Podcasts about patients

CardioNerds (Dr. Jenna Skowronski [Heart Failure Council Chair], Dr. Shazli Khan, and Dr. Josh Longinow) are joined by renowned leaders in the field of AHFTC (Advanced Heart Failure and Transplant Cardiology) and mechanical circulatory support, Dr. Jeff Teuteberg and Dr. Mani Daneshmand to continue the discussion of advanced heart failure therapies by taking a deep dive into the world of durable LVADs (Left Ventricular Assist Devices). In this episode, we will review the history of ventricular assist devices, the basics of LVAD function, selection criteria for LVAD therapy, and surgical nuances of LVAD implantation. Audio Editing by CardioNerds intern, Joshua Khorsandi. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls There have been significant advances in the field of MCS/LVAD therapy since the first implanted LVAD in the 1960s, to the first FDA approved device in the early 2000's, to now the HM3 LVAD, with the most important change being a centrifugal flow/magnetically levitated design that led to minimized hemocompatibility-related adverse events (HRAE's) (MOMENTUM 3 trial comparing HM2 and HM3).  The REMATCH trial in 2001 was a pivotal trial for LVAD therapy, demonstrating that in a population of patients with advanced HF (70% IV inotrope dependent), LVAD therapy significantly improved survival at both 1 and 2 years as compared to medical therapy alone.    MOMENTUM 3 trial was a landmark trial for the HM3 device, showing that in a population of end stage HF patients (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.  There are both patient-specific factors and surgical considerations when it comes to candidacy for LVAD therapy.  RV function prior to LVAD is a key determinant for success post-LVAD  Many patients being considered for LVAD may not have robust RV function, however, predicting RV failure after LVAD is exceedingly difficult.   In general, it doesn’t matter how bad the RV may look on imaging; we care more about the pre-LVAD hemodynamics (look at the PAPi and RA/wedge ratio).   What happens in the OR may be the most important determinant of how the RV will do with the LVAD!  Notes Notes drafted by Dr. Josh Longinow.  1. Historical background of heart pumps and LVADs  LVAD Evolution   FDA approval year  2001  2008  2012  2017  Pump  HeartMate XVE   HeartMate II  Heartware HVAD  HeartMate III  Flow/Design Features  Pulsatile Technology   Continuous flow Axial design  Continuous flow  Centrifugal design  Continuous flow   Full MagLev + Centrifugal design  The 1960's ushered in the first ‘LVADs', when the first air-powered ‘LVAD' was implanted. It kept the patient alive for four days before the patient expired.   The first generation of LVADs were pulsatile pumps   The first nationally recognized, FDA approved LVAD was the HeartMate XVE (late 1990s to early 2000s, REMATCH trial). The XVE pump used compressed air (pneumatically driven) to power the pump.   Prior to the XVE, OHT was the standard of care for patients with advanced, end-stage heart failure.   The second and third generations of LVADs were non-pulsatile, continuous flow devices and included the HVAD, HM2, and HM3 devices.   MOMENTUM 3 was a landmark trial for the HM3 device, showing that in a population of sick patients with end stage HF (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2.   The only pump that is currently FDA approved for implant is the HM3, although other pumps are in clinical trials (BrioVAD system, INNOVATE Trial).  2. What are LVADs, and how do they work?   In simplest terms, the LVAD is a heart pump comprised of several key mechanistic components:   Inflow cannula  Mechanical pump   Outflow cannula  Driveline  Controller/Power source  The HM3 differs from its predecessors (HM2 and HVAD) in several key ways;   HM3 is placed intrapericardial whereas the HM2 was placed pre-peritoneal.   Perhaps most importantly, the HM3 is a fully magnetically levitated, centrifugal flow pump, whereas the HM2 is an axial flow device.  Axial flow pumps are not magnetically levitated, leading to more friction produced between the ruby bearing's contact with the pump rotors, and higher rates of hemocompatibility related adverse events (HRAEs, i.e. pump thrombosis) and the HM2 was ultimately discontinued in favor of the HM3 (MOMENTUM 3 trial).  3. What do the terms ‘Destination Therapy' (DT) or ‘Bridge to Transplant' (BTT) mean when it comes to LVADs?   When LVADs first came on the stage, EVERYONE was a BTT; these early pumps weren't designed for long term use (I.e. REMATCH Trial, Heartmate XVE)  Destination therapy means the LVAD was placed in leu of transplant because there are contraindications to transplant   REMATCH trial brought about the concept of “Destination therapy”, comparing outcomes in patients (with contraindications for transplant) who received an LVAD vs optimal medical therapy  Bridge to transplant means we are placing the LVAD in a patient who may not be a transplant candidate at this moment in time (is too sick, or conversely, not sick enough), but may be down the line   Bridge to recovery is another term used when the LVAD is being placed for a patient we think may have a recoverable cardiomyopathy  4. What are some factors we should consider when assessing a patient’s candidacy for LVAD, in general, and from a surgical perspective?   Patient factors   Older age might push us towards thinking LVAD rather than transplant  In general, age > 70 is the cutoff for transplant, but this is not a hard cut off and varies institution to institution    In general, think about things that help predict recovery after a major surgery; Frailty and Nutritional status are important, we try to optimize these prior to LVAD implant   Right ventricular function remains the Achilles heel of LV support  We know that needing temporary RV support post LVAD puts you on a different survival curve than patients who don’t need RVAD support  Studies have not been able to successfully predict who will develop RV failure after LVAD implantation  What happens in the time between when the patient goes to the OR and when they get back to the ICU is an important determinant who might develop RV failure post LVAD   Surgical techniques such as implanting the HM3 in the intra-thoracic cavity, rather than intra-pericardial may help maintain LV/RV geometry to help optimize the RV post LVAD   Surgical considerations for LVAD candidacy  Small, hypertrophied LV: HM3 inflow cannula is small, but small hypertrophied ventricles tend towards chamber collapse during systole causing suction, needing to run slower with lower flow rates  Chest size/diameter: pumps have gotten so small now, that for adults, these have become less of a consideration  BMI: low BMI used to be more of a concern with the older pumps due to where they were placed, and the relative size of the pump itself, not so much now with the smaller HM 3 pumps  Calcified LV apex: would increase risk of stroke, bleeding   Driveline tunneling becomes a concern in the super obese population, higher risk for driveline infections (might tunnel these driveline's shorter, and to a less fatty region of the abdomen, could even tunnel out the thoracic cavity in the super obese to limit skin motion)    5. Is there a role for MCS (i.e. temporary LVAD such as Impella) in pre-habilitation of patients prior to LVAD surgery?   The theory of being able to improve systemic perfusion, decongest the organs, and make the patient feel better prior to surgery makes sense, but becomes problematic due to the lack of a hard end point/time for prehabilitation which might risk delays in surgery   More likely that it can lead to delay in the surgery, with less-than-optimal benefit; you don't want to prolong the wait for surgery and increase the risk for complications prior to surgery    An Impella 5.5 is currently FDA approved for 2 weeks of support, not 2 months so timing is important to keep in mind  It’s unlikely that you will take a patient and convert them from a malnourished, cachectic person in 2 weeks’ time   6. Is there a role for LVAD therapy in the younger patient population? Should we be thinking of LVAD up front for these patients, with the goal of transplanting down the line?   Recovery may be more likely in certain populations, particularly younger females with smaller LV's; in those populations, perhaps bridge to recovery should be the focus, optimizing them on GDMT etc.   The replacement of transplant, with MCS (LVAD) in young patients has become a topic of discussion, because these pumps have become better and better, with the thinking that an LVAD could bridge a patient for 10 years or so, and they could get a transplant later   It is still a big unknown, but several concerns exist  Patients who get LVADs might end up with complications that become contraindication to transplant down the line (stroke, sensitization etc)   Patients and providers are more hesitant because of the more recent iteration for the UNOS criteria for OHT listing which no longer gives patients with an uncomplicated LVAD higher priority, and therefore they could end up waiting a longer time for a heart after undergoing LVAD  References Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-1443. doi:10.1056/NEJMoa012175  Mehra MR, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device – Final Report. N Engl J Med. 2019;380(17):1618-1627. doi:10.1056/NEJMoa1900486  Mancini D, Colombo PC. Left Ventricular Assist Devices: A Rapidly Evolving Alternative to Transplant. J Am Coll Cardiol. 2015;65(23):2542-2555. doi:10.1016/j.jacc.2015.04.039  Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197  Rose EA, Moskowitz AJ, Packer M, et al. The REMATCH trial: rationale, design, and end points. Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure. Ann Thorac Surg. 1999;67(3):723-730. doi:10.1016/s0003-4975(99)00042-9  Kittleson MM, Shah P, Lala A, et al. INTERMACS profiles and outcomes of ambulatory advanced heart failure patients: A report from the REVIVAL Registry. J Heart Lung Transplant. 2020;39(1):16-26. doi:10.1016/j.healun.2019.08.017  Mehra MR, Netuka I, Uriel N, et al. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204  Mehra MR, Nayak A, Morris AA, et al. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device. JACC Heart Fail. 2022;10(12):948-959. doi:10.1016/j.jchf.2022.08.002  Bhardwaj A, Salas de Armas IA, Bergeron A, et al. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella. ASAIO J. 2024;70(8):661-666. doi:10.1097/MAT.0000000000002170 

