Podcasts about osteopathic medicine

Episode 200: All About Ascites.     Jesica Mendoza explains the pathophysiology, diagnosis and management of ascites. Dr. Arreaza adds input about early detection and prevention of spontaneous bacterial peritonitis. Written by Jesica Mendoza, OMS IV, Western University, College of Osteopathic Medicine of the Pacific. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Welcome to our episode 200! It is an honor to welcome back a wonderful medical student, her name is Jesica, and she has prepared this topic, and she is excited to share this information with us. Jesica presented in June this year an episode about gestational diabetes (episode 193) and today she will talk about ascites. Jesica, please tell us who you are again. What is ascites?Ascites is the buildup of fluid in between the visceral peritoneum and the parietal peritoneum in the abdomen. This is often caused by cirrhosis of the liver due to the increased portal HTN which leads to increased nitrous oxide (NO) and prostaglandins which then causes splanchnic vasodilation and decreased effective arterial volume. The decrease in arterial volume then causes an increase in the renin–angiotensin–aldosterone system (RAAS) and antidiuretic hormone (ADH) from the renal system which leads to sodium and water retention. This then causes a net reabsorption of fluids and ascites.Evaluation of ascites.Once someone has been found to have ascites the next step will be a diagnostic paracentesis. This includes removing fluid from the peritoneal cavity in order to determine the SAAG (Serum Ascites Albumin Gradient) score. SAAG : (serum albumin) − (albumin level of ascitic fluid). The two values should be measured at the same time.This score helps determine the cause of the ascites with a score >1.1 g/dL indicating portal hypertension usually due to liver disease such as cirrhosis. A SAAG score of 250 PMNS/mL. Fluid should be sent to the lab for culture and then antibiotics should be started. IV 3rd generation cephalosporins are typically used. Fluoroquinolones are also used to prevent the recurrence of SBP.If you desire to learn more about SBP, listen to our episode 123. By the way, propranolol is a frequently used medication to prevent GI bleeding from esophageal varices in cirrhosis and also to decrease the development of ascites. It should be used in patients who have compensated cirrhosis and must be avoided in patients with refractory ascites, hypotension, renal dysfunction or active infection. So, to wrap things up we should remember that once we identify ascites with our physical exam of the patient, we should make sure to obtain a paracentesis as these results will be the main guide for our treatment. The treatment can then range from medical treatment such as spironolactone and/or loop diuretics to TIPS procedures, PleurX or even liver transplant. Always be on the lookout for SBP in patients with ascites and always remember to obtain a culture on the ascitic fluid prior to starting antibiotics. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Ascites, Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/14792-ascites.Huang LL, Xia HH, Zhu SL. Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites. J Clin Transl Hepatol. 2014 Mar;2(1):58-64. doi: 10.14218/JCTH.2013.00010. Epub 2014 Mar 15. PMID: 26357618; PMCID: PMC4521252. https://pmc.ncbi.nlm.nih.gov/articles/PMC4521252/.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

GDP Script/ Top Stories for August 14th Publish Date: August 14th From the BG AD Group Studio Welcome to the Gwinnett Daily Post Podcast. Today is Thursday, August 14th and Happy birthday to Magic Johnson I’m Peyton Spurlock and here are your top stories presented by KIA Mall of Georgia. Gwinnett students outperform state on many milestones tests — but trail in science Buford's David Clark joins race to be Georgia’s next lieutenant governor Police contacted weeks earlier due to CDC shooter's 'thoughts of suicide,' GBI says Plus, Leah McGrath from Ingles Markets on Food Apps All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe! Break 1: MONSTER JAM STORY 1: Gwinnett students outperform state on many milestones tests — but trail in science Gwinnett County Public Schools has some bragging rights—but also some glaring gaps. The latest Milestones and end-of-course test scores show the district outperforming the state in most areas, but science? That’s a different story. The eighth-grade science results are, frankly, shocking: just 0.3% of students scored proficient or higher. Compare that to 28% statewide. Yes, you heard that right—0.3%. GCPS says most of its eighth-graders take the tougher high school physical science test instead, but even there, only 44% hit proficiency, trailing the state’s 57%. There are bright spots, though. Fifth-grade science scores beat state averages, and high school biology students held their own. Math and social studies also showed solid results, with Gwinnett consistently outpacing state averages. English/language arts? Mixed bag. Less than half of students in every grade tested were proficient, with third-graders struggling the most—just 39% hit the mark. The district plans to dig into the data at the Aug. 21 school board meeting. STORY 2: Buford's David Clark joins race to be Georgia’s next lieutenant governor The race for Georgia’s next lieutenant governor just got more crowded. On Tuesday, Rep. David Clark, R-Buford, threw his hat in the ring, becoming the fifth state lawmaker to join the campaign. Clark’s announcement follows state Sen. Blake Tillery, R-Vidalia, who launched his campaign just a day earlier. Both Republicans are hitting familiar notes—tax cuts, immigration crackdowns, and opposition to transgender rights. They join Sens. John F. Kennedy and Steve Gooch, both running on MAGA-friendly platforms aimed squarely at Trump’s base. On the other side of the aisle, Sen. Josh McLaurin, D-Sandy Springs, is the lone Democrat in the race. A vocal Trump critic, McLaurin has made no secret of his disdain for the former president’s policies and legal defiance during this year’s legislative session. The lieutenant governor’s role? Presiding over the Senate and stepping in when the governor’s out. But this race? It’s shaping up to be anything but ordinary. STORY 3: Police contacted weeks earlier due to CDC shooter's 'thoughts of suicide,' GBI says The Georgia Bureau of Investigation shared new details Tuesday about Friday’s shooting outside the CDC’s Atlanta headquarters—a tragedy that left DeKalb County Officer David Rose dead and the suspect, Patrick Joseph White, 30, of Kennesaw, taking his own life. GBI Director Chris Hosey said White had no criminal history but had recently expressed suicidal thoughts, prompting a call to law enforcement weeks earlier. At White’s home, investigators found writings criticizing COVID-19 vaccines—angry, but not overtly threatening. White fired over 500 rounds, hitting six CDC buildings. His weapons, a mix of rifles and a shotgun, belonged to his father, who told investigators White broke into the gun safe. Officer Rose, one of the first responders, was fatally shot by White. “He died a hero,” said FBI Special Agent Paul Brown. “His sacrifice won’t be forgotten.” The investigation is ongoing, and anyone with information is urged to contact the GBI tip line. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We’ll be right back Break 2: Ingles Markets 6 STORY 4: PCOM Georgia holds White Coat ceremony On Aug. 8, nearly 200 students from PCOM Georgia’s Physician Assistant and Doctor of Osteopathic Medicine programs slipped into their crisp white coats for the first time—a moment that felt both surreal and monumental. The ceremony, held at the Gas South Convention Center, wasn’t just about the coats. It was about stepping into something bigger: the responsibility, the privilege, the weight of caring for others. Students recited their oath and class mission statement, pledging to lead with compassion and professionalism. For many, it wasn’t just a milestone—it was the start of a dream they’d been chasing for years. STORY 5: Trump throws support behind Jones’ bid for Georgia governor President Donald Trump has thrown his weight behind Lt. Gov. Burt Jones in Georgia’s governor’s race, giving his “complete and total” endorsement in a social media post Monday. Trump praised Jones as a loyal ally who worked “tirelessly” for his campaigns, calling him an early supporter of the MAGA movement. The endorsement could be a game-changer in the GOP primary, where Trump’s base still holds serious sway. Jones faces Attorney General Chris Carr, but he’s already got a fundraising edge—thanks to a 2021 law that lets him raise unlimited funds through a leadership committee. Carr, who doesn’t have that advantage, has taken the fight to federal court, accusing Jones of abusing the system. Meanwhile, the Democratic primary is heating up, with big names like Keisha Lance Bottoms, Jason Esteves, and Michael Thurmond already in the mix. We’ll be right back. Break 3: MONSTER JAM And now here is Leah McGrath from Ingles Markets on Food Apps Break 4: 07.14.22 KIA MOG We’ll have closing comments after this Break 5: MONSTER JAM Signoff – Thanks again for hanging out with us on today’s Gwinnett Daily Post Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.gwinnettdailypost.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: www.ingles-markets.com www.kiamallofga.com #NewsPodcast #CurrentEvents #TopHeadlines #BreakingNews #PodcastDiscussion #PodcastNews #InDepthAnalysis #NewsAnalysis #PodcastTrending #WorldNews #LocalNews #GlobalNews #PodcastInsights #NewsBrief #PodcastUpdate #NewsRoundup #WeeklyNews #DailyNews #PodcastInterviews #HotTopics #PodcastOpinions #InvestigativeJournalism #BehindTheHeadlines #PodcastMedia #NewsStories #PodcastReports #JournalismMatters #PodcastPerspectives #NewsCommentary #PodcastListeners #NewsPodcastCommunity #NewsSource #PodcastCuration #WorldAffairs #PodcastUpdates #AudioNews #PodcastJournalism #EmergingStories #NewsFlash #PodcastConversations See omnystudio.com/listener for privacy information.

