ESR are generally more useful, particularly CRP for monitoring response to therapy. No single CRP cutoff reliably diagnoses or excludes osteomyelitis in children. While CRP is elevated in most cases of acute hematogenous osteomyelitis, the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America note that high-quality data defining diagnostic thresholds are limited. A CRP above 20 milligrams per liter is commonly used to support clinical suspicion, with pooled sensitivity estimates around 80 to 85 percent, but no definitive value mandates the diagnosis. Lower values do not exclude disease, particularly in young children, as CRP is normal in up to 40 percent of Kingella kingae infections. CRP values tend to be higher in Staphylococcus aureus infections, especially MRSA, and higher levels are associated with complications such as abscess, bacteremia, and thrombosis, though specific cutoffs are not absolute. In summary, CRP is most useful for monitoring treatment response. It typically peaks two to four days after therapy initiation and declines rapidly with effective treatment, with a 50 percent reduction within four days seen in the majority of uncomplicated cases. Blood cultures should be obtained in all children with suspected osteomyelitis, ideally before starting antibiotics when feasible. In children, blood cultures alone can sometimes identify the pathogen. Plain radiographs are still recommended early, not because they're sensitive for acute osteomyelitis, but because they help exclude fracture, malignancy, or foreign body and establish a baseline. MRI with and without contrast is the preferred advanced imaging modality. MRI confirms the diagnosis, defines the extent of disease, and identifies complications such as subperiosteal abscess, physeal involvement, and concomitant septic arthritis. MRI findings can also guide the need for surgical consultation. Many pediatric centers now use FAST MRI protocols for suspected osteomyelitis, particularly from the emergency department. FAST MRI uses a limited sequence set, typically fluid-sensitive sequences like STIR or T2 with fat suppression, without contrast. These studies significantly reduce scan time, often avoid the need for sedation, and retain high sensitivity for bone marrow edema and soft tissue inflammation. FAST MRI is particularly useful when the clinical question is binary: is there osteomyelitis or not? It's most appropriate in stable children without high concern for abscess, multifocal disease, or surgical complications. If FAST MRI is positive, a full contrast-enhanced MRI may still be needed to delineate abscesses, growth plate involvement, or adjacent septic arthritis. If FAST MRI is negative but clinical suspicion remains high, further imaging may still be necessary. The Pediatric Infectious Diseases Society and the Infectious Diseases Society of America recommend empiric antibiotic selection based on regional MRSA prevalence, patient age, and illness severity, with definitive therapy guided by culture results and susceptibilities. Empiric therapy should never be delayed in an ill-appearing or septic child. In well-appearing, stable children, antibiotics may be briefly delayed to obtain imaging or tissue sampling, but this requires close inpatient observation. For children three months and older with non–life-threatening disease, empiric therapy hinges on local MRSA rates. In regions with low community-acquired MRSA prevalence, generally under 10 percent, reasonable empiric options include cefazolin, oxacillin, or nafcillin. When MRSA prevalence exceeds 10 to 20 percent, empiric therapy should include an MRSA-active agent. Clindamycin is appropriate when local resistance rates are low, while vancomycin is preferred when clindamycin resistance is common or the child has had significant healthcare exposure. For children with severe disease or sepsis, vancomycin is generally preferred regardless of local MRSA prevalence. Some experts recommend combining vancomycin with oxacillin or nafcillin to ensure optimal coverage for MSSA, group A streptococcus, and MRSA. In toxin-mediated or high-inoculum infections, the addition of clindamycin may be beneficial due to protein synthesis inhibition. Typical IV dosing includes cefazolin 100 to 150 milligrams per kilogram per day divided every eight hours; oxacillin or nafcillin 150 to 200 milligrams per kilogram per day divided every six hours; clindamycin 30 to 40 milligrams per kilogram per day divided every six to eight hours; and vancomycin 15 milligrams per kilogram every six hours for serious infections, with appropriate monitoring. Ceftaroline or daptomycin may be considered in select MRSA cases when first-line agents are unsuitable. For methicillin-susceptible Staphylococcus aureus, first-generation cephalosporins or antistaphylococcal penicillins remain the preferred parenteral agents. For oral therapy, high-dose cephalexin, 75 to 100 milligrams per kilogram per day divided every six hours, is preferred. Clindamycin is an alternative when beta-lactams cannot be used. For clindamycin-susceptible MRSA, clindamycin is the preferred IV and oral agent due to excellent bioavailability and bone penetration, and it avoids the renal toxicity associated with vancomycin. For clindamycin-resistant MRSA, vancomycin or ceftaroline are preferred IV agents. Oral options are limited, and linezolid is generally the preferred oral agent when transition is possible. Daptomycin may be used parenterally in children older than one year without pulmonary involvement, typically with infectious diseases and pharmacy input. Beta-lactams remain the drugs of choice for Kingella kingae, Streptococcus pyogenes, and Streptococcus pneumoniae. Vancomycin has no activity against Kingella, and clindamycin is often ineffective. For Salmonella osteomyelitis, typically seen in children with sickle cell disease, third-generation cephalosporins or fluoroquinolones are used. In underimmunized children under four years, consider Haemophilus influenzae type b, with therapy guided by beta-lactamase production. Doxycycline has not been prospectively studied in pediatric acute hematogenous osteomyelitis. There are theoretical concerns about reduced activity in infected bone and risks related to prolonged therapy. While short courses are safe for certain infections, the longer durations required for osteomyelitis increase the risk of adverse effects. Doxycycline should be considered only when no other active oral option is available, typically in older children, and with infectious diseases consultation. It is not appropriate for routine treatment. Many hospitals automatically consult orthopedics when children are admitted with osteomyelitis, and this is appropriate. Early orthopedic consultation should be viewed as team-based care, not failure of medical management. Consult orthopedics when MRI shows abscess or extensive disease, there is concern for septic arthritis, the child fails to improve within 48 to 72 hours, imaging suggests devitalized bone or growth plate involvement, there is a pathologic fracture, the patient is a neonate, or diagnostic bone sampling or operative drainage is being considered. Routine surgical debridement is not required for uncomplicated cases. Infectious diseases consultation is also often automatic and supported by guidelines. ID is particularly valuable for antibiotic selection, dosing, IV-to-oral transition, duration decisions, bacteremia management, adverse reactions, and salvage regimens. Even in straightforward cases, ID involvement often facilitates shorter IV courses and earlier oral transition. Osteomyelitis is generally not contagious, and clustering is uncommon for Staphylococcus aureus. Kingella kingae is the key exception. It colonizes the oropharynx of young children and spreads via close contact. Clusters of invasive Kingelladisease have been documented in daycare settings. Suspicion should be higher in children six to 36 months from the same daycare, with recent viral illness, mild systemic symptoms, refusal to bear weight, modest CRP elevation, and negative routine cultures unless PCR testing is used. Public health intervention is not typically required, but awareness is critical. There is no minimum required duration of IV therapy for uncomplicated acute hematogenous osteomyelitis. Transition to oral therapy should be based on clinical improvement plus CRP decline. Many children meet criteria within two to six days. Oral antibiotics must be dosed higher than standard outpatient regimens to ensure adequate bone penetration. Common regimens include high-dose cephalexin, clindamycin, or linezolid in select cases. The oral agent should mirror the IV agent that produced clinical improvement. Total duration is typically three to four weeks, and in many cases 15 to 20 days is sufficient. MRSA infections or complicated cases usually require four to six weeks. Early oral transition yields outcomes comparable to prolonged IV therapy with fewer complications. Most treatment-related complications occur during parenteral therapy, largely due to catheter-related issues. Take-home points: osteomyelitis in children is a clinical diagnosis supported by labs and MRI. Empiric antibiotics should be guided by age, illness severity, and local MRSA prevalence. Early transition to high-dose oral therapy is safe and effective when clinical response and CRP support it. Orthopedics and infectious diseases consultation improve care and reduce variation. FAST MRI is changing how we diagnose osteomyelitis. Daycare clustering is uncommon except with Kingella kingae. That's all for this episode. If there are other topics you'd like us to cover, let me know. If you have the time, leave a review on your favorite podcast platform. It helps more people find the show and learn from it. For PEM Currents, this has been Brad Sobolewski. See you next time.
