Podcasts about patients

In his book, “Why We Revolt,” Victor Montori decries the industrialization of healthcare.  We've become a healthcare factory, beholden to health systems motivated by profit. In particular, he laments the loss of the “care” aspect of healthcare. Clinicians are under the clock to churn through patients.  Patients are tasked with doing work outside of the clinic. Patients are tasked with hours and hours of work to self manage, obtain and manage medications, track weights and fingersticks, not to mention scheduling visits and waiting around for the visit to start. Now we have an app for that. For what, you ask? Well, for everything! Digital burden is real. Think about what we ask patients to do: charge your device, remember your password, 2 factor authentication, each interface is different, wait…where do you enter your fingersticks again? Victor is an endocrinologist who often provides care for older patients with multiple chronic conditions, polypharmacy, and complex social situations.  He's “one of us.” Some might argue that these circumstances call for incremental change.  Not Victor.  He argues that we need a revolution. In particular, he argues that the revolution must come from patients to be successful. On this podcast we discuss: Why do we need a revolution? What made him get to this point of arguing for a revolt? Why should the revolution be patient led, rather than clinician led? What role do clinicians have to play? What is minimally disruptive medicine (a term Victor coined with Carl May and Francis Mair in 2009)? How does shared decision making fit into the revolution? What's the matter with guidelines? What's the role of standardization? We suspect that most geriatrics and palliative care providers feel like they've escaped many of the issues Victor describes, trading less glamorous and remunerative work for more satisfying time spent caring for patients; focusing on what matters, goals of care, and attention to emotion and social well-being.  Are we deluding ourselves? If you'd like to join the revolution, please check out Victor's website, patientrevolution.org And I believe this is the first Peter Gabriel song request! I think Peter Gabriel's album So was the first cassette tape I purchased.  About time, 350+ podcasts in.  My son Kai turns this very non-guitar friendly song into an acoustic jam for the audio-only podcast version; you get my weaker attempt on YouTube :)  Finally, a quick plug for the Sommer Lecture series in Portland OR.  Victor and I had a terrific time bonding at this year's lecture series. While not strictly geriatrics and palliative care focused, the lectures seem targeted at a broad audience, with something for everyone.  And yes, I made them sing parody songs :) -Alex Smith  

In this episode, Stacey Richter talks with Dr. Stan Schwartz, co-founder of ZERO.health about the tension between mission-driven healthcare and financial incentives within the healthcare system. Highlighting examples like the Comprehensive Primary Care Initiative and other advanced primary care efforts, Schwartz shares insights on how health system economics, particularly the reliance on emergency room admissions, often undermine initiatives aimed at reducing costs and improving patient outcomes.  The discussion delves into the role of employer-sponsored health plans as potential change agents in the healthcare system, given their significant influence over commercially insured patients, who are highly attractive to providers. Dr. Schwartz underscores the importance of aligned financial incentives and collective action among employers to drive meaningful change in healthcare. If you would like to get a copy of the mentinoed personal integrity and “are you in healthcare for the right reasons” policy called the Guiding Principles Policy that Doug Geinzer and Amy Mecham from High Performance Providers put together.please either check your inbox for the newsletter this week that you just got when this show went live and find the link to download or sign up for the newsletter and I will include it again next week on Thursday. === LINKS ===

In this episode of "Coaching Healthcare Leaders," Dr. Lisa interviews Dr. Katrina Gipson, Assistant Professor of Emergency Medicine at Emory University and president of the Academy for Diversity and Inclusion in Emergency Medicine. Dr. Gibson shares her leadership journey, commitment to health equity, and efforts to advance diversity and inclusion in medicine. The conversation explores challenges like provider burnout, healthcare access, and systemic inequities. Dr. Gibson offers practical advice on advocacy, self-care, and boundary-setting, emphasizing the importance of rest and community support. Listeners are encouraged to pursue sustainable leadership and explore Dr. Gibson's work on health equity. You can follow more of Dr. Gipson's work by listening to her podcast Culture Shock Therapy Your Health Equity Prescription. Introduction to the Podcast (00:00:02) Dr. Lisa introduces the podcast, its mission, and previews the episode's guest and topics. Dr. Gipson's Background and Leadership Journey (00:01:30) Dr. Lisa reads Dr. Gipson's bio; Dr. Gipson shares her path into medicine and influences on her leadership. Commitment to Health Equity and Social Justice (00:03:28) Dr. Gipson discusses her motivation for pursuing health equity, her experiences as a Black woman in STEM, and resilience. Current Leadership Roles and Day-to-Day Work (00:07:37) Dr. Gipson describes her roles, especially in the Academy for Diversity and Inclusion in Emergency Medicine, and balancing clinical and academic duties. Mentorship and Building the Healthcare Pipeline (00:08:57) Focus on mentorship programs, supporting underrepresented groups, and the importance of diverse healthcare providers. Retention and Promotion in Academic Medicine (00:10:53) Challenges and strategies for retaining and promoting diverse faculty in medicine, and the importance of DEI work. Research, Education, and Advocacy in DEI (00:11:52) The role of research, education, and advocacy in reducing health inequities and empowering communities. Direct Impact on Patients and Communities (00:14:53) How Dr. Gipson's work addresses mistrust, cultural humility, and implicit bias to improve patient care and build trust. Barriers to Care: Mistrust and Social Determinants (00:15:53) Historical and ongoing reasons for mistrust in healthcare among marginalized communities and the impact on care. Suggestions for Improving Healthcare Delivery (00:19:11) Dr. Gipson's ideas for addressing burnout, staffing, and making healthcare more accessible and attractive to providers. Access Challenges and Healthcare Deserts (00:22:54) Discussion of insurance not equaling access, provider shortages, and the impact on patient outcomes. Affordability and Student Loan Forgiveness (00:24:32) The threat to public service loan forgiveness and its impact on diversity in the physician workforce. Advice for Thriving in Advocacy and Leadership (00:26:57) Dr. Gipson's tips for self-care, setting boundaries, and building supportive communities for those in advocacy roles. Closing Thoughts and Resources (00:30:06) Dr. Gipson shares information about her podcast and website; Dr. Lisa thanks her and closes the episode.

Heiner Wedemeyer spricht mit Katharina Willuweit über die drei Säulen der Nachsorge nach Lebertransplantation: Impfung, Krebsvorsorge und Immunsuppression. Es geht um Impfstrategien, das erhöhte Risiko für Tumorerkrankungen und eine individuell angepasste Krebsvorsorge. Auch die möglichen Folgen der Immunsuppression, die es langfristig im Blick zu behalten gilt, werden besprochen. Besonders wichtig: Ernährung und gezielte Ernährungsschulung fördern die aktive Einbindung der Patient:innen und stärken ihre Selbstermächtigung im Alltag.

Can you increase your fees without losing patients? In this powerful episode, Gary Takacs and co-host Naren Arulrajah explore the truth behind dental pricing strategies and why many practices leave tens of thousands of dollars on the table. You'll discover how a data-driven, annually recalibrated fee structure can significantly boost profitability, without raising overhead. Whether you're looking to raise your hygiene fees or completely overhaul your fee schedule, this episode is packed with actionable insights.  

On today's Part 2 episode, Gary Bird joins Mark in an in-depth conversation on how dental practices can unlock serious growth through smarter systems, strategic pricing, and AI integration. Gary shares powerful insights into the rise of AI receptionists, how they're changing the way practices manage phone calls, scheduling, and follow-ups—and why they're not quite ready to fully replace humans. He breaks down the real reasons practices miss out on ROI, including poor call handling, lack of follow-up, and scheduling gaps.   You'll also learn why distinguishing between leads and qualified leads matters more than you think, and how block scheduling can make or break your growth. Plus, Gary dives into one of the most controversial topics in dental marketing: pricing. He explains why discounting can attract the wrong crowd and how strategic, data-driven pricing wins in competitive markets. If you're serious about scaling without sacrificing your margins, this episode is a must-listen. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://smcnational.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

In this episode, YARAL Pharma CEO, Stephen Beckman joins clinical sports pharmacist Jessica Beal, PharmD. to discuss an important topic for athletes and active individuals – the role topical NSAID patches can play in acute pain management. Listeners can visit www.YARALPharma.com to learn more about the company and its products or connect on LinkedIn.    Diclofenac Epolamine Topical System 1.3%    Diclofenac Epolamine Topical System 1.3% is a nonsteroidal anti-inflammatory drug (NSAID) used for treating acute pain from minor strains, sprains, and bruises in adults and children aged 6 and older.     Serious side effects may include increased risk of cardiovascular and gastrointestinal (GI) events. NSAIDs can raise the risk of heart attack, stroke, gastrointestinal bleeding, ulceration, and perforation of the stomach and intestines, which can be fatal. The risk for serious cardiovascular events may occur early in treatment and may increase with duration of use. Elderly patients and those with a history of peptic ulcer disease or GI bleeding are at higher risk for serious GI events.    Do not use in patients who are allergic to diclofenac or any of its ingredients, or have a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Do not use in the setting of coronary artery bypass graft surgery. Avoid use on broken skin. Discontinue immediately if signs of hypersensitivity occur.      Patients should be informed about the warning signs and symptoms of liver problems. Discontinue use if abnormal liver tests persist or worsen or if signs of liver disease develop. Avoid using Diclofenac Epolamine Topical System 1.3% in patients with severe heart failure unless the benefits are expected to outweigh the risks.    The most common side effects include itching, nausea, and headache. Patients should stop use and consult their doctor at the first sign of skin rash or other signs of sensitivity.    Patients should ask their doctor if Diclofenac Epolamine Topical System 1.3% is right for them. For more information and Full Prescribing Information including Boxed Warning and Important Safety Information, visit www.yaralpharma.com   Dr. Beal is not affiliated with YARAL Pharma. All views and opinions regarding pain management are solely her own and are not attributable to YARAL or the Pharmacy Podcast Network. 

On this episode of DGTL Voices, Ed interviews Henry O'Connell, CEO and founder of Canary Health. They discuss the transformative potential of AI in healthcare, focusing on Canary Health's innovative technology that analyzes speech to assist in diagnosing various diseases. Henry shares his personal journey, the mission behind Canary Health, and the importance of teamwork and humility in leadership. The conversation highlights the current developments in AI technology and its future implications for patient care.

Featuring articles on myeloma, mitochondrial DNA disease, cardiac surgery, and squamous-cell carcinoma; a review article on motor vehicle crash prevention; a case report of a woman with seizure-like activity and odd behaviors; a Medicine and Society article on the evaluation of occupational pulmonary impairment; and Perspectives on Covid-19 vaccines, on public policies, and on living on the edge of the valley of the sick.

This week on Health Matters, we explore how to protect yourself from diseases carried by ticks and mosquitos. Dr. Jennifer Small-Saunders, an infectious disease expert with NewYork-Presbyterian and Columbia, explains why mosquitos are more attracted to some people than others. She also shares symptoms of diseases like West Nile Virus and Lyme Disease, how we can go about our summer activities without getting bitten, and what to do if you've been bitten.___Dr. Jennifer Small-Saunders is an Infectious Diseases physician-scientist who studies molecular mechanisms of antimalarial drug resistance in Plasmodium falciparum parasites. She is a practicing Infectious Diseases physician who sees patients on both the Internal Medicine and Infectious Diseases teaching services. She completed Internal Medicine residency and Infectious Diseases fellowship at Columbia University Irving Medical Center (CUIMC). Her postdoctoral studies investigated the landscape of mutations in the P. falciparum chloroquine resistance transporter PfCRT and how these mutations contribute to parasite resistance to chloroquine and piperaquine in Asia and Africa. Her group now uses mass spectrometry and gene editing techniques to study the role of tRNA modification reprogramming and translational control in resistance to the first line antimalarial, artemisinin.  The goal of her group is to uncover stress-response pathways in malaria parasites that can be targeted by new treatments.___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

A conversation with Neal ShahThe healthcare insurance system is on the cusp of collapsing.Enter former Wall Street hedge fund manager Neal Shah, who channelled personal experiences of managing care for family members into a mission for transforming our entire system.As CEO of social enterprise and health tech platform CareYaya and Chairman of Counterforce Health, Neal is dedicated to spearheading a revolution: bringing direct relationships to the forefront and bypassing huge corporations.With costs rising, health statistics worsening, a workforce tiring, a population ageing - the time is now to act for change.—We spoke about concepts from his new book Insured to Death,  the systemic failures of health insurance in America, how patients can use AI and advocacy to challenge claim denials, and what it will take to build a more humane, transparent system that serves us all.Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com. My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4

Setting clear expectations is more than just good practice. It's your best defense against burnout, refunds, and bad reviews. In this episode, we walk through every stage of the patient experience, from consultation to follow-up, helping you lead with honesty, integrity, and confidence. You'll learn what red flags to watch for, how to align with your patient on outcomes, and when it's okay to say no to stay sane AND sleep well at night. 