Dr. Carole Keim welcomes Dr. David Tegay, DO, to The Baby Manual to talk about genetics, the different types of testing and screening involved in genetics, and how it's a key part of pediatric medicine. Dr. Tegay was in residency when he encountered a patient who required a consult from a clinical geneticist from Mount Sinai, and the experience fascinated him so much that he moved from his internal medicine residency to a fellowship in genetics. He discusses all aspects of his field with Dr. Keim. One of the first things Dr. Tegay explains about genetic testing is that most genetic tests are no different than other routine laboratory testing, using a blood sample or even a non-invasive cheek swab or saliva sample to do the testing. It's the results that are different from other testing. He and Dr. Keim discuss how prenatal genetic testing has developed, what kind of screening might occur during pregnancy, and the types of conditions a geneticist may be looking for. Dr. Tegay sheds light on the truth of birth defects, or congenital anomalies, and how frequently they may occur, including how many are not necessarily significant. The conversation exploring DNA, genetics, and exome sequencing, and the diseases or conditions such testing may reveal, is both enlightening and informative, explaining methodology and treatment for fetal and newborn ailments.Dr. David Tegay, DO, FACMG, FACOI:Dr. David Tegay, DO, is a clinical geneticist in Great Neck, NY and has over 25 years of experience in the medical field. He specializes in the areas of Clinical Genetics and Genomics & Internal Medicine. Dr. Tegay graduated from New York Institute of Technology College of Osteopathic Medicine in 1997. He is affiliated with the medical facilities North Shore University Hospital and St. Mary's Hospital Amsterdam.__ Resources discussed in this episode:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__Contact Dr. Carole Keim MDlinktree | tiktok | instagram Contact Dr. David Tegay, DO, FACMG, FACOIlinkedin

Send us a textToday's guest speaker is Chrissa Karagiannis, a fourth year medical student at Touro California College of Osteopathic Medicine, who is currently in the thick of the residency application and interview process for Family Medicine. In today's episode, Chrissa will share with us her experience participating in the National Health Service Corps Scholarship Program, as an excellent way for students interested in primary care specialties to alleviate the financial burdens of becoming a physician. Chrissa will share her journey to osteopathic medical school, and her passion for working with underserved populations, specifically in overdose prevention. Chrissa will share her involvement with SOMA's Overdose Prevention Committee, and her experience with the AACOM Health Policy Internship, advocating for vulnerable populations and focusing on education for overdose training. Ultimately, I was inspired by Chrissa's passion for advocacy and service with the opioid crisis, and I know you will enjoy this episode as much as we did.

Book your first botox session with Allure Medical.https://www.alluremedical.com/services/botox-2/ Is preventative botox worth it? How do fillers actually work?In this episode, Dr. Charles Mok discusses the growing trend of younger patients seeking preventative botox and filler treatments to help slow the natural breakdown of facial fat over time.He explains how the structure of the face changes with age, the psychological side of overuse or "filler addiction," and how dermal filler materials have evolved. Dr. Mok also dives into the use of hyaluronic acid as a filler, the properties that make certain fillers more effective, and how frequently treatments may be needed for long-term, natural-looking results.Tune in to Inside The Cure Podcast — How Preventative Botox WorksSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Today's episode focuses on patients who receive devastating news during the perinatal period. Unfortunately, this scenario is all too common, and complexities are affecting both the patient and the medical provider, most notably the delicate balance of professionalism, compassion, and humanity. Our conversation explores the psychological impacts and ways of handling these situations.  Dr. Christiane Manzella is a senior licensed psychologist at the Seleni Institute, a nonprofit organization providing comprehensive reproductive and maternal mental health services. She specializes in working with individuals navigating bereavement, trauma, fertility challenges, miscarriages, late-term loss, stillbirth, termination for medical reasons, child loss, and life transitions. Her purposeful and caring manner helps her patients recover and navigate these complex situations.  Dr. Babalola (Femi) Jinadu is a board-certified OB-GYN with over a decade of experience in women's health. He earned his medical degree from the New York College of Osteopathic Medicine and completed his residency at Jersey City Medical Center. He currently practices medicine in northern New Jersey, specializing in comprehensive obstetric and gynecological care. He is affiliated with Holy Name Hospital in addition to the Hackensack Meridian Health and Atlantic Health networks. Dr. Jinadu has been featured on the Hot and Bothered Podcast, discussing the economic impact of women's health issues. He serves on the boards of the New Jersey Partnership for Maternal Health and Seleni, a nonprofit focused on maternal mental healthcare and clinician education. His dedication to patient care and medical education highlights his commitment to advancing women's health.  Show Highlights: Dr. Manzella's perspective on giving patients the bad news that becomes a “flashbulb moment” in their lives, based on how they are cared for Dr. Jinadu's perspective on delivering the very best news—and the very worst news Understanding that people connect with different doctors in different ways, especially when there has been a tragic loss Establishing trust and rapport with compassion and understanding A definite shift in medical care to emphasize the hospitality aspect of patient care, rather than simply delivering data and treatment options Mental health IS healthcare. The long-term effects of perinatal bad news and the loss of hopes and dreams Reaching out with humanity as a physician in pivotal moments Dr. Jinadu's thoughts about the impact of loss on a partner Dr. Manzella's work with couples in grief and loss A patient's perspective on how they wish to be treated in grief and loss The doctors' perspectives on patients using AI, Google, and social media for medical care Key takeaways from Dr. Manzella and Dr. Jinadu  Resources: Connect with Seleni, Seleni Instagram, Dr. Jinadu Instagram, Dr. Jinadu Creative Tyde, and Dr. Jinadu LinkedIn Call the National Maternal Mental Health Hotline at 1-833-TLC-MAMA or visit cdph.ca.gov Please find resources in English and Spanish at Postpartum Support International, or by phone/text at 1-800-944-4773. There are many free resources, like online support groups, peer mentors, a specialist provider directory, and perinatal mental health training for therapists, physicians, nurses, doulas, and anyone who wants to be more supportive in offering services.  You can also follow PSI on social media: Instagram, Facebook, and most other platforms Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! If you are a California resident looking for a therapist in perinatal mental health, email me about openings for private pay clients! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Do you feel people are manipulating or using you because of your bipolar disorder diagnosis? If that question hits a nerve, this podcast episode is for you. When a listener emailed us because they felt they were being exploited due to their diagnosis, hosts Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a licensed psychiatrist) dove headfirst into a frank conversation about loneliness, control, and the messy reality of potentially unequal relationships. Gabe shares personal stories of how a friend used his desire for connection to get what they wanted — free tickets, emotional labor, and more — while giving little in return. Dr. Nicole helps unpack how mental illness can cloud your ability to spot toxic dynamics until it's too late. Together, they explore what it really means to set boundaries, recognize red flags, and take your power back without beating yourself up for what you allowed in the past. You'll learn how to rebuild your life with real friends, regain your self-worth, and protect your peace — one boundary at a time. If you've ever looked around and wondered, "Why do I feel like I'm the only one giving?" and wondered if you are being taken advantage of due to a bipolar diagnosis — listen now. “The real reality is I've lost friends for all kinds of reasons. Because I've switched jobs, because I've moved, because I'm no longer in high school, because I've outgrown them. The number one reason, honestly, is because I don't have children. And many of my friends went on to have kids. When you live with bipolar disorder, you tend to think that the only reason that you lose people is because of bipolar disorder. And I don't think that serves us. I think maybe a better way to look at it is, you know, when you were sick, these were your friends. But as you reached recovery, as you got better, you made different friends because your situation changed. And I think that's much healthier than saying, well, bipolar disorder cost me all my friends.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Better Buildings for Humans, host Joe Menchefski is joined by Karen Parzych, architect at The SLAM Collaborative, to explore the fascinating world of medical education facility design. Karen shares insights from her experience designing over 50 health science buildings across the U.S., focusing on how thoughtful architecture supports rigorous learning, simulation-based training, student well-being, and even interprofessional collaboration. The conversation highlights real-world examples like the College of Osteopathic Medicine at Duquesne University, where building design fosters community, flexibility, and future-proofed technology. From creating spaces for virtual anatomy and 3D printing to designing for quiet reflection and mental health, Karen reveals how these facilities serve as both training grounds and memory machines. This is a deep dive into how architecture can shape the next generation of healthcare professionals—and the future of medicine itself.More About Karen ParzychKaren Parzych is a Principal at The S/L/A/M Collaborative (SLAM) and serves as the firm-wide Higher Education National Market Leader with expertise in Medical and Health Sciences Education. Passionate about making the world a better place by creating spaces that bring people together, she has contributed to the design innovation of notable projects across the continental US. She specializes in medical, nursing, and health professions higher education facilities including the programming, planning, and detailing of inter-professional immersive simulation suites, active learning classrooms, anatomy labs, and student life spaces. With this deep understanding of unique design requirements, Karen helps institutions develop spaces to serve the current and future needs of the ever-evolving landscape of health sciences education. She holds a Bachelor of Architecture from Virginia Tech with a Minor in Leadership & Social Change, and is a professional member of AIA, NCARB, the Society for College and University Planning (SCUP), and the Society for Simulation in Healthcare (SSH).CONTACT:https://www.linkedin.com/in/karen-glass-parzych-aia-45ba4311/ https://slamcoll.com/firm/profile/karen-parzych/ https://slamcoll.com/https://slamcoll.com/blog/wellness-focused-medical-school-design/ Where To Find Us:https://bbfhpod.advancedglazings.com/www.advancedglazings.comhttps://www.linkedin.com/company/better-buildings-for-humans-podcastwww.linkedin.com/in/advanced-glazings-ltd-848b4625https://twitter.com/bbfhpodhttps://twitter.com/Solera_Daylighthttps://www.instagram.com/bbfhpod/https://www.instagram.com/advancedglazingsltdhttps://www.facebook.com/AdvancedGlazingsltd