Hear from a NovaCare Doctor on with the 94 WIP Morning Show on the Eagles' looming injuries.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Ramis Gheith, Chief Medical Officer, DxTx Pain and Spine. Dr. Gheith shares how physician-owned ASCs are reshaping care delivery, highlights the transformative role of AI in spinal therapies and informed consent, and emphasizes the power of mission-driven culture in attracting top healthcare talent.
In this episode, we review the high-yield topic of Anterior Cruciate Ligament (ACL) Injury from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Ramis Gheith, Chief Medical Officer, DxTx Pain and Spine. Dr. Gheith shares how physician-owned ASCs are reshaping care delivery, highlights the transformative role of AI in spinal therapies and informed consent, and emphasizes the power of mission-driven culture in attracting top healthcare talent.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Ramis Gheith, Chief Medical Officer, DxTx Pain and Spine. Dr. Gheith shares how physician-owned ASCs are reshaping care delivery, highlights the transformative role of AI in spinal therapies and informed consent, and emphasizes the power of mission-driven culture in attracting top healthcare talent.
In this episode, we review the high-yield topic of Neuropathic (Charcot) Arthropathy from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic of Achilles Tendinopathy from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we break down a powerful message from orthopedic surgeon Dr. Howard Luks - a message every ACL athlete needs to hear. After more than 30 years in the operating room, Dr. Luks says something surprising: "surgery is often the least important part of recovery — rehab is what truly shapes your outcome." We unpack this statement, share why even a “perfect surgery” can fail when rehab is inconsistent, and explain how an average procedure paired with great rehab can lead to outstanding results. Through personal experience, athlete stories, and evidence from the broader orthopedic world, this episode reframes ACL rehab as an active, long-game process - one built on consistent work, smart guidance, and a commitment to rebuilding strength, mobility, and confidence over time. It's a grounded, refreshing reminder that the real turning point is what happens after the operating room.Add these two links for Dr. Howard Luks in the shownotes please:Post: https://x.com/hjluks/status/1945430702033650061 Dr. Luks' Website: https://www.howardluksmd.com/about/ Ways we can connect:My IG: www.instagram.com/ravipatel.dptOur website: www.theaclathlete.comEmail: ravi@theaclathlete.com_________________Submit a topic or a question you'd like me to answer.Check out our website and tons of free ACL resourcesSign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.
In the November 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute radiation sickness and ocular foreign bodies. As always, you'll also hear about the hot topics covered in the regular features, including recurrent palpitations in a middle-aged man in The Critical ECG, primary adrenal insufficiency in Clinical Pediatrics, Lisfranc injury in Critical Cases in Orthopedics and Trauma, active external rewarming of hypothermic patients in The Critical Procedure, managing patients with acute visual loss in The LLSA Literature Review, abdominal pain in a child after a fall in The Critical Image, acetylcysteine for acetaminophen toxicity in The Drug Box, and carbon monoxide toxicity in The Tox Box.
In this episode, we review the high-yield topic of Transient Synovitis of Hip from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Gentlemen and Gentlewomen, this bonus episode is going to hit hard.Today Dr. Mistry and Donna Lee sit down with Dr. Vilas Saldanha, an orthopedic trauma surgeon who puts broken warriors—and weekend warriors—back together. We're talking compound fractures from the mountains of Afghanistan, mangled ankles from Austin's bike trails, and botched joint replacements that leave grown men unable to walk to the mailbox.You laugh when the old guy in the meme slips on a banana peel… until it's your dad, your buddy, or—let's be real—you. A simple fall can shatter a hip, trigger a downward spiral, and, for too many men, become the beginning of the end.Dr. Saldanha pulls no punches: he'll tell you exactly how fast loss of mobility, thinning bones, and one bad step can turn a tough son of a gun into someone who can't get out of a chair without help. More importantly, he's giving you the playbook—strength moves, balance drills, bone-protecting habits—that keep you upright, independent, and in the fight for decades longer.If you've already taken a hit—if a wreck, a fall, or a failed knee or hip replacement has you sidelined—this is your wake-up call. Pick up the phone right now: call Texas Orthopedics at (512) 439-1000 or go online and book with Dr. Saldanha. Because real men don't quit; they get fixed and get back in the game.Hit play—this one could literally save your life or someone you love.Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot.Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice, NAU Urology Specialists, in 2007. Donna Lee works with Dr. Mistry as NAU's Director of Business Development and she's also a professional standup comedian. We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode.Phone: (512) 238-0762Email: armormenshealth@gmail.comWebsite: armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620
Note: This is a refeed from the previous day. Apparently the episode was "cut off."***Please help with a donation for the Great Food Giveaway #6 Venmo: @Eric-Zeitunian - CashApp: $EricZeitunian - PayPal: Search Eric Zane Show LLC******Feminine Hygiene product Wish List: https://a.co/7QY3Grs***Note: "Act 1" was a separate published audio podcast.Topics:*Racist Cinnabon bitch.*Despite being a racist bitch, Cinnabon racist bitch getting big $ from other racist assholes.*Dave Portnoy bad beat meltdown.*Orthopedic doc breaks down Zach Ertz knee injury.*Moron high schooler published incriminating video that principle sees; responds.*NFL asshole Rashee Rice concussed*Rashee Rice leaving scene of wreck.*EZ guessing game: Most searched thing for 2025.*Dave Coulier second cancer diagnosis in two years.*Bad look. Warner Bros. shuts down Harry Potter themed event at non-profit coffee shop.*Asshole of the day.Sponsors:Merchant Automotive, SkyDive Grand Haven, Impact Powersports, Kuiper Tree Care, Frank Fuss / My Policy Shop Insurance, Kings Room Barbershop, Shoreliners, Ervines Auto Repair Grand Rapids Hybrid & EV, TC PaintballInterested in advertising? Email eric@ericzaneshow.com and let me design a marketing plan for you.Contact: Shoreliners Striping inbox eric@ericzaneshow.comDiscord Link EZSP TikTokSubscribe to my YouTube channelHire me on Cameo!Tshirts available herePlease subscribe, rate & write a review on Apple Podcastspatreon.com/ericzaneInstagram: ericzaneshowTwitterOur Sponsors:* Check out Secret Nature and use my code ZANE for a great deal: https://secretnature.com* Check out Uncommon Goods: https://uncommongoods.com/zaneSupport this podcast at — https://redcircle.com/the-eric-zane-show-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Orthopedic physical therapist Dr. Karena Wu breaks down how to best prevent and manage holiday-related injuries. Also, Diane Kruger joins to talk about the new psychological-thriller series she's starring in, ‘Little Disasters,' where she plays a mother being investigated by social services. Plus, the story of a Miami runner who's celebrating 50 years of running every day. And, our Start TODAY team shares a workout to help you stay on track during the holiday season. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode, we review the high-yield topic of Avascular Necrosis of the Bone (Osteonecrosis) from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Most of us don't think about our Vitamin D levels until something feels off. But this essential nutrient does a lot behind the scenes, from keeping our bones strong to supporting our immune system and overall well-being. The tricky part? A lot of people are Vitamin D deficient and don't even know it. On this episode, Dr. Ashlee Williams speaks with Dr. Kristy Golden, a podiatric surgeon at Kaiser Permanente, about why Vitamin D matters, how to spot the signs of a deficiency, and what you can do to maintain healthy levels. Dr. Golden, thank you for being here! Learn more about Kristy Golden, DPM
Send us a textArthritis and joint pain are not just “wear and tear.” They are mechanical stress layered on top of hormonal shifts, metabolic strain, chronic inflammation, and muscle loss. In this conversation, Dr. Kevin White sits down with Dr. Joshua Schachter, board certified orthopedic surgeon and founder of Pinnacle Integrative Orthopedics and Sports Medicine in Wichita Falls, Texas. After performing more than fifteen thousand surgeries and leading an Advanced Orthopedic Center of Excellence, Dr. Schachter rebuilt his entire approach around helping patients avoid surgery through functional medicine, hormone optimization, muscle preservation, and regenerative tools.“Arthritis and joint pain are not just mechanical problems. They are mechanical problems with a systemic issue.” - Dr. Joshua SchacterYou'll hear: • How hormones, insulin resistance, and chronic inflammation accelerate joint breakdown • Why sarcopenia is one of the strongest predictors of mobility and independence as you age • The hidden risks of repeat steroid injections for shoulders, knees, and hips • How PRP and bone marrow based treatments support healing and delay or avoid surgery • What integrated orthopedics could mean for active adults who want to stay strong as they ageFind Dr. Schachter on Instagram at @drjoshuaschachter and learn more about his work at Pinnacle Integrative Orthopedics (searchable across Instagram, Facebook, and online).
