Study of the causes and effects of disease or injury; the way a given disease or injury presents itself.
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Grief, Forgiveness, Acceptance, and Rejection by Dr. Daniel Brubaker https://www.amazon.com/dp/1665763159 Authordrbrubaker.com Healthcare providers and the public had no education in how to conduct end of life grieving until 1969 when Dr. Elisabeth Kübler-Ross published her experience with hospice patients at the end of life. She was a Swiss-American psychiatrist, a pioneer in near-death studies, and author of the internationally best-selling book, On Death and Dying (1969), where she first discussed her theory of the five stages of grief, also known as the “Kübler-Ross model”. Since then, grief has been expanded into different areas other than end of life. This book also describes the five stages of grief and adds two more stages. However, it delves deeper into the emotions involved with grieving and how one manages many grieving areas, such as death, divorce, job loss, and so forth. Therefore, this book is written for anyone going through a grieving process. We say pain, suffering, and grief are inevitable, but how to cope and improve life is only done with experiences and knowledge. This book is not just about grief, but other emotions that come into play such as forgiveness. As Forgiveness is associated with grief. We discuss the different types of forgiveness and how each functions. Understanding the emotions involved with forgiveness helps relieve the pain of hostility and grudges one may hold. Acceptance is the last stage of Kubler-Ross's five stages of grief, but we take this a step further into social acceptance, which also plays a role in grief. We discuss acceptance by others, such as friends and family. We include rejection by others, which can produce grief. We also discuss acceptance of others, such as people of other races, gender and so forth. Rejection of others, such as being prejudice, can lead to grief by the victims and others around them. I felt compelled to write about all the hatred, pain, and suffering causing grief around the world. I wrote this in empathy for my patients who grieve. I wrote this book out of my own experiences of grieving from health, personal and professional negative issues. About the author Republicans for Progress has been initiated by Dr. Daniel Brubaker to release the negative, retrogressive, and oppressive grip of the Republican Party over Americans. The goal of the initiative is to move forward, instead of backward, to compete as a great democracy representative around the world. There is no place for autocracy and fascism in America. We incorporate numerous ideas to continue our democracy, and further compete globally. Dr. Daniel B. Brubaker has spent half his career in academic medicine including the University of Pittsburgh Health Science Center, Oklahoma University Health Science Center, the University of California, Los Angeles (UCLA), and the University of California, San Francisco (UCSF) Departments of Pathology. He has spent the past twenty years in medicine industry, which includes legal and clinical medicine. Dr. Brubaker has been a registered Republican for his entire life, yet he is one of the only truly progressive Republicans. Currently Dr. Brubaker is concerned over the current direction of the Republican Party towards far right nationalism.
Dr Eric Davis joins Andy for a major conversation about recovered UAP technology, NHI bodies, alleged government contact and decades of secret reverse-engineering efforts.Davis begins with his bottom line up front, explaining why he believes UAP are real, controlled by non-human intelligence and have interacted with humanity for thousands of years.He discusses the classified evidence he says he has personally examined, including original documents and photographs from a foreign Cold War crash retrieval; the Armed Forces Institute of Pathology and its alleged storage of preserved NHI bodies; a recovered craft apparently abandoned by its occupants; and evidence of contact involving a government office and defence-industry contractor.The conversation also covers Congress, AARO, the White House PURSUE programme, Trump and the SF-312, Holloman, Kingman, Robert Bigelow, James Lacatski, Jay Stratton, the credibility of different NHI morphologies and reverse-engineering programmes allegedly revived every ten years.This interview contains claims based partly on classified material that is not currently available for independent public examination.
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CardioNerds (Dr. Apoorva Gangavelli, Dr. Cory Sejo, and Dr. Joseph Kassab), discuss tricuspid regurgitation evaluation and management with Dr. Sunil Mankad. This episode was produced as part of the CardioNerds Academy curriculum by House Einthoven under the guidance of House Chief, Dr. Apoorva Gangavelli and Academy Program Director, Dr. Gurleen Kaur. A matching review article will be published in US Cardiology Review, the official journal of CardioNerds. This discussion was planned in collaboration with the Mayo Clinic Cardiovascular Board Review Course. Audio editing by CardioNerds intern Emma Winakur. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Key Points: Tricuspid regurgitation is common and associated with increased mortality at every stage, regardless of etiology. Outcomes are worse with worsening severity, so accurate grading is critical. Etiology is critical to guide treatment decisions. Etiology includes primary vs secondary (atrial or ventricular) vs CIED-related TR. 3D echocardiography can be very helpful in determining TR etiology, especially in CIED-related TR. Diuresis with the goal of euvolemia is step one. Additionally, underlying contributory conditions (eg. pulmonary HTN, HFrEF, atrial fibrillation) should be addressed, if appropriate, and then TR severity reassessed. The choice between T-TEER and TTVR hinges on anatomy, RV function, pulmonary hypertension, and the ability to tolerate anticoagulation. T-TEER is generally first line in atrial functional TR with appropriate anatomy, in patients with poor RV function who cannot tolerate a sudden increase in RV afterload, or in patients who cannot tolerate the necessary anticoagulation with TTVR. TTVR is preferred with wide coaptation gaps and CIED-related TR. This is a team sport. Multidisciplinary discussions utilizing imaging (TTE/TEE, CT), risk scores (TRI-SCORE or TRIO), patient preference, and prior institutional experience are essential for the effective treatment of severe TR. Notes: What is the clinical importance of tricuspid regurgitation? TR is very common with approximately 4% of people over 75 having moderate or greater severity. TR (even mild) is associated with increased mortality. Those outcomes worsen as the TR severity worsens, and this phenomenon is independent of the mechanism of regurgitation. What is unique about the tricuspid valve compared to the other cardiac valves? It is at an anterior location which allows it to be imaged well with transthoracic echocardiography It is the largest valve and composed generally of 3 leaflets (but very often can have 4+ leaflets). Importantly, the RV is compliant and changes size and shape readily based on loading conditions. The TV annulus similarly changes size and shape based on hemodynamic conditions such as preload. What is a good framework for approaching the causes of tricuspid regurgitation? Determine the presence and define the severity of TR. Using TTE, we want to measure the right atrial size, the RV size, and any other concomitant valvular lesions. Use TTE (2D and 3D) to characterize leaflet anatomy and characteristics. Subtypes of TR mechanisms (many times etiology is mixed). Primary: primary leaflet abnormality, occurs in ~10% of cases. Look for prolapse, flail, endocarditis, etc. Secondary/functional: leaflets normal but surrounding structures are abnormal. Atrial: RA and tricuspid annular dilation but normal RV size/shape, and can be related to arrhythmias like atrial fibrillation. Ventricular: RV dilated and/or dysfunctional with leaflet tethering. Can be related to pulmonary hypertension or primary RV disease. Cardiac implantable electronic device (CIED): Related to device (usually pacemakers or ICD) interaction with TV leaflets. Includes perforation, entanglement in subvalvular apparatus, impingement, etc. 3D TTE particularly helpful to evaluate How do we grade TR severity? It is very important to grade the severity of TR, and this is generally done with echocardiography. There are both quantitative and qualitative methods which use Doppler and various equations to estimate TR severity. Current recommendations have expanded TR severity beyond mild/moderate/severe to include “massive” and “torrential” categories. The most important parameters measured/calculated are vena contracta width, regurgitant volume, regurgitant fraction, and effective regurgitant orifice area. Helpful qualitative metrics include hepatic venous flow reversal. When should additional studies beyond transthoracic echocardiography, such as transesophageal echocardiography (TEE), cardiac computed tomography (CT), and cardiac magnetic resonance imaging (MRI) be pursued? TEE is particularly helpful if TTE views are poor. Since TEE is used during transcatheter intervention, a pre-procedure TEE to define anatomy, determine procedure candidacy, and plan for the procedure is critical. CT is also helpful for procedure planning and has particular strengths in defining annulus size and geometry. A CT is required prior to transcatheter tricuspid valve replacement (TTVR). MRI is helpful for measuring RV volumes and function, but is not generally used to assess TR severity. What is the approach to the treatment for severe tricuspid regurgitation? The first step is to try to determine the etiology. For secondary TR, treating the underlying condition is indicated. For example, pulmonary vasodilators for pulmonary HTN or guideline therapy for heart failure with reduced ejection fraction. Diuretics are the mainstay for treatment, with the goal to obtain euvolemia. This may require inpatient admission to optimize volume status and medication regimen. Once reversible etiologies are addressed, if the patient is still symptomatic from TR, additional therapies can be considered. What is the role of right heart catheterizations (RHC) in patients with severe TR? RHC is very helpful for many reasons. We use it in TR to help determine volume status, cardiac output, and RV function. Additionally, identifying and characterizing pulmonary hypertension (with pulmonary artery pressures and calculating pulmonary vascular resistance) is an important factor when choosing future therapies. With severe tricuspid regurgitation, when should we refer for intervention (either with surgery or transcatheter repair or replacement)? Once reversible etiologies are addressed and euvolemia has been achieved, if the patient is still symptomatic from TR despite aggressive medical optimization, additional therapies can be considered. Once euvolemic, a repeat TTE should be ordered to reassess the severity of the TR. Use calculators (for example, either the TRI-SCORE or TRIO score) to predict operative mortality for isolated TR surgery. What are our transcatheter treatment options in severe tricuspid regurgitation, and how do we choose between them? The primary approved transcatheter treatment options for severe TR include transcatheter tricuspid edge-to-edge repair (T-TEER) and transcatheter tricuspid valve replacement (TTVR), of which the Edwards EVOQUE valve is the only one currently approved by the FDA. There are other TTVR device under investigation. These decisions should be made with a multi-disciplinary team including representation from cardiac imaging, interventional cardiology, and cardiothoracic surgery. Factors that go into the decision between T-TEER and TTVR include anatomy (annulus width, coaptation gap, leaflet length), RV reserve, pulmonary hypertension presence, ability to tolerate anticoagulation, patient preference, and institutional experience. T-TEER is generally the first line with atrial functional and suitable anatomy. It is successful at reducing TR but does not generally eliminate it. TTVR with EVOQUE is preferred in certain anatomic considerations like a large coaptation gap or when there is CIED-related TR (as this was excluded in T-TEER trials). Patients must be suitable for anticoagulation to receive TTVR as there is risk of leaflet thrombosis without it. If moderate/severe pulmonary hypertension is present, or there is poor RV function, TTVR may be avoided as the sudden elimination of TR causes a sudden increase in RV afterload which may not be tolerated. What is the role in advanced metrics for evaluating RV function? Advanced metrics like RV/PA coupling are under investigation but have not made it into the guidelines. The clinical utility is not yet known. Assessing the RV function is important as stated above. Dr. Mankad prefers using 3D TTE to calculate an RVEF, or tracking RV longitudinal free wall strain. If you do encounter CIED-related TR, how do you treat it? Evaluate with TTE or TEE. 3D is very helpful to identify relative anatomy and leaflet-device interactions. There is no clear consensus about treatment if CIED-related TR is the primary mechanism of severe TR. If recently implanted, repositioning may be a valid option, but requires discussions with multiple teams including electrophysiology, advanced cardiac imaging, CT surgery, and interventional cardiology. References O’Gara PT, Lindenfeld J, Hahn RT, et al. 10 Issues for the Clinician in Tricuspid Regurgitation Evaluation and Management: 2025 ACC Expert Consensus Decision Pathway. J Am Coll Cardiol. 2025;S0735-1097(25)07047-0. O’Gara PT, Little SH, Badhwar V, et al. Operator and Institutional Recommendations and Requirements for Tricuspid Interventions: 2026 ACC/AHA/ASE/HRS/STS Expert Consensus Systems of Care Document. J Am Coll Cardiol. 2026;S0735-1097(26)05481-1. Hahn RT. Tricuspid Regurgitation. N Engl J Med. 2023;388(20):1876-1891. Davidson LJ, Tang GHL, Ho EC, et al. The Tricuspid Valve: A Review of Pathology, Imaging, and Current Treatment Options: A Scientific Statement From the American Heart Association. Circulation. 2024;149(22):e1223-e1238.