Get the book, “Sleep Apnea: The 21st Century Epidemic,” for FREE here: https://www.alluremedical.com/books/Only 1 in 5 people know they have sleep apnea, and just 1 in 3 are getting treated for it.In this episode, Dr. Charles Mok explores the hidden epidemic of sleep apnea as outlined in his book, “Sleep Apnea: The 21st Century Epidemic,” and offers a detailed overview of the innovative treatments available in his clinic.Dr. Mok defines sleep apnea, explains how it is measured, and shares compelling studies linking untreated sleep apnea to reduced longevity and increased risk for Alzheimer's disease.He describes sleep apnea as a “hidden disease” affecting millions unknowingly and introduces non-surgical treatment options, including NightLase and ApneaLase.He also emphasizes the importance of early screening, reminding listeners that detection and treatment now are far more cost-effective than managing long-term health consequences later.Tune in to Inside The Cure Podcast — Sleep Apnea: The 21st Century EpidemicSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Book your first NightLase session with Allure Medical.https://www.alluremedical.com/services/nightlase-snoring-treatment/  Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

***For 20% off your Solstice order, use code ABOVEANDBEYOND*****A note from Dr. Lewellis: We encountered a number of recording difficulties during this episode, which resulted in a mild echo and some transitions that can be hard to follow. My wonderful editing team did an excellent job cleaning and patching things up, but I do want my audience to be aware of it. I apologize in advance, and thanks as always for listening!**Episode 058 | Brett  Ozanich, DO, FAAD is a Board Certified Dermatologist and Micrographic Dermatologic Surgeon at Epiphany Dermatology in El Paso, Texas. He performs approximately 1500 Mohs cases per year as well as providing medical and cosmetic dermatology services.  In April of 2024, Brett and his wife, an anesthesiologist, conceptualized a skin-focused line of beverages that they named Solstice. In 2025, Solstice came to market with a glow-up in a can. Packed with powerhouse ingredients like polypodium leucotomos, zinc, niacinamide, and vitamins A, C, D, Solstice works in harmony with sunscreen and other sun protective measures to shield your skin from the inside out. Whether you're starting your day with the vibrant “Let's Glo” or winding down with the relaxing “After Hours,” every sip is designed to help you feel radiant and ready to shine.Dr. Ozanich received his Doctor of Osteopathic Medicine at Kansas City University of Medicine & Biosciences and completed Dermatology Residency at San Antonio Military Medical Center. He is a fellow of the American Academy of Dermatology (AAD) and the American Society of Mohs Surgery (ASMS), as well as an active member of the American Society of Dermatologic Surgery (ASDS), the Texas Dermatologic Society (TDS), and the Texas Medical Association (TMA). He is actively involved in medical student and physician-assistant student education as well as research/clinical trials.Dr. Lewellis does not have an ownership stake in Solstice to declare, and Solstice did not provide financial or other support for this episode, which was recorded on March 21st, 2025.Connect with and learn from Dr. Ozanich and SolsticeDr. Brett Ozanich at Epiphany DermatologySolstice — Drink Up. Glo Up.Solstice on InstagramMore from Dr. Lewellis and Above & Beyond DermatologyNeed a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at drlewellis@aboveandbeyondderm.com if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois, Nebraska, and Colorado.Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.Above & Beyond DermatologyNutrafol -- special pricing and physician exclusive productsNeoGenesis -- my favorite source of stem cell released molecules for skin/hairSilagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)NewsletterLinkedInFacebookDr. Lewellis on InstagramAbove & Beyond Dermatology on InstagramYouTubeTikTokTwitter/XChange Your Mind, Change Your LifeSoMeDocs (Doctors on Social Media)Pippa!

Send us a textD.O.'s are complete physicians in the US, but what happens if you go to another country?  This DO went to school in America, did residency and now is practicing in Canada?  How do you do that? Can you prescribe medications? Can you do OMM? How do patients think of Osteopathic Medicine up north?  Listen and find out!

Book your Botox and Xeomin sessions with Allure Medical.https://www.alluremedical.com/services/botox-2/ Can different neurotoxins be used interchangeably for better results?In this episode, Dr. Charles Mok shares how his practice utilizes Botox and other available neurotoxins to achieve optimal outcomes in facial enhancement.He walks us through the history of Botox in aesthetic medicine and explores the various FDA-approved neurotoxins on the market, including Dysport, Xeomin, Jeuveau, and Daxxify.Dr. Mok explains the differences in spread, precision, and effectiveness among these options, as well as which treatments they most often recommend to patients. He also introduces the concept of dose duration curves and how it factors into their preferred treatment strategies.Tune in to Inside The Cure Podcast — Botox: Which Toxins To Use?Subscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

ADHD and other brain-based conditions such as depression, autism, and even schizophrenia are increasingly understood as inflammatory disorders of the brain—deeply rooted in the complex interplay between genetics, environment, and lifestyle. Many individuals go undiagnosed for years, internalizing harmful labels like “lazy” or “difficult,” until the weight of unaddressed symptoms finally becomes too much. But there is hope: Functional Medicine offers a radically different approach by uncovering and addressing root causes such as nutritional deficiencies, gut microbiome imbalances, food sensitivities, toxin exposures, and lifestyle factors. Stories of transformation emerge when these root drivers are corrected—children once labeled disruptive begin to thrive, adults regain focus and emotional balance, and families find relief. This emerging paradigm offers not just symptom management but the possibility of genuine healing through personalized, whole-body care. In this episode, I discuss, along with Dr. George Papanicolaou and Dr. Jaquel Patterson, how ADHD and other mental health challenges are often rooted in inflammation and imbalances in the body—and how addressing diet, lifestyle, and root causes can lead to real healing. Dr. Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is Board Certified in Family Medicine from Abington Memorial Hospital. Over time as the healthcare system made it harder for patients to receive personal care, Dr. Papanicolaou decided a change was needed. He began training in Functional Medicine through the Institute of Functional Medicine. In 2015, he established Cornerstone Personal Health—a practice dedicated entirely to Functional Medicine. In August 2017, I invited Dr. Papanicolaou to join The UltraWellness Center and we've been successfully helping people together ever since. Dr. Jaquel Patterson is a nationally recognized naturopathic physician, success coach, three-time Amazon bestselling author, and Forbes contributor. She owns a successful medical practice, Fairfield Family Health in Connecticut, and brings over 16 years of clinical experience, specializing in Lyme disease, autoimmune conditions, integrative psychiatry, and environmental medicine. A sought-after speaker, Dr. Patterson has been featured in USA Today, New York Magazine, and Forbes, and on CBS, Fox, NBC, and ABC. She's the past president of the American Association of Naturopathic Physicians and currently serves on the board of the American Academy of Environmental Medicine. Certified by the Institute for Functional Medicine (IFM), she's also completed a fellowship in functional medicine with a focus on psychiatry and ADD/ADHD. In addition to her naturopathic medical degree, Dr. Patterson holds an MBA in Healthcare Management from Quinnipiac University and an undergraduate degree from Cornell University. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here:Why ADHD Is Not A Psychiatric Disorder Or Brain Disease What's Fueling Our Mental Health Crisis and How Can We Fix it? 7 Strategies To Address ADHD

