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Longevity, Cash PT, and the $8 Trillion Opportunity You Can't Ignore In this episode, Doc Danny Matta breaks down why the global shift toward longevity is one of the biggest opportunities cash-based physical therapists will see in their careers. He shares real-world examples from high-end longevity models, explains why proactive, long-term health programming is exploding, and shows how cash PTs are uniquely positioned to lead this space. Quick Ask If this episode gets your wheels turning about longevity and long-term care, share it with another clinician who needs to hear it—and tag @dannymattaPT so he can reshare it. Episode Summary Patient experience as an edge: While competitors step out mid-session to finish notes, you can stay fully engaged by using Clair, an AI scribe that handles documentation instantly. Operational advantage: Clair gives you more time for follow-ups, planning, and patient touchpoints—leading to better retention and more efficient operations. Danny's background: Staff PT, active duty military PT, cash practice founder, seller, and now founder of PT Biz, which has helped 1,000+ clinicians start, grow, and scale their own cash practices. The longevity trend: Patients are realizing they'll live longer and want to be proactive, not reactive, about their health and performance. 10x-style models: Peter Attia's "10x"/10 Squared-type gym in Austin employs performance clinicians doing assessments, hands-on care, and programming over months and years at premium pricing. Equinox Longevity: Equinox launched a longevity offering priced around $35,000–$45,000 per year, combining assessments, bloodwork, training, and bodywork. Market validation: Big brands like Equinox don't roll out programs like this without deep market research—there is clear demand. The $8 trillion forecast: A UBS report projects the global longevity market could reach roughly $8 trillion by 2030. High continuity, low volume: Danny's friend running a longevity-focused model only needs ~30–40 new patients per year because clients stay for years. LTV over churn: With long-term, continuity-based care, you don't need a constant flood of new patients—you need strong retention and deep relationships. What these programs include: Long-term programming, movement and performance assessments, VO2 max testing, force plate work, blood panel interpretation, and lifestyle coaching around sleep, nutrition, and stress. Why cash PT is perfect for this: No insurance rules; you can spend an hour on sleep, stress, or habit coaching if that's what the patient needs. Visual differentiation: Cash clinics often look and feel like a high-performance lab or gym—nothing like a crowded hospital outpatient clinic. Community and referrals: Patients in long-term programs naturally talk about what they're doing and pull friends and family into your ecosystem. Tech as a differentiator: Tools like force plates, VO2 testing, structured assessments, and periodic retests make progress visible and drive buy-in. Standardizing longevity in cash PT: Danny sees longevity as a pillar every successful cash practice will eventually integrate in some form. Not one-size-fits-all: You can build your own version—solo, with a functional medicine group, or as part of a broader performance ecosystem. Lessons & Takeaways Longevity is a macro trend: People know they're going to live longer and want to invest in staying active, capable, and independent. Continuity beats volume: A few dozen long-term clients can support a strong business if they stay with you for years. Cash PT has structural advantages: You're not limited by insurance codes, visit caps, or what a payer thinks is "medically necessary." Data builds trust: Objective testing plus retesting makes progress real and keeps clients engaged. Longevity is "sticky" business: Once people see value in long-term health, they're less price sensitive and more loyal. Early adopters benefit most: Clinics that build longevity offerings now get ahead of a trend that large systems are just starting to chase. Mindset & Motivation Think in decades, not visits: Stop viewing patients as "10-visit plans" and start thinking in 5–10 year relationships. See yourself as a guide, not a fixer: You're not just solving pain—you're guiding someone's health span and performance over time. Health is real wealth: For your patients and for you—longevity work aligns your business model with what truly matters. Don't wait for permission: You don't need a big brand or hospital system to validate this for you; the demand already exists. Pro Tips for Clinic Owners Start with what you know: Build a simple longevity track around your existing strengths: strength, mobility, running, or performance. Add one objective test: Integrate VO2 testing, force plate jumps, or standardized movement screens with baseline + retest cycles. Layer in basic lifestyle coaching: Learn enough about sleep, stress, and nutrition to guide your patients or partner with someone who can. Use tech wisely: Don't buy everything at once—choose tools you'll actually use and that support your specific model. Leverage an AI scribe: Implement Clair so documentation doesn't steal time from long, relationship-based care. Notable Quotes "People are realizing they're going to live longer—and they want to be proactive, not reactive." "If a giant like Equinox is rolling out a $40,000-a-year longevity program, they've done the research. The demand is there." "My buddy needs 30 to 40 new patients a year. That's it. What game do you want to play?" "Cash-based PTs are uniquely positioned to capitalize on this trend—we're not handcuffed by insurance." "Health is real wealth. If you're not healthy, it doesn't matter how much money you have." Action Items Audit your current services: where could you naturally extend into long-term, proactive care? Sketch a simple 6–12 month "longevity track" for your ideal client, including assessments and retests. Identify one piece of tech or testing you could add to make your results more objective and compelling. Look for local partners (functional medicine, labs, coaches) who could complement your skill set. Consider using Clair to free up time so you can deepen relationships instead of chasing notes. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Learn exactly how much income you need to replace, how many people you need to see, and the specific strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and he's passionate about helping PTs build businesses that support long-term health and real financial freedom.
Episode 5 of Standard Deviation with Oliver Bogler on the Out of Patients podcast feed pulls you straight into the story of Dr Ethan Moitra, a psychologist who fights for LGBTQ mental health while the system throws every obstacle it can find at him.Ethan built a study that tracked how COVID 19 tore through an already vulnerable community. He secured an NIH grant. He built a team. He reached 180 participants. Then he opened an email on a Saturday and learned that Washington had erased his work with one sentence about taxpayer priorities. The funding vanished. The timeline collapsed. His team scattered. Participants who trusted him sat in limbo.A federal court eventually forced the government to reinstate the grant, but the damage stayed baked into the process. Ethan had to push through months of paperwork while his university kept the original deadline as if the shutdown had not happened. The system handed him a win that felt like a warning.I brought Ethan on because his story shows how politics reaches into science and punishes the people who serve communities already carrying too much trauma. His honesty lands hard because he names the fear now spreading across academia and how young scientists question whether they can afford to care about the wrong population.You will hear what this ordeal did to him, what it cost his team, and why he refuses to walk away.RELATED LINKSFaculty PageNIH Grant DetailsScientific PresentationBoston Globe CoverageFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
I was out drinking martinis with Cora Opsahl, director of 32BJ Health Fund, and Cora said, "Look, most plan sponsors' biggest expense is health system spend, hospital spend." I know this is an unexpected start to an episode about pharmaceutical pricing and value featuring Sarah Emond, CEO of ICER (Institute for Clinical and Economic Review). But yeah, 50% of most plan sponsors' spend these days goes to health systems. Fifty percent! One half! For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. So, if a patient who is adherent to a drug and that drug keeps that patient out of the hospital, why do I want to make a patient have excessive skin in the game to get that drug, which everybody knows at this point this "skin in the game" can cause said patient to not be adherent in many cases, cost being a very big reason patients give for not taking medications as prescribed. So then we have this not adherent patient who winds up in the hospital, via the ER often enough. The core issue here that surfaced, bottom line—and I'm not sure if this was in spite of the martinis or as a result of them—but while hospital spend is the largest health expense, high-value drugs that prevent hospitalization often face patient cost sharing and access restrictions, which leads to poor patient adherence and ultimately higher system cost potentially. So then Cora and I spent the next half hour debating when the statement is empirically true and when it's not. And you know what it all boils down to? What's the value of the drug? Do we even know what that means to start? But if it's determined that the drug is relatively high value, then the plan desperately should want to do everything possible to keep that patient on that medication, and cost sharing is a huge barrier to adherence. Today, as I said, I'm speaking with Sarah Emond, CEO over at ICER, and we get into all of this in the conversation that follows. In fact, most of the conversation that follows explores the tensions that exist in the current way that we sell and buy pharmaceutical products. I'm just gonna sum up these tensions in a list here at the top of this show. There's six of them that Sarah Emond and I discussed today by my counting, and each of these we explore in some depth. So, here's the list. Tension 1: The value of any given drug (in other words, what is the fair price for that drug considering the health gains that it delivers) versus the total cost to the plan for the total population taking that drug. GLP-1s have entered the chat. GLP-1s (by ICER's analysis, at least) are super high-value drugs that also can bankrupt plans due to the number of folks who may benefit from taking the drug. Definitely a tense tension to kick off our list here. Tension 2: The list or net price of a drug versus patient access and affordability. Again, this can be tense in an area of much misalignment. You can have a great well-priced drug with huge patient affordability and access challenges because drug net price and coinsurance amounts often have nothing to do with each other. Tension 3: Lifetime value of a drug versus a 3-, 2.5-year, whatever time horizon that many plan sponsor actuaries use in their value assessment. We discussed this today, but there's a Summer Short (SUMS7) on actuarial value horizons with Keith Passwater and JR Clark if you wanna dig in on this further. Tension 4: The tension between the societal value of a drug or even the patient's perceived value of a drug versus what an employer plan sponsor might perceive as the value. What is the formula used to determine value? What's in and what's out? So, that's a bigger conversation just beyond the time horizon for what's included in this calculation. Tension 5: Exacerbating the what's included in the value contemplation beyond just what you include in there is the tension between what is hypothetically of value and what is possible to measure. If you have pharma datasets and medical datasets separate in silos, who knows how many hospital readmissions were prevented by whatever drug? And how much presenteeism or absenteeism exists. I mean, it is an outlier, again, if anyone even knows the net price they paid for a drug, just to level set context here. Tension 6: Lowering financial barriers for patients to take drugs that are of value versus status quo goals and incentives. Like, for example, PBMs (pharmacy benefit managers) are often told that their goal is to reduce drug spend. Okay … so, how do I do that? Oh, reduce access either by prior auths or delay tactics or really high coinsurance, which is gonna reduce adherence by design. And it's someone else's problem—if I'm just thinking like a status quo PBM—if medical spend goes up, right? So, that's our last and not insignificant tension. And look, who comes out the loser in all of these tensions when they get tense? Patients. Not pricing based on value and not buying and setting up cost sharing based on value punishes patients and also plan sponsors or any other ultimate purchaser in the long term, given that the plan is but a population of patients if you start thinking about it in that context. Here is Sarah's advice in a nutshell: Pharma, sell. Pick your price based on something other than market power. And some pharma companies are actually dipping their toe into these waters and doing it. But then PBMs and plan sponsors have to hold up their end of the bargain here and buy drugs based on their value, not just the size of their rebates or some other discounting promise. And then we gotta continue the through line through to member affordability and access. High-value drugs should get preferred. So, right, do a high-value formulary. Listen to the show with Nina Lathia, RPh, MSc, PhD (EP426) on high-value formularies and then listen (after you're done with that one) to episode 435 with Dan Mendelson entitled "Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care." Also, as I said, GLP-1s come up in this conversation, so … yeah, buckle up. One last thing, besides my normal thank you to Aventria Health Group for sponsoring this episode, I am so pleased to thank Payerset for donating to help Relentless Health Value stay on the air. Payerset is a price transparency company with a mission to create fair and equitable healthcare for everyone. Love that. Payerset empowers healthcare organizations, employers, and patients with the most complete set of healthcare price transparency data. They benchmark every negotiated rate and claim and delivering the actionable insights needed for smarter contract negotiations and a more transparent healthcare system. As I have said several times today, my conversation is with Sarah Emond, CEO of ICER. Also mentioned in this episode are Institute for Clinical and Economic Review (ICER); Cora Opsahl; 32 BJ Health Fund; Keith Passwater; JR Clark; Nina Lathia, RPh, MSc, PhD; Dan Mendelson; Aventria Health Group; Payerset; Antonio Ciaccia; Elizabeth Mitchell; Purchaser Business Group on Health (PBGH); Shane Cerone; Sam Flanders, MD; Mark Cuban; Morgan Health; and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at ICER.org and follow Sarah on LinkedIn. Sarah K. Emond, MPP, is president and chief executive officer of the Institute for Clinical and Economic Review (ICER), a leading nonprofit health policy research organization, with 25 years of experience in the business and policy of healthcare. She joined ICER in 2009 as its first chief operating officer and third employee and has worked to grow the organization's approach, scope, and impact over the years. Prior to joining ICER, Sarah spent time as a communications consultant, with six years in the corporate communications and investor relations department at a commercial-stage biopharmaceutical company and several years with a healthcare communications firm. Sarah began her healthcare career in clinical research at Beth Israel Deaconess Medical Center in Boston. A graduate of the Heller School for Social Policy and Management at Brandeis University, Sarah holds a Master of Public Policy degree with a concentration in health policy. Sarah also received a bachelor's degree in biological sciences from Smith College. Sarah speaks frequently at national conferences on the topics of prescription drug pricing policy, comparative effectiveness research, and value-based healthcare. 08:18 Why list prices are a lie. 10:59 How does the rebate model sometimes get in the way of paying for value? 12:50 Bonus clip with Sarah Emond. 13:14 EP491 with Elizabeth Mitchell. 13:20 EP490 and EP492 with Shane Cerone and Sam Flanders, MD. 14:37 The tension that is created between affordability and adherence. 15:03 When cost sharing makes sense in pharmaceutical drug pricing. 17:26 INBW42 with Stacey on moral hazard. 18:53 How GLP-1s are "wildly cost effective." 21:32 Why the sticker shock on cost-effective drugs is a failure in the system for paying for value. 22:38 ICER's report on GLP-1s. 26:59 EP385 with Dan Mendelson. 28:57 How employers and payers can have a value assessment approach and a health insurance system that allows access to cost-effective drugs. 29:48 How cost-effective prices are calculated. 31:55 One of the core value underpinnings for value assessment of drugs. 34:54 Why manufacturers and pharmacy benefit managers should work together more by referencing something like an ICER report. 36:55 EP426 with Nina Lathia, RPh, MSc, PhD. 38:21 "We can make different choices." You can learn more at ICER.org and follow Sarah on LinkedIn. @sarahkemond discusses #pharmaceutical #drugpricing on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW43), Olivia Ross (Take Two: EP240), John Quinn, Dr Sam Flanders and Shane Cerone (EP492), Elizabeth Mitchell (EP491), Shane Cerone and Dr Sam Flanders (Part 1), Dan Greenleaf (Part 2), Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl
On this episode of DGTL Voices, Ed Marx interviews Adam Charrington, the Vice President of Digital Health for KLAS. They discuss Adam's personal journey, including his family, life mantras, and experiences that shaped his views on healthcare. Adam shares the challenges faced during his wife's battle with cancer, and the importance of patient engagement in healthcare. The conversation also touches on the role of KLAS in providing insights for healthcare organizations, surprising findings from patient perspectives, and the significance of leadership and vulnerability in the industry.
