Podcasts about osteopathic medicine

If you've ever wondered what does DO stand for, this episode breaks it down in simple, clear terms. We explore what it means to be a Doctor of Osteopathic Medicine, how DO training differs from MD programs, the philosophy behind osteopathic care, and why more students are choosing the DO route each year. A must-listen for anyone exploring medical career options. Like the podcast? Schedule a Free Initial Consultation with our team: https://bemo.ac/podbr-BeMoFreeConsult   Don't forget to subscribe to our channel and follow us on Facebook, Instagram, and Twitter for more great tips and other useful information!   YouTube: https://www.youtube.com/c/BeMoAcademicConsultingInc Facebook: https://www.facebook.com/bemoacademicconsulting Instagram: https://www.instagram.com/bemo_academic_consulting/ Twitter: https://twitter.com/BeMo_AC TikTok: https://www.tiktok.com/@bemoacademicconsulting

How far are people willing to go for glass skin and a clear face? For years, we have witnessed adventurous — and sometimes extreme — pursuits within skincare and cosmetic treatments in the quest for ageless beauty. We've heard it all: the Vampire Facial, human placenta for collagen, snail slime, and, in recent years, salmon sperm DNA. From celebrities like Jennifer Aniston to Kim Kardashian, salmon sperm facials have become the latest craze promising skin regeneration, brightening, and that coveted youthful glow. But what exactly is salmon sperm DNA therapy, and does it actually work — or is it just another viral beauty trend swimming through social media?In this episode, we are joined by Dr. Lanna Cheuck, DO, FACS. Dr. Cheuck is a board-certified urologic surgeon specializing in aesthetics and sexual health and is the CEO and Medical Director of LC Medical Aesthetics, a medical spa empire with multiple locations specializing in cosmetic surgery, injectables, sexual health.Dr. Cheuck received her DO from the NYIT College of Osteopathic Medicine, completed her Urology Residency at Brown University, and pursued a Minimally Invasive Urologic Surgery Fellowship at Albert Einstein College of Medicine. Currently, Dr. Cheuck is an Assistant Professor of Head and Neck Facial Anatomy at Montefiore Hospital, National Trainer for Galderma Aesthetics (a center of education for GAIN training), Owner and National Trainer for FACE Med-Spa Training, Co-Founder of FACE Med Store, and the Host and Co-Founder of Future of Aesthetics Global Summit (an inclusive network for virtual aesthetics). Dr. Cheuck has been featured on Forbes, Cosmopolitan, New York Post, Well+Good, RealSelf News, Global Woman Magazine, Asian Hustle Network, and NewBeauty.Follow Friends of Franz Podcast: Website, Instagram, FacebookFollow Christian Franz (Host): Instagram, YouTube

https://BetterHealthGuy.comWhy You Should Listen:  In this episode, you will learn about the many pieces that contribute to the puzzle of Long COVID. About My Guest: My guest for this episode is Dr. Robin Rose.  Robin Rose, DO, author of "The 28-Day Gut Fix," is a double board-certified specialist in Gastroenterology and Internal Medicine, specializing in gut health and Long COVID.  She is founder and CEO of Terrain Health where she practices next-generation precision healthcare, integrating systems biology with an innovative approach that requires a deep understanding of each person's biochemical, genetic, and lifestyle factors.  Her comprehensive approach prioritizes patient-centered care by creating healthcare interventions that are more precise, personalized, predictive, participatory and preventative.  Her philosophy is deeply rooted in healing her patients from the inside out so they will age LESS.  Dr. Robin received her bachelor's degree in Behavioral Neuroscience from Lehigh University, graduating with honors. She then went on to obtain her master's degree in Neuropsychology from New York University. Dr. Robin received her medical degree from the New York College of Osteopathic Medicine, graduating with honors, and was inducted into the Psi Sigma Alpha Osteopathic National Honor Society. She did her postgraduate training in Internal Medicine, followed by fellowship in Gastroenterology and Hepatology, at Beth Israel Medical Center in New York City, and holds board certifications in both disciplines.  Dr. Robin practices longevity medicine teaching women and men how to achieve their best selves by restoring and optimizing gut health, balancing hormones, and proactively managing metabolic, cardiovascular, and brain health.  Maximizing these outcomes will pave the way for optimal healthspan and performance and looking and feeling your best! Key Takeaways: What is Long COVID? What are the symptoms or phenotypes of Long COVID? How does SARS-CoV-2 act as a bacteriophage impacting our microbiome? Who is more likely to develop Long COVID? Should ongoing exposures be avoided even if someone already had COVID? What are ACE2 receptors?  Furin cleavage site?  Receptor binding domain? What testing is used to explore Long COVID? Is there a direct test available for spike protein? What role does coagulation and vascular health play in Long COVID? How do MCAS, POTS, and EDS enter the Long COVID discussion? What is the role of neuroinflammation in Long COVID? Has cognitive decline accelerated during the pandemic era? What role do mitochondria play in Long COVID? What iron dysregulation pattern is commonly observed? Have more cancers been seen since the start of the pandemic? Do EMFs play a role in those struggling with Long COVID? How is treatment of the sensitive patient approached? What is the high-level treatment methodology for those struggling with Long COVID? How are bacteriophages addressed and the microbiome restored? What is a spike protein binder? What is the role of senolytics in removing spike proteins from the body? Where does autoimmunity enter the COVID conversation? What is Vedicinals®9? Is there a place for Ivermectin? How should the sinuses be supported? Do EBOO or TPE play a role in Long COVID recovery? Connect With My Guest:  TerrainHealth.org Related Resources: Vedicinals® USA Vedicinals®9 Sequesterol® Senolescence® Neuralescence® Night Use code BETTERHEALTH for 25% off Our Wellness Journey Spike Protein Testing - https://ourwellnessjourney.us Interview Date: November 17, 2025 Transcript: To review a transcript of this show, visit https://BetterHealthGuy.com/Episode225. Support the Show: To support the show and Buy Me a Coffee, visit https://betterhealthguy.link/BuyMeACoffee. Additional Information: To learn more, visit https://BetterHealthGuy.com. Follow Me on Social Media: Facebook - https://facebook.com/betterhealthguy Instagram - https://instagram.com/betterhealthguy X - https://twitter.com/betterhealthguy TikTok - https://tiktok.com/@betterhealthguy Disclosure: BetterHealthGuy.com is an affiliate of Vedicinals USA. Disclaimer:  The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority. 

The mental health system didn't start out fair — and in many ways, it still isn't. In this powerful episode, Dr. Nicole Washington sits down with fellow psychiatrist Dr. Leesha Ellis-Cox to unpack the long, painful history that continues to shape the experiences of Black Americans seeking mental health care. From the horrifying “diagnosis” of drapetomania in the 1800s to the Tuskegee Syphilis Study, they trace how mistrust, stigma, and systemic bias became woven into the Black community's relationship with psychiatry.But they don't stop there. Dr. Nicole and Dr. Leesha explore the research showing that Black and Hispanic people are 3 to 4 times more likely to be misdiagnosed with schizophrenia instead of bipolar disorder — a mistake that can derail treatment, worsen symptoms, and put lives at risk.Listener takeaways the historical roots of racial disparities in psychiatric diagnosis why Black Americans are more likely to be misdiagnosed with schizophrenia how stigma and generational trauma shape attitudes toward treatment practical steps to find culturally humble, affirming providers Most importantly, they offer real, actionable advice: how to find culturally affirming care, how to navigate bias in the system, and how Black and other communities of color can break generational silence around mental health. This conversation is validating, eye-opening, and deeply empowering. Listen now!   Our guest, Dr. Leesha Ellis-Cox, affectionately known as Dr. Leesha, is a double board certified child, adolescent, and adult psychiatrist. She earned both her Bachelor of Science and Doctor of Medicine degrees from the University of North Carolina at Chapel Hill and completed her general psychiatry residency training, child and adolescent psychiatry fellowship, and community mental health/public psychiatry fellowship at Emory University School of Medicine in Atlanta. Since 2009, she has lived and worked in Alabama and is the medical director at Central Alabama Wellness, a community mental health center located in metro Birmingham. 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. Our host, ⁠Gabe Howard⁠, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's ⁠Inside Mental Health⁠ podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, ⁠gabehoward.com⁠. Learn more about your ad choices. Visit megaphone.fm/adchoices

The FDA has updated its stance on estrogen therapy, reversing decades of confusion from early WHI interpretations. New research and global data now show estrogen may support long-term health and reduce key chronic risks.This episode explains the FDA's updated guidance, what the WHI got wrong, and what current science reveals about heart health, brain function, diabetes risk, bone density, and breast cancer. We also break down synthetic progestins vs. bioidentical progesterone, why timing matters, and how Europe achieved better outcomes with HRT.Tune in to get clear, evidence-based insights so you can talk confidently with your provider and decide if hormone therapy fits your goals.Timestamps: 00:00 FDA Update 00:27 WHI Misinterpretation 01:05 Synthetic vs Bioidentical 02:14 Why Estrogen Was Blamed 03:12 Black Box Warning 04:48 New Research 06:10 Heart/Brain/Cancer Data 07:45 Europe's Approach 08:30 Progestins vs Progesterone 09:45 What It Means Today 10:45 Why Doctors Stopped HRT 11:30 FDA 2025 Review 12:28 Black Box Removal 13:25 Key Takeaways 14:05 How to Discuss HRTReady to talk through your options? Visit this link to learn more:https://www.alluremedical.com/Subscribe to the podcast and leave a 5-star review!Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