Send us Fan MailCan a treatment decision depend on whether one pathologist sees 45% biomarker positivity and another sees 55%?Visual immunohistochemistry scoring helped establish precision oncology. But as targeted therapies become more sensitive to subtle biological differences, categorical scores such as 0, 1+, 2+, and 3+ may no longer capture the information needed to identify the right patients.In this episode, I speak with three Roche experts:Gordana Juric-Sekhar, MD, anatomic pathologistSaleh Miri, PhD, Director of Digital Pathology AI AlgorithmsPurvi Gaglani, Regulatory Affairs Lead for Digital PathologyWe discuss how computational pathology is changing companion diagnostics by moving biomarker assessment from visual estimates to continuous, cell-level measurements.The conversation examines the limitations of manual IHC scoring, including interobserver variability, intraobserver variability, visual fatigue, borderline cases, tumor heterogeneity, and the inability of the human eye to measure complex spatial relationships.Using TROP2 scoring in advanced non-small cell lung cancer as an example, Saleh explains the normalized membrane ratio. This computational metric measures protein expression at the cell membrane relative to total expression within the cell—something that can't be reproduced through conventional visual scoring.We also clarify the difference between computer-assisted scoring and a fully computational companion diagnostic. An assisted tool supports a pathologist's visual interpretation. A computational CDx generates the biomarker measurement through algorithmic, cell-level analysis.That doesn't remove the pathologist.Pathologists remain responsible for evaluating tissue quality, staining quality, scan quality, tumor selection, image analysis results, and the final clinical context. They can reject a stain, request a rescan, exclude inappropriate regions, question the result, or seek a second opinion.The episode also examines the regulatory implications of computational companion diagnostics. Instead of evaluating a single IHC assay, regulators may need to assess the complete system - from tissue preparation and staining to scanning, image management, algorithmic analysis, display, and the final biomarker report.Finally, we discuss what laboratories will need to implement these workflows, including validated scanning infrastructure, cybersecurity, tighter preanalytical process control, and training that helps pathologists interpret continuous computational measurements.Episode Highlights00:00 — Pathologists remain central to computational CDxWhy computational tools provide more precise measurements without replacing pathology expertise.01:09 — Why companion diagnostics are changingVisual IHC scoring helped launch precision oncology, but the model is approaching its limits.04:53 — The current companion diagnostic landscapeHow IHC, next-generation sequencing, liquid biopsy, and visual biomarker scoring are used today.07:01 — The mathematical burden placed on the human eyeWhy manually assessing tens of thousands of tumor cells requires pathologists to estimate rather than calculate.08:39 — The borderline patient dilemmaA digital tool can distinguish measurements such as 74% and 76%, while that difference is difficult to reproduce visually.09:27 — Why spatial context mattersComputational pathology can measure biomarker heterogeneity, clustering, and relationships between tumor and immune cells.12:17 — Where manual scoring reaches its limitsInterobserver variability, intraobserver variability, fatigue, staining interpretation, and heterogeneous tumors.18:29 — Moving from judgment calls to quantified measurementsWhy the next stage of precision oncology requires information beyond human visual perception.19:14 — Computer-assisted scoring versus computational CDxThe important distinction between helping a pathologist calculate an existing score and generating a new algorithmic measurement.23:22 — Computational pathology and decentralized workflowsHow digital images can support remote review, access to expertise, and second opinions.27:48 — Why therapies require higher-resolution biomarkersModern targeted treatments may respond to biological differences that categorical scoring can't capture.32:09 — TROP2 in advanced non-small cell lung cancerThe episode's example of a biomarker requiring computational measurement.33:26 — Understanding the normalized membrane ratioHow the algorithm measures membrane expression relative to total protein expression at the individual-cell level.35:46 — Working with regulators on a new diagnostic modelPurvi discusses global health authority engagement and the FDA Breakthrough Device Designation.38:33 — The computational CDx as a system of systemsWhy staining, scanning, image management, algorithms, displays, and reporting must be evaluated together.40:11 — Changes to validated workflow componentsHow using a different scanner, monitor, or other component could fall outside the defined device configuration.43:30 — Why computational pathology is becoming necessaryContinuous measurements can reveal biomarker-treatment relationships that may remain hidden within categorical scores.49:12 — The pathologist's role in the workflowReviewing sample, staining, scan, image, algorithmic analysis, and the final biomarker result.53:39 — Digital second opinionsHow image management systems can simplify collaboration without physically transporting glass slides.56:43 — What laboratories need to prepareValidated infrastructure, cybersecurity, preanalytical control, training, and digital pathology literacy.58:49 — Learning to interpret computational resultsThe shift from visually estimated categories to continuous, quantitative biomarker measurements.Resources MentionedFull discussion on YouTube: https://youtu.be/oKW1xC6TTZgListen to the full discussion to understand how computational pathology could change companion diagnostics—and what pathologists, laboratories, and regulators must prepare for next.Support the showGet the "Digital Pathology 101" FREE E-book and join us!
In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes David Oberlin, MD, to explore the role of skin biopsy in clinical decision-making and how collaboration with dermatopathologists can strengthen diagnostic accuracy. Their conversation covers biopsy technique, site selection, specimen quality, and the importance of interpreting pathology findings alongside the clinical picture. Dr Oberlin discusses how to approach descriptive or nonspecific pathology reports, including challenging scenarios such as dermal hypersensitivity reactions and hand or foot eruptions where pathology alone may not provide a clear answer. He emphasizes broad differentials, clinicopathologic correlation, and the limitations of biopsy, while encouraging clinicians to communicate directly with dermatopathologists and incorporate patient preferences into management decisions. Tune in to the episode to hear strategies for approaching challenging biopsy results, strengthening collaboration with dermatopathologists, and building the clinical judgment that supports confident patient care.
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
In Part 2 of this conversation, Dr. Callewaert shares what he learned while visiting the Yanomami people of Brazil, including surprising observations about body odor and skin cancer. We also explore his work developing products to rebalance the armpit microbiome, the science of foot odor, and the potential benefits of walking barefoot in the grass. The big takeaway: Body odor is a problem that can often be addressed, but the stigma surrounding it can make conversations difficult. Massage therapists may be uniquely positioned to help destigmatize the topic and start those conversations. Resources: Website: www.drarmpit.com Website:www.phiome.com TED talk: https://www.youtube.com/watch?v=9RIFyqLXdVw Host Bio: Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com. Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function. Website: anatomytrains.com Email: info@anatomytrains.com Facebook: facebook.com/AnatomyTrains Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal! Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook. Upledger CranioSacral Therapy addresses deep restrictions, supports neurological and fascial systems, and enhances whole-body function—by working with the body's natural healing processes. For over forty years, Upledger Institute International has led the field of CranioSacral Therapy—setting the global standard for education and clinical application. With trained therapists in more than 120 countries, CST continues to evolve through ongoing clinical experience and alignment with current scientific understanding. CST integrates seamlessly into any manual therapy practice and supports common to complex and chronic conditions—orthopedic, neurological, pediatric, geriatric, and beyond. Learn from our International Teaching Team—experienced clinicians who help you develop your skills, expand your clinical reasoning, and achieve greater clinical outcomes. Begin your training for as little as one hundred dollars a month. Find a class near you at upledger.com/courses or call 800-233-5880, extension 2—and begin your CranioSacral Therapy journey with the leaders who continue to shape the profession. Website: upledger.com/courses Email: upledger@upledger.com Phone: 800-233-5880 Ext 2 Facebook: https://www.facebook.com/upledger.institute Instagram: https://www.instagram.com/upledger_institute_intl/ YouTube: https://www.youtube.com/channel/UCSIFELbP6Jsp55cb9puZigQ
Researchers at the University of Auckland are developing an obesity treatment designed to help people lose weight without suppressing appetite. Unlike other treatments such as Wegovy and Mounjaro, this would would target the body's fat-storage process and burn it in a different way. Auckland University Molecular Medicine and Pathology professor Peter Shepherd says this treatment will burn off fat faster and reduce it before it has time to 'settle in'. "Basically, what we've done is found the hormone that controls that process and we've found a way to block that with a little chemical - a little drug that you can take orally." LISTEN ABOVESee omnystudio.com/listener for privacy information.
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What Cardiologists Should Know About Aortic Pathology Guest: Melanie Bois, M.D. Host: Malcom Bell, M.D. Is all aortic disease the same? In this episode, Dr. Melanie Bois reviews the major diagnostic categories of aortic disease and how they influence patient management, including surgical decision-making, surveillance, and genetic evaluation. The discussion involves the causes of heritable thoracic aortic aneurysms and highlights how pathology findings can provide important clues to underlying genetic syndromes. Finally, Dr. Bois outlines the spectrum of inflammatory aortic diseases and explore key differential diagnoses that help distinguish immune-mediated, infectious, and degenerative processes. Topics Discussed: Are there special diagnostic considerations for the ascending versus descending aorta? What causes aneurysmal dilatation in the ascending aorta? How does the underlying cause impact management? What should I be looking for in the pathology report? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 28-January-2026
Philosopher and historian of science Joelle Abi-Rached approaches the topic of trauma, asking whether it is a sufficient category for the psychic impact of the ongoing violence of Zionist settler colonialism. Joelle Abi-Rached is a philosopher and historian of science; she is Associate Professor of Medicine at the American University of Beirut. And the author of Asfuriyyeh: A History of Madness, Modernity, and War in the Middle East, co-author of Neuro: The New Brain Sciences and the Management of the Mind, and coeditor of Lebanon: Anatomy of a Collapse, a forthcoming collection of essays on Lebanese politics and society. SUPPORT: www.buymeacoffee.com/redmedicine Soundtrack by Mark Pilkington Twitter: @red_medicine__ www.redmedicine.substack.com/
Drawing from Jeremiah 23 and 14, this message examines the deadly “pathology” of false prophets who deny God's judgment, offer false security, sow division, ignore Scripture, and grieve the heart of God. True gospel ministers honestly confront sin and the coming judgment while pointing to repentance and faith in Christ. Believers are called to stay in the Word like Bereans and thank God for leaders who speak hard truth; unbelievers must acknowledge their guilt and turn to Christ for forgiveness.