AI is no longer theoretical for clinic owners.A PT in Ohio just received a 12-visit self-pay package from a patient who found her through AI search.That changes the conversation.In this episode, we explore:How AI platforms decide which clinics to recommendWhy your digital footprint matters more than everThe role of frequency in modern marketingWhether AI-sourced patients are more decisive and cash-friendlyWhy positioning matters (and whether PTs need a “shared enemy”)What CrossFit, cult brands, and political movements can teach clinic ownersWhy attention—not ads—is the new marketing currencyThis episode reinforces a core truth:Attention → Trust → ActionYou can't shortcut trust.You can't buy authority.You earn it through presence and frequency.???? Connect with the CrewFollow Tony Maritato on YouTube:https://www.youtube.com/c/MedicareBillingFollow Dave Kittle on YouTube:https://www.youtube.com/@thedavekittleshow/featuredFollow Jimmy McKay on YouTube:https://www.youtube.com/@ptpodcasts

Dr. Andy Southerland and Dr. Shyam Prabhakaran explain the significance of these guidelines and why they are important.  Show citation:  Prabhakaran S, Gonzalez NR, Zachrison KS, et al. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association. Stroke. Published online January 26, 2026. doi:10.1161/STR.0000000000000513  Show transcript:  Dr. Andy Southerland: Hello everyone. This is Andy Southerland from the University of Virginia. And for this week's Neurology Minute, I've just been speaking with my colleague, Shyam Prabhakaran, from the University of Chicago, who was the Chair of the 2026 AHA/ASA guidelines for the early management of patients with Acute Ischemic stroke published in the January 2026 online version of the journal, Stroke. So Shyam, in our brief Neurology Minute today, why don't you just give a plea about why these guidelines are so important? Dr. Shyam Prabhakaran: Thanks, Andy. These guidelines are the first guidelines since 2019, so a lot has happened. So when you look at these guidelines, you'll see a lot of new recommendations. In fact, I think the majority have been revised in some way or another. And I'd point to the actual guideline document, which is in the journal Stroke online January '26, and the print version will be for the March edition of the journal Stroke. In addition to that, I'd say because you want to have interpretability and ease of practice, there are a bunch of derivatives on the AHA website that are very useful. They include case studies, they include figures and workflows that could be really useful for you to have these conversations. And there's even a slide deck that was prepared by our AHA ambassadors. There are these young whippersnappers that did a great job putting together a slide deck for anyone to use. They can use that to have conversations locally or anywhere they want. I encourage people, read the guidelines, but then also use the derivative products that people spent a lot of time on developing. Dr. Andy Southerland: Thank you, Shyam. I think that's a great message from the Chair of the writing group, that when you look at these guidelines, they can seem daunting. But the way you all have provided all these additional resources and analogs for people to interpret it and apply it in their own stroke centers and practice, I think folks definitely will be running out to do that, just to seek out the full guideline, and let's apply all this great new evidence to better care for our patients. So Shyam, thanks again for joining us for this week's Neurology Minute. 

"We print education sheets that we have, and we say, 'Just ignore this part that says cancer. You're getting this med but for a different indication.' And then you have to really point out what our goals of care are. You're using the information that, as oncology nurses, we like and love, but we're having to cross it out and say, 'Just read this portion and just do this here.' And that can be challenging for the nurse and probably confusing for the patient," ONS member Brandy Thornberry, RN, OCN®, outpatient infusion and VAD supervisor at Logan Health in Kalispell, MT, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about education for patients receiving antineoplastic drugs for non-oncology indications. Taylor also spoke with ONS members Lizzy McMahon, BSN, RN, OCN®, and Jennifer Lynch, BSN, RN, TCTCN™, about general antineoplastic treatment education and tailoring education in the stem cell transplantation setting. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by February 27, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge of best practices for educating patients receiving antineoplastic therapies across oncology, non‑oncology, and stem cell transplant settings. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Episode 259: Patient Education for Health Literacy and Limited English Proficiency Episode 197: Patient Learning Needs and Educational Assessments Episode 183: How Oncology Nurses Find and Use Credible Patient Education Resources Episode 179: Learn How to Educate Patients During Immunotherapy Episode 173: Oncology Nurses' Role in Stem Cell Transplants for Pediatric Sickle Cell Disease ONS Voice articles: Online Tool Helps You Apply Health Literacy Principles to Written Patient Education Personalized Patient Education: Ensure Effective, Inclusive, and Equitable Patient Education With These Five Strategies Policies and Procedures for Written Patient-Facing Cancer Education Materials Oncology Nursing Forum article: An Integrative Review of Patient Education During Inpatient Hematopoietic Stem Cell Transplantation ONS Hematology, Cellular Therapy, and Stem Cell Transplantation Learning Library Patient Education Sheets: Cancer Care, Explained To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode McMahon: "A great question would be to ask the patient what they already know and what they're most concerned about or what their biggest questions are. This way, the nurse can tailor their education to make sure to focus on what the patient doesn't know yet and what they're most concerned about, while still touching on all the required education topics. … It's also important for nurses to continually be assessing the patient's readiness to learn throughout the education session, looking for nonverbal cues or verbal signs that the patient is overwhelmed or anxious because this is going to interfere with their ability to take in new information." TS 3:49 Thornberry: "A lot of the education sheets and the products for them explain it like, 'This is cancer,' and more of an oncology perspective, so occasionally [non-oncology patients] can show up and be confused by it. I do feel like they come a little bit less prepared than our oncology patients. Our rheumatologists and neurologists, they sure try, but they just don't have the support in that realm either. They're full of every question you can imagine. They've never been to an infusion room. They don't know what to bring. Can they drink water and have their meds beforehand? It's a full gamut of really preparing them to get these for autoimmune or rheumatology-type issues." TS 14:12 Lynch: "I really want to spend time with those patients to make sure that we are not assuming that they are coming to us with any knowledge or experience. I want them to be able to come to us with questions and trust their healthcare team and really sit down with them and say, 'Okay, you don't have cancer, but we're using the word chemotherapy where we're talking about cancer drugs.'… And we're going to probably spend more time going over some of the basics about blood stem cells, types of cells that they grow into, how your body fights infection, what they're going to be at risk for. The side effects can be pretty scary when you're talking about them, especially back to back. So making sure that we are delivering the information that doesn't put them in a panic mode… A lot of reassurance, as well, and just taking into consideration that, yes, this might have this whole other layer of anxiety to it because of the unknown." TS 32:22

Today we're talking about MAID (medical assistance in dying) in America and Canada, how Gavin Newsom helped his mother die, we're taking a look at some pro-choice propaganda from a new TV show, and discussing the State of the Union-Hallow: https://www.hallow.com/lila Enter into prayer more deeply this Lent with the Hallow App, get 3 months free by using this link to sign up! -Presidio Healthcare: Healthcare and doctors who share your values. If you're in TEXAS visit: https://www.presidiocare.com/ If you're NOT in Texas, visit: https://www.prolifeproviders.com/

Patients are afraid to show up to medical appointments, while workers are being detained, deported or losing their visa statuses.Guests:Sahida Martinez, promotora, EnlaceJadhira Sanchez, director of community health, EnlaceSteph Willding, CEO, CommunityHealthJordan Herring, Postdoctoral scholar, Emergency medicine, StanfordHannah Janeway, Emergency medicine physician, Los AngelesLaura Messineo, CNO, WorldWide HealthStaff Solutions Learn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

In this episode of Healthy Wealthy & Smart, Dr. Rachel Zoffness, MS, PhD, a leading pain scientist, discusses the complexities of pain, emphasizing that it is not merely a physical issue but a biopsychosocial phenomenon. She shares insights from her upcoming book, 'Tell Me Where It Hurts,' which aims to debunk myths surrounding pain and provide a comprehensive roadmap for healing. Dr. Zoffness highlights the importance of understanding the various factors that contribute to pain, including emotional and social aspects, and advocates for a multidisciplinary approach to pain management. The discussion also emphasizes the power of hope and the need for improved medical school education on pain science.   Takeaways   ·      Pain is not just a physical phenomenon; it is biopsychosocial. ·      Understanding pain requires knowledge of biological, emotional, and social factors. ·      96% of medical schools lack dedicated pain education. ·      Patients with chronic pain need a roadmap for healing. ·      There is always a recipe for pain, and it can be changed. ·      Movement is a crucial ingredient in managing pain. ·      Engaging in joyful activities can reduce pain perception. ·      A multidisciplinary approach is essential for effective pain management. ·      Hope is a central theme in treating chronic pain. ·      Pain management should focus on empowering patients.   Chapters   ·      00:00 Introduction to Pain Science and Its Misconceptions ·      06:03 The Biopsychosocial Model of Pain ·      11:43 Understanding the Pain Recipe ·      17:50 Transforming Medical Education and Clinical Practice ·      23:51 Hope and Empowerment in Pain Management   More About Dr. Zoffness:   Dr. Rachel Zoffness is a pain scientist, pain psychologist and thought-leader revolutionizing the way we understand and treat pain. She's an assistant clinical professor at UCSF, lectures at Stanford, and consults on the development of pain management programs around the world. She was trained at Brown, Columbia, UCSD, and Mt. Sinai Hospital, and is a Mayday Fellow. Her new book, Tell Me Where It Hurts, drops March 2026 and will be translated into more than 25 languages.   Resources from this Episode:   Dr. Zoffness Website Dr. Zoffness in Instagram Buy "Tell Me Where it Hurts" on Amazon   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Dr. Andy Southerland talks with Dr. Shyam Prabhakaran about the 2026 AHA/ASA guidelines for the early management of acute ischemic stroke, highlighting key recommendations, the role of advanced imaging, and the importance of thrombolysis and thrombectomy.  Read the related article in the journal Stroke.  Disclosures can be found at Neurology.org. 