What's it like managing Apple Devices in a medical school? Brian Atkinson of the Idaho College of Osteopathic Medicine joins us this week to take us through the challenges of running their whole environment on Apple products. From Macs to tablets to even the Vision Pro! Let's dive in and take a look. Hosts: Tom Bridge - @tbridge@theinternet.social Marcus Ransom - @marcusransom Selina Ali - LinkedIn Guests: Brian Atkinson - LinkedIn Sponsors: Kandji 1Password Meter Backblaze Watchman Monitoring If you're interested in sponsoring the Mac Admins Podcast, please email podcast@macadmins.org for more information. Get the latest about the Mac Admins Podcast, follow us on Twitter! We're @MacAdmPodcast! The Mac Admins Podcast has launched a Patreon Campaign! Our named patrons this month include Weldon Dodd, Damien Barrett, Justin Holt, Chad Swarthout, William Smith, Stephen Weinstein, Seb Nash, Dan McLaughlin, Joe Sfarra, Nate Cinal, Jon Brown, Dan Barker, Tim Perfitt, Ashley MacKinlay, Tobias Linder Philippe Daoust, AJ Potrebka, Adam Burg, & Hamlin Krewson  

Most people think high blood pressure is just about “bad pipes,” but it's really a whole–body problem driven by inflammation, insulin resistance, and years of eating sugary, processed foods. Hidden problems like sleep apnea, belly fat, toxins, and not getting enough key nutrients slowly damage your blood vessels and raise the risk of heart attacks, strokes, kidney failure, and memory loss. Instead of simply pushing the numbers down with medication, the Functional Medicine approach looks for the real “why” behind high blood pressure in each person—food choices, sleep, stress, genetics, environment, and more. By rebuilding health with real food and targeted nutrients, better sleep, movement, and stress relief, many of these root causes can be reversed or improved. The message is clear: high blood pressure isn't destiny, and with the right changes, the body often has a powerful ability to heal. In this episode, I speak about, along with Dr. George Papanicolaou and Dr. Cindy Geyer, how high blood pressure is largely driven by inflammation and lifestyle factors, but with some foundational changes it can be reversed. Dr. George Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is Board Certified in Family Medicine from Abington Memorial Hospital. Over time as the healthcare system made it harder for patients to receive personal care, Dr. Papanicolaou decided a change was needed. He began training in Functional Medicine through the Institute of Functional Medicine. In 2015, he established Cornerstone Personal Health—a practice dedicated entirely to Functional Medicine. In August 2017, Dr. Papanicolaou joined The UltraWellness Center. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here:What Causes High Blood Pressure And How To Fix It Treating The Underlying Causes Of High Blood Pressure Treating High Blood Pressure at the UltraWellness Center How To Do The 10-Day Detox

This recording features audio versions of the December 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:ArticlesAssociation between Age of Kidney Transplant and Hemorrhagic Adverse Events Following Transplant Kidney Biopsy (Read)A Prospective Single-Arm Trial of Genicular Artery Embolization for Symptomatic Knee Osteoarthritis: Clinical and Biomarker Outcomes (Read)Transcatheter Arterial Embolization for Colonic Diverticular Bleeding: Outcomes and Risk Factors for Rebleeding (Read)Simultaneous Portal and Hepatic Vein Embolization versus Portal Vein Embolization Only in Patients with Hepatocellular Carcinoma: A Retrospective Review of Safety and Effectiveness (Read)Pulmonary Toxicity of Ethiodized Oil in the Venous Circulation in Mice: Radiological Findings and Pathological Correlation (Read)JVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.HostSonya Choe, University of California Riverside School of MedicineAudio EditorDaniel Roh, Loma Linda University School of MedicineOutreach CoordinatorMillennie Chen, University of California Riverside School of MedicineAbstract Readers:Shobhit Chamoli, Armed Forces Medical CollegeEmily Jagenberg,  Oakland University. William Beaumont School of Medicine Morgan Smeltzer, Western Michigan University Homer Stryker School of MedicineThanmayi Parasu, University of Texas Medical BranchTiffany Nakla, Touro University Nevada College of Osteopathic Medicine, Nevada Support the show

Bioidentical hormone replacement therapy for women is designed to help restore balance using hormones that match what the body naturally produces. In this episode, we explain how estrogen, progesterone, and testosterone work together, and why bioidentical hormone replacement therapy for women is different from traditional synthetic options. At Allure Medical, we use a personalized approach to hormone therapy focused on improving energy, mood, focus, and quality of life. You'll learn why estradiol is considered the main estrogen, how progesterone supports balance, and why testosterone plays a vital role in women's wellness. We also discuss delivery methods, from patches and creams to pellets, and why pellet therapy offers steady, predictable levels without daily dosing. Our goal is to help you understand your options so you can make informed choices about your long-term health. If you're exploring bioidentical hormone replacement therapy for women, this episode breaks down the science in simple terms and shares how we customize treatment for each patient's unique needs.Ready to talk through your options? Visit this link to learn more:https://www.alluremedical.com/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/ 

People with mental illness, including bipolar disorder, have long been denied the right to make their own reproductive choices. This episode looks at how psychiatry's history and stigma continue to shape who gets to decide. Dr. Nicole Washington sits down with mental health advocate Dr. Keris Myrick to unpack the intersection of reproductive justice and mental illness — and how stigma, outdated systems, and silence continue to rob people of autonomy over their bodies and futures. Together, they explore the three pillars of reproductive justice — the right to have a child, to not have a child, and to raise a child in a safe environment — through the lens of psychiatric care. Listener takeaways: Learn what a Psychiatric Advance Directive is—and how to create one. Discover how to start meaningful conversations with your providers about family planning. Gain insight into how choice, autonomy, and care can coexist in mental health treatment. Whether you're living with bipolar disorder, a provider, or an advocate, this conversation will challenge your assumptions, break stigma, and offer new ways to protect choice, dignity, and autonomy for all. Our guest, Keris Jän Myrick, PhD (ABD), MBA, MS is a nationally recognized advocate, executive, and storyteller whose work has redefined how we understand and reform mental health and substance use systems. Known for her fierce leadership, creativity, and humanity, Keris brings both lived and learned expertise to every space challenging the status quo and building new paths rooted in dignity and rights. She serves as Senior Vice President of Partnerships and Innovation at Inseparable, where she helps shape mental health policy and practice. Keris also hosts the acclaimed podcast Unapologetically Black Unicorns, co-edits the Lived Experience Inclusion and Leadership column in Psychiatric Services, and serves on the boards of Disability Rights California and the Center for Health Care Strategies. She is an inaugural member of the Global Leadership Exchange (GLE) Lived Experience Council and lives in Los Angeles with her dog, Obi. 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. Our typical cohost, ⁠Gabe Howard⁠, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003. Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, ⁠gabehoward.com⁠. Learn more about your ad choices. Visit megaphone.fm/adchoices

Self-care isn't about luxury or vanity, it's about choosing to invest in your health, confidence, and longevity. In this video, we explore the self-care mindset for longevity and why people who choose to take care of their appearance often take the first step toward caring for their internal health too. From cosmetic treatments like Botox, fillers, and skin rejuvenation to wellness services like hormone therapy, regenerative medicine, and sleep optimization, self-care is about supporting how you feel, not just how you look. When you start feeling better on the outside, your mindset shifts. You begin asking deeper questions: How can I live longer? How can I age well? How can I protect my heart, brain, skin, and overall vitality? You'll learn how this self-care mindset for longevity influences lifestyle, aging, regenerative treatments, and why many of these services aren't covered by insurance, not because they're unnecessary, but because they go beyond disease care and into prevention and health span.Want to explore how self-care can improve your long-term health and wellness? Book your consultation at https://www.alluremedical.com/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/ 

Ethereal Encounters Unveiled welcomes Janet Lynn Roseman, Ph.D. LIVE Friday, November 14th, 2025 , 3 PM EST Topic: Daughters Honor Their Mothers on The Other Side BIO: Janet Lynn Roseman, PhD, is an Associate Professor in Integrative Medicine at the Dr. Kiran Patel College of Osteopathic Medicine. She teaches courses in Spirituality and Medicine, Art and Medicine, and Death and Dying for medical school students. She received the first Joseph Moore President's Award for her work in oncology and spirituality from Lesley College and was a David Larsen Fellow in Spirituality and Medicine at the Kluge Center for Scholars at the Library of Congress. Dr. Roseman is also the Founding Director of the Sidney Project in Spirituality and Medicine and Compassionate Care™, a medical education program for physician residents. She is also a registered dance therapist, a registered art therapist, and an intuitive healer. Llewellyn: The Eternal Bond | Llewellyn Worldwide, Ltd. Her website: Dr. Janet Lynn Roseman The Eternal Bond: Daughters Honor Their Mothers on the Other Side: get her book here: https://amzn.to/49JURGN

