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In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Omar Ibrahimi about the newest acne innovations, including 1726 nm lasers like AviClear and Acure, and why fractional resurfacing remains a top-value treatment. They compare laser technology to Accutane, discuss benefits for oily skin and sebaceous hyperplasia, and end with rapid-fire questions and insights on how deeply skin health affects confidence. Timeline of what was discussed: 00:00 – Intro 00:16 – How to submit questions 00:31 – Meet Dr. Omar Ibrahimi 01:07 – Conference impressions & background 01:42 – Best value treatment: fractional resurfacing 02:25 – How resurfacing boosts skin health 02:52 – Acne basics, gaps in treatment & scarring prevention 04:28 – Need for sebaceous-targeting tech 06:28 – Selective laser targeting explained 06:40 – Acne wavelengths (blue/red, 1064) 07:06 – How lasers affect bacteria, inflammation & oil 07:31 – 1726 nm lasers introduced 08:02 – Why 1726 nm targets sebum 08:17 – Comparison to Accutane 09:12 – Shrinking glands without systemic effects 09:41 – AviClear vs. Acure 10:00 – FDA clearance & features 10:17 – Acure temperature-tracking 11:21 – Ensuring proper heating 12:11 – Patient experience 12:50 – Uses beyond acne 13:28 – Sebum as a laser target 14:16 – Oil-control benefits 14:26 – Rapid-fire Q&A 16:00 – Quality-of-life impact 16:24 – Final remarks 16:31 – Dr. Azi's message 16:41 – Outro & gratitude 17:27 – Review + share reminders ______________________________________________________________ Follow Omar Ibrahimi on Instagram: @ctskindoc Dr. Omar Ibrahimi is a board-certified, laser fellowship–trained dermatologist and the founding medical director of the Connecticut Skin Institute. With advanced training from Harvard, MGH, and the Wellman Center for Photomedicine, he is a nationally recognized expert in laser and energy-based devices, Mohs surgery, and acne innovation. He is known for his research-driven approach and commitment to safe, effective, patient-centered care. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email morethanaprettyfacepodcast@gmail.com. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Doctors are rising to reclaim healthcare from third-party profiteers. In this episode, Dr. Kianor Shah, Founder and Chair of the Global Summits Institute, talks about the “doctor-to-doctor” movement and how it's restoring physicians to the center of healthcare. He explains how AI can level the playing field, removing unnecessary intermediaries to benefit doctors and patients. Shah shares how global summits engage leading medical and dental figures to foster collaboration and consensus on AI regulation. He also discusses the Institute's efforts to integrate healthcare, bringing doctors together worldwide to shape a patient-centered future. Resources Connect with and follow Dr. Kianor Shah on LinkedIn. Visit the Global Summits Institute website!
Joined by Nurse Nicole from www.nursesoutloud.com to discuss patient advocacy and how she got into legal nurse consulting. We discuss her journey through the medical system as a nurse and how that evolved into fighting at the local and state level for patient rights, informed consent, bodily autonomy, and legislation to protect people's right to choose. Follow Nicole on IG @hold_thelineclnc www.nursesoutloud.com and Nurses Out Loud podcast
Texting patients is an effective tool for med spas, but compliance is key. In this episode, attorney Christine Reilly, who leads Manatt's consumer protection, advertising, and competition practice, breaks down what med spas and health care practices need to understand before hitting “send.” She explains why opt-in consent is critical, the key differences between marketing and informational messages, and the hidden risks that can lead to costly violations. Tune in for strategies to protect your practice, stay compliant, and confidently use text messaging to engage with patients. Chapters 00:00 Intro01:05 Banter04:06 Guest Background13:38 Can I Send Patients Marketing Texts?17:01 Are Other Types of Messaging Allowed?19:30 Do Patients Need To Opt In or Out of Marketing Texts?23:00 How Does the New Texas Bill Impact Patient Communications? 28:02 Access+28:58 Legal Takeaways30:01 OutroWatch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadatto Stay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn
This week on Health Matters, Courtney is joined by Erin Welsh, host of NewYork-Presbyterian's medical research podcast, Advances in Care, to recap an amazing year of health and wellness conversations. They share highlights and discuss the top takeaways from their dozens of conversations with clinicians, researchers – and even a former New York Mets All-Star. This conversation is a great rundown of important health reminders and tips for all of us concerned with staying healthy during the holidays and starting the new year off on the right foot. ___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org
More than 100 million people in the U.S. have some allergy each year. That's about every 1 in 3 adults. For many, the fix is a bandaid: over-the-counter allergy medications. But there's another treatment that works to lessen these reactions rather than just manage people's symptoms, allergy shots. The treatment has been around for over a century and is still popular today. Patients have to take the shots for a few years, and it's the closest thing science has to a cure. Host Regina G. Barber speaks with Dr. Gina Dapul-Hidalgo about how this immunotherapy works and how certain guidelines to keep your child from developing common food allergies have changed.Interested in more science behind allergies? Check out our other episodes:Having a food allergy? And how your broken skin barrier might be the causeSpring Allergies and what to do about themHave another topic on human biology or consumer health you want us to investigate? Email us your question at shortwave@npr.org.Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy
Dr. MaryAnn Wilbur trained her whole life to care for patients, then left medicine behind when it became a machine that punished empathy and rewarded throughput. She didn't burn out. She got out. A gynecologic oncologist, public health researcher, and no-bullshit single mom, MaryAnn walked straight off the cliff her career breadcrumbed her to—and lived to write the book.In this episode, we talk about what happens when doctors are forced to choose between their ethics and their employment, why medicine now operates like a low-resource war zone, and how the system breaks the very people it claims to elevate. We cover moral injury, medical gaslighting, and why she refused to lie on surgical charts just to boost hospital revenue.Her escape plan? Tell the truth, organize the exodus, and build something that actually works. If you've ever wondered why your doctor disappeared, this is your answer. If you're a clinician hiding your own suffering, this is your permission slip.RELATED LINKSMaryAnn Wilbur on LinkedInMedicine ForwardClinician Burnout FoundationThe Doctor Is No Longer In (Book)Suck It Up, Buttercup (Documentary)FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Adam Dorsay, psychologist and host of the SuperPsyched podcast, interviews Dr. Sharon Chang, a distinguished surgical oncologist educated at Harvard Medical School. Dr. Chang shares her journey in the demanding field of surgical oncology, including the rigorous schedules, challenges of being a female in a traditionally male-dominated field, and work-life balance. She discusses her routines for maintaining physical and mental health, the creation of psychological safety within surgical teams, and the importance of caring deeply for patients. Dr. Chang also shares her transition into coaching, focusing on mental fitness for healthcare professionals, and her efforts to combat burnout and advocate for lifestyle medicine. The episode provides a compelling and insightful look into the high-stakes world of a cancer surgeon and the valuable lessons learned along the way.00:00 Introduction to SuperPsyched00:35 Meet Dr. Sharon Chang: A Life-Saving Surgeon03:00 Challenges and Triumphs of a Female Surgeon04:50 Balancing Surgery and Motherhood06:43 Self-Care and Physical Fitness08:29 A Day in the Life of a Surgeon15:30 Handling Surgical Surprises20:56 The Importance of Teamwork and Psychological Safety26:29 Exploring Plastic Surgery and Patient Experiences27:33 Communicating with Patients and Families28:01 The Impact of Social Media on Medical Information29:59 Humor in Medicine: Dr. Glaucomflecken and Misinformation https://youtube.com/@dglaucomflecken?si=6K46jj4z2LeMBfMZ32:35 Delivering Good and Bad News to Patients36:29 The Importance of Caring in Medicine43:13 Transitioning to a Career in Coaching47:30 Sharon Chang's Triple Aim for Healthcare51:35 Final Thoughts and ReflectionsHelpful Links:Sharon B. Chang, MD, FACS LinkedIn
We're looking at some major policy issues happening in Washington, and what you can really do to effect change. George Huntley is the CEO of DPAC, the Diabetes Patient Advocacy Coalition. We've got a lot to cover: Medicare changes like competitive bidding that could dramatically limit access to CGMs and insulin pumps for seniors, the changing landscape around GLP 1 meds, and we talk about patient advocacy wins. I know some of you are cynical, but it can work. If you've ever thought your voice doesn't matter, this conversation may change your mind. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Learn more about Gvoke Glucagon Gvoke HypoPen® (glucagon injection): Glucagon Injection For Very Low Blood Sugar (gvokeglucagon.com) Omnipod - Simplify Life Learn about Dexcom Check out VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com Reach out with questions or comments: info@diabetes-connections. Keywords Diabetes, D-PAC, Medicare, GLP-1 medications, patient advocacy, healthcare access, insulin pumps, CGMs, diabetes technology, legislative reform AI info below: Summary In this conversation, George Huntley, CEO of the Diabetes Patient Advocacy Coalition (D-PAC), discusses the critical role of advocacy in improving diabetes care and access to technology. He highlights the challenges faced by patients, particularly regarding Medicare coverage for insulin pumps and continuous glucose monitors (CGMs), and the implications of recent legislative changes. The discussion also covers the potential of GLP-1 medications in diabetes management and the importance of patient stories in advocacy efforts. Takeaways D-PAC focuses on affordable and equitable access to diabetes care. Advocacy is crucial for influencing healthcare policies. Competitive bidding for diabetes technology could limit access for seniors. Patient stories are essential in legislative advocacy. GLP-1 medications show promise in reshaping diabetes treatment. Economic factors play a significant role in healthcare access. The aging population of type 1 diabetes patients requires urgent attention. Collaboration among advocacy groups is vital for success. Healthcare costs are driven more by major medical expenses than by drug prices. Continued advocacy is necessary to protect patient access to care. Chapters 00:00 Introduction to Diabetes Advocacy 03:01 The Role of D-PAC in Diabetes Care 05:53 Challenges in Medicare Coverage for Diabetes Technology 09:11 The Impact of Competitive Bidding on Seniors 11:55 Advocacy Efforts and Legislative Challenges 14:57 The Future of GLP-1 Medications 17:56 Economic Implications of Diabetes Management 21:01 The Importance of Patient Advocacy 23:59 Healthcare Costs and Insurance Dynamics 26:56 The Need for Continued Advocacy 29:54 Conclusion and Call to Action
Send us a textDr. Pankaj Agrawal, Division Chief of Neonatology at University of Miami, discusses rapid genomic advances—from six-month diagnostic timelines in 2000 to same-day sequencing today. While current practice targets phenotype-based testing for unexplained conditions or dysmorphic features, Agrawal advocates moving toward universal NICU sequencing to identify previously unrecognized conditions. Key barriers include administrative buy-in, cost concerns, consent processes, and result disclosure challenges. Even negative results provide value—offering families reassurance and contributing to research databases. With only 5,000 of 20,000 genes linked to human disease, ongoing gene discovery work continues. Agrawal emphasizes the NICU as ideal for genomic implementation given high genetic disease prevalence and intervention opportunities. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Why Most Dentists Struggle with Marketing? In this episode, Dr. Mark Davis talks with Allison Horn, VP of Marketing at Imagen Dental Partners, about the real reasons dental practices struggle with marketing. They cover what actually works for growing a dental practice, getting more patients, improving online presence, and building a stronger brand.