Claudin 18.2 is a novel biomarker for advanced gastric and gastroesophageal junction cancer. Patients who test positive for claudin 18.2 may be candidates for the monoclonal antibody, zolbetuximab, which directly targets this biomarker. In this episode, CANCER BUZZ speaks with Manish A. Shah, MD, FASCO, director of the Gastrointestinal Oncology Program at Weill Cornell Medicine, about how claudin 18.2 is shaping treatment decisions and some of the clinical trials pursuing more information about the potential for this biomarker. CANCER BUZZ also speaks with Sasha Watson, PharmD, outpatient medical oncology clinical pharmacist at Sylvester Comprehensive Cancer Center, about the importance of engaging the whole multidisciplinary team in biomarker testing for optimal patient outcomes. "I often talk to my gastroenterologist and ask them to get more than 1 biopsy to make sure that we have enough tissue for now and even in the future." - Manish A. Shah, MD, FASCO Instead of lumping all gastric cancers into one group, we use these biomarkers to split them out... We have more refined and tailored treatments for patients with gastroesophageal adenocarcinoma based on these biomarkers." - Manish A. Shah, MD, FASCO "Nurses in the infusion center are a huge help that we absolutely need, and administering this treatment would be very difficult if we didn't have scaled and experienced nurses here." - Aleksandra (Sasha) Watson, PharmD "What I see is just a lot of patients having hope—some new part of their cancer that we can target with a drug that we previously didn't have any options for." - Aleksandra (Sasha) Watson, PharmD Guests: Manish A. Shah, MD, FASCO Director, Gastrointestinal Oncology Program Weill Cornell Medicine New York, NY Aleksandra (Sasha) Watson, PharmD Outpatient Medical Oncology Clinical Pharmacist (GI + Sarcoma) Sylvester Comprehensive Cancer Center Miami, FL Resources ACCC Biomarkers Webpage ACCCBuzz Blog: Importance of Biomarker Testing, Patient Goals and Education When Treating Gastric Cancer
This week, we look at new trials on glucocorticoids for pneumonia in Africa, shunting for normal-pressure hydrocephalus, and pegcetacoplan for two rare kidney diseases. We review updated vaccine evidence for Covid-19, RSV, and influenza, and present a case of respiratory decline and muscle weakness. Perspectives explore health care incentives, U.S. global health strategy, and bringing AI-enabled care to rural America.
This episode of Integrative Cancer Solutions centers on David A. Caravantes, founder of the Beat Cancer Foundation, tracing how his father's recovery catalyzed his mission to reframe cancer as a metabolic disease. Caravantes describes his path from breathwork and mitochondrial health to advocacy, arguing that conventional oncology often overlooks root-cause physiology. He situates his perspective amid recent public health controversies and his own family's experience, using that narrative to underscore the urgency of patient education and informed consent in cancer care.Caravantes distinguishes his foundation's philosophy by emphasizing terrain-focused care: gut integrity, systemic pH balance, oxygenation, fasting, and whole-food nutrition as the biochemical conditions that “starve” cancer. He critiques standard-of-care modalities—chemotherapy, radiation, frequent biopsies—for damaging beneficial microbiota, driving malnutrition, and potentially spreading malignant cells. In his view, addressing metabolic dysfunction is the common denominator not only in cancer but across chronic disease, and it requires sustained lifestyle shifts alongside targeted therapeutics.A major theme is the use of repurposed drugs and adjunctive modalities. Caravantes highlights agents such as metformin, ivermectin, doxycycline, and B17, as well as DMSO and exosomes, within protocols that aim to disrupt cancer metabolism and support immune regulation. He also references techniques like photodynamic therapy and therapeutic hypothermia. While critical of financial incentives that tether clinicians to narrow pathways, he frames his approach as complementary and integrative, seeking synergy rather than wholesale rejection of traditional tools.Education and empowerment recur throughout the conversation. Caravantes encourages patients to become “CEOs” of their health—asking questions, evaluating trade-offs, and insisting on transparent risk–benefit discussions. He shares anecdotes of patients facing institutional resistance when they probe beyond standard options, arguing that public awareness, media literacy, and community-led knowledge-sharing are prerequisites for meaningful change. Success stories of remission within his community are presented as evidence for broader adoption of metabolic strategies.The episode closes with actionable guidance: intermittent fasting within an eight-hour window, anti-processed-food habits, mineral-rich choices, and simple daily routines to nurture the body's terrain. Caravantes is ultimately optimistic, forecasting that patient demand and continued clinical exploration of repurposed drugs will shift oncology toward more holistic, metabolism-centered care. He envisions Beat Cancer Foundation as a conduit for that transition—training patients and practitioners to collaborate on personalized, integrative protocols that prioritize both efficacy and quality of life.David A. Caravantes explains how his father's recovery led him to found Beat Cancer Foundation and champion cancer as a metabolic disease.He argues conventional treatments like chemo and radiation damage gut health and nutrition, urging terrain-focused care that supports the microbiome and oxygenation.The conversation highlights repurposed drugs (e.g., metformin, ivermectin, doxycycline, B17) and adjuncts like DMSO and exosomes within integrative protocols.Education and patient empowerment are central, with a call for informed questioning and awareness of financial and institutional incentives in oncology.Practical takeaways include intermittent fasting, whole-food nutrition, mineral support, and lifestyle shifts to create conditions that “starve” cancer cells metabolically._____________________Grab my book A Better Way to Treat Cancer: A Comprehensive Guide to Understanding, Preventing and Most Effectively Treating Our Biggest Health Threat - https://www.amazon.com/dp/B0CM1KKD9X?ref_=pe_3052080_397514860 Unleashing 10X Power: A Revolutionary Approach to Conquering Cancerhttps://store.thekarlfeldtcenter.com/products/unleashing-10x-power-Price: $24.99-100% Off Discount Code: CANCERPODCAST1Healing Within: Unraveling the Emotional Roots of Cancerhttps://store.thekarlfeldtcenter.com/products/healing-within-Price: $24.99-100% Off Discount Code: CANCERPODCAST2----Integrative Cancer Solutions was created to instill hope and empowerment. Other people have been where you are right now and have already done the research for you. Listen to their stories and journeys and apply what they learned to achieve similar outcomes as they have, cancer remission and an even more fullness of life than before the diagnosis. Guests will discuss what therapies, supplements, and practitioners they relied on to beat cancer. Once diagnosed, time is of the essence. This podcast will dramatically reduce your learning curve as you search for your own solution to cancer. To learn more about the cutting-edge integrative cancer therapies Dr. Karlfeldt offer at his center, please visit www.TheKarlfeldtCenter.com
This week on Health Matters, Courtney sits down with Dr. Braden Kuo, Chief of the Division of Digestive & Liver Diseases at NewYork-Presbyterian and Columbia. Dr. Kuo covers common gut problems during the holiday season, a time of indulgent meals and treats. From bloat to heartburn to travel-related stomach issues, Dr. Kuo is a trove of information and practical tips for navigating holiday festivities with good choices for your gut. ___ Dr. Braden Kuo is a leading neurogastroenterologist specializing in gastrointestinal motility and the relationship between the brain, nervous system and digestive system. He is the Chief of the Division of Digestive and Liver Diseases at NewYork-Presbyterian/ColumbiaUniversity Irving Medical Center and Columbia University Vagelos College of Physicians andSurgeons. Dr. Kuo received his medical degree from Jefferson Medical College and completed his residency at the University of Texas Southwestern Medical Center before arriving at Massachusetts General Hospital, where he served as director of the Center for Neurointestinal Health. He also completed formal training in clinical research, earning a Master of Science from the Harvard T.H. Chan School of Public Health, and subspecialty training in neurogastroenterology and motility at Mayo Clinic.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org
Exam Room Nutrition: Nutrition Education for Health Professionals
GLP-1 medications are changing the game in obesity care. Patients are losing weight, feeling full faster… and often eating less overall. But less food can also mean less muscle, unless we guide them toward the right nutrition. In today's episode, we unpack how clinicians can better counsel patients using anti-obesity meds, and how nutrient-dense, affordable options like pork can support satiety, muscle maintenance, and sustainable weight loss. In this episode, we cover: How GLP-1 medications affect hunger, fullness, and food preference What makes a protein “high quality” — and why that matters for preserving lean mass How pork compares to other proteins like chicken, tofu, and beef when it comes to: Nutrients like vitamin B12, selenium, iron, and thiamin Satiety and fullness Affordability and accessibility How to assess whether a patient is meeting protein needs — even with a reduced appetite The “Pork + Plants” strategy and why pairing protein with fiber supports GLP-1 success This episode is brought to you by the National Pork Board's Pork & Partners healthcare professional community, helping clinicians reframe the role of lean pork in a healthy diet. You can join here! Resources Mentioned: Episode 109: Is Pork More Nutritious Than You Think Lean Pork GuidePork Comparison GuideRole of Pork for Patient's Using GLP-1sAny Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week. Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
SummaryIn this conversation, Brenda Snow shares her personal journey as a patient diagnosed with multiple sclerosis and discusses her book, 'Diagnosed: The Essential Guide to Navigating the Patient Journey.' She emphasizes the universal experience of navigating chronic illness, the importance of grief and acceptance, and the need for strong doctor-patient relationships. Brenda also highlights the significance of maintaining one's identity while caregiving and the power of storytelling in healing. The discussion concludes with advice for aspiring writers and the importance of sharing personal narratives.Chapters00:00 Introduction to Brenda Snow and Her Journey02:49 The Universal Patient Experience06:48 Navigating Grief and Acceptance12:41 The Doctor-Patient Relationship20:42 Identity and Caregiving26:12 Finding Growth in Adversity31:56 The Power of Storytelling35:40 Advice for Aspiring Writers Hosted on Acast. See acast.com/privacy for more information.