Epstein-Barr virus is nearly ubiquitous, yet its clinical implications in women's health, fertility, and immunity are often overlooked. Uncover the latest insights and practical strategies to spot, manage, and explain chronic viral reactivation and its ripple effects on vibrant wellness.Today on The Vibrant Wellness podcast Dr. Emmie Brown, ND, and Melissa Gentile, INHC, welcome Dr. Katie Zaremba, a functional medicine and fertility specialist, to unpack the evolving science behind Epstein-Barr virus (EBV) and its clinical intersections with fertility, autoimmunity, and hormone health. Dr. Zaremba brings her expertise on chronic infections, sharing a rich overview of EBV's prevalence and its varied clinical presentation, from acute “kissing disease” fatigue in adolescents to subtle, lingering symptoms in adults that often evade routine clinical detection.Hit play and gain targeted advice for assessing, explaining, and managing chronic viral load, including practical, nutrient-focused recommendations for immune support, stepwise lifestyle interventions, and the importance of stress reduction for optimizing patient outcomes and fertility. Dr. Zaremba's practical analogies, evidence-informed protocols, and patient advocacy offer clinicians actionable tools for elevating women's health and advancing vibrant wellness.Key Takeaways from Today's Episode:

Send us a textWhat happens when the demands of managed care clash with a provider's commitment to gold-standard hearing healthcare? For Jaysee Soto, owner of Altamonte Family Hearing in Florida, the answer lies in striking a delicate balance between business sustainability and patient-centered ethics.Growing up in his family's New York City bodega, Jaysee watched his parents build relationships with every customer who walked through their door. Those early lessons in community connection now form the foundation of his hearing healthcare practice, where patients aren't just customers, they're extended family. Working alongside his wife Grace, Jaysee has created a practice environment where comprehensive care is the standard, not the exception.The podcast takes us through Jaysee's unexpected journey from aspiring lawyer to passionate hearing care professional. That pivotal moment when he first witnessed a patient's face light up upon hearing their grandchild's voice clearly? It changed everything. Now he dedicates himself to creating those transformative moments for his patients, taking a full 90 minutes for comprehensive evaluations that far exceed industry minimums.But this level of care creates tension when insurance and managed care plans don't adequately compensate for best practices like real ear measurement and extensive testing. Jaysee candidly shares his approach to this industry-wide dilemma: strategically limiting managed care appointments while ensuring those patients still receive quality care, implementing service plans that bridge the gap, and planning for growth that maintains standards while increasing access.What emerges is a refreshing perspective on hearing healthcare economics. Rather than viewing patient care and business viability as opposing forces, he demonstrates how exceptional care creates its own sustainability through patient loyalty and word-of-mouth referrals. Even patients who initially come through managed care plans often return as private pay patients after experiencing the difference that comprehensive care makes.Ready to discover what ethical hearing healthcare looks like in action? Listen now and learn how leading with heart can transform both patient outcomes and practice success. Connect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast

Today I'm joined by the brilliant Dr Alison Macbeth, one of the most incredible menopause doctors of our generation, who supports our cancer community. Alison has been instrumental in shaping some of the most important chapters in my new book, Navigating Menopause After Cancer — especially those on vaginal oestrogen and the many non-hormonal treatment options available to cancer survivors.But during the process of helping me with the book, Alison herself was diagnosed with breast cancer.We talk about what it's like to cross over — from being the doctor, to becoming the patient. We explore how her diagnosis shifted her perspective and what it's taught her.We also talk about the importance of friendship, support systems, and what really matters when you're on the receiving end of care.It's an honour to share this conversation with you — and I hope it reminds you, like it reminded me, that none of us are alone in this.Thank you for listening — and as always, please share this episode with someone who needs it.Episode Highlights:00:00 Intro04:34 Breast Cancer Screening Anxiety10:53 Women's Support Crucial in Struggles15:13 Emotional Struggles and Recovery Journey26:41 "Informed Consent Lacking for Women"28:47 Choosing Endocrine Treatment Wisely30:37 "Mental Struggles in Treatment"34:28 "Understanding Personal Impact Varieties"Order the book: https://www.amazon.co.uk/Navigating-Menopause-After-Cancer-comprehensive/dp/1068499907 Dr Alison Macbeth's Instagram: https://www.instagram.com/dr_alison_macbeth/?hl=enJoin Alison for the Kilt Walk 14th Sept: https://fundraiseformenopauseandcancer.raiselysite.com/edinburghkiltwalkConnect with us:For more information and resources visit our website: www.menopauseandcancer.org Or follow us on Instagram @menopause_and_cancerJoin our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

In this enlightening conversation, Andrea Nakayama breaks down the often confusing world of functional nutrition and explains how it can transform healthcare practices. Rather than focusing on restrictive diets or one-size-fits-all protocols, functional nutrition takes a personalized approach that considers each individual's unique history, physiology, and circumstances. Andrea shares how practitioners can integrate these services into their practices to better serve patients with chronic health issues, while working collaboratively within appropriate scopes of practice.  Key Highlights  What functional nutrition really is: A systems-based approach focused on individual experience rather than dietary protocols, guided by the principles that "everything is connected, we are all unique, and all things matter"  The three-tier framework:  Tier 1: Non-negotiables (sleep, digestion, blood sugar balance)  Tier 2: Deficiency to sufficiency  Tier 3: Dismantling dysfunction  The "three roots, many branches" model: Addressing genes, digestion, and inflammation as the root causes while symptoms and diagnoses are the branches  Scope of practice collaboration: How functional nutrition practitioners can work alongside medical providers to fill gaps in care without overstepping boundaries  Making nutrition accessible: Moving away from expensive testing and supplements toward a way of thinking that can be democratized for all income levels  The bike lane analogy: Understanding your personal "path" versus "poison ivy" - what foods and choices work for your individual physiology and circumstances  Business integration options: How practices can incorporate functional nutrition through hiring trained practitioners, referral networks, or additional training  Patient empowerment: Helping individuals understand their personal "mediators" - what makes them feel better or worse - rather than following rigid good/bad food rules  Memorable Quotes  "We may be asking too much of our doctors... when we ask them about nutrition, that's an out of scope question."  "If somebody's having an issue with compliance, I say we didn't match the pacing of our recommendations to that person's aptitude to be able to take them on."  "Your body is likely more functional than it's not. It's doing a lot for you. And when it comes to a functional practice, we're fine tuning the dial."  "We're not replacing [medical care] - food is better, lifestyle should do it. We're augmenting all the different things that person is experiencing."  "It's not about a protocol, it's about making steps forward and working within frameworks that help people know where to start."  "We can't walk a very narrow path for a very long time, and we shouldn't."  "When we know our mediators, we're making the decisions, we're not farming out our agency for somebody else to tell us we're good or bad."  Bio:  As the host of the 15-Minute Matrix Podcast and the founder of Functional Nutrition Alliance, Andrea is leading thousands of students and practitioners around the globe in a revolution to offer better solutions to the growing chronic illness epidemic. By highlighting the importance of systems biology, root cause methodology, and therapeutic partnerships, she helps historically underserved individuals reclaim ownership of their health.  Find Andrea:  Andrea's Website  FX Nutrition Website  Instagram  LinkedIn  Twitter  See Where Your Practice Stands: Take our Practice Growth Readiness Assessment  Connect With Us:  Be a Guest on the Show  Thriving Practice Community  Schedule Strategy Session with Tracy  Tracy's LinkedIn  Business LinkedIn Page 