In this episode, Dr. Cynthia Chen-Joea goes solo to talk with Dr. Laura Murphy, family physician, educator, her medical school classmate, and the current New Physician Director on the CAFP board. Dr. Murphy has been deeply involved in leadership, advocacy, and education. They talk about her journey, the challenges and opportunities facing early career physicians, and resources that can support you along the way. GUESTS Laura Murphy, DO - Dr. Murphy received her B.S. in Biopsychology from University of California, Santa Barbara and then her medical degree from Western University College of Osteopathic Medicine. During medical school, she served as the FMIG president and began her advocacy journey with the CAFP through various leadership positions, including medical student member on the CAFP board. As a family medicine resident at UC San Diego, Dr. Murphy started on the CCPD for which she now co-chairs. After residency, she completed a sports medicine fellowship at UC San Diego to pursue her passion for empowering patients to live a healthy, active lifestyle. She is currently an associate program director at Ventura County Medical Center Family Medicine Residency program where she practices outpatient family medicine and sports medicine, as well as lead the musculoskeletal and advocacy curriculum for the residents. In her free time, she enjoys playing with her 8 month old, Cooper, and share the love of backpacking, brewery hopping, and traveling with her husband, Steve.   The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP and Cynthia Chen-Joea, DO, FAAFP.  RESOURCES New Physician Toolkit - www.familydocs.org/nptoolkit AAFP's Career Benchmark Dashboard & Survey - "Know Your Worth" - www.aafp.org/worth Direct Primary Care resources - https://www.familydocs.org/dpc Family Medicine's Gender Pay Gap - https://www.jabfm.org/content/35/1/7 Artificial Intelligence (AI) in Family Medicine  - https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/artificial-intelligence.html CAFP Online Education - https://www.familydocs.org/cme & https://education.familydocs.org   Family Medicine POP: Prism of Practice conference, August 21-23, 2026 (San Diego) - www.familydocs.org/pop CAFP's All Member Advocacy Meeting (AMAM), March 14-16, 2026 (Sacramento) - www.familydocs.org/amam     Information: The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast.  Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs  LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians

When it comes to testosterone pellets vs injections for men, there isn't a one-size-fits-all answer, and that's the point of this episode. We walk through how we help patients decide between weekly (or twice-weekly) injections and 4–5 month pellets, and why creams often don't reach the same therapeutic effect for many men. We also talk about why symptoms and day-to-day function matter more than chasing a single “normal” number. You'll learn the practical differences between testosterone pellets vs injections for men, from convenience and dosing to follow-up and lifestyle fit. We explain how we monitor energy, focus, libido, sleep quality, and training recovery, and how we adjust safely over time. We'll touch on when splitting an injection dose makes sense and when a pellet schedule fits better. Our goal is to help you feel like yourself again, using a plan that's personalized, medically supervised, and realistic for your life. If you're comparing testosterone pellets vs injections for men and want guidance grounded in experience, this breakdown will help you make an informed choice.Visit this link to learn more: https://www.alluremedical.com/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/ 

Send us a textIn this episode, we interviewed Dr. Matthew Cannon, the Campus Dean for the Carolinas campus and Senior Dean for all four campuses of the Edward Via College of Osteopathic Medicine. Dr. Cannon emphasized the importance of character development, compassion, and community involvement in medical education. He highlighted the unique approach of the Edward Via College of Osteopathic Medicine, focusing on its global mindset, community focus, and commitment to serving rural and medically underserved populations. Dr. Cannon emphasized the holistic approach to medicine and osteopathy, which considers the mind, body, and spirit when treating patients. During the discussion, we explored the importance of preparing medical students for board exams and clinical practice. Dr. Cannon underscored the role of complex and USMLE step exams in evaluating students' knowledge and skills. Additionally, we discussed the significance of a holistic approach to learning, including considering the student's work environment, stress levels, diet, and financial status, all of which can impact their educational journey and clinical practice.

Life with bipolar disorder often feels like a constant battle, so being told to find hope can seem like a cruel joke. But what if hope isn't naïve — it's necessary? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington dive deep into the real, practical power of hope and how to find it even when it feels impossible. From planning something to look forward to, to saying “yes” to new experiences, they explore small, science-backed ways to keep hope alive. Gabe shares personal stories about concerts, silly dance videos, and even late-night wrestling shows that reignited his optimism, while Dr. Nicole breaks down why hope isn't just wishful thinking — it's a key part of recovery. Listener takeaways: why hope is more than a feeling — it's a survival skill. how planning future events (big or small) boosts mood stability practical ways to document joyful memories to remember on tough days the difference between hoping and believing — and why both matter This is the episode you didn't know you needed when things feel impossible. Listen now! “Being intentional about remembering what it felt like to be happy and starting to formulate a plan to get back to it breeds a lot of hope. Because it's always easier to do something that you've already done.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. 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. Please recommend this podcast to all your friends! Sharing the show is how we grow. Thank you! :) Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Evan H. Hirsch, MD speaks with Dr. Jennifer Pfleghaar, DO, to unpack the often-misunderstood transition of perimenopause and how it connects to blood sugar issues, weight gain, GLP-1 medications, and chronic fatigue. Dr. Jen Pfleghaar is a double board-certified physician in Emergency and Integrative Medicine who helps people heal by getting to the root cause. A graduate of Lake Erie College of Osteopathic Medicine and fellowship-trained at the Andrew Weil Center for Integrative Medicine, she's passionate about aligning body, mind, and spirit with God's design. After overcoming Hashimoto's herself, Dr. Jen founded Healthy by Dr. Jen and now empowers others through her virtual practice, bestselling book Eat. Sleep. Move. Breathe., and her podcast The Integrative Health Podcast with Dr. Jen. She lives in Tennessee with her husband, four kids, and a lively flock of chickens. In this episode, you'll learn: The truth about perimenopause & why it's starting earlier for many women How cortisol and insulin resistance accelerate hormonal imbalance Signs you're in perimenopause (even if your labs are "normal") When to use bioidentical progesterone or estriol, and when not to How to sync workouts and eating with your menstrual cycle Why synthetic hormones and pellets may be doing more harm than good How GLP-1 agonists like semaglutide should be used for women Why lifestyle and muscle-building matter more than ever during this phase Dr. Jen's Website: https://www.healthybydrjen.com Check her guide ''Peptides for Motherhood'': https://www.healthybydrjen.com/peptides-for-motherhood-bonus-summit . We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here. Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here. For more information about Evan and his program, Click Here. Prefer to watch on Youtube? Click Here. Please note that any information in this episode is for educational purposes only and does not constitute medical advice.

Curious about restorative reproductive medicine (RRM) and how it can transform women's healthcare? In this episode, Dr. Marguerite Duane, a physician and co-founder of FACTS about Fertility, explains what RRM really is, how it works, and why it's an empowering approach for women seeking answers about their reproductive health.We explore the principles of restorative reproductive medicine (RRM), what it looks like in practice, and why understanding your reproductive system as part of your overall health can be life-changing.In this conversation, Dr. Duane explains:What RRM actually is and how it differs from conventional OB-GYN careHow RRM addresses root causes rather than just masking symptomsEvidence-backed outcomes supporting its effectivenessReal-life examples of women finally getting answers for conditions often overlooked in mainstream carePractical steps for women who want to learn more or pursue RRM for themselvesWhether you're seeking to understand alternative approaches, optimize your reproductive health, or feel more confident advocating for yourself with healthcare professionals, this episode offers clarity, hope, and practical guidance.GUEST BIO:Dr. Marguerite Duane, MD, MHA, FAAFP, is a board-certified family physician and co-founder of FACTS about Fertility, an organization dedicated to educating healthcare professionals and students about fertility awareness and restorative reproductive medicine (RRM). She serves as Director of the Center for Fertility Awareness Education and Research at Duquesne University College of Osteopathic Medicine. Dr. Duane is passionate about helping women understand their bodies, uncover root causes of reproductive challenges, and access evidence-based care.RESOURCES & LINKS MENTIONED IN THIS EPISODE:Guest Resources:FACTS about Fertility: https://www.factsaboutfertility.org/Dr. Marguerite Duane Faculty Page: https://www.duq.edu/faculty-and-staff/marguerite-duane.phpMy Resources:Managing Your Fertility: https://www.managingyourfertility.com/Start Your Chart™ Course: https://go.managingyourfertility.com/buystartyourchartFact Sheet for Your Medical Professional: https://go.managingyourfertility.com/factsheetformedprofessionalThe Clean Lubricant Guide: https://go.managingyourfertility.com/thecleanlubricantguideNewlywed Intimacy Blueprint Waitlist: https://go.managingyourfertility.com/newlywedintimacyblueprintInstagram: https://www.instagram.com/managingyourfertilityFacebook: https://www.facebook.com/managingyourfertilityYouTube: https://www.youtube.com/@managingyourfertilityAffiliate & Partner Links:15% off Proov: https://proovtest.com/MYF15% off Tempdrop: http://www.tempdrop.com/discount/AFBRIDGETBUS10% off Mentionables: https://www.shopmentionables.com/?snowball=FERTILITY10&utm_source=snowball&utm_medium=affiliate-program&utm_campaign=FERTILITY1015% off Coconu: http://coconu.com/?ref=managingyourfertility3 months free & 20% off Hallow: hallow.com/managingyourfertility25% off Olive & June Mani Kit: https://fbuy.io/oliveandjune/3nkz4mwx10% off Ember Co: https://www.theember.co/?ref=91010% off Be a Heart: beaheart.com/managingyourfertility15% off Abundantly Yours: abundantlyyours.org/bridgetShop my Amazon Storefront: https://amzn.to/3MRxbTCDISCLOSURE & MEDICAL DISCLAIMER:This description may include affiliate links. If you purchase products or services at these links, I receive a small commission. The information presented in this podcast is for educational purposes only and is not intended to serve as or replace professional medical advice.