Send us a textOur faith in God gives us the confidence we need. Faith functions as confident trust in God rather than a push to make everything happen on our own. How do we exercise patient endurance? Why is patient endurance not passive waiting but an active, steady posture that keeps us doing God's will?Our mindset of faith is a divinely inspired framework to turn vision into reality: expectation, anticipation, preparation, and realization. Expectation begins when we receive a promise; anticipation imagines the future joy and impact; preparation translates belief into obedient steps taken in response to God's guidance and timing; realization is the fruit that arrives in due season. Satan attacks us in our minds. His tactic is to create doubts.Often, he whispers, "How can you make that happen?"A key insight is that we don't make things happen. We receive by faith what God has already provided.God gives us a decisive response. Submit to God's faithfulness, power, and love; resist the thought in Jesus' name, and then proclaim your promise from God aloud. Practice this regularly to build confidence and align your heart with God's Word, reinforcing your faith during spiritual battles.Our daily mindset becomes a practiced response. Over time, we learn to focus on the next step as God directs, to rest in the wisdom of His perfect timing, and to allow Him to lead us into the realization of His plan for us.Your life will positively impact your family, colleagues, clients, and those you meet along the way.Listen to God's plan and receive courage to keep going, a plan to move forward, and power to fight doubt. The outcome of expectation, anticipation, and preparation is the realization of God's promises in your life.https://www.seldicompany.com/
Episode Title: Wasted Time, Open Time, and Maximizing Your Schedule Episode Description: Welcome to another exciting episode of Dental Drill Bits! This week, Sandy Pardue is joined by a very special guest—Dana Pardue, the original co-host and HR business professional. Together, they kick off the new season with a deep dive into one of the most critical topics for dental practices: managing open time in your schedule. Discover actionable tips to identify, track, and eliminate wasted time in your practice. Whether you're dealing with broken appointments, patient no-shows, or underutilized slots, this episode equips you with practical strategies to improve productivity, enhance patient care, and boost your bottom line. Plus, hear Dana's unique perspective on the patient experience and why over-communicating about appointment changes can backfire. Stay tuned until the end for a game-changing resource that could revolutionize how you handle in-house membership plans! What You'll Learn in This Episode: Dana Salisbury's journey back to Dental Drill Bits and her insights on training and development for dental practices. The real cost of open time and why tracking it is crucial. How to calculate daily, hourly, and per-unit production goals. Strategies to reduce cancellations, no-shows, and last-minute reschedules. The importance of maintaining a reliable call list and leveraging patient interactions. Patient perspective: Why excessive appointment changes can harm patient satisfaction. The role of team meetings in addressing missed opportunities. An introduction to Plan Forward—a custom dental membership platform offering tools for automated billing, patient communication, and more. Sponsors: Identity Dental Marketing Looking to stand out in a crowded market? Identity Dental Marketing builds brands that convert.
Are missed calls and slow responses costing your med spa business? In this episode of Medical Spa Insider, AmSpa founder Alex R. Thiersch, JD, speaks with Yan Lee, Head of Sales and Partnerships at Zidy, an AI-powered communication platform designed to help aesthetic practices book more appointments, increase Google reviews, and streamline client communication. Lee shares how Zidy consolidates messages from text, phone, social media, and web chat into one intuitive dashboard, enabling med spas to respond faster, schedule appointments after hours, and attract more clients. Listen to learn: How Zidy started in real estate and evolved to serve med spas. Why AI phone answering can boost revenue for small practices that miss calls during treatments. How Zidy's unified inbox improves response times and client satisfaction. Why Google reviews matter for search visibility—and how Zidy automates requests. How a California med spa tripled reviews and booked extra appointments after hours using Zidy. Pricing options, AmSpa member discounts, and what's next for AI in aesthetics. -- Music by Ghost Score
Senator Jon Husted spoke to Bill about Senators have about a week before they're set to vote on soon-to-expire Affordable Care Act subsidies - Husted attends White House signing of SUPPORT for Patients and Communities Reauthorization Act - OSU VS INDY - BIG 10 CHAMPIONSHIP Game.
Mga tunay na kwentong ipinadala sa sindakstories2008@gmail.com.True Ghost Stories of Podcast Listeners. Hosted on Acast. See acast.com/privacy for more information.
ShadyPanda plays the long game. India mandates tracking software on mobile devices. Korea weighs punitive damages after a massive breach. Qualcomm patches a critical boot flaw impacting millions. OpenAI patches a Codex CLI vulnerability. Google patches Android zero-days. Cybersecurity issues prompt an FDA permanent recall for an at-home ventilator system. Switzerland questions the security of hyperscale clouds and SaaS services. One of the world's largest cyber insurers pulls back from the market. On our Threat Vector segment, David Moulton sits down with Stav Setty to unpack the Jingle Thief campaign. In Russia, Porsches take a holiday. Remember to leave us a 5-star rating and review in your favorite podcast app. Miss an episode? Sign-up for our daily intelligence roundup, Daily Briefing, and you'll never miss a beat. And be sure to follow CyberWire Daily on LinkedIn. Threat Vector segment In today's Threat Vector segment, host David Moulton, Senior Director of Thought Leadership for Unit 42, sits down with Stav Setty, Principal Researcher at Palo Alto Networks, to unpack Jingle Thief a cloud-only, identity-driven campaign that turned Microsoft 365 into a gift card printing press. Stav explains how the Morocco-based group known as Atlas Lion lived off the land inside M365 for months at a time, using tailored phishing and smishing pages, URL tricks, and internal phishing to compromise one user and quietly pivot to dozens more. To listen to the full conversation on Threat Vector, listen here. You can catch new episodes of Threat Vector every Thursday on your favorite podcast app. Selected Reading Browser extensions pushed malware to 4.3M Chrome, Edge users (The Register) India plans to verify and record every smartphone in circulation (TechCrunch) Apple to Resist India's Order to Preload Government App on iPhones (MacRumors) President orders probe into Coupang breach (The Korea Herald) Qualcomm Alerts Users to Critical Flaws That Compromise the Secure Boot Process (GB Hackers) Vulnerability in OpenAI Coding Agent Could Facilitate Attacks on Developers (SecurityWeek) Google Releases Patches for Android Zero-Day Flaws Exploited in the Wild (Infosecurity Magazine) 'Cyber Issue' Leads to FDA Recall of Baxter Respiratory Gear (GovInfoSecurity) Swiss government bans SaaS and cloud for sensitive info (The Register) Publication: Resolution on outsourcing data processing to the cloud (Privatim) Insurer Beazley Steps Back From Cyber Market as Attacks Surge (PYMNTS.com) Hundreds of Porsche Owners in Russia Unable to Start Cars After System Failure (The Moscow Times) Share your feedback. What do you think about CyberWire Daily? Please take a few minutes to share your thoughts with us by completing our brief listener survey. Thank you for helping us continue to improve our show. Want to hear your company in the show? N2K CyberWire helps you reach the industry's most influential leaders and operators, while building visibility, authority, and connectivity across the cybersecurity community. Learn more at sponsor.thecyberwire.com. The CyberWire is a production of N2K Networks, your source for strategic workforce intelligence. © N2K Networks, Inc. Learn more about your ad choices. Visit megaphone.fm/adchoices
Kiera goes into the key pieces for a worry-free practice, including systematizing your stress points, providing boundaries around time and energy, and leading proactively. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and I hope you're having an amazing day. I hope that you are excited for today's podcast. I am, because like, why don't we create a stress-free practice? That sounds like, sign me up. Yes, please. Thank you. Happy to take you guys through that and how to create a stress-free practice, at least at a base level, at least certain tactical tips that you can put into place today to start exploring that, experiencing that. And honestly, I just love, I love the game of business. I love the art of business. I love. ⁓ I love the impact and the change we're able to make. And I truly just love human beings. I love helping people just experience their best life, whether it's my sister or my friend or my neighbor or our community or our podcast family, whomever you are, wherever you are, I'm just so grateful and honored that you're here with us today. So if you love our podcast, if it's changed your way in any way, shape or form, do me a favor today and just share it with somebody that you think this could make their day better. Whether it's today's podcast or another podcast. Go to our website, TheDentalATeam.com, click on our podcast tab, search any topic that you ever could want, make sure that you're able to access all the free resources that are available to you. And if I can help you personally or professionally in any way, you guys, truly like, I built this company to be a friend in the industry, to be somebody who has vetted all the different people out there to help you out. And it's so fun because I used to work at Midwestern University's dental college before I started consulting. And it was so fun. The other day I was on a call. and my phone, like I was on a video call and my phone lit up and I looked at it and it was literally a dental student. we're talking throwback to the past, shout out to my Midwestern family. And I was like, oh my gosh, I've not seen that name on my phone and we're talking eight plus years. And so as soon as they finished the call, I called them back and I was like, dude, it's been so long, how are you? And it just like, my cheeks hurt from smiling so much right now. It made me so happy to be able to have been in the industry long enough to have worked with so many different clients and have so many different resources that no matter what has been thrown my way with different clients, this student that I haven't talked to in eight years who's at a pretty awesome crossroad of their practice and their life and what they're doing, to be able to truly give them ⁓ advice, to give them resources, to help them out. And I realized once again, that that is why this company exists. It is to truly be that friend in the industry. And he's like, Kiera, like, your time is valuable. And I was like, are you kidding? Like, this is what my time has meant for my time is meant to help and to serve and to be that resource and advocate. Whether you work with us as an active client or whether you're an massive advocate of the podcast, ⁓ or if we're just someone who have we met in passing, just know that you have somebody out there who is truly committed to making you the most successful, the happiest. all the best resources I can possibly bring to you. That's what this podcast is about. So share this with somebody who needs this. Make sure that you get this into the hands of all these dentists that need the help, that need the resources, because this is a free resource. There's no strings attached other than just asking you to truly give back to those around you, in your community, in your study clubs. Make sure everybody is a raving fan listening to the podcast, because my job is to help you become the best that you can possibly be. So with that today, like I said, I teased it out a little bit. We're gonna help you figure out how to create this, you know, stress-free practice. And it's honestly going to be through nothing sexy, nothing hard. I hate hard things. I like it to be easy. One of our core values is ease. So everything I bring to the podcast, everything we do in consulting should make your life easier and not harder. like honestly, stress-free practices come from systems and leadership. That's the bottom line. It's systems and leadership all day long. And it's the discipline to follow through on both of those. That's what it is. So this is something where it's like, we're going to reduce the chaos. We're going to protect your energy and help you truly feel so much better in the practice because this is what we're about. Like this is how we're able to get you guys there. And so the systems and the leadership done with consistency will help you have stress-free practices. Now, a lot of times it's, know what you should do, but you don't do it or you don't consistently do it. It's like parents, it's like, I know I shouldn't give my kid candy, but I do it because they're screaming and I just want the screaming to stop. Well, is that a temporary fix or is it a long-term solution? And so for this, making sure that we're systematizing. Now systems for point number one are going to be exhaustive. You will never be fully systematized. You will never be fully done and perfect in all the pieces. There will always be an evolution. And I just want to like get rid of the hope and the wish that, my gosh, like maybe I could do this or maybe it would change or I will one day reach this mountain. You won't. So when I work with offices, like how do you get them systematized? How do you do it? What's your magic diet pill? And I'm like, Well, I systematize the stress points. I systematize what's causing the most pain that's going to give me the most gain. And I do that immediately because then the screaming stops, but it stops forever. Did you hear the difference? The screaming stops, but it