In this episode of the Optimal Body Podcast, Doctors of Physical Therapy Dr. Jen and Dr. Dom debunk the myth that deep squats are harmful to the knees and discuss their impact on knee health. They trace the misconception to outdated research and review recent studies showing deep squats are generally safe and beneficial for healthy adults, supporting overall knee health. The hosts discuss knee biomechanics, the importance of gradual progression, and individualized modifications. They emphasize that deep squats support functional movement, joint health, and knee health, even for those with knee pain, and encourage listeners to challenge old beliefs and approach squatting with confidence and proper technique.VivoBarefoot Discount:Support your feet and ankles with VivoBarefoot shoes—with perfect styles for any occasion! Boost foot health through mobility and strength from the ground up. Use code OPTIMAL20 for 20% off. 100-day trial included—return if you're not satisfied!LMNT Electrolytes: Free Gift with Purchase!Stay hydrated and energized with LMNT electrolytes—sodium, potassium, and magnesium for brain and body. It's our favorite micro nutrition hack to get those essential minerals in! Get a free gift with every purchase and try new flavors! Get your Free Gift now!We think you'll love:Free Week of the Knee PlanFree Knee MasterclassJen's InstagramDom's InstagramYouTube ChannelWhat You'll Learn01:47 Tracing the myth to a 1961 study with questionable methods and its influence on fitness culture.04:25 Summary of review findings: most studies support deep squat safety for healthy adults, with a few raising minor concerns.08:02 Highlighting benefits found in research: improved strength, tendon resilience, and functional capacity.09:54 How knee joint and patellofemoral forces change with squat depth, and why deep squat exercise may not be riskier.12:31 Anecdote about retraining Dr. Jen's mom to perform deep squats safely despite osteoarthritis.13:58 Noting that deep squats are used...For full show notes and resources visit https://jen.health/podcast/438 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
***Please help with a donation for the Great Food Giveaway #6 Venmo: @Eric-Zeitunian - CashApp: $EricZeitunian - PayPal: Search Eric Zane Show LLC******Feminine Hygiene product Wish List: https://a.co/7QY3Grs***Note: "Act 1" was a separate published audio podcast.Topics:*Racist Cinnabon bitch.*Despite being a racist bitch, Cinnabon racist bitch getting big $ from other racist assholes.*Dave Portnoy bad beat meltdown.*Orthopedic doc breaks down Zach Ertz knee injury.*Moron high schooler published incriminating video that principle sees; responds.*NFL asshole Rashee Rice concussed*Rashee Rice leaving scene of wreck.*EZ guessing game: Most searched thing for 2025.*Dave Coulier second cancer diagnosis in two years.*Bad look. Warner Bros. shuts down Harry Potter themed event at non-profit coffee shop.*Asshole of the day.Sponsors:Merchant Automotive, SkyDive Grand Haven, Impact Powersports, Kuiper Tree Care, Frank Fuss / My Policy Shop Insurance, Kings Room Barbershop, Shoreliners, Ervines Auto Repair Grand Rapids Hybrid & EV, TC PaintballInterested in advertising? Email eric@ericzaneshow.com and let me design a marketing plan for you.Contact: Shoreliners Striping inbox eric@ericzaneshow.comDiscord LinkEZSP TikTokSubscribe to my YouTube channelHire me on Cameo!Tshirts available herePlease subscribe, rate & write a review on Apple Podcastspatreon.com/ericzaneInstagram: ericzaneshowTwitterOur Sponsors:* Check out Secret Nature and use my code ZANE for a great deal: https://secretnature.com* Check out Uncommon Goods: https://uncommongoods.com/zaneSupport this podcast at — https://redcircle.com/the-eric-zane-show-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
In this episode, we review the high-yield topic of Primary Survey and Resuscitation from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
On this episode, Dr. Nolan Wessell, Assistant Professor and Well-being Co-Director, Department of Orthopedic Surgery, Division of Spine Surgery, University of Colorado School of Medicine joins the podcast to discuss the growing burden facing the spine field and how clinicians are adapting to rapid shifts in practice and policy. He shares insights on tracking government changes that impact research funding, the ways AI is improving efficiency and supporting clinical decision-making, and the consequences of declining reimbursements across the specialty.
On this episode, Dr. Nolan Wessell, Assistant Professor and Well-being Co-Director, Department of Orthopedic Surgery, Division of Spine Surgery, University of Colorado School of Medicine joins the podcast to discuss the growing burden facing the spine field and how clinicians are adapting to rapid shifts in practice and policy. He shares insights on tracking government changes that impact research funding, the ways AI is improving efficiency and supporting clinical decision-making, and the consequences of declining reimbursements across the specialty.
On this episode, Dr. Nolan Wessell, Assistant Professor and Well-being Co-Director, Department of Orthopedic Surgery, Division of Spine Surgery, University of Colorado School of Medicine joins the podcast to discuss the growing burden facing the spine field and how clinicians are adapting to rapid shifts in practice and policy. He shares insights on tracking government changes that impact research funding, the ways AI is improving efficiency and supporting clinical decision-making, and the consequences of declining reimbursements across the specialty.
In the October 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing thermal burns and diabetic ketoacidosis and hyperosmolar state. As always, you'll also hear about the hot topics covered in the regular features, including syncope and a rapid heartbeat in a young man in The Critical ECG, a boy with hip pain in Clinical Pediatrics, calcaneal fracture in Critical Cases in Orthopedics and Trauma, wedge resection for partial nail removal in The Critical Procedure, albuterol-budesonide rescue inhalation for asthma in The LLSA Literature Review, a patient with a change in mental status in The Critical Image, phenobarbital for alcohol withdrawal syndrome in The Drug Box, and paraquat toxicity in The Tox Box.
In this episode, we review the high-yield topic of Humeral Shaft Fracture from the Orthopedics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Episode 137 - Dr. Ryan Nordell, Entrepreneur, CEO, Founder of Orthopedic and Fitness Solutions and Concierge Doctor Advocate joins me along with January Shoaf, Editor of LER (Lower Extremity Review) Magazine. Disclaimer: Please note that all information and content on the UK Health Radio Network, all its radio broadcasts and podcasts are provided by the authors, producers, presenters and companies themselves and is only intended as additional information to your general knowledge. As a service to our listeners/readers our programs/content are for general information and entertainment only. The UK Health Radio Network does not recommend, endorse, or object to the views, products or topics expressed or discussed by show hosts or their guests, authors and interviewees. We suggest you always consult with your own professional – personal, medical, financial or legal advisor. So please do not delay or disregard any professional – personal, medical, financial or legal advice received due to something you have heard or read on the UK Health Radio Network.