Dr. Jessica Mitter-Pardo, a 2022 graduate of the Doctor of Osteopathic Medicine program, details strategies to help medical students find their niche in medicine, something she characterizes as a “passion project” or “passion field” within the broader specialty of Family Medicine.

A hidden fire called chronic inflammation drives many problems—from joint pain and arthritis to autoimmune conditions, and even faster aging. Typical fixes (like pain meds and steroid shots) calm symptoms but often miss the “why,” and can leave people still hurting or even create more issues. Big triggers of inflammation that impact our joints, and so much more, include sugar and refined carbs, extra weight, leaky gut, toxins, infections, stress, and poor sleep—plus joints naturally get less blood and oxygen as we age. This is why it's important to create an anti-inflammatory lifestyle plan starting with real whole foods, and incorporating regular exercise, stress management, gut repair, and targeted anti-inflammatory supplements.  In this episode, I discuss, along with Dr. George Papanicolaou and Dr. Cindy Geyer, how chronic inflammation, arthritis, and joint pain can be reduced using a Functional Medicine approach, including how to do the anti-inflammatory 10-Day Detox diet.  Dr. George Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is Board Certified in Family Medicine from Abington Memorial Hospital. Over time as the healthcare system made it harder for patients to receive personal care, Dr. Papanicolaou decided a change was needed. He began training in Functional Medicine through the Institute of Functional Medicine. In 2015, he established Cornerstone Personal Health—a practice dedicated entirely to Functional Medicine. In August 2017, Dr. Papanicolaou joined The UltraWellness Center. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here: Prolozone and Nutritional Therapy for Osteoarthritis What Causes Inflammation And How Can You Treat It? Is An Autoimmune Condition Driving Your Raynaud's Syndrome? How To Do The 10-Day Detox

In this episode, Gabe Howard (who lives with bipolar disorder) and psychiatrist Dr. Nicole Washington unpack what the research actually shows, why supplement quality is inconsistent (and sometimes downright sketchy), and how side effects — even with “natural” products — are very real. In short, they dig into the science, hype, and hope surrounding omega-3 supplements. Listener takeaways: why omega-3s may help with certain bipolar symptoms — especially depression the risks of using supplements as a substitute for prescribed treatment how to spot high quality fish oil (and avoid bottles full of fillers) why “natural” doesn't automatically mean “safe” Plenty of people in the bipolar community are desperate for alternatives to pharmaceuticals, and fish oil often gets framed as a safer, side-effect-free solution. If you've ever wondered whether popping a fish oil capsule could replace your meds — or just help you manage life with bipolar disorder more smoothly — this is the episode you don't want to miss. “If it's powerful enough to fight bipolar disorder, it is powerful enough to potentially have interactions. One of the things that I'm always fascinated about in the bipolar community is when we say things like, hey, this thing is so powerful, it will treat bipolar disorder, which we know to be dangerous and damaging, but it also is so safe that it won't cause any side effects or interfere with any other medications or any other organs or anything. It's like it can't be both.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. 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

This recording features audio versions of the November 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:ArticlesProspective Multicenter Observational Study of Silent Brain Infarction following Transradial Hepatic Intervention (The MOSAIC Study)First-in-Human Evaluation of a New Resorbable Microspherical Embolic Agent for Genicular Artery Embolization to Treat Pain Secondary to Knee OsteroarthritisImproved Outcomes from Prolonged Percutaneous Biliary Drainage in Pediatric Patients with Biliary Stenosis after Liver TransplantationComparison of Cone-Beam CT Angiography and Contrast-Enhanced CT Guidance Using Electromagnetic Navigation for Percutaneous Liver Microwave Ablation: A Retrospective Nonrandomized Observational StudyRemoval of Chest Ports for Infection: Risk in Patients with a History of Prior Port Removal for InfectionJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.HostSonya Choe, University of California Riverside School of MedicineAudio EditorDaniel Roh, Loma Linda University School of Medicine Outreach CoordinatorMillennie Chen, University of California Riverside School of Medicine Abstract Readers:Shobhit Chamoli, Armed Forces Medical CollegeEmily Jagenberg, Oakland University. William Beaumont School of Medicine Ahmed Alzubaidi, Wayne State University School of MedicineIpek Midillioglu, Western University of Health Sciences, College of Osteopathic MedicineTiffany Nakla, Touro University Nevada College of Osteopathic Medicine, Nevada Support the show

Dr. Aleksandra Brown, DO, FAOCD, FAAD is a board-certified dermatologist at River Ridge Dermatology in Blacksburg, VA. Dr. Brown has become an active educator on social media, where she shares expert skincare tips, educational videos, and dermatology insights. In this episode, we dive into some of the most commonly asked questions regarding alpha-gal safe skincare, dermatologic procedures and taking an active role in your care. This is an information-packed conversation that you won't want to miss! Born in Derventa, Bosnia and Herzegovina, Aleksandra moved to the United States as an exchange student in 1999. She discovered her passion for medicine as an undergraduate working in an emergency room and later earned her D.O. from Des Moines University in 2009, receiving the Academic and Service Excellence Award for her outstanding leadership.Dr. Brown completed her internship at Ohio University and served as Chief Resident during her dermatology residency at Michigan State University in 2012-2013. Today, she serves as the Assistant Program Director for Lewis Gale Dermatology Residency, Clinical Faculty at the Virginia College of Osteopathic Medicine, and Cosmetic Dermatology Instructional Faculty at the University of Virginia.An active educator on social media, Dr. Brown shares expert skincare tips, educational videos, and dermatology insights.Follow her on TikTok, YouTube, Instagram and Facebook for the latest in skincare and dermatology.Fluent in Bosnian, Serbian, Croatian, and English, Dr. Brown resides in Blacksburg with her family and has been a trusted member of the River Ridge Dermatology team since 2013.

Kevan Buck, president of finance and administration and chief financial officer, Xavier University, Cincinnati, Ohio, joins host Melissa Farley to discuss mission-driven leadership, embracing innovation, and creating meaningful student experiences in higher education.   "It really comes down to one thing and that's students. If you're on a campus when the kids arrive in the fall and you walk out and you just feel the excitement of the students and the families, it's pretty amazing," Buck says. Having served in higher education finance for over 40 years, he emphasizes the importance of understanding both the business and human aspects of institutional operations. "It's really about the students and about the mission of education."   Join us for a conversation with Buck as he shares insights about launching Xavier's new College of Osteopathic Medicine, navigating demographic challenges in higher education, and finding work-life balance in demanding leadership roles. He also discusses how the role of CFO has evolved to become more integrated across university operations, the importance of data-driven decision-making, and why maintaining focus on student success remains critical for institutional leadership.   Links Check out NACUBO's other podcasts! Career Conversations NACUBO in Brief

Send us a textOsteopathic education in surgery has undergone significant changes, especially with the transition to a single ACGME accreditation system in 2020. Despite initial concerns about equitable access and representation, studies have highlighted increasing competitiveness of osteopathic medical students in surgical residency matches and comparable outcomes between allopathic and osteopathic surgeons, affirming the quality of osteopathic training. In this episode, we talk with Dr. Kristen Conrad-Schnetz, recent president of the American College of Osteopathic Surgeons (ACOS) and General Surgery program director at Cleveland Clinic South Pointe Hospital, about osteopathy in general surgery. We delve into the role of osteopathic principles in surgical training and practice and the impact of transitioning to a single accreditation system. Dr. Conrad-Schnetz shares insights on overcoming misconceptions about DO surgeons and her vision for the future of osteopathic recognition in surgery. Join hosts Pooja Varman MD, Judith French PhD, and Jeremy Lipman MD, MHPE for this exciting conversation with Kristen Conrad-Schnetz, DO. Learning ObjectivesBy the end of this episode, listeners will be able to 1.     List the four tenets of osteopathic medicine2.     Identify how osteopathic principles and practices can be incorporated into surgical practice3.     Explain the significance of osteopathic recognition in residency programs4.     Discuss strategies for promoting equity for DO surgery residentsReferences1.  Williamson TK, Martinez VH, Ojo DE, et al. An analysis of osteopathic medical students applying to surgical residencies following transition to a single graduate medical education accreditation system. Journal of Osteopathic Medicine. 2024;124(2):51-59. doi:10.1515/jom-2023-0118 https://pubmed.ncbi.nlm.nih.gov/37921195/2.  Russell TA, Yoshida R, Men M, et al. Comparison of Outcomes for Patients Treated by Allopathic vs Osteopathic Surgeons. JAMA Surgery. Published online October 16, 2024. doi:10.1001/jamasurg.2024.4580 https://pubmed.ncbi.nlm.nih.gov/39412774/3.  Etheart I, Krise SM, Burns JB, Conrad-Schnetz K. The Effect of Single Accreditation on Medical Student Match Rates in Surgical Specialties. Cureus. 2021;13(4):e14301. doi:10.7759/cureus.14301 https://pubmed.ncbi.nlm.nih.gov/33968513/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listenIf it is helpful, here is a brief intro to Behind the Knife.  Behind the Knife is the world's #1 surgical education platform. From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know. Behind the Knife's mission is to revolutionize surgical education by creating timely, relevant, and engaging content delivered through an easily accessible multimodal educational platform that meets the needs of busy surgeons and modern trainees.  