Matt Brown and Dr. Andrew Vallo break down the often-overlooked art of patient follow-up—and why it can make or break a dental practice. They dive into common misconceptions, the importance of having a structured, consistent system, and the missed opportunities that happen when follow-up isn't done well. Dr. Vallo also shares his simple three-step follow-up framework for reconnecting with late or no-show patients, along with tips on using automation without losing the human touch. The conversation wraps with practical advice on auditing your processes to ensure they actually work.
Learn about validated point-of-care testing to achieve real-time diagnoses and how it benefits your equine patients. Read the full article here: https://equimanagement.com/research-medical/disease/equine-stallside-testing-elevating-patient-care/Mentioned in this episode:EquiManagement on Audio All the articles you have come to love in EquiManagement Magazine are now available in this podcast for free. Each article is released as its own separate episode to make them quick and easy to listen to. EquiManagement always has the latest insights on equine health, veterinary practice management, and veterinarian wellness.
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
A client has a very traumatic experience with their kidney transplant surgery in 2017. Ever since, they have lived with chronic, intractable neck and head pain that doesn't respond to any treatment they've tried so far. A recent CT scan reveals some calcium deposits inside the cranium but - is that the cause? Can massage therapy help? Are there any options for this person? Resources: Anwar, Z. et al. (2011) "Superficial temporal artery calcification in patients with end-stage renal disease: Association with vascular risk factors and ischemic cerebrovascular disease," The Indian Journal of Radiology & Imaging, 21(3), pp. 215–220. Available at: https://doi.org/10.4103/0971-3026.85371. CNN, C.S., Special to (2014) 'I couldn't move': Patients who wake up during surgery, CNN. Available at: https://www.cnn.com/2014/11/28/health/wake-up-during-surgery (Accessed: November 14, 2025). Healthcare, G.E. (2020) Waking Up During Surgery: A Nightmare | Clinical View. Available at: https://clinicalview.gehealthcare.com/article/waking-during-surgery-patients-worst-nightmare (Accessed: November 14, 2025). Kiroglu, Y. et al. (2009) "Intracranial calcifications on computed tomography: pictorial essay," Diagnostic and Interventional Radiology [Preprint]. Available at: https://doi.org/10.4261/1305-3825.DIR.2626-09.1. Li, Xuelong et al. (2022) "The association of renal impairment with different patterns of intracranial arterial calcification: Intimal and medial calcification," Atherosclerosis, 363, pp. 42–47. Available at: https://doi.org/10.1016/j.atherosclerosis.2022.11.012. 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. About our 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
Host: Darryl S. Chutka, M.D. Guest: Andrew R. Jagim, Ph.D. Nutritional supplements are very popular with our patients. They are supposed to provide benefits that may not be present in our typical diet. Vitamins and minerals are the most common supplements taken, followed closely by sports nutrition products such as protein powders and energy drinks. Consumers buy supplements because they're readily available, relatively low cost and they believe that supplements will help them achieve health benefits. Patients often assume that supplements are safe, yet some can cause significant health problems, especially when taken in higher doses. Some have the potential to interact with various prescription medications. Are there nutritional supplements our patients should be taking? Which ones are potentially harmful? How safe are these products and do supplements have any regulatory oversight? These are questions I'll be asking my guest, Andrew R. Jagim, Ph.D., Director of Sports Medicine Research at the Mayo Clinic as we discuss “Nutritional Supplements”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts
Those who have faced it know it well: substance use disorder does not discriminate. But addiction treatment can look different for everyone. That's why Fraser, a Minnesota-based autism services program, has launched a new substance use disorder treatment program specifically for Minnesotans on the autism spectrum. To get a better picture of how their services look different from a traditional addiction treatment program, Aric Jensen, the vice president of the outpatient and community-based mental health program at Fraser, joined MPR News host Nina Moini.
Kidney care is one of the most complex—and overlooked—patient experiences in healthcare. In this episode of The Modern Customer Podcast, we explore how CX-aligned leadership can reduce friction and improve outcomes for people facing advanced kidney disease. Strive Health's Chief Customer Officer, Evelyn Goodfriend, shares what patient experience looks like up close, why traditional care models fall short, and how listening, alignment, and better workflow design support both patients and caregivers. We also discuss where AI meaningfully helps and where human support remains essential. A practical conversation for CX leaders and operators navigating high-stakes, high-complexity customer journeys. Don't miss this episode! Blake Morgan is a customer experience futurist, keynote speaker, and author of three books on customer experience. Her new book is called The 8 Laws of Customer-Focused Leadership: The New Rules for Building A Business Around Today's Customer. Follow Blake Morgan on LinkedIn For regular updates on customer experience, sign up for her weekly newsletter here.
In this episode of American Potential, host David From talks with Ohio Representative Jennifer Gross, a retired Air Force combat lieutenant colonel and longtime nurse practitioner, about her push to modernize Ohio's outdated healthcare rules. Rep. Gross explains how Ohio's Standard Care Arrangement requirement blocks highly trained nurse practitioners from providing care they're fully certified to deliver—especially harming patients in rural and underserved communities. She walks through why removing this mandate would: Expand access to doctors and nurse practitioners across Ohio Reduce wait times and improve patient choice Lower costs for patients and Medicaid Follow the lead of 27 states and 3 territories that have already done it She also shares how Ohio suspended the rule during COVID with no increase in patient harm, proving the system works without the red tape. Rep. Gross urges Ohioans to contact their legislators and support HB 508, the Better Access to Healthcare Act. A powerful conversation about healthcare freedom, patient choice, and letting professionals practice to the full extent of their training.
Did you know that over 70% of IVF cycles fail, and the average couple goes through eight cycles? The truth about fertility, IVF, and natural conception is not what you've been told. In episode 838 of the Savage Perspective Podcast, host Robert Sikes sits down with Hormone & Fertility Expert Gabriella Rosa to expose the myths surrounding infertility. They discuss why so many couples struggle to conceive, the massive impact of male health and nutrition on pregnancy, and the simple, effective steps you can take to improve your body's ability to have a healthy baby naturally, without needing expensive treatments.Taking control of your health is the foundation for achieving your goals. If you're ready to build a stronger body and life, join Robert's FREE Bodybuilding Masterclass to learn the blueprint for success. Sign up at https://www.ketobodybuilding.com/registration-2Follow Gabriella on IG: https://www.instagram.com/gabrielarosafertility/Get Keto Brick: https://www.ketobrick.com/Subscribe to the podcast: https://open.spotify.com/show/42cjJssghqD01bdWBxRYEg?si=1XYKmPXmR4eKw2O9gGCEuQChapters:0:00 - The Shocking Truth About IVF Success Rates 1:34 - What Causes Infertility? An Expert's Introduction 2:13 - How A Single Patient Changed A Fertility Expert's Career Forever 4:17 - The Surprising Mindset of Couples Who Finally Conceive 6:59 - The "No Stone Unturned" Checklist for Getting Pregnant 8:11 - The Confrontation With An IVF Doctor That Led to Harvard 10:17 - The Harvard Study That Proved Natural Fertility Methods Work 12:46 - Is The Journey to Fertility Supposed to Be This Hard? 14:41 - Why IVF Is A Failing Strategy For Most Couples 17:00 - A New Mission: How To Avoid IVF Altogether 18:00 - Are Infertility Rates Actually Increasing? 20:37 - Epigenetics: Why Some People Get Pregnant Easily & Others Don't 24:11 - Why Doing "Everything" To Get Pregnant Still Doesn't Work 26:12 - Why IVF Fails: The Problem With A "Numbers Game" Approach 29:04 - When Is It Futile To Try IVF? (Official Guidelines) 30:34 - Are IVF Clinics Motivated by Profit or Patients? 32:08 - The #1 Thing Healthy, Fertile People Have in Common 34:20 - The "Act Pregnant Now to Get Pregnant Later" Method 38:06 - Why Male Fertility is 50% of the Equation 39:34 - How Your Grandmother's Health Affects Your Fertility Today 42:40 - The Mindset Shift That Prepares Your Future Children for Success 43:26 - What If Your Partner Won't Commit to a Healthy Lifestyle? 45:40 - Is Nicotine Itself Bad For Fertility, Or Just Smoking? 47:32 - When To End a Relationship Over Fertility Goals 49:01 - What Is The Optimal Diet For Fertility? 53:12 - The "Field to Plate" Rule for Eating Clean 58:44 - The Difference Between Being Overfed vs. Undernourished 1:00:34 - Announcing a New Clinical Trial for Infertility-Related Grief 1:02:47 - The Current (and Failing) Standard of Care for Fertility Grief 1:04:15 - Does Stress Directly Cause Infertility & Miscarriage? 1:06:48 - How to Get Involved in the Inspire Study & Connect with Gabriela
We dive into one of the most overlooked clinical skills in pelvic rehab:
In this episode, Dr. Joseph Cacchione, Chief Executive Officer of Jefferson Health, and Alex Pinto, Principal at ECG Management Consultants, discuss how health systems can enhance patient access through standardized scheduling, technology integration, and strong physician engagement while navigating cultural and generational shifts in healthcare delivery.