Welcome to the Sterile Technique Podcast! It's the podcast about Surgical Technology. Whether you are a CST or CSFA, this podcast helps you earn CE credits and improve both your surgical knowledge and skills in the OR. This episode discusses the cover article of the March 2016 issue of The Surgical Technologist, the official journal of the Association of Surgical Technologists (AST). The article is titled, "Biomechanics and Biomaterials in Orthopedic Surgery". "Scrub in" at steriletpodcast.com and on Twitter, @SterileTPodcast (twitter.com/SterileTPodcast). This podcast is a Dybas Media production. Sound effects adapted from GarageBand and sindhu.tms at https://freesound.org/people/sindhu.tms/sounds/169065/ and licensed courtesy of https://creativecommons.org/licenses/by-nc/3.0/.
In this transformative conversation, Darin sits down with world-renowned regenerative medicine pioneer Dr. Christopher Rogers, a physician with over 25 years of experience, 80,000+ patients treated, and a global reputation for advancing non-surgical orthopedic healing. In this episode, Dr. Rogers breaks down the real science behind PRP, stem cells, cartilage regeneration, tendon repair, and why so many people are told to get unnecessary surgeries. This is a deep dive into the future of healing — and the intelligence already built into your own body. What You'll Learn 00:00:00 Welcome to SuperLife: exploring sovereignty, healing & possibility 00:00:33 Sponsor: Energy Bits and Whole-Food Algae Nutrition as Dense as a Plate of Vegetables 00:01:51 Introducing Dr. Christopher Rogers: 25 Years, 80,000+ Patients, Regenerative Medicine Leader 00:03:28 Darin's Personal Stem Cell Treatment Experience & Early Results 00:04:17 Dr. Rogers' Journey from Sports Medicine to Regenerative Orthopedics 00:05:58 The Moment that Changed Everything: Discovering PRP as an Alternative to Surgery 00:06:45 The Dinner that Changed His Career: Meeting Dr. Arnold Kaplan, Discoverer of Mesenchymal Stem Cells 00:07:13 PRP: What it Actually Is, Why Dose Matters, and How to Use It Effectively 00:10:36 The Wild West of Stem Cell Therapy: Misinformation & The Need for Science 00:13:24 The Core Mechanism: Stem Cells Work by Signaling the Body to Heal 00:16:07 Exosomes, Nanotubes, and the Secret Communication of Stem Cells 00:17:45 Bone Marrow vs. Adipose vs. Culture Expansion: The Critical Dose Problem 00:22:28 Autologous vs. Donor Cells: Why Using Your Own is Safer and More Effective 00:24:51 Sponsor: Fatty15 and the Science of C15 for Mitochondrial & Cellular Health 00:28:32 The Path to Safety: FDA-Approved Trials and the Right to Try Law 00:35:44 The Next Step: Getting Regenerative Therapy Approved as Standard of Care 00:37:08 The Ultimate Excitement: Healing Rotator Cuffs and Alleviating Global Suffering 00:41:07 The Orthopedic Surgeon Who Treated Himself with Stem Cells 00:42:02 Four Rules to Avoid Falling Victim to Stem Cell Hype and Unproven Clinics 00:47:36 Sponsor: SuperLife Patreon 00:49:08 The Frustration of Unregulated Clinics Undercutting Real Science 00:51:36 The Future: What Stem Cell Therapy Will Look Like in 5-10 Years 00:56:25 Systemic Use: The Potential for IV Infusions to Modulate the Immune System 01:01:26 Stem Cells and Cancer: Is There an Increased Risk? (The Data Says No) 01:03:10 Unexpected Healing: A Full ACL Tear Healed with Regenerative Therapy 01:06:10 Chronic Pain and Lifestyle: Why Knees and Backs are the Biggest Challenges 01:09:32 Finding Quality Care: The Network of Trusted Regenerative Physicians 01:12:46 Closing Reflections: The Joy of Bringing Patients Back to an Active Life Thank You to Our Sponsors: EnergyBits: Get 20% off your entire order by going to https://energybits.com/ and using code DARIN at checkout. Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Find More from Dr. Christopher Rogers Website: San Diego Orthobiologics Medical Group Instagram: @sandiegoorthobiologics Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences Key Takeaway "Your body was designed to heal — not just manage pain. When we stop suppressing symptoms and start supporting biology, we unlock the intelligence that's been there since the day we were born."
In this episode, Dr. Daniel Sucato, Chief of Staff at Scottish Rite for Children in Dallas, discusses the hospital's century-long legacy in pediatric orthopedics, its nationally recognized research, and the innovations shaping care for children today. He also shares insights on leadership, the future of genetics and AI in orthopedics, and his lifelong loyalty to the Buffalo Bills.
Ignite Digital Marketing Podcast | Marketing Growth Tips | Alex Membrillo
In this episode of Ignite, Cardinal CEO Alex Membrillo sits down with Heather Lang, Chief Marketing & Experience Officer at Twin Cities Orthopedics, for a deep dive into how TCO is innovating in patient acquisition, brand differentiation, and digital strategy. You'll gain actionable insights on aligning marketing with business outcomes, leveraging data to secure budget increases, and using consumer research and bold creative to stand out in a crowded market. If you're looking for practical ways to drive new patient growth, improve attribution, and take calculated risks in your campaigns, this conversation is packed with valuable takeaways just for you. RELATED RESOURCES Connect with Heather - https://www.linkedin.com/in/heather-lang-4126517/ How to Build a Full-Funnel Healthcare Marketing Strategy - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/healthcare-full-funnel-marketing-strategy/ 5-Step Paid Media Strategy to Attract Your Ideal Patients - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/paid-media-patient-acquisition-guide/ Performance Creative: The Key to Paid Media Success - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/performance-creative-the-key-to-paid-media-success/ When & How to Expand Your Healthcare Media Mix - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/expanding-channel-media-mix-strategy/
In this episode of the Optimal Body Podcast, Doc Jen and Dr. Dom, both doctors of physical therapy, sit down with Dr. Mary Alice Mina, a Harvard-trained dermatologist and host of The Skin Real Podcast. Dr. Mina shares her holistic perspective on skincare health, emphasizing how lifestyle factors such as sleep, nutrition, exercise, and mindset play a crucial role. She debunks common skincare myths, underscores the effectiveness of simple routines—cleanser, sunscreen, moisturizer—and explores the connection between mental health and skincare health. Throughout the conversation, Dr. Mina provides practical, evidence-based tips for aging gracefully and building confidence, encouraging listeners to adopt sustainable habits that support long-term skincare health and avoid the pain of skin issues.Needed Discount:Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women's health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout!Free Week of the Jen Health Membership:Get a free week of Jen Health Membership! Access 12 plans with daily exercise crafted by Doc Jen, PT. We'll match you with the best plan for your goals. Check it out today and use code OPTIMAL for a discount on your first month!Dr. Mina's Resources:The Skin Real WebsiteDr Mina's IGThe Skin Real YoutubeThe Skin Real FacebookThe Skin Real PodcastSkincare DiscountWe think you'll love:Free Week of Jen HealthJen's InstagramDom's InstagramYouTube ChannelWhat You'll Learn From Dr Mina:02:17 Dr. Mina shares her personal shift to holistic, preventative skincare after turning 40.05:05 Discussion on how internal health...For full; show notes and resources visit https://jen.health/podcast/437 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Saturday, November 29, 2025 McBride Orthopedic Hospital Game Time Post Game, driven by Lexus of OKC at home on historic Campus Corner in Norman. -W -The #8 Oklahoma Sooners finish the season 10-2, 6-2 SEC as they defeat the LSU Tigers 17-13 Saturday in Norman. They await a birth in the College Football Playoffs. Follow the Sports Animal on Facebook, Instagram and X PLUS Jim Traber on Instagram, Berry Tramel on X and Dean Blevins on X Matt Meyer on X Listen to past episodes HERE! Follow Total Dominance Podcasts on Apple, Google and SpotifySee omnystudio.com/listener for privacy information.