stops forever rather than just feeding my baby candy. So they stop screaming temporarily. Well, then they're going to start screaming because they get a tummy ache and then they're going to throw up on me. And then that's a whole nonsense rather than just giving them the food that they actually need and want and doing that consistently to help my baby out. So for your practices, we're gonna systematize those stress points. So what happens from this is, I usually when I go into a practice or our consultants go into your office or we're working with you virtually, we're going to look for the top three pain points that you tell us are the pain points. Then we're gonna use the data to actually tell us additional pain points. And then we're gonna look at those two things combined and we're gonna pick out the top three things that are going to move the practice forward. Like literally this is what we do. So sometimes it's a scheduling and efficiency. It's a communication like that happens all the time. It's a billing, it's a profitability, it's a lack of production. It's a, don't know what my next step is. It's whatever your pain point is, like, my gosh, like I was talking to an office the other day and like, I'm so sick of the like time off requests and people calling out sick coming to me as a doctor. And I said, that's funny. Who's your office manager? Like what's your office manager doing? Because that should never be coming to the doctor. Should definitely be going to the office manager. That right there. is a simple, easy fix. We put up a system, we put up a process, we just tell the team, here's the new organization chart, here's who goes to who, boom, pain point gone and resolved as long as you stick with it. So what we wanna do is we wanna look at what our top three recurring pain points are. Again, we talk to the team and then we look at your data. What do your numbers tell us are truly the issues that you're having? And then what we do is we create systems, SOPs or protocols, and then we have accountability with it. So like when I go into a team and, there's an issue of our scheduling. Well, great, let's put a scheduling template in. Let's roll it out to the entire team. Let's let everybody know what the rules of the game are. That way everybody can play the game. And then we put it into place for six weeks and we reassess and we refine and we change it up as need be. And when you start to do this and you start to systematize, and for me, I don't like systems that you have to remember. I like systems to just be in place. So a scheduling template just goes in place and everybody can follow it. We tell them the rules of the game, but it's very easy. Like don't make it where it's like, This green block is for just treatment, big treatment. Well, what the heck is big treatment? Let's do this green block is for a $2,000 and you can have X, Y, or Z that can go in there. Fantastic. Well, now I know when I'm looking for green blocks, any person who's a crown or quads of fills or endo or implant, like anything 2000 or above can go here and I can stick it in. Now, now that's easy. I know it's $2,000 instead of big production. That's so much easier. Then what happens if I can't fill that? Well, great, 24 or 48 hours, whatever we decide as a team that feels good to us, we hold that block for that long and then we can go and change it. Now what happens is somebody is like, but Mrs. Jones just wanted to go in that spot. I know I'm not supposed to. What happens then? Well, great, the person who's scheduled gets to call Mrs. Jones and move her. We don't play the game. We don't get to do this. Like unless it's 24 or 48 hours, that block is held for that exact procedure. And I checked to see whose name did it and they get to call that patient with me. awkwardly sitting there with them, supporting them, so we don't do this again. I want to make it so uncomfortable that you would rather follow the blocks rather than have to deal with the consequence. But it's fine, you know the rules of the game before we start the game. So that way no frustration occurs because expectations have been laid out. Fantastic, we follow the blocks. People are like, Kiera, we're hitting higher production. We're getting out on time. We're getting our lunches. Patients are happier. Isn't that funny? That was something that was such a big pain point for you. And with simple little steps that we put into place that all of us like agreed to follow, the whole team's on board, we all know that. We instantly fix the problem. This is what I'm talking about, systematizing your stress points and making it to where everybody can follow it. We hold it accountable. But like once you put it in there, now there's really not a lot of like remembering what we have to do, because it's all in there spelled out. Like NDT or handoffs, if you're struggling to get your case acceptance up, put that in place. phenomenal, it's on every single route slip, it's in every single note template, then all you really have to remember is to fill in the boxes. And we have a tee up to where the team members prompt the doctor if the doctor forgot to say it. That's great. And now you're like, Kiera, you just added $25,000 to my practice. You're welcome because you did the work. You followed the system. You systematized the pain point and we looked at the numbers to tell us based on what you're telling us, based on what the numbers are telling us, let's put this into play. So if we can solve three of those issues for you, That would be amazing. So looking at your practice, look to see what those pain points are and commit to systematizing those, those hot points, those stress points that are going to move the needle forward the quickest for you. Then the next piece to make the stress fee is you've got to make sure that there are boundaries around time and energy. So with offices, a lot of times like burnout doesn't come from working. Burnout comes from having poor boundaries and overworking and committing to everything to where you feel like you can never catch up. So what this is is like, I love to build with doctors your ideal week. And we're going to, guys have heard me talk about this constantly. I cluster likes with likes. So we have our admin time. We have our doctor time. We have like when I'm building out a block schedule, we have it to where you want your crowns and we have what you have at the end of the day and right before lunch. So that way we can actually batch all of this along. You can get a lot more done when it's batched and it's clustered and it's connected. And then we protect that. Like doctors, I tell them, like, here, I can never get out of here on time. And I'm like, great. So here's the deal. You get out by like, what's reasonable. Let's say you end patients at five, you're out the door by 530. For every day you're not out at 530, I'm gonna let you out of a four day work week, if you have three days, you gotta get out one day, that way you don't have to be perfect. Three days you gotta be out by 530, and if you're not out by 530, you owe me a thousand bucks at the end of that week. my goodness, guess what? They instantly get out at 530, how? Because we made it a priority, we had a strong boundary on it, and we said this is what we're doing, and there was something on the other side of it. Or it can be like, okay, you follow this for the next two weeks and you get to have a pedicure or a massage or whatever you want to do. We attach something fun to it. But what's wild is just changing how we're working. It's changing how we're setting this up, but we're making it a, like it's a, it's a no go zone. We don't go past this and we say no to what doesn't align in those blocks. So for me, I know I've got podcasting days. Tiffanie was like, Kiera, can you wait? And I said, no, Tiff, I've got podcasting. Like I gotta get there. And she's like, that's okay. I can take care of it in another time. Or I could have been like, absolutely, Tiff, no worry. Like I'll push the podcast. Like not a big deal. Well, when I do that, yeah, then I'm to be working on podcasts later. Everything goes down. Nothing works well because I didn't set boundaries around my time. And I didn't make a commitment that I was worth it because saying yes to something is saying no to something else. And I say yes to Kiera because I know at the end of the day, my greatest asset in life is my body. It's my time. Like that's my greatest assets. And so I've got to be so, so, so strict on it. Everybody will try to take it. It's my responsibility to be consistent with that. So we protect that. We say no. And what's wild is when doctors will do this and they set up their ideal weeks, when they set up their admin time or their CEO time, their deep work time, and they actually commit to it and they stick with it, they literally start to grow the practice exponentially. They start to feel so much happier. They start to get out on time. They start to have more time with their families. I had one doctor and she was just burnt to a crisp. Hated her life. I will tell you this woman now is since working with us has added over $450,000 to her practice She's got a 24 to 1 ROI of her consulting to her amount that she's paid in consulting to what we've brought to her practice Pretty good ROI that's better than the stock market if you ask me so a great great odds to bet on if you're looking for something And I remember she was just burnt out and she's like here. I have to like keep working every single night I'm exhausted and I said great. Here's your Here's your task, every night I want you out the door by let's commit to a time, 5.30. And I said, and you're gonna go home and you're gonna give yourself and your family a gift and there's no work, it doesn't come with you. It doesn't like, you don't get to take home that backpack. Like I think schools have mistaught us that we go to work all day long, AKA school, and then we come home and we work all night long. And I'm so anti this model. Like, whoo, get me on a soap box. because then we do that at work and we're working 40 hours and then we're taking it home and then we're not showing up for our families and we're not showing up for ourselves and then we wonder why we're chronically tired and we're not working out and on and on and on on and And I'm just so sick of it that I'm like, awesome to this doctor. said, great. So tonight's a gift. I want you to leave everything at work. It's gonna be here for you tomorrow. Like you go home and work on it for two more hours. Are we really gonna move the needle? And she's like, no, probably not. I was like, I want you to go home tonight and I want you to go have fun with your kids. I want you to go be with your husband and I want you to like, let me know how you feel tomorrow. And I got a text and she's like, Kiera, like I played a game with my kids and it felt so good to be a mom and to show up. And we consistently started giving her her life back. And we started to have helping her see like at five 30, you're out the door. We don't take anything home with it because when we have those parameters and those boundaries, what happens is you naturally find ways to actually accomplish the work because you know, it's a hard no. And I used to take work with me all the time and it used to be this And then I was like, absolutely not. So for me, my boundaries are, I do not work at all, like ever, non-negotiable on Sundays, period, nothing. And I don't work on Saturdays. Like there might be an emergency here or there, which that's fine. And it is a true absolute emergency. Like we're talking, someone's quitting and we've got to figure out what we're gonna do. Like Sarah is something that we, there was no planning for it. Like those types of things, absolutely. But 99.9 % of things do not need to be resolved on a Saturday. clients text me on a Saturday and I love them and hey, I'm here for it. I'm not here for it on Saturdays. So great. And I tell clients text me all the time. And if I'm busy with family or I'm not available, I will not respond to you, but you get it out of your head. You get it over to me. I will take care of it when I'm back in the office. So fine. I don't care if clients text me on Saturday. That's fine. It does not bother me. It does not disrupt me because I know that Saturdays I don't work. That's my free day. I also have a CEO day that literally I block. And I know because if I have white, white noise time, deep work time, So much more happens in the business. I also have workout time for myself. I work out three to four times a week. That's a non-negotiable. I have my morning routine every single morning, non-negotiables for me. That did not start as a day one. It became a process. But I started realizing if I don't take care of me and I don't have this future vision of 90 year old Kiera who's still super, super, super sharp. She's got time. She has energy. Her body's strong. She took care of herself. If I don't prioritize that version of me. Today, she's not gonna be here at 90. So this is for you to predict your boundaries, to set it out. And I promise you, I promise you, the stress in your practice will actually decrease because you will be better balanced, you will be better focused, you will be better, like just cognitively, you will feel like you're not exhausted all the time and you can make better decisions. So your leadership will actually rise if you start to set those boundaries around your time and energy. And then number three is leading proactively and not reactively. So for that, like once again, this comes to you as a calm leader and you taking care of you. So it's tying to the top of yes, we've got these boundaries, we know where we're going to be, but also at the same time, like you have these pieces where we actually have structure in there. So like we use morning huddles and we have one-on-ones. So we prevent problems from stemming in the future. ⁓ We have set meetings where we make decisions instead of it being on the fly decisions. We have set time that we get all those ortho checks back to our team. We have set times that we actually review pieces in the company. ⁓ We have debriefs. We have a same page meeting with our office manager. ⁓ We have set date nights with our spouse. We have set workout times with ourselves. But all these