In this episode of FinFactor, host Blaine Bertsch sits down with Dr. Angela Zeng, founder of Karviva, to explore her journey from medical research scientist to functional beverage entrepreneur. Drawing from her background in pathology and her family's roots in Traditional Chinese Medicine, she shares how she translated ancient healing wisdom into a thriving retail drink brand. Blaine and Angela dive deep into the realities of early-stage business growth, including product formulation challenges, getting those crucial first shelf placements, the hidden traps of expanding too quickly, and how staying obsessed with your customer's needs builds a resilient brand.https://youtu.be/qXGTRtk-TwkConnect with Angela: linkedin.com/in/angelazeng1Learn about Karviva: karviva.comDryrun empowers CFOs and executive leaders to move beyond static spreadsheets with clear, dynamic cash flow forecasting and interactive scenario modeling at dryrun.com.https://youtu.be/qXGTRtk-Twk#FinFactor #Entrepreneurship #SmallBusiness #BusinessGrowth #RetailStrategy #FunctionalBeverage #CFO #CashFlow #DryruMaster the Future of Your Finances.From cash flow management to forecasting and scenario planning, see the impact of your decisions before you act.dryrun.com
In this episode of Zone 7, Sheryl McCollum is joined by board-certified forensic pathologist Dr. Priya Banerjee for a conversation about the ongoing investigation into the death of Nolan Wells. Using publicly known facts of the case, Dr. Priya explains how forensic pathologists approach a suspected drowning and why an autopsy is only one part of a death investigation. Together, they discuss why following the evidence, not speculation, is what will bring Nolan’s family the answers they need. Highlights: (0:00) Sheryl McCollum introduces Dr. Priya Banerjee to Zone 7 and explains why Nolan Wells’ family deserves facts, not speculation (3:00) Why forensic pathologists rarely release preliminary autopsy findings before an investigation is complete (6:00) Reconstructing Nolan Wells’ timeline and why seemingly trivial details can become important evidence (7:45) What forensic pathologists look for when investigating a possible drowning (10:15) Water in the lungs, stomach contents, decomposition, and why drowning is never diagnosed by one finding alone (12:15) When families seek a second autopsy and how independent findings are evaluated (15:00) The emotional impact conflicting forensic opinions have on grieving families (18:15) Ruling out foul play: why investigators wait for a complete forensic examination (20:45) How timelines, witness statements, GPS data, and autopsy findings must support one another (22:15) The cost of speculation during an active death investigation (24:00) Pattern recognition and the role of evidence in forensic investigations Enjoying Zone 7? Leave a rating and review where you listen to podcasts. Your feedback helps others find the show and supports the mission to educate, engage, and inspire. --- Dr. Priya Banerjee is a board-certified forensic pathologist with extensive experience in death investigation, clinical forensics, and courtroom testimony. A graduate of Johns Hopkins University, she served for more than a decade as an assistant medical examiner for the Rhode Island Office of the State Medical Examiners and leads a private forensic pathology practice. She previously co-hosted Pathology with Dr. Priya, a forensic science series within Zone 7. Sheryl “Mac” McCollum is an active crime scene investigator for a metro Atlanta police department and the director of the Cold Case Investigative Research Institute, which partners with colleges and universities nationwide. With more than four decades of experience, she has worked on thousands of cold cases using her investigative system, The Last 24/361, which integrates evidence, media, and advanced forensic testing. Her work on high-profile cases, including The Boston Strangler, Natalie Holloway, Tupac Shakur and the Moore’s Ford Bridge lynching, led to her Emmy Award for CSI: Atlanta and induction into the National Law Enforcement Hall of Fame in 2023. Social Links: Email: coldcase2004@gmail.com X: @ColdCaseTips Facebook: @sheryl.mccollum Instagram: @officialzone7podcast TikTok: @Sheryl.McCollum Sheryl’s new book, Swans Don’t Swim in a Sewer: Solving the Cold Case of the Flint River Killer’s Daughter, is available now wherever books are sold. See omnystudio.com/listener for privacy information.
Send us Fan MailIs your digital pathology rollout moving so slowly that it's creating a fragmented workflow instead of transforming the department?In this episode of the Digital Pathology Podcast, I speak with Dr. Syed Hoda, Director of Digital Pathology at NYU, about why gradual implementation may no longer be the best approach to digital pathology adoption.Dr. Hoda explains how NYU used an intensive nine-month planning period to prepare for a department-wide transition. The process involved pathology, IT, project managers, vendors, hospital leadership, and approximately 40–50 people participating in regular planning calls.This wasn't simply a scanner installation.The team mapped workflows, configured Epic Beaker, redesigned laboratory spaces, tested integrations, planned training, and addressed the practical concerns of nearly 100 pathologists.We also discuss why scanner specifications may matter less than integration, vendor support, training, and system performance. For Dr. Hoda, digital pathology had to work as smoothly as glass microscopy. Speed was non-negotiable.Change management played an equally important role. Through open discussions, town halls, and the ADKAR framework, the team addressed concerns ranging from ergonomics to the loss of collaborative microscope sessions.The result? Every pathologist adopted the digital workflow, no one left the department because of the transition, and approximately 60–65 pathologists now work remotely using equipment that matches their office setup.Finally, we examine the next step: artificial intelligence in pathology. Dr. Hoda explains why NYU focused on building a reliable digital foundation before introducing AI. He also raises important questions about validation, transparency, responsibility, regulatory clearance, and the need for greater pathologist involvement in AI development.Episode Highlights00:00 — Are we repeating the same mistakes with pathology AI?Dr. Hoda compares the current excitement around AI with the early promises made about digital pathology 15 years ago.01:04 — Meet Dr. Syed HodaHis clinical pathology background and path to becoming NYU's Director of Digital Pathology.03:16 — Why going slowly can hold departments backHow partial adoption creates fragmented workflows, inconsistent training, and prolonged implementation.06:25 — Leadership support for rapid adoptionWhy institutional commitment, resources, and an ambitious timeline made the project possible.10:13 — Nine months of detailed planningWorkflow mapping, laboratory changes, system configuration, vendor selection, testing, and validation.11:48 — The role of professional project managementWhy pathologists shouldn't be expected to coordinate every part of a complex digital transformation.14:29 — Why the scanner isn't the most important decisionImage quality matters, but integration, service, training, and workflow fit may matter more.17:42 — People matter more than machinesHow vendor relationships and departmental engagement supported adoption.19:19 — Setting clear expectations across the departmentNYU communicated that every pathologist would move to digital sign-out within a defined period.20:49 — Change management is a structured processHow the ADKAR framework guided communication, education, adoption, and reinforcement.25:07 — Addressing practical and personal concernsFrom mouse ergonomics to preserving collaborative case review between pathologists.27:19 — Why NYU didn't introduce AI firstDr. Hoda explains why pathologists needed to become comfortable with the digital platform before adding new AI tools.29:26 — Digital pathology and remote sign-outApproximately 60–65 pathologists now work remotely with equipment matching their office setup.30:28 — Why speed is non-negotiableEven a small delay or repeated pixelation can quickly undermine confidence in a digital workflow.33:25 — A cautious approach to pathology AIConcerns about premature adoption, self-validation, limited regulatory clearance, and lack of pathologist involvement.37:27 — Scientific validation, transparency, and responsibilityWhat happens when the AI result and the pathologist's interpretation don't agree?40:41 — Where AI could meaningfully augment pathologyQuantifying microenvironments, feature combinations, ratios, and findings that are difficult to assess visually.Resources MentionedADKAR change management frameworkDigital Pathology AssociationExecutive War CollegeFDA list of AI-powered medical devicesA radiology mock-trial paper examining responsibility when clinicians use AI: Examining perceptions of liability about AI in radiology (MedRxiv)Why AI cannot do good science without humans (Nature Editorial)A previous Digital Pathology Podcast discussion about AI-supported colorectal cancer feature analysis (How to use deep learning image analysis for colon cancer with Rish Pai)Listen to the full conversation for a practical look at digital pathology planning, change management, remote sign-out, scanner integration, and responsible AI adoption.Support the showGet the "Digital Pathology 101" FREE E-book and join us!
What is the ASLP Interstate Compact and what does it mean for SLPs?Guest: Susan Adams, Esq., CAE, Director of State Legislative & Regulatory Affairs at ASHAEarn 0.10 ASHA CEUs for this episode with Speech Therapy PDWatch on YoutubeIn this episode of First Bite, Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, FNAP, welcomes Susan Adams, Esq., CAE, for a timely discussion about the Audiology & Speech-Language Pathology Interstate Compact (ASLP-IC) and what it means for speech-language pathologists. Together, they break down how the ASLP Compact works, who is eligible to participate, what privileges it provides, and where implementation currently stands across the United States. If you've been wondering how the compact could affect your clinical practice, this episode will help you understand the opportunities, limitations, and what to watch for next.About the Guest: Susan Adams is the Director for State Legislative and Regulatory Affairs at ASHA. She is responsible for advancing the public policy objectives of ASHA by serving as team lead and policy expert on state legislation and regulations affecting audiologists and speech-language pathologists, related to state licensure including the Audiology & Speech-Language Pathology Interstate Compact, and diversity, equity and inclusion issues that affect the ability to practice.Show Notes:Contact Susan on LinkedInASLP-IC WebsiteLove Money: Support ACLU
Dr. Mariana Byndloss is Assistant Professor of Pathology, Microbiology and Immunology at Vanderbilt University Medical Center. Research in Mariana's lab investigates how the bacteria that live inside our gut can affect our health. She is interested in how things like diet, antibiotics, or infection may change how our body behaves. This, in turn, can change how the bacteria in our gut behave and lead to disease. Outside of science, Mariana loves animals, and she spends a lot of her free time with her dog and new puppy. They are both German Shorthair Pointers, and she trains them to hunt and to participate in American Kennel Club competitions. Mariana also enjoys quality time with her husband and son, listening to live music, and exploring all the great restaurants in Nashville. Mariana earned her DVM, MSc in veterinary pathology, and PhD in veterinary pathology from the Universidade Federal de Minas Gerais (UFMG) in Brazil. She was awarded the Brazilian National Prize for best PhD thesis in Veterinary Medicine. Afterwards, Mariana conducted postdoctoral research at the University of California, Davis before joining the faculty at Vanderbilt University Medical Center. In our interview, Mariana will tell us more about her life and science.
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Dr. Bill Morice is the President and CEO of Mayo Clinic Labs and a professor of Pathology at Mayo Clinic. Dr. Morice is also a longtime contributor on The CGP. This week he breaks down what, exactly, cyclosporiasis is and how long we can expect it will hang around here in the U.S... more specifically, in California. Measles - reported cases are growing exponentially and Dr. Morice sheds light on why. The Christopher Gabriel Program ----------------------------------------------------------- Please Like, Comment and Follow 'The Christopher Gabriel Program' on all platforms: The Christopher Gabriel Program is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. --- The Christopher Gabriel Program | Website | Facebook | X | Instagram | --- Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.
Open vs partial nephrectomy, and open vs robotic prostatectomy - two large randomised trials that did not change surgical practice! Just as important to examine these in GU Cast Journal Club as to examine pivotal trials that did change practice. Today we discuss the EORTC Today we discuss the EORTC 30904 RCT looking at kidney cancer surgery (Eur Urol 2011), and the Brisbane randomised trial of open vs robotic prostatectomy conducted (Lancet 2016). We are delighted to welcome back our GU Cast Journal Club Editors, Dr Carlos Delgado (Mexico City, MEX), and Dr Elena Berg (Munich, GER), along with main GU Cast Hosts, Renu Eapen and Declan Murphy. AN emotional one as Carlos is heading home to Mexico soon! Links to papers below:1. A prospective, randomised EORTC intergroup phase 3 study comparing the oncologic outcome of elective nephron-sparing surgery and radical nephrectomy for low-stage renal cell carcinoma Eur Urol 2011 2. Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: early outcomes from a randomised controlled phase 3 study Lancet 2016Even better on our YouTube channelAbout GU Cast Journal Club:Each month, two papers are discussed, each of which are of importance to the GU Oncology community. These may be recent papers, or occasionally we will chose a classic landmark paper in GU Oncology. The objective is to draw attention to important papers in GU Oncology, and critique these in a robust manner. The key target audience is trainees working in Urology, Medical Oncology, Radiation Oncology, Nuclear Medicine, and diagnostic specialties such as Radiology and Pathology. But any of our regular audience are likely to enjoy this Journal Club series.