Are you trapped in hustle mode and afraid of what happens if you slow down?In this episode, Dr. Sana Yusuf jumps right into stepping away from the relentless “hustler” mentality that shaped her academic and professional journey, and into a space where fulfillment is measured by flexibility and presence, not just financial milestones. With refreshing honesty, Dr. Yusuf explains why extreme wealth no longer defines her sense of security. Her practice now covers what matters most: family, stability, and the freedom to breathe. She delves into the exhausting impact of constant gratitude and positivity, revealing how coping habits formed by early traumas can lead to minimizing struggle rather than truly processing it. From navigating the mental weight of multiple business obligations to the life-changing decision to sell her second practice, Dr. Yusuf shares what it really takes to let go and prioritize quality of life over unending hustle.The conversation shifts gears to reveal what works (and what doesn't) in dental practice marketing today. Dr. Yusuf gives a behind-the-scenes look at everything from unsuccessful yearbook ads to surprisingly effective targeted mailers and the evolution of her social media strategy. She also reflects on the pitfalls of chasing volume over vision, emphasizing her desire for a practice known for its distinct strengths, not price wars. Dr. Yusuf discusses the hard-earned lessons of setting boundaries with staff and patients and what she'd do differently after partnership challenges. Plus, you'll hear how her journey is guiding her toward a more focused, identity-driven future and the boundary-setting advice she wishes she'd received sooner.What You'll Learn in This Episode:How to recognize when gratitude becomes a survival mechanism, not a solutionThe realities of selling a practice and when it's worth walking awayWhich marketing strategies really deliver for dental practices (and which flop)The importance of niche identity versus chasing growth at any costLessons in staff management, pay negotiations, and setting boundaries with your teamHow to avoid common pitfalls in partnerships and contractsWays to prevent burnout by structuring work hours and communication more intentionallyTechniques for adapting marketing tactics as industry platforms and demographics evolveDr. Yusuf's practical tips for balancing ambition with wellbeingDon't miss this honest, behind-the-scenes episode highlighting the power of boundaries, the truth behind “staying positive,” and the beauty of building a practice that prioritizes depth over constant hustle!‍Sponsors:‍Oryx: All-In-One Cloud-Based Dental Software Created by Dentists for Dentists. Patient engagement, clinical, and practice management software that helps your dental practice grow without compromise. Click or copy and paste the link here for a special offer! https://thedentalmarketer.lpages.co/oryx/Guest: Dr. Sana YusufPractice Name: Sana Dental StudioCheck out Sana's Media:‍Website: https://sanadentalstudio.comEmail: admin@sanadentalstudio.comInstagram: https://www.instagram.com/sanayusufdmd (personal)https://www.instagram.com/sanadentalstudio (practice)‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Subscribe on Your Favorite App! https://lnkfi.re/TDMPod‍

Some people win by volume. Others win by precision. The key is knowing which one you are. Show Notes In this episode of Shark Theory, Baylor breaks down a powerful analogy that explains why different approaches to success can both be effective. There are two types of soldiers in war: the militia and the snipers. The militia are the frontline forces. High volume. High activity. Constant motion. They kick in doors, move quickly, and engage often. In life, this looks like the salesperson making hundreds of calls, the entrepreneur trying multiple ventures, the person who believes momentum comes from sheer action. Then there are the snipers. Snipers are strategic. Patient. Highly selective. They don't fire often, but when they do, it's intentional. They position themselves carefully. They anticipate movement. They wait for alignment. In life, this looks like someone who studies trends, aligns with specific audiences, and moves only when the shot is right. Neither approach is wrong. The problem happens when militia try to be snipers, or snipers feel pressured to operate like militia. When you chase someone else's style instead of owning your own, frustration follows. Baylor shares how understanding his own "sniper" approach in speaking allowed him to position strategically, align with the right audiences, and command higher fees rather than chasing every opportunity. The deeper lesson is this: wars are not won by one style alone. They're won by understanding roles, strengths, and timing. In some areas of your life, you may be high volume. In others, highly precise. The key is awareness. Know your lane. Own it. And be the best at it. What You'll Learn in This Episode The difference between volume-based and precision-based strategies Why neither approach is superior The danger of copying someone else's style How positioning creates leverage Why patience is a competitive advantage How to identify which bucket you operate in Featured Quote "Some people win by firing a thousand shots. Others win by making one count. Know which one you are."

We're marking Rare Disease Month 2026 by highlighting the powerful story of Shanthi Hegde, a young patient advocate working to transform how bleeding disorders are understood, treated, and supported. This work is fueled by her own arduous journey with two rare bleeding disorders and immune dysregulatory syndrome, and an extended diagnostic odyssey marked by dismissal, underdiagnosis, and structural bias. “I was told many times by many providers that these disorders are not common in Indians and that my bruises were there just because I'm brown.” Admirably, Shanthi pushed past this mistreatment, advocated for her medical needs, and devoted herself to tackling a range of issues confronting rare disease patients from mental health access to affordable drug pricing to research equity. In this remarkable Year of the Zebra conversation with host Lindsey Smith, you'll also learn about: Shanti's work with the Hemophilia Federation of America; How gaps extend beyond treatment to include insurance coverage, provider training, and substance use care; What clinicians can do to improve the work they do with rare disease patients. Join us for a conversation that connects patient voice to system change, and explores what real equity for rare disease communities will require. Mentioned in this episode:Hemophilia Federation of AmericaShanthi's LinkedIn Profile If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Have you ever left a doctor's appointment with a prescription but still felt like something was missed? If you have Hashimoto's, you are not alone. In this episode, Dr. Aaron Hartman, a triple board-certified physician, breaks down why bad medical advice and Hashimoto's are more connected than most patients realize, and exactly what you can do about it. You will learn: Why medical error affects autoimmune patients more than you think The four root causes behind every autoimmune disease What kind of provider to look for when you feel stuck Hit play to get started.   Episode 129 about LDN with Pharmacist Steve Anderson   Dr. Hartman's book "UnCURABLE - From Hopeless Diagnosis to Defying All Odds"   JOIN THE HEALTH WITH HASHIMOTO'S COMMUNITY Unlock your wellness journey with the free Health with Hashimoto's community! Join a supportive community that's here for you every step of the way. The Health with Hashimoto's community is on Skool: https://www.skool.com/health-with-hashimotos/about   Find all links on my resource page: https://healthwithhashimotos.com/resources/   ABOUT THE PODCAST & ESTHER: The Health with Hashimoto's podcast will help you explore the root causes of your autoimmune condition and discover holistic solutions to address your Hashimoto's thyroiditis. It is hosted by Esther Yunkin, a registered nurse, holistic health educator, and Hashimoto's warrior.   This podcast is for informational and educational purposes. Please discuss any questions or concerns with your healthcare professional. These statements have not been evaluated by the Food and Drug Administration. Products mentioned are not intended to diagnose, treat, cure or prevent any disease.