You can be living in a storm and swear it's a sunny day. That's what it's like when insight slips away. In this episode, Dr. Nicole (board certified psychiatrist) and Kit Wallis (lives with schizoaffective disorder) explore why people with serious mental illness, like bipolar disorder, often can't see their own symptoms — even when the evidence is undeniable. Dr. Nicole unpacks the science behind lack of insight and explains how it isn't all-or-nothing. Insight flickers, evolves, and sometimes disappears just when you need it most. From Kit's early experiences hearing voices (and assuming they were just a creative mind) to the manic episodes that shattered her reality, you'll hear firsthand how denial and confusion can coexist. Discover why antipsychotic medications didn't convince Kit the voices weren't real, why manic highs feel too good to question, and why telling someone “you're sick” rarely makes them believe it. If you've questioned why it's so hard to see bipolar symptoms in yourself or a loved one, this conversation will open your eyes to the hidden forces behind denial — and acceptance. Cold Open Transcript: Kit Wallis: It took me years to figure out I was hallucinating. And the voices hated it whenever I did that. They were like, don't do that, don't research us, don't do that. Looking back on it, it doesn't make sense, but in the moment, it made perfect sense to me. It's kind of wild to me that I can go through all this effort to really figure out what is going on and I still have moments where it just completely slips my mind. It still slips my mind when it is happening most of the time. We have a guest host for this episode (Don't worry, Gabe Howard will be back!): Our guest host, Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dean's Chat hosts, Drs. Jeffrey Jensen and Johanna Richey, welcome Dr. Alex Kor to the podcast!   Originally from Terre Haute, Indiana, Dr. Alex Kor is the son of two Holocaust survivors (Michael and Eva Mozes Kor).  He has a B.S. in Chemistry from Butler University and a M.S. in Exercise Physiology from Purdue University. He received his D.P.M. (Doctor of Podiatric Medicine) from the Scholl College of Podiatric Medicine in Chicago.  This episode is sponsored by the American Podiatric Medical Association! Dr. Kor is a full-time podiatrist for Hendricks Regional Health in Danville , Indiana, and is a Clinical Assistant Professor for Marian University College of Osteopathic Medicine.  He is Board-Certified in Foot Surgery by the American Board of Foot and Ankle Surgery, a Fellow and Past President of the American Academy of Podiatric Sports Medicine, and is the Team Podiatrist for Butler University athletics in Indianapolis, IN.   Knowing the importance of being the son of two Holocaust survivors who have both passed away in the last 5 1/2 years, Alex feels an obligation to tell their stories.  Since 1985, he has traveled to Auschwitz more than twenty times with his late mother. He is a member of the CANDLES Holocaust Museum and Education Center Board of Directors and assisted in establishing an exhibit (Eva Kor from Auschwitz to Indiana) to honor his mother in downtown Indianapolis at the Indiana Historical Society.  His new book, co-authored with Graham Honaker, “A Blessing, Not a Burden” which chronicles his parents' lives as well as how they positively impacted Dr. Kor is now available.  Enjoy this discussion with Dr. Kor, an incredible episode!

This recording features audio versions of August 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Transarterial Embolization for Pulmonary Arteriovenous Malformation: A Systematic Review and Meta-Analysis ReadTransperineal MR Imaging–Guided Prostate Biopsy: A Prospective Randomized Controlled Study on Safety and Effectiveness Compared with Transrectal Biopsy ReadHistopathologic Response and Oncologic Outcomes after Segmental and Subsegmental Transarterial Chemoembolization and Radioembolization for Hepatocellular Carcinoma ReadClinical Effectiveness and Safety of Radiofrequency Ablation Combined with Percutaneous Osteoplasty in the Management of Pubic Skeletal Metastases ReadSingle-Center Experience of Portal Vein Recanalization and Transjugular Intrahepatic Shunt Placement in Patients with Portovisceral Thrombosis ReadTransjugular Splenocaval Shunt Creation for the Treatment of Portal Vein Cavernous Transformation with Recurrent Variceal Hemorrhage ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.Host· Sonya Choe, University of California Riverside School of MedicineAudio editor· Sanya Dhama, University of California Riverside School of MedicineOutreach coordinator:· Millennie Chen, University of California Riverside School of MedicineAbstract readers:· Emily Jagenburg, Oakland University William Beaumont School of Medicine· Shobhit Chamoli, Armed Forces Medical College, Pune, India· Char Rai, Western University of Health Sciences College of Osteopathic Medicine· Andrea Serrato,  University of California Riverside School of Medicine· Andrew Sasser, University of Miami Miller School of Medicine, Florida· Ipek Midillioglu, Western University of Health Sciences, College of Osteopathic Medicine, California Read more about interventional radiology in IR Quarterly magazine or SIR's Patient Center. Support the show

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/From emergency medicine to regenerative care, how did it all begin?In this episode, Dr. Charles Mok shares the story behind his journey in medicine and what inspired him to build his own practice.He reflects on his early years working in the emergency room and the pivotal decision to transition into regenerative medicine. In November 2003, he opened what was then known as Allure Medical Spa, with a mission to innovate and personalize patient care.Dr. Mok discusses the treatments they've provided over the years, including groundbreaking work in varicose vein treatment, what he calls the “sick leg” business, and how their approach has helped bridge the gap between internal health and external wellness.Tune in to Inside The Cure Podcast — Redefining Patient-Centered Care with Regenerative MedicineSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

In this powerful episode, I sit down with Dr. Eric Fete, Founder of PrimeX, to unpack how modern environmental stressors—from toxins to chronic stress—are silently driving hormonal imbalances and metabolic dysfunction in so many of us. We dive deep into the science of muscle health, revealing how muscle acts as a vital endocrine organ that secretes beneficial myokines, boosts longevity, supports fat loss, and protects overall health. Together, we explore the cutting-edge role of peptide therapies—not just for athletes and weight loss, but also for neurodegenerative disease prevention—alongside tried-and-true strategies like creatine and foundational supplements. The conversation wraps with actionable insights on optimizing testosterone, mastering your sleep, and fueling your body with nutrient-rich, performance-supportive foods. Whether you're an athlete, a clinician, or simply committed to living with vitality, this episode is packed with takeaways you won't want to miss. Key Takeaways: Hormonal Health Myths: Dr. Eric Fete addresses widespread misconceptions about women's hormones, touching on topics like PCOS, menopause, and the crucial role stress plays in hormonal imbalances. The Role of Muscle as an Endocrine Organ: Muscle produces myokines, which promote various bodily functions, including bone, brain, and gut health, aiding in fat loss and improving overall longevity. Peptide Therapy: The potential of peptide therapies for various health conditions is discussed, emphasizing their role in optimizing body composition and enhancing metabolic health. Testosterone Optimization: Dr. Fete outlines approaches to managing testosterone levels through lifestyle interventions, supplements, and, when necessary, medical treatments, tailored individually. Importance of Circadian Rhythm: The crucial link between proper sleep patterns, light exposure, and overall hormonal balance is highlighted, emphasizing practical strategies to improve sleep and reduce stress. More About Dr. Eric Fete:Dr. Eric Fete, DO is the founder of PrimeX, a nationwide health and performance company dedicated to preventive care, age management, and peak vitality. With a motto of “Learning from the past, living for today, transforming the future,” Dr. Eric helps clients optimize their health through personalized plans, nutrition, hormone therapy, and cutting-edge therapies. A graduate of Miami University (BA in Microbiology) and the Chicago College of Osteopathic Medicine, Dr. Eric holds advanced certifications in Age Management Medicine, Bioidentical Hormone Replacement Therapy, and Medical Peptide Therapy. He is also a member of the Seeds Scientific Research & Performance Institute. After years in emergency medicine, where he witnessed the toll of poor self-care and preventable disease, Dr. Eric shifted his career to focus on longevity and prevention. Through his practices and e-commerce platform, he has helped thousands of men and women nationwide improve hormone balance, reverse premature aging, enhance fitness, and regain vitality — inside and out.   Website PrimexWeightLoss Hormone Replacement Therapy Instagram Connect with me! Website Instagram Facebook YouTube This podcast episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile

Book your first Magic Lift session with Allure Medical.https://www.alluremedical.com/magic-lift/ What is the “stem cell magic lift,” and how can it help with facial aging?In this episode, Dr. Charles Mok explains the science and application behind the stem cell magic lift for patients experiencing facial aging, particularly those with a history of Botox and dermal fillers.He discusses the role of fat transfer to the face, how facial fat loss accelerates with age and sun exposure, and the advantages of stem cell or nanofat transfer. Dr. Mok also details the use of platelet-poor plasma and Platelet-Rich Plasma (PRP) as biological fillers to restore facial volume and structure. He highlights how these regenerative approaches contribute to long-term results, particularly with Bio-PRP.Tune in to Inside The Cure Podcast — Stem Cell Magic Lift for Facial AgingSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

You've received a new diagnosis of bipolar disorder. Now it's time to sharpen your survival toolkit. In part two of this essential series, Gabe Howard (Lived Experience) and Dr. Nicole Washington (Board Certified Psychiatrist) dive straight into the signals you can't afford to miss: the subtle shifts in sleep, mood, and behavior that whisper “episode incoming.” Learn why tracking your patterns today becomes your superpower tomorrow, and how a simple “chain analysis” can turn hindsight into foresight. With candid humor, real‑world examples (yes, Taco Bell may factor in), and expert guidance, this episode transforms “How did I miss that?” into “I can see it coming—and I'm ready.” Press play and empower yourself with the roadmap that turns panic into proactive action. (Link to the first episode: New Diagnosis? All the Basics Unlocked (Part 1 of 2)) Cold Open Transcript: Dr. Nicole You have to be honest with us about everything, including, as Gabe so eloquently put it, getting your freak on. Gabe: Getting your freak on. Getting your freak on. Dr. Nicole: You gotta tell us. Gabe: It's the number one reason that people stop taking their meds. Dr. Nicole: Yes, yes, yes. Gabe: And they always report to me I just stopped taking my medicine because I couldn't get an erection. Because my libido was down. You know, the sex didn't feel as good. I couldn't achieve orgasm. So I just Dr. Nicole: Yeah. Gabe: Stopped taking my medicine. And I don't want to tell my Dr. Nicole that. Dr. Nicole: Yeah. Because she's an old lady. Because she's Gabe: Yeah. Dr. Nicole: An old lady. She's the same age as my mom. I can't talk to her about sex. Gabe: Yeah, yeah. I hear that all the time. All the time. Number one reason. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dublin stands at a pivotal moment in its development journey as City leadership works to implement the Envision Dublin Community Plan. At the heart of this transformation lies the West Innovation District—our western gateway and the largest tract of undeveloped land remaining in our city.The proposed rezoning of 370 acres within this district represents both opportunity and responsibility. Having evolved over two decades from the Economic Advancement Zone to hosting institutions like Ohio University's College of Osteopathic Medicine, Nestle Quality Assurance Center and OSU Wexner Medical Center, this area is poised for thoughtful growth that supports Dublin's economic future while respecting community character.Our planning process balances multiple priorities: private property rights for landowners (many who've held their land since the 1970s), economic development needs to attract high-growth employers who strengthen our tax base, and questions about traffic, infrastructure and land use compatibility. This balancing act doesn't happen by accident—it's the result of meticulous planning, multiple layers of review and genuine community engagement. Any development following rezoning would undergo Dublin's thorough review process that has consistently delivered the high-quality projects our community expects. Our transportation planning looks ahead to 2050, ensuring infrastructure keeps pace with growth before development occurs.City Council has extended the rezoning ordinance hearing process to gather additional community input, with another reading scheduled for August. This approach mirrors successful processes used for transformative projects like the Bridge Street District and The Corners development.Join the conversation at DublinOhioUSA.gov/west-innovation-district-rezoning/ where you'll find FAQs and resources or attend upcoming community conversations throughout July. Share your thoughts through the "We're Listening" button—because the best solutions emerge when we work together.

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/Can conventional therapy slow down or reverse Multiple Sclerosis?In this episode, Dr. Charles Mok provides an in-depth overview of what a patient consultation for Multiple Sclerosis (MS) typically involves under his care.He discusses the two major types of multiple sclerosis, the potential role of stem cell therapy, and the reasons many patients turn to conventional treatments.Dr. Mok also explores emerging drug therapies aimed at managing MS symptoms, the significance of impaired blood-brain and bowel-blood barriers, and how low sex hormone levels may influence the progression of the disease.Tune in to Inside The Cure Podcast — The Standard Care for Multiple SclerosisSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ #MultipleSclerosis #MSTreatmentOptions #AutoimmuneDisease

From painless hematuria to paraneoplastic syndromes, GU cancers can get overwhelming very quickly. Fortunately, OMS3 Angelica Batholomew from Ohio University Heritage College of Osteopathic Medicine in Cleveland will make this topic much easier!

From painless hematuria to paraneoplastic syndromes, GU cancers can get overwhelming very quickly. Fortunately, OMS3 Angelica Batholomew from Ohio University Heritage College of Osteopathic Medicine in Cleveland will make this topic much easier!

Shop for your skin care essentials here.https://store.alluremedical.com/A brighter, more youthful complexion: Can it really be achieved in just 3 months?In this episode, Dr. Charles Mok shares the essential post-Botox skincare routines that can significantly enhance and prolong youthful results.Dr. Mok discusses the importance of professional-grade skincare, the four skin care essentials everybody should be doing, and how to apply them effectively. He also introduces sirolimus (rapamycin), a compound with promising potential to slow down—or even reverse—visible signs of skin aging. Finally, he explains why investing in a proper skincare regimen is critical for those considering laser treatments.Tune in to Inside The Cure Podcast — The Post-Botox Skin Care Routine to Boost ResultsProducts Mentioned:Radiant-C Cream - https://store.alluremedical.com/radiant-c-cream Tretinol® Serum .50% - https://store.alluremedical.com/tretinol-serum-50 Tretinol® Serum 1% - https://store.alluremedical.com/tretinol-serum-1 EvenTone Pads 8% Age Defense - https://store.alluremedical.com/eventone-pads-8 EvenTone Pads 6% Age Defense - https://store.alluremedical.com/eventone-pads-6 EvenTone Pads 4% Age Defense - https://store.alluremedical.com/eventone-pads-4 Eye Rescue - https://store.alluremedical.com/eye-rescue Subscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?r

Imagine hearing, “You have bipolar disorder,” and feeling the ground drop out from under you. That moment of shock and confusion is the very reason we made this episode. Join Gabe Howard (lived experience) and Dr. Nicole Washington (board certified psychiatrist) as they transform that initial overwhelm into a powerful first step. In this episode, you'll discover the essential truths no one tells you when you get a new diagnosis: why bipolar is a lifelong journey (yes, it's more like diabetes than a short-term infection), how to sort gold standard science from Reddit rumors, and why medications — while not magic — can be game‑changers when wielded wisely. Whether you're fresh off your diagnosis or need a foundational refresher, press play and arm yourself with the knowledge, skills, and community wisdom that can turn this new chapter into your strongest one yet.  “When it comes to bipolar disorder, I caution you against answer shopping. It only hurts you when you believe incorrect information.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England.To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Book your Hormone Replacement Therapy with Allure Medical.https://www.alluremedical.com/services/hormone-replacement-therapy-women/ Could low testosterone be the missing piece in understanding women's health during midlife and beyond?In this episode, Dr. Charles Mok talks about low testosterone in women—its indications, symptoms, and the treatment options available to patients.He discusses the relationship between testosterone and estrogen in women, particularly during perimenopause and menopause, and reviews the history of hormone replacement therapy. Dr. Mok also shares modern approaches to managing low testosterone and the specific procedures offered at their clinic.Tune in to Inside The Cure Podcast — Low Testosterone in Women: Symptoms and What to Do About ItSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression.  In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics.  Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri.  It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. 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.