Patient deaths at hospitals related to sepsis — as well as other conditions — have risen. Delaware County residents might see their property taxes go up significantly next year. Philly's still struggling with an abandoned car problem. Also, if you're single and looking to mingle, this is the place for you.
Are you losing patients despite providing excellent medical care? The problem might not be your treatment — it's your patient experience.Most physicians aren't taught how to build a customer-centric practice, yet patient expectations are rising in today's consumer-driven healthcare landscape. What if you could borrow proven tactics from Fortune 500 companies to improve retention, build loyalty, and boost practice profitability — without sacrificing clinical time?Discover the power of empathy and relationship-building from my brother (a former Microsoft exec) who lead U.S. government support.Learn how to measure and improve your patient experience using real-world business metrics like NPS.Hear specific examples of good vs. bad healthcare encounters and how to ensure yours is always memorable — for the right reasons.Press play to learn how Fortune 500-level customer experience strategies can help you create lifelong patient relationships and elevate your medical practice.TEXT HERE on your Phone's Podcast App Discover how medical graduates, junior doctors, and young physicians can navigate residency training programs, surgical residency, and locum tenens to increase income, enjoy independent practice, decrease stress, achieve financial freedom, and retire early, while maintaining patient satisfaction and exploring physician side gigs to tackle medical school loans.
Welcome to The Daily, where we study the Bible verse by verse, chapter by chapter, every day. Read more about Project23 and partner with us as we teach every verse of the Bible on video. Our text today is Judges 16:4-9: "After this he loved a woman in the Valley of Sorek, whose name was Delilah. And the lords of the Philistines came up to her and said to her, 'Seduce him, and see where his great strength lies, and by what means we may overpower him, that we may bind him to humble him. And we will each give you 1,100 pieces of silver.' So Delilah said to Samson, 'Please tell me where your great strength lies, and how you might be bound, that one could subdue you.' Samson said to her, 'If they bind me with seven fresh bowstrings that have not been dried, then I shall become weak and be like any other man.' Then the lords of the Philistines brought up to her seven fresh bowstrings that had not been dried, and she bound him with them. Now she had men lying in ambush in an inner chamber. And she said to him, 'The Philistines are upon you, Samson!' But he snapped the bowstrings, as a thread of flax snaps when it touches the fire. So the secret of his strength was not known." — Judges 16:4-9 Samson fell in love with Delilah. On the outside, it probably looked harmless—even romantic. But underneath, the Philistine rulers were using her to unravel him. Notice their strategy: not an ambush, not an outright attack, but seduction. Quiet. Subtle. Patient. That's how sin usually works. Rarely does the enemy come at you with flashing lights and a sword in hand. More often, he whispers through slow compromise, through small concessions that seem harmless—until you realize you've been tied up. And here's the irony: Samson kept playing along. He knew she was setting him up, but he continued to entertain the idea. He tolerated the danger, thinking he could handle it. That's exactly how sin works in us. What we entertain today eventually enslaves us tomorrow. This is still happening now. Just look around. Our culture seduces us with subtle compromises—porn normalized as entertainment, propaganda hidden in schools, news outlets, and governments selling the lie that we can trade truth for comfort and cultural ideologies. Like Israel tolerating Gaza for generations, many believers today tolerate little footholds of sin, thinking they won't matter. But they do. Small compromises left unchecked lead to devastating collapse. Sin doesn't usually take you out all at once. It wears you down until you give away what you never meant to lose. ASK THIS: Where are you tolerating small compromises in your life right now? Why do you think subtle temptations feel safer than obvious ones? How can you recognize when sin is "wearing you down" before it's too late? What cultural lies are you tempted to tolerate instead of resisting? DO THIS: Identify: One "small" compromise you've been tolerating. Confess: Ask God to help you shut the door before it grows. Pay attention: Is culture shaping your convictions—or is God's Word? PRAY THIS: Lord, open my eyes to the subtle compromises that wear me down. Give me the courage to resist what seems small, and the wisdom to guard what You've set apart in me. Amen. PLAY THIS: "Lord, I Need You."
Send us a message with this link, we would love to hear from you. Standard message rates may apply.We share a quick life update, welcome our first guest Mike Rozanski, and clear up the Michelin Guide origin story before shifting to a focused guide on starting GLP-1 medications. Practical strategies cover injections, nausea, constipation, muscle protection, and adjusting other meds safely.• board certification in obesity medicine and motivation to destigmatise care• guest segment on Michelin guide history and Philly's recent stars• what GLP-1 meds are and how auto-injectors work• portion sizing to prevent nausea and early side effects• fiber with fluids to prevent constipation• protein targets and simple strength training to protect muscle• when to adjust blood pressure and diabetes medications• key takeaways and encouragement to start small and follow upIf you found this helpful, a review really does go a long way for a like on whatever app you're listening to us onSupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski
You can have the best marketing strategy in the world, but if your phone skills are lacking, patients will walk. In this episode, Dana and Sandy get real about what happens when dental teams unknowingly drive callers away with poor phone habits, disconnection, or defaulting to "no." They walk through mystery shopper call examples, red-flag language to avoid, and the mindset shift every front desk team member needs to convert, not repel, new patients. This one's packed with real talk, laugh-out-loud stories, and practical ways to be the cheerleader your practice needs. You'll learn how to: ✅ Build rapport in the first 7 seconds of a call ✅ Ask the right questions during discovery ✅ Avoid "no" language and still set boundaries ✅ Take control of the appointment conversation ✅ End calls in a way that reduces broken appointments
Scripture: Hebrews 12:1-29 Dr. Stephen Kim continues his series of classes from Hebrews, “The Superiority of Jesus Christ”, focusing on The Life of Patient Endurance in chapter 12. SLIDES DOWNLOAD HEBREWS NOTES DOWNLOAD
In this episode, Hallie Bulkin discusses the complexities surrounding tethered oral tissues, specifically tongue ties, lip ties, and buckle ties. She emphasizes that not all ties require surgical release and that the decision should be based on functional impacts such as speech, feeding, and sleep. Hallie highlights the importance of thorough evaluations and the role of therapy in determining the necessity of a release. She advocates for a patient-centered approach, considering individual goals and the overall impact on health and function.In this episode, you'll learn: ✔️Not all ties need to be released; it depends on function.✔️Function is the key driver in determining the need for release.✔️Research is often behind clinical practice by about 17 years.✔️Therapy can sometimes eliminate the need for a release.✔️Evaluations should focus on how tethered tissues impact daily life.✔️Compensatory strategies can mask the need for a release.✔️Patient goals should guide treatment decisions.✔️Open mouth posture is a significant indicator for evaluation.✔️Therapy before and after release is crucial for success.✔️Individualized treatment plans are essential for optimal outcomes.RELATED EPISODES YOU MIGHT LOVEEpisode 200: Functional Impact: When A Tongue Tie Is ACTUALLY A Tongue TieEp 348: Airway Dentistry Demystified: Kassi Klein on Tongue Ties, Sleep Apnea & Childhood DevelopmentOTHER WAYS TO CONNECT & LEARN
Sermons and Audio of Covenant Presbyterian Church of Chicago
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In this transformative conversation, Darin sits down with world-renowned regenerative medicine pioneer Dr. Christopher Rogers, a physician with over 25 years of experience, 80,000+ patients treated, and a global reputation for advancing non-surgical orthopedic healing. In this episode, Dr. Rogers breaks down the real science behind PRP, stem cells, cartilage regeneration, tendon repair, and why so many people are told to get unnecessary surgeries. This is a deep dive into the future of healing — and the intelligence already built into your own body. What You'll Learn 00:00:00 Welcome to SuperLife: exploring sovereignty, healing & possibility 00:00:33 Sponsor: Energy Bits and Whole-Food Algae Nutrition as Dense as a Plate of Vegetables 00:01:51 Introducing Dr. Christopher Rogers: 25 Years, 80,000+ Patients, Regenerative Medicine Leader 00:03:28 Darin's Personal Stem Cell Treatment Experience & Early Results 00:04:17 Dr. Rogers' Journey from Sports Medicine to Regenerative Orthopedics 00:05:58 The Moment that Changed Everything: Discovering PRP as an Alternative to Surgery 00:06:45 The Dinner that Changed His Career: Meeting Dr. Arnold Kaplan, Discoverer of Mesenchymal Stem Cells 00:07:13 PRP: What it Actually Is, Why Dose Matters, and How to Use It Effectively 00:10:36 The Wild West of Stem Cell Therapy: Misinformation & The Need for Science 00:13:24 The Core Mechanism: Stem Cells Work by Signaling the Body to Heal 00:16:07 Exosomes, Nanotubes, and the Secret Communication of Stem Cells 00:17:45 Bone Marrow vs. Adipose vs. Culture Expansion: The Critical Dose Problem 00:22:28 Autologous vs. Donor Cells: Why Using Your Own is Safer and More Effective 00:24:51 Sponsor: Fatty15 and the Science of C15 for Mitochondrial & Cellular Health 00:28:32 The Path to Safety: FDA-Approved Trials and the Right to Try Law 00:35:44 The Next Step: Getting Regenerative Therapy Approved as Standard of Care 00:37:08 The Ultimate Excitement: Healing Rotator Cuffs and Alleviating Global Suffering 00:41:07 The Orthopedic Surgeon Who Treated Himself with Stem Cells 00:42:02 Four Rules to Avoid Falling Victim to Stem Cell Hype and Unproven Clinics 00:47:36 Sponsor: SuperLife Patreon 00:49:08 The Frustration of Unregulated Clinics Undercutting Real Science 00:51:36 The Future: What Stem Cell Therapy Will Look Like in 5-10 Years 00:56:25 Systemic Use: The Potential for IV Infusions to Modulate the Immune System 01:01:26 Stem Cells and Cancer: Is There an Increased Risk? (The Data Says No) 01:03:10 Unexpected Healing: A Full ACL Tear Healed with Regenerative Therapy 01:06:10 Chronic Pain and Lifestyle: Why Knees and Backs are the Biggest Challenges 01:09:32 Finding Quality Care: The Network of Trusted Regenerative Physicians 01:12:46 Closing Reflections: The Joy of Bringing Patients Back to an Active Life Thank You to Our Sponsors: EnergyBits: Get 20% off your entire order by going to https://energybits.com/ and using code DARIN at checkout. Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Find More from Dr. Christopher Rogers Website: San Diego Orthobiologics Medical Group Instagram: @sandiegoorthobiologics Find More from Darin Olien: Instagram: @darinolien Podcast: SuperLife Podcast Website: superlife.com Book: Fatal Conveniences Key Takeaway "Your body was designed to heal — not just manage pain. When we stop suppressing symptoms and start supporting biology, we unlock the intelligence that's been there since the day we were born."