Are you providing your patients with a 5-star treatment? It starts with your front office. Kiera breaks down what a full rollout of peak client care looks like, identifying five different points to utilize as soon as that patient walks through the door (or calls). Episode resources: 5 Star Treatment Planning Document Subscribe to The Dental A-Team podcast Schedule a Practice Assessment  Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today, I am so excited. Today is gonna be one of my absolute favorite topics, and it is getting more patients to say yes to treatment. You guys, I obsess about this, and I talk about it a lot, and I just feel that these are some really good things. And so I wanted to go through our five-star treatment planning process with you today, so that way you guys are able to help more patients say yes, be able to maximize your practice.   Because at the end of the day, a patient who comes into your practice, they want to do dentistry. There is a treatment coordinator that I worked with for years and she always says like, Kiera, my thoughts are when I go in and I treatment plan, like the reason is patients are gonna say yes to me because they're at the practice, they want to get this help. And I just think having that mindset helps so much. And so this is a five-star treatment planning and we've actually created it for the entire practice. And   one I'm gonna go through is,   specific and then we actually broke it down for our front office team, our clinical team and our doctors of this process of five star treatment planning. And what's really fun is when we implement this into a practice, we do a full rollout with the team. And then what we do is actually once they complete it, they actually get to check off their stars. And there's actually way you can become five star certified in Dental A Team. So if you're new to the podcast, welcome. I'm Kiera. Dent really is my last name. I'm obsessed with all things dentistry and I'm obsessed with teams and doctors having their best life possible.   Our team is so committed to you, to your practice, to making sure that you are thriving and not just surviving. And so really giving you guys tips and tricks that you can go implement into your practice to help more patients say yes, to be able to help your team be so thorough and so productive and really making life easier. So we love to hear from you. I love pen pals. You can always reach out Hello@TheDentalATeam.com. And if you're ever curious of, I wonder what consulting could look like in my practice.   Be sure to book a call. It's complimentary. We go through your practice with you. We assess your practice. We give you a roadmap, whether you work with us or don't, to make sure that you are always being able to positively impact your team, your life, and your community. Because our goal is to positively impact the world of dentistry in the greatest way possible. So with that, five-star treatment planning. So these are the quick five stars that we go. And like I said, then it's broken down more in depth of what each department needs to do. ⁓   The first one is going to be more for front office team members. And it also can be for clinical team if we're actually having them present treatment in the back. And so the first star is when we go into it, we're going to smile and assume the yes. So before we even walk into the room, we have confidence. We know that we're going to go into it. We know that we're going to have patients say yes to us and we smile.   We are going to assume that the patient wants to do dentistry. Why are we going through and saying like, my gosh, this is a big case. my gosh. I don't know if they're going to accept. my gosh. my gosh. Stop that. Why are we doing that? There's absolutely no reason to do that. Patients are at the dental practice and just because they don't love the dentist doesn't mean that they don't want to have healthy mouths and healthy teeth and being able to have confidence. I say our mouths are the coolest thing ever. We get to smile with them. We get to talk with them. We get to eat with it.   Like there's so much value to it. Like it truly is, I think, the gateway to our confidence. It's the gateway to our health. And so being able to help patients have that. So I'm always going to assume, like my mantra is, everyone says yes to Kiera and there's always a solution and we will find it together. So we go in and we have that and we're going to assume the yes. We also gonna use what I call the three E's and that is edification, empathy and energy. So I'm gonna watch the patient and I'm going to edify the doctor, which is star number two.   I'm going to have empathy for what they're going through and not just assume it's run of the mill, just because it's a crown for us, doesn't mean that that might be life altering for our patients. But we're not going to put negativity out there. We're still going to be able to have empathy and positivity for them and help them see that this is the best place for them to get their treatment done and then making sure our energy matches. You guys, I come in really high. I have a lot of energy. So many people are like, Kiera, we want to consult with you because we love your energy and our team needs that. Well, guess what? Our whole team has to have that because this is who I am.   And sometimes you need to have energy and like, need to get too excited on the podcast and I need to rally you. But for some of you, I remember there was a doctor who's like, Kiera, you're like a little much for my team. And my team's more like, hey, how are you? Well, guess what? That team is actually a better fit with Britney Stone. Britney is a much better match energy wise than I am. And so just making sure that we mimic and mirror the patient across from us. So star number one is smile and assume the yes before we even walk into it.   Star number two is we want to rave about the doctor and repeat a perfect handoff. So we want our patients to feel like they're on the winning team. And I think about it, if I'm going in like, I'm going in for surgery. And if that treatment coordinator who's presenting to me, so I've met the doctor, they've diagnosed the treatment to me. Okay, so all that needs to happen before we get to this spot. But the doctor told me, Carrie, you need to come back for surgery. If that front office person that I'm talking to about my financials said to me, gosh Carrie, you're so lucky.   ⁓ Dr. Kressler is absolutely incredible and you're going to get such great care. I've seen him do this surgery multiple times. I know you're in the best hands and truly I'm here to make sure that you're taken care of. We're super excited for you and I know you're going to have great results. Like even me saying that I feel this whoosh of like confidence of OK, got it like I am making the absolute best decision I possibly can. And so this is what we do. So number start number one is smile and assume the S use our three E's. Number two is rave about the doctor. Help them see that we're on the winning team.   and use that perfect hand up. It'd be like, awesome, Kiera, you are so lucky. Dr. Jones is so incredible. He's done this treatment so many times and we're gonna get you taken care of. Dr. Jones wants to see you back for a crown. We need to get you scheduled in about two weeks. We need to do about 30 minutes and we're also gonna get your cleaning scheduled for that. This is gonna be amazing. Doctor is incredible. And then we move to the third star, is schedule the appointment first and give two options. We wanna get the commitment.   So a lot of times treatment coordinators will like come in like, how was your visit today? Meh, I'm at the dentist. Why don't we control this narrative? I'm going to smile like, Hey, it's so great to see. I'm so excited to get you helped out. Dr. Jones is so incredible. You've made a great choice. And I know he's going to take great care of you. We're to get you scheduled for that crown in two weeks. It's going to take us about 30. It's going to take us about an hour and a half. I hope a crown's not 30 minutes. It's going to take us about an hour and a half. And we're also going to get that cleaning scheduled. perfect. First things first, let's get you scheduled.   I've got Monday or Wednesday, which works best for you. That's when Dr. Jones does all of their crowns. I've got Monday or Wednesday, which works best for you. The reason I wanna move right into scheduling is because this is gonna help me get a commitment. And I believe that words are free and we should use them to our advantage. So when I'm going through this, let's just make it very easy for the patient. We smile and assume the yes, we rave about our doctor and talk about our perfect handoff, and then we move right into scheduling. Now the patient might be like, well, I wanna know what this is going to cost. I say, absolutely.   I want you to feel so solid and rock solid confident moving forward. Dr. Jones is extra busy. So we always just make sure we get you on the schedule, make sure we get that appointment set. I'm to go over all the financials. I want you to be super confident with that. But we'll just get you scheduled since the schedule is so busy. I've got Monday or Wednesday, which works best for you. Now, if they push back again, don't stress, talk to them. But this way they're able to see the flow, how we're going to do this. Because for me, what I'm also doing on that is I'm putting emphasis of we are doing treatment. And the question is how we want to pay for it, not the question of are we doing treatment or not.   I'm not forcing a patient, I'm not making them doing it, but sequence does matter when it comes to treatment planning. And you guys, I am a dang good treatment coordinator. 50, 60, $70,000 cases paid in full same day. It is not something that is hard, but it is something that's finesse. And I do believe that it's an art, not a like set in stone science. It's an art, it's a feathering. It's a reading the patient, it's understanding. And I'm giving you guys literally how I do this and how it's worked for so many practices.   practices we've been able to add multiple millions annually by doing this process. So we schedule first, get them scheduled. Then after that, we're going to present the total treatment. So star number four is point to the amount. I don't say it out loud saying 10 grand is very loud and obnoxious and obtrusive. Pointing to it doesn't feel as bad. And I'm going to use the art of silence. So that's star number four in our five-star treatment planning. So once the patient's scheduled, we're gonna present the treatment, all right? So we're gonna go through that crown and that cleaning.   It looks like it's going to be this amount. This is what your insurance is estimated. I'm pointing with my fingers. I go down and your out of pocket total will be blank this when we see you on Wednesday. What questions do you have for me? I want you to be super confident moving forward. And then I zip my lips and I'm silent. And the patient usually will say, perfect. Nope, no questions. I'll see you then. Or they'll say, ⁓ I'm curious about that. Like that was a little bit more than I was thinking. Do you have any options? I promise you they will say that.   But instead of me right here, which is where I think most treatment coordinators and failing goes wrong is when they say, ⁓ my gosh, so do you have questions about financing or do you have any questions about this? One, I don't ever want a patient to say no to me. So I don't ever use the questions of do you want to, or do we want to do this, or do you have questions? I say, what questions do you have for me? Let's get you scheduled, not do you want to schedule? And these are just small little nuances, but if you watch yourself and you listen to yourself and doctors, same thing in your exams.   and clinical team members, same thing when we're back there. We're so obsessed with this like quick, yes, no, yes, no, yes, no, I wanna get you in and out versus I want to actually solve, I want to actually schedule patients and I want to actually be thorough with my patients. So what questions do you have? Words are free, use them to your advantage, use the art of silence and don't talk, zip your lips, but people get nervous and they don't want you to break up with them and they don't wanna be rejected so they start talking and they're like, my gosh, we can talk about finances, we can talk about, do you actually wanna just for free?   This is how discounts come about. This is how doctors are like, my gosh, I just gave that, it's a way for free. Stop talking. Let them process and let them ask, what questions do you have for me? I want you super confident moving forward. And I stop and I smile. And I truly do. And I might feel awkward, that's okay. But remember, I'm assuming the yes, they're going to say yes to me. Why wouldn't they say yes to me? And my second mantra is there's always a solution. And we together, me and this patient are going to find it because my job is to make them healthy, happy, and like total full care of health.   So then we go on to star number five, and that is over objections, okay? So objections do come, but objections to me are like, just remember that they need more information. We haven't educated them on something. That's all it is. They're not rejecting you. And so I say, go beyond the no with air quotes two times. And I do it as an S because I just want to find out and I want to dig to the root. I'm not forcing these patients, but 99 % of the time an objection just means I need to educate them more. I need to answer their questions. I haven't filled them in on something and that's all it is.   So we become a word ninja, we go past it, let's find a solution. And then if I've gone past it two times and I've really done my best, then I schedule them on a two, two, follow-up. So I call them in two days, two weeks, two months. So no matter what, they're still gonna talk to me and I'm going to make sure that they get the success. So that's our five star.   And when you start tracking it, we track it as well. We look to see our patterns and it helps our treatment coordinators get better and better. So now you're like, well,   But Kiera, that's great. Now let's talk about the objections. Cause I got my fifth star. My fifth star means I got to go past objections twice. Well, let's talk about some objections. Number one is a lot of people do think about just insurance. So they're like, okay, well, what about insurance? I like to explain that insurance is a coupon. So like just like Kohl's cash or coupons at the store. Well, you still want to buy the carrots, even though they're not on sale. And so what we do is we use our insurance and we maximize every single penny of it. but we also don't want to just wait on insurance and have insurance dictate because it's never going to be cheaper.   or more predictable than it is today. So we wanna make sure that we your treatment taken care of, you're worth it, you deserve it. And we're gonna squeeze every single dang penny out of that insurance company that we can. But we just have to recognize that dental insurance is different than medical insurance. And dental insurance is a coupon, medical insurance, we pay our deductible and they cover everything else. So that's why, and so our job is to help you out with this. We're gonna get you scheduled for this. I've got Monday or Wednesday, which works best. And we're gonna make sure that you're taken care of with that. Schedule.   If they're like, I need to check my work schedule. Fantastic, no problem. I, Kieran, you gotta be careful, use your words. I, Kieran, would hate to forget about you. The truth is, I literally will. I've got like 100 patients coming today. So I would hate to forget about you and let you slip through the cracks. Let's just pop you on the schedule and if that doesn't work when you get home, me a call and I'll happily change it for you. That's it. Then you're like, okay. If I say, oh John, I would hate for you to forget about this, he'll be like, I'm not gonna forget. But if I'm like, oh, I would hate to forget about you, patient's like, yeah.   Don't forget about me, Keir, put me on that schedule. It's all about psychology and making these patients feel like VIPs. I truly believe our patients are VIPs. I love them so much and I want them to get the best dental care possible. So that's what I'm gonna do for schedule or for work. Now if it's cost, I remind them and truth be told, it will never be cheaper or more predictable than it is today. So let's get you scheduled, let's figure this out, let's work through the solutions. I have so many solutions with you. Like let's work through it. What solutions do you have? Like this didn't happen overnight, we don't have to solve it overnight.   We do need to get going on it so it doesn't get worse. We present the other side of the problem. This is what happens if we choose to wait. And I just want you to know your options, you're worth it. Let's get this taken care of. There's always ways that we can work on cost. You guys, there's thousands of ways. We can do less treatment. We can split it up. We can do layaway, whatever your practices processes are. But usually it's not cost. Usually it's fear. And I'll say, let's talk about it. Do we have savings or do we wanna talk about third party financing?   I'm not gonna give them care credit to go home and apply for. Let's just apply right now. Let's find out what our options are. Let's see what we've got here that we were able to find out. And then like, I don't want you to have to go home and make this hard. Let's make this easy to where you feel confident and we're able to find the solution for you.   How many times do we actually spend the time to do that? To me, that's VIP care. I can't tell you how many times I've watched treatment coordinators like, here's the application, go home and do it. Well, guess what? They're not. That's hard. Let's make this easy for them. Let's find the easiest way for them to say, yes, that's VIP customer service. And I know you might be like, here, I'm so busy. Guess what? This is the fastest, easiest way to fill your schedule. How many of you want to make phone calls to fill that schedule? I don't. I'd much rather sit here and do five minutes of care credit with you rather than chasing you down, trying to do care credit, figuring it out. That's way harder.   Choose our heart here. And then spouse. Spouse like, need to talk to my spouse. Absolutely. I 100 % want you to chat with your spouse. What questions you think that they'll have? I want to make sure that you're fully prepared and confident to answer those. Well, I think they'll want to know about costs. I think they'll want to know about the... They'll tell you. They will tell you. Or if they're like, oh no, I'm like, hey, I really hate to try and like relay things to my spouse that I don't know about. I'm happy to get them on a phone call so that way we can talk about this openly. I'm here as a resource for you.   more than happy to do that with you. Now there's two ways you can do this. There's pressure or there's like confidence of I'm genuinely wanting to help you out. And truth be told, like I know this is so much easier. I think in all of treatment planning, I'm thinking how's the easiest way for this patient to say yes. How's the easiest way for me to help them. And this is where we're going to go. These are how I'm going to go past these objections. And I think for so many of us, we just want to like one and done. I did my job, check the box versus like it's outcomes over activity.   my outcome, I'm trying to get as many patients scheduled as possible, not the activity of I presented treatment plans. It's very different. So if I know my goal is not just to present treatment plans, my goal is to have like 80 % success. Well, then I'm going to look at this and I'm going to work through this and I'm going to check off all five stars and I'm going to become an expert. But realizing that I have to continually improve on treatment planning is going to be a great piece for you.   So this is the five-star treatment planning. And like I said, we have it for every single position. This was more of a front office. We have it for doctors. We have it for clinical team members, but this is a great way for you guys to increase your case acceptance, help more patients. And remember, 80 % of treatment planning is psychology, 20 % skill. So when we go through this, I think this is going to really be able to help you guys, guide you guys. And I know it will because I've done it for so many practices. So let's do it for yours. And if you need help, there are practices where we literally just do treatment planning consultations.   We consult them, we work with the front office team members, and what we do is we listen to the treatment plans, we help them out. And I've done this with many offices for multiple years. And it's crazy because in those practices, they're like, what happened? You guys also became like so successful and people were noticing that. And they're like, well, it all started when we hired this consultant and they've added multiple millions, but dollars are nice. Lives changed is better. And how many lives have we been able to help? How many people we've been able to help?   because we chose to be word ninjas, we chose to use our words to the best of our ability. We chose to listen and to see and to look at the results we're getting and change our processes and not be so set and like, well, this is what I do. I tell everyone that we coach, I don't actually care. There's no script. Like, yes, you guys can have this email us. Hello@TheDentalATeam.com   But more than that, what I care about is that you're able to help these patients and that we get the outcomes, the results. We're after results. We're not after the task. So if your results are crushing it,   You don't need to change anything, but if they're not and we're not getting the results we want, then change. And I would hope that you and your practice take on that none of us are perfect. All of us are here to expand, to grow, to evolve. And that's what we're here to do. We're here to help and serve more patients. So reach out if we can help you guys. Hello@TheDentalATeam.com. Go implement this, go change more people's lives, go become treatment planning masters. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

In this episode of The Thriving Dentist Show, Gary Takacs and Naren Arulrajah explain how AI is changing the way patients find and choose a dentist in 2026. They break down how Google AI, ChatGPT, Gemini, and AI Overviews now shape search results, and why dentists must show up in Google Maps, organic SEO, and AI generated answers to stay competitive. You will learn what EEAT means for your dental website, why expert written content builds trust, and how AI driven search impacts dental marketing strategy and online visibility. Gary also shares why tracking new patient calls is still the most important marketing metric, and how to measure real ROI instead of chasing rankings alone. If you want more new patients, stronger Google rankings, and a clear plan for AI powered dental marketing, this episode delivers practical guidance you can act on right away. For a complimentary Marketing Strategy Meeting visit ekwa.com/td and for a Coaching Session with Gary visit thrivingdentist.com/csm.

In this episode we discuss different pain management options w/ Dr. Kurtis Biggs.    Are you heading to AAOS 2026 in March? Stop by booth 830 and chat with the consultants at St. John Associates Physician Recruiting. Their orthopedic surgery team, one of the top national recruiting teams in the ortho market, has over 30 years of combined experience in the market and hundreds of matches in all ortho subspecialties. Their services are always free to job seeking physicians. Stop by booth 830 at AAOS 2026 in New Orleans, March 3rd through the 5th or visit them at StJohnJobs.com/ortho.    

This week, we explore a new standard of care for high-risk HER2-positive early breast cancer, long-acting therapy for people with HIV facing adherence challenges, a first-in-class trial of a p53 reactivator, and tecovirimat for mpox. We review group B streptococcal disease and a revealing case of prosthetic joint infection. Perspectives examine the role of folate therapy, Medicare drug-price negotiation, AI in medical education, and incidental findings.

In this lecture, Dr. Dave Rakel explores the placebo effect—"the ability to stimulate self-healing without deception"—and reveals how perception, connection, and empathy are among the most powerful healing mechanisms available to practitioners.Dr. Rakel unpacks the neuroscience of perception, showing how our conditioned minds create physical responses that determine health or disease. He shares groundbreaking research: optimists live six years longer than pessimists, stress perception correlates with fibromyalgia pain severity, and how we view food (guilt vs. celebration) affects cortisol and weight gain.Through compelling studies, he demonstrates that therapeutic touch activates healing more effectively than pills, that clinician empathy measurably shortens the duration of the common cold and boosts immune markers (IL-8 and neutrophils), and that perceiving a caring connection can equal 8mg of morphine for pain relief. This guest speaker Master Class is part of the Kharrazian Institute Functional Medicine Education Program. To become a Certified Functional Medicine practitioner, visit https://kharrazianinstitute.com/⁠. Try our 7-day free trial, no credit card required. 0:00 - The Placebo Effect: Self-Healing Without Deception8:20 - Perception Science: How Beliefs Create Physical Responses16:15 - Stress Perception & Disease: The Cortisol Cascade22:50 - Why SSRIs Barely Beat Placebo26:35 - Psychedelic Placebo Study: 65% Had Spiritual Experiences34:10 - Why Touch Beats Pills: Manual Therapy vs. Drugs42:30 - The Clinician Effect: Empathy = 8mg Morphine46:50 - Common Cold Study: Empathy Reduces Duration & Boosts Immunity55:40 - Patient 406: The Cost of DisconnectionSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.

Tyler Kepner joined Baskin and Phelps to talk about the feature he wrote on the Guardians and how they're forging their own path in Major League Baseball. He also talked about what he's seen so far from the team during Spring Training, if he thinks Chase DeLauter can be a power hitter for the team, as well as Travis Bazzana's potential in the bigs.

Auto-brewery syndrome (ABS), sometimes called gut fermentation syndrome, is one of the most misunderstood conditions in digestive health. Patients can experience real symptoms of alcohol intoxication—even when they haven't consumed alcohol—often leading to years of misdiagnosis, stigma, and confusion. In this episode, we explore groundbreaking research published in Nature Microbiology examining how specific gut microbes may produce ethanol inside the body and contribute to auto-brewery syndrome. Host Jacqueline Gaulin, founder of Gastro Girl, is joined by researcher and co-author Barbara Cordell to break down: • What auto-brewery syndrome is and how it affects patients • Why this condition has historically been difficult to diagnose • What new microbiome research reveals about microbial ethanol production • How this science may help validate patient experiences • What clinicians and patients should know moving forward This evidence-based, patient-focused conversation sheds light on a condition that has long been misunderstood—and offers hope for clearer recognition, research, and support.  

Want to know if you may be eligible for Permanent Teeth in 24 Hours? Take the 60-Sec Quiz Here: ⁠⁠⁠⁠⁠⁠⁠https://bit.ly/4roLylDHOW MUCH DO DENTAL IMPLANTS COST!? Download the FREE Guide to Dental Implants Here: ⁠⁠⁠⁠⁠⁠https://bit.ly/4tIVCYj▬▬▬▬▬▬▬▬ Contents of this video ▬▬▬▬▬▬▬▬▬▬Disclaimer: Nuvia Dental Implant Centers are locally owned and operated by licensed dental practitioners. These locally owned and operated practices are part of a professional network of dental implant centers operated by prosthodontists, oral surgeons, and restorative dentists. Each Nuvia Dental Implant Center has a business affiliation with Nuvia MSO, LLC, a Dental Support Organization that provides non-clinical support to each center.Nuvia Dental Implant Centers are able to provide patients with a bridge made with an FDA approved permanent material, zirconia, in 24-hours. No temporary denture. Not all those who come in for a consultation are medically cleared to receive permanent zirconia teeth in 24-hours. Follow up appointments are required to confirm implant integration and make adjustments if necessary. Results may vary in individual cases. Patients represented in videos are actual NUVIA patient(s) and may have been compensated for their time in telling their story.While soft foods immediately after surgery are generally approved by our clinical team, the local surgeon may give individual instruction on dental implant aftercare according to the specific circumstances applicable to each case.From 2022 through 2024 Nuvia had a documented 99.18% dental implant success rate. During a documented pressure test Nuvia's 24Z teeth withstood 2330 Newtons of Force before breaking.Copyright 2024. Nuvia Dental Implant Centers. All rights reserved.

From ViVE 2026 in Los Angeles, Michael chats with Kassaundra McKnight-Young, Chief Nursing Informatics Officer at Zebra Technologies. Together, they discuss how Kassaundra's frontline clinical experience has shaped her approach to innovation at Zebra; workflow and patient safety challenges facing clinicians today; key features of Zebra's DS82-HC handheld scanner; how doctors, nurses, and other clinicians are using Zebra solutions in real-world settings and the impact on patient care; how Zebra's technologies can help reduce stress and support care teams under pressure; and much more. Learn more about Zebra Technologies at https://www.zebra.com/us/en.html. 

In this episode, Dr. Larry Van Horn, Chief AI & Analytics Officer at Sentact, discusses how patient safety is evolving as a strategic & financial priority.

Airing just days ahead of Rare Disease Day 2026, this mdgroup live episode focuses on the voices that matter most in rare disease research: patients and caregivers. Miriam is joined by Sarah Woods, rare disease patient, rare mom, and Founder of the Serenely Guided Foundation for Rare Diseases, for an honest and insightful conversation shaped by lived experience. Drawing on her personal journey and over 20 years of experience as a business and communications leader, Sarah shares why patient and caregiver perspectives must evolve beyond “input” to true leadership roles within clinical trial design. Together, they explore how patient-centricity, when implemented meaningfully, can enhance trial experiences, foster engagement, and ultimately lead to improved outcomes for the rare disease community.

Alex McDonald, MD, and Jess Steier, DRPH, PMP, discuss how simple messaging can effectively combat vaccine hesitancy.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Device-Removal, Reinfection, and Mortality After Staphylococcus aureus Bacteremia in Patients With Cardiac Implantable Electronic Devices.

Director of Business Development of Bayshore Specialty Rx's Shaminder Singh discusses patient support and care delivery, building adaptability and resilience into patient support programs, and the future of healthcare funding in Canada Get full access to NPC Healthbiz Weekly at healthbiz.substack.com/subscribe

Jenny Opalinski has spent more than a decade inside hospitals where people lose the ability to speak, breathe, swallow, and sometimes survive. A medical speech language pathologist by training, she worked in ICU, neuro rehab, and long term acute care settings, including a Level 1 trauma center, where she watched clinicians absorb 10 to 15 traumatic events in a single shift and then get told to move the crash cart faster next time.That lived reality pushed her to co found The Wellness Shift, an advocacy and education platform focused on healthcare worker burnout, suicide, and assault. In this conversation, Opalinski walks through the moment that changed everything for her: standing in a hospital hallway listening to a family wail after a failed code, followed by a debrief that addressed logistics and ignored grief entirely.She also explains how that work led to Humanity Rx, her podcast about the human cost of medicine, and Dragon's Breath: Calming Tricks for Big Feelings, a children's book that translates evidence based breathing and regulation strategies into language kids can actually use. The episode covers moral injury, time scarcity, false wellness, respiratory muscle training, and why empathy keeps getting treated as an optional expense instead of clinical infrastructure.RELATED LINKSJenny Opalinski on LinkedInThe Wellness ShiftHumanity RxDragon's Breath: Calming Tricks for Big FeelingsAspire Respiratory ProductsFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Prostate artery embolization may be performed by interventional radiologists, but its indications are rooted in urologic evaluation. In the second installment of our 2026 PAE University Series, Dr. Chris Beck is joined by Dr. Art Rastinehad of Northwell Health, a urologist with formal interventional radiology training, to share how his dual background informs both when to offer PAE and how to execute it thoughtfully. --- This podcast is supported by an educational grant from Guerbert. --- SYNPOSIS Dr. Rastinehad discusses his path from urology into IR and how that combined training shapes his current hybrid practice. He outlines a practical BPH consult framework grounded in urologic evaluation, emphasizing appropriate imaging, careful patient selection, and the importance of ruling out malignancy before proceeding with embolization. From his perspective, durable outcomes begin with disciplined workup and clear counseling around expectations, including sexual side effects and alternative treatment options. The conversation then turns to procedural strategy. Dr. Rastinehad reviews anatomic considerations, large-gland and technically challenging cases, and his experience incorporating liquid embolics into PAE. He compares glue and particles, detailing workflow decisions, medication strategy, and post-procedure management. Throughout, he highlights scenarios where PAE may not be the most appropriate intervention and how other BPH tools may better serve the patient. The episode concludes with a discussion of the future of PAE, including questions of training, collaboration between specialties, and reimbursement; underscoring the value of cross-specialty insight in contemporary BPH care. --- TIMESTAMPS 00:00 - Introduction01:26 - Interventional Urologist with IR Roots04:13 - Leaving Urology for IR: Fellowship Life, Case Volume & Mentors08:45 - Building a Hybrid Urology/IR Practice14:32 - PAE Benefits, Sexual Side Effects & Why MRI Matters17:39 - BPH Consult Playbook22:17 - Anatomy Deep Dive24:27 - Edge Cases & Big Glands28:24 - Why Glue?35:39 - Glue vs Particles39:40 - Post-PAE Follow-Up41:28 - Antibiotics and Medications46:18 - Tough Cases50:53 - The Future of PAE --- RESOURCES Early Outcomes of Prostatic Artery Embolization using n-Butyl Cyanoacrylate Liquid Embolic Agent: A Safety and Feasibility Studyhttps://pubmed.ncbi.nlm.nih.gov/39074551/ Dr. Rastinehad's Websitehttps://drrastinehad.com/

For decades, people living with Type 1 diabetes have asked the same question: what would life look like if my body made insulin again? In today's episode, Lauren sits down with Katie Beth Hand (13 years with T1D) and Chris (diagnosed at 10 months old, living 35 years with T1D), two of only ten participants selected for the first cohort of the Eledon clinical trial at the University of Chicago. As Patients 9 and 10, they received an islet cell transplant alongside the investigational therapy Tegoprubart, designed to prevent the immune system from attacking transplanted cells. Now, for the first time in decades, they're watching their blood sugars rise and come back down on their own, coming off basal insulin, dramatically reducing boluses, and navigating what it means to trust a body that suddenly responds differently. This is not hype or a guaranteed cure, but it may represent one of the most significant shifts in Type 1 diabetes research in over 30 years.WHAT WE COVER:What daily life looked like before the trialHow they found the Eledon trial and what screening week in Chicago involvedWhat actually happens during an islet cell transplantWhy Tegoprubart may change the future of islet transplantationMixed Meal Tolerance Tests, C-peptide, and what their data showsThe transition off basal insulin and how they are “protecting” the new isletsThe emotional side: “Do I still say I have Type 1?”Current Blocks to Scalability and what the Islet Act IsSupport Links:

In this episode of Nurse Converse, Jana Price welcomes palliative care nurse practitioner Courtnee Stagner, the viral nurse who makes millions laugh online while doing some of the most sacred work in healthcare. Beneath the humor is a clinician guiding families through life's hardest decisions. Courtnee shares her unexpected path from ICU to hospice, unpacks the truth about morphine at the end of life, and tackles the cultural, spiritual, and ethical tensions nurses face around death. With candor and compassion, she reminds us that palliative care isn't about giving up. It's about living well until the very end and advocating fiercely for what matters most.>>Millions Laugh at Her Videos—But Her Real Work Happens at the BedsideJump Ahead to Listen: [00:01:07] Introducing Courtnee and her story[00:01:32] Courtnee's role as a palliative care NP[00:02:13] From critical care ICU to hospice and palliative[00:04:27] Seeing patients as people, not numbers[00:06:03] Patient story: going home to see his dog[00:08:32] How to become a palliative care nurse/NP[00:10:02] Shortage of palliative specialists and services[00:13:49] Talking about morphine at end of life[00:17:34] Helping families cope with grief and “fighting”[00:20:30] Why advanced directives and early talks matter[00:23:59] Honoring cultural and religious needs after death[00:26:51] Using personal faith in end-of-life care[00:31:19] Advice for burnt-out nurses and setting boundariesConnect with Jana on LinkedIn and social media: Instagram: @gentlyusedrnConnect with Courtnee on social media: Instagram: @CourtneeStagnerTikTok: @CourtneeStagner12For more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org

For people living with osteoarthritis, news about potential new treatments often comes with more questions than answers. In this episode of The Health Advocates, we slow things down to explain what it really means when a company submits a New Drug Application, or NDA, to the U.S. Food and Drug Administration. Steven Newmark is joined by Erich Horsley and Dr. Yusuf Yazici from Biosplice Therapeutics to walk through this important regulatory milestone and why it matters for patients. Together, they break down what an NDA is, what happens during FDA review, and what patients should and should not expect while a therapy is under evaluation. The conversation also explores the current osteoarthritis treatment landscape, why progress in this disease has been so challenging, and what researchers mean when they talk about disease-modifying approaches. Contact Our HostSteven Newmark, Chief of Policy at GHLF: snewmark@ghlf.orgA podcast episode produced by Ben Blanc, Director, Digital Production and Engagement at GHLF.We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.orgListen to all episodes of The Health Advocates on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.