Working with people with substance use disorders means working with the person's whole self, body, mind, spirit, and environment. Dr. Sarah Nasir talks about her holistic approach to addiction medicine and the challenges that underserved populations face in getting the help they need to discover their whole selves. Dr. Nasir is a dual board-certified family medicine physician with a sub-specialty in addiction medicine. An alumna of UC Davis, she majored in Biological Systems Engineering and later pursued her passion for medicine at the West Virginia School of Osteopathic Medicine. Currently, as the medical director at a methadone clinic, Dr. Nasir specializes in treating patients with opioid use disorders. She founded several holistic wellbeing-focused startups, including Tripti-v, Transcendant You, and the nonprofit Pacific Oasis Foundation. Dr. Nasir's work and links can be found at https://www.facebook.com/sarahnasirdo/ The views and opinions of the guests on this podcast are theirs and theirs alone and do not necessarily represent those of the host or Westwords Consulting. We're always interested in hearing from individuals or organizations who are working in substance use disorder treatment or prevention, mental health care and other spaces that lift up communities. This includes people living those experiences. If you or someone you know has a story to share or an interesting approach to care, contact us today! Follow us on Facebook, LinkedIn, and YouTube. Subscribe to Our Email List to get new episodes in your inbox every week!

Book your Semaglutide injections session with Allure Medical.https://www.alluremedical.com/services/semaglutide-weight-loss/ Can semaglutide and hormone replacement therapy (HRT) be used hand-in-hand for weight loss?In this episode, Dr. Charles Mok walks us through the effectiveness of semaglutide and hormone replacement therapy in supporting medical weight loss.He explains how semaglutide, a GLP-1 receptor agonist, can aid individuals with diabetes in managing weight and examines the connection between obesity and diabetes. He also discusses optimal dosing, strategies to increase effectiveness, and whether hormone replacement therapy contributes to weight loss when used with GLP-1.Tune in to Inside The Cure Podcast — Semaglutide and Hormone Replacement Therapy For Weight LossSubscribe to Inside the Cure on Apple Podcasts and leave a 5-star review! https://podcasts.apple.com/us/podcast/inside-the-cure-with-dr-charles-mok/id1495870043?uo=4Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

In this female-centric episode, board certified psychiatrist Dr. Nicole Washington welcomes mental health advocate Kit Wallis, who lives with schizoaffective disorder, for a fearless “girl power” takeover. Kit shares raw stories of being dismissed, sexualized, and romanticized simply for being a woman with a serious mental health diagnosis — and how one doctor's simple question, “What is it like for you?” completely changed her care. Together, they pull back the curtain on the “crazy girl” trope, explore why stability truly is the new sexy, and celebrate the radical act of being heard. You'll learn how gender bias sneaks into clinical decisions — from medication adjustments to life-altering procedures — and discover practical tools for reclaiming agency: setting boundaries, understanding transference in therapy, and advocating for respectful, person-centered care. Tune in and join Dr. Nicole and Kit for an uplifting, eye-opening discussion, because when women speak, real change happens.  We have a guest host for this episode (Don't worry, Gabe Howard will be back!) Our guest host, Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show!Things to expect in this episode:We're in Denver, CO at the AACOM Educating Leaders Conference! We talk about our responses during the first-ever panel dedicated to Dr. Meta Christy, the first Black Doctor of Osteopathic Medicine. We're partnering with locumstory.com on a special campaign this year. We give you a brief rundown of the common questions that are answered on their platform.Dr. Renée recaps her answer on the panel about what medical school leaders need to know about pre-meds.Dr. Nii rounds it out with his response to “what's the biggest issue facing docs financially?”WE WANT TO HEAR FROM YOU!!!! TELL US WHAT YOU WANT TO HEAR ON FUTURE EPISODES!!!!FILL OUT THE DOCS OUTSIDE THE BOX PODCAST SURVEY (in partnership w INCROWD)WATCH THIS EPISODE ON YOUTUBE!https://www.youtube.com/drniidarko  Join our communityText text word PODCAST to 833-230-2860 Twitter: @drniidarkoInstagram: @drniidarkoEmail: team@drniidarko.com Podcasting Course: www.docswhopodcast.comMerch: https://docs-outside-the-box.creator-spring.comThis episode is sponsored by Locum Story. Learn how locum tenens helps doctors make more and have the lifestyle they deserve!. Check them out at www.locumstory.com

Book your regenerative solutions with Allure Medical: https://allureregenerative.com/schedule-an-appointment/ Can stem cell therapy make knee replacement surgery optional in the future?In this episode, Dr. Charles Mok explores the potential of stem cell therapy to make knee replacement procedures obsolete.Dr. Mok discusses regenerative therapies for joint health, including Platelet-Rich Plasma (PRP), Platelet-Rich Fibrin (PRF), and stem cell treatments.He examines how joint replacement can restrict physical activity, highlighting the promising effects of stem cell therapy for managing arthritis, enhancing longevity, and improving health span.He also touches on recent medical breakthroughs, such as the ability to generate embryonic stem cells from a patient's own skin.Tune in to Inside The Cure Podcast — How Stem Cell Therapy Can Make Knee Replacement ObsoleteSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Today on MetroNews This Morning:--USDA has questions about West Virginia's SNAP waiver request--WV School of Osteopathic Medicine has concerns about the "Big Beautiful Bill"--A disability rights advocate calls on the state to address problems with state run hospitals--In Sports: The high school baseball tournament starts today in Charleston

Book your first Hormone Replacement Therapy session with Allure Medical.https://www.alluremedical.com/services/hormone-replacement-therapy-men/ Low testosterone is a global public health concern—and billions of dollars in healthcare costs are wasted by not treating it.In this episode, Dr. Charles Mok explores the science behind low testosterone and outlines the nine key resolutions from the international consensus developed by leading medical experts on testosterone deficiency and its treatment.For men experiencing symptoms, he highlights the resolutions, including how testosterone deficiency impacts quality of life, increases all-cause mortality, and how treatment should be provided regardless of the underlying cause.Dr. Mok also discusses how testosterone therapy can enhance both healthspan and lifespan, emphasizing that there is no specific age threshold for treatment.Tune in to Inside The Cure Podcast — The Science Behind Low TestosteroneSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

What if a secret weapon in managing bipolar disorder isn't a new medication or a breakthrough therapy — but a brisk 20-minute walk? In this refreshingly honest and hilariously relatable episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington take on the least talked about pillar of bipolar stability: lifestyle management, and more specifically, exercise. During a recent bout of depression, Gabe's doctor “tricked” him into walking daily by describing it like a miracle pill. Spoiler alert: It kind of was. At first, Gabe thought the idea sounded like a total scam — and he didn't even own sneakers. (His first walks were in Doc Martens.) But over the past year, daily walks have become part of his recovery. In this episode, Gabe opens up about what finally got him moving, why he stuck with it, and how something so simple ended up making a real difference. Dr. Nicole, a self-proclaimed workout hater, shares why she still encourages her patients — and herself — to move, even when it's the last thing they want to do. From the science behind short daily walks to the mental health benefits for people managing bipolar disorder, Gabe opens up about what finally got him moving, how it changed his mindset, and why the smallest step forward can sometimes shift everything. "When somebody first mentioned going for a walk for bipolar disorder I thought what is this new age garbage? Like, I live with a serious and persistent mental illness. Going for a walk is not going to do anything. But I gotta tell you, I was wrong. Look, I'm not saying that it cures bipolar disorder. But I can say that it helps manage my moods." ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Wonderful conversation about health in all the ways, including inconceivable concepts - join me for this episode with Dr. John Lucas and discover how osteopathy actually is all around and presence in Chicago is expanding! John Lucas, DO, is the Founding Dean and Chief Academic Officer for the Illinois College of Osteopathic Medicine (IllinoisCOM) at The Chicago School. Joining in 2023, he leads efforts to develop and operationalize the college in Chicago, IL. Previously, Dr. Lucas held senior roles at Edward Via College of Osteopathic Medicine (VCOM), including Senior Vice President for institutional advancement and Interim Campus Dean, where he oversaw strategic initiatives, graduate medical education, and clinical operations. He also led ViaSTAR, VCOM's subsidiary for intellectual property and simulation outreach. A board-certified emergency medicine physician, Dr. Lucas has extensive clinical and administrative experience, including directing education and residency programs. He built 21 residency training programs as Division Vice President of graduate medical education at HCA Healthcare. Dr. Lucas earned his BS in psychology/biology from James Madison University, where he played football, and his DO degree from Lake Erie College of Osteopathic Medicine, completing his residency at Lehigh Valley Health System.