Takeaways:Slimmer's Paralysis is a recognized condition.Ethical boundaries are crucial in patient relationships.Medical professionals must maintain professionalism at all times.Humor can sometimes arise in serious discussions.Patient stories should always be handled with care.The importance of clear communication in medical settings.Understanding patient experiences is vital for effective care.Ethics in medicine is a complex and nuanced topic.Medical discussions can lead to unexpected topics.Maintaining a professional demeanor is essential. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
It's In the News.. a look at the top headlines and stories in the diabetes community. This week's top stories: big FDA recall around Freestyle Libre (see more below to find out if you're affected), Dexcom launches their 15.5 day sensor, Omnipod announces enhancements, Tandem tests a fully closed loop (with high fat, high carb meals) and lots more! Find out how to submit your Community Commercial Find out more about Moms' Night Out Please visit our Sponsors & Partners - they help make the show possible! Learn more about Gvoke Glucagon Gvoke HypoPen® (glucagon injection): Glucagon Injection For Very Low Blood Sugar (gvokeglucagon.com) Omnipod - Simplify Life Learn about Dexcom Check out VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Twitter Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com Reach out with questions or comments: info@diabetes-connections.com Episode transcription with links: Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and every other Friday I bring you a short episode with the top diabetes stories and headlines happening now. Our top story this week: XX Certain glucose monitors from Abbott Diabetes Care are providing users with incorrect glucose readings, an error that has been linked with the deaths of at least seven people and more than 700 serious injuries worldwide, according to an alert from the US Food and Drug Administration. Incorrect glucose readings can lead to improper treatment. Abbott warned that about 3 million FreeStyle Libre 3 and FreeStyle Libre 3 Plus sensors are affected, but no other Libre products. Patients can visit FreeStyleCheck.com to see if their sensors are affected and to get a replacement for free. The FDA has also published specific information about the affected products in its alert. The agency considers this to be a "potentially high-risk issue" and will continue to update its website as information becomes available. "Patients should verify if their sensors are impacted and immediately discontinue use and dispose of the affected sensor(s)," the FDA said. https://www.cnn.com/2025/12/02/health/abbott-diabetes-glucose-monitors https://www.freestylecheck.com/us-en/home.html XX Omnipod 5 is getting some enhancements.. and Omnipod 6 is announced. The FDA cleared updates including a lower, 100 mg/dL target glucose option and what they call a more seamless automated experience. "This is the most significant algorithm advancement to our Omnipod 5 System since its launch in 2022," said Eric Benjamin, Insulet EVP and COO. Insulet said the new 100 mg/dL target glucose expands Omnipod 5's customization range. It now features six settings between 100 mg/dL and 150 mg/dL in 10 mg/dL increments. The company said this flexibility allows healthcare providers to tailor insulin delivery more precisely. It supports individuals seeking tighter glucose management or aiming to meet specific glucose goals. Omnipod 5's latest upgrades also help users stay in "Automated Mode" with fewer interruptions, even during prolonged high glucose events. Insulet plans to launch the updates to the algorithm in the first half of 2026. The company announced plans for an Omnipod 6 – without a lot of detail - at the company's Investor Day event in November. They also talked about a new, fully closed-loop pump for the type 2 diabetes population. https://www.drugdeliverybusiness.com/insulet-fda-clearance-omnipod-5-algorithm-enhancements/ XX Dexcom, the global leader in glucose biosensing, announced today that the Dexcom G7 15 Day Continuous Glucose Monitoring (CGM) System will launch in the United States on Dec. 1, making it the longest-lasting CGM system with 15.5 days of wear. Dexcom G7 15 Day will first be available through durable medical equipment (DME) providers on Dec. 1 with full retail launch in the coming weeks. Dexcom G7 15 Day will also be covered for Medicare beneficiaries. Dexcom G7 15 Day's industry-leading wear-time will provide fewer sensor changes, less disruption and more time for people with diabetes to benefit from life-changing CGM technology. New with Dexcom G7 15 Day: Longest lasting CGM system with 15.5 days of wear. Best-in-class accuracy1 with an overall MARD of 8.0%. Easier glucose management with fewer monthly sensor changes and reduced monthly waste. This follows yesterday's announcement – the FDA has cleared Dexcom Smart Basal, the first and only CGM-integrated basal insulin dosing optimizer designed for adults 18 and older with Type 2 diabetes using long-acting insulin. Dexcom Smart Basal will use Dexcom G7 15 Day sensor data and logged doses to calculate personalized daily recommendations to guide users towards a more effective long-acting insulin dose, as directed by their healthcare provider. At launch, Dexcom G7 15 Day will connect with the iLet Bionic Pancreas and Omnipod® 5§§. We are working closely with Tandem and look forward to extending the launch to their customers shortly as they finalize integration. For specific information on pump compatibility and availability with the Dexcom G7 15 Day system, visit Dexcom.com/connectedpumps https://investors.dexcom.com/news/news-details/2025/Dexcom-G7-15-Day-Continuous-Glucose-Monitoring-System-to-Launch-on-Dec--1-in-the-United-States/default.aspx XX A small study of ten adults with type 1 diabetes tested Tandem's new fully closed-loop "Freedom" insulin system — and the participants put it through a real-world stress test. For 72 hours in a hotel setting, they ate heavy carb-and-fat meals, skipped all meal announcements, and didn't give any mealtime insulin boluses. The system handled almost everything automatically. Researchers said the device stayed in closed-loop mode 97% of the time and there were no incidents of diabetic ketoacidosis or severe hypoglycemia reported. While using the Freedom system, participants spent a median 61% of the day in the glucose target range — slightly higher than the 56% achieved with their usual pump at home. But the biggest improvement came overnight: time in range jumped to 96% with the closed-loop system compared to just under 70% during their home-pump week. With almost zero time spent below 70 mg/dL, researchers concluded that the fully automated Tandem system was both safe and effective even with unannounced, high-impact meals — hinting at a future of diabetes management that demands less effort from users. XX Novo Nordisk reported promising mid-stage results for its experimental drug amycretin (AM-ee-creht-in) in diabetes patients on Tuesday. Amycretin, targets both GLP-1 and amylin hormones. In this study, it helped patients with type 2 diabetes lose up to 14.5% of their body weight over 36 weeks with weekly injections, far outperforming a placebo. The oral version delivered weight loss of up to 10.1%. Rival Eli Lilly is surging ahead with its own amylin-based drug, eloralintide, which is advancing to late-stage testing after helping patients shed as much as 20% of their weight in a mid-stage trial. https://www.cnbc.com/2025/11/25/novos-next-gen-obesity-drug-shows-positive-results-heads-to-late-stage-testing.html XX The U.S. Medicare health plan said on Tuesday that newly negotiated prices for 15 of its costliest drugs will save 36% on those medications compared with recent annual spending, or about $8.5 billion in net covered prescription costs. The prices go into effect in 2027, including a monthly price of $274 for Novo Nordisk's popular GLP-1 drug semaglutide, sold as Wegovy for weight loss and Ozempic for diabetes. medicare's recent net price for