Not every airway is a tonsil problem. Pediatric obstructive sleep apnea is often more nuanced than it appears, requiring thoughtful evaluation beyond routine surgery. In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. Tali Lando discusses managing pediatric obstructive sleep apnea (OSA) with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Lando shares insights into her clinical practice, outlining a systematic approach to diagnosing and treating pediatric OSA, and emphasizing the value of sleep endoscopy. She explores the spectrum of interventions from adenoidectomy and tonsillectomy to complex airway evaluations and surgical management, while highlighting the roles of sleep studies, obesity, and emerging therapies such as hypoglossal nerve stimulation. Dr. Lando also reflects on balancing a busy clinical career with family life and discusses her two books, Hell & Back: Wife & Mother, Doctor & Patient, Dragon Slayer and Breathless: Surgical Tales from the Brink (and Back). --- TIMESTAMPS 00:00 - Introduction06:21 - When Noisy Breathing Signals More Than Tonsils10:01 - When to Add DISE: Combining T&A with Airway Evaluation18:08 - Turbinates, Septum and Nasal Valve Matter22:03 - Red Flags in Clinic29:12 - When Surgery Helps and When It Doesn't41:33 - Sleep Studies43:09 - Down Syndrome and OSA55:19 - Finding Hidden Sites of Airway Collapse01:06:13 - Hypoglossal Nerve Stimulation and Advanced Options --- RESOURCES Dr. Tali Lando https://www.wmchealth.org/physician-locator/tali-lando-1548383763?address_id=413 About Dr. Tali – Dr. Tali Lando

Host Joe Patterson, MD chats with paper authors Shannon Tse, MD, and Sean Campbell, MD about their paper entitled: "Is Discharging Patients After External Fixation and Between Stages During Periarticular Lower Extremity Fracture Care Safe?" Click here for the abstract.  For additional educational resources visit OTA.org

There are many instances that can try our hearts. That can make us want to respond in negative ways. Today I share with you mindset shifts to help you respond in more positive ways and a writing exercise that will change your life for the better!  1st Episode on Being Emotionally Resilient 14 Things I have learned in 14 Years of Marriage Email me: positivityinpregnancy@gmail.com Website: www.positivityinpregnancy.com MENTAL HEALTH MINI VIDEOS for pregnancy: What once made up my ‘Morning Sickness Mini Course for Mental Health' is now divided into individual videos(and each video comes with the audio) that you can now buy individually instead of purchasing the whole course! Discover a beautiful collection of short, heartwarming positivity videos (ranging from 1–8 minutes) thoughtfully designed to nurture your mind, body, and spirit throughout pregnancy. Each video focuses on one of four powerful pillars:  Mental Health (to support emotional well-being),  Pregnancy Affirmations (that uplift and empower),  Gratitude practices (that fill your heart with joy),   And simple yet transformative ways to shift negative thoughts into positive light (These gentle reminders celebrate the incredible journey you're on).  Here is the link to all the videos: https://pregnancyishard.com/collections/all I recommend starting with the Mental Health section!  Visit My Pregnancy Week-by-Week Page:https://pregnancyishard.com/pages/week-by-week-pregnancy Here is the Facebook Page for Pregnancy is hard: I have documented my journey of my fourth baby on this page and have other juicy and good tips for enjoying pregnancy better. https://www.facebook.com/pregnancyishard Here is the Pregnancy is Hard Support Group on Facebook: Let's offer support, help and fun for those in the trenches of pregnancy! https://www.facebook.com/groups/165102315544693 YouTube for Positivity in Pregnancy: https://www.youtube.com/@PregnancyisHardwithJosly-nd8wd Instagram: @positivityinpregnancy

How does the Danish healthcare system really work? When should you call 1813? Can you get a second opinion? And what happens if you show up at the ER?In this episode of What Are You Doing in Denmark, Derek and Brooke welcome back Emma Grint, Dr. Mum-for-Kids, to answer your listener questions about healthcare in Denmark.We cover:Visitors' access to healthcare in DenmarkEmergency vs. non-emergency care (112 vs. 1813)How to get a second opinionChanging your GP (family doctor)Wait times and specialist referralsWhat's covered under universal healthcare in DenmarkMental health and psychiatry waitlistsPregnancy and birth in Denmark (midwife-led care, epidurals, C-sections)Patient advocacy in the Danish systemIf you're an expat or international living in Denmark, this episode will help you understand your rights, your options, and how to navigate the system with confidence.

Biologics have changed how patients with asthma are able to handle their symptoms and prevent them from getting worse. Host Amy Attaway, MD, Cleveland Clinic, talks with Monica Kraft, MD, Icahn School of Medicine at Mount Sinai, and De De Gardner, DrPh, Allergy and Asthma Network and member of PAR about depemokimab, the newest biologic for those with severe asthma. Learn how this novel treatment is used once every six months to improve patient outcomes, as well as the research behind this biologic and the future of asthma treatment. Read Dr. Kraft's paper on depemokimab: https://journal.chestnet.org/article/S0012-3692(25)00855-4/pdf  Editor's note: During this episode, Dr. Kraft mistakenly said that depemokimab was approved for treating nasal polyps. Please note that depemokimab is not approved for treating this condition. 

We've all heard, "Pain is whatever the patient says it is." But do we actually practice that way? In this episode, Kevin and Lisa dive into a fascinating mixed-methods study exploring how nurses think about pain and how those beliefs change when real clinical decisions are made in triage. Dr. Wolf unpacks research examining nurses' attitudes, behaviors, and hidden biases surrounding pain assessment and triage decision-making. The results are uncomfortable and important. This conversation isn't about blaming nurses; it's about understanding how systems, cognition, and culture shape practice, and how awareness can help us deliver safer, more compassionate care. Here is a link to the full article.  https://www.sciencedirect.com/science/article/pii/S0099176726000048?dgcid=author Want to watch the video on Youtube? https://youtu.be/FkCvwME19eE      Follow us on: Facebook: https://www.facebook.com/Art-of-Emergency-Nursing-276898616569046/  YouTube: https://www.youtube.com/channel/UCJTnz4phtCTjojTIDJo2afA?view_as=subscriber  Twitter: @AoenPodcast Instagram: https://www.instagram.com/artofemergencynursing/  To support the show: Leave an honest review on iTunes. Your ratings and reviews greatly contribute to the success of the podcast, and I appreciate each and every one of them. Subscribe on Apple Podcasts, Google Podcasts, or your preferred podcast platform to never miss an episode. Thank you for being a part of our AOEN community!    

John Seivert, PT, a clinician with more than 40 years of experience blending skilled orthopedic manual therapy with the art of Motivational Interviewing.Fresh off his conference breakout sessions — Touch, Talk, and Transform — John breaks down what holistic OMPT looks like today, why communication is the foundation of effective care, and how accurate empathy changes outcomes.We explore:The current state of OMPT and where the field is headingWhy “How good are you at listening?” might be the most important question in therapyHow MI empowers patients to make meaningful changeWhat John has learned from four decades of treating, teaching, and bike racingHis reflections on retirement, mentorship, and legacyIf you're a clinician, student, educator, or anyone who cares about whole-person care, this is a conversation that will sharpen your skills — and your humanity.0:00 – Intro0:27 – Who Is John Seivert?1:35 – Touch, Talk & Transform: The Masterclass4:22 – The Current State of OMPT7:50 – Why It All Starts With Communication11:10 – How to Actually Listen in a Clinical Encounter14:40 – Motivational Interviewing in Orthopedic Practice18:55 – Role Modeling Listening for Patients & Learners22:30 – What 40 Years of OMPT Has Taught John26:15 – Bike Racing at 65: Lessons for Clinicians30:02 – Preparing for Retirement & Passing the Torch33:10 – Final Thoughts & Advice for New Clinicians???? Guest: John Seivert, PTFaculty at Kaiser Permanente Fellowship Program, EIM Weekend Intensive Faculty, MINT Trainer

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SHS865. CME/MOC/NCPD/AAPA/IPCE credit will be available until February 28, 2027.Preparing for the New Era of Blood-Based Biomarkers in Alzheimer's Disease: Navigating Guidelines, Understanding Policy, and Integrating Into Practice Workflows In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/AAPA information, and to apply for credit, please visit us at PeerView.com/FBZ865. CME/NCPD/AAPA credit will be available until January 26, 2027.Sjögren's Disease and the B-Cell Frontier: What Clinicians Need to Know Now to Prepare for Future Therapies In support of improving patient care, this activity has been planned and implemented by Boston University Chobanian & Avedisian School of Medicine and PVI, PeerView Institute for Medical Education. Boston University Chobanian & Avedisian School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Novartis Pharmaceuticals Corporation.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/VBD865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until February 16, 2027.Navigating the Path to Next-Generation Anticoagulation Strategies: Rising to the Challenge of Unmet Needs in SSP and AF In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from the Bristol Myers Squibb and Johnson & Johnson Alliance.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/VBD865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until February 16, 2027.Navigating the Path to Next-Generation Anticoagulation Strategies: Rising to the Challenge of Unmet Needs in SSP and AF In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from the Bristol Myers Squibb and Johnson & Johnson Alliance.Disclosure information is available at the beginning of the video presentation.