Saturday, November 29, 2025 McBride Orthopedic Hospital Game Time - Pre Game, driven by Lexus of OKC at home on historic Campus Corner in Norman. -Cold and blustery in Norman today as Oklahoma (9-2, 5-2 SEC) looks to solidify its CFP hopes with a win over LSU (7-3, 3-3). Follow the Sports Animal on Facebook, Instagram and X PLUS Jim Traber on Instagram, Berry Tramel on X and Dean Blevins on X, George Stoia on X, Mark Rodgers on X Cale Gundy on X Matt Meyer on X Listen to past episodes HERE! Follow Total Dominance Podcasts on Apple, Google and SpotifySee omnystudio.com/listener for privacy information.
Orthopedic surgeon and medical-mystery expert Dr. Erin Nance, aka “Little MisDiagnosed,” joins Max for a powerful conversation on why diagnoses are so often missed and how to finally get the answers and care you deserve.15 Daily Steps to Lose Weight and Prevent Disease PDF: https://bit.ly/46XTn8f - Get my FREE eBook now!Subscribe to The Genius Life on YouTube! - http://youtube.com/maxlugavereWatch my new documentary Little Empty Boxes - https://www.maxlugavere.com/filmThis episode is proudly sponsored by:Puori is an amazing source of incredibly clean and delicious PW1 whey protein. Plus a ton of other high quality, rigorously tested supplements (fish oil, creatine, and more). Visit Puori.com/MAX and use promo code MAX to get 20% off site-wide.Boost nutrient absorption with LivOn Labs. For a limited time, order one carton of Lypo-Spheric Vitamin C at LivOnLabs.com and get one carton of Lypo-Spheric B Complex Plus FREE—a $56 value—with code MAX25 at checkout!OneSkin is a skincare company for minimalists utilizing their revolutionary OS-01 peptide which can reverse signs of skin aging according to their research. Visit http://oneskin.co/max and use code MAX for 15% off.
Dystrophinopathies are heritable muscle disorders caused by pathogenic variants in the DMD gene, leading to progressive muscle breakdown, proximal weakness, cardiomyopathy, and respiratory failure. Diagnosis and management are evolving areas of neuromuscular neurology. In this episode, Kait Nevel, MD, speaks with Divya Jayaraman, MD, PhD, an author of the article "Dystrophinopathies" in the Continuum® October 2025 Muscle and Neuromuscular Junction Disorders issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Jayaraman is an assistant professor of neurology and pediatrics in the division of child neurology at the Columbia University Irving Medical Center in New York, New York. Additional Resources Read the article: Dystrophinopathies 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 Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Nevel: Hello, this is Dr Kate Nevel. Today I'm interviewing Dr Divya Jayaraman about her article on dystrophinopathies, which she wrote with Dr Partha Ghosh. This article appears in the October 2025 Continuum issue on muscle and neuromuscular junction disorders. Divya, welcome to the podcast, and please introduce yourself to the audience. Dr Jayaraman: Thank you so much, Dr Nevel. My name is Divya, and I am an assistant professor of Neurology and Pediatrics at Columbia University Irving Medical Center, and also an attending physician in the Pediatric Neuromuscular program there. In that capacity, I see patients with pediatric neuromuscular disorders and also some general pediatric neurology patients and also do research, primarily clinical research and clinical trials on pediatric neuromuscular disorders. Dr Nevel: Wonderful. Thank you for sharing that background with us. To set us on the same page for our discussion, before we get into some more details of the article, perhaps, could you start with some definitions? What comprises the dystrophinopathies? What are some of the core features? Dr Jayaraman: So, the dystrophinopathies, I like that term because it is a smaller subset from the muscular dystrophies. The dystrophinopathies are a spectrum of clinical phenotypes that are all associated with mutations in the DMD gene on chromosome X. So, that includes DMD---or, Duchenne muscular dystrophy---, Becker muscular dystrophy, intermediate muscular dystrophy (which falls in between the two), dilated cardiomyopathy, asymptomatic hyperCKemia, and manifesting female carriers. In terms of the core features of these conditions, so, there's some variability, weakness being prominent in Duchenne and also Becker. The asymptomatic hyperCKemia, on the other hand, may have minimal symptoms and might be found incidentally by just having a high CK on their labs. They all will have some degree of elevated CK. The dilated cardiomyopathy patients, and also the Becker patients to a lesser degree, will have cardiac involvement out of proportion to skeletal muscle involvement, and then the manifesting carriers likewise can have elevated CK and prominent cardiac involvement as well as some milder weakness. Dr Nevel: Now that we have some definitions, for the practicing neurologists out there, what do you think is the most important takeaway from your article about the dystrophinopathies? Dr Jayaraman: I like this question because it suggests that there's something that, really, any neurologist could do to help us pick up these patients sooner. And the big takeaway I want everyone to get from this is to check the CK, or creatine kinase, level. It's a simple, cheap, easy test that anyone can order, and it really helps us a lot in terms of setting the patient on the diagnostic odyssey. And in terms of whom you should be thinking about checking a CK in, obviously patients who present with some of the classic clinical features of Duchenne muscular dystrophy. This would include young boys who have toe walking, as they're presenting, sign; or motor delayed, delayed walking. They may have calf hypertrophy, which is what we say nowadays. You might have seen calf pseudohypertrophy in your neurology textbooks, but we just say calf hypertrophy now. Or patients can often have a Gowers sign or Gowers maneuver, which is named after a person called Gowers who described this phenomenon where the child will basically turn over and use their hands on the floor to stand up, usually with a wide-based gait, and then they'll sort of march their hands up their legs. That's the sort of classic Gowers maneuver. There are modified versions of that as well. So, if anyone presents with this classic presentation, for sure the best first step is to check a CK. But I would also think about checking a CK for some atypical cases. For example, any boy with any kind of motor or speech delay for whom you might not necessarily be thinking about a muscle disorder, it's always good practice to check a CK. Even a boy with autism for whom you may not get a good clinical exam. This patient might present to a general pediatric neurology clinic. I always check a CK in those patients, and you'll pick up a lot of cases that way. For the adult folks in particular, the adult neurologist, a female patient could show up in your clinic with asymptomatic hyperCKemia. And I think it's an important differential to think about for them because this could have implications not just for their own cardiac risks, but also for their family planning. Dr Nevel: So, tell us a little bit more about the timing of diagnosis. Biggest takeaway: check a CK if this is anywhere on your radar, even if somewhat of an atypical case. Why is it so important to get kiddos started on that diagnostic odyssey, as you called it, early? Dr Jayaraman: This is especially important for kids because if they especially get a Duchenne muscular dystrophy diagnosis, you might be making them eligible for treatments that we've had for some time, and also treatments that were not available earlier that hinge on making that diagnosis. So, for example, people may be skeptical about steroids, but there's population data to suggest that initiation and implementation of steroids could delay the onset of loss of ambulation as much as three years. So, you don't want to deprive patients of the chance to get that. And then all the newer emerging therapies---which we'll be talking about later, I'm sure---require a Duchenne muscular dystrophy diagnosis. So, that's why it's so important to check a CK, have this on your radar, and then get them to a good specialist. Dr Nevel: I know that you alluded already, or shared a few of the kind of exam paroles or findings among patients with dystrophinopathy. But could you share with us a little bit more how you approach these patients in the clinic who are presenting with muscle weakness, perhaps? And how do you approach this or think about this in terms of ways to potentially differentiate between a dystrophinopathy versus another cause of motor weakness or delay? Dr Jayaraman: It's helpful to think through the neuraxis and what kinds of disorders can present along that neuraxis. A major differential that I'm always thinking about when I'm seeing a child