Ozempic, opens new tab was $428 a month, according to an analysis published in the Journal of Managed Care and Specialty Pharmacy. Medicare put the drug's list price, before confidential rebates and discounts, at $959 a month. Based on such nondiscounted list prices, Medicare said savings on the 15 drugs ranged from 38% to 85%. The annual price negotiations were established under President Joe Biden's signature Inflation Reduction Act (IRA) of 2022. Previously, Medicare was barred by law from negotiating with drugmakers. https://www.reuters.com/business/healthcare-pharmaceuticals/us-negotiated-medicare-prices-15-more-drugs-test-cost-savings-promise-2025-11-25/ XX LifeScan announced its Chapter 11 bankruptcy reorganization plan received U.S. Bankruptcy Court approval. LifeScan said it's positioned to emerge from its financial restructuring process by the end of the year. The CEO says, "This balance sheet restructuring provides a stronger foundation for LifeScan to support our base business, advance new growth strategies, and commence our journey to become one of the most comprehensive players in the glucose management space." https://www.drugdeliverybusiness.com/glucose-monitor-lifescan-emerge-from-bankruptcy/ XX An artificial intelligence (AI)-led Diabetes Prevention Program (DPP) was as effective as a traditional human-led program in achieving recommended goals for weight loss, A1c reduction, and physical activity, according to a randomized trial of adults with prediabetes and overweight or obesity. One example of a push notification: "Looks like you're at the grocery store, Rita! Want a quick list of high-fiber snacks or smart swaps to stay on track this week?" The app also provided location- and goal-based education, with gamification elements to promote engagement. Approximately one third of participants in both the AI and human-led groups achieved the primary outcome (31.7% and 31.9%, respectively). Results were consistent across sensitivity analyses and individual components of the composite endpoint. "As more AI-based programs emerge, head-to-head comparisons among different AI-DPPs will be informative. An AI-led approach will not suit everyone; some individuals benefit more from human interaction and accountability," said Mathioudakis, adding that future research should focus on best matching patients to the modalities they prefer. https://www.medscape.com/viewarticle/ai-directed-diabetes-prevention-program-effective-human-2025a1000xam XX A new study suggets metformin could help people with type 1, reducing the need for insulin. The researchers were surprised to find that metformin did not improve insulin resistance or change blood sugar levels. This suggests that, unlike in type 2 diabetes, metformin doesn't combat insulin resistance in type 1 diabetes. However, metformin did reduce the amount of insulin people needed to keep their blood sugar levels stable. https://www.the-express.com/news/health/192157/diabetes-medicine-insulin-type-1 XX Beyond Type 1 launches #TheBeyondType campaign in India to combat type 1 diabetes stigma. Nick Jonas is one of the founders of Beyond Type 1, his wife, Priyanka Chopra Jonas is his partner in this new non profit. The initiative highlights inspiring individuals living with T1D and partners with local organisations to improve awareness, medical support, and community networks for affected families across the nation. India has more young people living with T1D than any other nation, yet understanding of the condition remains limited. Beyond Type 1 is partnering with grassroots organisations across high-need regions. These include HRIDAY in Delhi–NCR, Nityaasha Foundation in Pune, Gram Jyoti in Jharkhand, and SAMATVAM Trust in Bangalore—each group focusing on improving awareness, providing medical support and building stronger community networks for young people with T1D.
Today, I'm joined by the incomparable Dr. Ted Achacoso—a true pioneer in shifting healthcare from "what's wrong with you" to "what's right with you." Trained across neurology, pharmacology, AI, and nutritional medicine, Dr. Achacoso brings a sharp mix of science, humor, and unfiltered honesty to our conversation. We get real about what it takes to optimize health at the cellular level, why metabolomics is the future doctors can't ignore, and how something as simple as a toxicity panel can completely change your health trajectory. Episode Timestamps: Welcome and episode introduction ... 00:00:00 Science, laughter, and Dr. Ted's background ... 00:00:38 Early curiosity, accelerated medical pathway ... 00:07:20 Reframing healthcare: from disease to wellness ... 00:14:04 Cell danger response and importance of metabolomics ...00:16:15 Case study: toxicity panel as diagnostic game-changer ... 00:35:17 Patient motivation and behavioral change ... 00:44:20 Vitamin D: its underestimated power and role ... 00:51:12 Vitamin D paradox, genetics, and medication effects ... 01:00:34 Daily longevity habits and mindset ... 01:22:03 Longevity in one word: balance ... 01:33:05 Home Hope resources and closing ... 01:35:20 Our Amazing Sponsors: Tro Mune by Troscriptions - Cold season doesn't have to take you out. I use Tro Mune—a nightly buccal troche with 75 mg cordycepin—to build immune resilience while I sleep. Take ½–1 before bed, and use it before you get sick or right when you feel it. Troscriptions.com, use NAT10, and get 10% off your first order. Digestive Bitters by Just Thrive - One capsule before eating helps your body absorb more nutrients, ease digestion, and leave you feeling light instead of weighed down. Head over to Justthrivehealth.com/discount/NAT and use code NAT20 for 20% off. Tranq Dart by Wizard Sciences - a multi-pathway sleep support from Wizard Sciences. It's not a knockout pill; it's a gentle nudge toward that wind-down zone. I take it about 30 minutes before bed, and it helps my body and brain sync up for sleep. Visit wizardsciences.com and use code NAT15 for 15% off. Sleep smarter, not harder. Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Facebook Group
Today on The Egg Whisperer Show, I'm really excited to be joined by Dr. Ellen Vora. I feel we are very much alike. She's passionate about easing the real suffering that people experience from anxiety and mental health issues. I can't wait to have her come on and share some new insights about anxiety (it turns out it's not just a "neck up" problem), the difference between "false" anxiety and true anxiety, and how to handle the anxiety that often comes up as a fertility patient. We'll also be talking more about her book, which came out this year, titled "The Anatomy of Anxiety." Dr. Ellen Vora is a holistic psychiatrist, acupuncturist, and yoga teacher. She takes a functional medicine approach to mental health—considering the whole person and addressing imbalance at the root. Dr. Vora received her B.A. from Yale University and her M.D. from Columbia University, and she is board-certified in psychiatry and integrative holistic medicine. She lives in New York City with her husband and daughter. Read the full transcript on Dr. Aimee's Website. Visit Dr. Ellen Vora's site. Would you like to learn more the TUSHY Method, and how you can use it to get a fertility diagnosis from your doctor? Sign up for my upcoming IVF Class, where I walk you through The TUSHY Method on Monday December 15th, 2025 at 4pm PST. It includes a live class with Dr. Aimee on Zoom, and she will answer your questions at the end of class, as well. Sign up at EggWhispererSchool.com Click to find The Egg Whisperer Show podcast on your favorite podcasting app. Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube. Sign up for The Egg Whisperer newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.
Lessons learned from a challenging lived experience is a terrible thing to waste…which is why we would NEVER do so! In this episode of the JDD Podcast's Steroid Stewardship Series,... The post From Crushing Childhood Challenges to Champion of Corticosteroid Stewardship: An Eczema Patient's Perspective appeared first on JDDonline - Journal of Drugs in Dermatology.