little set points, they feel like, as I say it, I'm like, gosh, that might feel like a lot. It's like, hey, block your whole life. So you've got all these color blocks. But the reality is when you've got this structure, you're very proactive, not reactive, and you actually have a lot more time in your world. People are like, Kiera, how do you get so much done? How do you podcast three times a week, guys? You're welcome. And it's been going on for almost six years, thousands of episodes. People are like, how do you do it? And how do you have clients? And how are you a CEO? And how do you have time for your husband? How do you work out? And I'm like, honestly, it's because you're very proactive and not reactive. I used to be very, very reactive when I first started the company. And then we moved it into a space where it was a phenomenal. we can take care of this. We don't have to have answers right away. I grew up as a CEO. I grew up as a leader, but it was leading proactively and not reactively. So looking to see where are quick areas that you might be a little reactive and how could you be a bit more proactive on that? ⁓ Like I said, what things can we put into place beforehand to make sure they're not there? So when we look at this, this is how you're able to build a stress-free practice of you systematize the top priorities, like we systematize those stress points and we get those dialed in. Then we protect our time. have boundaries around it. And then we lead proactively and we put things into place. So that way in our team, bubbles and issues are arising constantly. We teach our team how to have effective meetings, how to have issues lists, how to solve things like, Oh, I have a team like on this leading proactively. They have so many issues all the time. I'm like, I have never in my almost decade of coaching how to practice have this many fires all the time. And I'm like, all right, you guys are like a spinning top. So you need to build an issue. Listen, we need to stop having like, stop answering and solving problems every single day, all day long. Cause what you're teaching your team is they can just like vomit on you and you're going to like fix it constantly. Like it's like a child throwing a temper tantrum. Like, let's like, no, sometimes timeouts are necessary. Sometimes a calm and a shutdown time is good. ⁓ I've read a lot of books and they're like, people will say, Hey, when can I get that decision? Like, At nine o'clock on Friday is when my thinking time is and I'll have a decision made by then. Like how incredible and people are okay with that. So it's this proactive rather than reactive. And we've got this team to where they now have their issues board. They only make decisions on their leadership days. They're not having to go through the fly constantly. They have set times. I had to do that too. And this is how I know that if you do this, this is how you can create stress-free practices because it's not perfect, but it is prepared. has a lot of pieces in there I will tell you that's how you're able to literally like shut the phone off at night, able to disconnect, able to know that everything's being taken care of. I still feel like there is always this like hum of nervousness, ⁓ but it does, the noise of that nervousness goes down to where you're able to not feel like it's constantly there. So if this is something that you feel like you're constantly putting out fires, this is literally what we do all the time. ⁓ And so this is where I'd love for you guys just to subscribe, ⁓ to share, to like, to follow along, to help you guys and to share this with somebody who deserves more peace of mind. And that might be you. And if that's the case, then like, let's help you build your practice this way. Let's help train your team this way. Let's help train you as a leader because leaders aren't made, they're created. And I feel like so many of us just think that we're born out of the womb, a great leader. And it's like, no, a great leader is created. It's formed, it's evolved. And so for you to realize like that is part of it, this is where it's going to be for you. So take the challenge, let's help you get that stress free practice. does like go for this systematize, set boundaries around your time and lead proactively and reach out Hello@TheDentalATeam.com at all, if we can help you in any way, or form, because I want you to be living your best life. I want you to not be stressed. I want you to know that success doesn't have to be a hope and a wish, but it can be predictable for you. And this is how I love to help practices. This is what our consultants are obsessed about. They're brilliant women ⁓ who just know how to lead teams that have done this successfully many times over. So reach out, do yourself the favor and commit to like, I'm not gonna be stressed anymore. And there's a better way to do it. And I'm going to commit to doing that and reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.
Dr. Jason Vassy, is a primary care physician at the VA Boston Healthcare System. He leads the Genomes to Veterans Research Program, which focuses on bringing genomic tools into everyday Veteran care. His goal is help VA use genetic information in order to improve Veterans health, he emphasizes, “How can we use a Veteran's genetic makeup to help improve their healthcare?” he clarifies that while not all conditions require genetic testing, “in the areas where we know doctors should be using genetic testing… how do we make it easier for them?” This work shows how VA is staying ahead when it comes to health and technology.In Dr. Vassy's VA study on pharmacogenetics for depression, he found that Veterans who received DNA-guided medication choices fared better, stating, “Patients that got that kind of testing were more likely to have a medication that was a better match for their DNA and had lower rates of depressive symptoms.” His team also used data from the Million Veteran Program (MVP) to identify Veterans with a genetic form of extremely high cholesterol, noting, “We reached back out… and got them connected to clinical genetic testing, increased surveillance, and treatment.” These actions helped Veterans and their families reduce their risk of early heart disease.In addition, Vassy leads the nationwide PROGRESS Study, which uses genetic risk to guide prostate cancer screening for men ages 55 to 70. Vetertans can enroll online and submit a saliva kit from home. “Prostate cancer is the most common cancer in men,” Vassy said, and genetic guidance may allow VA to detect dangerous cancers earlier while reducing harm from over-screening. He also stresses that VA protects genetic information with the strictest safeguards: “These data are password-protected, encrypted… only people with a right to access it can do so.”Looking ahead, Vassy believes genomic medicine will increasingly shape preventive care as technology advances and costs fall. He encourages Veterans to start by knowing their family history and talking with their providers about potential genetic risks, noting, “Genetics is just another tool in the toolbox for how to manage a concern you bring to your provider.” Veterans can explore opportunities to participate in ongoing research and learn more about genomic testing throughout VA's national programs.Resourceshttps://www.genomes2people.org/research/genomes2veterans/https://www.research.va.gov/mvp/https://www.progress-study.org/https://www.va.gov/washington-dc-health-care/programs/pharmacogenomics/https://www.va.gov/southern-nevada-health-care/stories/pharmacogenomics-and-how-the-va-is-improving-the-efficacy-of-medicine-through-dna/ https://www.research.va.gov/services/amp/precision_oncology.cfm
Urologist William Lynes discusses his article, "The decline of the doctor-patient relationship." William explains why he believes this relationship, the critical center of medical care, is broken after 40 years of insidious deterioration. He argues that physicians (including himself) gradually relinquished control of clinical decisions, allowing non-clinicians, committees, and government agencies to take over. William discusses how this loss of physician autonomy and the rise of medical bureaucracy have led to delayed, inefficient, and frustrating patient care. This is a call for physicians to "claw back" control of the health care system. Learn why restoring this relationship is the only hope for the future of American medicine. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Chelsea J. Smith walks into a studio and suddenly I feel like a smurf. She's six-foot-three of sharp humor, dancer's poise, and radioactive charm. A working actor and thyroid cancer survivor, Chelsea is the kind of guest who laughs while dropping truth bombs about what it means to be told you're “lucky” to have the “good cancer.” We talk about turning trauma into art, how Shakespeare saved her sanity during the pandemic, and why bartending might be the best acting class money can't buy. She drops the polite bullshit, dismantles survivor guilt with punchline precision, and reminds every listener that grace and rage can live in the same body. If you've ever been told to “walk it off” while your body betrayed you, this one hits close.RELATED LINKS• Chelsea J. Smith Website• Chelsea on Instagram• Chelsea on Backstage• Chelsea on YouTube• Cancer Hope Network• Artichokes and Grace – Book by Chelsea's motherFEEDBACKLike 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.
In last week's episode, Advisory Board experts explored why leaders have a responsibility to combat rising patient distrust. The challenge? Most providers aren't prepared — and often haven't been taught — how to respond effectively. Distrust isn't just about debunking misinformation. The combination of low-quality research and panic headlines has made it harder for both providers and patients to separate credible science from misinformation. But there are actionable strategies leaders can use to identify what fuels mistrust and effectively communicate with patients in ways that build confidence. This week, host Rachel (Rae) Woods sits down with Dr. Emily Oster — economist, Brown University professor, New York Times bestselling author, and Founder & CEO of ParentData — to unpack her approach to effective health communication. Throughout the episode, they unpack why scientific skepticism is growing and why the delivery of health information — not just expertise — is critical to engaging patients. We're here to help: Ep. 277: Patient distrust is costing you. Here's how to rebuild it. ParentData by Emily Oster ParentData is a data-driven guide through pregnancy, parenthood, and beyond. ParentData with Emily Oster | Apple Podcasts Want to see how upcoming policy changes could reshape the industry and impact your patients? Explore our Healthcare Policy Timeline to stay ahead of key developments and prepare for what's next. Vaccine policies keep changing. Here's what you can do to prepare. 2025 Advisory Board December Virtual Summit Discover how Lifestyle Spending Accounts (LSAs) are transforming employer benefit strategies to support whole-employee health and well-being. Sign up for our Dec. 16 webinar: The state of the industry: Key insights for 2026 A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
What happens when chronic endometriosis meets fierce advocacy and a wicked sense of humor? What if your most painful experiences become the catalyst for empowering others? And how does a uterus-shaped wine decanter become a national conversation piece for women's reproductive health? In this episode of Brave & Curious, Dr. Lora Shahine chats with Erica Loring, the self-declared "brains and uterus behind Shecanter," to talk about turning pain into purpose and stigma into laughter. Erica shares her deeply personal health journey, from fainting spells through high-school to finally being heard, diagnosed, and validated after years of dismissal. Her story shines a light on endometriosis, PCOS, women's healthcare funding inequality, reproductive rights advocacy, and the power of representation through design. Her viral product line, including uterus decanters, mugs, and more, has become both a feminist cultural symbol and a fundraising tool fueling research and resources for women with reproductive health conditions. Listeners will learn how Erica transformed a frustrating medical experience into a thriving brand, using humor as activism and novelty products as conversation starters. In this episode you'll hear: [2:37] Erica's endometriosis journey [4:14] Medical dismissal [4:58] Diagnosis barriers [7:18] Women's health funding [11:40] Novelty feminist products [15:26] Patient self-advocacy [17:22] Reproductive health organizations [19:07] Product design process [23:21] Empowering healthcare advocacy [28:08] Finding and purchasing the products Resources mentioned: shecanter.com @the_shecanter on IG endometriosisassn.org pcoschallenge.org plannedparenthood.org Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com True transformation in healthcare begins when organizations decide to see every interaction from the other person's point of view. In this episode, Don Williams, entrepreneur, nine-time author, and consultant, highlights the human side of healthcare that often gets overshadowed by technology and innovation, emphasizing that most problems stem from emotion, communication, and patient experience. He explains how high-IQ healthcare professionals can unintentionally create friction when they underestimate patients' fear and confusion, making empathy a strategic necessity. Williams argues that “romancing your patient” and prioritizing human-to-human communication strengthens trust while allowing clinicians to focus on what they do best. His Concept of Wow urges organizations to deliver experiences that exceed expectations and demonstrates how acting in a patient's best interest improves satisfaction, speed, loyalty, and even profit. Tune in and learn how elevating the human experience creates true competitive advantage in healthcare! Resources Connect with and follow Don Williams on LinkedIn. Follow Don Williams Global on LinkedIn and discover their website. Listen to the Proven Entrepreneur Show podcast on ApplePodcasts! Click here if you want to work with Don and browse his courses.Email Don directly here.