Dana Cardinas loved podiatry, and she was damn good at it. But a surprise diagnosis of idiopathic ulnar neuropathy, followed by a shocking discovery of Stage 3C colon cancer, forced her to step away from the profession she adored. In this episode, Dana opens up about how she handled early retirement, battled cancer, and found purpose again through helping others and launching a new business, 1 Stop Promotional Products. From laughing down clinic hallways to launching a neuropathy support group that's changing lives in Colontown, Dana proves that purpose doesn't end with a job title. If you're a podiatrist, business owner, or just someone navigating life's curveballs, this conversation is for you. Please visit the Podiatry Legends Podcast website to read more and see photos.  If you're enjoying the Podiatry Legends Podcast, please tell your podiatry friend and consider subscribing.  If you're looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS Do You Want A Little Business Guidance?  A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call.  Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you.  Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I offer three coaching options: Monthly Scheduled Calls. Hourly Ad Hoc Sessions. On-Site TEAM Training Days around communication, leadership and marketing.   But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club  Have you grabbed a copy of one of my books yet?  2014 – It's No Secret There's Money in Podiatry  2017 – It's No Secret There's Money in Small Business     Un-edited Transcript Tyson E Franklin: [00:00:00] Hi, I am Tyson Franklin and welcome to this week's episode of the Podiatry Legends Podcast. The podcast designed to help you feel, see, and think differently about the Podiatry profession. With me today is an old friend, well...not that old. We've only known each other for about 12 years. It is Dana Cardinas, and we met in 2013 in Nashville, Tennessee, at REM Jackson's top practices. But our friendship got bonded even more from about 2015 onwards, when we were at Dave Free's business Black Ops event, which people have heard that I go to on a regular basis. So Dana, how you doing today? Dana Cardinas: I'm so good. I'm so happy to be here, Tyson. Thank you. Oh my gosh, I'm so excited. Tyson E Franklin: I knew you'd bring the energy and I should mention to people that Dana lives in Texas, so there is a slight accent. Dana Cardinas: Yes, most definitely. And I apologize for my attire today. I literally just got out of the pool. It's hot and it's summertime and it was pool time tonight, so, yes. Tyson E Franklin: [00:01:00] So are you born and bred Texan? Dana Cardinas: Yeah, I was born and raised in central Texas. Yes. On a ranch. 300 acre ranch? Tyson E Franklin: I have seen photos of you driving tractors. Dana Cardinas: Yes. Yeah. So most recently convinced my dad to teach me how to drive the bulldozer. So finally was able to get on that machine after 50 something years. Tyson E Franklin: He wouldn't let you drive it? Dana Cardinas: No. He's very protective of that thing, so understandably he didn't want me to take it out any fences, but I did pretty good for my first go. Tyson E Franklin: So what we're gonna be talking about today, I'm gonna tell give people a bit of a rundown. We're gonna talk about what got you into Podiatry and also what got you out of Podiatry and what you're currently doing now, which I think is pretty cool. So yeah, let's go to that first question. Why Podiatry? How did you get into Podiatry in the first place? Dana Cardinas: So I always, my entire life, since I was wee little, I wanted to be a doctor. I didn't have a specific profession. I just knew I wanted to be a [00:02:00] doctor. But as I went through undergrad and spent time shadowing different professions I narrowed down things that I didn't wanna do. I knew I didn't wanna do certain things, and after I graduated from undergrad I needed, I just needed some time to figure out what was gonna be next. While I was studying for my MCATs, getting ready to, try to get into med school. And I worked in a large Podiatry practice in Carrollton, Texas. And I loved it. I absolutely loved it. And I started, just in their front office answering phones. I needed a job to pay bills, and I went from answering phones to being a medical assistant because I was very interested in what they were doing back there. And at one point, one of the docs pulled me aside and said, Dana, you need to do [00:03:00] this for a living because you're diagnosing and treating my patients. And really, you should be paid for it if you're gonna do it. And I, and we had a long talk about it, and I really picked his brain about why he wanted to be a Podiatry. Yeah. What did he get outta it? Why did he like it? And what was happening in Podiatry that I didn't see and what did I not know? I really wanted to know about it. Tyson E Franklin: That's a really good question though that you asked because Yeah. I do think sometimes when people are choosing careers or even when they're in Podiatry now and they may have only been in for a couple of years and go, oh, I don't know if I should keep doing this. They need to talk to people. Yeah. Even if they'd send an email and say, can we jump on a Zoom call with someone like myself, it's been in the profession for well over 30 years is reach out to those people and say, why are you, why did you stay in this profession for so long? When I feel like giving it away after two or three years. Dana Cardinas: Right. And he and that is key, honestly for any profession. Honestly. I think it's reaching out to people in your [00:04:00] profession and asking them, if you're burned out, find out, what's the other person doing that They love it so much, that they can help you. But this practice had seven docs in it. I talked to all of them and they all had such good things to say about the specialty. They loved it. And that from a doc that had been out for two years to, I wanna say, the one doc that started the group had been out for 30 something years. So at the time, so like they were in it, they loved it, they loved the business side of it, but they loved treating the patients. Just the whole aspect of it. Yeah. So that's when I said, okay I'm doing this because I really liked it. I just, I loved the idea that you could see a patient. And maybe fix their problem right away. Maybe it was just a simple ingrow toenail boom, you fixed it and they feel better. Or you could offer them something that wasn't [00:05:00] surgically, related like orthotics or just talking to them about improved running, anything like that could just make them feel better almost instantly. But then there was also that other side of it for me that really grabbed my attention was. Taking something structural that wasn't working right and fixing it so that they could function either without pain or more appropriately. So, that, that was a big draw for me. That was my draw. Okay. 'cause that was, I loved working with my hands. Again, I grew up. That way. I didn't grow up in the city. I grew up on a farm and we fixed things and so I, that was my track. And so that's how I got into Podiatry. So I applied to four or five different schools. And so I ended up going to Temple University of Philadelphia. Which blew my mind. I was not from a [00:06:00] size of a city that big, so that was like, a culture shock for this West Texas girl. But I loved it. I loved every bit of it. I just soaked it up. I traveled while I was there a ton, but I also made such great friends, but I really. I really just dove right in it, man. I dove right in it. I wanted to know everything about Podiatry and loved it. Went to residency back here in Texas, so a year in San Antonio, and then two years with lake Great Sam Mendocino in Houston. God rest that guy. But from that point knew that, okay, this is where I was supposed to be. Yeah. This is what I was supposed to be doing. And then ended up in practice in Grapevine, fantastic practice in Grapevine and we grew that practice to two locations actually. So we had one in Grapevine and one in Keller. So I joined Foot Ankle Associates of North Texas and then ended up [00:07:00] becoming a partner there about a year and a half after I joined. So yeah, it was awesome. Loved it. And that's Tyson E Franklin: where you were, right up through to you finishing? Dana Cardinas: Yeah. Yeah, absolutely. And I really didn't have plans of retiring when I did, yeah. I just didn't have an option. Tyson E Franklin: We'll get to that in a sec. But the one thing I noticed when I first met you too and why we've probably remained friends is I've always loved your energy. And if, and I'm sure people whether watching the video on YouTube or they're listening to the podcast, they can pick up your energy. Yes. And I would say that was a big part of what made you a good Podiatry too. You took that energy into the room. Dana Cardinas: I did. I who I am is exactly who I was when I walked into a patient's room. It didn't matter if you were three years old or 103 years old, you got the same me. And we smiled and we laughed and we talked about [00:08:00] your life not mine. And we talked about your kids and your family and I got to know you. And when some of my patients hit huge milestones in their treatment, whether that be my diabetic patients when we healed ulcers or we saved limb. Or my ankle fracture patients, when they could actually put their boots back on and go back to work. We would dance down the halls. Yeah, we would party down the hall. That's who I was. And that's, you got this when you came to see me, which was usually quite a mess, let me tell you that. It was fun. Tyson E Franklin: I just love it. And you worked for a couple of years at the practice that you ended up becoming a partner in, was that always part of your plan to become a partner or you never even thought about that? It took you by surprise that they wanted this loud text and, Hey, by the way, is everyone in Texas loud? Dana Cardinas: No. Tyson E Franklin: No. Okay. Most Dana Cardinas: of us are. Yes. [00:09:00] Yes. Most of us are. There are just some that are a little louder than others. But yeah. Yes. Tyson E Franklin: Are you one of the louder ones? Dana Cardinas: Yeah. Tyson E Franklin: Yeah. Okay. Just checking. Just wanted to check, just see. So I'm prepared in December. Get ready man. Tyson E Franklin: So, so when they approached you by buying in the practice, were you sort of like, yeah, that's great. That's what I was hoping would happen. Or did it take by surprise? Dana Cardinas: I think timing wise took me by surprise 'cause it happened a little sooner than what I thought. But the way the three of us at the time, there was only three of us. We just were, we jelled so well together that it just seemed like a natural fit for that to happen. And so it, it was perfect timing. And I, in residency, you always heard, oh, you wanna be a partner in a practice, that's where you wanna head. And now looking back on it and talking to other, my residency mates that were not partners in a [00:10:00] practice because they chose not to go that route, that it didn't fit their lifestyle. So I would say anybody listening, you don't feel like if you're not a partner, you're not successful by any means. Yeah. It just might not be the track that it fits your life for us. In that particular moment, it was perfect. It was the right scenario for us to do that. And it worked out phenomenal. Tyson E Franklin: Yeah I think that's a really good point because I think some people meant to be business owners, like I was always meant to work for myself . I just always knew that was gonna happen. And the funny part is. Neither of my parents owned their own business. Nobody in my family that I even know had their own business. So why I was that way. I have no idea that was just me. Yeah. But I think there's certain people that they should never own their own business. They should stay as employees because they are really good employees. Yeah. And what, like you said too, it's a different level of pressure you get when you are actually the business owner that when you're an employee, [00:11:00] you go away on your four weeks holiday, you don't have to think about anything. Dana Cardinas: Yeah, right. Tyson E Franklin: Two weeks in America, you only get two weeks holiday in America, don't you? Dana Cardinas: It depends on how much you negotiate, man. Tyson E Franklin: But in general. In general, in America, two weeks is all you get. Dana Cardinas: Depends. Most of the docs that we, you know, when we brought in docs as associates, we gave them three weeks in the beginning. So I, that's pretty good. Tyson E Franklin: But yeah, two weeks in, in Australia. In Australia, mandatory, four, four weeks holiday. Dana Cardinas: I honestly, I'm not gonna lie, everybody should move to Australia. Numerous reasons just to like hear you guys speak all the time. But if you can get four weeks automatic man, sign me up. Tyson E Franklin: Being an employer, you used to sometimes go, god dammit, when people are on holidays. But as a society, I think it's a fantastic thing because you need to have those mental breaks away from your business. And this is a problem that business owners don't do, is they work from morning [00:12:00] till night. They don't take holidays, they do it year after year and they burn themselves out. And I think you've gotta have that break. Dana Cardinas: Right. And it's hard as a business owner to take the break. It's hard to walk away 'cause you're you get in this, in your mind that, I'm not making any money if I'm not there and if I've got to have the money so I can't take off. You just get into that cycle, but when you take the time away is when you have clarity and you can think, and then you usually end up making better decisions, which make you more money in the long run. Tyson E Franklin: Yeah I remember my first, we, I'd take a week off here and there but it wasn't until, I think it was 2012. I took my first three week break. Away from clinic, went overseas, went to America, did the trifecta of Disneyland, Las Vegas, and then San Francisco. Dana Cardinas: Oh my gosh. That's amazing. Tyson E Franklin: And I had a daughter with us and my wife and [00:13:00] we went with another family. Had such a good trip. I came back to work and nothing had changed. Everyone was still working, in fact. Right. They were probably enjoying me not being there better. And from that year onwards, I realized I can take time off. So I was taking two, three week holidays a couple of times a year. Never looked back. Right, right. So I think you gotta trust, you gotta trust your team. Dana Cardinas: Yeah. And that's it too, like. If you build a team that you've trained well, they know what they're doing. They know how to handle the situations, and they know how, like who to call when they don't know the answer. Like that situation's gonna come up. But when you've got that training in place. Oh, you can leave. Trust me. They want you to go, they want you to go. They do, but you're getting cranky and you're getting agitated and they want you out as much as you need to take a [00:14:00] break. Tyson E Franklin: Oh, yeah. But I totally get it. And I totally understand if someone is a solo practitioner and they feel that they can't do it. But I think if you're a solo practitioner, go back to one of my earliest episodes on this podcast. It was episode 10 with Andrew Snyder and it's running a successful solo practice. This guy is the most relate. He's been doing this for 30 years or something. Now. Love that guy. Solo practitioner. Tyson E Franklin: Has never employed another Podiatry. He goes to Disneyland more often than anybody else I know, right? Right. Tyson E Franklin: If you're a solo practitioner, go back and listen to episode 10 because it will change the way you think about having a solo practice. Dana Cardinas: Yeah. Oh yeah. A super good friend of mine that we went to residency together, he was a solo practitioner for, gosh. At least 10 years before he brought on an associate. Tyson E Franklin: [00:15:00] Yeah. Dana Cardinas: And in the beginning he was this, I can't take, I can't leave, but once he figured out, okay I've got someone local that can cover my call if I'm out, they can take phone calls for patients that, call in after hours or have an emergency, whatever it might be. So he had coverage for that. They didn't come in the office, but it was just a quick phone call if necessary. He, when he figured that out. He would take vacation about once every eight weeks. It might be a short little, like four day or thing. Yeah. But he was gone somewhere and his practice grew immensely. Just simply because he was getting that mental break because it, let's just get real, it's not easy, Tyson E Franklin: no. To Dana Cardinas: do what we do. It's Tyson E Franklin: not. And it's one of those things too. Every patient that comes through the door could be a potential lawsuit. [00:16:00] And that's something that's, and that's why we have insurance and that Right. But we choose this profession and Right. And you know that 99.999% of patients come in. That is never going to happen. Dana Cardinas: No, it's never gonna happen. Right. And majority Tyson E Franklin: of patients are nice. Dana Cardinas: Right. Majority or. There's always a potential that patient's gonna walk in your front door that you don't know is going to absolutely kill your day. Just kill it. It's over done. There goes the schedule. Forget it. You're not getting home till way late because that one person entered your office, but it's what we signed up for. Yeah, and honestly i'm not gonna lie, I don't think I'm not different than anybody else. I think we thrive on that a little bit. I think we do love that little bit of excitement it's like you get excited about walking in that door to the patient room of, okay, what kind of shit am I gonna see on this one? Yeah. Like, what crazy crap did this guy just do that I'm [00:17:00] gonna have to fix? And that was always my favorite. Tyson E Franklin: That's the thing I think in life in general you, everybody wants a certain amount of certainty, which you need. It makes you feel comfortable and secure, but you also need that little bit of uncertainty to keep life interesting. And I, yeah, and I feel when I hear someone's, oh, I'm bored with Podiatry, I wanna leave. It's the same thing, day in, day out, I'm going, we need to, you need to change things up. Yes. Tyson E Franklin: It's obviously what, however you are running your day, you've got too much certainty. You need a little bit of uncertainty to spice things up a little bit. And that doesn't mean just going walking into work and sack somebody and create chaos. It's just your approach to work. Dana Cardinas: Yeah. Tyson E Franklin: Hey, make it a little bit different. Dana Cardinas: I totally agree. And that might be why you're bored. Tyson E Franklin: Yeah. Oh yeah. I like, if I wanted to, I could pick a certain part of Podiatry, keep doing that, and I would be bored, senseless. I needed different types of patients coming through with different types of injuries to make it interesting. Yes. But some days I did wanna just switch my brain off. Yeah, [00:18:00] I did wanna to use it. Yeah. Tyson E Franklin: So, okay, I'm gonna pivot slightly because you love Podiatry so much. Everyone must be listening to this. You hear your energy, your enthusiasm, you loved it, and why'd you leave? Dana Cardinas: So, in December about mid-December of 20 2015, and I thought I had carpal tunnel. I, my hands were just killing me at night. In, in, in here, in the us. The end of the year is always slamming busy because everybody's met their deductibles. They want everything done before the end of the year. Okay? And so we are all just maxed out. We've had surgery schedules full for three months or more. Patients are just like, I gotta get in, I gotta, again, I got it in. So we're busy and we make it happen. That's what we do. We make it happen. So I would go to bed at night and , wear these wraps on my [00:19:00] wrist because it just felt better. I kept thinking, all right, I gotta go get this checked out. My hands just really hurt. But the next day I was like, it's okay. It's not hurting as much. But by the end of a long surgery day, they were just, it was pain and it was pain, especially on my right that was going up to my elbow. And I was like, all right I just gotta go get this checked out. So get through December, I'm in the first week. January and I, it was fairly quiet, which was unusual, and I had one case booked on a Friday afternoon, and it was a tiny fifth toe arthroplasty. Literally anybody that does these on a regular basis, skin to skin, you're looking at max. Six minutes to me. Yeah. That was me, max. Boom. It's not hard. And it took me 20 minutes and I couldn't feel [00:20:00] what I was doing and I was terrified. And I, it had, I had another case, I would have canceled it. And I left, I got in the car and I called the office. Canceled all of my cases that were coming up. Put 'em onto one of the other partners and called my friend, who's a neurologist and said, I'm coming over something's wrong. And she was awesome. I had actually done surgery on her two, two years prior because she had some really cool ganglion cyst on her foot, which was amazing. But another story. And so she's yeah, come on over. She did a, what is that nerve conduction study? Yeah. On me. And she's Dana, how long have you had this? And I was like, this week, like today, like I today. And she's like, how did this not, how did you not see this happening? Because as she showed me at the time, and I'll show you my hands in the camera, all I had [00:21:00] lost the muscle mass on both of my hands. Along my thumb, especially along my ulnar side on my right, a little bit more or a little bit on my left. And the nerve conduction study showed that I had severe ulnar neuropathy on both sides. She's like, that doesn't just happen overnight. I'm like, I'm telling you. I had pain, but I could feel until today. And so, we did some further studies and over the next, the course of next two to three weeks and then really realized that what I had was not gonna be reversible. I had severe loss of my muscles in my hands, but also nerve damage. I didn't have an option, but I had to retire. If you Tyson E Franklin: had picked it up earlier, could you have prevented this from happening or was it inevitable that it was going to happen? Dana Cardinas: Well, it was inevitable [00:22:00] because I didn't know what I had at the time. Yeah. Which as we'll continue the conversation you'll hear. At she diagnosed me with idiopathic ulnar neuropathy. Because we went through all the tests, all the blood work tests, the MRIs of my neck, you name it, trying to find a reason for this to have happened suddenly , which we never came up with a reason. I ended up getting an ulnar release on my right side that helped the pain. And, but I was officially retired March 31st. Of 2016. So within 90 days I found out I had basically permanent neuropathy in my hands. That was with a sudden onset and I was retired, but out. Tyson E Franklin: How old were you then? Dana Cardinas: I was, at the time I was 46. Tyson E Franklin: Unexpected. Yeah. Dana Cardinas: Very unexpected. That was not on the [00:23:00] bingo card for that year, Tyson at all. Tyson E Franklin: It's, yeah, it's like those yeah, one of those things like death pill, you people bet on who's gonna pass away that year. You never would've thought in 2015 and we had caught up in October, 2015. Yeah, within six months you'd be retired. That'd be it. And I still remember the photo of us in 2015 where I had my cactus shirt on. Remember before, before we went out into the desert and you thought it was hilarious. Dana Cardinas: I just, that photo just popped up on my phone as a memory the other day. Yes. Tyson E Franklin: It is a great photo. Dana Cardinas: It's the best. Yeah. And Tyson E Franklin: I always tell people that too, that it's one of those things, just life in general, you don't know. What's going to happen. And it's, and you can't sit there in fear thinking, oh, is this going to happen? But every now and then you will be thrown a, a curve ball and it's how you bounce back. Dana Cardinas: Right. It's true. I I was not expecting the curve balls that would happen [00:24:00] after that. Tyson E Franklin: Yeah, for sure. I know there were more curve balls. Dana Cardinas: And they kept coming for a while. But, so here I am, I'm done. I had no idea what I was gonna do next. So tried a few things here and there, but it just didn't, that, it just didn't, wasn't supposed to pan out, to be honest. It just wasn't supposed to because. In January of 2018 I was having some pain in my abdomen, my lower abdomen like right lower quadrant pain, and I kept putting it off to, oh, it's probably gas. It's probably this, it's what we all do as physicians. Ah, I'm fine. It's whatever. Yeah. We think we know. And so, my wife Becky said, will you just go get it checked out? You are really complaining about it, you should actually get it checked out. So I go see the GI doc, explain what I've got going [00:25:00] on, and he was like, you know what? It sounds like it's nothing because I did have a history of like acid reflux and some GI stuff. And he is like, it's probably nothing but let's just do an upper or lower endoscopy and let's just see. Tyson E Franklin: Yeah. And were you the, and were you the windy one in the relationship? Dana Cardinas: Yes, most definitely. Tyson E Franklin: And that's why always when you had that pain, first thing you think, oh, it's just gas again, right? Yeah. Dana Cardinas: Just gas, whatever. Yeah. And so, I won't ever forget January 8th, 2018, I have my scopes and as I'm laying in recovery, waking up, I hear the GI Doc tell Becky. The upper is fine. She has colon cancer though. She has a large tumor in her colon. And I was like, and I just remember laying there thinking what the, [00:26:00] I have cancer. Tyson E Franklin: Yeah. Be thinking of the same thing. Dana Cardinas: I have cancer, like the real cancer. And so, Tyson E Franklin: the real one. Dana Cardinas: Yeah, like the real one. So I ended up he couldn't complete the colonoscopy because the tumor was too big for him to pass it. So, that, that day was a blur. And then the next day I called my friend, who was a colorectal surgeon that I sat on a board with at one of the hospitals. And said, cliff guess what? I need you. And he basically said, I'll see you in the morning. And then right after that phone call, I called my good friend who is an oncologist who I used to call. When I got those reports back, you know when you do biopsies in the office and it comes back melanoma and you're like, oh shit, melanoma on a [00:27:00] toe. I don't need to be seeing this. Yeah. This is not my, she was the one that I would call to say, Heidi, who's the best oncologist? Oncological surgeon that needs this. She was my sounding board when I got those strange things back, and so I called her and said, Heidi. Guess what? I need you. And she said, okay, I'll see you when Cliff is done with you. And they literally became my team overnight. And they talked to each other before I even got to the, his office the next morning. They had a plan in place for me. And so I had CT scans. The next day saw him. I've come to find out I had a very large tumor that was over 10 inches long, and it was almost 99% occluding in my colon. So likely had I gone another couple of weeks, a month I probably would [00:28:00] not be here. Yeah. Because Dana Cardinas: it, it would've just ended me. So, then. Fast forward after that, he did surgery. I lost 27 inches of my ascending and transverse colon, but he was able to reconnect re anastomosis both ends so that I did not end up with a bag, which I wasn't excited about, if I was gonna have to have one. But if it kept me alive, okay, fine. Me, I would've made a ton of jokes out of it, and it would've been like, Tyson E Franklin: Oh, you've carried around like a handbag. Dana Cardinas: Oh God, yes. It would've happened. Yeah. But for me it did not have to happen. So, once I healed from that, six weeks later started chemo, went through eight months of chemo that was probably the worst thing I've ever been through. Because now let's flash back a little bit. Yeah. On the neuropathy part. [00:29:00] Okay. We didn't know at the time in 2016 why I had neuropathy. But after I retired and before I found out I was diagnosed with cancer, I kept breaking out on these full body hives. And I don't mean like itty bitty tiny hives, hives, massive four six inches hives all over my body. I was going through the treatment of trying to figure out what environmental food, what allergy did I have that was causing this. But in talking with my oncologist, she put all of my picture together. And what I had was perine neoplastic syndrome, which is rare. But it's the cancer that I had growing in me that I didn't know I had. Was causing the hives that gave me the wonderful neuropathy and a few other things. And so that's so that Tyson E Franklin: there are all signs of something else was actually happening anyway. Dana Cardinas: Yes. I just didn't, I just didn't know that's, and per neoplastic syndrome is something that is diagnosed. After the [00:30:00] fact. It is rarely something that some physician would put together and say, oh, you have cancer because you have all these things happening. Yeah. It just doesn't work that way. Yeah. Tyson E Franklin: Real cancer. Dana Cardinas: Real cancer. Yeah. Tyson E Franklin: A another friend of mine exactly the same diagnosis around exactly the same time and that's why I, I. Way back. I wanted to get you on here way, way back. And I said the same thing to him. I wanted to get him on the podcast as well. And he's not with us anymore. Right? Tyson E Franklin: He didn't, he he got the bag and last time I saw him was actually on my birthday. I had to make him breakfast on my birthday. At his house? Yeah, at his house. 'cause he said, I want your favorite breakfast that you make. And I saw him then. He said, oh, they've told me I've got heaps of time. I'm gonna beat this. Everything's gonna be absolutely fantastic. And five weeks later he passed away. Dana Cardinas: Yeah. Tyson E Franklin: [00:31:00] And so, yeah, that, and that's why, Dana Cardinas: and I'm, I'm sorry, I'm sorry to hear that. Tyson, I, that breaks my heart, Tyson E Franklin: but Oh geez. That's why I think it's important to talk about this. Dana Cardinas: It's hugely important because I'm lucky. Tyson E Franklin: Yeah. Dana Cardinas: I know I'm lucky. I, when I was diagnosed stage three C. So I only had one more stage to go before I was stage four, and I was lucky that it had not spread to any other organs. But that was that I'm lucky in two regards in educating myself on colon cancer because as I was diagnosed, yeah, once you get past that first initial part of it and you get a plan. Once you get a plan, it's almost, that's when you can breathe. You can't breathe until you get a plan. But once you know [00:32:00] the, these, X, Y, and Z need to happen, and this is when we're gonna do it. That's when I started researching and and finding out more about the diagnosis and what does it mean and what does treatment mean and what am I looking at here? What, where am I gonna be here? And so, I was lucky enough that, someone else who had a family member that was going through colon cancer. She this wonderful person connected me with her and through her I got connected with a wonderful organization called Colon Town. And Colon Town is an online um, resource for patients that are going through colon cancer, but it's also for the caregivers and the, your, the spouses, the friends, anybody who is either affected by it, is a patient, any of [00:33:00] that. You can go to colontown.org to get more information about it. But I dove into it and it's right now it is on online, on Facebook. It's private. So you, everything we discuss in there, you, nobody else is gonna see it. It's just us. They are working their way off to a separate platform. That's even better, to be honest. But so I dove into it. And it made me feel better because I could talk to other people that were just like me, that were going through exactly what I was going through. But what the crazy part Tyson is while I'm going through chemo and my dang numbness is getting worse because the chemo that we have to go on that keeps us alive. Its number one side effect is peripheral neuropathy. Okay. And cold sensitivity. Oh God, it sucked. Oh, so my neuropathy went off the charts. Like, Tyson E Franklin: I shouldn't, I shouldn't be giggling when you say that. I, but you Dana Cardinas: [00:34:00] can because you, I mean you, oh God. The stories. But I would have my, had I ended up with full facial numbness, my tongue was numb most of the time. My, my chest was numb. Just there wasn't much of me that wasn't numb except my butt. Go figure. So there were so many questions that would come up in this group about how to deal with neuropathy that I noticed I was answering them because it was what we treated. And I knew the answer and I knew what could help. 'cause I was helping myself. That I reached out, eventually reached out to the creators of Colontown because in Colontown there's these little neighborhoods. So if you're stage four, you're in a certain neighborhood, so you can just have those specific conversations. Or if you are a certain genotype, then you have those conversations in that trials group maybe. And so I said, Hey, can I start a group for neuropathy? And they were like, yes, please, because we all have it. [00:35:00] And so I started a group inside Colon Town that is only for neuropathy and I it. Warms my heart because we have, within that group now created some treatment processes for those that are now going through chemo with the certain drug that we have to take where we now ice our hands and our feet so that it's reducing the neuropathy that people are getting now. And we started that as a patient led. Research project basically, and it is now becoming standard of care and it's the most fucking awesome thing I think I've ever done in my life. Tyson E Franklin: I think that is absolutely fantastic and what I like about it is you've used your knowledge in your experience as a Podiatry to actually help this group of people. Dana Cardinas: Yeah. Tyson E Franklin: I didn't see [00:36:00] that Dana Cardinas: coming. Tyson E Franklin: Yeah. Right. Dana Cardinas: Unexpectedly. I didn't see it coming. Tyson E Franklin: Yeah. I always say everything's supposed to happen for a reason. Exactly. And sometimes I do question a lot of things that happen and I like to think there's a reason behind it. Yeah. My dad passed away when he was 49. I was only 17. I kept thinking, where's the reason? And that, yeah, Tyson E Franklin: there's certain things I changed in my life around that time afterwards that I wouldn't, probably wouldn't be doing what I'm doing now or had the career I had if. I hadn't got that kick back then. Yeah. I would've had a different path that I was on. So I think it's the same with you. You've had a few crazy things happen and now you're on this completely different path. So when did you get the the tick, the all clear Dana Cardinas: so I got the all clear? October of 2018. That we call it no evidence of disease. Yeah. Because I'm a stage three CI never get cured. I, I will forever, my whole life be monitored. [00:37:00] But I've been clear ever since. I just saw the, my oncologist, in fact, I retired, my friend she left me to go travel the world and so I'm working, I'm breaking in a new one, and I like her a Tyson E Franklin: lot. So how often needs to get checked? Dana Cardinas: So now I just graduated, so once a year. Woo. It's awesome. Tyson E Franklin: That is good news. Dana Cardinas: I know it is. Tyson E Franklin: So now, now you've got through all that and retired from Podiatry, your Helping ColonTown I, oh, by the way, I love that t-shirt. Was that your design? That t-shirt? Dana Cardinas: The. Tyson E Franklin: The one I read out before that says colorectal cancer awareness, because that shit matters. That shit matters. Yes. Tyson E Franklin: That's a great t-shirt. And then you've got, on the t-shirt, you've got all the names of what people who have had colon cancer, what they would call their poo. Dana Cardinas: Yeah, their poo. And Tyson E Franklin: I like dookie. I haven't heard dookie for a while. [00:38:00] Dana Cardinas: Oh my gosh. The stink pickle. That's my favorite one. Tyson E Franklin: That's my favorite one. I like the Corn Eyed butt snake that this is all by the way. People just let you know this is all on a t-shirt, which I think is very funny. Um, Code brown goat pellets nuggets. Dana Cardinas: I did, I asked all of my friends, okay, what do you call it? And I had my good friend Lauren, who is a graphic artist I said, okay, Lauren, here's all the name here. Here's what we call it. And I used the poop emoji and put it all in there. And he did a phenomenal job. Tyson E Franklin: In the show notes, I'm gonna put a copy of this shirt, the front and back because it is a hilarious shirt. And I think you give everyone a bit of a laugh too. I like the head of, they have put here turd. It's basic. It's basic. It's very basic. And somebody else did put shit. Dana Cardinas: Yes. Tyson E Franklin: Basics. I dunno what a shoey is. That's a little bit weird. In Australia shoe's called a [00:39:00] Completely a shoey is drinking a beer out of a, out of a jogger. That's called a shoey. Oh Dana Cardinas: No. A shoe chewy that, yeah, that's a stinky one. Yeah. Whoof, that's That's a big one. Tyson E Franklin: Yeah. Ah, that's like shoe fly pie. Dana Cardinas: No, Tyson E Franklin: No, that's completely different. That's actually quite nice. Dana Cardinas: Good. That's awesome. Have you had Tyson E Franklin: that? Have you had shoe fly pie? I Dana Cardinas: did when I was in Philly. Yes. Yeah. Tyson E Franklin: Yes. That's pretty good in the I got it. Good. I got it from this town called Intercourse. Dana Cardinas: I, that's where I had it too. That's right next to Birden hand. Tyson E Franklin: Yeah. Where the arm where the Amish. The Amish had the shop there. Yes. And they were selling shoe fly pie where I Dana Cardinas: had it. Yeah. That's awesome. Tyson E Franklin: And people don't think this podcast is education. Dana Cardinas: There's so much education here. Tyson E Franklin: Some people think this show's not educational. Dana Cardinas: Tyson, I could go on and on about poop. Tyson E Franklin: So now you have your own business. You've set up something else called One Stop [00:40:00] Promotional Products. And if people are looking for it, it's one. The number one. One stop promotional products.com. Dana Cardinas: Yes. Tyson E Franklin: People can go check it all out. Actually, Dana Cardinas: either way, you can put one, the number one or spill out one both ways. We'll get you there. Tyson E Franklin: Oh, cool. Okay. I wasn't quite sure. So OneStop promotional products.com. So this is your business that you're doing now. All promotional products? Yeah. You are servicing mostly America. Do you ship it overseas or anything like that? Dana Cardinas: No. Right now we're not doing anything overseas 'cause it's a little too crazy for that right now. Yeah. But we do we are. Mostly 95% B2B. And we love it. We love it. We have two airlines and 175 active companies that we work with monthly. Oh, cool. And adding more, we add more weekly. It's a lot of fun. Tyson E Franklin: Who? Yeah. Well, I'm gonna order something and pick it up when I come over. In December. Dana Cardinas: Oh my God. Oh my God. And I'm gonna put [00:41:00] a big stink pickle on it. I'm gonna say you that right now, Tyson E Franklin: but the get ready. So how did you get into this? What was the OO Obviously like you retired young. Dana Cardinas: Yeah. Tyson E Franklin: And you, did you end up selling the practice? Dana Cardinas: I sold my shares in the practice. So the other docs were still there practicing. Yeah. And so they were not ready to retire yet, obviously. No, they were still doing it. They were, they, we were all pretty much the same age, so they were still doing their thing. So I, I sold my shares and got out. Tyson E Franklin: Okay. And then being young, as you still are. In my eyes Dana Cardinas: absolutely Tyson E Franklin: is this, how, why you, we gotta do something else. And that's how this came about. Dana Cardinas: It was totally by accident, a hundred percent accident. I go going through the cancer thing. I didn't do anything that year. Obviously. Yeah. Dana Cardinas: But in 2019 my wife and I were. Talking about, well, you know, let's, let's do something for fun. I'm getting bored. I need to do something with my hands. I like building things. [00:42:00] And somebody said, Hey, what, why don't you get one of those cricket machines and make signs? And a cricket machine is like a machine that you can send a design to. And it'll cut it out for you and then you can, put the vinyl or whatever Yeah. On side. Okay. That sounds fun. Yeah. Yeah. Yeah. And so, I was just doing it for fun and our local Mexican food restaurant that we go to entirely too much. But I refuse to stop going. They were like family and they said, Hey, you're doing some fun stuff. Do, can you make t-shirts? Because their staff, their shirts were horrible. They were truly horrible. And I, that night, we said, you know what? We don't know how, but we'll figure it out. Yeah. Dana Cardinas: 'Cause they needed shirts, so we went home. We bought a cheap Amazon press. I watched about 10 YouTube videos and was like, screw it. Let's make some shirts. And so we literally did their, that year it was their Cinco de Mayo shirts and they all it said was [00:43:00] Margarita's Mexican restaurant on it. That's it, that's all it said. But we made them and they could not have been happier with them. And. Customer said, Hey, where'd you get your new shirt? And they said, Dana. And Becky. And then next thing you know, they, we got more business and more business. And it got to where we said we might need to figure out how to do this with more professional equipment. Yeah. And Dana Cardinas: so we upgraded to more professional equipment, as you can see behind me. Tyson E Franklin: Yep. You can see it all there. Dana Cardinas: And now we run two heat presses, two professional heat presses on a regular base daily and just added this fabulous two head embroidery machine behind me. So we didn't have to outsource that anymore. And so, we do apparel, no minimums in house, which is awesome. But then if you need things like pens or name badges or you name it, literally anything you can think of, [00:44:00] lip balm. Lip balm. Yes. Lip balm. Lip balm. Dana Cardinas: We work with wholesalers for that and so we can, we have access to over 2 million products, which is fun. Tyson E Franklin: I know when I was on the website having a look around there was, it was so much fun looking at everything. And I was think as a Podiatry business, and I've got some Podiatry. One particular Podiatry friend called Carly who just loves swag. But Tyson E Franklin: anything that's branded and got names on it. Right. Just, Tyson E Franklin: and I must admit, I've got so many t-shirts, I've got like 200 t-shirts that I won't part with half my t-shirts. I've picked up at events, podcasting conferences and I just love, I'm the same thing. I just love that sort of stuff. Dana Cardinas: Right. Well, and the so again. Something I didn't see heading my way was all the things that I learned at top practices in day freeze and reading Jim Palmer, all those things. That is [00:45:00] now what we do. Tyson E Franklin: Yeah. Dana Cardinas: So we are that, that aspect of your business that keeps people top of mind. And that's the fun part because I have a little different spin on how we present products. I'm not gonna present you just a cheap cozy which a lot of companies will do because it's a cheap, cozy. Yeah. I'm gonna, if you are an electrician, I'm gonna present you something that is for your field that a customer is gonna want for the rest of their life they're never gonna get rid of. They're gonna keep it, and they're gonna call you over and over again. And that's why we keep getting business. Tyson E Franklin: Yeah that's a really good point. I've been to places where they'll have promotional products and it is cheap. I mean, You'll, you're trying, it's cheap. You're write with the pen and you've got RSI before you've written about the fourth word. 'cause it's just, there's so much resistance against the paper. Yeah. Or you'll bring something home [00:46:00] and your first time you use it, it just breaks. And to me, that makes a business look bad when they hand out crap swag. Exactly. Whereas if they hand a quality swag that you use again and again, then all of a sudden it, it actually puts that business in a positive light in your mind. Dana Cardinas: Right. And it keeps them top of mind. Yeah. Like, it truly does. Give them that up. Advantage over maybe somebody else. We and a lot of times I talk to customers, potential clients that say, okay, I want five different things. And I'm like, well, what's your budget? And they made me say, 500 bucks, $500. I'm like, all right, let's get one really good quality. Swag item. Yeah. For $500, let's not get a hundred of all these other little things, because all those other little things are gonna go in the trash. But this one really cool thing is gonna sit on somebody's desk and they're gonna look at it every day.[00:47:00] Tyson E Franklin: Yeah. I, well, I got stubby holders done stubby coolers. Your coozies as you call 'em over there 15 years ago before I sold the clinic. And I've still got a number of 'em here at home that I still use, and I've gone to people's places and I've seen them sitting with their stubby holders. Right. With a stubby in it. 15 years, after having them made. And they are still looking solid. They're still, yeah. Right. Dana Cardinas: Yeah. That's Tyson E Franklin: quality. Dana Cardinas: That's what we're all about. And that's one of our taglines is quality products only. That's the focus. Tyson E Franklin: I don't Dana Cardinas: want just walking around with a bunch of cheap shit. Let's go with some something good quality. Tyson E Franklin: Well think everyone listening to this, they that. To me that just applies to everything in life. Even your Podiatry business is provide a quality service. If you are gonna buy machinery, get the best that you can. Just get the best. Exactly. 'cause it will last longer. Give the patients the best. Whether it's covering [00:48:00] material or what you're getting the orthotics made of, just do, I think just always do the best you can. Dana Cardinas: Right, right. And if it costs a little bit more, explain to the patient or the customer who, whoever you're talking to. Tell them, okay, it's, it costs more because there's more going into this one. I've there's more time. The product's better. The craftsmanship is better. There's education behind it. It's not just, oh, I went online and ordered a pin from I don't know where, and I don't know who makes it and whatever. Spend the time and talk to your patients, especially because if there's something that you should be offering, but you're not because you don't think they'll buy it, they're buying it on Amazon, so why can't they buy it from you? But it's a better product if you're getting it from a reputable vendor or you know that, okay, this product is a better product than what they're getting on Amazon. Why can't they spend money with you versus Amazon? [00:49:00] Tyson E Franklin: It's true, and even the pen that I use most. This one is from a Podiatry clinic friend of mine, sole focus in Toowoomba. Nice. Dana Cardinas: Ooh. It is a, it is my God. SAT is my top seller. This is a Tyson E Franklin: beautiful pen to write with. And whenever I run out she usually sends me a few more. Dana Cardinas: I'll get you some. Tyson E Franklin: Just, they just really good pens. It just the feel of it. And because, and she got the whole pen done, like in her corporate colors, what her clinic is all about as well. And yeah. And she said the same thing. Wanted a quality pen, wanted something. When people write with it, they go, I want another one of these pens when they run out. And that's exactly what I do. But I do see it so she doesn't have to send it to me. I'll just pick some up next time I'm down there. So on. On that note, I want to thank you for coming on the podcast, sharing what got you into Podiatry, what got you out of Podiatry, which I think is just as important and what you're doing there. And like I said at the start, I just, I've [00:50:00] always loved your energy. Love chatting with you. You're so much fun to be around. Dana Cardinas: Thank you, Tyson. I, well, same is right back at you. I think as soon as we met. There was no doubt we were going to be destined to be lifelong friends because we laughed too much together. For sure. So, and before we get off, I will just say this if you are 45 or older and you haven't had a colonoscopy, please get one. They're not scary. All you do is poop the night, the day before and everybody poops. So it's, that's not scary. But get it done. And if you are not 45, but you're having symptoms force your doc to get you in to get it done you really just need to get it checked out. So, it'll save your life. Tyson E Franklin: That is fantastic. So I look forward to talking to you again soon. Oh, and I'll see you in December anyway. Dana Cardinas: Yes. Can't wait. Tyson E Franklin: Okay. Talk to you later. Bye. Dana Cardinas: Bye.