What happens when binge eating disorder and bipolar disorder collide? Research shows they co-occur in as many as one in four cases — and yet, many people living with both conditions feel completely alone. In this episode, host Gabe Howard shares his personal journey of living with bipolar disorder and binge eating disorder, including how food was his form of self-medication.Board certified psychiatrist Dr. Nicole Washington breaks down the clinical side: what binge eating disorder actually is, how it's diagnosed, and why treating it alongside bipolar disorder can get “tricky.” Listeners will learn: signs and symptoms of binge eating disorder (beyond overeating) why stability with bipolar disorder often makes binge eating easier to manage unique treatment challenges — including why the only FDA-approved medication for binge eating disorder may be destabilizing for people living with bipolar disorder Gabe and Dr. Nicole rip the lid off the shame, secrecy, and stigma surrounding binge eating disorder, especially when it coincides with bipolar disorder. With honesty and compassion, they share practical treatment insights, real hope, and a powerful reminder: You are not alone. Whether you're having trouble or supporting someone you love, this episode delivers validation, guidance, and the encouragement you need to take the next step toward healing and living your best life. "I weighed over 550 pounds and I knew that I was unhealthy. But I didn't really see binge eating disorder as a mental health problem because bipolar disorder sucked all the oxygen out of the room. And I was lucky, I did go from over 550 pounds down to the 200 that I weigh now, because I had the right interventions. I treated both bipolar disorder and binge eating disorder. But I imagine that many listeners, they don't realize the connection between these two." ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this powerful episode of What Are You Made Of?, host Mike “C-Roc” welcomes Dr. Jenny Pfleghaar, a double board-certified physician in Emergency and Integrative Medicine, for a conversation that bridges faith, science, and true healing.Dr. Jen shares her personal journey from working in the emergency room to discovering the deeper layers of wellness that conventional medicine often overlooks. After being diagnosed with Hashimoto's thyroiditis, she refused to accept the idea that she'd suffer for life—and instead pursued root-cause healing through integrative medicine. Her story of reversing her autoimmune disease, restoring energy, and finding peace through faith is both inspiring and deeply practical.Together, Mike "C-Roc" and Dr. Jen dive into what it really means to heal—discussing gut health, mold exposure, hormone balance, trauma recovery, and the power of the mind-body-spirit connection. Dr. Jen explains why so many patients remain stuck in cycles of symptoms and medication, and how aligning with God's design for the body leads to lasting wellness.Dr. Jen Pfleghaar earned her medical degree from Lake Erie College of Osteopathic Medicine, completed residency at St. Vincent's Mercy Hospital, and fellowship at the Andrew Weil Center for Integrative Medicine. Through her practice, Healthy by Dr. Jen, she provides virtual care and shares education as @integrativedrmom. She lives on a mini farm in Tennessee with her husband and four children, where she enjoys cheering at her kids' games, lifting weights, reading Scripture, and tending to her chickens.This episode is a reminder that true health begins when body, mind, and spirit are in harmony—and when we surrender to the healing God designed for us.Website-http://www.healthybydrjen.com Social Media Links/Handles:https://www.facebook.com/IntegrativeDrMomhttps://www.instagram.com/integrativedrmom/?hl=enhttps://www.youtube.com/@integrativedrmomhttps://x.com/integrativedrma

Cultural humility is a lifelong practice of self-reflection, openness, and respect for the diverse backgrounds of the families we serve. Unlike cultural competence, which can imply mastering knowledge about “other cultures,” cultural humility emphasizes curiosity, listening, and shared decision-making. In pediatrics, this is especially important because care involves both the child and the family, whose cultural values strongly shape health beliefs and practices.Today's discussion is an opportunity to reflect together: how do we approach cultural humility in pediatrics, and what steps can we take to deepen it in our daily practice?Dr. Ana Aguilar, DO is originally from Loveland, OH. She went to Transylvania University where she did not major in Blood-Sucking and Shadow-Walking, but instead earned a dual degree in Molecular Biology and Anthropology. She attended Ohio University Heritage College of Osteopathic Medicine and is a very recent Loyola graduate, now completing a chief year with her best friend and co-chief, Dr. Sana Moqeet, MD. In her spare time, Ana enjoys reading, solving puzzles, writing and denying vampire allegations.Episode produced by: Deborah ChenEpisode recording date: 09/11/2025www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate

Support the Institute today. https://www.nova.edu/give/index.html?area=Institute%20for%20Neuro-Immune%20Medicine&designation=INIM%20Grateful%20Patient%20Fund   In this episode, Haylie Pomroy welcomes Dr. Lubov Nathanson, Associate Professor at the College of Osteopathic Medicine at Nova Southeastern University, for an insightful discussion on epigenetics and the powerful role lifestyle plays in it.   Dr. Nathanson defines epigenetics from a clinical perspective, unpacks the flow of genetic information, and explains the deep connection between environmental influences and gene expression. She highlights how many diseases represent an epigenetic response, and why lifestyle choices and diet can be true game-changers in improving long-term health and 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   Dr. Lubov Nathanson is an Associate Professor at the College of Osteopathic Medicine in Nova Southeastern University. Dr. Nathanson's research interests include exploring altered genetic expression in the immune cells of ME/CFS patients and the potential role of DNA methylation, an epigenetic process that can turn genes on or off, in ME/CFS. She is an experienced, versatile, and multidisciplinary trained scientist with over 20 years of work experience in basic and translational genomics and proteomics research. Combined expertise in bioinformatics, molecular biology, biochemistry, and systems biology. She has demonstrated the ability to perform innovative science in both research and customer service environments and is a persuasive leader with exceptional interpersonal skills.   LinkedIn: https://www.linkedin.com/in/lubov-nathanson-6041158/    Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.   Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com   Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy    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

Book your first Clear + Brilliant® Laser session with Allure Medical.https://www.alluremedical.com/freebotox/ Can advanced laser technology offer younger-looking skin without the downtime of Fraxel?In this episode, Dr. Charles Mok explains how the Clear + Brilliant Laser works and the specific skin concerns it is best suited to address.He explores the evolution of this procedure, from its initial application in treating patients with darker skin types and pigment disorders, to its development into a medication delivery system.Today, Clear + Brilliant has become an effective option for individuals seeking skin rejuvenation and anti-aging benefits, without undergoing the more intensive Fraxel laser.Tune in to Inside The Cure Podcast — Clear + Brilliant Laser for Youthful SkinSubscribe 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/ 

Thyroid trouble often starts as a whisper—tiredness, stubborn weight, dry skin—until a closer look shows the tiny neck gland that sets the body's “speed” is out of tune. Basic tests can miss the real issue, so checking active hormones and thyroid antibodies—and hunting for triggers like stress, gluten sensitivity, toxins, nutrient gaps, and gut imbalances—can reveal what's really going on. When understood this way, thyroid health is no longer just about numbers on a lab report—it's about restoring balance in the whole system. With the right testing, nutrition, and support, energy, mood, and metabolism can all return to their natural rhythm. In this episode, I discuss, along with Dr. Elizabeth Boham and Dr. George Papanicolaou, thyroid conditions such as hypothyroidism, hyperthyroidism, thyroid autoimmunity and how Functional Medicine practitioners take a different approach to find the root cause of the imbalance. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. George Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is Board Certified in Family Medicine from Abington Memorial Hospital. Over time as the healthcare system made it harder for patients to receive personal care, Dr. Papanicolaou decided a change was needed. He began training in Functional Medicine through the Institute of Functional Medicine. In 2015, he established Cornerstone Personal Health—a practice dedicated entirely to Functional Medicine. In August 2017, I invited Dr. Papanicolaou to join The UltraWellness Center and we've been successfully helping people together ever since. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here:How To Treat The Root Cause Of Thyroid Problems Is An Underactive Thyroid To Blame For Your Mysterious Symptoms? A Root Cause Approach to Hyperthyroidism and Graves' Disease

This recording features audio versions of the October 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:ArticlesEffectiveness of Transjugular Intrahepatic Portosystemic Shunt Creation for the Treatment of Hepatopulmonary Syndrome ReadAdverse Events of Tunneled Central Venous Catheters versus Totally Implantable Venous Access Devices in Pediatric Oncology: A Systematic Review and Meta-analysis ReadGenicular Artery Embolization Using Mesenchymal Stem Cells for the Treatment of Knee Osteoarthritis: A Prospective Study ReadThe Impact of Common-to-External Iliac Arterial Diameter Ratio on Mid- to Long-term Patency of Kissing Aortoiliac Stents ReadPrediction of Recurrence of Hepatocellular Carcinoma Following Radiation Segmentectomy with Resin Microspheres Based on Underdosed Tumor Volume on Yttrium-90 Positron Emission Tomography/CT Dosimetry ReadUndertreated Volume and Tumor Morphology as Predictors of Outcome Following Thermal Ablation of 3–7-cm Hepatocellular Carcinoma ReadRadiofrequency Ablation in the Management of Extensive Multinodular Goiter: A Midterm Single-Center Experience ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com. HostSonya Choe, University of California Riverside School of MedicineAudio EditorSonya Choe, University of California Riverside School of Medicine Outreach CoordinatorMillennie Chen, University of California Riverside School of Medicine Abstract Readers:Tiffany Nakla, Touro University Nevada College of Osteopathic Medicine, NevadaEmily Jagenberg, Oakland University. William Beaumont School of Medicine Ahmed Alzubaidi, Wayne State University School of MedicineClare Necas, Western University of Health SciencesMeghna Kolli, University of California Riverside School of MedicineSelena Yao, Wright State University Boonshoft School of MedicineShobhit Chamoli, Armed Forces Medical CollegeRead more about interventional radiology in IR Quarterly magazine or SIR's Patient Center. Support the show

The stigma around mental health and/or substance use disorders often stymie a person's willingness to talk about it and ask for help. Dr. Sarah Nasir talks about her holistic approach to addiction medicine and mental health and the obstacles people face, often from those who say they care the most about them. 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 addiction. 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://sarahnasir.com/ and https://www.facebook.com/sarahnasirdo/ The State of Wisconsin's Dose of Reality campaign is at Dose of Reality: Opioids in Wisconsin (https://www.dhs.wisconsin.gov/opioids/index.htm). More information about the federal response to the ongoing opioid crisis can be found at One Pill Can Kill (https://www.dea.gov/onepill). 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!