with proximal weakness is spinal muscular atrophy, which is a genetic anterior horn cell disorder that can also present in this age group. And some of the key differences there would be things like reflexes. So, you should have dropped reflexes in spinal muscular atrophy. In DMD, surprisingly, they might have preserved Achilles reflexes even if their patellar reflexes are lost. It may only be much later that they go on to lose their Achilles reflex. So, if you can get an Achilles reflex, that's quite reassuring, and if you cannot, then you need to be thinking about spinal muscular atrophy. They can both have low muscle tone and can present quite similarly, including with proximal weakness, and can even have neck flexion weakness. So, this is an important distinction to make. The reason for that is, obviously there are treatments for both conditions, but for spinal muscular atrophy, timing is very, very important. Time is motor neurons, so the sooner you make that diagnosis the better. Other considerations would be the congenital muscular dystrophies. So, for those that they tend to present a lot younger, like in infancy or very early on, and they can have much, much higher CKS in that age range than a comparable Duchenne or Becker muscular dystrophy patient. They can also have other involvement of the central nervous system that you wouldn't see in the dystrophinopathies, for example. My mnemonic for the congenital muscular dystrophies is muscle-eye-brain disease, which is one of the subtypes. So, you think about muscle involvement, eye involvement, and brain involvement. So, they need an ophthalmology valve. They can have brain malformations, which you typically don't see in the dystrophinopathies. I think those are some of the major considerations that I have. Obviously, it's always good to think about the rest of the neuraxis as well. Like, could this be a central nervous system process? Do they have upper motor neuron signs? But that's just using all of your exam tools as a neurologist. Dr Nevel: Yeah, absolutely. So, let's say you have a patient in clinic and you suspect they may have a dystrophinopathy. What is your next diagnostic step after your exam? Maybe you have an elevated CK and you've met with the patient. What comes next? Dr Jayaraman: Great question. So, after the CK, my next step is to go to genetics. And this is a bit of a change in practice over time. In the past we would go from the CK to the muscle biopsy before genetic testing was standard. And I think now, especially in kids, we want to try and spare them invasive procedures where possible. So, genetic testing would be the next step. There are a few no-charge, sponsored testing programs for the dystrophinopathies and also for some of the differential diagnosis that I mentioned. And I think we'll be including links to websites for all of these in the final version of the published article. So, those are a good starting point for a genetic workup. It's really important to know that, you know, deletions and duplications are a very common type of mutation in the DMD gene. And so, if you just do a very broad testing, like whole exome, you might miss some of those duplications and deletions. And it's important to include both checking for duplications and deletions, and also making sure that the DMD gene is sequenced. So always look at whatever genetic test you're ordering and making sure that it's actually going to do what you want it to do. After genetics, I think that the sort of natural question is, what if things are not clear after the genetics for some reason? We still use biopsy in this day and age, but we save it for those cases where it's not entirely clear or maybe the phenotype is a little bit discordant from the genotype. So, for mutations that disrupt the reading frame, those tend to cause Duchenne muscular dystrophy, whereas mutations that preserve the reading frame tend to cause Becker muscular dystrophy. There are some important exceptions to this, which is where muscle biopsy can be especially helpful in sorting it out. So, for example, there are some early mutations early in the DMD gene where, basically, they find an alternate start codon or an initiation codon to continue with transcription and translation. So, you end up forming a largely functional, somewhat truncated protein that gives you more of a milder Becker phenotype. On the other hand, you can have some non-frameshift or inframe mutations that preserve the reading frame, but because they disrupt a very key domain in the protein that's really crucial for its function, you can actually end up with a much more severe Duchennelike phenotype. So, for these sorts of cases, you might know a priori you're dealing with them, but might just be a child who is who you think has DMD has a mutation that's showed up on testing. There isn't enough in the literature to point you one way or another, but they look maybe a little milder than you would expect. That would be a good kid to do a biopsy in because there are treatment decisions that hinge on this. There are treatments that are only for Duchenne that someone with a milder phenotype would not be eligible for. Dr Nevel: So, that kind of stepwise approach, but maybe not all kids need a muscle biopsy is what I'm hearing from you. If it's a mutation that's been well-described in the literature to be fitting with Duchenne, for example. Dr Jayaraman: Absolutely. Dr Nevel: So, after you confirm the diagnosis through genetic testing---and let's say, you know, whether or not you do a muscle biopsy or not, after you know the diagnosis is a dystrophinopathy---how do you counsel the families and your patients? What are the most important points to relay to families, especially in that initial phase where the diagnosis is being made? Dr Jayaraman: This is a lot of what we do in pediatric neurology in general, right? So, I actually picked up this approach from the pediatric hematology oncology specialists at Boston Children's. They had this concept of a day-zero conversation, which is the day that you disclose the life-changing diagnosis or potentially, at some point, terminal diagnosis to a family. And some of the key components of that are a not beating around the bush, telling them what the diagnosis is, and then letting them have whatever emotional response they're going to have in the moment. And you may not get much further than that, but honestly, you want them to take away, this is what my child has. I did not do anything to cause this, nor could I have done anything to prevent this. Because often for these genetic conditions, there's a lot of guilt, a lot of parental guilt. So, you want to try and assuage that as much as possible. And then to know that they're not going to be alone on this journey; that, you know, they don't have to have it all figured out right then, but we can always come back and answer any questions they have. There's going to be a whole team of specialists. We're going to help the family and the kid manage this condition. Those are sort of my big takeaways that I want them to get. Dr Nevel: Right. And that segues into my next question, which is, who is part of that team? I know that these teams that help take care of people with dystrophinopathies and other muscle disorders can be very large teams that span multiple specialists. Can you talk a little bit more about that for this group of patients? Dr Jayaraman: Of course. So, the neuromuscular neurologist, really, our role is in coordinating the diagnosis, the initiation of any disease-specific treatments, and coordinating care with a whole group of specialists. So, we're sort of at the center of that, but everyone else is equally important. So, the other specialists include physical therapists; occupational therapists; rehab doctors or physiatrists; orthotists who help with all of the many braces and other devices that they might need, wheelchairs; pulmonology, of course, for managing the respiratory manifestations of this. It becomes increasingly important over time, and they are involved early on to help monitor for impending respiratory problems. Cardiac manifestations, this is huge and something that you should be thinking about even for your female carriers, the mother of the patient you're seeing in the clinic, or your patient who comes to adult clinic with asymptomatic hyperCKemia. if you end up making a diagnosis of DMD carrier for those patients, or if you make a Becker diagnosis, the cardiac surveillance is even more important because the cardiac involvement can be out of proportion to the skeletal muscle weakness. And of course, extremely important for the Duchenne patients as well. Endocrinologists are hugely important because in the course of treating patients with steroids, we end up giving them a lot of iatrogenic endocrinologic complications. Like they might have delayed puberty, they might have loss