Jaryd Bourke is a podiatrist and PhD candidate at Monash University Physiotherapy.  In this episode, Jaryd discusses Achilles tendinopathy and his research investigating heel lifts and changes in patient outcomes and biomechanics. Edit: Sorry for saying Wodonga is a city in NSW! At least I know people are listening...  it's on the border... Thanks to Jaryd for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Jaryd 2:20 What is tendinopathy? 3:30 What is Achilles tendinopathy? 5:30 Heel lifts for Achilles tendinopathy - research 7:18 How could heel lifts help with Achilles tendinopathy symptoms 10:00 Jaryd's trial on heel lifts for Achilles tendinopathy – key methods 17:00 Clinical implications 23:33 Final thoughts Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathy: a Delphi consensus study, link to paper:  https://bjsm.bmj.com/content/59/13/891.abstract Follow Jaryd on LinkedIn: https://www.linkedin.com/in/jaryd-bourke-86932b200/?originalSubdomain=au If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating. Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Welcome back to Ditch the Labcoat! In this thought-provoking episode, Dr. Mark Bonta sits down with Kali Dayton, nurse practitioner, international consultant, and the bold voice behind the Awake and Walking ICU movement. Together, they peel back the curtain on a common but rarely questioned practice in critical care: routine heavy sedation of patients on ventilators.Kali shares her journey from a nurse in a pioneering ICU—where awake, mobile, intubated patients were the norm—to a world where comatose ventilator patients are the expectation. She unpacks the hidden harms of automatic sedation, sharing both eye-opening research and the heart-wrenching stories of ICU survivors who left with trauma, cognitive struggles, and fractured lives.Dr. Bonta and Kali explore how culture, habit, and outdated beliefs have shaped critical care—and challenge us all to rethink what's possible. Is it really safer, easier, or kinder to keep patients sedated? Or can presence, mobility, and human connection transform not just survival, but recovery?Get ready to question what you thought you knew about the ICU, discover what's already possible in some hospitals, and hear a call to action for compassionate, evidence-based change. If you work in healthcare—or might ever need it—this is a conversation you can't afford to miss. Let's ditch the lab coat and reimagine patient care, one episode at a time.Episode HighlightsRethinking ICU Sedation — Most ventilated patients don't require deep sedation—remaining awake can actually improve outcomes and reduce harm.Hidden Harm of Sedation — Automatic sedation often leads to delirium, long-term trauma, and cognitive impairment for many ICU survivors.Awake and Walking ICU Model — It's possible and beneficial to keep intubated patients awake and mobile; some ICUs already achieve this routinely.Cultural Myths in Medicine — Common ICU practices persist due to unexamined traditions, not necessarily the latest evidence or patient-centered thinking.Preventing Delirium Is Key — Early avoidance of sedation and encouraging mobility drastically decrease risks of ICU delirium and related complications.Power of Patient Stories — Listening to ICU survivors reveals the real, lasting harms of unnecessary sedation and challenges clinical assumptions.Team Buy-In Essential — Successful change requires educating and involving the entire healthcare team, from doctors to bedside nurses.Early Mobility Saves Lives — Mobilizing patients—even walking them—within hours of intubation is not only feasible, but can improve recovery.Family Involvement Matters — Informing and including families in care expectations helps calm patients and supports a less traumatic ICU experience.Start Small, Lead Change — Begin cultural transformation with one patient, one team—small steps can drive a revolution toward better, humane care.Episode Timestamps05:14 — Challenges of Mechanical Ventilation 06:57 — ICU Nursing: Breathing Tube Walks 10:14 — ICU Norms Challenged: Breathing Tubes 13:16 — Pioneering Awake, Mobile Patient Care 19:11 — Awake and Walking ICU Initiative 22:06 — Rethinking Hospital DVT Practices 25:42 — Sedation Considerations Before Intubation 27:20 — Reducing Delirium in ICU Care 32:57 — Sedation: Not Just Laughing Gas 36:24 — Rounding Culture and ICU Challenges 39:08 — Improving ICU Care: ABCDEF Protocol 41:23 — Rethinking Patient Sedation Practices 44:14 — Improving ICU Patient Care 47:38 — Revolutionizing Awake ICU CareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of M