This week on The Heart of Innovation, hosts Kym McNicholas and Dr. John Phillips sit down for a powerful, patient-driven holiday special—one that reveals what people living with Peripheral Artery Disease (PAD) truly wish for this season. PAD is more common than prostate, breast, and colon cancer combined, yet still misunderstood. Our in-studio audience opened up about the physical and emotional toll of this disease—leg pain, cramps, burning, neuropathy, and wounds that won't heal—and the everyday battles most people never see. Their holiday wish list was honest, raw, and deeply human: More doctors trained in advanced limb-saving tools and techniques Fewer preventable amputations related to PAD and diabetes A world where fewer people smoke or vape, as nicotine and cannabis use fuel earlier, more aggressive PAD And a collective wish for patients themselves to enter the new year committed to realistic goals, healthier habits, and becoming active partners in their own care This conversation is heartfelt, unfiltered, and filled with the courage of people who refuse to give up hope. If you or someone you love is living with PAD, you won't want to miss this episode. To learn more about PAD and advanced limb saving treatment options, call the Global PAD Association's Leg Saver Hotline at 1-833-PAD-LEGS. #PeripheralArteryDisease #PADAwareness #TheHeartOfInnovation #LimbSalvage #AmputationPrevention #VascularHealth #PatientStories #ChronicPainCommunity #HolidayHealth #CirculationMatters #PADWarriors #DiabeticFoot #NeuropathySupport #StopSmokingSaveLimbs #HealthEquity
In this season-finale episode of The Burleson Box, Dustin Burleson is joined by longtime collaborator and digital marketing pioneer Jimmy Nicholas for a wide-ranging conversation on how artificial intelligence is actively reshaping dentistry and orthodontics.Their story goes back more than a decade to the Dan Kennedy GKIC days, a marketer-of-the-year competition, and the early experiments that turned Google into one of Dustin's top sources of new patients. Now, after selling his agency and sitting out a non-compete, Jimmy returns with a new focus on AI, compliance, automation, and what he calls “simple alignment” across marketing, operations, and team communication.This conversation moves well past surface-level AI hype. Dustin and Jimmy unpack what is actually working right now inside real practices, what most doctors still misunderstand, and where real opportunity exists heading into 2026.You will hear why Answer Engine Optimization, or AEO, may soon matter more than traditional SEO, how AI is changing follow-up systems, phone automation, and patient communication, and why most medical and dental websites are still invisible to large language models. They also discuss the risks that come with careless AI use, including HIPAA violations, hallucinated data, and unreliable financial calculations.This episode is essential listening for any practice owner who wants to stay competitive, protect their team's time, and apply AI with discipline rather than guesswork.Resources Mentioned:AI Beta Group (Free Community)Wealthy Entrepreneur Strategy Consultations ***The Burleson Box is brought to you by OrthoFi:Grow More. Worry Less. Simplify Your Practice with OrthoFi.Did you know that practices using OrthoFi start more patients and reduce financial barriers without adding complexity to their operations? With OrthoFi, you can simplify the insurance and patient financial process, streamline collections, and free up your team to focus on patient care. OrthoFi combines smart technology with patient-friendly payment solutions to help you start more treatment, improve cash flow, and deliver a better overall experience. Patients love the flexibility. Practices love the results.Take advantage of a platform built specifically for orthodontists and dental specialists—helping you manage everything from eligibility verification to automated payment processing in one easy-to-use system. Grow your starts. Increase your efficiency. And reduce the headaches of insurance and collections with OrthoFi.Want to learn more? Schedule a demo today and see how OrthoFi can help your practice thrive.Click below to learn more:OrthoFi.com*** Go Premium: Members get early access, ad-free episodes, hand-edited transcripts, exclusive study guides, special edition books each quarter, powerpoint and keynote presentations and two tickets to Dustin Burleson's Annual Leadership Retreat.http://www.theburlesonbox.com/sign-up Stay Up to Date: Sign up for The Burleson Report, our weekly newsletter that is delivered each Sunday with timeless insight for life and private practice. Sign up here:http://www.theburlesonreport.com Follow Dustin Burleson, DDS, MBA at:http://www.burlesonseminars.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
My appearance on Value CVille Podcast with Jeff Henriksen and Donnie Sattar.This episode explores the intersection of investing and philosophy, focusing on the role of AI in investment decision-making, the importance of understanding value beyond just financial metrics, and the emotional journey of investing.https://www.valuecville.com/podcastFull credit goes to two wonderful host: Jeff Henriksen and Donnie Sattar.Podcast Program – Disclosure StatementBlue Infinitas Capital, LLC is a registered investment adviser and the opinions expressed by the Firm's employees and podcast guests on this show are their own and do not reflect the opinions of Blue Infinitas Capital, LLC. All statements and opinions expressed are based upon information considered reliable although it should not be relied upon as such. Any statements or opinions are subject to change without notice.Information presented is for educational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Investments involve risk and unless otherwise stated, are not guaranteed.
Episode 208: Cough Basics (Pidjin English)Written by Ebenezer DadzieYou are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Episode 201: Cough – Revised Version (Host + 1 Resident; Resident speaks Nigerian Pidgin, Host speaks regular English)[Play intro music, start loud, then lower volume under speech, fade out later]HOST 1:[Introduction]Today we're tackling one of the most common complaints in clinic: the cough. Joining me is one of our amazing residents. Doctor, please introduce yourself.RESIDENT:Na Dr. Resident from Rio Bravo. I dey here to gist about cough wey dey disturb plenty patients for area.Segment 1 – Cough BasicsHOST 2:Let's start simple. When a coughing patient walks into the exam room, what is the first step?RESIDENT:First tin na history. You gats ask whether na dry cough or cough wey dey bring sputum, whether e just start or don tey. Whether person get exposure, dust, new medicine—history dey open many doors pass Google.HOST 1:Exactly. And as we know, acute coughs are usually viral, but chronic coughs lasting more than eight weeks can point to asthma, GERD, ACE inhibitor side effects, or more.Segment 2 – Valley FeverHOST 2:And since we're here in Kern County, we have to mention Valley Fever. We see thousands of cases every year, many of them presenting with cough.RESIDENT:True. Valley Fever fit look like pneumonia, bronchitis, or even TB. Patient go come with cough, tiredness, sometimes rash. If person dey work for outside or dey around dusty area, you suppose reason am.Segment 3 – Workup and TreatmentHOST 1:So let's talk evaluation. When you have a cough here in California's Central Valley, what is your approach?RESIDENT:Start from basic: chest X-ray, CBC, ask good history. If e no improve, add Valley Fever blood test. If cough get phlegm, you fit send sputum. If weight dey drop or sweats dey night, you reason TB or cancer. Treatment depend on severity. Mild one fit resolve, but if no be small, na antifungals—like fluconazole—and you go monitor liver enzymes well.Segment 4 – Humor BreakHOST 2:Alright—quick humor break. Got any memorable cough stories?RESIDENT:One man tell me say “doctor, my neighbor ghost na cause my cough.” We check-am finish, na allergy. Ghost no dey push fungus, sha![Both laugh]Segment 5 – TakeawaysHOST 1:Before we wrap up, give listeners top key points on cough.RESIDENT:One—ask better history. Cough dey tell story.Two—if person dey Bakersfield, reason Valley Fever, e fit sneak.Three—no dey give antibiotics anyhow. Virus and fungus no go respond like bacteria.Trivia TimeHOST 2:Trivia question: In adults who don't smoke and aren't on ACE inhibitors, what is the most common cause of chronic cough?A) AsthmaB) GERDC) Chronic bronchitisD) Postnasal drip (Upper airway cough syndrome)RESIDENT:I go choose D—postnasal drip. Na e dey cause that tickle wey no dey go.HOST 1:And that's correct—postnasal drip is the number one cause of chronic cough. Nicely done! You win bragging rights and a cough drop.HOST 2:Thank you for joining us today on Rio Bravo QWeek. To all our listeners—stay curious, keep learning, and if someone sounds like a barking seal in the waiting room, you know it might be more than a cold.HOST & RESIDENT (together):¡Hasta luego![Music fades in, rises, then fades out after 10 seconds]References:Irwin, R. S., & Baumann, M. H. (2018). Chronic cough due to upper airway cough syndrome (UACS): ACCP evidence-based clinical practice guidelines. Chest, 129(1_suppl), 63S–71S. https://doi.org/10.1378/chest.129.1_suppl.63S(Guideline on postnasal drip/upper airway cough syndrome as a leading cause of chronic cough)Dicpinigaitis, P. V. (2022). Evaluation and management of chronic cough. New England Journal of Medicine, 386(16), 1532–1541. https://doi.org/10.1056/NEJMra2115321(Comprehensive review on causes, diagnostic strategies, and treatment of chronic cough)Centers for Disease Control and Prevention. (2023). Coccidioidomycosis (Valley fever) statistics. U.S. Department of Health and Human Services. https://www.cdc.gov/fungal/diseases/coccidioidomycosis/statistics.html(Official CDC data and epidemiology of Valley Fever in the U.S., including high incidence in Kern County)California Department of Public Health. (2022). Coccidioidomycosis in California Provisional Monthly Report. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Coccidioidomycosis.aspx(State-level surveillance data showing high incidence rates in Bakersfield and Kern County)Prasad, K. T., & LoSavio, P. S. (2023). Approach to the adult with chronic cough. In UpToDate (L. M. Leung, Ed.). Retrieved June 20, 2025, from https://www.uptodate.com(Evidence-based resource for differential diagnosis and workup of cough in primary care)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
When host of The Valley Today, Janet Michael steps into Winchester Medical Center, she's greeted not only by a freshly rearranged office but by the unwavering enthusiasm of Chris Rucker, Chief Administrative Officer for Valley Health. Their lively conversation reveals what it takes to maintain a thriving healthcare workforce — especially in a profession where stress is high, expectations are higher, and compassion is non-negotiable. Award-Winning Employee Experience Valley Health has earned multiple national recognitions this year — including Forbes rankings for top healthcare employers and best-in-state workplaces. What makes those honors especially meaningful, Chris explains, is that the organization doesn't apply for them. Independent research firms survey employees directly, asking what it's really like to work there. The positive feedback validates Valley Health's commitment to its people — and reassures patients that they're being cared for by professionals who love where they work. Healthcare Takes a Village Chris passionately reminds Janet that everyone inside the Valley Health system is a caregiver — even those nowhere near an exam room. Construction crews repairing walls overnight. Environmental services teams polishing hallways while patients sleep. Security, valets, administrative staff, and tech support. With 6,200 employees across the region, the health system represents nearly every job imaginable — and each one contributes to patient well-being, comfort, and confidence. Taking Care of the People Who Care for Us Healthcare is one of the toughest professions — physically, emotionally, and mentally. So Valley Health invests intentionally in appreciation, recognition, and family support. From employee-of-the-month celebrations to family fun days with pumpkins and bounce houses, the system creates gathering spaces where relationships can grow outside clinical stress. And then there's the Turkey tradition. Every November, team members drive through with their families to receive a Thanksgiving turkey — a small perk with a big message. "It's about family," Chris says — acknowledging that work schedule disruptions affect entire households. In fact, CEO Mark Nantz has even worn a full turkey costume during past events, although one patient in the parking lot once thought he was a duck. Retention Through Relationships, Not Just Raises Janet notes that today's workforce isn't swayed by an extra dollar — they stay where they feel valued. Chris agrees, especially when speaking about younger staff, who are eager for: Skill development Career pathways Mentorship Advancement opportunities That is why Valley Health prioritizes education support, cross-training, and leadership development. "Thinking about what each individual employee type wants is part of what makes us a great employer," Chris explains. When "Not Feeling Safe" Is the Real Threat The darker side of healthcare? Abuse of providers. Chris shares that assaults, threats, and intimidation toward staff occur daily. It's an emotional blow to caregivers dedicated to helping others. Their "zero-tolerance" policy protects employees — and preserves a healthy workplace culture. Healthcare, he says, is a calling, but it shouldn't come with bruises. Hiring With Heart — and Strategy Valley Health is always recruiting — roughly 100 to 120 new hires a month — but staffing isn't just about filling shifts. It's about deliberately preparing for the community's future. Using a physician-needs assessment every three years, they analyze population changes, disease trends, service gaps, and resource sustainability. That is precisely how new specialties enter the region, like Dr. Trimble Spitzer's fertility practice, which Chris says fills a long-standing gap in local care. Sourcing talent is also about making sure physicians — and their families — feel at home. Whether someone needs equestrian facilities for their child, a nearby mosque, or Croatian-speaking neighbors for aging parents — Valley Health handles those details, too. Safe Care, Advanced Tools For employees and patients alike, one foundational promise guides everything: "Valley Health only provides safe healthcare." To keep that promise, the system invests in the latest medical technologies — from robotic surgical systems to highly specialized imaging — ensuring that physicians can practice at the top of their license and patients receive the best possible outcomes. A Place You Want to Be — On Both Sides of the Bedrail Chris beams when he talks about the community. He raised his children here. He sees people move to the Valley specifically to work for the health system. And he loves looking out at new-employee orientation to find team members eager to serve. Because when someone lands in a hospital bed — often on one of the worst days of their life — the little things matter like a warm greeting, clear communication, timely updates, and a feeling of being seen. Patients may not understand clinical complexity — but they always remember how they were treated. There's a Role for Everyone You don't need a medical degree to be part of healthcare. High school diploma? Associate's degree? Master's? There is a Valley Health career for you. Interested listeners can visit https://www.valleyhealthlink.com/careers/ to explore openings. With hundreds of new roles coming in the next year, the door is wide open. A Culture Where Caregivers Feel Cared For As the conversation wraps, Janet thanks Chris for his insight — and he answers with the warmth of a leader who genuinely loves his team. From award-winning recognition to turkey suit laughter, Valley Health proves that exceptional patient care begins with exceptional people care.