Book your regenerative solutions with Allure Medical: https://allureregenerative.com/schedule-an-appointment/ Support degenerative arthritis without having to undergo surgery.In this episode, Dr. Charles Mok discusses regenerative treatment options for degenerative arthritis, with a particular focus on platelet-rich plasma (PRP) and stem cell therapy.Dr. Mok walks through the role of platelets in stimulating tissue repair, outlines the commonly used types of stem cells, and explains the unique benefits of each therapy.He also explores the processes behind PRP and stem cell treatments, including how stem cells are harvested and banked, and how these approaches may help patients avoid the need for surgery.Tune in to Inside The Cure Podcast — PRP vs. Stem Cells: Which Regenerative Therapy Is Right for You?Subscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Imagine being fully awake, yet your body refuses to respond — a terrifying state where time seems to warp as you stand paralyzed. In this riveting episode, we dive deep into the elusive world of catatonia as it intersects with bipolar disorder. Drawing from special guest host Kit Wallis's (SchizoKitzo's) firsthand experiences, including moments of being physically “frozen” while fully aware, this episode unpacks the surprising complexities behind catatonia. Listeners will gain a clear and compassionate understanding of the three distinct presentations as host Dr. Nicole Washington, a board certified psychiatrist, breaks down the symptoms and dispels common misconceptions, while Kit shares intimate details of how these episodes have disrupted her life and ultimately guided her toward better management of her mental health. Whether you are directly affected by bipolar disorder or seeking a deeper insight into its hidden facets, this discussion promises to be an enlightening journey into one of the most misunderstood aspects of the condition. We have a guest host for this episode (Don't worry, Gabe Howard will be back!): Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textIn this episode, Joe sits down with Lieutenant General Mary Izaguirre, the 46th Surgeon General of the U.S. Army and Commanding General of Army Medical Command, for a wide-ranging conversation on leadership, vulnerability, culture, and purpose. Drawing on over three decades of service, LTG Izaguirre shares hard-earned lessons on how to lead authentically and navigate professional complexity.Together, they discuss the evolving role of Army Medicine, the power of modeling vulnerability, and how intentionality—not balance—is the key to managing life's trade-offs. Joe and LTG Izaguirre cover:Why vulnerability is a leadership strength, not a weaknessHow leaders can model safety, trust, and curiosity within their teamsThe importance of asking the right questions—and being okay not knowing the answersHow trade-offs, not balance, define sustainable leadershipThe impact of journaling and reflection in high-responsibility rolesBreaking down the “us vs. them” mentality in large organizationsWhat Army Medicine's true mission is—and why it matters more than everWhether you're a leader in uniform, a parent navigating a demanding career, or someone wrestling with how to show up fully for both your mission and your people, this episode is packed with wisdom, candor, and practical insights.Lieutenant General Mary K. Izaguirre is the 46th Surgeon General of the U.S. Army and the Commanding General of Army Medical Command. A board-certified family physician and Fellow of the American Academy of Family Physicians, she brings over three decades of military and medical leadership to her role. LTG Izaguirre has held key command and senior staff positions across the Army and deployed in support of operations in Iraq and Afghanistan. She holds multiple advanced degrees, including a Doctor of Osteopathic Medicine, Master of Public Health, and Master in National Security and Resource Strategy. She and her husband, Joseph, are the proud parents of five children.A Special Thanks to Our Sponsors!Veteran-founded Adyton. Step into the next generation of equipment management with Log-E by Adyton. Whether you are doing monthly inventories or preparing for deployment, Log-E is your pocket property book, giving real-time visibility into equipment status and mission readiness. Learn more about how Log-E can revolutionize your property tracking process here!Meet ROGER Bank—a modern, digital bank built for military members, by military members. With early payday, no fees, high-yield accounts, and real support, it's banking that gets you. Funds are FDIC insured through Citizens Bank of Edmond, so you can bank with confidence and peace of mind. 

Is stress making your pain worse, or is your pain elevating your stress? What if the answer is both? This episode unpacks the powerful mind-body connection between chronic pain and mental health, bringing light to the invisible ways they interact. Because here's the truth: mental health and physical health are deeply connected; and when one suffers, the other often does too. In recognition of Mental Health Awareness Month, VSI Neurologist, Dr. Ella Akkerman, and Doctor of Osteopathic Medicine, Dr. Yash Mehta, dig into the hidden ways emotional experiences like burnout, anxiety, grief, and trauma don't just live in your head—they also echo throughout the body as tension, fatigue, migraines, chronic pain, and more.  Get ready to learn:  How emotional distress can speak through the body as physical pain Why so many people suffer in silence, and how to change the narrative What real, healing conversations between doctors and patients can look like Actionable ways to care for both your mind and body—starting today If you're living in pain that no one seems to understand, this conversation offers clarity and validation and will arm you with practical tools to take the next step.   The body keeps score, and recognizing that connection is the first step toward experiencing relief.  Listen now on Apple Podcasts, Spotify, or your favorite podcast app Watch the full episode  on YouTube.

This week on Health Matters, Courtney Allison is joined by Dr. Erica Eldon, physiatrist with NewYork-Presbyterian and Columbia.They discuss how our body builds strong and healthy bones, and what happens to our bones as they age—including why they can get brittle and contribute to things like breaks in hips or wrists, and even losing height in our spine.Dr. Eldon describes the key factors in maintaining bone health over time. She explains why it's especially important for women to incorporate resistance training into their self care, and offers some practical steps for everyone to take toward strong, healthy bones at every phase of life.___Dr. Erica Eldon, DO, is doctor of interventional spine care with NewYork-Presbyterian and Columbia. She specializes in treating patients with acute and chronic musculoskeletal and spine injuries. Dr. Eldon is board eligible in both Physical Medicine & Rehabilitation and Pain Medicine. She received her Doctorate of Osteopathic Medicine (DO) from Midwestern University-Arizona College of Osteopathic Medicine, underwent residency training in Physical Medicine and Rehabilitation at the Icahn School of Medicine at Mount Sinai Hospital where she also served as Chief Resident, and completed a multidisciplinary pain medicine fellowship at Weill Cornell/NewYork Presbyterian Hospital, Hospital for Special Surgery, and Memorial Sloan Kettering Hospital.___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

Can the appearances of Jesus be explained away as hallucinations? Two leading doctors offer a medical critique. Dr. Harold Koenig is one of the world's experts in the intersection of science, theology, and spirituality. He has written 575 peer-reviewed scientific journals and 55 books. Craig Fowler, M.D., is Professor & Chair of Surgery at the Campbell University School of Osteopathic Medicine. He has received both Best Doctor in America and US Top Ophthalmology awards.Duke University Center for Spirituality, Theology, and Health (https://spiritualityandhealth.duke.edu/)READ: Evidence that Demands a Verdict (https://amzn.to/3rtbGiP)*Get a MASTERS IN APOLOGETICS or SCIENCE AND RELIGION at BIOLA (https://bit.ly/3LdNqKf)*USE Discount Code [SMDCERTDISC] for $100 off the BIOLA APOLOGETICS CERTIFICATE program (https://bit.ly/3AzfPFM)*See our fully online UNDERGRAD DEGREE in Bible, Theology, and Apologetics: (https://bit.ly/448STKK)FOLLOW ME ON SOCIAL MEDIA: Twitter: https://twitter.com/Sean_McDowell TikTok: @sean_mcdowell Instagram: https://www.instagram.com/seanmcdowell/

Send us a textIn today's episode we have the pleasure of speaking to Dr. Anna Levy, D.O.   Dr. Levy is an oncologist who works in the very specialized area of liver related cancers.  Dr. Levy is Medical Director of Hepatobiliary Malignancies and the Hepatic Artery Pump Infusion Program, based at the R.J. Zuckerberg Cancer Center.   Dr Levy is  is Board certified in Internal Medicine, Hematology, and Medical Oncology.  She is  Assistant Professor of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health Medical School.  Dr. Levy earned her medical degree at the Lake Erie College of Osteopathic Medicine followed by an Internal Medicine Residency at the Christiana Care Health System and ultimately completed her fellowship in Medical Oncology and Hematology at the Long Island Jewish Medical Center.Dr. Levy will delve into the life of an oncologist and the difficulties treating very sick patients.  She will discuss the difficulties of work life balance and how her family and home life allow her to “keep her cup full."  Dr. Levy will discuss the problem of suicide, among physicians specifically among high stress professions such as Hematology/ Oncology.  Dr. Levy will share her journey which started as an emigre from the Ukraine.  She will tell us about her discovery of Osteopathic Medicine and how she developed a  love for oncology, a difficult and complex specialty.  Please join us in our discussion with this  remarkable physician. . . a discussion you won't want to miss!