Perimenopause can feel overwhelming but it doesn't have to.In this episode, Dr. Jen Pfleghaar shares insights from her new faith-based book The Perimenopause Reset. We talk about hormonal shifts, environmental toxins, gut health, and stress and how nutrition, and simple lifestyle changes can restore balance. She also explains the correct fasting method according to your menstrual cycle, and how certain peptides may help in easing discomfort and supporting sexual health.If you're navigating perimenopause, this conversation offers both clarity and hope.00:04 – Welcome and Dr. Jen's new book The Perimenopause Reset00:34 – Dr. Jen's background, Hashimoto's story, and integrative medicine journey02:44 – Inspiration for writing a faith-based perimenopause guide05:07 – How environmental toxins disrupt hormones09:36 – Everyday toxin exposures and simple swaps10:53 – Gut health, liver detox, and estrogen metabolism testing13:08 – Foods and supplements to support hormone detoxification15:57 – Alcohol, hormones, and informed consent27:54 – Hormone changes in perimenopause: estrogen and progesterone25:32 – Using progesterone and herbal support during the luteal phase27:40 – Chronic stress, cortisol, and hormone imbalance31:44 – Intermittent fasting and cycle syncing35:30 – Peptides that support women in perimenopause39:53 – Testosterone replacement therapy: benefits and risksAbout Dr. Jen Pfleghaar:Dr. Jen Pfleghaar is a double board-certified physician in Emergency and Integrative Medicine. She studied at Lake Erie College of Osteopathic Medicine, completed residency at St. Vincent's Mercy Hospital, and trained in integrative medicine at the Andrew Weil Center.Beyond the clinic, Dr. Jen co-authored Eat. Sleep. Move. Breathe., serves on the board of the Invisible Disabilities Association, and contributes to the American Osteopathic Association's Bureau of Research and Public Health. She is the author of The Perimenopause Reset: 28 Days to Energize Your Body, Shed Weight, and Find Peace with God. Connect With  Dr. Jen Pfleghaar:Dr. Jen's Website: https://www.integrativedrmom.com/To register for the free 5-day Find Your Graves' Disease Triggers Challenge visit www.savemythyroid.com/findyourtriggers Free resources for your thyroid health Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto' sHave you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto's, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com. Do You Want Help Saving Your Thyroid? Click Here to access hundreds of free articles and blog posts. Click Here for Dr. Eric's YouTube channel Click Here to join Dr. Eric's Graves' disease and Hashimoto's group Click Here to take the Thyroid Saving Score Quiz Click Here to get all of Dr. Eric's published booksC...

Book your first thread lift session with Allure Medical.https://www.alluremedical.com/services/thread-lift/ Facelift-like results without the need for surgery?In this episode, Dr. Charles Mok explores the innovative “non-surgical facelift” procedure for sagging skin known as the thread lift.He explains how the thread lift differs from the traditional facelift, walks through the step-by-step procedure, and highlights the latest breakthroughs and innovations developed over the last years to enhance safety and outcomes.Dr. Mok also shares that the modified vector lift is designed to provide a stronger hold, improved results, shorter downtime, and reduced cost compared to traditional methods.Tune in to Inside The Cure Podcast — Thread Lifts: A Non-Surgical Solution for Saggy SkinSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

What happens when bipolar disorder collides with hypochondria? Is it even possible for someone to have both conditions? In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a psychiatrist) tackle the complex overlap between bipolar disorder and what's often called hypochondria but is now known as illness anxiety disorder.Together, they explore the confusion that comes when symptoms of panic, mania, or depression mimic physical health conditions — and why people with bipolar disorder often have trouble being taken seriously in medical settings. From emergency room misdiagnoses to the fear of “crying wolf” during a health scare, our hosts unpack the stigma and frustration many face when advocating for their physical health.Key takeaways the difference between illness anxiety disorder (hypochondria) and bipolar symptoms why people with mental illness are often dismissed in healthcare how therapy can help reduce overwhelming health fears You'll also hear practical advice on how to tell the difference between anxiety and a medical emergency, the importance of knowing your symptom patterns, and why having a consistent primary care doctor is crucial. Listen now! "It matters whether you have hypochondria or whether mania is driving it, because of your next steps. If you truly have hypochondria, if you really are a hypochondriac, you are worried about being sick regardless of your mood state. So whether you're happy, sad, manic, whatever, this hypochondria persists. If you're only ultra focused on illness in a manic state or a grandiosity state, or with some specific symptom of bipolar disorder. Then it's just the bipolar disorder manifesting itself." ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. 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. Please share the show with everyone you know! Learn more about your ad choices. Visit megaphone.fm/adchoices

For this episode host John Casey takes the rest of hosts through some controversial topics in medicine that some tout as Miracle cures, but it doing so may be walking the line of actually giving out misinformation. Don't forget we are the official podcast of the ACOEP (The American College of Osteopathic Medicine). To see our show LIVE and in person head over acoep.org to learn about an upcoming conference and to consider joining!