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Longevity, Cash PT, and the $8 Trillion Opportunity You Can't Ignore In this episode, Doc Danny Matta breaks down why the global shift toward longevity is one of the biggest opportunities cash-based physical therapists will see in their careers. He shares real-world examples from high-end longevity models, explains why proactive, long-term health programming is exploding, and shows how cash PTs are uniquely positioned to lead this space. Quick Ask If this episode gets your wheels turning about longevity and long-term care, share it with another clinician who needs to hear it—and tag @dannymattaPT so he can reshare it. Episode Summary Patient experience as an edge: While competitors step out mid-session to finish notes, you can stay fully engaged by using Clair, an AI scribe that handles documentation instantly. Operational advantage: Clair gives you more time for follow-ups, planning, and patient touchpoints—leading to better retention and more efficient operations. Danny's background: Staff PT, active duty military PT, cash practice founder, seller, and now founder of PT Biz, which has helped 1,000+ clinicians start, grow, and scale their own cash practices. The longevity trend: Patients are realizing they'll live longer and want to be proactive, not reactive, about their health and performance. 10x-style models: Peter Attia's "10x"/10 Squared-type gym in Austin employs performance clinicians doing assessments, hands-on care, and programming over months and years at premium pricing. Equinox Longevity: Equinox launched a longevity offering priced around $35,000–$45,000 per year, combining assessments, bloodwork, training, and bodywork. Market validation: Big brands like Equinox don't roll out programs like this without deep market research—there is clear demand. The $8 trillion forecast: A UBS report projects the global longevity market could reach roughly $8 trillion by 2030. High continuity, low volume: Danny's friend running a longevity-focused model only needs ~30–40 new patients per year because clients stay for years. LTV over churn: With long-term, continuity-based care, you don't need a constant flood of new patients—you need strong retention and deep relationships. What these programs include: Long-term programming, movement and performance assessments, VO2 max testing, force plate work, blood panel interpretation, and lifestyle coaching around sleep, nutrition, and stress. Why cash PT is perfect for this: No insurance rules; you can spend an hour on sleep, stress, or habit coaching if that's what the patient needs. Visual differentiation: Cash clinics often look and feel like a high-performance lab or gym—nothing like a crowded hospital outpatient clinic. Community and referrals: Patients in long-term programs naturally talk about what they're doing and pull friends and family into your ecosystem. Tech as a differentiator: Tools like force plates, VO2 testing, structured assessments, and periodic retests make progress visible and drive buy-in. Standardizing longevity in cash PT: Danny sees longevity as a pillar every successful cash practice will eventually integrate in some form. Not one-size-fits-all: You can build your own version—solo, with a functional medicine group, or as part of a broader performance ecosystem. Lessons & Takeaways Longevity is a macro trend: People know they're going to live longer and want to invest in staying active, capable, and independent. Continuity beats volume: A few dozen long-term clients can support a strong business if they stay with you for years. Cash PT has structural advantages: You're not limited by insurance codes, visit caps, or what a payer thinks is "medically necessary." Data builds trust: Objective testing plus retesting makes progress real and keeps clients engaged. Longevity is "sticky" business: Once people see value in long-term health, they're less price sensitive and more loyal. Early adopters benefit most: Clinics that build longevity offerings now get ahead of a trend that large systems are just starting to chase. Mindset & Motivation Think in decades, not visits: Stop viewing patients as "10-visit plans" and start thinking in 5–10 year relationships. See yourself as a guide, not a fixer: You're not just solving pain—you're guiding someone's health span and performance over time. Health is real wealth: For your patients and for you—longevity work aligns your business model with what truly matters. Don't wait for permission: You don't need a big brand or hospital system to validate this for you; the demand already exists. Pro Tips for Clinic Owners Start with what you know: Build a simple longevity track around your existing strengths: strength, mobility, running, or performance. Add one objective test: Integrate VO2 testing, force plate jumps, or standardized movement screens with baseline + retest cycles. Layer in basic lifestyle coaching: Learn enough about sleep, stress, and nutrition to guide your patients or partner with someone who can. Use tech wisely: Don't buy everything at once—choose tools you'll actually use and that support your specific model. Leverage an AI scribe: Implement Clair so documentation doesn't steal time from long, relationship-based care. Notable Quotes "People are realizing they're going to live longer—and they want to be proactive, not reactive." "If a giant like Equinox is rolling out a $40,000-a-year longevity program, they've done the research. The demand is there." "My buddy needs 30 to 40 new patients a year. That's it. What game do you want to play?" "Cash-based PTs are uniquely positioned to capitalize on this trend—we're not handcuffed by insurance." "Health is real wealth. If you're not healthy, it doesn't matter how much money you have." Action Items Audit your current services: where could you naturally extend into long-term, proactive care? Sketch a simple 6–12 month "longevity track" for your ideal client, including assessments and retests. Identify one piece of tech or testing you could add to make your results more objective and compelling. Look for local partners (functional medicine, labs, coaches) who could complement your skill set. Consider using Clair to free up time so you can deepen relationships instead of chasing notes. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Learn exactly how much income you need to replace, how many people you need to see, and the specific strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and he's passionate about helping PTs build businesses that support long-term health and real financial freedom.