What happens when you remove more than a billion barrels of oil from the global energy supply? Both the government and futures markets assure us everything will be fine. That's probably not true. Paid partnerships with: Black Rifle Coffee: Promo code "Tucker" for 30% off at https://www.blackriflecoffee.com American Financing: NMLS 182334, nmlsconsumeraccess.org. APR for rates in the 5s start at 6.327% for well qualified borrowers. Call 800-685-5696 for details about credit costs and terms. Visit http://www.AmericanFinancing.net/Tucker. Battalion Metals: Shop fair-priced gold and silver at https://battalionmetals.com/tucker Dr. Chris Martenson, PhD (Duke, Pathology) and MBA (Cornell), is an economic & energy researcher, a reality-based analyst, and founder of PeakProsperity.com (http://peakprosperity.com/), a vibrant online community that's now 25 years in the making. By blending scientific rigor with profound skepticism of official narratives, Chris's mission is to help people see the true drivers of economic growth and history so that they may become more resilient and build buffers against the shocks to come. He's also a farmer, father, businessman, Christian, devoted husband, fly fisherman, a pistol and long-rifle shooter, and an author. Learn more about your ad choices. Visit megaphone.fm/adchoices
A talk by Evan Sedgwick-Jell on the history of communist drug treatment services in Weimar Germany, given at the Political Pathologies conference in Glasgow. Evan Sedgwick-Jell is a researcher, particularly interested in the interrelation of the psy-disciplines and mental health, with political movements and healthcare systems. Their forthcoming work Capitalist Pathology: The Cultural Logic of Mental Health, examines depression as represented in contemporary non-fiction and its implications for the capitalist subject and a new radical politics of mental health. Their current research examines the convergence of social medicine and radical politics in Weimar Germany. SUPPORT: www.buymeacoffee.com/redmedicine Soundtrack by Mark Pilkington Twitter: @red_medicine__ www.redmedicine.substack.com/
Why are Bitcoin miners suddenly at the center of the AI infrastructure boom? Fred Thiel, CEO of MARA, explains "mullet data centers" — AI in the front, Bitcoin mining in the back — and why power is the bottom layer of Jensen Huang's AI pyramid. He details MARA's joint venture with Starwood, load-balancing technology that follows wind power in real time, and lessons from Bitcoin mining that now apply to hyperscale data centers.
In this episode of Tiny Matters, a listener who works in a pathology lab explains how even the ickiest specimens become ho-hum with time, sending Sam and Deboki down a rabbit hole of pathology history and the bizarre life of Rudolf Virchow, the “father of pathology” who was also rumored to have brought worm-filled sausages to a duel. Then, a listener's sourdough experiments spark a conversation about yeast and how these microscopic organisms are the chemists behind tasty bread, beer, wine, and more.We need your stories — they're what make these bonus episodes possible! Write in to tinymatters@acs.org *or fill out this form* with your favorite science fact or science news story for a chance to be featured.A transcript and references for this episode can be found at acs.org/tinymatters.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What happens behind the sealed doors of a biocontainment laboratory when a patient with a suspected special pathogen—like Ebola or Lassa fever—arrives at a hospital? In this episode of Transmission Interrupted, host Jill Morgan is joined by Vicki Herrera, biocontainment laboratory training and education leader at UNMC, and Colleen Kraft, medical and laboratory director of Emory's Biocontainment Unit. Together, they break down the critical question: what are “basic labs,” and how can frontline healthcare facilities prepare to deliver essential diagnostics safely during a special pathogen event?Listen in as Jill, Vicki, and Colleen demystify the realities of emergency lab testing, exploring the tension between the rapid results clinicians want and the vital safety measures laboratorians must uphold. They discuss point-of-care devices, the nuances of risk assessments, and the keys to interdepartmental communication that ensure both effective patient care and laboratory safety. Whether you're a bedside nurse, an ED provider, or a laboratorian, this candid, practical conversation will help you understand how healthcare teams can work together to deliver safe and swift care—even in the face of emerging infectious threats.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsVicki Herrera, MS Research Coordinator University of Nebraska Medical Center Vicki Hererra is a Research Coordinator at the University of Nebraska Medical Center in the field of infectious diseases and bioaerosols. She has supported the Nebraska Biocontainment Unit for the past 16 years and currently supports both NETEC and the Nebraska Biocontainment Unit Laboratory by providing education and training to laboratory staff. She is also a co-lead of NETEC's Laboratory Working Group. Colleen S. Kraft, MD, MSc Professor, Department of Pathology and Laboratory Medicine Professor, Infectious Diseases, Department of Medicine Emory University School of Medicine Colleen S. Kraft, MD, MSc, is a Professor in the Department of Pathology and Laboratory Medicine as well as a Professor in the Department of Medicine Division of Infectious Diseases at Emory University School of Medicine. Dr. Kraft was the Associate Chief Medical Officer of Emory Hospital from 2020-2023 and is currently the Associate Chief Research Informatics Officer for the Woodruff Health Sciences Center. Dr. Kraft served as the President-Elect, President and Past President of the American Society for Microbiology from 2021-2024. Dr. Kraft was one of the infectious disease physicians at Emory Hospital in 2014 to receive and care for patients who had contracted Ebola virus disease and Lassa fever in West Africa. Dr. Kraft is a clinical consultant for the Emory Healthcare Human Factors Lab, and a director in the Healthcare Test Kitchen Lab, both of which were in response to the desire for high reliability after the care of patients with highly contagious infectious diseases. HostJill Morgan, RNEmory Healthcare, Atlanta, GAJill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI)ResourcesNETEC - Lab ResourcesNETEC - Resource LibraryNETEC - Transmission Interrupted PodcastAbout NETECA Partnership for PreparednessThe National Emerging Special Pathogens Training and Education Center's mission is to set the gold standard for special pathogen preparedness and response across health systems in the U.S. with the goals of driving best practices, closing knowledge gaps, and developing innovative resources.Our vision is a sustainable infrastructure and culture of readiness for managing suspected and confirmed special pathogen incidents across the United States public health and health care delivery systems.For more information, visit NETEC on the web.NETEC Consultation ServicesAssess and Advance Your Readiness for Special Pathogens with Free, Expert Consulting.NETEC offers free virtual and on-site readiness consulting to help health care facilities and EMS agencies prepare for special pathogen events. Our targeted support services are delivered by experts selected and assigned to each inquiry based on the unique needs of your organization. Have a question? Ask a NETEC expert.For more information, visit NETEC Consulting Services.
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
Ruth interviews Dr. Chris Callewaert, also known as Dr. Armpit, about his research into the microbiomes that contribute to body odor (BO). Although his work focuses on the skin of the armpits, his findings also apply to foot odor and even bad breath. In Part 1, we meet Dr. Callewaert and learn what led him to this career—spoiler alert: it involved a sleepover. We discuss the differences between "good" and "bad" body odor, how BO is classified, why it is a concern, and how it can affect a person's quality of life. We also explore the skin-gut axis and how processes in the digestive tract influence the composition of our sweat and, in the case of SIBO (small intestinal bacterial overgrowth), even the color of the tongue. Resources: Learn more about Dr. Chris Callewaert: https://drarmpit.com/ Host Bio: Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com. Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function. Website: anatomytrains.com Email: info@anatomytrains.com Facebook: facebook.com/AnatomyTrains Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal! Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook. At Heights Wellness Retreat, we believe every person is an unstoppable force, whether navigating daily demands, pursuing goals, or striving to be their best. This drives everything we do. We go beyond traditional spa services by creating a purpose-driven environment where wellness professionals are empowered, valued, and positioned to grow. With steady clientele, support, and a wellness-forward culture, Heights Wellness Retreat is where therapists build meaningful, sustainable careers while shaping the future of the wellness industry. www.massageheightscareers.careerplug.com/jobs www.heightswellnessretreats.com https://www.instagram.com/heightswellnessretreat/ https://www.facebook.com/heightswellnessretreat/
Please visit answersincme.com/KJW860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Aman Chauhan, MD and Rhonda K. Yantiss, MD. In this activity, experts in medical oncology and pathology discuss identification and treatment of extrapulmonary neuroendocrine carcinomas and extrapulmonary neuroendocrine tumors. Upon completion of this activity, participants should be better able to: Differentiate extrapulmonary neuroendocrine carcinoma (EP-NEC) from extrapulmonary neuroendocrine tumors (EP-NETs); Identify diagnostic and pathological approaches to improve the recognition and accurate classification of EP-NEC and EP-NET; Evaluate emerging clinical data on DLL3-targeting bispecific TCE agents in the treatment of EP-NEC and EP-NET; and Formulate evidence-based strategies to integrate DLL3-targeting bispecific TCE therapies into evolving treatment paradigms for EP-NEC and EP-NET.
When sunny summer days come around, it makes some dermatologists shudder. They would prefer we behave like bats and hide in caves until nightfall. Failing that, they stress the importance of always applying (and re-applying) high SPF sunscreen, wearing sun-blocking clothing with long sleeves and keeping a big-brimmed hat firmly on the head. A beekeeper's outfit might be perfect. But must you really shun the sun completely to save your skin? Our guest describes how to practice moderation safely. He also explains why some people are addicted to sunshine, while others are allergic to it. At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, July 11, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on July 13, 2026. Can You Really Be Addicted to Sunlight? Dermatologists do their best to discourage people from using tanning beds. They describe the damage that ultraviolet light can cause, ranging from wrinkles to skin cancer. For some people, though, those arguments just don't make a difference. Our guest, Dr. Steve Feldman, conducted a study several years ago. The volunteers were accustomed to using tanning beds. In the study, there were two beds, one with the usual ultraviolet light and the other, identical in appearance and temperature, had its UV blocked. After a session in each bed, volunteers were allowed to choose their bed for the last session. They almost invariably chose the bed with the active UV. To follow up, the researchers administered naltrexone, the opioid-blocking medication. When volunteers had taken it, they were no longer able to distinguish which bed was active. It seems that, for these people, ultraviolet light activates pro-opiomelanocortin, which in turn triggers the production of natural opioids called endorphins. Further research imaging the brain during tanning sessions confirmed that the UV exposure was activating areas of the brain associated with pleasure (Psychiatry Research. Neuroimaging, May 30, 2016). Dr. Feldman and a colleague found that excessive indoor tanning is similar in pattern to substance use disorders (Journal of Cutaneous Medicine and Surgery, May-June 2025). Can You Save Your Skin and Still Enjoy the Outdoors? Dr. Feldman offers advice on avoiding sunburn that is tempered with this fact from epidemiology: people who go out in the sun live longer (International Journal of Environmental Research and Public Health, July 13, 2020). The goal here is not to shun the sun completely, but rather to exercise enough caution and good judgment to avoid burning your skin. (Who wants to burn, anyway? It hurts, and it looks bad.) Timing your sun exposure carefully is crucial to save your skin from sunburn. You may also be interested in the new sunscreen ingredient the FDA just approved, bemotrizinol. What Can You Do About Heat Rash? When the weather gets hot and bodies get sweaty, heat rash becomes a common complaint. Sweaty skin may develop bumps that can sometimes be very itchy. What do you do to ease the discomfort? If you can cool the skin off, it might help a lot. Of course, people may also suffer from other types of rash. Babies get diaper rash. Women sometimes experience under-breast rash, just as men may develop jock itch. Zinc oxide ointment can often be helpful for these types of rash. Managing Psoriasis Psoriasis is one of Dr. Feldman's special research interests. The red scaly plaques of this skin condition have raised borders. They look a lot like a fungal infection, but there is no fungus present on the skin to cause them. Something else seems to trigger the skin's immune system to react along the same pathways as if there were a fungus. Most of the time, psoriasis is mild enough to manage without costly medications. It actually responds very well to ultraviolet light exposure. UV downregulates the immune system's over-response. While many dermatologists offer UV exposure within their office walls, in the summertime patients could get exposure to sunlight outdoors. This is practical if they avoid the middle of the day, when they might get burned. Another option? Tanning beds also offer an easy way to calibrate the appropriate amount of UV exposure to save your skin from psoriasis. (Most dermatologists don't approve of this one, so don't tell.) One other practical but unorthodox tip for dealing with mild psoriasis. OTC cortisone may not be strong enough to help heal up a red spot. But you could buy Flonase nasal spray or a generic version, fluticasone, over the counter. Spray it on your skin and appreciate the relief. In fact, this could work for a mild case of poison ivy or other skin irritation as well. Severe cases still need a dermatologist's care. What to Do About Atopic Dermatitis Atopic dermatitis is the medical term for eczema. People with allergies or asthma also appear to be more vulnerable to eczema. Dysregulation of the immune mediators interleukin 4 (IL4) or IL13 may be responsible. This condition may appear in a mild form, which can be readily managed, or a more severe form that might require prescription medication. A topical corticosteroid such as triamcinolone will often clear it up. Or you could try spraying on some Flonase nasal spray for a cost-effective low-key approach. Those will actually help the majority of people with mild eczema. Using mild soap rather than detergent-based body wash, moisturizing well and following an anti-inflammatory diet are the pillars of home management. People with more severe atopic dermatitis covering a large portion of the body may need powerful prescription medication rather than topical steroids. Trying to cover so much skin with steroid would probably result in side effects from the cream. Dupixent (dupilumab) is a relatively new self-injectable medication that blocks IL4 and IL13. It works well for most people with atopic dermatitis and has a good safety profile. Certain other drugs in this category, such as Skyrizi (risankizumab), are also pretty safe but very pricey. Stelara (ustekinumab), has been around longer. Biosimilars for Stelara have been approved and are more affordable. Ustekinumab blocks IL12 and IL23. TV ads tout other medicines for this condition as well. Rinvoq (upadacitinib) is three or four times more effective than Dupixent, but it is also super expensive. It is a Janus-kinase (JAK) inhibitor. Xeljanz (tofacitinib) is another potent prescription JAK inhibitor, but it carries an elevated risk of heart attack. Beware of Bug Bites Another summer skin hazard is bug bites. Here unquestionably the best approach to save your skin is avoidance. Appropriate clothing is key. (That beekeeper's suit will come in handy here again.) Dr. Feldman recommends spraying DEET on your pants legs, socks and sleeves rather than directly on your skin. If there are grasses or brush where you have walked, run or played, a tick check immediately upon coming inside is critical. Can AI Help Patients with Skin Problems? It doesn't make sense to tell people to stay off the internet. Some searches can be quite helpful and guide patients in asking their dermatologist the right questions. Dr. Feldman is enthusiastic about DermNet, a New Zealand dermatology website. https://dermnetnz.org Joe and Terry recommend SkinSight. This Week’s Guest Steven R. Feldman, MD, PhD, is Professor of Dermatology, Pathology, and Social Sciences & Health Policy, at the Wake Forest University School of Medicine. His research has been published in over 1,000 peer reviewed, Medline-referenced articles. Expertscape.com ranks Feldman among the top experts in the world on psoriasis, acne, dermatology, and treatment adherence. Steve Feldman, MD, in Dermatology clinic, Country Club Commons Listen to the Podcast The podcast of this program will be available Monday, July 13, 2026, after broadcast on July 11. You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.
In this special episode of the Pediatric and Developmental Pathology Podcast, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Bev Rogers of the University of Arizona and Banner Health, Dr. Raj Kapur of Seattle Children's Hospital, Dr. Linda Ernst of Endeavor Health and the University of Chicago, and Dr. Miguel Reyes-Múgica of the University of Miami and Holtz Children's Hospital. Hear about the Perspectives In Pediatric Pathology series from the history of Perspectives In Pediatric Pathology and how it became part of Pediatric and Developmental Pathology, to the current issue of Perspectives featuring articles on fetal and placental pathology for the general pathologist in Pediatric and Developmental Pathology: Perinatal Pathology for the General Pathologist - A Practical Guide to Fetal and Placental Examination Featured public domain music: Summer Pride by Loyalty Freak
Fixation on Histology: Thinking About Digital Pathology? Here's What to Look for in a Scanner Blog written based on the NSH webinar, The Digital Pathology Journey To Read the Full Blog, Click Here
Mehlman Qbanks: https://qbanks.mehlmanmedical.com/IG: https://www.instagram.com/mehlman_medical/Main Website: https://mehlmanmedical.com/
About our Guests: Fran Balamuth, MD, PhD, MSCE, is division chief of Pediatric Emergency Medicine at the Children's Hospital of Philadelphia. Dr. Balamuth's research interests focus on pediatric sepsis recognition using epidemiologic and translational approaches, for which she has received NIH and foundation funding. She is the co-PI of the PROMPT BOLUS trial, a multinational pragmatic trial comparing saline vs balanced fluids in pediatric sepsis, which will be the largest acute care pediatric trial in history. In addition, she co-leads the CHOP Pediatric Sepsis Program, which supports and promotes local clinical, research, educational, and quality-improvement initiatives related to sepsis. She is an internationally recognized sepsis leader, and has been invited to serve on the national steering committee for the Improving Pediatric Sepsis Outcomes quality collaborative through the US Children's Hospital Association, and 2 international task forces focused on defining pediatric sepsis through the US Centers for Disease Control and Prevention and the Society of Critical Care Medicine.Scott L. Weiss, MD, MSCE, FCCM, is a Professor of Pediatrics & Pathology and Genomic Medicine at Thomas Jefferson University and division chief of Critical Care Medicine at Nemours Children's Hospital, Delaware. Previously, Dr. Weiss was on the faculty at the Children's Hospital of Philadelphia, where he earned recognition as an international expert in pediatric sepsis. Dr. Weiss' NIH-funded research focuses on epidemiology, fluid resuscitation, and mitochondrial dysfunction in pediatric sepsis. Dr. Weiss is an international expert in pediatric sepsis and served as the co-PI of the PRoMPT BOLUS trial.Nathan Kuppermann, MD, MPH, is Executive Vice President and Chief Academic Officer of Children's National Hospital and Director of the Children's National Research Institute. He also serves as chair of the Department of Pediatrics and associate dean of Pediatric Academic Affairs at the George Washington University School of Medicine and Health Sciences. He is an internationally recognized clinical trialist in pediatric trauma, pediatric DKA, and acute pediatric infections. As the original chair of the Pediatric Emergency Medicine Applied Research Network (PECARN); his research is focused on clinical trials and clinical prediction rules using large cohorts of acutely ill and injured children. Dr. Kuppermann served as the senior investigator of the PRoMPT BOLUS trial.Selected References:Weiss SL, Balamuth F, Long E, Thompson GC, Hayes KL, Katcoff H, Cook M, Tsemberis E, Hickey CP, Williams A, Williamson-Urquhart S, Borland ML, Dalziel SR, Gelbart B, Freedman SB, Babl FE, Huang J, Kuppermann N; Pragmatic Pediatric Trial of Balanced Versus Normal Saline Fluid in Sepsis (PRoMPT BOLUS) Investigators of the PECARN, PERC, and PREDICT Networks. PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial. Trials. 2021 Nov 6;22(1):776. doi: 10.1186/s13063-021-05717-4. Erratum in: Trials. 2025 Oct 7;26(1):390. doi: 10.1186/s13063-025-09164-3. PMID: 34742327; PMCID: PMC8572061.Weiss SL, Balamuth F, Thurm CW, Downes KJ, Fitzgerald JC, Laskin BL. Major Adverse Kidney Events in Pediatric Sepsis. Clin J Am Soc Nephrol. 2019 May 7;14(5):664-672. doi: 10.2215/CJN.12201018. Epub 2019 Apr 18. PMID: 31000518; PMCID: PMC6500940.Semler MW, Self WH, Wanderer JP, Ehrenfeld JM, Wang L, Byrne DW, Stollings JL, Kumar AB, Hughes CG, Hernandez A, Guillamondegui OD, May AK, Weavind L, Casey JD, Siew ED, Shaw AD, Bernard GR, Rice TW; SMART Investigators and the Pragmatic Critical Care Research Group. Balanced Crystalloids versus Saline in Critically Ill Adults. N Engl J Med. 2018 Mar 1;378(9):829-839. doi: 10.1056/NEJMoa1711584. Epub 2018 Feb 27. PMID: 29485925; PMCID: PMC5846085.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
· Podcast Host and Interviewee: o Host: Franziska Ippen o Interviewee: Daniel Brat Podcast Description: Dr. Franziska Ippen interviews Dr. Daniel Brat on his recent Neuro-oncology article entitled "cIMPACT-NOW update 12: Refining Pathology-based Risk Stratification and Grading for IDH-mutant Gliomas".
Understanding how values and communication styles differ across cultures is key to succeeding internationally. That’s why training in cross-cultural communication has become commonplace in the international business world. In this session, we’ll look at 6 dimensions of cross-cultural communication and their application to medical scenarios.
In this week's rebroadcast, Anneke Flinn and Robyn Stephen, Director and Principal Clinician at Melbourne Child Development, and Speech Pathology consultant at Melbourne Paediatric Specialists, discuss the speech pathologist's role in Autism diagnosis. SPA and the presenters of this podcast acknowledge that this episode was originally recorded in 2024. As terminology and perspectives evolve over time, the original episode title and some of the language used may no longer reflect current preferred terminology. To support respectful and contemporary practice, the title of this episode has been updated. We recognise and respect that terminology preferences vary among neurodivergent people and communities, and we value approaches that honour diverse perspectives and individual preferences. Robyn has provided her own reflection on neuro-affirming care and the language we use when working with Autistic people. She also wanted to highlight that if you decide to delay a diagnostic decision for a few months whilst you monitor the child in a new setting such as kindergarten that this is not a watch and wait period as far as support is concerned. Intervention including parent and educator coaching should commence during this time as soon as possible using the child's strengths to enhance their function. Rebroadcast reflection provided by Courtney Reddacliff, speech pathologist and member of the Podcast Reference Group. Speech Pathology Australia acknowledges the Traditional Custodians of lands, seas and waters throughout Australia, and offers our respect to Elders, across all times and places. The Speak Up podcast recognises the central role of yarning and oral storytelling in Aboriginal and Torres Strait Islander culture, how this translates to knowledge translation, and that colonisation has interrupted these practices of Language and knowledge sharing. The Speak Up podcast acknowledges the need for truth-telling and deep listening, the central role that Language plays in connecting Aboriginal and Torres Strait Islander People with Culture, Country, and Community, and the interwoven nature of health, and social and emotional wellbeing. We recognise that the Traditional Owners of the Lands across Australia have been here since time immemorial, and that their sovereignty over this land, was never ceded. Free access to transcripts and a full list of resources and references for this podcast, is available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/). You will need to sign in or create an account. For more information, please see our Bio, or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2026) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.