Episode 203: Microinduction and harm reduction in OUD.  Nathan Bui and Sanjay Reddy describe how to manage opioid use disorder (OUD) by using microinduction and harm reduction, strategies that are reshaping the way we treat opioid use disorder. Written by Sanjay Reddy, OMSIV and Nathan Bui, OMSIV. Western University of Health Sciences, College of Osteopathic Medicine of the Pacific.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.IntroWelcome to episode 203 of Rio Bravo qWeek, your weekly dose of knowledge.Today, we're tackling one of the biggest health challenges of our time: opioid use disorder, or OUD. Nearly every community in America has been touched by it: families, friends, even healthcare providers themselves. For decades, treatment has been surrounded by barriers, painful withdrawals, stigma, and strict rules that often do more harm than good. Too many people who need help never make it past those walls. But here's the hopeful part, new approaches are rewriting the story. They are less about rigid rules and more about meeting people where they are. Two of the most promising strategies for treatment of OUD are buprenorphine microinduction and harm reduction. Let's learn why these two connected strategies could change the future of addiction recovery. Background information of treatment: The X-waiver (short for DATA 2000 waiver) was a special DEA requirement for prescribing buprenorphine for opioid use disorder. Doctors used to take extra training (8 hours) and apply for it. Then, they could prescribe buprenorphine to a very limited number of patients. The X-waiverhelped regulate buprenorphine but also created barriers to access treatment to OUD. It was eliminated in January 2023 and now all clinicians with a standard DEA registration no longer need a waiver to prescribe buprenorphine for OUD. Why buprenorphine?Buprenorphine is one of the safest and most effective medications for opioid use disorder. It has some key attributes that make it both therapeutic and extremely safe: 1) As a partial agonist at mu-opioid receptors, it binds and provides enough partial stimulation to prevent cravings and withdrawal symptoms without producing strong euphoria associated with full agonists. 2) Because it has a strong binding affinity compared to full agonists, it easily displaces other opioids that may be occupying the receptor. 3) As an antagonist at kappa-opioid receptors, it contributes to improved mood and reduced stress-induced cravings. 4) The “ceiling effect”: increasing the dosage past a certain point does not produce a stronger opioid effect. This ceiling effect reduces the risk of respiratory depression and overdose, making it a safer option than full agonists. 5) It also had mild analgesic effects, reducing pain. 6) Long duration of action: The strong binding affinity and slow dissociation from the mu-opioid receptor are responsible for buprenorphine's long half-life of 24–60 hours. This prolonged action allows for once-daily dosing in medication-assisted treatment for OUD. Induction vs microinduction:The problem is, starting it—what's called “induction”—can be really tough. Patients usually need to stop opioids and go through a period of withdrawal first. Drugs like fentanyl, which can cause precipitated withdrawal —a sudden, severe crash may push people back to using opioids. Because buprenorphine binds so tightly to the mu-opioid receptor, it can displace other opioids, such as heroin or methadone. If buprenorphine is taken while a person still has other opioids in their system, it can trigger sudden and severe withdrawal symptoms.Opioid withdrawal sign sand symptoms:Opioid withdrawal symptoms are very uncomfortable; patients may even get aggressive during withdrawals. As a provider, once you meet one of these patients you never forget how uncomfortable and nasty they can be. The symptoms are lacrimation or rhinorrhea, piloerection "goose flesh," myalgia, diarrhea, nausea/vomiting, pupillary dilation, photophobia, insomnia, autonomic hyperactivity (tachypnea, hyperreflexia, tachycardia, sweating, hypertension, hyperthermia), and yawning. Think about all the symptoms you run for COWS (Clinical Opiate Withdrawal Scale). It is estimated 85 % of opioid-using patients who inject drugs (PWID) reported opioid withdrawal. Fortunately, even though opioid withdrawal is very uncomfortable, it is not life-threatening (unlike alcohol or benzodiazepine withdrawal, which can be fatal).Many patients who start the journey treating opioid use disorder experience “bumps in the road” --they avoid treatment or drop out early. What is Microinduction? Microinduction is a fairly new strategy started in Switzerland around 2016. It is also known as the “Bernese method” (named after the city of Bern, Switzerland). With this method, instead of stopping opioids cold turkey, patients start with tiny doses of buprenorphine—fractions of a milligram. These doses gradually increase over several days while the patient continues their regular opioid use. While they begin this titer, they can continue use of the full agonist they were previously using–methadone, fentanyl, or heroin, while the buprenorphine begins to take effect. Once the buprenorphine builds up to a therapeutic level, the full agonist is stopped. This method uses buprenorphine's unique pharmacology to stabilize the brain's opioid system without triggering those really nasty withdrawal symptoms.Early studies and case reports suggest this is safe, tolerable, and effective method to do. Microinduction is changing the game, and it has been spreading quickly in North America. Instead of forcing patients to stop opioids completely, the dose is slowly increased over the next three to seven days, while the patient keeps using their usual opioids.By the end of that week, the buprenorphine has built up to a therapeutic level and the full agonist is stopped. The difference is really dramatic. Instead of a painful crash into withdrawal, patients describe the process as a gentle step down, or a ramp instead of a cliff. It's a flexible method. It can be done in a hospital, a clinic, or even outpatient with good follow-up. Once a patient and doctor develop a strong relationship built on the principles of patient autonomy and patient-centered care, microinduction can be closely monitored on a monthly basis including televisits. Microinduction has been shown to help more patients stay in treatment. The Role of Harm Reduction Instead of demanding perfection, harm reduction focuses on best practices providers can implement to reduce risk and keep patients safe. Harm reduction can vary from providing naloxone to reverse overdoses, giving out clean syringes, or offering safer injection education. It also means allowing patients to stay in treatment even if they keep using other substances, and tailoring care for groups like adolescents, parents, or people recently released from incarceration. Harm reduction says that instead of demanding perfection, let's focus on progress. Instead of all-or-nothing, let's devote resources to keeping people alive and safe. As mentioned,an option is providing naloxone kits so overdoses can be reversed in the moment. Also, giving out clean syringes so the risk of HIV or hepatitis infection is reduced while injecting heroin. Another way to reduce harm is teaching safer injection practices so people can protect themselves until they're ready for that next step in their treatment. It also means keeping the doors open, even when patients slip. If someone is still using other substances, they still deserve care. And it means tailoring support for groups who oftentimes get left behind. For people like adolescents, parents balancing childcare, or people coming out of incarceration who are at the highest risk of overdose. Harm reduction recognizes that recovery isn't a straight line. It's about meeting people where they are and walking with them forward. Conclusion:Microinduction is itself a harm reduction strategy. It lowers barriers by removing the need for painful withdrawal.When paired with a harm reduction culture in clinics, patients are more likely to enter care, stay engaged, and build trust with doctors for continued care. Managing opioid use disorder is one of the greatest health challenges of our time. But solutions like buprenorphine microinduction and harm reduction strategies are reshaping treatment—making it safer, more humane, and more accessible. If we embrace these approaches, we can turn barriers into bridges and help more people find recovery. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you. Send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Bluthenthal, R. N., Simpson, K., Ceasar, R. C., Zhao, J., Wenger, L., & Kral, A. H. (2020). Opioid withdrawal symptoms, frequency, and pain characteristics as correlates of health risk among people who inject drugs. Drug and Alcohol Dependence, volume 211, 1 June 2020, 107932. https://doi.org/10.1016/j.drugalcdep.2020.107932.De Aquino, J. P., Parida, S., & Sofuoglu, M. (2021). The pharmacology of buprenorphine microinduction for opioid use disorder. Clinical Drug Investigation, 41 (5), 425–436. https://doi.org/10.1007/s40261-021-01032-7. Taylor, J. L., Johnson, S., Cruz, R., Gray, J. R., Schiff, D., & Bagley, S. M. (2021). Integrating harm reduction into outpatient opioid use disorder treatment settings. Journal of General Internal Medicine, 36 (12), 3810–3819. https://doi.org/10.1007/s11606-021-06904-4.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Most of us never think about how we breathe but science shows it may be one of the most overlooked drivers of health and disease.Dr. Roger McFillin talks with Dr. Amy Lichon, a double-board-certified physician who left a successful hospital career to teach people how to heal through their breath. They explore why mouth breathing fuels anxiety, insomnia, and fatigue, how carbon dioxide and nasal breathing affect the nervous system, and why a century-old method called Buteyko could transform sleep, focus, and even athletic performance.You'll learn practical tools from a simple “control pause” test to techniques for decongesting the nose and calming the nervous system that anyone can start today. If you've tried everything for stress, sleep, or focus and nothing sticks, this conversation may reveal the missing piece.Learn more about Dr. Amy Lichon here: https://www.courami.com/ Dr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

This conversation is a continuation of the celebration of collaboration happening in the Memphis Medical District. Dr. Tracy Hall of Southwest Community College and Dr. Hampton Hopkins of Baptist Health Sciences University join the dialogue to share the ways their institutions are working in parallel and in partnership to shape the future workforce of the city. Resources mentioned in this episode include: Southwest Tennessee Community College Baptist Health Sciences University Baptist Memorial Health Care Southwest's Southwest Entertainment Production Initiative (SEPI) Southwest becomes first TN community college with aviation program (WREG News 3) Baptist College of Osteopathic Medicine to open in Memphis (WMC News 5) Baptist University College of Osteopathic Medicine Local university receives $1 million from First Horizon's foundation Memphis Medical District Collaborative Assisi Foundation of Memphis Tennessee Board of Regents This episode is made possible in partnership with Independent Bank.

Dr. Teekz Yenpasook, a 2018 graduate of the College of Osteopathic Medicine's Master of Science in Medical Health Sciences program and a 2022 graduate of the Doctor of Osteopathic Medicine program, leverages personal experiences and social media to bring skin care education to fellow physicians as well as the public.

Sign up for our Hormone Replacement Therapy Risk-Free Membership!https://www.alluremedical.com/hrt-membershipNew innovations have been discovered for the vitality of women in menopause.In this episode, Dr. Charles Mok talks about his book “Testosterone: Strong Enough For A Man, Made For A Woman,” and highlights the essential role of testosterone and hormone replacement therapy (HRT) in promoting healthy aging.He explores the benefits of HRT, shares insights into treatments and supplements that have supported women's intimate health over the years, and the use of platelet-rich fibrin (PRF) and hyaluronic acid as safe, sustainable approaches for sexual wellness and libido.Tune in to Inside The Cure Podcast — Promising Treatments for Women's Intimate HealthSubscribe 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.Download Dr. Charles Mok's book, “Testosterone: Strong Enough for a Man, Made for a Woman” for free here. 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/ 

As medicine heeds the call of patient-centered care, it is easy to overlook the other person in the clinic room. Physicians, like patients, have stories. Within the everyday demands of clinical practice, however, their stories are seldom invited and remain untold. In this episode of Defining Moments, medical students Libby Hill and Sumedha Kappagantula join host Dr. Joe Bianco to share their experiences as Executive Producers of Behind the White Coat, an annual storytelling event at Ohio University's Heritage College of Osteopathic Medicine. Founded in 2019 by medical students, Behind the White Coat invites students, physicians, medical educators, and staff to reveal their defining moments on the path toward medicine. The conversation invites us to reimagine the white coat as a blank page, ready to receive and reveal our innermost stories. You can learn more about Behind the White Coat and view story archives from previous years here: https://www.ohio.edu/medicine/behind-white-coat. To learn more about the Open Book Project referenced in this episode, listen to Lynn Harter's conversation with Dr. Tracy Shaub: https://podcasts.apple.com/us/podcast/defining-moments-podcast-conversations-about-health/id1456643447?i=1000445540298 and read the accompanying Health Communication article: https://doi.org/10.1080/10410236.2018.1551302