of growth, of height; and of course metabolic syndrome. So, endocrinology is hugely important. They're also important in managing things like fracture prevention, osteoporosis, prescribing bisphosphonates if necessary. Nutrition and GI are also important, not just later on when they might need assistance to take in nutrition, whether that's through tube feeds, but also earlier on when we're trying to manage the weight. Orthopedics, of course, for the various orthopedic complications that patients develop. And then finally, a word must be said for social work and behavioral and mental health specialists, because a lot of this patient population has a lot of mental health challenges as well. Dr Nevel: After you give the diagnosis, you've counseled the patient and families and you've had those kind of initial phase discussions, the day-zero discussion, when you start getting into discussions or thoughts about management, disease-specific medication. But what are the main categories of the treatment options, and maybe how do you kind of approach deciding between treatment options for your patients? Dr Jayaraman: So, there are two broad categories that I like to think about. So, one is the oral corticosteroids and oral histone deacetylase, or HDAC inhibitors, which share the common characteristic that they are non-mutation specific. And within corticosteroids, patients now have a choice between just Prednisone or Prednisolone, or Deflazacort or Vermilion. The oral HDAC inhibitors are newly FDA-approved as a nonsteroidal therapy in addition to corticosteroids in DMD patients above six years of age. I would say we're in the early phase of adoption of this in clinical practice. And then the other big category of treatment options would be the genetic therapies as a broad bucket, and this would include gene therapy or gene replacement therapy, of which the most famous is the microdystrophin gene therapy that was FDA-approved first on an accelerated approval basis for ages four to eight, and then a full approval in that age group as well as an accelerated approval for all comers, essentially, with DMD. This is obviously controversial. Different centers approach this a bit differently. I think our practice at our site has been to focus on the ambulatory population, just thinking about risk versus benefit, because the risks are not insignificant. So really this is something that should be done by experienced sites that have the bandwidth and the wherewithal to counsel patients through all of this and to manage complications as they arise with regular monitoring. And then another class that falls within this broader category would be the Exon-skipping therapies. So as the name suggests, they are oligonucleotides that cause an Exon to be skipped. The idea is, if there is a mutation in a particular Exon that causes a frame shift, and there's an adjacent Exon that you can force skipping of, then the resulting protein, when you splice the two ends together, will actually allow restoration of the reading frame. I think the picture I want to paint is that there's a wide range of options that we present to families, not all of which everyone will be eligible for. And they all have different risk profiles. And I really think the choice of a particular therapy has to be a risk-benefit decision and a shared decision-making process between the physician and the family. Dr Nevel: What is going on in research in this area? And what do you think will be the next big breakthrough? I know before we started the recording you had mentioned that there's a lot of things going on that are exciting. And so, I'm looking forward to hearing more. Dr Jayaraman: Of course. So, I'll be as quick as I can with this. But I mentioned that next-generation Exon skipping therapies, I think the hope is that they will be better at delivering the Exon skipping to the target tissue and cells and that they might be more efficacious. I'm also excited about next-generation gene therapies that might target muscle more specifically and hopefully reduce the off-target effects, or combination use of gene therapies with other immunosuppressive regimens to improve the safety profile and maybe someday allow redosing, which we cannot do currently. Or potentially targeting the satellite cells, which are the muscle stem cells, again, to improve the long term durability of these genetic therapies. Dr Nevel: That's great, thank you for sharing. Thank you so much for talking to me today about your article. I really enjoyed learning more about the dystrophinopathies. Today I've been interviewing Dr Divya Jayaraman about her article on the dystrophinopathies, which she wrote with Dr Partha Ghosh. This article appears in the October 2025 Continuum issue on muscle and neuromuscular junction disorders. Please be sure to check out the Continuum Audio episodes from this and other issues. Also, please read the Continuum articles for more details than what we were able to get to today during our discussion. Thank you, as always, so much to the listeners for joining us today, and thank you, Divya, for sharing all of your knowledge with us today. Dr Jayaraman: Thank you so much for having me on the podcast. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
In this episode of the Optimal Body Podcast, Dr. Jen and Dr. Dom, Doctors of Physical Therapy, delve into the complexities of chronic low back pain. They discuss the latest research on both acute and chronic low back pain, emphasizing the need for individualized treatment plans. The hosts highlight the importance of exercise, the powerful role of mindset, patient-provider relationships, and supportive environments in managing chronic low back pain. They stress that recovery is a gradual, personalized process, caution against one-size-fits-all solutions, and encourage listeners to remain consistent, address psychological factors, and seek professional guidance for lasting improvement.Black Friday Sale!Invest in yourself this Holiday Season! Come join our movement community with the most massive sale on the annual membership where you can get in for only $12.50 per month! We have plans for each specific body area that you might have aches and pains in and full videos with expert cuing to get you back to the exercises you love, without the pain. Join us today!Needed Discount:Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women's health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout!We think you'll love:Black Friday DiscountJen's InstagramDom's InstagramYouTube ChannelWhat You'll Learn02:47 Discussion on how common and costly low back pain is, and the dangers of one-size-fits-all solutions.04:00 Emphasis on the need for individualized approaches and skepticism toward exclusive treatment claims.07:00 Explanation of the timeframes and definitions for acute, subacute, and chronic low back pain.09:05 Importance of contextual factors—expectations, relationships, environment—in pain reduction and recovery.11:53 How patient-provider relationships and belief in treatment impact outcomes, especially for chronic pain.15:07 Encouragement to remain open to new approaches and persist through setbacks in chronic pain recovery.17:31 Study findings on optimal exercise load (MET minutes) and the benefits of consistent, appropriate exercise.20:19 Research on effective session lengths, program duration, and the benefits of tai chi for chronic pain.26:14 Consistency, adherence, and...For full show notes and resources visit https://jen.health/podcast/436 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Hear from a NovaCare Doctor who joined the 94 WIP Morning Show and gave his professional insights into the injuries the Eagles sustained yesterday.
Saturday, November 22, 2025 McBride Orthopedic Hospital Game Time Post Game, driven by Lexus of OKC-On the Road -W -OU secured a victory against Missouri (17-6). Another strong defensive performance propelled the Sooners to 9-2, enhancing their CFP hopes. Follow the Sports Animal on Facebook, Instagram and X PLUS Jim Traber on Instagram, Berry Tramel on X and Dean Blevins on X Matt Meyer on X Listen to past episodes HERE! Follow Total Dominance Podcasts on Apple, Google and SpotifySee omnystudio.com/listener for privacy information.
Saturday, November 22, 2025 McBride Orthopedic Hospital Game Time - Pre Game, driven by Lexus of OKC - On the Road -Under cloudy skies, former Big 8 and Big 12 Conference rivals, Missouri, visit Norman today. Missouri (22) (7-3, 3-3 SEC) aims to thwart the Sooners' (8-2, 4-2) 2025 SEC aspirations. Follow the Sports Animal on Facebook, Instagram and X PLUS Jim Traber on Instagram, Berry Tramel on X and Dean Blevins on X, George Stoia on X, Mark Rodgers on X Cale Gundy on X Matt Meyer on X Listen to past episodes HERE! Follow Total Dominance Podcasts on Apple, Google and SpotifySee omnystudio.com/listener for privacy information.