Questions to Ministers Hon MARAMA DAVIDSON to the Prime Minister: E tautoko ana ia i nga korero me nga mahi katoa a tona Kawanatanga? Does he stand by all of his Government's statements and actions? Dr VANESSA WEENINK to the Minister of Finance: What recent announcements has she made about competition? Rt Hon CHRIS HIPKINS to the Prime Minister: Does he stand by all of his Government's statements and actions? CATHERINE WEDD to the Minister of Transport: What steps has he taken to reduce councils' use of road cones in New Zealand? Hon PEENI HENARE to the Minister of Foreign Affairs: Does he stand by his statement that "It is a matter of when, not if, New Zealand will recognise Palestine Statehood"; if not, why not? CHLÖE SWARBRICK to the Prime Minister: E tautoko ana ia i nga korero me nga mahi katoa a tona Kawanatanga? Does he stand by all of his Government's statements and actions? GRANT McCALLUM to the Minister of Agriculture: What recent reports has he seen on farmer confidence? Hon Dr AYESHA VERRALL to the Minister of Health: Does he stand by his statement that "Patient safety is critical to ensure Kiwis have confidence in our healthcare systems"? CAMERON BREWER to the Minister of Commerce and Consumer Affairs: What recent announcement has the Government made about increasing transparency at the checkout? Hon WILLOW-JEAN PRIME to the Minister of Education: Does she agree with Erica Stanford, who said in 2023 that "we're in a cost of living crisis and everyone is feeling the pinch really, really badly. Teachers are no different than anyone else"; if so, how will a proposed one percent pay increase help secondary teachers with the cost of living crisis? LAURA McCLURE to the Minister for Workplace Relations and Safety: What recent announcements has she made on health and safety reform? DEBBIE NGAREWA-PACKER to the Prime Minister: Does he stand by all his Government's statements and actions?