Just 5 years ago, Oklahoma State University and the Cherokee Nation launched a first-of-its-kind medical school.  The College of Osteopathic Medicine at the Cherokee Nation is the first and only medical college to be founded on tribal land and linked to a native tribe. The school made history when its first graduating class of doctors received their degrees in May 2024.  Drs. Natasha Bray and Douglas Nolan are the Dean and Associate Dean of the school. They join us from Tahlequah, Oklahoma, where they are helping a new generation of doctors learn to provide critical care — especially in rural and tribal areas, which are facing a dire shortage of doctors.  During the show you'll also hear from Megan Tramel. She's a citizen of the Cherokee Nation and a student at the College of Osteopathic Medicine in Tahlequah. This month, in May 2025, she'll receive her degree and start the next phase of her journey as a doctor.  We invite you to share your feedback about this show with us on social media. We're @crazygoodturns on all of the platforms. Don't forget to subscribe or follow us on the podcast service of your choice. If you already subscribe, we'd really appreciate a 5-star review: https://podcasts.apple.com/us/podcast/crazy-good-turns/id1137217687 We appreciate you listening and sharing our episodes. Thank you! 

Have you ever felt the crushing weight of doubt when every day is a battle with your own mind? In this episode, Gabe (who lives with bipolar) and Dr. Nicole (a board certified psychiatrist) cut through the BS and get real about staying on track with bipolar treatment. They dive into moments when giving up seems like the easier option and Gabe recalls a painful wake-up call from a friend who wasn't holding back their anger — a moment that ignited a drive to prove everyone wrong. Dr. Nicole breaks down why even the smallest victories, like getting out of bed or planning a future getaway, can mean everything. With no sugarcoating, they explore the raw truth behind why fighting isn't just for the dark days — it's a constant, everyday challenge. This episode is for anyone who's ever wondered how to find the strength to keep moving forward when life feels overwhelming. “I did not want to lay down and die. My core philosophical values and belief systems is that this is all there is. Whatever I do with it, that's my life. That will be how I'm remembered. That is what people will see. Whatever joy or suffering or pain or happiness or success or laughter or connections, this is all there is. And if I just sit at home and do nothing, then I will just be remembered as the guy who sat at home and did nothing. And I don't want to be remembered that way.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disclaimer: Please check with your personal physician before embarking on a fasting plan. This is not meant for everyone, but on a case-by-case basis.   Learn more about INIM's Research Studies: https://www.nova.edu/nim/research-studies/index.html   In this episode, Dr. Jacqueline Junco chats with Pallavi Sethi, Founder of High Living Wellness, to explore the holistic path from healing to wellness. The discussion highlights the transformative potential of breathwork, meditation, and integrative wellness strategies in improving overall health and well-being.   Pallavi shares her insights into energy healing and emphasizes the critical role of holistic wellness in achieving lasting healing. She offers practical tips for cultivating balance in everyday life and explains the significance of physical movement and aligning with natural circadian rhythms.   The conversation also delves into the concepts of fasting and autophagy. Pallavi illustrates how mindful practices such as healthy eating, breathwork, humming, and intentional slowing down can support the body in reaching a state of holistic wellness.   Tune in to the Hope and Help for Fatigue and Chronic Illness Podcast – Transforming Health Through Holistic Wellness.   Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy   If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx     Pallavi Sethi is a compassionate meditation & yoga therapist and energy healer dedicated to nurturing your mind, body, and spirit. With a focus on holistic well-being, she offers personalized sessions that blend the ancient practices of transcendental meditation, Hindu meditation & yoga with modern healing techniques. She has successfully led transformative retreats in India, Dubai, and London, healing thousands of individuals physically and emotionally. Pallavi's approach not only makes powerful changes but also empowers each soul to embrace their true potential. Through deep connection and self-discovery, participants learn to release negative energy and cultivate resilience.   Instagram: https://www.instagram.com/highliving_pallavi/  LinkedIn: https://www.linkedin.com/in/pallavi-sethi-463431319/    Learn more about High Living Wellness: Website:  https://www.highlivingwellness.com/  Facebook: https://www.facebook.com/profile.php?id=61563856152411  Dr. Jacqueline Junco is the chair of the Integrative Medicine Program at the Institute for Neuro-Immune Medicine, an Assistant Professor at Dr. Kiran C. Patel College of Osteopathic Medicine, and an integrative medical physician with over 30 years of clinical experience. She is a medically trained doctor who is certified in acupuncture, Chinese herbology, and oriental medicine from the National Certification Commission for Acupuncture and Oriental Medicine. Her knowledge of Western medicine and natural alternatives creates a powerful combination of modern technology and ancient therapies that are used to treat a vast majority of health conditions.   Instagram: https://www.instagram.com/dr.jackiejunco_/   LinkedIn: https://www.linkedin.com/in/jackie-junco-775507162/    Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others.   Apple Podcasts: https://podcasts.apple.com/us/podcast/hope-and-help-for-fatigue-chronic-illness/id1724900423   Spotify: https://open.spotify.com/show/154isuc02GnkPEPlWfdXMT   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.   Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM   #HolisticHealth #IntegrativeWellness #FunctionalMedicine  

“Feeding my baby” is one of the top search topics on Google. On this special bonus episode, we cover the milestone stages of feeding - from baby's first moments to the toddler years - with Dr. Mona Amin, pediatrician, board certified lactation consultant and the founder of of PedsDocTalk. Whether it's breastfeeding, introducing solids or food allergies…it seems like every stage of feeding our kids comes with challenges and stress. Tune in as we explore all the common difficulties of each stage and offer great solutions!    Dr. Mona Amin / YouTube / FB / IG / TikTok Dr. Mona is a pediatrician, board certified lactation consultant, and the founder of PedsDocTalk, a global  platform with almost a million followers. A mom of two, her no-nonsense, “evidence-based” approach to child health has been featured in the New York Times, Parents Magazine and more.   Dr. Mona has been a practicing pediatrician since 2015 and an IBCLC (Certified Lactation Consultant) since 2021. She attended UCLA for undergraduate training, attended ATSU-SOMA medical school to become a Doctor of Osteopathic Medicine, and completed pediatric residency training at the Bernard and Millie Duker Children's Hospital in Albany, New York. You can also watch this podcast on YouTube / @munchkin and reach us at podcast@munchkin.com.  StrollerCoaster: A Parenting Podcast is created by Munchkin Inc., the most loved baby lifestyle brand in the world.  You can find all your favorite Munchkin products, including the new Flow Nipple Shield +, at https://www.munchkin.com.     Follow Munchkin on Instagram / Facebook / Pinterest / TikTok  Trees for the Future  

Dr. Gabrielle Lyon is a board-certified family physician and founder of the Institute of Muscle-Centric Medicine, emphasizing skeletal muscle for health and longevity. She holds a Doctor of Osteopathic Medicine and completed fellowships in nutritional sciences and geriatrics. Dr. Lyon advocates for high-quality protein diets, resistance training, and personalized wellness, serving diverse populations from elite military operators to health-conscious individuals. Her expertise has been showcased in Muscle and Fitness, Women's Health, and Harper's Bazaar. Dr. Lyon also hosts "The Dr. Gabrielle Lyon Show," a podcast covering health education and wellness with insights from various experts on nutrition, exercise, and mental well-being. She authored the New York Times best-selling book “Forever Strong: A New, Science-Based Strategy for Aging Well”. Through her YouTube channel and social media presence, Dr. Lyon inspires strength training and nutritional health prioritization. Her initiatives aim to encourage individuals to recognize strength training and nutrition as essential for a vibrant life. Shawn Ryan Show Sponsors: https://ShawnLikesGold.com | 855-936-GOLD #goldcopartner http://shopify.com/srs http://ziprecruiter.com/srs https://bunkr.life/ | Use Code SRS https://americanfinancing.net/srs NMLS 182334, nmlsconsumeraccess.org http://trueclassic.com/srs Upgrade your wardrobe and save on @trueclassic at trueclassic.com/SRS! #trueclassicpod https://prizepicks.onelink.me/LME0/SRS Dr. Gabrielle Lyon Links: Website - https://drgabriellelyon.com/ Instagram - https://www.instagram.com/drgabriellelyon/ Facebook - https://www.facebook.com/doctorgabriellelyon LinkedIn - https://www.linkedin.com/in/dr-gabrielle-lyon-00175a1a8/ YouTube - https://www.youtube.com/@drgabriellelyon Forever Strong - https://a.co/d/elVhCYi Please leave us a review on Apple & Spotify Podcasts. Vigilance Elite/Shawn Ryan Links: Website | Patreon | TikTok | Instagram | Download Learn more about your ad choices. Visit podcastchoices.com/adchoices