The Root Cause Most Doctors Never Look For with Dr. Yi Song You have been through the tests. You have the results. You have the prescription. And something still feels unresolved, because the system you went through was built to find what is broken in one place, not to read the whole picture. Dr. Yi Song has practiced at the intersection of traditional Chinese medicine, Western pathology, and regenerative therapy for 25 years. Her argument is not that modern medicine is wrong. It is that it stops too soon, and that the philosophy behind Chinese medicine was already asking the right questions 6,000 years ago. In This Episode: Why Chinese medicine reads pulse, tongue, complexion, voice, and personal history together, and why that picture is more complete than isolated biomarkers alone The six principles of lasting health from Dr. Song's forthcoming book: body constitution, early prevention, root cause diagnosis, tending the body like a garden, natural rhythm, and combining modalities designed for your specific constitution What stem cell therapy actually does, and what it cannot do. Dr. Song has administered stem cells to herself more than 30 times over five years and still pairs them with red light therapy, infrared sauna, and targeted Chinese medicine How long-term stress silently degrades the digestive system over years, and why treating the downstream symptom without addressing the upstream cause almost never holds The Taoist root of mental wellness: the actual source of unhappiness is comparison, not a lack of meditation practice Why your prenatal constitution cannot be eliminated, only understood and managed Key Insights: Your reference range is not your range. Western benchmarks are population averages. What is normal for your body may look abnormal for someone else's, and vice versa. A symptom is almost always downstream of something upstream. Treating the symptom while the root stays intact is like watering the wilting plant while the irrigation line stays blocked. Stem cells are a jump-starter, not a cure. Their value multiplies when combined with modalities matched to the individual's constitution, not a generic longevity stack. The meaning of life lives in the process. Not the destination, not the outcome, and not how your outcome compares to anyone else's. About Dr. Yi Song: Dr. Yi Song, raised in Beijing in a 17-generation medical family, trained in Pathology at Brown University before focusing on regenerative and holistic healing. She has operated a holistic clinic in Boston since 2004 and founded the Zenerchi Retreat in Colombia in 2018, where she offers advanced stem cell therapies. Integrating stem cell therapy, Traditional Chinese Medicine, and anti-aging treatments, Dr. Song aims to help people live longer, healthier lives. Links: Facebook: https://www.facebook.com/dr.yi.song.stemcellexperts https://www.facebook.com/regenerationeffect/ LinkedIn: https://www.linkedin.com/in/dr-yi-song/ Instagram: https://www.instagram.com/regenerationeffect/ X: https://x.com/regenerationFx YouTube: https://www.youtube.com/@regenerationeffect Watch the full episode on YouTube: https://www.youtube.com/@richersoul Richer Soul Life Beyond Money. You got rich, now what? Let's talk about your journey to purposeful, intentional, amazing life. Where are you going to go and how are you going to get there? Let's figure that out together. At the core is the financial well being to be able to do what you want, when you want, how you want. It's about personal freedom! Thanks for listening! Show Sponsor: http://profitcomesfirst.com/ Schedule your free no obligation call: https://bookme.name/rockyl/lite/intro appointment 15 minutes If you like the show please leave a review on iTunes: http://bit.do/richersoul https://www.facebook.com/richersoul http://richersoul.com/ rocky@richersoul.com Some music provided by Junan from Junan Podcast Any financial advice is for educational purposes only and you should consult with an expert for your specific needs.
This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HEREEpisode Overview: Precision diagnostics and precision care are not two separate steps. They are a single, continuous system, and treating them otherwise is costing health plans time, money, and patient outcomes.Dr. Bill Kerr, Co-Founder and CEO of Avalon Healthcare Solutions, has spent over a decade building the infrastructure to close that gap.With a career spanning chief medical officer roles at WellCare Health Plans and Blue Cross Blue Shield of Florida, Bill brings rare fluency across clinical science, health plan economics, and operational complexity.Through Avalon's Diagnostic Insights Platform, his team is ensuring the right test reaches the right patient at the right time, driving smarter decisions and reducing costly waste across millions of members nationwide.Join us to discover how precision diagnostics are reshaping the future of value-based care. Let's go!Episode Highlights:Dr. Kerr founded Avalon to accelerate lab science adoption, closing the costly 20-year gap between discovery and clinical use.Lab testing is only 10% of medical spend, but drives 70% of clinical decisions, making diagnostic precision essential.In non-small cell lung cancer, only one-third of patients currently receive best-in-class, mutation-targeted treatment.Avalon now serves 30 health plans and roughly 100 million lives, expanding into diagnostic imaging with AI integration.Dr. Kerr's ask to the community: help Avalon bring diagnostic insights into the exam room without adding clinical noise.About our Guest:Before co-founding Avalon, Dr. Kerr served as the Chief Medical and Growth Officer atCareCentrix, a company focused on delivering healthcare at home. Prior to joiningCareCentrix, Dr. Kerr served as the Chief Medical Officer at WellCare Health Plans andBlue Cross Blue Shield of Florida. Dr. Kerr was previously the Vice President ofProfessional Networks at Independence Blue Cross and regional medical director forseveral plans in Texas.Dr. Kerr holds a BA from the University of Arkansas, an MBA from the University of Houston, and an MD from the University of Arkansas. He was also a research associate in the Nuffield Department of Pathology at the University of Oxford.Links Supporting This Episode: Avalon Healthcare Solution website: CLICK HEREDr. Bill Kerr LinkedIn page: CLICK HEREAvalon Healthcare Solutions LinkedIn page: CLICK HEREMike Biselli LinkedIn page: CLICK HEREMike Biselli Twitter page: CLICK HEREVisit our website: CLICK HERESubscribe to newsletter: CLICK HEREGuest nomination form: CLICK HERE
This time we go into how we think about Pathology in media and videogames, while still talking about gaming news and the Left Page Book Club, enjoy! itinerary: 00:00:00-01:03:21 - Intro + Summer Games Fest + Minute AI rambling 01:03:21-01:55:05: - The Broader Pathology of Media 01:55:05-END - The Left Page Book Club Our next set of chapters is from Catelyn VII to Catelyn VIII! (Another 16 chapters!) Article mentioned: https://thehaunt.blog/2026/03/29/on-moral-repugnance/ If you can and are interested in early episodes and our bonus content, soon to be plenty more, check out our Patreon! https://www.patreon.com/leftpage Also! If you're not there already, feel free to join our Discord! https://discord.gg/J2wgG3yrPN Outro Music: Don't Leave! · El-Funoun Palestinian Popular Dance Troupe. From the Album: Zareef ℗ 2006 El-Funoun
He carried two copies of ApoE4, the highest genetic risk factor for Alzheimer's disease, went through medical school knowing exactly what his LDL of 700 meant, decided the experts were wrong, and then published the case report to prove it. In this episode, Louisa sits down with Dr. Nick Norwitz, PhD researcher and metabolic scientist, for one of the most scientifically dense conversations on brain health, cholesterol biology, and Alzheimer's prevention ever recorded on this show. They cover why the phospholipid form of DHA reaches the brain more effectively than standard fish oil, how ApoE4 carriers burn through omega-3s differently and what to do about it, the lithium orotate data that sold out supplement shelves worldwide, and why GSK-3 beta, the enzyme that phosphorylates tau, may be the most under appreciated target in Alzheimer's research today. Then Dr. Nick Norwitz lays out the case that challenges the "LDL is always the enemy" consensus: why metabolically healthy individuals may not benefit from aggressive lipid-lowering therapy, what his viral coronary CT angiogram showed after seven years of 700+ cholesterol, why the EZPAVE trial headlines don't hold up under scrutiny, and what GLP-1s are doing inside the brain completely independent of weight loss. You'll also hear about the sardine diet experiment, the omega-3 thermogenesis connection, ketones as misfolded protein clearance agents, creatine for depression, retatrutide and PCSK9, BPC-157 risks, and what Dr. Nick Norwitz believes is coming in Alzheimer's gene therapy within the next decade. *Reduce your risk of Alzheimer's with my science-backed protocol for women 30+:*https://go.neuroathletics.com.au/youtube-sales-page Subscribe to The Neuro Experience for evidence-based conversations at the intersection of brain science, longevity, and performance. _____ *TOPICS DISCUSSED*(00:00:00) Intro: The ApoE4 Paradox and the Case Report That Broke the Internet (00:00:57) Why Standard Omega-3 Supplements Fail and What to Take Instead (00:05:13) DHA and the Phospholipid Carrier: How It Crosses the Blood-Brain Barrier (00:10:19) ApoE4 Explained: Risk, Genetics, and Why Nick Is Optimistic (00:17:38) Why ApoE4 Carriers Burn Through DHA Faster and Need More (00:20:31) Women, Omega-3s, Menopause, and Brain Insulin Resistance (00:21:41) Statins, Sex Differences, and the DHA-Blood Sugar Connection (00:26:01) Statins and Dementia: What the Data Actually Say (00:32:24) Tau, GSK-3 Beta, Lithium Orotate, and Targeting Alzheimer's Pathology (00:42:19) The Glymphatic System, 40Hz Devices, and Sleep as Brain Clearance (00:45:21) Gene Editing, Prime Editing, and the Future of ApoE4 Therapy (00:49:33) Nick's Case Report: 700 LDL, Zero Plaque, and Seven Years of Data (00:55:10) The EZPAVE Trial: Why the Headlines Don't Hold Up (01:00:33) KetoneIQ: Ketones for Brain Energy and Focus (01:01:29) Cheers Health: Supporting Liver Function and Cognitive Recovery (01:03:54) If Not LDL, What Causes Heart Disease in Metabolically Healthy People? (01:12:05) The Oreo Experiment and the Sardine Diet: Self-Experiments in Metabolism (01:19:10) Ketones, Women's Brains, and Clearing Misfolded Proteins (01:21:08) The Full Brain Health Protocol: Omega-3s, Creatine, NAD, Lithium, and More (01:24:01) GLP-1s for the Brain: Independent of Weight, Targeting Amyloid and Tau (01:25:28) Peptides: BPC-157 Risks, Retatrutide, MOTS-c, and What's Worth Watching (01:29:02) Why Nick Is Controversial And Why He Doesn't Mind _______ *Thank you to our sponsors*Fenix Health Science: fenixhealthscience.com Use code NEUROEXPPulsetto: https://pulsetto.tech/pages/NEURO or use Code NEURO for some off your orderFunction Health: https://www.functionhealth.com/louisanicolaBASED Bodyworks: https://basedbodyworks.com/ and use code NEURO for 20% offKetoneIQ: https://ketone.com/NEURO for 30% OFFCheers Health: https://CheersHealth.com/NEURO or use code NEURO for 20% off _______ I'm Louisa Nicola - clinical neurophysiologist - Alzheimer's prevention specialist - founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention.If you're committed to optimizing your brain- reducing Alzheimer's risk - and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0Instagram: https://www.instagram.com/louisanicola_/Twitter : https://twitter.com/louisanicola_ Learn more about your ad choices. Visit megaphone.fm/adchoices
SPONSORS: - Go to https://www.plaud.ai/curt and use the promo code "CURT" to get a Plaud device today - Accelerate your efficiency. Sign up for your one-dollar-per-month trial today at http://shopify.com/theories - I personally subscribe to The Economist. TOE listeners get 35% off the annual subscription. No other podcast has this! https://economist.com/TOE This is a breaking podcast. We're premiering a new paradigm for quantizing 4D gravity here first, without strings. Neil Turok — inaugural Higgs Chair at Edinburgh, former director of Perimeter Institute, and 2026 Fellow of the Royal Society — believes quantum gravity may not require strings, extra dimensions, or a multiverse. The key: a 1970s theory called quadratic gravity, long abandoned over two seemingly fatal problems. Turok and Bateman argue both problems dissolve — one by reinterpreting a classical instability as ordinary gravitational expansion, the other by a subtle tweak to the Born rule that allows quantum states of negative norm without ever producing negative probabilities. One quiet assumption, Turok argues, underpins decades of string theory's necessity. Drop it, and the whole case for a multiverse unravels. Neil graciously gave me a sneak peek at his and his PhD student Sam Bateman's new research. Bleeding edge! I hope you enjoy. TIMESTAMPS: - 00:00:00 - Quadratic Gravity Emergence - 00:05:03 - Renormalization and Asymptotic Freedom - 00:10:57 - Ghosts and Krein Spaces - 00:16:00 - Generalizing the Born Rule - 00:23:27 - Ostrogradsky Instability Reinterpreted - 00:31:29 - UV Completeness and QCD - 00:38:21 - Higgs Compositeness and Hierarchy - 00:43:58 - CPT Symmetric Universe Minimalism - 00:52:54 - The 36 Fields Mystery - 01:00:10 - Orthodoxy vs. Revolutionary Ideas - 01:06:39 - Gravitational Entropy and Smoothness - 01:16:14 - Multiverse Measure Problem - 01:23:05 - Theoretical Physics Health - 01:30:07 - Sam Bateman's Breakthrough - 01:43:33 - Philosophy of Cosmology LINKS MENTIONED: - Neil's Papers: https://inspirehep.net/authors/985402 - Renormalization of Higher-Derivative Quantum Gravity [Paper]: https://journals.aps.org/prd/abstract/10.1103/PhysRevD.16.953 - Quadratic Gravity: https://en.wikipedia.org/wiki/Quadratic_gravity - Asymptotic Freedom in Higher-Derivative Quantum Gravity [Paper]: https://www.sciencedirect.com/science/article/abs/pii/0370269385902485 - Ostrogradsky's Theorem: http://www.scholarpedia.org/article/Ostrogradsky's_theorem_on_Hamiltonian_instability - Krein Space: https://en.wikipedia.org/wiki/Indefinite_inner_product_space - CPT-Symmetric Universe [Paper]: https://arxiv.org/abs/1803.08928 - Pathologies of Dimension-Zero Scalar Fields [Paper]: https://arxiv.org/abs/2603.05683 - No-Ghost Theorem for Pais-Uhlenbeck Oscillator [Paper]: https://arxiv.org/abs/0706.0207 - Cancelling the Vacuum Energy [Paper]: https://arxiv.org/abs/2110.06258 - Gravitational Entropy [Paper]: https://arxiv.org/abs/2201.07279 - Neil's Lecture: https://pirsa.org/15100070 - Neil Turok on the Big Bang [TOE]: https://youtu.be/ZUp9x44N3uE - Neil Turok on Black Holes [TOE]: https://youtu.be/zNZCa1pVE20 - Carlo Rovelli [TOE]: https://youtu.be/hF4SAketEHY - Leonard Susskind [TOE]: https://youtu.be/2p_Hlm6aCok - Jacob Barandes [TOE]: https://youtu.be/wrUvtqr4wOs - Geoffrey Hinton [TOE]: https://youtu.be/b_DUft-BdIE - Harvey Friedman [TOE]: https://youtu.be/gx3uKT1qJvY - Scott Aaronson [TOE]: https://youtu.be/1ZpGCQoL2Rk - David Deutsch [TOE]: https://youtu.be/vKeWv-cdWkM - Peter Woit & Joseph Conlon [TOE]: https://youtu.be/fAaXk_WoQqQ More links at https://curtjaimungal.substack.com FOLLOW: - Spotify: https://open.spotify.com/show/4gL14b92xAErofYQA7bU4e - Substack: https://curtjaimungal.substack.com/subscribe - Twitter: https://twitter.com/TOEwithCurt - Discord Invite: https://discord.com/invite/kBcnfNVwqs - Crypto: https://nowpayments.io/donation/TOE - PayPal: https://www.paypal.com/donate?hosted_button_id=XUBHNMFXUX5S4 Guests do not pay to appear. #science Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Pediatric and Developmental Pathology, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Sonja Chen (X: @IslandJewelsena, LinkedIn: Sonja Chen and Instagram: @pediatricpathologyadventurer), Director of Autopsy Services and Program Director for the Pediatric Anatomic Pathology Fellowship at Nationwide Children's Hospital and Dr. Oscar Lopez-Nunez (@olopeznu), Pediatric Pathology Fellowship Program Director at Cincinnati Children's Hospital. Hear how social media has shaped careers, collaborations, and the visibility of pediatric pathology, as well as what the field stands to gain by embracing Social Media more fully, as we discuss their article in Pediatric and Developmental Pathology: Exploring the Impacts and Prospects of Social Media in Advancing Pediatric Pathology Featured public domain music: Summer Pride by Loyalty Freak
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
A massage therapist notices that more clients are reporting their use of topical hormone medications. Somehow, this never came up in massage school. Is the massage therapist at risk for being dosed? It's possible, but it's nuanced. Listen for more information! Resources: Commissioner, O. of the (2021) Investigation of skin-to-skin transfer risks of topically applied transdermal hormonal drugs, FDA. FDA. Available at: https://www.fda.gov/science-research/fda-stem-outreach-education-and-engagement/investigation-skin-skin-transfer-risks-topically-applied-transdermal-hormonal-drugs (Accessed: June 3, 2026). Could Testosterone Gel Exposure Pose Risk to Close Contacts? (2025) Medscape. Available at: https://www.medscape.com/viewarticle/could-accidental-exposure-testosterone-gel-risk-your-close-2025a1000qpg (Accessed: June 3, 2026). Estradiol Gel: Uses & Side Effects (no date) Cleveland Clinic. Available at: https://my.clevelandclinic.org/health/drugs/20075-estradiol-topical-gel (Accessed: June 4, 2026). Hariri, L. and Rehman, A. (2026) "Estradiol," StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK549797/ (Accessed: June 4, 2026). Khan, S. and Sharman, T. (2026) "Transdermal Medications," StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK556035/ (Accessed: June 3, 2026). Medication Patches and Implications for Massage Therapy | ABMP (no date). Available at: https://www.abmp.com/Massage-and-Bodywork-Magazine/Issues/julyaugust-2024/medication-patches-and-implications-massage-therapy (Accessed: June 3, 2026). Should I be worried about secondary transfer risk with testosterone gels? (no date). Available at: https://www.trted.org/articles/should-i-be-worried-about-secondary-transfer-of-my-testosterone-gel (Accessed: June 4, 2026). Sjöström, K. et al. (2022) "A review of adverse events in animals and children after secondary exposure to transdermal hormone‐containing medicinal products," Veterinary Record Open, 9(1), p. e48. Available at: https://doi.org/10.1002/vro2.48. Types of Estrogen Hormone Therapy (no date). Available at: https://www.webmd.com/menopause/which-type-of-estrogen-hormone-therapy-is-right-for-you (Accessed: June 4, 2026). Host Bio: Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com. Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function. Website: anatomytrains.com Email: info@anatomytrains.com Facebook: facebook.com/AnatomyTrains Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal! Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook. Save your hands for the smaller structures and start getting your clients underfoot! At the Center for Barefoot Massage, we teach you how to enhance your pressure using gravity and physics and help your clients recover from persistent pain through nerd-level anatomical attention to detail—we just happen to use our feet to do it all! From the slow, down-regulating glides of our FasciAshi Fundamentals strokes to the proprioceptive "pattern-interrupts" of our Barefoot Matwork techniques and the resisted movements from our Stretch Therapy class, we offer a complete suite of evidence-based tools for deep, myofascial Ashiatsu Barefoot Massage—we nicknamed our approach "FasciAshi." Worried about your body size in relation to your clients? Our innovation—the suspended Ashi-strap—allows a more diverse population of massage therapists to regulate and vector their weight and pressure distribution with clinical precision, making deep work effortless on a variety of client bodies. At the Center for Barefoot Massage, we believe the future of massage is afoot! Find when and where our CE classes are happening next at centerforbarefootmassage.com.
In this episode, Dr. Stuart Slavin is joined by Julie Beckerdite, director of education for the Departments of Pathology and Psychiatry, and Carrie Racsumberger, fellowship program manager in the Department of Pathology - both at Mass General Brigham. Together, they share insights from their work on the ACGME Coordinator Advisory Group in a practical conversation on the relationships that shape the program coordinator role in graduate medical education (GME). Drawing on their experience, Beckerdite and Racsumberger discuss how interactions with residents, fellows, faculty members, and program leaders can be both a major source of satisfaction and a source of ongoing challenge. They share strategies for setting expectations early, communicating effectively, and addressing common issues like delayed responses, professionalism concerns, and recurring administrative demands. They also emphasize the importance of establishing clear boundaries with the support of leadership while maintaining a respectful, collaborative approach that promotes accountability and teamwork. The conversation highlights the meaningful connections coordinators build with residents/fellows, and the important role they play in supporting professional development and fostering psychological safety within programs. Throughout the discussion, Beckerdite and Racsumberger emphasize perspective-taking, consistency, and the value of strong relationships in navigating difficult situations. Listeners will gain practical insights into how intentional communication and clear role definition can strengthen team culture and enhance the coordinator experience in GME. Podcast Chapters (00:00) – Intro and Guest Introduction (00:45) – Focus on Coordinator Well-Being and Relationships (02:10) – Managing Task Completion and Setting Expectations (04:41) – Using Leadership Support and Accountability (06:45) – Coordinator Role in Professionalism and Recruitment (09:20) – Setting Boundaries and Defining the Coordinator Role (11:45) – Finding Satisfaction in Resident Relationships (13:25) – Managing Difficult Interactions and Perspective (15:52) – Growth, Meaning, and Supporting Trainees (16:26) – Psychological Safety and Connection (17:23) – Coordinators as Leaders (18:20) – Closing and Resources
Broadcast from KSQD, Santa Cruz on 6-11-2026: Dr. Dawn discusses fascia — the gelatinous network of sugary proteins, salts, and collagen bundles that has been known to acupuncturists and osteopaths for millennia but ignored in conventional medical training. New confocal laser endomicroscopy technology has finally visualized this "interstitium" as a fluid-filled space draining to lymph nodes, present throughout the GI tract, urinary bladder, dermis, and peribronchial tissues. The structure may play roles in cancer metastasis, edema, fibrosis, and mechanical tissue function. An emailer asks about elevated organic arsenic levels (from sardines) and ultra-filtered dairy. Dr. Dawn explains that arsenobetaine—the protein-bonded form found in fish, is harmless and passes through the body, while inorganic and methylated arsenic accumulate in bone and collagen-rich tissues. In a second question about the safety of ultrafiltered dairy, she notes ultra-filtered products may carry more microplastics from extensive plastic filters and tubing exposure, with aged cheese being particularly concentrated since water removal increases plastic density. An emailer asks about breast MRI contrast options. Dr. Dawn explains that breast MRI requires gadolinium contrast because tumors leak through their poorly-formed blood vessels, creating necessary visual contrast. She strongly recommends macrocyclic gadolinium (a stable birdcage structure) over the linear form, which slips into bones, skin, the brain's caudate nucleus, liver, and spleen for at least eight years and rarely, can cause nephrogenic systemic fibrosis. There is some suggestion it may trigger brain inflammation. She suggests listing linear gadolinium as a drug sensitivity in medical charts. Researchers harvested exosomes from semen. The exosomes evolved to help sperm penetrate egg barriers, making them ideal delivery vehicles for drugs too toxic for traditional administration. These bubble-like vesicles can penetrate the eye to distribute a manganese dioxide nanozyme compound (CMG) across ocular barriers to treat retinoblastoma, a childhood eye cancer typically requiring eyeball removal. Researchers used extracellular vesicles (effectively artificial exosomes) delivered via nasal spray to reverse brain aging in mice. The vesicles carried messenger RNA targeting the NLRP2 inflammasome, restoring mitochondrial activity in neurons and improving memory and recognition in treated animals. The nasal delivery route bypasses the blood-brain barrier, opening possibilities for treating cognitive deterioration without injections or surgical implants. An emailer reports his wife two inches shorter at a new Kaiser facility in another state. Dr. Dawn first considers measurement inconsistency (shoes on or off), then suggests evaluating for compression fractures, disc disease, and parathyroid tumors. She recommends a bone scan, C-terminal telopeptide testing to assess active bone breakdown, and intact PTH to rule out parathyroid pathology if osteoporosis is identified by DEXA scan. Dr. Dawn explores a new brain model addressing how 86 billion neurons store more memory than classical models predict. Astrocytes, previously known mainly for creating myelin sheaths, form tripartite synapses with neurons connecting to thousands of synapses simultaneously, communicating via calcium signaling and gliotransmitters. This could provide the higher-order coupling needed for our dense associative memory that pairwise synaptic connections cannot explain. Disrupting astrocyte-neuron connections in the hippocampus impairs both memory storage and retrieval, supporting this theoretical model. A Nature Neuroscience study found abdominal muscle contractions compress blood vessels connected to the brain and spine via the vertebral venous plexus, physically rocking the brain within the skull. This mechanical swishing may explain how exercise helps clear brain toxins and prevent neurodegenerative disorders, potentially leading to inflatable abdominal devices that could aid brain cleansing during sleep. Montelukast, the common asthma and allergy drug, has been found to block a protein hijacked by triple-negative breast cancer that converts immune cells into "sleeper agents" that clear paths for tumor invasion rather than attacking cancer. Dr. Dawn notes AI is increasingly identifying these drug repurposing opportunities by analyzing molecular shapes and receptor compatibility.
Contact us and share your opinionSee how GP Automate can help clear your pathology inbox: https://www.gpautomate.com00:00 Meet GP Automate Team02:10 Admin Challenges04:34 Practice processes06:30 Result filing experience10:00 GP admin conundrum11:30 GP Automate in action11:50 GP Automate integration13:30 Lab report certainty15:48 Hidden GP Path result costs17:03 Practice configurations and protocols19:30 Automating your QoF and LES outcomes21:30 Safety at its core25:50 Automating 80+ abnormal GP results29:35 What GP automate doesnt do30:10 When GP results are normal but not normal32:00 GP Automate Clinical Safety34:40 Results Trend analysis36:20 QoF benefits38:05 LES benefits40:05 GP Automate Case examples42:30 How is time saved calculated46:25 What is a result?48:15 GP Automate cost51:20 GP automate what is next53:08 Practice impact with GP automate55:20 Contact GP Automate free trial56:50 GP Automate onboarding58:20 Data Governance59:50 More questionsSee their channel @gpautomate3165 GP partners. Your lab inbox — how much of your week does it eat? Fivehours? Ten?Stop. There is a legal way to automate abnormal results now. Not normal — abnormals.Built by a GP, MHRA Class 1 registered, used by 200+ practices across 23 ICBs.If you are still manually filing bloods in 2026, you are losing money and burning out your team.Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
Dr. Jason L. Hornick on Balancing Academic Pathology, Parenting, and Personal PassionsChristine interviews Dr. Jason L. Hornick, a senior soft tissue and bone pathologist and academic leader, about balancing a demanding academic career with family and self-care. Hornick shares a personal love of cats and discusses parenting twins while managing work, emphasizing the importance of an understanding partner, being fully present at home, and separating clinical work from family time. He describes waking early to write and edit, prioritizing about seven hours of sleep, and critiques medical training culture that normalizes self-neglect and fatigue. Hornick highlights cooking and returning to rock music after a long break as key outlets that reduce burnout and model a well-rounded life for children. Professionally, he describes shifting from primary research to editing journals and textbooks and advises learning to say no to invitations to protect time and wellbeing.00:00 Meet Dr Hornick01:09 Cats And Family02:01 Parenting And Academia04:11 Early Mornings Sleep06:00 Self Care In Medicine07:39 Cooking As Therapy08:37 Returning To Rock Music10:12 Hobbies Prevent Burnout12:31 Work Life Culture Shift13:35 Evolving Academic Focus16:16 Research Without Goals17:07 Learning To Say No18:46 Closing Thoughts Mentorship
Support the Institute today. https://givenow.nova.edu/the-institute-for-neuro-immune-medicine-inim-2025 In today's episode, Haylie Pomroy is joined by Dr. Theoharis Theoharides, one of the world's leading authorities on mast cell biology and neuroimmunology, to reframe multiple chemical sensitivity as a measurable, physiological immune response rooted in mast cell activation. Dr. Theoharides explains how mast cells throughout the body and brain respond to environmental chemicals, stress hormones, fragrances, mold toxins, and other triggers by releasing hundreds of chemical mediators that can affect every organ system simultaneously. He outlines the specific labs and biomarkers worth requesting, why standard diagnostic pathways frequently miss this condition, and what patients can do right now to reduce mast cell reactivity through natural compounds, environmental modifications, and targeted testing. This is a conversation that gives patients the clinical language and tools they need to stop being dismissed and start getting answers. Tune in to Hope and Help For Fatigue and Chronic Illness. Dr. Theoharis Theoharides is a Professor, Vice Chair of Clinical Immunology, and Director at the Institute for Neuro-Immune Medicine-Clearwater, an Adjunct Professor of Immunology at Tufts School of Medicine, where he was a Professor of Pharmacology and Internal Medicine, and also the Director of Molecular Immunopharmacology & Drug Discovery, and Clinical Pharmacologist at the Massachusetts Drug Formulary Commission (1983-2022). He received his BA, MS, MPhil, PhD, and MD degrees and the Winternitz Price in Pathology from Yale University and received a Certificate in Global Leadership from Tufts Fletcher School of Law and Diplomacy and a Fellowship at Harvard Kennedy School of Government. He trained in internal medicine at New England Medical Center, which awarded him the Oliver Smith Award, "recognizing excellence, compassion, and service." Dr. Theoharides has 485 publications (46,491 citations; h-index 106), placing him in the world's top 2% of most cited authors, and he was rated the worldwide expert on mast cells by Expertscape. He was inducted into the Alpha Omega Alpha National Medical Honor Society, the Rare Diseases Hall of Fame, and the World Academy of Sciences. Website: https://www.drtheoharides.com LinkedIn: linkedin.com/in/theoharis-theoharides-ms-phd-md-faaaai-67123735 Instagram: https://www.instagram.com/dr.theoharides/ 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 Thank you for tuning in to the Hope and Help For Fatigue and Chronic Illness Podcast. Sign up today for our newsletter.
(00:00) — Ear cleaning origin: A childhood earwax ritual lights the first spark for medicine.(01:25) — Writer first, then premed: Entering college for writing before finding patient care through EMT work.(02:10) — EMT on campus: Deescalation, student calls, and heavy mental health moments.(03:27) — Suicide hotline: Human-to-human conversations that clarified her desire to be a physician.(04:10) — Medicine vs therapy: Drawn to anatomy and physiology while honoring psych's importance.(05:45) — Apocalypse-proof skills: Why medicine felt enduring through pandemics, borders, and war.(07:32) — Query-letter essay: How a creative application and workshop hustle shaped her identity.(08:55) — Premed pressure: Cutting hobbies, feeling locked out of creativity, and the regret that followed.(11:31) — The rat race and AMCAS: Hours, comparison culture, and resisting the 15-activity myth.(15:04) — Rest as training: Reframing hobbies as recovery to prevent burnout and learn better.(15:59) — What stood out: Interviews focused on her writing more than her activity count.(18:19) — Reapplying after COVID: Canceled MCAT, delayed app, and an external nudge to pause.(20:01) — Perspective shift: Time off, returning to writing, and no longer feeling behind.(23:11) — Ready the second time: Growth, humility, and being prepared to start medicine.(24:42) — First acceptance: Relief, joy, and finally buying the book she'd saved for that day.(26:02) — Personal statement redo: From listing achievements to writing about who she is.(27:06) — Med school + novels: Supportive team, deadlines, and writing as catharsis.(28:43) — Step 2 vs deadlines: Balancing dedicated study with book edits on a tight schedule.(30:10) — Dark fiction and stakes: Embracing perimortem themes and high-impact care.(32:24) — Pathology curiosity: Autopsies, TV inspirations, and creative crossover.(33:09) — Can students work?: Policy gray areas and being featured regardless.(33:47) — Zero-sum myth: Why gym, games, and hobbies can make you a better learner.(36:24) — Guilt and games: Mario Kart, streaming, and naming the pressure to always study.(37:13) — Permission to be human: Keep your passions—people, not checklists, become doctors.Vanessa's path to medicine started with a childhood ear-cleaning ritual and grew through college EMT shifts and suicide hotline work that centered real human connection. In this conversation, she and Dr. Gray unpack the premed rat race—the pressure to pack 15 activities, the guilt of cutting hobbies, and the lie that every minute not studying sets you back. Vanessa candidly shares applying twice, including a COVID-canceled MCAT that delayed her first cycle, the external nudge to pause, and the growth and humility that made her ultimately ready to be accepted. She explains how interviews gravitated to her writing, why her second personal statement focused on who she is rather than everything she did, and how she now balances med school with novel deadlines—treating writing as both catharsis and a job, while preparing for Step 2. Along the way: apocalypse-proof humor, a reframe of rest as part of training, and a clear message to premeds and medical students alike—keep the passions that make you human. Because people, not checklists, become doctors.What You'll Learn:- How campus EMT and suicide hotline roles shaped a patient-first “why medicine”- What changed between a late, COVID-impacted first cycle and a successful reapplication- Why focusing your personal statement on who you are can resonate more than listing activities- Practical ways to protect hobbies in premed and med school without burning out- How interviews may lean into your authentic passions—even more than your hours
o keep the audience engaged while highlighting the technical value of the episode, this version focuses on the "why" and the high-level takeaways, leaving the "how" for the audio. Podcast Summary In this episode, Tad Hussey of KIS Organics talks with plant pathologist Dr. Nicole Gauthier to separate fact from fiction regarding cannabis pathogens. The discussion moves past the basics of "mold" to look at the specific science of Fusarium, Botrytis, and the reality of mycotoxins in the supply chain. From the limitations of soil testing to the importance of bud microclimates, Dr. Gauthier provides a professional framework for understanding how plant diseases actually function and how to manage them without relying on "curative" myths. Key Takeaways The Mycotoxin Reality: Why species identification matters more than ever, and a look at which common pathogens actually pose a toxic risk to consumers. Microclimates vs. Room Environment: Understanding why your sensors might say your room is safe while your "chunky buds" are harboring high-humidity infections. The Problem with Broad Testing: A critical look at why generic soil tests and "Total Yeast and Mold" plates often provide misleading or incomplete data for growers. Biological Controls & SAR: The science of "priming" a plant's immune system and the differing persistence levels of Bacillus and Trichoderma on the leaf surface. The Pathology "Lightning Round": Dr. Gauthier's professional advice on sanitation protocols, rogueing diseased plants, and the most effective ways to manage an outbreak. Featured Expert Dr. Nicole Gauthier is a researcher and extension specialist at the University of Kentucky. Her work focuses on sustainable disease management and helping growers navigate the intersection of plant health and regulatory compliance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.