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Trust is the foundation of data-driven healthcare transformation. In this episode, Ryan Weber, Solutions Consultant at TransUnion, discusses how data innovation is being leveraged to enhance patient access, minimize friction, and ensure equitable care for underserved populations. He explains how TransUnion's non-credit data, including contact, property, and behavioral information, helps healthcare organizations clean, verify, and enrich patient information to enhance outreach and engagement. Ryan shares how AI and automation streamline onboarding, reduce manual entry, and strengthen care continuity. He also highlights the company's focus on inclusive data strategies, regulatory compliance, and ethical data use to maintain trust while improving both financial outcomes and patient satisfaction. Tune in and learn how data intelligence and trust are shaping the next generation of patient-centered healthcare experiences! Resources Connect with and follow Ryan Weber on LinkedIn. Follow TransUnion on LinkedIn and visit their website! Email Ryan directly here.
This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one.-------------------------------------When a patient storms in frustrated or scared, what if you could de-escalate in under 90 seconds? In this eye-opening episode, host Dr Bradley Block chats with Doug Noll, as he explains "affect labeling": simply reflecting emotions ("You're frustrated, worried, scared") to downshift the brain's limbic system and reactivate executive function. Backed by UCLA studies, this tool builds instant trust, makes visits efficient, and works on anyone, from ER patients to grocery clerks. Learn the 3-step process: ignore words for 90 seconds, read emotions innately, and reflect without "I understand." Doug shares role-plays, practice tips like labeling TV ads or silent shows, and why this flips arguments by meeting the universal need to be heard. Perfect for physicians facing high-stakes emotions, this episode equips you to listen people "into existence" for calmer, more connected care.Three Actionable Takeaways:Master Affect Labeling Basics: Ignore words for 90 seconds, read emotions instinctively (we're hardwired for it), and reflect with "You" statements like "You're frustrated, scared, confused." This downshifts the limbic system, calms patients fast, and builds trust by showing deep understanding without saying "I get it."Practice Everywhere for Real-World Skill: Label emotions in ads, silent TV scenes, or checkout chats to hone listening without words. Start with strangers ("You're excited your shift's ending?") to see shoulders drop and rapport build, proving it works beyond medicine, even in prisons or arguments.Flip Tension into Connection: In visits, label all fears upfront (pain, failure as parents) to deregulate emotions, then hype positively ("You're loving, doing everything right"). This meets the unmet need to be heard, ends escalations, and makes encounters efficient, enjoyable, and loyalty-building.About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Doug Noll is a former civil trial lawyer turned award-winning mediator and peacemaker. He left a successful legal career to focus on resolving deep conflict and teaching de-escalation skills that actually work even in maximum-security prisons. Co-founder of the Prison of Peace Project, Doug has trained incarcerated individuals to become certified mediators, proving his methods succeed in the toughest environments.He is the author of the bestselling book De-Escalate: How to Calm an Angry Person in 90 Seconds or Less, which teaches a neuroscience-backed technique called affect labeling (reflecting emotions to instantly calm the brain), and offers the Advanced Emotional Competency online course.Website: dougnoll.comEmail: doug@dougnoll.comBook on Amazon : De-EscalateAbout the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Host: Darryl S. Chutka, M.D. Guest: Cory Ingram, M.D. There are a couple outcomes in taking a medical history. Obviously, one is information gathering. You need to hear the patient's symptoms to help form your differential diagnosis. The second, and equally important, is to help establish a relationship with that patient. There are several reasons a good provider-patient relationship is important. The patient is more likely to feel positive about their medical encounter, they're more likely to be adherent to your recommendations regarding their health conditions, and they tend to be more forgiving if they experience an adverse event. What makes up a good provider-patient relationship? What can we do as clinicians to help establish a good relationship with our patients? Can we still establish a good relationship when we practice telemedicine? These are questions I'll be asking my guest, Cory Ingram, M.D., a palliative care physician at the Mayo Clinic as we discuss “Provider-Patient Relationship Skills”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts
How is one of the largest health systems in Texas using AI to transform patient experience? This episode of The Modern Customer Podcast explores how Memorial Hermann Health System is applying AI, predictive analytics, and digital tools to redesign care for millions of patients across Houston. The conversation features Alex Greengold, Chief Consumer Experience Officer at Memorial Hermann, who brings previous CX leadership experience from AOL and DISH, where he earned multiple J.D. Power awards. Watch the full conversation to see how AI, smart design, and culture are reshaping the future of care.
KEY TAKEAWAYSHospice isn't a crisis response—it's a planned, values-based care transition.Patients are guided into hospice through ongoing conversations with their care team, not sudden decisions.Your Health's model is uniquely team-based.Clinical teams—NPs, nurses, social workers, CHWs, SSAs—collaborate long before a hospice referral happens.Eligibility is defined by Medicare, but the experience is defined by the patient.Patients choose what services they want: chaplaincy, volunteers, home aides, social work, and moreFamily support is a major part of the program.Hospice helps families avoid panic, emergency room visits, and uncertainty by educating them and offering 24/7 resources.Non-clinical roles are essential.Volunteers, chaplains, and social workers play major roles in emotional, logistical, and spiritual support.Respite care is a game-changer for caregiver burnout.Five-day facility stays covered under the hospice benefit help families regroup, rest, and sustain caregiving.Your Health provides continuity “from pediatrics to end of life.”The organization's ecosystem lets patients receive personalized care at every stage of their life journey. www.YourHealth.Org
In this episode, Dr. Sharon Niv discusses her work at Joyus, a public benefit company focused on revolutionizing mental health care through personalized at-home microdose ketamine treatments. Dr. Sharon explains the history of ketamine as a treatment for mental health, its mechanisms of action, and the importance of community support in the healing process. Nick asks Dr. Sharon questions that address common concerns and stigma surrounding ketamine treatment, emphasizing its low risk and potential benefits. Their conversation also explores the role of neuroplasticity in mental health recovery and the future of AI in therapy. Dr. Sharon provides insights into personalized treatment protocols and encourages both patients and therapists to consider the benefits of ketamine therapy. Key Takeaways: Dr. Sharon Niv is a cognitive psychologist bridging neuroscience and therapy. Joyus offers personalized at-home microdose ketamine treatments. Ketamine was first synthesized in the 1950s and is used safely in medical settings. The drug has shown promise in treating severe depression and suicidality. Ketamine works primarily on the glutamate system, unlike traditional psychedelics. Lower doses of ketamine can provide therapeutic benefits without destabilizing experiences. Community support is crucial for individuals undergoing ketamine treatment. Neuroplasticity allows the brain to change and adapt, which is enhanced by ketamine. Personalized treatment protocols are essential for effective ketamine therapy. AI has potential in mental health, but should not replace human therapists. Chapters 00:00 Introduction to Dr. Sharone Niv and Her Work 02:58 The Journey to Psychology and Entrepreneurship 05:47 The History and Safety of Ketamine 08:45 Ketamine as a Treatment for Mental Health 11:36 Understanding Ketamine's Mechanism and Effects 14:44 The Psycholytic State and Its Benefits 17:40 Addressing Stigma and Concerns Around Psychedelics 20:48 The Joyus Approach to Microdosing Ketamine 23:24 Personal Experiences and Emotional Release 26:45 The Importance of Connection and Exploration 27:14 Exploring Psychoactive Substances and Their Impact 28:14 The Tragic Story of Matthew Perry 32:56 Neuroscience and Mental Health: The Role of Neuroplasticity 39:45 Personalized Treatment Protocols for Mental Health 45:22 Community Support in Mental Health Treatment 47:48 The Future of AI in Therapy 53:07 The Dark Side of AI in Mental Health 54:37 Innovative Uses of AI in Therapy 56:09 Training Therapists for New Technologies 59:43 The Journey of Integrating Ketamine Treatment 01:02:09 Encouragement for Patients and Therapists 01:04:22 Understanding the Risks and Benefits of Ketamine 01:09:52 Navigating the Decision to Try Ketamine 01:12:08 Practical Considerations for Microdosing Ketamine Find Dr. Sharon Niv here: Instagram: https://www.instagram.com/joyous.team/ Facebook: https://www.facebook.com/joyous.friends Website: https://www.joyous.team/ LinkedIn: https://www.linkedin.com/in/sharon-niv/ | https://www.linkedin.com/company/joyousteam/ Find Nick Thompson here: Instagram: https://www.instagram.com/nthompson513/ | https://www.instagram.com/the_ucan_foundation/ YouTube: https://www.youtube.com/@EyesWideOpenContent LinkedIn: https://www.linkedin.com/in/nickthompson13/ UCAN Foundation: https://theucanfoundation.org/ Website: https://www.engagewithnick.com/
A large population study links trimethoprim-sulfamethoxazole to a rare yet nearly threefold higher risk of severe acute respiratory failure in healthy adolescents and young adults, reinforcing FDA warnings and the need for careful monitoring. Two extensive Cochrane reviews—including over 132 million people—confirm that HPV vaccination dramatically reduces cervical cancer, high-grade precancers, and anogenital warts without increasing serious adverse events. Kentucky's deadly pertussis surge highlights declining vaccine coverage and the critical role of maternal Tdap and timely childhood immunization to protect the most vulnerable infants.
