Podcasts about osteopathic medicine

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/ 

Patty Starr is president and CEO of Health Action Council and is responsible for driving the strategic direction of the organization--build stronger, healthier communities where business can thrive. Since joining the Health Action Council staff in 2013, she has transformed the organization yielding broad national expansion and seven consecutive years of growth.Patty is a member of the Advisory Board at the Heritage College of Osteopathic Medicine and the Board of Directors for Health Policy Institute of Ohio (HPIO). She has also served on the Board of Directors for the Better Health Partnership, Ohio Patient-Centered Primary Care Collaborative and Health Action Council before becoming executive director in 2013. In 2022, she was named a Woman of Influence by Cleveland Business Journal, and In 2018, she was named among Notable Women in Healthcare by Crain's Cleveland Business.  Prior to Health Action Council, she was the senior director of health insurance and benefits at the Council of Smaller Enterprises (COSE) and president and founder of The Ark Individual Insurance Brokerage. 

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/ 

In this episode, we talk with Dr. Olnita Martini, DO, and Dr.Danielle Duffle, DO. Dr. Martini and Dr. Duffle are recent graduates of Rocky Vista University College of Osteopathic Medicine and newly matched dermatology residents. The two began a social media page called Derm and Dermer to spread knowledge about medical school and dermatology and make people laugh along the way. Tune in to hear how it all began from Derm and Dermer themselves! We hope you enjoy! Learn More:Floating Doctors: https://floatingdoctors.comGlobal Medical Training: https://gmtonline.netInstagram: @derm_and_dermerTikTok: @derm_and_dermer Email: dermandermer25@gmail.com---DIGA Instagram: @derminterestToday's Host, George: @georgepapadeas---For questions, comments, or future episode suggestions, please reach out to us via email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠derminterestpod@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠---Music: "District Four" Kevin MacLeod (⁠⁠⁠⁠⁠⁠⁠⁠incompetech.com⁠⁠⁠⁠⁠⁠⁠⁠) Licensed under Creative Commons: By Attribution 4.0 License: ⁠⁠⁠⁠⁠⁠⁠⁠http://creativecommons.org/licenses/by/4.0

Book your Lipodissolve session with Allure Medical.https://www.alluremedical.com/services/lipodissolve-fat-reduction/ Ready to melt away stubborn fat without going under the knife?In this episode, Dr. Charles Mok dives into Lipodissolve, a non-surgical fat reduction procedure that uses medication to permanently target and dissolve stubborn body fat.He traces the history of Lipodissolve, why the earlier Kybella technology fell short, and highlights why the PC/DC formula has proven to be a more effective solution. Dr. Mok breaks down how the PC/DC treatment works, its physical impact on the body, and the dosage limits for individual patients. He also explores additional non-surgical fat loss options available today.Tune in to Inside The Cure Podcast — Lipodissolve for Stubborn Body Fat.Subscribe to Inside the Cure on Apple Podcasts and leave a 5-star review!You can also watch this show on our YouTube channel.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

Is there a way to walk into the final chapters of life with peace and confidence, and with support and wisdom?We all are living an earthly story with a beginning, middle, and end. While aspects of our story's closing hold mystery, we do not have to feel lost as we move toward it. We instead can lean on the support and wisdom of others who know the path ahead.In Anticipating Heaven, she offers that same practical advice and spiritual comfort to you and your loved ones as you navigate a serious illness.Drawing on her years of experience and strong faith, Dr. Pyle will share inspiring patient stories and clear guidance, helping you tonavigate the world of healthcare with confidence,prepare an end-of-life plan with peace,remember your heavenly destination with hope,embrace the final chapters with love, andanticipate the presence of God and your glorified body with joy.Clarity can replace chaos. Assurance can overcome uncertainty. And love can conquer fear. You are not alone on this path. You are leaving the land of the dying and entering the land of the living, a place God calls home. As one story is closing, a bright new one is beginning. Dr. Pamela Pyle With a dedication to a broad array of charitable endeavors, Dr. Pamela Pyle has helped hundreds of individuals from Myrtle Beach, South Carolina, to war-ravaged parts of Africa. Working in a variety of roles, Dr. Pyle has applied her skills as a volunteer physician, community fund-raiser, and leader of a medical team on a mission to Africa. Dr. Pamela Pyle began studying to become a physician at Oklahoma State University. As an undergraduate, Dr. Pyle earned recognition on the President's and Dean's Lists. She also served as a member of Alpha Epsilon Delta, the national health preprofessional honor society. Completing her graduate studies at Texas College of Osteopathic Medicine, she made the Dean's List also earned a mention as one of the Outstanding Young Women in America. In addition, she served as President of the Psi Sigma Alpha honor society and as class Vice President. Graduating in 1989, Dr. Pamela Pyle ranked second in her class and earned a Doctor of Osteopathic Medicine. Certified in 1992 and 2002 with the American Board of Internal Medicine, Dr. Pamela Pyle holds professional affiliations with the American College of Physicians and Society of Hospital Medicine. After completing her internship and residency at Baylor College of Medicine, Dr. Pyle worked in the Coronary Care Unit at Methodist University Hospital and in hospitalist services at Carolina Health Specialists. In addition, she has owned two businesses in Myrtle Beach. She operated at Personal Touch Aesthetic Lasers and Skin Rejuvenation Center, LLC, from 2002 to 2006 and at About Face and Body Rx, LLC from 2006 to 2008. In addition to her expertise in the medical field, Dr. Pamela Pyle has also developed a reputation as a fund-raiser and volunteer. She donates her time as a physician at a free clinic near Myrtle Beach and in various roles in association with her church. In her most recent charitable pursuits, she raised more than $35,000 for a medical clinic in Rwanda. In addition to her fund-raising efforts, Dr. Pyle will serve as the leader of medical mission teams to Rwanda in July. Besides her many charitable pursuits, she finds time to play tennis and participate in marathons, including the U.S. Marine Corps Mud Run in Columbia.ContactWebsiteOrder BookXFacebook

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/Healthy-looking skin starts with a good skincare regimen.In this episode, Dr. Charles Mok recommends appropriate skin care topicals for achieving better, younger-looking skin and walks through how to conduct a proper skincare consultation with patients.He covers the use of vitamins A and C, how to apply them correctly, and the benefits they provide for the skin. Dr. Mok also talks about using glycolic wash and moisturizer to help normalize the skin, Eye Rescue for under-eye care, and Eventone Age Defense to treat uneven skin tone.Tune in to Inside The Cure Podcast — Skin Care Topicals: Best Products To UseSubscribe to Inside the Cure and leave a 5-star review!This show is also available on YouTube and on all your favorite podcast platforms.Products Mentioned:Tretinol Serum 1% - https://store.alluremedical.com/tretinol-serum-1Radiant-C Cream - https://store.alluremedical.com/radiant-c-cream10% Glycolic Cleanser - https://store.alluremedical.com/10-glycolic-cleanserFace Silk - https://store.alluremedical.com/face-silkEye Rescue - https://store.alluremedical.com/eye-rescueEvenTone Pads - https://store.alluremedical.com/eventone-pads-8Read 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:

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!

Book your first Botox session with Allure Medical.https://www.alluremedical.com/services/botox/ Behind the smooth skin is serious science. Learn what Botox really does beneath the surface.In this episode, Dr. Charles Mok joins Danielle Stabley, a Physician Associate at Allure Medical, to discuss common misconceptions surrounding Botox injections, standard procedural protocols, and the significance of the dose-duration curve.They explore recommended dos and don'ts and address factors that may influence Botox uptake, such as exposure to heat and physical activity.Dr. Mok also examines potential reasons Botox may be less effective in certain cases and the implications of receiving other cosmetic treatments shortly after Botox administration.Tune in to the Inside The Cure Podcast — Busting Common Botox Myths.Subscribe to Inside the Cure on all your favorite podcast platforms and leave a 5-star review! You can also catch this show on YouTube.Read the latest research at Allure Medical:https://www.alluremedical.com/books/ Danielle Stabley is the Medical Director at Allure Medical.  She has been a valued team member since 2017. With over ten years of experience in emergency medicine at Troy Beaumont and Crittenton hospitals, Danielle brings a wealth of expertise to her role. At Allure Medical, Danielle excels in providing top-notch patient care and plays a pivotal role in coaching and training other employees. She is dedicated to carrying out the vision of Allure's founder, Dr. Mok, which focuses on adding healthy years to patients' lives. Danielle's purpose is to transform lives by making patients healthier, more beautiful, and confident both inside and out, aiming to defer the effects of aging as long as possible.Instagram: https://www.instagram.com/stabley.regeneration.station/ Facebook: https://www.facebook.com/p/Danielle-Stabley-PA-2317737/ 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=

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

Helping a patient with chronic pain can overwhelm even the most eager residents. Stephen K. Stacey, DO, introduces a transformative approach to whole-patient pain management which partners his osteopathic roots and military background. Dr Stacey guides listeners through the MAGIC model: Multimodal, Active, Goal-based, Interdisciplinary, and Comprehensive care, empowering residents to engage their patients in meaningful, multifaceted treatment. Faculty will gain insights into how teaching MAGIC reshapes resident attitudes, enhances clinical confidence, and creates deeper, more effective interactions with chronic pain patients.Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:An Interprofessional Approach to Chronic Pain Management and Education - Fam Med.Improving Chronic Pain Management in a Family Medicine Residency - Fam Med.Stephen K. Stacey, DO:Dr. Stephen Stacey is the Director of Osteopathic Education for the Mayo Clinic Family Medicine Residency in La Crosse, where he is dedicated to training future physicians in comprehensive, whole-person care. As a skilled osteopathic physician, he specializes in osteopathic manual medicine and holistic treatment for chronic pain, helping patients of all ages achieve better health and overcome barriers to an active lifestyle. Before joining Mayo Clinic, Dr. Stacey served as a battalion and flight surgeon in the U.S. Army. During his service, he deployed to Poland and Ukraine, where he played a vital role in training NATO allies in battlefield trauma care. His military experience has reinforced his deep commitment to patient-centered, hands-on medicine. Outside of his medical practice, Dr. Stacey is an avid outdoor enthusiast who enjoys trail running, mountain biking, and cross-country skiing. Most importantly, he loves spending quality time with his wife and five children. Dr. Stacey attended Kirksville College of Osteopathic Medicine and completed his residency at Family Medicine, Peak Vista Community Health Centers.Link:www.stfm.org/stfmpodcast052025 

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  

Breastfeeding is universal, however the options for support are not.  In the US an Osteopath has very different training than in Australia, where all Osteopaths are trained in Osteopathic Manual manipulation (OMM) unlike in the US where it's difficult to find an Osteopath with any manual training at all.  In Australia there's also no prescribing from an Osteopath.  Kirsten Hannah is not only an IBCLC but also an Osteopath supporting families in the AU with her immense knowledge.  Listen as Kirsten Hannah and Katie Oshita discuss biological norms, root cause support and tongue tie in the US and AU.Podcast Guest: Kirsten Hannan is an Australian trained and registered Osteopath with 20 years of clinical practice experience, with a particular interest in pregnancy and postpartum care and working with babies and children of all ages. She has experience in treating babies for a variety of issues, including latching and feeding difficulties, birth trauma, neck tension, flat head syndrome and digestive issues. Kirsten uses a variety of osteopathic treatment methods, including cranial osteopathy. Her passion for education and helping children to develop in the best possible way led her to further her knowledge of breastfeeding and she qualified as an International Board Certified Lactation Consultant (IBCLC) in 2017. She enjoys integrating the very best of bodywork and evidence-based lactation care and support to help mums and their babies.Kirsten is a speaker, an author and reviewer for the International Journal of Osteopathic Medicine, a member of Osteopathy Australia and registered with the Australian Health Practitioner Regulation Agency (AHPRA) and International Board of Lactation Consultant Examiners (IBLCE).Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Book your breast augmentation session with Allure Medical.https://www.alluremedical.com/services/breast-augmentation/ Celebrate your femininity and boost your confidence with a blend of expert care!In this episode, Dr. Charles Mok delivers an in-depth discussion on breast augmentation.He examines modern advancements and the evolving options available for breast augmentation today.Dr. Mok provides a detailed overview of the various types of implants commonly used. He also outlines post-operative care and current methods for maintenance, including identifying potential causes of rupture.Tune in to Inside The Cure Podcast — Breast Augmentation: In DepthSubscribe to Inside the Cure and leave a 5-star review!You can also listen to the podcast on YouTube and 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/ 

Book your Fraxel Laser Skin Resurfacing session with Allure Medical.https://www.alluremedical.com/services/skin-resurfacing-lasers-fraxel/ Dr. Charles Mok discusses the use of Fraxel laser technology and biostimulation in the treatment of skin aging. He outlines the treatment protocols and shares clinical insights into their application.Hear about the benefits and advantages of the Fraxel laser compared to the previous gold standard in dermatological resurfacing: the carbon dioxide (CO₂) laser.Get to know biostimulation therapy, its physiological effects and therapeutic benefits, and how combining biostimulation with Fraxel laser treatment can enhance clinical results. Learn about recommendations for post-treatment skincare to support long-term maintenance and outcomes.Tune in to Inside The Cure Podcast — Fraxel Laser Treatment for Skin Aging.————————————————————————————————Subscribe 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/ #FraxelLaser #SkinAging #LaserResurfacing #Biostimulation #SkinCareScience #FraxelTreatment #SkinHealth #AntiAgingTreatment #AestheticMedicine #SkinCare #YouthfulSkin #FlawlessSkin #Health #Wellness #HealthPodcast

“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  

Why is schizoaffective disorder so often overlooked — even by mental health professionals — and how does it relate to bipolar disorder? In this episode, Dr. Nicole Washington sits down with guest host Kit Wallis (aka SchizoKitzo) to discuss Kit's life managing schizoaffective disorder, bipolar type. Kit shares her decade-long journey through multiple diagnoses, from cyclothymia to bipolar I, before finally receiving the correct diagnosis of schizoaffective disorder. Kit explains why this diagnosis finally made sense and how she educated herself on her disorder. If you've ever wondered about the blurry lines between bipolar disorder, schizophrenia, and schizoaffective disorder — or just want to hear a powerful story of self-advocacy — this episode is for you. Cold Open Transcript:  Dr. Nicole: Some people will tell me that their voices are not all bad, and they don't necessarily want to get rid of them. Kit: Oh, man. That's a can of worms. That is a can of worms. When I was telling my psychiatrist that I was experiencing religious delusions, and I went on antipsychotics to get rid of the god who hated me, but not necessarily for the voices who helped me so much. I ended up losing the others and I think about the voices that I don't hear anymore all the time because I miss them that much. We have a guest host (Don't worry, Gabe Howard will be back!) for this episode: Our 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, Washington 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, Dr. Ryan Alexander joins the show to discuss findings from his new study Withdrawal Signs and Symptoms Among Patients Positive for Fentanyl With and Without Xylazine.    Dr. Ryan Alexander is an addiction medicine specialist and is currently the medical director for substance use services at McNabb Center in Knoxville, TN and is an assistant professor at the University of Tennessee Graduate School of Medicine. He completed medical school at the DeBusk College of Osteopathic Medicine in East Tennessee, his residency in preventive medicine and public health at Griffin Hospital/Yale School of Medicine, and a fellowship in addiction medicine at Yale University School of Medicine. In addition, he completed a Masters of Public Health at Yale School of Public Health. In addition to treating patients, Dr. Alexander conducts clinical research and has published multiple articles related to addiction medicine. He also regularly teaches medical students, residents, and other medical professionals about treating substance use disorders, reducing community stigma toward individuals with substance use disorders, and expanding access to medication treatments. - Article link: Withdrawal Signs and Symptoms Among Patients Positive for Fentanyl With and Without Xylazine

Get your first session of male hormone therapy with us.https://www.alluremedical.com/services/hormone-replacement-therapy-men/Learn how restoring testosterone levels, combined with lifestyle changes, may help reduce weight gain and increase lifespan.Dr. Charles Mok discusses key highlights from his book "If Your Testosterone is Low, You're Gonna Get Fat." He explores the scientific connections between low testosterone and chronic conditions such as obesity, Type 2 diabetes, and cardiovascular disease.He examines different forms of testosterone replacement therapy and reviews multiple studies demonstrating the benefits of regular testosterone monitoring. He also outlines practical strategies for effective weight management and explains the links between testosterone, longevity, prostate cancer, and sex drive.Tune in to Inside The Cure Podcast — Maximizing Testosterone Therapy for Men.————————————————————————————————Subscribe 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=4Get Dr. Charles Mok's book, “If Your Testosterone is Low, You're Gonna Get Fat” and other books for free here: https://www.alluremedical.com/books/Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 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 #Testosterone #MensHealthMatters #HormoneTherapy #WeightLossJourney #CardiovascularHealth #TestosteroneReplacement #HealthPodcast #MedicalResearch #ObesityAwareness #FunctionalMedicine #Health #Wellness #HealthPodcast

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/ In this episode, Dr. Charles Mok explores multiple sclerosis (MS) and the innovative protocols being used to improve patient outcomes, with a particular focus on stem cell therapy.As MS is classified as an idiopathic disease, Dr. Mok examines its potential links to conditions such as leaky gut and a compromised blood-brain barrier. He also discusses the role of antibiotics like minocycline, which not only have antimicrobial properties but also exhibit significant anti-inflammatory effects. He highlights the connection between hormonal balance and an individual's susceptibility to MS.He also talks about prebiotics, proper nutrition, and integrative approaches in managing MS and enhancing overall well-being.Tune in to Inside The Cure Podcast — Stem Cell Therapy for Multiple Sclerosis.————————————————————————————————Subscribe 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 #MultipleSclerosis #MSAwareness #ChronicIllness #FunctionalMedicine #StemCellTherapy #AutoimmuneDisease #MSResearch #LeakyGut #Minocycline #AntiInflammatory #Health #Wellness #HealthPodcast

Ever wonder what happens when two complex mental health conditions collide? In this episode, host Gabe Howard, who lives with bipolar disorder, and board certified psychiatrist Dr. Nicole Washington, peel back the layers of obsessive-compulsive disorder (OCD) and bipolar disorder, challenging the clichés and misconceptions that have long overshadowed these conditions. Using humor, candor, and expert insight, they share personal anecdotes and surprising research that illuminate the hidden battles behind intrusive thoughts, relentless rituals, and shifting moods. This conversation dives deep into how misinterpreting symptoms can lead to confusion and missed diagnoses — making it a must listen for anyone seeking clarity on the comorbidity of these two conditions.   Whether you're navigating these challenges yourself or supporting someone who is, this episode invites you to rethink what you know about OCD and bipolar disorder. “It's very difficult to have an episode about OCD and bipolar disorder because they're two unique illnesses that present in very unique ways. And I'm not sure what it looks like when they blend together. You may or may not have it. The things that you're describing as OCD may very well just be personality traits or just part of bipolar disorder. So I want to ask you very specifically, is there anything unique about OCD and bipolar disorder put together that our audience needs to know that our listeners should be aware of or concerned about?”~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 also available directly from the author. To learn more about Gabe, or 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, Washington 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

Learn more about our research studies: https://www.nova.edu/nim/research-studies/index.html   Disclaimer: Please check with your personal physician before embarking on a detox plan. This is not meant for everyone but on a case-by-case basis.   In this episode, Executive Director Nathalie Sloane welcomes Dr. Jacqueline Junco, an integrative medical physician, to provide a comprehensive understanding of our body's natural detoxification process and how we can support it.   Dr. Junco defines detoxification, explaining its phases and the physiological aspects involved. She also discusses the impact of environmental toxins and stress on overall health and highlights essential nutrients and practices that can aid in detoxification.   They also explore how patients can effectively communicate with their healthcare providers about pursuing a detox program. Dr. Junco shares insights into complementary treatments, such as acupuncture, and the importance of sleep.   Tune in to the Hope and Help for Fatigue and Chronic Illness Podcast – The Ultimate Guide to Detoxification with Dr. Jacqueline Junco.   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   Environmental Working Group: https://www.ewg.org/who-we-are/our-mission   —--------------------------------------------------------------------------------------------   Dr. Jacqueline Junco is the chair of the Integrative Medicine Program at the an 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/   Nathalie Sloane is the Executive Director of the Institute for Neuro-Immune Medicine.   LinkedIn: https://www.linkedin.com/in/nathalie-sloane-90456625/    -------------------------------------------------------------------------------------------------   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   #Detoxification #NaturalDetox #FunctionalMedicine #ChronicIllness #IntegrativeMedicine #StressRelief #EnvironmentalToxins #NutritionalHealth #MindBodyHealth #Acupuncture #HealthPodcast #MedicalPodcast  

Book your first NightLase session with Allure Medical.https://www.alluremedical.com/services/nightlase-snoring-treatment/Achieve a quiet, restful night's sleep with NightLase and ApneaLase.Dr. Charles Mok discusses NightLase and ApneaLase, innovative laser treatments designed to reduce snoring and potentially reverse sleep apnea. Learn who qualifies for these procedures, how they are performed, and the impact they have on sleep quality.Dr. Mok also examines the serious health risks associated with sleep apnea, including its connection to increased mortality and comorbidities such as heart failure, stroke, cancer, diabetes, and depression. Additionally, he explains the Apnea-Hypopnea Index (AHI) and highlights the critical role of high-quality sleep in promoting longevity and overall well-being.Tune in to the Inside The Cure Podcast — Get Better Sleep with NightLase and ApneaLase————————————————————————————————Subscribe 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/@AllureMedicalTikTok: 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 #NightLase #ApneaLase #SleepApnea #SnoringTreatment #SleepDisorders #BetterSleep #SnoringSolution #ApneaTreatment #RestfulSleep #HealthyLiving #Wellness #QualitySleep #HealthPodcast

Send us a text This week, we are joined by Dr. Ginamarie Papia, a remarkable physician whose journey spans from her studies at Lake Erie College of Osteopathic Medicine to her current practice in integrative medicine. With a deep commitment to both traditional and complementary approaches, Ginamarie has seamlessly integrated her passion for patient-centered care with her expertise in osteopathic manipulative therapy. Her story embodies the spirit of resilience and dedication in the medical field. She will begin by sharing her path to becoming an osteopathic physician, highlighting how her values and the philosophy of osteopathic medicine aligned with her career goals. Ginamarie will then discuss her experiences at Lake Erie College of Osteopathic Medicine, including the hands-on, problem-based learning approach that shaped her education. Finally, she'll provide insights into her decision-making process for residency and how her journey led her to combine integrative medicine with endocrine practice. Dr. Ginamarie Papia's experiences offer a unique perspective on blending traditional and integrative medicine. I hope her story motivates and provides you with fresh insights as you continue your own journey in the medical field.

Book your first appointment with Allure Medical today.https://www.alluremedical.com/schedule-an-appointment/Dr. Charles Mok welcomes Dr. Joshua Schacter, founder of Pinnacle Integrative Orthopedics, for an in-depth discussion on stem cell therapy and platelet-rich plasma (PRP) therapy. They explore why these regenerative treatments are promising options for patients seeking alternatives to conventional therapies.Get insights into the role of regenerative medicine and functional orthopedics in managing joint pain, comparing these approaches to traditional joint replacement surgery. Know the fundamental differences between platelets and stem cells, detailing the mechanisms behind PRP therapy and its benefits, particularly for arthritis patients.Learn about the science of stem cells, including how they are harvested, the advantages of stem cell banking, and their application in pain management. Tune in to Inside The Cure Podcast — Stem Cell and PRP Therapy: In Depth with Dr. Joshua Schacter—----------------------------------------------------------------------------------------------Dr. Joshua Schacter is a board-certified orthopedic surgeon and the founder of Pinnacle Integrative Orthopedics which helps people heal joint pain naturally without surgery through regenerative therapies. His career which spans nearly 20 years includes performing nearly 15,000 surgeries as an orthopedic sports medicine and reconstructive surgeon, Dr. Schacter knows firsthand the challenges and risks of conventional approaches. Dr. Schacter is passionate about helping you overcome the pain, fear, and uncertainty associated with aging, joint problems, and reduced mobility. Having studied under the world's leading experts in functional medicine and orthobiologic treatments, he offers solutions to improve your quality of life, well-being, and longevity.LinkedIn: https://www.linkedin.com/in/joshua-schacter-do-faaos-6a47a0154Learn more about Pinnacle Orthopedics.Website: https://pinnaclesportsmedicine.com/Facebook: https://www.facebook.com/PinnacleOrthoWF————————————————————————————————Subscribe 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/

Many people with bipolar disorder experience trauma — either from external events or even from the disorder itself. In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the deep waters of managing trauma with bipolar disorder. They cover the differences between trauma and post-traumatic stress disorder (PTSD), debunking common misconceptions. They explore how experiences like suicidal episodes, hospitalization, job loss, and manic behavior can leave lasting emotional scars and why it's important to manage them. Most importantly, they discuss how to validate your experiences, communicate with loved ones and medical professionals, and take steps toward healing. If you've ever felt dismissed or struggled to explain how bipolar-related trauma affects you, this episode is a must listen. "People with bipolar disorder have trauma because of it. So much of this is driven from the fact that people aren't taken seriously. I want to say, as a person living with bipolar disorder, it is real. Bipolar disorder caused you trauma. You are traumatized because of your experiences with bipolar disorder." ~Gabe Howard, Host To learn more -- or read the transcript -- visit the official episode page. 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 also available directly from the author. To learn more about Gabe, or 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, Washington 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

Bipolar doesn't just impact mood — it can take a toll on your sex drive, too. In this frank conversation, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, break down how both depression and mania affect libido, the frustration of losing sexual desire, and the pressures of maintaining intimacy in relationships. They cover why some people care deeply about their loss of sexual desire while others barely notice and seem not to mind. How do medication side effects and the emotional weight of bipolar disorder complicate sex and intimacy? And what about the expectations partners place on each other? This episode tackles it all — including the unspoken struggles of men and women navigating sex while managing mental health and the symptoms of bipolar disorder. Whether you're personally affected or supporting a loved one, this episode offers crucial insights into an often overlooked topic. "When it gets right down to it, hyposexuality is simple. Your libido is lowered and you don't know why. You need to follow this up. I know people are listening to this because bipolar disorder is what they feel is causing their issue." ~Gabe Howard, Host To learn more -- or read the transcript -- visit the official episode page. 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 also available directly from the author. To learn more about Gabe, or 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, Washington 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 textToday, we're thrilled to welcome Dr. Chris Bellin, D.O., a retired Navy flight surgeon and the first osteopathic physician to serve as president of the Aerospace Medical Association. Dr. Bellin was recommended by Dr. Hauler and the American Osteopathic association who together are spearheading an effort to educate physicians about patient safety, and foster a culture of transparency and responsibility.  Dr. Bellin graduated from the Philadelphia College of Osteopathic Medicine and has dedicated his career to improving patient safety by drawing on lessons from high-reliability industries like aviation and nuclear power. He shares his unique perspective on how these industries' structured approaches to risk management, including the ‘Swiss cheese model' of risk mitigation, can be applied to healthcare to prevent medical errors.In our conversation, Dr. Bellin explains the importance of occupational and preventive medicine, describing the role and responsibilities of physicians with this training. With a background in both aviation and medicine, he's been on the frontlines of aerospace medicine, having served in combat zones, ensuring the readiness of our nation's elite aviators, and fostering trust with his osteopathic philosophy of holistic care.Dr. Bellin continues to make waves in aerospace medicine—from advising companies on UV-C technology to reduce disease transmission in aircraft, to collaborating on global initiatives for pandemic response. His journey highlights the incredible impact that osteopathic principles can have, from taking care of aviators in high-stress environments to his leadership in advancing healthcare on a global scale.Join us as we talk about his extraordinary career, the role of a flight surgeon, the intersection of osteopathic medicine and aerospace, and much more.

Join me for an inspiring conversation with Dr. Jill Kruse, a physician, pilot, entrepreneur, and lifelong learner. From blending medicine with aviation to mastering historical sewing and aerial arts, Dr. Kruse embodies the power of curiosity and reinvention. Dr. Jill Kruse is a family medicine physician with a diverse background and a passion for blending medicine, education, and entrepreneurship. She earned her Doctor of Osteopathic Medicine degree from Des Moines University College of Osteopathic Medicine and completed her residency through the University of Wisconsin - Baraboo Rural Training Track in family medicine. Her academic journey also includes an undergraduate degree from Augustana College and a Master of Science in Microbiology from South Dakota State University.As the CEO of Flight Time Medical, she specializes in providing aviation medical services, combining her expertise as a pilot and physician. When not at Flight Time Medical, she is a hospitalist and also serves as the host of On Call with the Prairie Doc, a public television program dedicated to improving medical literacy.Known for her versatility, she has been featured on the local CBS affiliate show Keloland Living for her popular “Jill of All Trades” segments, showcasing her wide-ranging skills in historical sewing, making chainmail, aerial arts, theatrical costuming, and set design. Her passion for learning and teaching is evident in every endeavor she pursues.She is the recipient of the Tomorrow's Leaders Award from the Catholic Health Association and the Inspirational Physician Award from the AMA Women's Section.Beyond medicine, her creativity shines in the arts. She won Best Set Design twice from Broadway World South Dakota for her work on Murder on the Orient Express and Matilda the Musical. She also took home "Best in Show" at Brookings Habitat for Humanity's "Nail the Runway" fashion show—a competition inspired by Project Runway's unconventional materials challenge, where at least 50% of the dress must be crafted from construction materials.Additionally, Dr. Kruse has contributed to academic and literary works, with chapters in Transforming the Heart of Practice (edited by McCallister & Hamilton) and Perspectives From the Prairie, a collection of Prairie Doc newspaper essays.Connect with Dr. KruseFlight Time Medical Facebook Pagehttps://www.facebook.com/share/15isW26riv/?mibextid=wwXIfrDr. Jill Kruse's LinkedIn Profilehttps://www.linkedin.com/in/jill-kruse-d-o-42b9b988Prairie Doc Instagramhttps://www.instagram.com/theprairiedocPrairie Doc YouTube Channelhttps://youtube.com/@theprairiedoc

Electroconvulsive therapy (ECT) often conjures extreme images — either as a medieval torture method or a miraculous cure. But what's the reality? Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive deep into the facts, debunking myths and exploring the nuances of ECT as a treatment for bipolar disorder. In this episode, they discuss the effectiveness of ECT, why it's not a first-line treatment, and the barriers patients face, from logistical challenges to fears about memory loss. With candid insights and personal reflections, they tackle tough questions: Is ECT worth it? What are the real risks? How does it compare to medication? Whether you're curious, skeptical, or considering ECT for yourself or a loved one, this episode offers a grounded perspective on a complex, life-changing therapy. Don't miss this enlightening and thought-provoking discussion.   Cold Open Transcript: Gabe: Controversy aside, I don't understand how zapping somebody's brain makes them better. It just doesn't make any sense. Are electrical currents magic? Do they have some sort of medicinal capabilities? Dr. Nicole: No, [Laughter]. Well, no. Gabe, electro-currents are not magical. But the seizure that they induce is what can be valuable to the person with the disorder. Gabe: So the electrical shock stimulates the seizure. And the… Dr. Nicole: Yes. Gabe: Seizure is where the treatment comes in Dr. Nicole: The seizure is the treatment. The shock is just how we get there. To learn more -- or read the transcript -- please visit the official episode page. 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 also available directly from the author. To learn more about Gabe, or 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, Washington 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

Does "bipolar rage" exist, or is it a misunderstood concept? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, tackle bipolar rage and discuss why it's not a clinical symptom of bipolar disorder. They explore the differences between anger, agitation, and rage, offering insights for those with bipolar disorder and their loved ones. Learn why violent outbursts can't always be attributed to bipolar disorder, and why personal accountability matters. This episode also empowers loved ones to prioritize their safety and set boundaries if they feel threatened, whether the behavior stems from bipolar disorder or something else. With practical advice, myth-busting facts, and a touch of tough love, this conversation offers clarity and actionable steps for managing tough emotions. Hit play to uncover the truth and start making meaningful changes today! “The best time to have a fire drill is when there is no fire. Don't try to have a fire drill after the house is on fire. So many people try to work out how to prevent rage issues or arguments in the middle of arguments. Now is the time to do it. Not during, but before it happens.” ~Gabe Howard, Host To learn more -- or read the transcript -- please visit the official episode page. 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 also available directly from the author. To learn more about Gabe, or 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, Washington 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

1.35 million applicants received a military entrance physical from 2016 to 2020, and about 15% of them received an initial disqualification. More than half of these disqualified applicants sought a waiver, and they were more likely than not to get approved. This whole system can be frustrating and opaque, so in this episode we dive into the medical standards and waiver process with a guest who was deeply involved. Dr. Christopher D. Meyering is a board-certified Primary Care Sports Medicine physician. He attended medical school at the Arizona College of Osteopathic Medicine, Midwestern University and subsequently completed his Family Medicine internship and residency training at DeWitt Army Community Hospital at Fort Belvoir, VA. Following a 2-year assignment in Germany, he completed a Sports Medicine Fellowship at the Tri-Service Primary Care Fellowship at Fort Belvoir, VA. He is certified by the American Board of Family Physicians with a Certificate of Added Qualification in Sports Medicine, and he is a Fellow of the American Academy of Family Physicians. Dr. Meyering retired from the U.S. Army after 21 years of Service which included 3 combat deployments to Iraq and Afghanistan as a Battalion Surgeon for Infantry, Armor, and Field Artillery units. Several key positions during his career were assignments as the Command Surgeon for the U.S. Army Training and Doctrine Command which oversees all recruiting and training for the entire U.S. Army; the Command Surgeon for the U.S. Army Recruiting Command which made him the medical waiver authority for the Army; and the Division Surgeon for the 1st Cavalry Division. Dr. Meyering was the Chief Medical Officer for the 2022 and 2024 DoD Warrior Games held in Orlando, FL. Additionally he was the co-medical lead for the 2021 Invictus Games held in The Hague, The Netherlands and for the 2023 Invictus Games in Dusseldorf, Germany. He is currently the Chief Medical Officer for all upcoming DoD Warrior Games and is the Medical Lead for Team U.S. at the 2025 Invictus Games in Vancouver and Whistler, Canada. He is the author of multiple peer-reviewed articles, book chapters, and published abstracts, and he has presented at international and national conferences and events. He was previously the assistant team physician for George Mason University and covered all collegiate sports. He volunteered medical services at multiple levels and events to include the Marine Corps marathon, the Army 10 miler, the Augusta Half Iron Man Triathlon, All Army Wheelchair basketball, USA National and Golden Gloves Boxing events, Army combatives tournaments, professional fast pitch softball, and Special Olympics. We reference a lot of data from this AMSARA report "Accession Medical Standards Analysis and Research Activity"Some other relevant reporting on the issue includes this piece from The War Horse and this discussion of recent changes from AUSACOL (R) Meyering told a story about national media attention on some of his work, and you can find that coverage here

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