In this episode of Get Back To It, Dr. Rita Roy speaks with Rich Rabin, a technology and product leader whose life was upended by severe nerve pain caused by an L5–S1 disc herniation. What began as manageable glute pain progressed into debilitating nerve symptoms that affected his sleep, mobility, and overall quality of life. After months of conservative treatments—including physical therapy and injections—Rich ultimately underwent a microdiscectomy to relieve nerve compression.While surgery addressed the primary issue, recovery proved gradual and unpredictable. Rich shares candidly about the mental and emotional challenges of healing, the importance of self-advocacy, and learning that spine recovery is rarely linear.Inspired by his own frustration tracking fluctuating symptoms, Rich created Recoverly, a free iPhone app designed to help patients log daily symptoms and identify trends—supporting clearer communication with healthcare providers.Rich's story is a powerful reminder that healing takes patience; progress isn't always steady, and resilience can grow from even the most difficult setbacks.Support the show

Most people think lab tests are only useful once something is wrong. But what if your blood work could show you where your health is headed—years before disease ever develops? In today's Office Hours, I break down how to read your labs through a functional medicine lens—so you can spot early dysfunction, connect the dots between symptoms and biomarkers, and take control of your health before problems escalate. In this episode, I walk you through: • Why “normal” lab ranges often miss early warning signs • The key markers that reveal the most about metabolic health, inflammation, thyroid function, nutrients, and cardiovascular risk • How functional medicine focuses on optimal ranges, patterns, and trends—not just disease thresholds • What your labs can tell you about symptoms like fatigue, brain fog, weight gain, and gut issues • How to track your numbers over time and ask smarter questions to shift from reaction to prevention Labs aren't just for diagnosing disease—they're a roadmap to optimizing your future health. When you understand your numbers, you stop guessing and start making data-driven decisions that build resilience and longevity. Visit ⁠functionhealth.com for 160+ lab tests at just $365 a year. Join the 10-Day Detox to Reset Your Brain and Metabolic Health https://drhyman.com/pages/10-day-detox Have a question you'd love answered on Office Hours? Submit it here

Accurate assessment of intravascular volume facilitates decisions about fluid management in patients with volume overload. Author Edmund A. Liles Jr, MD, of the University of Utah joins JAMA Associate Editor David Simel, MD, MHS, to discuss best evidence from physical exam findings including ultrasound, radiographs, and lab studies for determining volume overload in spontaneously breathing patients. Related Content: Does This Patient Have Volume Overload?

Show notes at pharmacyjoe.com/episode1107 In this episode, I'll discuss what predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?

Psychedelics are having a cultural moment. Research is promising. Stories of healing are everywhere. But here's the truth: these experiences aren't magic cures. And they aren't right for every nervous system at every time.   In this episode, Elisabeth Kristof and Jennifer Wallace slow the conversation down. Instead of asking, "Do psychedelics heal trauma?" They explore a more grounded question: What becomes possible when psychedelic or peak somatic experiences are approached through the lens of nervous system safety, preparation, and integration?   If you've been curious about psychedelics, already had experiences, or feel unsure whether they're right for you, this episode offers nuance, research, and deep nervous system perspective. Because post-traumatic growth isn't about becoming someone new. It's about becoming more available to the life that's already waiting for you.   Topic Covered Why psychedelics may reorganize meaning, not just reduce symptoms How trauma fragments narrative and how safety allows integration The science of psychological flexibility and why it predicts long-term outcomes What "somatic journeying" is and why it can feel disorienting The importance of preparation, titration, and facilitator trust Why intensity does not equal healing Psychedelics vs antidepressants in research on connectedness Default Mode Network (DMN), identity rigidity, and belief updating Why creativity often emerges when survival softens The risks of over-reliance and "chasing the medicine" Why discernment and self-trust matter more than hype   Chapters  00:00 – Psychedelics Aren't Magic Cures
 03:00 – Meaning-Making & Narrative Reorganization
 08:58 – Psychological Flexibility & Emotional Capacity
 17:00 – Preparation, Somatic Journeying & Integration
 23:29 – Connectedness & Relational Repair
 34:33 – Identity, Neuro Tags & the Default Mode Network
 41:03 – Creativity as a Byproduct of Safety
 48:14 – Discernment, Industry Hype & Self-Trust   Calls to Action: Neurosomatic Intelligence is now enrolling : https://neurosomaticintelligence.com/nsi-certification Sacred Synapse: an educational YouTube channel founded by Jennifer Wallace that explores nervous system regulation, applied neuroscience, consciousness, and psychedelic preparation and integration through Neurosomatic Intelligence.    Wayfinder Journal: Track nervous system patterns and support preparation and integration through Neurosomatic Intelligence.   FREE 1 Year Supply of Vitamin D + 5 Travel Packs from Athletic Greens when you use my exclusive offer: https://www.drinkag1.com/rewired  Learn to work with Boundaries at the level of the body and nervous system at https://www.boundaryrewire.com Get a two-week free trial of neurosomatic training at https://rewiretrial.com Sources:    Amada, N., et al. "The Transformative Potential of Psychedelic Experiences: A Qualitative Analysis of Meaning-Making and Narrative Reorganization." Journal of Consciousness Studies, vol. 27, no. 7–8, 2020, pp. 122–150.   Carhart-Harris, Robin L., et al. "Neural Correlates of the Psychedelic State as Determined by fMRI Studies with Psilocybin." Proceedings of the National Academy of Sciences, vol. 109, no. 6, 2012, pp. 2138–2143.   Carhart-Harris, Robin L., et al. "The Entropic Brain: A Theory of Conscious States Informed by Neuroimaging Research with Psychedelic Drugs." Frontiers in Human Neuroscience, vol. 8, 2014, article 20.   Carhart-Harris, Robin L., et al. "Psilocybin with Psychological Support for Treatment-Resistant Depression: Six-Month Follow-Up." Psychopharmacology, vol. 235, no. 2, 2018, pp. 399–408.   Davis, Alan K., Roland R. Griffiths, and Frederick S. Barrett. "Psychological Flexibility Mediates the Relations between Acute Psychedelic Effects and Subjective Decreases in Depression and Anxiety." Journal of Contextual Behavioral Science, vol. 15, 2020, pp. 39–45.   Davis, Alan K., et al. "Effects of Psilocybin-Assisted Therapy on Major Depressive Disorder: A Randomized Clinical Trial." JAMA Psychiatry, vol. 78, no. 5, 2021, pp. 481–489.   Erritzoe, David, et al. "Effects of Psilocybin Therapy versus Escitalopram on Depression and Emotional Connectedness in Major Depressive Disorder." The New England Journal of Medicine, vol. 384, 2021, pp. 1402–1411.   Griffiths, Roland R., et al. "Psilocybin Produces Substantial and Sustained Decreases in Depression and Anxiety in Patients with Life-Threatening Cancer: A Randomized Double-Blind Trial." Journal of Psychopharmacology, vol. 30, no. 12, 2016, pp. 1181–1197.   MacLean, Katherine A., Matthew W. Johnson, and Roland R. Griffiths. "Mystical Experiences Occasioned by the Hallucinogen Psilocybin Lead to Increases in the Personality Domain of Openness." Journal of Psychopharmacology, vol. 25, no. 11, 2011, pp. 1453–1461.   Watts, Rosalind, et al. "Patients' Accounts of Increased 'Connectedness' and 'Acceptance' after Psilocybin for Treatment-Resistant Depression." Journal of Humanistic Psychology, vol. 57, no. 5, 2017, pp. 520–564.   Weiss, B., et al. "Associations between Naturalistic Psychedelic Use, Psychological Insight, and Changes in Social Connectedness and Personality." Frontiers in Psychology, vol. 12, 2021, article 667987. Disclaimer: Trauma Rewired podcast is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear. We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being. If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.   If someone's life is in danger, immediately call 911.   We do our best to stay current in research, but older episodes are always available. We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast.   We invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.   We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and RewireTrial.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in a mental health crisis.   Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.   We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com. All rights in our content are reserved.

We are living in a golden age of pelvic health.There are more job opportunities, more practice models, and more flexibility than ever before.But with more options comes a harder question:

Earlier this month, Oregon Health and Science University released new nationwide data that found low physician participation in Medicaid.  Researchers deemed these physicians “ghost” providers: physicians who are enrolled in Medicaid, but don’t care for even a single patient covered by the federal health insurance program. Those findings also revealed that another third of physicians who are enrolled in Medicaid may be overburdened, with higher-than-average yearly patient volumes. Dr. Jane Zhu, associate professor of medicine at OHSU, joins us with more details.  

Mary Roach describes the process of tissue donation, focusing on corneal transplants and the meticulous, respectful recovery of bone and skin to benefit many patients awaiting procedures. 4