Getting referrals from other patients is critical to the success of any local practice. Are you really getting as many referrals as you can? My guest today has built a system to make sure she can say she does, and she'll give us some insights into her system on this episode.Mary Lou Savino has been practicing physical therapy since 1992 and opened Be Fit PT & Pilates in 2008. She specializes in the use of Pilates as therapeutic exercise in rehab with an eclectic approach to incorporating Pilates, Dry Needling, Light Therapy and wellness modalities into treatments. Mary Lou has always been a fitness and health enthusiast, so her concept behind this integrated model was to be able to go beyond traditional PT and utilize things like light therapy, dry needling, Pilates and core strengthening, and massage therapies to be a more well-rounded practice and to be able to take PT to the next level.In this episode Carl White and Mary Lou Savino discuss:When she realized that building a system for referrals was a good moveThe core elements of her system, for example, the front desk's role, and measuring patient responses to the systemWhat part(s) of the system she's working on now, and whyWant to be a guest on PracticeCare®?Have an experience with a business issue you think others will benefit from? Come on PracticeCare® and tell the world! Here's the link where you can get the process started.Connect with Mary Lou Savinohttp://www.befitpt.comhttps://www.facebook.com/BeFitPTinDG https://www.instagram.com/befitphysicaltherapypilates/?hl=enwww.linkedin.com/in/mary-lou-savino-b2127222Connect with Carl WhiteWebsite: http://www.marketvisorygroup.comEmail: whitec@marketvisorygroup.comFacebook: https://www.facebook.com/marketvisorygroupYouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmigLinkedIn: http://www.linkedin.com/in/healthcaremktg
Featuring an interview with Dr Priyanka Sharma, including the following topics: Patient-reported outcomes from the SERENA-6 trial of camizestrant with a CDK4/6 inhibitor for patients with HR-positive, HER2-negative advanced breast cancer and ESR1 mutations emerging during first-line endocrine-based therapy (0:00) Mayer E et al. Patient-reported outcomes (PROs) from the SERENA-6 trial of camizestrant (CAMI) + CDK4/6 inhibitor (CDK4/6i) for emergent ESR1m during first-line (1L) endocrine-based therapy and ahead of disease progression in patients (pts) with HR+/HER2– advanced breast cancer (ABC). ESMO 2025;Abstract 486MO. Imlunestrant and abemaciclib versus fulvestrant and abemaciclib for ER-positive, HER2-negative advanced breast cancer: An indirect treatment comparison of 3 Phase III trials (3:00) Bidard FC et al. Imlunestrant plus abemaciclib versus fulvestrant plus abemaciclib in estrogen receptor positive (ER+), human epidermal growth factor receptor 2 negative (HER2-) advanced breast cancer (ABC): An indirect treatment comparison (ITC) of three phase 3 trials. ESMO 2025;Abstract 496P . Giredestrant in the treatment of ER-positive, HER2-negative breast cancer: The Phase III evERA Breast Cancer and EMPRESS trials (5:39) Mayer E et al. Giredestrant (GIRE), an oral selective oestrogen receptor (ER) antagonist and degrader, + everolimus (E) in patients (pts) with ER-positive, HER2-negative advanced breast cancer (ER+, HER2– aBC) previously treated with a CDK4/6 inhibitor (i): Primary results of the phase III evERA BC trial. ESMO 2025;Abstract LBA16. Llombart-Cussac A et al. Preoperative window-of-opportunity study with giredestrant or tamoxifen (tam) in premenopausal women with estrogen receptor-positive (ER+)/human epidermal growth factor receptor 2-negative (HER2-) and Ki67≥10% early breast cancer (EBC): The EMPRESS study. ESMO 2025;Abstract 294MO. Capivasertib/fulvestrant as first- and second-line endocrine-based therapy for PIK3CA/AKT1/PTEN-altered HR-positive advanced breast cancer in the CAPItello-291 trial and gedatolisib/fulvestrant with or without palbociclib for HR-positive, HER2-negative, PIK3CA wild-type advanced breast cancer in the VIKTORIA-1 trial.(10:25) Rugo HS et al. Capivasertib plus fulvestrant as first and second-line endocrine-based therapy in PIK3CA/AKT1/PTEN-altered hormone receptor-positive advanced breast cancer: Subgroup analysis from the phase 3 CAPItello-291 trial. ESMO 2025;Abstract 526P. Hurvitz SA et al. Gedatolisib (geda) + fulvestrant ± palbociclib (palbo) vs fulvestrant in patients (pts) with HR+/ HER2-/PIK3CA wild-type (WT) advanced breast cancer (ABC): First results from VIKTORIA-1. ESMO 2025;Abstract LBA17. CME information and select publications
Dans cet épisode d'Extraterrien, Barthelemy reçoit Mévena et Quentin, champions du monde d'Hyrox en duo mixte ! Plongez dans leur histoire de rencontre, de passion commune pour le sport, de la transition du badminton au monde du fitness et de l'endurance. Ils partagent sans filtre leurs débuts, leurs doutes, leurs séances d'entraînement et la dynamique unique de leur couple, autant sur le run que dans la vie.Découvrez les coulisses de leur préparation, la pression des compètes, la gestion des sponsors et le quotidien derrière les réseaux sociaux. Pourquoi la visualisation mentale a-t-elle autant compté dans leur succès ? Quels sont les petits “hacks” de leur stratégie gagnante ? Vous apprendrez comment ils jonglent entre vie pro, amour et haut niveau, tout en gardant un vrai plaisir dans la compétition.Bonne écoute à tous les Extraterriens !
Real progress in cell and gene therapy shouldn't be measured solely by scientific innovation, but by whether those innovations actually reach the patients who need them most.In this episode, David Brühlmann sits down with Jesús Zurdo, a scientist who's spent three decades engineering life-changing biotechnologies, but whose outlook on the field shifted dramatically after becoming a leukemia patient himself.With experience on both sides of the system, Jesús Zurdo brings a rare, unfiltered perspective to the persistent gap between scientific promise and real-world patient access.Here's why this conversation will reshape the way you think about bioprocessing, scale-up, and the meaning of “patient-centric” innovation:The challenges of scaling up advanced therapies beyond just volume: shifting from “how much can we make” to “how many patients can we reach?” (00:21)Jesús Zurdo's personal journey—from biotech innovator to patient—and how it reshaped his thinking on product design and patient needs (04:12)How the biotech industry often overemphasizes automation, cost of goods, and new technologies at the expense of true patient access (08:02)The importance of designing products and manufacturing processes with patients' lived experience in mind—not just clinical metrics (05:43)Why the business model and value proposition of therapies may need to change to address the high cost and limited accessibility of new treatments (12:09)Lessons from point-of-care manufacturing and real-world delivery of cell therapies—speed versus perfection (09:11)How patient involvement in both development and long-term outcome tracking could drive better treatments and wider adoption (15:10)The limitations of current clinical trial endpoints and the need to integrate patient-reported outcomes and new data sources like wearables (17:10)Real progress in biotech isn't just about scientific breakthroughs, it's about ensuring those advances reach the millions who need them most.Let's rethink our business models and deployment strategies to bridge this gap for real-world impactConnect with Jesús Zurdo:LinkedIn: https://www.linkedin.com/in/jesuszurdoEmail: jesus.zurdo@gmail.comNext step:Book a 20-minute call to help you get started on any questions you may have about bioprocessing analytics: https://bruehlmann-consulting.com/callSupport the show
Pediatric dentist and entrepreneur Dr. Ashley Lerman joins little teeth, BIG Smiles to chat with Dr. Berg about her company First Grin and how its unique approach to teaching families about oral health care. Dr. Lerman shares how First Grin was born out of her experience right out of residency, working in a clinic, seeing dozens of high-risk patients a day who often had little-to-no prevention knowledge. She explains the original First Grin kit designed for expectant parents to set families up for success with the tools and knowledge needed for at-home preventive care. Dr. Lerman also delves into how First Grin is finding success partnering with payers and hospital networks to flag early oral health care as a priority issue amongst medical professionals outside of dentistry. Guest Bio: Dr. Ashley Lerman is a board-certified pediatric dentist, public health advocate, and founder of First Grin, a digital prevention platform that brings oral health into everyday family life. Through First Grin's app and educational kits, she helps families, payers and health systems connect dental care with overall wellness, starting in pregnancy and continuing through childhood and beyond for adults. Dr. Lerman works with major payers, employers, and baby registry partners to make preventive oral health education more accessible at-scale. Her work focuses on building sustainable tech – enabled models that improve engagement, reduce stress, reduce disease, and make oral care easier for families to start early and stick with over time. She's also the voice behind @pediatricdentistmom, a popular social media platform reaching millions of parents for its relatable evidence-based guidance on children's oral health. Her approach blends clinical expertise with empathy, helping parents build healthy habits without guilt or overwhelming them. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
You’re doing a routine exam when you spot it – a stained hairline crack snaking across the marginal ridge of a molar. Your patient hasn’t mentioned any symptoms… Yet. Should you sound the alarm? Monitor and wait? Jump straight to treatment? Cracked teeth are one of dentistry’s most misunderstood diagnoses. Colleagues debate whether to crown or monitor. And that crack you’re staring at? It could stay dormant for years—or spiral into an extraction by next month. So what separates the teeth that crack catastrophically from those that quietly hold together? In this episode, I am joined by final-year dental student Emma to crack the code (pun intended) on cracked tooth syndrome. We break down the easy-to-remember “position, force, time” framework to help you spot risk factors before disaster strikes, and share a real-world case of a 19-year-old bruxist whose molar was saved by smart occlusal thinking. If you’ve ever felt uncertain about diagnosing, explaining, or managing cracked teeth, this episode will change how you think about every suspicious line you see. https://youtu.be/mU8mM8ZNIVU Watch PS019 on YouTube Key Takeaways Risk factors include large restorations and bruxism. Occlusion plays a significant role in tooth health. Diet can impact the integrity of teeth. Every patient presents unique challenges in treatment. Communication about dental issues is key for patient care. Certain teeth are more prone to fractures due to their anatomy. The weakest link theory explains why some patients experience more dental issues. Patient history is crucial in predicting future dental problems. The age and dental history of a patient influence treatment decisions. Understanding occlusion is essential for diagnosing and treating cracked teeth. The location of a tooth affects the force it experiences during chewing. Bruxism increases the risk of tooth fractures. Tooth contacts and forces play a critical role in diagnosing issues. Opposing teeth can provide valuable insights into tooth health. Effective communication is essential in managing cracked teeth. Stains on teeth can indicate deeper issues with cracks. Monitoring and documenting cracks over time is crucial for patient care. Highlights of this episode: 00:00 Teaser 00:49 Intro 03:25 Emma's Dental School Updates 07:18 What is Cracked Tooth Syndrome (CTS)? 10:02 Crack Progression and Severity 12:45 Risk Factors 14:54 Position–Force–Time Framework 21:53 Which Teeth Fracture Most Often? 25:32 Midroll 28:53 Which Teeth Fracture Most Often? 30:37 The Weakest Link Theory 34:05 Diagnostic Tools 37:56 Treatment Planning 39:42 Case Study – High Force Patient 47:27 Communication and Patient Management 51:03 Key Clinician Takeaways 53:03 Conclusion and Next Episode Preview 53:42 Outro Check out the AAE cracked teeth and root fracture guide for excellent visuals and classification details. Literature review on cracked teeth – examines evidence around risk factors, prevention, diagnosis, and treatment of cracked teeth. Want to learn more about cracked teeth? Have a listen to PDP028 and PDP098 – both packed with practical tips and case-based insights. #BreadAndButterDentistry #PDPMainEpisodes #OcclusionTMDandSplints This episode is eligible for 0.75 CE credits via the quiz on Protrusive Guidance. This episode contributes to the following GDC development outcomes: Outcome C AGD Subject Code: 250 – Operative (Restorative) Dentistry Aim: To help dental professionals understand the causes, diagnosis, and management of cracked teeth through a practical, evidence-based approach. It focuses on identifying risk factors using the Position–Force–Time framework and improving patient outcomes through informed communication and tailored treatment planning. Dentists will be able to: Explain the aetiology and progression of cracked tooth syndrome Identify high-risk teeth and patient factors—such as restoration design, occlusal contacts, and parafunctional habits—that predispose to cracks Communicate effectively with patients about the significance of cracks, prognosis, and monitoring options, improving patient understanding and consent
Lindsay A L Bazydlo, Maximo J Marin, Anna E Merrill, Louise M Man, Olajumoke O Oladipo, Neil S Harris. ADLM Guidance Document on Coagulation Testing in Patients Using Direct Oral Anticoagulants. The Journal of Applied Laboratory Medicine, Volume 10, Issue 6, November 2025, Pages 1675–1690. https://doi.org/10.1093/jalm/jfaf155
When everything sucks, when it feels like the worst possible thing has happened, when it feels like your mental illness is just crashing over you, terrible circumstances, horrible things have happened, the best thing that you can do is be patient.Now, know how this sounds because the first time that I heard this advice, i didn't get it.But I want to dive into it today.▶ WATCH MORE VIDEOS…✅The pain of suicide lingers after you're gone | Mark MI Words #mentalillness #PTSD
Is your patient's proteinuria low enough? New KDIGO goals: target the immune cause and hit < 0.5 g/day to preserve kidney function. Credit available for this activity expires: 12/2/2026 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1003055?ecd=bdc_podcast_libsyn_mscpedu
I can't run trail cameras in a lot of the places I hunt. I love that, but I also love running a whole bunch of cameras to try to decipher deer movement from year to year on specific properties. This latter tactic was a big part of my fall this year, and I noticed something that has led me to more questions than answers. On the surface, this is not the best reflection on cameras in general. After all, shouldn't they just tell us where and when...