Detecting the Often Undetectable One family's insight into ovarian and uterine cancer, finding support, cherishing family and making change through philanthropy. Diane Trounson-Chaiken, PsyD Diane was born and raised in Long Island City, NY and as a true New Yorker did all of her schooling in NYC. She received her BA in Psychology and Education from Barnard College, Columbia University in 1988 then traveled downtown to New York University where she received her MA and Doctor of Psychology in Child Clinical Psychology in 1994. For many years she worked in early intervention with developmentally delayed preschoolers and their families. She also taught psychology graduate courses to Masters and Doctoral students at several universities, most notably Philadelphia College of Osteopathic Medicine.  Diane met her husband Warren in 1989. They were married in 1993 and moved to the Philadelphia area in 1994. They have two sons, Ben (27 years) and Josh (23 years). Ben graduated from Colgate University in 2020 and lives in Manhattan. Josh graduated from Wake Forest University in 2024 and currently lives in Chicago. Spending time with her husband and sons is what Diane loves most in life. Whether traveling the world, a passion they all share, or sitting on the beach at the Jersey shore, it's all about being together. In April 2023, Diane was diagnosed with Stage 3B Clear Cell Ovarian Cancer & Stage 1 Uterine Cancer. She is treated at Fox Chase Cancer Center in Philadelphia, recognized as a nationally leading cancer center for both clinical care and research. After surgery and chemotherapy Diane achieved remission in October 2023. A year later in November 2024 she suffered a recurrence that resulted in surgery.  Again, this summer in June 2025 she had a more significant recurrence with several areas of metasteses. Diane is currently undergoing chemotherapy which will be followed by surgery and continued chemo. She has learned that this journey is not a sprint but much more of a marathon and is so grateful for the love and support of  her family and many dear friends.  Following are several organizations and programs the Chaiken family supports philanthropically.  -Fox Chase Cancer Center, Ovarian cancer research -Unite for Her, a national organization that provides free services and support for breast and ovarian cancer patients -We Are Wake, a campus wide program at Wake Forest University that supports students' mental health. -Her Health Compass -Crohn's & Colitis Foundation of America  Warren Chaiken is a seasoned executive with over two decades of experience leading complex organizations and driving growth through strategic innovation, operational excellence, and customer-centric leadership. Most recently, Warren served as President & CEO of Almo Corporation, a leading national distributor of appliances, consumer electronics, and professional A/V equipment. Under his leadership, Almo experienced significant expansion, culminating in its successful acquisition by DCC Technology, a division of DCC plc. Warren began his career in accounting and finance before joining Almo, where he held progressive leadership roles across operations, logistics, and sales. As CEO, he championed a culture of service, integrity, and continuous improvement while fostering key partnerships and launching new business units, including Almo Professional A/V. His functional expertise spans strategic planning, mergers and acquisitions, supply chain management, and go-to-market strategy. He is also recognized for his ability to build high-performing teams, guide family-owned businesses through transformational growth, and lead with vision in dynamic markets. Warren and Diane Chaiken are committed philanthropists. Together, they support the Philadelphia Board of the Crohn's & Colitis Foundation of America, Unite for HER, Committee to Benefit the Children, and Swim With Purpose. They also endowed The Chaiken Family Ovarian Cancer Visiting Professorship at Fox Chase Cancer Center. In addition, they founded the Chaiken Cares Foundation to promote health and provide assistance for a variety of children's needs. Their past involvement includes serving on the Parents Committees of both Wake Forest University and Colgate University. Warren and Diane have been married for 32 years and are proud parents of two sons—Ben, 27, and Josh, 23. Warren holds a B.A. from Lafayette College and an MBA from Penn State University. He currently advises companies in the distribution and technology sectors. Sue Weldon, Founder/Chief Executive Officer of Unite for HER, founded the organization in 2009 following her breast cancer diagnosis at age 39. Her vision for accessible integrative cancer care has transformed the organization from serving 23 patients to helping thousands annually. A nationally recognized leader in health equity, Sue serves as a patient advocate advisor to the American Cancer Society, Lilly, AstraZeneca, Deloitte, Daiichi-Sankyo, Pfizer, Novartis, and AbbVie. She holds a BA from West Chester University and has received numerous honors, including AstraZeneca's Catalyst for Care Award and West Chester University's Distinguished Alumni Award. She has three grown children, Taylor, Evan and Corrine and resides with her husband, Chip in West Chester, PA Find Yonni & Heather here https://www.herhealthcompass.com/

Send us a textDr. Amanda Zeine never planned to join the military — but her path led her from ROTC to becoming a pediatrician and Army flight surgeon, serving two deployments overseas in Afghanistan and Iraq. After sustaining a traumatic brain injury, Amanda faced the devastating reality that she could no longer practice medicine.In this powerful conversation, she opens up about the struggles of losing her identity, rebuilding her life, and finding purpose in unexpected ways. Today, she's the author of Hot Mess to Wellness and the middle grade series The Cul-de-sac Kids, creating stories that fill a gap for military children.Join us as Amanda shares her journey of resilience, reinvention, and the courage to keep moving forward when life doesn't go as planned.Amanda's Bio:Dr. Zeine was born and raised in a small town in Central Illinois. As a child, she dreamed of becoming a doctor and, after high school, attended Illinois State University while participating in the ROTC program. She graduated in 2002 with a B.S. in science. After graduating as a Doctor of Osteopathic Medicine in 2007, she attended her pediatric residency with the United States Army at Tripler Army Medical Center. While in residency, she was blessed with a beautiful daughter. After graduation, she was moved to Ft. Campbell, KY, and has practiced as a pediatrician and Army flight surgeon. While serving as a flight surgeon, she was deployed twice. In December 2018, Dr. Zeine sustained a traumatic brain injury. After an eleven-year career as a physician, she lost her identity when she could no longer practice effectively as a physician. It was then that she wrote her first book Hot Mess to Wellness. Being a pediatrician in the Army, she noted a lack of books for older military brats. She is hoping her new series The Cul-de-sac Kids will fill that void.Connect with Amanda:WebsiteFacebookInstagramBook InstagramLinkedInSubstackOrder Amanda's Books: Hot Mess to Welness - Order HereChloe the "Military Brat" (Cul-de-sac Kids) - Order HereComming Soon: Stronger Together (Cul-de-sac Kidss)Stay in the loop with the new Different Ability® product I'll be launching!Sign Up Here!Shop new products here!Places you can reach me at:Website:https://kateyfortun.com/https://kateyfortun.com/podcastInstagram:https://www.instagram.com/kateyfortun/https://www.instagram.com/differentabilitypodcast/

Send us a textIn this episode, we will interview Dr. Thomas Cavaliere, the current Dean of the Rowan Virtua School of Osteopathic Medicine. Dr. Cavaliere graduated from the Des Moines University College of Osteopathic Medicine, following which he completed an internal medicine residency at Thomas Jefferson University Hospital. Under his leadership, the Rowan Virtua School of Osteopathic Medicine has been named one of the best medical schools in the country for primary care and geriatric medical education. Dr. Cavalierey has also recently been selected to serve as the inaugural Senior Vice Provost of the Virtua Health College of Medicine and Life Sciences, as well as the Chief Academic Officer for the Virtua Health System. It is an honor to interview such an accomplished physician, and we believe his perspectives are valuable for everyone from pre-medical students to attending physicians. Dr. Cavaliere will discuss the advantages of pursuing a career in academic medicine, emphasizing the opportunity to combine clinical practice with teaching and research, and the fulfillment of caring for patients while training the next generation of physicians. We know you will love this episode.

What if managing bipolar disorder wasn't just about medication? Too often, conversations around bipolar treatment stop at the pharmacy counter. But what about therapy that helps you process trauma? What about learning your triggers before a full-blown episode hits? What about diet, exercise, creativity, and community support? These are not extras — they're essential.In this episode, hosts Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a board certified psychiatrist) dive deep into science-backed strategies for managing bipolar disorder beyond medication. From therapy to sleep hygiene to mindfulness medications, they explore the powerful “other pieces of the puzzle” that can help stabilize moods and improve daily life. Key Takeaways how being “med compliant” isn't the be-all and end-all of bipolar management why therapy, triggers, and sleep tracking can be critical in maintaining stability how diet, exercise, and creativity can support long-term mental health practical steps to build (and lean on) a strong, balanced support system If you've ever asked, “What else can help manage bipolar disorder besides being ‘med compliant'?”— this episode has the answers. “People aren't discussing them enough. When it comes to managing bipolar disorder, it's not one big thing that you do well. It's many little things. And this episode, especially the research for it, has really shown me that doing a lot of little things well often garners really big results.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. 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

Picture this, a powerful synthetic opioid that quietly morphs into one of the nation's most lethal drug crises. A drug that can be slipped undetected into heroin, counterfeit pills...the nation's bloodstream. You've seen and may have even been touched by the devastating impact of fentanyl. And now, a different class of ultrapotent synthetic opioids called nitazenes are following an eerily familiar path. Just how dangerous are these drugs and where are they coming from? Dr. Gregory McDonald, chair of the Department of Forensic Medicine and Pathology at the Philadelphia College of Osteopathic Medicine, joins USA TODAY's The Excerpt to unpack those questions and more.Please let us know what you think of this episode by sending a note to podcasts@usatoday.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Do you feel trapped in a therapy or psychiatry relationship that feels stagnant, unsettling, or just plain wrong? This episode pulls no punches as hosts Gabe Howard — who lives with bipolar disorder — and Dr. Nicole Washington — a board certified psychiatrist — tackle the uncomfortable question most people think about but rarely voice: “How, and when, is it time to part ways with your mental health professional?" This direct and practical conversation cuts through the guilt, the logistics, and the myths about “ghosting” therapists, psychiatrists, and counselors. Dr. Nicole explains when walking away is OK, when to be careful (especially with meds), and why honest communication can actually be beneficial to you as the patient. Gabe brings the patient perspective — what it feels like to doubt care, to fear being “difficult,” and some tips to tell if the problem is the professional, your stage in recovery, or just a bad fit. Takeaways You don't have to explain, but honest conversation is usually the healthier choice. Plan transitions first: “Ghosting” can create dangerous gaps in your care. Ask for records and time your switch to minimize treatment disruption. If you've ever wondered whether you owe the professional an explanation, how to keep medication continuity, or what to ask on day one to avoid a mismatch later — this episode is for you. Expect blunt truth and step-by-step strategies to move on responsibly so your recovery doesn't skip a beat. Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn't be any of those things today if he hadn't been committed to a psychiatric hospital in 2003.Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX. Among his many awards, he is the recipient of Mental Health America's Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.” Gabe wrote 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! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. 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. Got topic ideas or questions? Hit us up at show@psychcentral.com! Learn more about your ad choices. Visit megaphone.fm/adchoices

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