Episode 5 of Standard Deviation with Oliver Bogler on the Out of Patients podcast feed pulls you straight into the story of Dr Ethan Moitra, a psychologist who fights for LGBTQ mental health while the system throws every obstacle it can find at him.Ethan built a study that tracked how COVID 19 tore through an already vulnerable community. He secured an NIH grant. He built a team. He reached 180 participants. Then he opened an email on a Saturday and learned that Washington had erased his work with one sentence about taxpayer priorities. The funding vanished. The timeline collapsed. His team scattered. Participants who trusted him sat in limbo.A federal court eventually forced the government to reinstate the grant, but the damage stayed baked into the process. Ethan had to push through months of paperwork while his university kept the original deadline as if the shutdown had not happened. The system handed him a win that felt like a warning.I brought Ethan on because his story shows how politics reaches into science and punishes the people who serve communities already carrying too much trauma. His honesty lands hard because he names the fear now spreading across academia and how young scientists question whether they can afford to care about the wrong population.You will hear what this ordeal did to him, what it cost his team, and why he refuses to walk away.RELATED LINKSFaculty PageNIH Grant DetailsScientific PresentationBoston Globe CoverageFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
TJ Sharpe is a stage four melanoma survivor, nationally known patient advocate, keynote speaker, digital health technologist, and consultant to the life sciences industry. Drawing from personal experience and his work in clinical research, TJ empowers healthcare and pharma organizations to prioritize patient-centric approaches to trials, communication, and support. He shares his story to inspire others facing adversity and to promote transformative improvements in healthcare. In this episode of Marketer of the Day, TJ Sharpe joins Robert Plank to recount his journey from being diagnosed with melanoma in his twenties, through a life-threatening recurrence that led him to cutting-edge clinical trials, to his eventual recovery and the launch of his advocacy career. TJ details his navigation of the medical system, the emotional and logistical challenges faced by patients, and how gratitude and support systems are as important as medical interventions. The discussion spotlights the importance of accessible, transparent information, and patient empowerment within clinical research. TJ also describes his consulting work to help organizations incorporate patient voices and streamline drug development for the benefit of all. Quotes: “If you don't know all your options, you're not making the most informed choice for you.” “Finding your ‘ninja'—that support person—makes all the difference in getting through a cancer journey.” “It's not just about surviving cancer, it's about making a difference for millions more who will walk this path.” Resources: Visit TJ Sharpe's Website Connect with TJ Sharpe on LinkedIn
I was out drinking martinis with Cora Opsahl, director of 32BJ Health Fund, and Cora said, "Look, most plan sponsors' biggest expense is health system spend, hospital spend." I know this is an unexpected start to an episode about pharmaceutical pricing and value featuring Sarah Emond, CEO of ICER (Institute for Clinical and Economic Review). But yeah, 50% of most plan sponsors' spend these days goes to health systems. Fifty percent! One half! For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. So, if a patient who is adherent to a drug and that drug keeps that patient out of the hospital, why do I want to make a patient have excessive skin in the game to get that drug, which everybody knows at this point this "skin in the game" can cause said patient to not be adherent in many cases, cost being a very big reason patients give for not taking medications as prescribed. So then we have this not adherent patient who winds up in the hospital, via the ER often enough. The core issue here that surfaced, bottom line—and I'm not sure if this was in spite of the martinis or as a result of them—but while hospital spend is the largest health expense, high-value drugs that prevent hospitalization often face patient cost sharing and access restrictions, which leads to poor patient adherence and ultimately higher system cost potentially. So then Cora and I spent the next half hour debating when the statement is empirically true and when it's not. And you know what it all boils down to? What's the value of the drug? Do we even know what that means to start? But if it's determined that the drug is relatively high value, then the plan desperately should want to do everything possible to keep that patient on that medication, and cost sharing is a huge barrier to adherence. Today, as I said, I'm speaking with Sarah Emond, CEO over at ICER, and we get into all of this in the conversation that follows. In fact, most of the conversation that follows explores the tensions that exist in the current way that we sell and buy pharmaceutical products. I'm just gonna sum up these tensions in a list here at the top of this show. There's six of them that Sarah Emond and I discussed today by my counting, and each of these we explore in some depth. So, here's the list. Tension 1: The value of any given drug (in other words, what is the fair price for that drug considering the health gains that it delivers) versus the total cost to the plan for the total population taking that drug. GLP-1s have entered the chat. GLP-1s (by ICER's analysis, at least) are super high-value drugs that also can bankrupt plans due to the number of folks who may benefit from taking the drug. Definitely a tense tension to kick off our list here. Tension 2: The list or net price of a drug versus patient access and affordability. Again, this can be tense in an area of much misalignment. You can have a great well-priced drug with huge patient affordability and access challenges because drug net price and coinsurance amounts often have nothing to do with each other. Tension 3: Lifetime value of a drug versus a 3-, 2.5-year, whatever time horizon that many plan sponsor actuaries use in their value assessment. We discussed this today, but there's a Summer Short (SUMS7) on actuarial value horizons with Keith Passwater and JR Clark if you wanna dig in on this further. Tension 4: The tension between the societal value of a drug or even the patient's perceived value of a drug versus what an employer plan sponsor might perceive as the value. What is the formula used to determine value? What's in and what's out? So, that's a bigger conversation just beyond the time horizon for what's included in this calculation. Tension 5: Exacerbating the what's included in the value contemplation beyond just what you include in there is the tension between what is hypothetically of value and what is possible to measure. If you have pharma datasets and medical datasets separate in silos, who knows how many hospital readmissions were prevented by whatever drug? And how much presenteeism or absenteeism exists. I mean, it is an outlier, again, if anyone even knows the net price they paid for a drug, just to level set context here. Tension 6: Lowering financial barriers for patients to take drugs that are of value versus status quo goals and incentives. Like, for example, PBMs (pharmacy benefit managers) are often told that their goal is to reduce drug spend. Okay … so, how do I do that? Oh, reduce access either by prior auths or delay tactics or really high coinsurance, which is gonna reduce adherence by design. And it's someone else's problem—if I'm just thinking like a status quo PBM—if medical spend goes up, right? So, that's our last and not insignificant tension. And look, who comes out the loser in all of these tensions when they get tense? Patients. Not pricing based on value and not buying and setting up cost sharing based on value punishes patients and also plan sponsors or any other ultimate purchaser in the long term, given that the plan is but a population of patients if you start thinking about it in that context. Here is Sarah's advice in a nutshell: Pharma, sell. Pick your price based on something other than market power. And some pharma companies are actually dipping their toe into these waters and doing it. But then PBMs and plan sponsors have to hold up their end of the bargain here and buy drugs based on their value, not just the size of their rebates or some other discounting promise. And then we gotta continue the through line through to member affordability and access. High-value drugs should get preferred. So, right, do a high-value formulary. Listen to the show with Nina Lathia, RPh, MSc, PhD (EP426) on high-value formularies and then listen (after you're done with that one) to episode 435 with Dan Mendelson entitled "Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care." Also, as I said, GLP-1s come up in this conversation, so … yeah, buckle up. One last thing, besides my normal thank you to Aventria Health Group for sponsoring this episode, I am so pleased to thank Payerset for donating to help Relentless Health Value stay on the air. Payerset is a price transparency company with a mission to create fair and equitable healthcare for everyone. Love that. Payerset empowers healthcare organizations, employers, and patients with the most complete set of healthcare price transparency data. They benchmark every negotiated rate and claim and delivering the actionable insights needed for smarter contract negotiations and a more transparent healthcare system. As I have said several times today, my conversation is with Sarah Emond, CEO of ICER. Also mentioned in this episode are Institute for Clinical and Economic Review (ICER); Cora Opsahl; 32 BJ Health Fund; Keith Passwater; JR Clark; Nina Lathia, RPh, MSc, PhD; Dan Mendelson; Aventria Health Group; Payerset; Antonio Ciaccia; Elizabeth Mitchell; Purchaser Business Group on Health (PBGH); Shane Cerone; Sam Flanders, MD; Mark Cuban; Morgan Health; and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at ICER.org and follow Sarah on LinkedIn. Sarah K. Emond, MPP, is president and chief executive officer of the Institute for Clinical and Economic Review (ICER), a leading nonprofit health policy research organization, with 25 years of experience in the business and policy of healthcare. She joined ICER in 2009 as its first chief operating officer and third employee and has worked to grow the organization's approach, scope, and impact over the years. Prior to joining ICER, Sarah spent time as a communications consultant, with six years in the corporate communications and investor relations department at a commercial-stage biopharmaceutical company and several years with a healthcare communications firm. Sarah began her healthcare career in clinical research at Beth Israel Deaconess Medical Center in Boston. A graduate of the Heller School for Social Policy and Management at Brandeis University, Sarah holds a Master of Public Policy degree with a concentration in health policy. Sarah also received a bachelor's degree in biological sciences from Smith College. Sarah speaks frequently at national conferences on the topics of prescription drug pricing policy, comparative effectiveness research, and value-based healthcare. 08:18 Why list prices are a lie. 10:59 How does the rebate model sometimes get in the way of paying for value? 12:50 Bonus clip with Sarah Emond. 13:14 EP491 with Elizabeth Mitchell. 13:20 EP490 and EP492 with Shane Cerone and Sam Flanders, MD. 14:37 The tension that is created between affordability and adherence. 15:03 When cost sharing makes sense in pharmaceutical drug pricing. 17:26 INBW42 with Stacey on moral hazard. 18:53 How GLP-1s are "wildly cost effective." 21:32 Why the sticker shock on cost-effective drugs is a failure in the system for paying for value. 22:38 ICER's report on GLP-1s. 26:59 EP385 with Dan Mendelson. 28:57 How employers and payers can have a value assessment approach and a health insurance system that allows access to cost-effective drugs. 29:48 How cost-effective prices are calculated. 31:55 One of the core value underpinnings for value assessment of drugs. 34:54 Why manufacturers and pharmacy benefit managers should work together more by referencing something like an ICER report. 36:55 EP426 with Nina Lathia, RPh, MSc, PhD. 38:21 "We can make different choices." You can learn more at ICER.org and follow Sarah on LinkedIn. @sarahkemond discusses #pharmaceutical #drugpricing on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW43), Olivia Ross (Take Two: EP240), John Quinn, Dr Sam Flanders and Shane Cerone (EP492), Elizabeth Mitchell (EP491), Shane Cerone and Dr Sam Flanders (Part 1), Dan Greenleaf (Part 2), Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl
On this episode of DGTL Voices, Ed Marx interviews Adam Charrington, the Vice President of Digital Health for KLAS. They discuss Adam's personal journey, including his family, life mantras, and experiences that shaped his views on healthcare. Adam shares the challenges faced during his wife's battle with cancer, and the importance of patient engagement in healthcare. The conversation also touches on the role of KLAS in providing insights for healthcare organizations, surprising findings from patient perspectives, and the significance of leadership and vulnerability in the industry.
Varisha Parikh discusses managing patient expectations in a world that often demands perfection. She breaks down the pressures clinicians face, why honest communication matters, and how setting realistic expectations can lead to better long-term outcomes. With a candid, patient-focused approach, Dr. Parikh shares strategies for helping patients understand the realities of dental work while keeping their well-being at the center of every decision.