In this episode of the Braun Performance & Rehab Podcast, Dan is joined by Andrew Curley to discuss arthroplasty in the athletic / active individual. Andrew Curley, MD specializes in sports medicine and hip preservation. He received his medical degree from Georgetown University School of Medicine in Washington, D.C., where he later completed his orthopedic surgery residency at Georgetown University Hospital and earned the role of chief resident in the Department of Orthopedics. He underwent additional fellowship training in sports medicine at the University of Pittsburgh Medical Center in Pittsburgh, Pa., and in hip preservation at the American Hip Institute in Chicago, Ill. He has assisted in the care of professional and collegiate athletes, including the Pittsburgh Steelers, Pittsburgh Penguins, Robert Morris University Football, University of Pittsburgh Panthers, and Pittsburgh Ballet Theatre.Dr. Curley specializes in surgery of the hip, shoulder, and knee. He performs various minimally-invasive arthroscopic procedures to treat conditions in the hip (labral tears, impingement, cartilage damage), shoulder (rotator cuff tears, labral tears, shoulder dislocations), and knee (ACL/ligament tears, meniscal injuries, cartilage damage). Additionally, he performs shoulder arthroplasty/replacement to treat shoulder arthritis, as well as anterior robotic-assisted hip arthroplasty/replacement to treat hip arthritis.Dr. Curley has published numerous research papers and presented studies at national meetings in the field of sports medicine and hip preservation. Additionally, he earned the prestigious O'Donoghue Award in 2021 from the American Orthopaedic Society for Sports Medicine (AOSSM), which is awarded to the best research paper for clinical research in sports medicine.As a former collegiate football and lacrosse player, Dr. Curley understands that each patient has different needs and goals when facing an orthopedic problem. Whether he is treating a high-level athlete, a weekend warrior, or a patient attempting to return to everyday activities, Dr. Curley works with each patient to maintain a healthy, active lifestyle.For more on Dr. Curley, be sure to check out https://www.tidalhealth.org/doctor/andrew-curley - he practices in Seaford DE & Millsboro DE*SEASON 6 of the Braun Performance & Rehab Podcast is brought to you by Isophit. For more on Isophit, please check out isophit.com and @isophit -BE SURE to use coupon code BraunPR25% to save 25% on your Isophit order!**Season 6 of the Braun Performance & Rehab Podcast is also brought to you by Firefly Recovery, the official recovery provider for Braun Performance & Rehab. For more on Firefly, please check out https://www.recoveryfirefly.com/ or email jake@recoveryfirefly.com***This episode is also powered by Dr. Ray Gorman, founder of Engage Movement. Learn how to boost your income without relying on sessions. Get a free training on the blended practice model by following @raygormandpt on Instagram. DM my name “Dan” to @raygormandpt on Instagram and receive your free breakdown on the model.Episode Affiliates:MoboBoard: BRAWNBODY10 saves 10% at checkout!AliRx: DBraunRx = 20% off at checkout! https://alirx.health/MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription!CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off!Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKeMake sure you SHARE this episode with a friend who could benefit from the information we shared!Check out everything Dan is up to by clicking here: https://linktr.ee/braun_prLiked this episode? Leave a 5-star review on your favorite podcast platform
Saturday, November 15, 2025 McBride Orthopedic Hospital Game Time Post Game, driven by Lexus of OKC-On the Road -W -The Sooners win inside Bryant-Denny Stadium today over the Tide 23-21 and shakes up the SEC. Follow the Sports Animal on Facebook, Instagram and X PLUS Jim Traber on Instagram, Berry Tramel on X and Dean Blevins on X Matt Meyer on X Listen to past episodes HERE! Follow Total Dominance Podcasts on Apple, Google and SpotifySee omnystudio.com/listener for privacy information.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Sean Gipson, CEO of Remedy Surgery Centers. He shares insights on payer market disruption, workforce recruitment strategies, ASC growth in orthopedics, and the transformative role of AI in operations and billing.
Saturday, November 15, 2025 McBride Orthopedic Hospital Game Time - Pre Game, driven by Lexus of OKC - On the Road -Oklahoma (7-2 (3-2)) steps into prime SEC country to take on Tuscaloosa's Crimson Tide (8-1 (6-0)). Follow the Sports Animal on Facebook, Instagram and X PLUS Jim Traber on Instagram, Berry Tramel on X and Dean Blevins on X, George Stoia on X, Mark Rodgers on X Cale Gundy on X Matt Meyer on X Listen to past episodes HERE! Follow Total Dominance Podcasts on Apple, Google and SpotifySee omnystudio.com/listener for privacy information.
On this episode, EJ Ledesma, Chief Executive Officer of 360 Orthopedics, joins the podcast to discuss AI advancements and growing the revenue base in specialty practice, the value of partnerships, and his approach to driving growth.
On this episode, EJ Ledesma, Chief Executive Officer of 360 Orthopedics, joins the podcast to discuss AI advancements and growing the revenue base in specialty practice, the value of partnerships, and his approach to driving growth.
Send us a textThis week on the Less Stressed Life, Dr. David Hanscom joins me for his 4th appearance to explain why anxiety isn't psychological—it's physiological—a survival response that we can learn to regulate, not control. We talk about how unprocessed emotions and repetitive thoughts get stored in the body as pain and how tools like expressive writing, calming the body, and softening the ego help break those loops.You'll walk away with a new way to think about anxiety, pain, and healing—one that focuses on awareness, compassion, and creating safety in your body so your mind can follow. It's about rewiring your nervous system, not forcing it.Dr. Hanscom's past episodes: • Ep 71: Roadmap out of Anxiety and Chronic Pain • Ep 72: Anger & Anxiety in the Family • Ep 325: Overwhelm & PainKEY TAKEAWAYS: • Anxiety and anger are body states, not character flaws • Calm the physiology first; thoughts will follow • Expressive writing helps separate from looping thoughts • Awareness and compassion are core to lasting changeFree resource: Try Dr. Hanscom's Expressive Writing Exercise (PDF), a foundational tool from The DOC Journey to help calm the nervous system and release looping thoughts. ABOUT GUEST:David Hanscom, MD is a former complex spine surgeon who left his 32-year Seattle practice to help people heal from chronic physical and emotional pain. After overcoming his own 15-year struggle with anxiety and pain, he developed the Dynamic Healing approach, which focuses on calming the body's threat physiology and rewiring the nervous system for lasting relief.He's the author of Back in Control: A Surgeon's Roadmap Out of Chronic Pain and the upcoming Calm Your Body, Heal Your Mind: Transcend Pain, Anxiety, Anger, and Repetitive Unwanted Thoughts (June 2026).WHERE TO GUEST:Websites: https://backincontrol.com/ and https://thedocjourney.com/Instagram: https://www.instagram.com/drdavidhanscom/Facebook: https://www.facebook.com/drdavidhanscomYouTube: https://www.youtube.com/user/DrDavidHanscomWHERE TO FIND CHRISTA:Website: https://www.christabiegler.com/Instagram: @anti.inflammatory.nutritionistPodcast Instagram: @lessstressedlifeYouTube: https://www.youtube.com/@lessstressedlifeLeave a review, submit a questions for the podcast or take one of my quizzes here: ****https://www.christabiegler.com/linksSPONSOR:Thank you to our friends at Jigsaw Health for being such an incredible sponsor and partner.
In this Optimal Body Podcast episode, Dr. Jen and Dr. Dom, both Doctors of Physical Therapy, explore the science and clinical relevance of myofascial trains—continuous myofascial networks in the body. They discuss fascia's anatomy, its role in movement and pain, and the impact of manual therapies like myofascial release. Emphasizing the nervous system's influence, they caution against oversimplifying myofascial connections and advocate for individualized, evidence-based approaches. The hosts also review research on sling-based training, highlighting its benefits and limitations, and encourage listeners to integrate both manual and exercise therapies for optimal health and pain relief.VivoBarefoot Discount:Support your feet and ankles with VivoBarefoot shoes—with perfect styles for any occasion! Boost foot health through mobility and strength from the ground up. Use code TOB25 for 20% off. 100-day trial included—return if you're not satisfied!LMNT Electrolytes: Free Gift with Purchase!Stay hydrated and energized with LMNT electrolytes—sodium, potassium, and magnesium for brain and body. It's our favorite micro nutrition hack to get those essential minerals in! Get a free gift with every purchase and try new flavors! Get your Free Gift now!We think you'll love:Release and Recover ChallengeJen's InstagramDom's InstagramYouTube ChannelWhat You'll Learn:02:04 Introduction to myofascial trains/slings, their popularity, and the concept of fascial connectivity.03:12 Explanation of fascia as a continuous tissue, its anatomical connections, and the theory behind force transmission.04:59 Brief discussion on the importance of hydration and electrolytes for fascia health, with a sponsor mention.06:18 Discussion of anatomical evidence for fascial continuity, cadaver dissections, and the limitations of anatomical studies.09:31 Review of research on force transmission through fascia, differences between cadaver and living subjects, and individual variability.12:41 Exploration of how fascial connections relate to pain...For full show notes and resources visit https://jen.health/podcast/434 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode, Dr. Earl Kilbride, orthopedic surgeon at Austin Orthopedic Institute, discusses major trends shaping healthcare and ASCs, including consolidation, reimbursement challenges, and the role of AI. He also shares insights on the growing shift toward outpatient procedures and how independent practices can thrive in a changing landscape.
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