How can a devotee doctor counsel patients, especially women, who seek medication to terminate or prevent pregnancy? by Exploring mindfulness, yoga and spirituality

In this episode of the Vital Health Podcast, host Duane Schulthess convenes three leading voices from the 2025 BIO International Convention - prominent physicians, innovators, and advocates shaping the future of drug development in the wake of the Inflation Reduction Act (IRA). Throughout this conversation, they examine policy impacts, clinical ramifications, and patient access challenges: Barbara McAneny: Former American Medical Association President; Co‑Chair, ONCare Alliance; CEO, New Mexico Oncology Hematology Consultants, Ltd. Rafael Fonseca: Chief Innovation Officer & Getz Family Professor of Cancer, Mayo Clinic in Arizona Steve Potts: Chair, Drug Development Council, ICAN (International Cancer Advocacy Network) Key Topics: Pipeline Modality Shifts: Early‑stage developers are retooling small molecule programs into biologics, or abandoning follow‑on indications altogether to sidestep the IRA’s nine‑year exclusivity pill penalty. Clinical Trial Ecosystem: Independent and academic centers alike are seeing fewer small molecule trials, threatening orphan drug expansions and revenue streams that underwrite care. Oncology Practice Economics: Cuts to drug margins will jeopardize community practices, forcing difficult choices between patient treatment and financial survival. Patient Affordability & Copays: The cap on out‑of‑pocket oral drug costs versus the hidden burden of high copays and co‑insurance - and why eliminating them could raise premiums only modestly. PBM & Insurer Vertical Integration: Payers acquiring manufacturers and ownership of formularies are steering patients toward the highest‑rebate products at the expense of clinical judgment. Broader Systemic Ripples: From congested ERs due to unmanaged side effects to rural access collapse, plus the missed opportunity to cut PBM take‑rates instead of hampering innovation. Policy Fix Imperatives: Proposals include recalibrating exclusivity durations (extend small molecule to 13 years), automating rebate flows to CMS, and overhauling PBM incentives. This discussion covers the interplay between drug-pricing reform and the future of care, highlighting unintended consequences and pragmatic solutions. It’s essential listening for policymakers, payers, industry leaders, patient advocates, and every stakeholder invested in sustaining medical innovation and ensuring equitable patient access. Opinions expressed are those of the speakers, not the companies listed. Recorded on June 16, 2025.See omnystudio.com/listener for privacy information.

Francesca is a functional and integrative nutritionist and board-certified health coach with a strong commitment to evidence-based practice. She holds a Master of Science in Integrative Nutrition, where she completed a systematic review and meta-analysis thesis on the impact of maternal diet on gene expression and offspring health outcomes. Currently, she is pursuing a Doctor of Science in Integrative Health, focusing her dissertation on non-pharmacological sleep support for Parkinson's disease. Blending scientific research with clinical insight, Francesca provides personalized, root-cause-focused nutrition strategies that empower clients to make sustainable, informed choices. Her work bridges the gap between emerging research and practical application, with a mission to make nutrition both accessible and effective for individuals seeking long-term health and vitality. Instagram: https://www.instagram.com/healthful_living_san_diego/ Website: https://healthfullivingsd.com/ Timestamps: 00:00 Trailer 00:35 Introduction 05:58 Food quality in Italy vs. US 09:19 Remarkable weight loss transformations 11:37 Tailored coaching methods 14:46 Patient onboarding process 17:56 Game-changing patient support system 21:07 Effects of sleep disorders 25:35 Understanding sleep importance 26:49 Nutrition impact on sleep Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.

How to Rank #1 on Google Maps: Danny & Jeremy on Local SEO for PT Clinics In this episode, Danny sits down with marketing expert and former clinic owner Jeremy Dupont to break down what every clinic owner needs to know about ranking high in local search in 2025. They cover why Google Business Profiles matter more than ever, how AI is changing search results, and the simple steps to boost your local visibility—without wasting money on bad ad spend.

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram  DR. DREW MCDONALD Dr. Drew McDonald is a board certified orthodontic specialist with a strong focus on airway and temporomandibular joint-focused treatment planning, surgically-facilitated orthodontic treatment, and providing complex interdisciplinary care for patients. He lectures internationally on these topics and has contributed to literature and textbooks in these areas. Dr. McDonald is dedicated to advancing the profession of Orthodontics and Dentistry as a whole. He graduated from the University of New Mexico in 2008 with a Bachelor of Science degree in biology and a minor in chemistry. No stranger to orthodontic treatment, young Drew spent five years in orthodontic treatment correcting his under-bite. It was his time spent in an orthodontic chair that spurred his desire to pursue orthodontics as a career one day. Dr. McDonald attended dental school at the prestigious Creighton University in Omaha, Nebraska. Known for it's rigorous academic curriculum and intense clinical training, Dr. McDonald received many academic accolades while at Creighton including inductions into Omicron Kappa Upsilon (National Dental Honor Society) and Alpha Sigma Nu (Honor Society of Jesuit Universities).  

On today's episode, Gary Bird, founder of SMC, joins Dr. Mark Costes to unpack the real reasons most dental marketing fails—and why operations are often the true growth limiter. They discuss the dangers of focusing on “activities” like websites or SEO instead of real outcomes, and how busyness is often mistaken for productivity. Gary shares why 35% of calls in dental practices go unanswered during business hours and how that one stat alone crushes marketing ROI.   The conversation dives deep into the link between lead gen and operational execution, including conversion rates, appointment availability, and the need for follow-up systems. Gary also explains why his agency focuses more on operational performance than flashy marketing tactics—and why that gives their clients a competitive advantage. If you're looking to double your new patient flow but your schedule is already full, this episode is a wake-up call you don't want to miss. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://smcnational.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Lexi Silver is 15 years old. She lost both of her parents before she turned 11. That should tell you enough—but it doesn't. Because Lexi isn't here for your pity. She's not a sob story. She's not a trauma statistic. She's a writer, an advocate, and one of the most emotionally intelligent people you'll ever hear speak into a microphone.In this episode, Lexi breaks down what grief actually feels like when you're a kid and the adults around you just don't get it. She talks about losing her mom on Christmas morning, her dad nine months later, how the system let her down, and how Instagram trolls tell her she's faking it for attention. She also explains why she writes, what Experience Camps gave her, how she channels anger into poems, and what to say—and not say—to someone grieving.Her life isn't a Netflix drama. But it should be.And by the way, she's not “so strong.” She's just human. You'll never forget this conversation.RELATED LINKS• Lexi on Instagram: @meet.my.grief• Buy her book: The Girl Behind Grief's Shadow• Experience CampsFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

SummaryIn this episode, Sean and Terry discuss the critical importance of accurate and specific documentation in healthcare, particularly in the context of E&M services and audits. They explore the challenges faced by providers in maintaining detailed records, the implications of using generic phrases, and the role of defense operatives in ensuring compliance. The conversation emphasizes the need for patient-centric documentation practices to enhance care quality and protect against audits.TakeawaysDocumentation is essential for compliance and patient care.E&M service documentation must be specific and detailed.Generic phrases in documentation can lead to audit issues.Providers should avoid lazy documentation practices.Smart phrases should be used judiciously and tailored to each patient.Patient records must reflect individual care, not just generic templates.The financial implications of documentation practices are significant.Auditors look for substance over volume in medical records.Healthcare providers must prioritize patient-centered documentation.Understanding payer guidelines is crucial for accurate billing.

Today, I'm joined by Travis Smith, founder and CEO of Tribevest, to explore how doctors can leverage their networks to invest in real estate and other high-return opportunities without giving up their full-time jobs. Travis walks us through his journey from being a passive investor to becoming what he calls “actively passive” in the real estate market. He explains how doctors can create a capital aggregation business model by pooling resources with colleagues to invest together and generate wealth. If you're looking for new ways to grow your wealth, Travis will guide you on how to make passive income and harness the power of your professional network to achieve lasting financial freedom. “Anytime you're bringing value to the world, there's a wealth opportunity there.” ~ Travis Smith In This Episode:- Travis's background and the birth of Tribevest- Building wealth through real estate syndications- The role of capital aggregators in investing in real estate- Key factors for successful real estate investments- Dr. Dylan's success story in real estate investing- Travis's entrepreneurial journey: challenges and wins- How to participate in TribevestResources:➡️ Free community of high-performing physicians: the Physician Wealth Accelerator - https://limitless-md.mn.co/➡️ Check out my programs - https://vikramraya.com/coaching/➡️ Apply to become a Limitless MD - www.I8mastermind.com➡️Claim Your Free 30-minute discovery call and $500 off your engagement with Hall CPA: go.therealestatecpa.com/limitless Connect with Travis Smith: Website: https://www.tribevest.com/ LinkedIn: https://www.linkedin.com/in/travissmithmovethechannel Connect with Vikram:Website: https://vikramraya.com/Instagram: https://www.instagram.com/vikramraya/Facebook: https://www.facebook.com/VikramrayamdLinkedIn:https://www.linkedin.com/in/vikramraya/YouTube: https://www.youtube.com/channel/UCdq9M-kD0L2hy1UlfOK-hwQSpecial Thank You to Music Provided by Music Library: https://soundcloud.com/music-library-non-copyrighted-sounds/300-violin-orchestra-jorge-quintero-copyright-and-royalty-free

Long-Term Knee Health in Adults with a History of Adolescent Osgood-Schlatter: A National Cohort Study of Patients in Secondary Care in Denmark 1977-2020 Krommes K, Bjerre A, Thorborg K, et al. Sports Med. Published Ahead of Print. doi:10.1007/s40279-025-02214-5 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

Botanical and medications for management of fungal overgrowth.Dr's Sand, Kapadia and Gurevich continue their discussion on SIFO, Small Intestinal Fungal Overgrowth. In this episode Dr. Kapadia leads us through more details in a discussion of fungal overgrowth in the GI tract. Topics covered in this episode: Botanical and medication treatment options for SIFOGluten sensitivity and candidaSugar and candidaThe mold yeast elimination dietMCASLinks to Dr. Kapadia's courses on SIFO:Practitioner course on SIFO and Mold: ⁠https://drkapadia.teachable.com/p/a-minimalist-s-approach-to-mold-related-illness-and-small-intestinal-fungal-overgrowth-sifo⁠Patient course on SIFO:  ⁠https://drkapadia.teachable.com/p/sifo-in-integrative-course-for-patient-education⁠

In this episode of the Rocket Chiro Podcast, Jerry revisits a hot topic from last week—whether the chiropractic profession is at risk of losing itself—and takes it a step further. Instead of focusing on the fears and infighting, Jerry shares his thoughts on what chiropractors should be fighting for. What are the core values worth protecting? What should the future of chiropractic look like? And how do we stop shooting ourselves in the foot? This one's part rant, part reflection, and a whole lot of real talk. In this episode: Why the profession is often its own worst enemy The never-ending "real chiropractor" argument Why the subluxation vs. evidence-based debate is exhausting and counterproductive The idea of chiropractic as a dual philosophy profession—and why that's okay How food, gyms, and chiropractors all get judged for different goals Why the fight started by BJ Palmer might have been a big mistake A passionate plea for chiropractors to just stop being jerks to each other 9 Things Chiropractors Should Protect: A drug-free, non-surgical identity Direct access and professional autonomy Being spine-first experts Spinal adjustments and manual care as our core service Patient-centered care—not insurance-dictated plans A wellness philosophy that includes holistic care Evidence-informed practice and better research on both sides Higher ethical standards and internal accountability A clear and unified public message about what chiropractic is Final Thoughts: If we lose chiropractic, it's our own fault. Future generations of chiropractors are counting on us. Let's stop fighting over personal preferences and focus on what really matters. If we're clear about what we're fighting for, we can stop wasting energy on what we're fighting against. Need Help? Want a better website or local SEO? Visit RocketChiro.com New or stuck in practice? Check out the Next Step program Want a free website and SEO review? No name-calling, just solid advice—request yours today Thanks for listening, subscribing, and sharing. See you next time!   Want Help Growing Your Practice? Jerry offers business coaching, website design, SEO, and Google Ads services specifically for chiropractors. If you're ready for less stress and more momentum, visit RocketChiro.com. Free Website/SEO Review: https://rocketchiro.com/chiropractic-practice-assessment Best chiropractic websites: https://rocketchiro.com/best-chiropractic-websites Chiropractic SEO: https://rocketchiro.com/chiropractic-seo Coaching for Chiropractors: https://rocketchiro.com/join    

Join Pastor Derek Neider in this inspiring episode of The Daily Devotional as he kicks off a powerful new series on the book of Romans. In today's devotional, Derek introduces us to one of the most theologically rich books of the Bible, unpacking the significance of the apostle Paul's words and the gospel's eternal message.In this first chapter, Derek dives deep into Paul's self-description as a servant of Christ and a chosen messenger of God's good news. Through thoughtful reflections, Derek encourages us to embrace our calling to serve Christ wholeheartedly and live out our faith with purpose and surrender.Tune in for insightful teachings, practical application, and a fresh perspective on what it means to live as servants of the gospel. This is just the beginning—there's so much more to come as we journey through Romans together!Thank you for listening! Here are some ways to learn more and stay connected!New to faith? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click here!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Learn more about Pastor Derek Neider⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Derek on Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠or Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Subscribe to email ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Subscribe to the daily devotional⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore recent messages!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠This podcast was created by Pastor Derek Neider as a ministry of Awaken Las Vegas.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠our website. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠We are located at 7175 W. Oquendo Road, Las Vegas, NV 89113.  Our gathering times are 9am & 11am Sundays and 6:30pm Thursdays.

In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, James Higgins, MD, discuss the following articles from the August 2025 issue:   “Toe Transfers Outperform Replantation after Digit Amputations: Outcomes of 126 Toe Transfers” by Lo and Wei.   “Improving Patient Transfer Quality: A Retrospective Study on a Transfer Center for a Canadian Upper Extremity Revascularization Program” by Arsenault, Efanov, Lavoie, et al.   “Interfacility Competition and Its Impact on Cost of Carpal Tunnel Release” by Rivedal, Cichocki, Tong, et al.   Special guest, James Higgins, MD is the Chief of The Curtis National Hand Center at MedStar Union Memorial Hospital in Baltimore, Maryland. He completed his plastic surgery residency at the University of Rochester, followed by hand fellowship at the Curtis National Hand Center. Among his many accomplishments he was a prior ASRM Godina fellow, ASSH Sterling Bunnell Traveling Fellow, and he currently serves as the vice president of the ASRM Council. He is widely published in hand surgery and upper extremity microsurgery and is a pioneer in upper extremity vascularized bone reconstruction.   READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCAug25Collection   The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

durée : 00:04:26 - Le Reportage de la rédaction - L'association Médecins solidaires a ouvert un nouveau centre de santé au Mas-d'Agenais, dans le Lot-et-Garonne. L'association sollicite les médecins généralistes pour qu'ils se déplacent dans des déserts médicaux, une semaine par an.

In this riveting conversation, Dr. Stephen Riggs shares his remarkable journey from conventional primary care physician to pioneering metabolic health specialist. After 30 years of traditional practice, everything changed when his wife handed him "The Obesity Code" by Dr. Jason Fung. Initially skeptical, Dr. Riggs tested the low-carb approach with his patients and witnessed transformations that defied his medical training: patients reversing type 2 diabetes, coming off insulin, and experiencing substantial weight loss in mere months.Dr. Riggs reveals how he built a comprehensive metabolic health clinic within a traditional healthcare system by meticulously tracking patient outcomes and demonstrating remarkable cost savings—over $550,000 annually in medication reductions from just 220 patients. He discusses his "Low Carb Bootcamp" program that achieves a 73% diabetes reversal rate and how his team approach incorporates health coaches, nutritionists, and food addiction specialists.Perhaps most fascinating is Dr. Riggs' observation that 95% of patients with food addiction see their addiction resolved within 8-12 weeks on a ketogenic diet—without specific addiction counseling. He offers practical insights on protein requirements, implementing lifestyle changes in America's heartland, and navigating resistance from colleagues and insurance companies.This conversation offers a powerful glimpse into how evidence-based nutritional interventions are quietly revolutionizing healthcare from within the system, bringing joy back to medicine by truly healing patients rather than merely managing their decline.BIG IDEA"Nutrition went from being basically irrelevant to me—I got almost zero nutritional training, what little I did was probably wrong—and now it's the biggest tool in my toolbox by far."Stephen Riggs, MD Contact InfoPersonal Website:www.livingbyDesignKetonutrition.com Metabolic Clinic Site:MercyOne.org/LivingbyDesign Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

(00:00:00) Welcome Ruthie, patient coordinator (00:00:30) How Ruthie helps you at LJCSC (00:04:00) The highlight of working at LJCSC (00:05:00) Ruthie's medical background (00:06:25) Ruthie's passion for guiding patients (00:10:17) The LJCSC experience (00:12:06) Ruthie outside of work (00:13:39) The best places to go in San Diego (00:14:36) My advice to someone coming to LJCSC for the first time (00:16:10) Takeaways and outro With over 13 years in aesthetics, Ruthie has been helping people feel confident and cared for since she was just 21, and she's loved every minute of it.From your very first inquiry to your final post-op visit, Ruthie is there to guide you through it all. She'll help you understand what to expect, walk you through your options, and make pricing and financing as smooth as possible.Her goal is to create a space where you feel welcome, supported, and totally at ease. She wants to be the friendly face you can open up to and the steady hand by your side from start to finish.To Ruthie, there's nothing more rewarding than seeing someone walk out glowing—not just because of how they look, but because of how they feel on the inside.LinksRead more about patient care coordinator RuthieLearn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the Best of San Diego and global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice.Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego's most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticSurgeryCentreThe La Jolla Cosmetic Surgery Podcast is a production of The Axis: theaxis.io Theme music: Busy People, SOOP

Getting a dementia diagnosis is one of the most emotional moments in healthcare—for patients, families, and clinicians. In this episode, I'm joined by Dr. Melissa Armstrong, a neurologist and dementia researcher, to explore how to approach that conversation with clarity, compassion, and the right tools. We talk about the importance of early diagnosis, how to support both patients and caregivers, and why building a care team matters. Whether you're facing memory changes or supporting someone who is, this episode offers practical advice and hope.

Send us a textA single slip at the front desk can lead to a one-star review, lost revenue, and lasting damage to your reputation. If your team doesn't know what not to say, or how to recover when mistakes happen, you're leaving your practice vulnerable.In this episode of Shorr Solutions: The Podcast, partners Jay Shorr, Ana Suarez, and Cristian Devoz break down the front desk's impact on patient retention, online reviews, and brand perception. From hiring and training to real-world damage control, this episode covers what it takes to get it right. Schedule your free consult with our expert, Jay Shorr, here. To sign up for our Conversion Cascade 2.0 online course, click here. Don't forget to enter code PODCAST at checkout for 20% OFF! Connect with us:Website: https://shorrsolutions.com/Instagram: https://www.instagram.com/shorrsolutionsFacebook: https://www.facebook.com/shorrsolutionsLinkedIn: https://www.linkedin.com/company/shorrsolutionsYouTube: https://www.youtube.com/user/TheBestMBS1/featured

The second part of our ATS Breathe Easy series on the SOAR Act, in collaboration with the Pulmonary Hypertension Association (PHA). This episode was first posted on PHA's PH Insights podcast.Host Jaeger Spratt, MSW, highlights the voices of long-time pulmonary hypertension patient advocates Amy Burant and Colleen Connor, who share their experiences with oxygen access and how those challenges have shaped their journeys with this illness and using supplemental oxygen. They also discuss their advocacy work and call on all members of lung disease communities, especially health care professionals, to advocate for the SOAR Act and help lung disease patients breathe easier.

Listen to learn more about the evolving landscape of rheumatoid arthritis treatment through the lens of the patient experience. One RA patient shares her insights as Advanced Clinical discusses the results from a recent RA patient experience survey.

About the Guest(s): Dr. Chad Woolner is a seasoned expert in functional medicine. With years of experience, he has been instrumental in helping practitioners transcend the traditional brick-and-mortar model, guiding them towards successful virtual practices. Dr. Woolner is known for his strategic approach to simplifying functional medicine, making it accessible and effective without overwhelming technical demands. Dr. Andrew Wells is a renowned functional medicine practitioner dedicated to transforming healthcare practices. He partners with Dr. Woolner in the Simplified Functional Medicine podcast series, offering insights into building thriving virtual practices. Dr. Wells's expertise lies in crafting compelling offers and scaling marketing strategies that engage and convert audiences effectively. Episode Summary: In this insightful episode of the Simplified Functional Medicine podcast, Dr. Chad Woolner and Dr. Andrew Wells reveal the tangible blueprint for establishing a successful virtual practice. Building off their previous discussion where they debunked myths about virtual practices, this session dives deep into the tactical side, offering a four-step strategy that has liberated many from the constraints of traditional practices. This episode is particularly beneficial for practitioners looking to transition into the virtual healthcare space without getting bogged down by technology overload or certifications. The discussion begins by emphasizing the importance of leveraging existing audiences when transitioning to a virtual practice. Drs. Woolner and Wells provide expert strategies for creating a seamless integration between in-person and virtual consultations. They detail a streamlined process involving audience traffic, patient education, compelling offer crafting, and long-term marketing strategies. These elements form the backbone of a thriving virtual practice that can operate profitably and sustainably. Listeners will gain insights into the nuances of these steps and will be presented with actionable advice to make the leap into virtual healthcare delivery confidently. Key Takeaways: Transforming a brick-and-mortar practice into a virtual practice involves a strategic four-step approach: increasing audience traffic, patient education and enrollment, crafting irresistible offers, and establishing a solid marketing platform. Leveraging existing audiences is crucial; practitioners should tap into their current client base instead of trying to build one from scratch. AI developments have made conventional sales tactics obsolete; practitioners need to focus on selling comprehensive solutions rather than individual services like lab tests or supplements. Creating a unique branded solution can provide a competitive edge in the increasingly crowded field of virtual functional medicine. Building a podcast or regular content platform is essential for scaling marketing efforts and establishing authority in the virtual healthcare space. Notable Quotes: "If you build it, then they have to find you, and how do you separate yourself from other practitioners?" "Patients don't quit protocols easily, but they don't quit relationships easily." "If you're selling just labs, supplements, or diet programs, AI can do that better and faster." "We build the bike for you. It rides great, and it's ready for you to start helping patients now." "Start with a podcast. Leverage it to create a marketing platform for long-term sustainability." Resources: Dr. Chad Woolner's Simplified Functional Medicine Dr. Andrew Wells's insights on establishing virtual practices Alex Hormozi's book, "$100M Offers" AI tools like ChatGPT for content creation and management Video and content platforms such as VEED IO, Submagic, and Descript for content repurposing This episode contains strategic insights for anyone looking to build or enhance a virtual practice in the healthcare sector. Don't miss out on the opportunity to learn directly from seasoned experts. Listen to the full discussion for an in-depth understanding and stay tuned for more episodes packed with actionable advice.

Is your SaaS team aligned—or just busy? In this episode of SaaS Fuel, Jeff Mains sits down with Jolly Nanda, GTM advisor and sales strategy expert, to discuss how SaaS founders can build scalable growth by aligning product, marketing, and sales from day one.Jolly shares insights from scaling teams at SAP, Adobe, and Atlassian, and breaks down what early-stage SaaS leaders can do today to build healthy sales pipelines, improve forecasting accuracy, and foster a culture of truth-telling inside the funnel.In this episode, you'll learn:How to fix the misalignment between sales, product, and marketingWhat most founders get wrong about pipeline hygieneWhy culture—not comp plans—drives real sales performanceHow to use product-led growth alongside sales, not against itThe mindset shift every founder must make to scaleIf you're tired of hero sales and pipeline guesswork, this episode gives you a clear framework to build process-driven, revenue-responsible teams.Key Takeaways00:00 – The sales number isn't the whole story04:10 – Early-stage GTM red flags05:30 – Product, marketing, and sales: 1 team, not 306:42 – Sales culture vs sales process08:18 – Why incentives don't fix a broken system10:01 – How to build a truth culture in sales11:47 – Why PLG doesn't mean anti-sales13:40 – Building alignment between product and revenue teams15:19 – The right kind of friction in sales and onboarding17:02 – Discovery before demo (and why that order matters)19:14 – “Hero sales” vs. scalable sales21:00 – Why most pipeline data is not accurate22:48 – Trust is a byproduct of process24:12 – 4 elements of good pipeline hygiene26:00 – Sales managers: stop being scorekeepers28:09 – Real forecasting starts with sales call truth29:20 – The connection between missed targets and broken process30:32 – How to change sales culture without killing morale32:00 – Leading indicators vs lagging indicators in GTM34:29 – Product-led + sales-led = better customer journey36:14 – Why you need revenue roles inside product38:06 – Pricing is part of GTM, not just finance 40:00 – Aligning marketing messaging with sales narratives41:27 – The next evolution of GTM rolesTweetable Quotes"Pipeline hygiene isn't a Salesforce task—it's a culture of truth." – Jolly Nanda"If sales, marketing, and product aren't on the same page, your customer feels it first." – Jolly Nanda"Don't fix sales with comp plans. Fix it with better process and culture." – Jolly Nanda"Product-led growth isn't the enemy of sales—it's fuel for it." – Jolly Nanda"The goal isn't activity—it's alignment." – Jeff MainsSaaS Leadership LessonsPipeline hygiene is a culture issue. It's not just about clean CRM—it's about truth in the funnel.Sales, product, and marketing must operate as one team. Siloed GTM leads to chaos and churn.Product-led growth doesn't eliminate sales—it elevates it. The handoff must feel seamless to the customer.Scalable sales = process + mindset. Don't build your GTM around a hero rep.Truthful forecasting starts with sales conversations. If reps are sandbagging or guessing, fix the culture first.Curiosity beats control. The best leaders build cultures where feedback flows freely across GTM.Guest ResourcesWebsite -

In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Prof. Jacob Eifer Moller from Odense, Denmark. They discuss his review paper on mechanical circulatory support and some of the supporting guidelines and papers in this area. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper: https://heart.bmj.com/content/early/2025/01/15/heartjnl-2024-324883

Healthcare's broken system hurts patients and physicians, but collective action can heal it. In this episode of Heartline: Changemaking in Healthcare, I sit down with Kim Downey, a physical therapist, three-time cancer survivor, and Community Ambassador for Medicine Forward and the Dr. Lorna Breen Heroes Foundation. Kim shares her transformative journey—facing thyroid and breast cancer, multiple surgeries, and the loss of her radiation oncologist to suicide—which sparked her mission to found Stand Up for Doctors. She discusses how gratitude, like thank-you notes, fosters connection, and how patients can advocate for physicians to improve care. Kim highlights the need for a culture shift in medicine, starting in med school, and emphasizes leadership and self-leadership to navigate toxic environments. Her upcoming 2026 retreat in New York promises community and resilience-building.You'll hear how to:· Use gratitude to bridge patient-physician divides.· Challenge limiting beliefs to find fulfilling work environments.· Build a culture of kindness and collective advocacy in healthcare.If you're seeking hope amidst healthcare's challenges, this episode offers actionable inspiration.About the Guest“If your goal is to change the world in one fell swoop, you will fail. But if you brighten the corner where you are, you will succeed.” – Kim DowneyKim Downey is a physical therapist, three-time cancer survivor, and passionate advocate for physician well-being. As Community Ambassador for Medicine Forward and the Dr. Lorna Breen Heroes Foundation, and founder of Stand Up for Doctors, she amplifies physicians' voices through her YouTube channel, Substack, and book White Coats, Courageous Hearts. Her journey through thyroid and breast cancer, and the loss of her radiologist to suicide, fuels her mission to foster gratitude and systemic change in healthcare.

Top 7 Underrated Supplements Top 7 Underrated Supplements. (1:11) #1 - Vitamin D. (50%) take 2000-4000iu. (2:01) #2 - Vitamin k2. (97%) 100micrograms a day. (8:48) #3 - NAC. 600-1800mgs a day. (11:52) #4 - Berberine. 500mgs 3x day w/food. (13:23) #5 - Glycine. Take before bed on an empty stomach. (15:34) #6 - Choline. 500-2000mgs a day. (17:04) #7 - Grape seed extract. 100-300mgs daily. (21:18) Related Links/Products Mentioned Visit MASSZYMES by biOptimizers for an exclusive offer for Mind Pump listeners! **Code MINDPUMP10 at checkout for 10% off any order. ** July Special: MAPS Split or Anabolic Metabolism Bundle 50% off! ** Code JULY50 at checkout ** Vitamin D Supplementation Improves Pathological Complete Response in Breast Cancer Patients Undergoing Neoadjuvant Chemotherapy: A Randomized Clinical Trial Vitamin D and Calcium for the Prevention of Fracture: A Systematic Review and Meta-analysis Vitamin D supplementation to prevent acute respiratory infections: systematic review and meta-analysis of stratified aggregate data Effect of vitamin D supplementation on muscle strength, gait and balance in older adults: a systematic review and meta-analysis Efficacy of vitamin D supplementation in major depression: A meta-analysis of randomized controlled trials Impact of vitamin D supplementation on C-reactive protein; a systematic review and meta-analysis of randomized controlled trials 97% of Americans are Low In Vitamin K2 Influence of N-acetylcysteine on chronic bronchitis or COPD exacerbations: a meta-analysis Mind Pump #2060: Maximize Fat Loss With Continuous Glucose Monitors: Kara Collier Efficacy of Berberine in Patients with Type 2 Diabetes - PMC The Effects of Glycine on Subjective Daytime Performance in Partially Sleep-Restricted Healthy Volunteers 6 Warning Signs of Choline Deficiency You Must Watch For The impact of grape seed extract treatment on blood pressure changes Visit Legion Athletics for the exclusive offer for Mind Pump listeners! ** Code MINDPUMP for 20% off your first order (new customers) and double rewards points for existing customers. ** Mind Pump Podcast – YouTube Mind Pump Free Resources  

Contributor: Taylor Lynch, MD Educational Pearls: Dilutional Hyponatremia: Occurs when there is an excess of free water relative to sodium in the body. Causes a falsely low sodium concentration without a true change in total body sodium. Commonly seen in DKA: Hyperglycemia raises plasma osmolality. Water shifts from the intracellular to extracellular space. This dilutes serum sodium, creating apparent hyponatremia. Corrected sodium calculation: Use tools like MDCALC, or apply this formula: Add 1.6 mEq/L to the measured sodium for every 100 mg/dL increase in glucose above 100. Clinical relevance: Considering corrected sodium in DKA is crucial, as the lab value may not be reflective of actual sodium depletion. True severe hyponatremia can lead to complications like seizures May require treatment with hypertonic saline. References: Fulop M. Acid–base problems in diabetic ketoacidosis. Am J Med Sci. 2008;336(4):274-276. doi:10.1097/MAJ.0b013e318180f478 Palmer BF, Clegg DJ. Electrolyte and Acid–Base Disturbances in Patients with Diabetes Mellitus. N Engl J Med. 2015;373(6):548-559. doi:10.1056/NEJMra1503102 Spasovski G, Vanholder R, Allolio B, et al. Diagnosis and management of hyponatremia: a review. JAMA. 2014;312(24):2640–2650. doi:10.1001/jama.2014.13773 Summarized by Ashley Lyons, OMS3 | Edited by Ashley Lyons & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/  

Are 5000ppm prescription pastes still a thing or should we be rethinking the formula? In this episode Peter dives into what ingredients they found to be necessary for a Super Paste. Don't let your high risk patients out the door without the protection they need! **In partnership with Dr. Jen Oral Care DrJenOralcare.com for your free sample!

Case acceptance is down. Patients are confused. Your team is frustrated. Sound familiar? These are all signs your practice is out of alignment. Whether you own one practice or multiple locations, this episode will help you get everyone on the same page clinically — from the front office to hygienists, assistants, and doctors.You'll learn how to run effective calibration meetings that set clear clinical standards, get your team on board, and guide them without conflict. These tips will improve communication and cut out the chaos in your practice!Topics discussed in this episode:The key to getting your team on the same pageHow to get your team engagedThe first step to clinical calibrationWhy you should coach and not teachThe role of SOPs and team buy-inText us your feedback! (please note: we cannot respond through this channel))Take Control of Your Practice and Your Life We help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams. Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.