What's it like to wake up with a brand new voice?For those with foreign accent syndrome, this is their reality. Patients who develop this rare speech disorder start speaking in a brand new accent that they often have no connection to.So how does losing the voice you've known your entire life shape, or break, your identity?Presenter Ella Hubber speaks to Althia Bryden, who developed foreign accent syndrome last year, and Sarah Colwill, who has lived with the condition for the past 15 years. They share the deep impact it has had on their identity and connection to those around them.And to understand what is happening in the brain to cause this complete change in accent, and whether it's really even an accent at all, Ella speaks to professor Nicholas Miller, who has been unpicking the mystery of foreign accent syndrome for decades. And professor Stefanie Keulen shares that there are actually multiple types of the condition.Even though foreign accent syndrome is rare, it is found around the world, can affect anyone, and highlights just how deeply our voices influence all aspects of our lives.Presenter: Ella Hubber Producers: Sophie Ormiston, Ella Hubber Assistant Producer: Minnie Harrop Editor: Martin Smith
Your Genetics are a key part of my TUSHY Method (Y = Your genetics) and I'm so honored to have Dena Goldberg (also known far and wide as Dena DNA) joining me today! Some of the questions I know you have on your mind about genetics are: Nothing came back on my 23 & Me test. I'm good to go, right? Answer: Not so fast. 23&Me relies on "SNP testing," and only looks at "very specific bookmarks on very random genes." You'll want a more thorough test for preconception screening. I don't have any history of disease in my family. Do I need to do genetic testing? Answer: It's a good idea. There are syndromes such as Lynch Syndrome that are asymptomatic in 90% of people who are carriers. You'll want to know if you have those genetic markers before passing them on to your embryo and child. Can you make sure my embryo doesn't have autism? Answer: Autism is actually a description of a constellation of symptoms. So it's not an underlying condition in and of itself. There are hundreds to thousands of genetic causes to autism. We can catch some of these cases, but not all. Autism is multifactorial, meaning that many of these cases are probably caused by a combination of genetics and environment or in other words, nature and nurture together. Thank you for joining me, Dena! Listen on Dr. Aimee's website Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. The next live class call is on Monday, December 15, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Find Dena's site here: https://www.denadna.com/home Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.
Join Kay Mayordomo, PT, DPT (@kaym23) as she discusses her experience with a bed bound patient, emphasizing the importance of a fitness forward approach to regain mobility and independence for these patients. Kay shares a case study of a patient with multiple sclerosis, detailing her exercise program, caregiver/care home involvement, and the progress made towards function and preventing pressure ulcers. Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7
Dr. Emily Cooper, Mark Wright, and Andrea Taylor talk with Maria from Buffalo, a longtime listener who shares her lifelong journey with obesity, psoriatic arthritis, and binge eating—and how finally understanding the science of metabolism gave her hope. Maria describes early childhood weight gain, joint damage, and years of restrictive dieting and food shame, then explains how GLP‑1 therapy (Zepbound) plus mechanical eating helped her lose about 50 pounds while eating more food, more often, and with more joy. Dr. Cooper breaks down the underlying biology—leptin, weight set point, the melanocortin pathway, and the impact of pain, sleep, and chronic inflammation on hunger hormones—and reframes obesity as a symptom of deeper metabolic problems, not a character flaw. This episode doubles as a practical, emotionally honest guide for patients trying to navigate a traditional health‑care system without a dedicated metabolic specialist.Key Questions AnsweredHow can rapid childhood weight gain, autoimmune disease, and early joint damage signal serious metabolic dysfunction rather than “too much food” or “not enough exercise”?What is leptin, what does “too low for your size” mean, and how does that affect hunger, weight set point, and weight loss?What is monogenic obesity testing, who might qualify for free genetic screening, and how can results inform (but not necessarily change) treatment?How do GLP‑1 medications like Zepbound work with mechanical eating so someone can lose weight while eating more regularly and with more variety?Which labs (fasting glucose, insulin, leptin, etc.) help uncover hidden metabolic issues, and when is a mixed‑meal test more useful than a simple fasting snapshot?When should brain‑active medications (such as bupropion/naltrexone combinations) be considered, and what trade‑offs and side effects matter?How can patients respectfully push for tests, challenge old “eat less, move more” advice, and set boundaries around weigh‑ins and stigmatizing language?Key TakeawaysIt's not your fault: Rapid childhood weight gain and early‑onset obesity often reflect serious metabolic biology, including rare gene variants, growth phases, and hormone signaling—not gluttony or laziness.Obesity is a symptom: Excess weight is better understood as a side effect of underlying metabolic fires (leptin issues, insulin resistance, brain signaling problems) that need proper diagnosis and treatment.Leptin really matters: Low leptin for your size can act as a biological brake on weight loss, and chronic dieting, under‑fueling, over‑exercise, and some high‑dose supplements can suppress it further.GLP‑1s plus mechanical eating: Medications like Zepbound can quiet food noise and support weight loss, but scheduled, balanced eating is essential to avoid under‑fueling, protect muscle, and support hormones.Pain and sleep are metabolic: Chronic pain and poor sleep increase hunger hormones like ghrelin and disrupt repair processes, worsening metabolic dysfunction unless directly addressed.Script your visits: Bring a printed list of diagnoses, medications, and questions; use patient portals to request specific tests; and practice simple boundary phrases around weighing and diet talk.Notable Quote“This isn't all just caused by diets and things like that. There was an original metabolic problem. It was amplified because of the food restriction and the psychology around it, but you are a product of cumulative insults to your system—not a moral failure.” — Dr. Emily CooperLinks & ResourcesPodcast Home: https://fatsciencepodcast.com/Cooper Center for Metabolism & Fat Science Episodes: https://coopermetabolic.com/podcast/Resources and education from Dr. Cooper: https://coopermetabolic.com/resources/Submit a Show Question: questions@fatsciencepodcast.comDr. Cooper direct show email: dr.c@fatsciencepodcast.comFat Science is informational only and does not constitute medical advice.
Our conversation picks back up with an article titled “Patient Outcomes and Return to Play After Arthroscopic Rotator Cuff Repair in Overhead Athletes.” This systematic review, published in the January 2023 issue of JOT, analyzed 20 studies comprising 692 patients with an average follow-up of 40 months. The authors found that arthroscopic cuff repair led to significant improvements in patient reported outcomes as well as improved shoulder elevation. Overall, 75% of athletes returned to play at a mean of 6.4 months post-op, and 63% returned to their preinjury level of sport. Complication and reoperation rates were relatively low at 7% and 10%, respectively. Then, from the December 2019 issue of AJSM, we review an article titled “Partial-Thickness Rotator Cuff Tear by Itself Does Not Cause Shoulder Pain or Muscle Weakness in Baseball Players.” This cross-sectional study investigated whether articular-sided partial-thickness rotator cuff tears alone produce symptoms in overhead athletes. Of the 87 collegiate baseball players that were analyzed, 47% had ultrasound-confirmed partial-thickness tears, yet rates of shoulder pain and muscle weakness were not significantly different from those without tears. Most of these tears were small (approximately 5 mm in depth) and were asymptomatic in 83%. Pain correlated instead with scapular malposition, dyskinesis, and poor total shoulder condition – not the presence of a tear. We finish up our discussion today with an article titled “Internal impingement of the shoulder in overhead athletes: Retrospective multicenter study in 135 arthroscopically-treated patients.” Patients underwent a variety of procedures, including cuff debridement or repair, posterior glenoidplasty, labral debridement, posterior capsular release, and anterior capsulorrhaphy. Overall, 90% returned to sports, with 52% returning to their prior level at an average of 9 months. Better return-to-sport outcomes were associated with male sex, presence of a cuff lesion, and simple cuff debridement. Greater tuberosity cysts and anterior capsulorrhaphy correlated with poorer outcomes and higher post-op pain. We hope you enjoy this episode!
In this episode, I sit down with chronic pain specialist Vanessa Leone for a deep and refreshing look at what people in pain truly need — to be heard.Too many people are rushed, dismissed, or handed assumptions about their symptoms. Doctors, surgeons and even allied health professionals often jump straight to solutions without ever asking the most important question: “Why are you here, and what do YOU feel is going on?”Vanessa explains why listening is the foundation of pain recovery, how reflection helps people uncover their own motivations and patterns, and why persistent pain is rarely caused by a single event. We also explore stress, emotional load, fear, lifestyle patterns and learned pain responses — and how chronic pain begins to unravel when someone is finally given the space to share their story.If you've ever felt unheard by the medical system, or you work with people in pain, this conversation offers a compassionate and practical perspective on what truly helps.Where to find Vanessa:Website: https://vlmovementtherapy.com/Instagram: https://www.instagram.com/vlmovementtherapist/LinkedIn: https://www.linkedin.com/in/vanessa-leone-2055b86a/YouTube: https://www.youtube.com/channel/UCPjQ4ywdXvi41RGgqX31AKwWhere to find Leigh:Website: https://www.bodychek.co.ukInstagram: https://www.instagram.com/beyondthepainpodPodcast YouTube Channel: https://www.youtube.com/@BeyondThePainPodcastConsultations: https://www.bodychek.co.uk/consultation/Free Pain-Free Plate guide: https://bodychek.co.uk/pain-free-plate/
A 70 year old American woman — died alone in a Montana hospital Susie Silvestri put her home up for sale so she could afford to come to a private, unregulated health centre in Moose Jaw. She eventually was forced to flee Canada after falling through gaps in Saskatchewan's health care system. The CBC's investigative reporter Geoff Leo shares Susie's story.
Hollywood has made horror movies about transplant recipients inheriting the personalities of their donors for decades — but real transplant patients are reporting the same thing, and scientists can't explain why.SERMON TRANSCRIPT… https://weirddarkness.com/cotu-organtransplantmemoriesWeird Darkness® and Church Of The Undead™ are trademarked. Copyright © 2025.#WeirdDarkness, #HeartTransplant, #CellularMemory, #MedicalMystery, #UnexplainedPhenomena, #TrueStories, #Paranormal, #ScienceCantExplain, #OrganTransplant, #CreepyButTrue
“If your brain is not healthy, you are much more likely to experience pain,” explains Daniel Amen, M.D. Amen, a physician, double board-certified psychiatrist, award-winning researcher, and 20-time national bestselling author, joins us today to dive into the neuroscience behind brain health, emotional regulation, chronic pain, and supporting healthier minds across every age group. - The relationship between chronic pain & the brain (~4:30) - Defining an “unhealthy” brain (~5:40) - Emotional “red flags” for brain health (~10:00) - Jason's experience with back pain (~17:50) - Managing your mind (~20:00) - Improving frontal lobe health (~22:15) - Recommendations for kids (~27:00) - The Doom Loop (~29:00) - A practice to manage your emotions (~33:10) - The impact of marijuana on the brain (~39:20) - Finding your triggers (~42:00) - Patient stories (~45:20) Referenced in the episode: - Follow Amen on Instagram (@doc_amen) - Check out Amen Clinics (https://www.amenclinics.com/) - Read his latest book, Change Your Brain, Change Your Pain (https://www.amazon.com/Change-Your-Brain-Pain-Emotional/dp/0063426706) We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices