Podcasts about patients

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Dear listener, it is possible to scale your practice and keep your sanity! Kiera discusses three overall pieces of advice for those who have expanded/want to expand to multi-practice ownership, including centralizing atmosphere and tactics, establishing leadership infrastructure, and keeping your communication fluid. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today I wanted to dig into multi-practice management and how this can be something so fun. I know several of you have multiple practices. I had multiple offices and I just think that this is a space of like, all right, here we go. How can we make this amazing? And how can we lead, scale and stay sane? I think is a big spot because I think that when we go from one practice to two practices, I know I went.   insane and it was not fun. And so for you, I just wanted to break this down because I really think this is a popular thing. And also if you're sitting on the fence of should I grow, should I not grow, I think it's going to be a fun discussion for us today. And I just wanted to say, welcome to the Dental A Team podcast. I'm Kiera Dent and I'm so happy you're here. I love all things dentistry. I love everything that we're about. I love helping you have the best day. I love positively infusing you and your practice with goodness. I love reminding you that you are in the absolute best profession.   And this podcast is made free because you guys share, review, like, and you're able to bring in more and more listeners for us. So I just want to say thank you. And if you haven't done that today, please share this, like this, review this. That's how we're able to stay at the top of the list for more offices to be positively impacted, to grow their practices with ease, and to realize dentistry should be fun again. So with that, I want to talk about like, when we go into multi-practice ownership, it can get really freaking thrilling. So.   I want you to look at like, okay, things that we need to do are as we grow and evolve. Number one, I want you just to ask why are you doing this for ego? Are you doing it for impact? Are you doing it for fun? Are you doing it to be acquired by a DSO? Knowing your why and then putting that up on the mirror so you never miss it is going to help you tremendously. Like genuinely a hundred percent just have that why because then it gets really, really thrilling. And so for you then it's going to be, okay, great. Once we have that,   I look at like, what can we centralize? So when we brought our second practice, it was make everything very, very simple and very easy for us. Meaning I want it to be all of our software is going to be the exact same. So we have the same software, the same colors. So from practice to look like the different locations when doctors go multi offices, it actually is very easy. Also, we had billing. So we had one person who was over the billing of all the practices. What about our reporting? Can we have the same reporting? So different scorecards that are reporting the same thing.   over the location that we have at centralized so we can quickly look and see how is each location doing. And then also making sure like our handbook, our SOPs, our operations manual is the same. So we set up the operatories the same. We do the same thing for hygiene. Everything is the same. So again, think about McDonald's. Could you imagine McDonald's or Chick-fil-A or any fast food restaurant opening multi-locations if the experience isn't the same that actually gets hard. Now there can be some nuances but the core infrastructure should be very, very similar.   Then after that, you also want to make sure that you have the same culture, team culture and patient experience. So again, go back to Chick-fil-A, the employees all have about the same, the culture is the same, we have the same experience every time we go in, no matter where I'm going across the nation or the globe, it's the same experience. And so for you, how can we make sure that we've got same team culture, same patient experience? You want to make sure your leadership team is really, really solid. And then you've got to have like shared tools. So the KPI dashboards, we've got to have low   specific views. So if you're having things that are on a ⁓ software, so like if Open Dental, you've got to have it to where I can access every single practice easily or if it's in the cloud and there are pros and cons between cloud software versus none. I have found that a lot of cloud softwares are awesome for ease of access at home. I will say Dentrix Ascend is my least favorite even though know they're coming back and they're popular. What happens is like I have a practice that switched to curve and they love it.   but there's nothing that can really integrate oftentimes. So you can't get analytic reports. You can't get other things. They're not as open source for you. And so if you ever want something outside of that software, that's usually cheaper, more affordable, helps you. That tends to be an issue with the cloud-based softwares. But when we got multi-practices, it becomes much easier because then we can sink in. We can look at it. We can have centralized billing, centralized, re-care, centralized phone systems, but you can also do this with a server. So when we look at this,   I think it's really great because we have practices and when we standardize how we schedule, we standardize our software, we standardize our billing procedures, the practices actually grow 10X. So I have a location, there's five practices and when we standardize these items, I kid you not, we add about a million per practice per year. So when you go across this, five million growth and you get 10 million growth and you get 15 million growth and you get 20 million and consistently every single year we're typically adding, but it's because things are standardized, things are centralized. We're able to say, right,   All offices, this is how we're now gonna block schedule. All offices, here are your goals. All offices, the billing is processing. All offices, this is how we do new patients. And it really is able to help you. So you've got to centralize what you can across the board and then have it localized at certain levels. But then it means like each office manager does the same thing, but they're making sure team spirit and team culture is the same. Patient experience is the same of what we do as an overarching multi-location area. So that's step one.   Step two is we wanna build a leadership infrastructure. So what this is, is we've gotta make sure that we've got regional managers, office managers, department leads. Sometimes multi-office locations are gonna have a hygienist that's over all hygienists of all practices. Other times it's at the practice level. But regardless across the board, there are set standards and set processes that are going to be there for you. So I really wanna make sure that you have that. And then we also need to clarify like who has ownership of this, who's entering scorecards, who's entering KPIs.   I like it to be that each office manager is responsible for their practice. So that way their office needs to be profitable, hitting the KPIs, the metrics, all the different pieces in the organization total org. Now I understand some practices, like I've got two locations. One's a very expensive location, one's a less expensive location. But across the board, you need to have leaders at both locations, because we're really struggling with these two locations. We have a regional that's bouncing back and forth between the two, but no one owns the accountability of these practices. And as it gets larger and larger and larger,   Guess what? Capacity struggling. So now we're having to put into place office leads in both location, office scorecards in both location, office hygiene departments. So looking at this and you've got to train the leaders how to lead, not just do. So I can't just be like, okay, you do this X, Y, Z. It's gotta be, how do I grow the practice? How do I make sure everybody's engaged? How do I really get people very talented, very excited about this? Like making sure they know how to hire and fire and have the one-on-one conversations. And what do the scorecard numbers mean?   And what are we looking at? And what is a healthy practice? What isn't a healthy practice? Usually my regional is meeting with my office managers weekly to make sure that they're successful. And what I found is when we track and measure all the locations, the practices increase. So typically as we're tracking and measuring, we're then able to grow them, elevate them and make them so much stronger because we're truly leading. So you've got to make sure you've got a strong leadership infrastructure. And if you don't have that, you don't have the pieces, multi-ownership gets really hard. If you're in multi-ownership right now.   You need to start appointing these people, having KPIs that they're reporting on, helping them see like how we run leadership meetings, how we run these meetings that are very successful, what your ownership piece is, what are you responsible for, how are you winning? And I think if you think about it, imagine a DSO, they're going to come in and they're going to take over your practice. Well, you better believe that they're gonna have KPIs scorecards for every location. They're going to have leaders at every location. They're going to have regionals. They're going to train.   So if that's what a DSO is going to do, why not do that yourself of multi-locations and learn from them because they're smart. They have these systems in place. You can do this as well. And then the third step on here just to help you guys is we've got to make sure that we've got like communication that's fluid rather than it just sitting there. weekly leadership calls are non-negotiable. We're talking run them on traction style, whatever your style is.   but we review where we're at, like where are headed as an organization? What are the numbers tell us? And then what needs to get accomplished? What are the blockers? What are the issues? What are the problems? And having that. Now, some offices, depending upon how large they are, some have a regional. So like we're gonna have a board that talks about the whole organization as a whole. Other times I have it where we're talking about each practice and we run individual ones for the practice, or there's maybe a hybrid of both. I recommend the hybrid of both. I think as an organization, we need to make sure we're healthy.   And then each practice is individual time where they're having these weekly meetings. They're also having ⁓ our KPIs by location. And we also are making sure that everybody's aligned. Then in addition to that, I'm very big on quarterly calibration and quarterly meetings of where are we going for the quarter? What are the rocks, if you will, with air quotes? What are the big objectives that we're accomplishing for this department, for this practice at this time? And what needs to get done?   So it can be different. Each location might run a little bit differently. And that's where it's really great because across the board, all of us quarterly know, and then we roll that down to the full teams. So as an org wide, where are headed quarterly? As practices, where are we headed quarterly? And then also making sure quarterly we're doing some type of team bonding or engagement, because as you get larger and larger and larger, the team culture really can drift. And I know we talked about that at the beginning of like centralizing that and localizing. the OMS are responsible for patient experience and team culture.   But at the same time, you've got to make sure that quarterly, like it's an all team alignment. We send out updated handbooks or protocols across the board, but we also get them like excited. So I'm really big on your communication and your metrics need to be solid. So I'm talking weekly L10s. They usually run for an hour, hour and a half at each office. You also should probably be having department meetings every single week as well to make sure the departments are growing. And then quarterly for sure having amazing like   incredible quarterly meetings that are going to really, really help people drive to those quarterly results, the quarterly pieces and make it to where it's just fun and then do something fun. You don't need to run this as a leadership team, but it is a way for you guys to all start leveling up, have fun together. Remember why we all went into this and it's not just like the drudge of quarterlies. It is truly something fun and exciting. And I have a practice in New York. I've got eight locations over there.   And I'm not joking every three to six months, we are meeting with every single practice, setting up goals, setting up pieces, having the full teams bought in and engaged. think I meet like 250 people in about four days. And the goal is to get team alignment, to get buy-in, but we know as an organization what each of the practices need to do, but we're getting team buy-in from them. And I think when you do that, what happens is the KPIs, when we start tracking them, when we get the quarterly buy-in,   the whole organization rises up because a big pitfall that people don't realize is multi offices. You've got so many team members. You've got so many offices. You got so many places that you can actually let KPI slip profitability slip. And what happens usually in multi offices is one practice is actually draining. It's not as profitable and all the other practices are doing well, but yet all the other practices are having to take care of our draining practice. And it's how do get all the offices leveled up?   Do all offices need hygiene? Do all offices need block scheduling? Do offices need to be reporting on what we're doing for the doctors? And I think when you're able to have that and establish that, you're able to have much, much, much easier multi-practice management, how to lead it, scale it, and grow it. So when we look at it, just a quick recap is we've got to centralize across the board. So our softwares are centralized, our billing is centralized, how we do our patient experience, centralized.   Then we need to make sure we've got leaders in place. So regional managers, office managers, having that go through to where we've got that whole infrastructure, they've got their KPIs, they've got their ownership, they know. And then we also are going to make sure that we are going to have tight communication. So we're running those weekly meetings, we're running those quarterly meetings. Everything is running and driving really, really well. And this is just one of those things of like, we're not doing more. As you see, we've got directed people in their seats, having ownership. So we're able to mass scale across the board.   and make sure all the practices are humming in the right direction. Yes, sometimes personable pieces aren't as common, but you don't have to lose that because you can set that as this is part of our culture and we put in every single practice. The OMS do it, the departments do it, we have fun. I have multi-offices that compete with each other, that have fun with each other, but this is something and I really feel like if you were trying to scale, your sanity is going to be number one. When we scaled, I started working   double time and I was already working about 14 hours a day. So I know there's not 28 hours in a day. It's close. And I was literally sleeping about four hours a night and I was trying to manage all the practices, but it was because I didn't do these things. I did not put into place centralized across the board. Like didn't have it. We then hired a biller that did all the billing for it. We then had our office managers and we set up the software that were the same. We then had it to where here are the like protocols of how we set up the rooms.   but it took me so long and I was already in it rather than having this built before I did it. I did not have leaders of both. I was trying to be the leader to both locations and I was running myself ragged and it was exhausting. Like literally burnout to the nth degree, but you're just in it. And so you're like, there's no way to get out of it versus realizing like, no, we can have a regional, we can have managers, we can have scorecards, we can have KPIs. And if you have this really dialed in at location one before you open up,   Great. If you're already in the location for let's get these things into place and make sure that they're all profitable and then make sure we're weekly, monthly, quarterly team meetings, calibrating them and driving for those results using the numbers, using the culture, using the team. But this is where we're headed over the next quarter. And then we track and measure for that. I promise you, if you do this, you will be able to have multi-practices grow with ease. You will keep your sanity.   And then you're tracking and keeping tabs without having to be the doer of all of it. This is what we do. We build scalable systems for practices. We grow leadership for practices. We train you. We coach your multi practices. We train your office managers how to do it. Our consultants have managed hundreds of employees at one time. They've done this. They've done it successfully. So this is the time for you to truly jump in, call, make your life easier. So reach out. Hello@TheDentalATeam.com. This is something and if you guys want more tips on this,   send this to your regional or send this to a COO or send this to your leadership team. If you're thinking about growing a practice and you want to scale, like let's talk about it. Let's help you and your office manager know what's going to happen or get you and your regional managers or help out. do multiple, multiple, multiple multi-office locations that we consult on. So reach Hello@TheDentalATeam.com. And as always, your sanity is your gift. This is something that you owe yourself, your practice, your patients. And these are three quick, easy ways to be able to scale, sustain and grow.   and keep your sanity. So reach out if we can help you. And as always, thanks for listening. We'll catch you next time on the Dental A Team Podcast.

In this episode, Justin sits down with Samantha to break down the real challenges she's facing while trying to grow her HRT practice. Like many new practice owners, Samantha has already taken the leap, but now she's dealing with the frustrating reality of low patient volume, slow growth, and uncertainty around what to focus on next.Together, they unpack what's likely holding her back, where her strategy may be falling short, and what she should be prioritizing to start gaining traction in a competitive HRT space. This episode is a real-world look at what happens after you launch, when things don't grow as fast as expected, and what it actually takes to turn things around.If you're building an HRT or men's/women's health practice and feel stuck, Samantha's situation will probably sound very familiar. 

Dental A-Team is all about case acceptance. In this episode, Kiera shares how a practice can double its case acceptance in one month (or even one day! She has receipts!). She gives five tactical tips practices can apply today to refine that acceptance and start upping that percentage of "yes." Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a great day. I hope that you're loving it and I hope that you remember just as a quick little motivational thought for you that what's right is just as available as what's wrong. And I think so often we're looking at what's wrong in my life and why isn't this working versus thinking what's going well, what's right in the world, what's what's and I'm not saying to   belittle, miss sunshine and not see all the things that are really going on. But I do think that what we focus on, we attract and we achieve more of. so practices that are high performing practices that really have great cultures, they're looking for what's right in this world. They're looking for the good, the positive, they're building that. But that does not mean that they're not seeing the things that need to be impacted and fixed. And so I just really want you to, to think about that today as we as we tackle a fun topic, and that's about case acceptance. And if you know me, you know that I'm obsessed about case acceptance and   Today we're gonna go through how to double your case acceptance in 30 days or even just one day. And it's really true. I've done this multiple times. We've taken practices from 50 % case acceptance to 100 % in one day. I have some practices, they know who they are, they listen to the podcast, shout out to them, where we coach their treatment coordinators. And we've been doing this for several years and we've added multiple millions to their practices. We're not quite to the billions, no pressure team. I know you guys like a good challenge, ⁓ but genuinely, and it's through helping.   just people have better lives. And I think about case acceptance and people are like, but you know, case acceptance, Kiera, it's about like money or it's this objection. And I just want to say that realistically, most treatment coordinators, what happens is we accidentally plant weeds in our flower gardens, aka objections in our case acceptance, unintentionally. And I can have the exact same patient, exact same scenario, different treatment coordinator, different result. And so what I found, and this is why I love this, this is where I got my start.   You guys know that I'm obsessed with helping patients and teams and dentists just have their best lives possible. And so really just giving you guys some tips on how we can do this, how you can boost your case acceptance. And these are tactical ways. So like take the recipe today, take this in, apply it. But what I want to say is I believe that case acceptance is a journey and it's not an overnight sensation. And these practices I alluded to, again, they are some of my favorite clients to work with. The team is amazing. They show up, they have grit.   and they recognize that it is always a next level to improve. And so that's why we work together because we are like, I've trained them for years and yet they keep coming back and we keep refining and we keep going to the next level and we keep improving because there's always a next level within case acceptance. And I think when you recognize that and you see that you can actually be an even stronger treatment coordinator. you guys know, Dental A Team, we are obsessed with making your life better. We love to work with doctors and teams. We love to   do it virtually or in person with you and to possibly influence and impact the world of dentistry in the greatest way possible. So I'm so glad you're here on the podcast with us. If you love our podcast, please be sure to like, subscribe, share this with people, leave us a review. I do personally read those reviews and I'm so thankful for you guys. I'm thankful for this community. I'm thankful for ⁓ the, I think just the lives that have been changed. I love meeting you in real life. I love hearing from you in emails. I love.   this community of people. I just love people in general. And so I hope that you know that I just truly love and adore you and I hope that you feel that and if I was in person, I'd give you a giant hug today and tell you that I know you're doing better than you think you are. And they're simple tips. ⁓ I can speak very confidently to case acceptance. I was speaking to a candidate that I'm interviewing and there was this there was this humble confidence about them where   They didn't have to prove anything to me on the interview. was like, Kiera, I've done this. I've done this many times. It's like, I know how to get the winning championship and it's not hard. And I don't say this egotistically. I will say that I do know how to get case acceptance boosted and our team knows how to do this. And I think this is one of the greatest services you can give your patients is helping them say yes to dentistry that's necessary. And so I hope that you feel that what I'm teaching you today comes from very strong.   Experience is not just theories and ideas, but genuinely been there done that done it successfully and I'm here to share that with you So a couple of things is number one. I'm really big on when we are working with this So first steps first I work hard on making sure that we have the right mindset I say mindsets everything So if you think a patient is gonna say no to you You're gonna make yourself correct if you say a patient is gonna say yes to you You're going to make yourself correct. So whichever one it is and to me. I'm like both of those are free   Thoughts are free, words are free. Let's pick the ones that serve us. And I'm going to choose the one of everybody says yes to me. I even have doctors that text me and they're like, remember Kiera how you say this? And I'm like, I genuinely believe it. It's because I believe in my doctors. I believe in what we're doing. And I believe that patients deserve to have the best dental treatment and new doctors and new teams are the ones who are going to give it to them. So I'm not going to let this patient leave me just like I'm not going to let somebody who's looking for a great consultant.   Leave me, I know we are the best freaking consulting company you could ever have. So if you wanna have the best consultant, call me, call our team, let's work with you because you're going to see results and that's what I'm about. So with your office, same thing, you should have that same level of confidence in your practice. You should be able to say, I want these patients, I'm going to help these patients. Now that doesn't mean I take on their problems, but I do believe that mindset is 80 % of the game of case acceptance. So that's step one is we gotta start with that. Doctors, when you walk into the room, I wanna when you put your foot on that threshold, walking in to do an exam,   You come into doctor 2.0, whomever it is, like patients say yes to you. Your job is to give them a very clear diagnosis and to be able to guide them into correct decisions. Words create worlds. What world am I creating for our patients? What am I doing for our patients? Am I helping them see like this is easy to say yes or am I making it so confusing and hard with multiple options? Doctors, I'm calling you out on this. I know you wanna explain everything. You're freaking brilliant, but sometimes that's called confusion. And that makes a patient not wanna say yes to you.   Complexity is the enemy of execution. I'll say that again. Complexity is the enemy of execution. So if you don't have clarity and you don't drive people with clean, concise routes, you can give them the options, but let's talk about, do they want fixed or removable? You've got to be very clear and you've got to be very confident when you deliver. Patients are buying your confidence. So number one, I want you to 1,000 % change your mindset. I don't care what you got to do, who you've got to be, but you've got to start with a correct mindset. And if you will do that, your case acceptance will automatically just with that one thing,   go up and that's between treatment coordinators, team members and dentists. All of us patients love us. They want to say yes to us and we have a moral obligation to help them. Number two, I'm really big on you guys know we have this where we're going to have doctors having great presentations. So I talk a lot about ⁓ child Dini's principles of persuasion and whether you like those or not, that's fine. Words are free. Options are free. Thoughts are free. Take them if you want them and I'm obsessed with this because if I can get a patient in the mindset of saying yes to me,   I've already teed them up into that confidence space. So I recommend doctors when you lean the patient back, you say, can I lean you back? They will say yes. Can I do an exam? They will say yes. This is helping them prime and we're priming them to get them into the mindset to say yes to you. Really, really, really important. And I know you don't want to do this, but guess what? It's very easy. So we have the mindset already there. Then we get them to be saying yes to us. Be very careful treatment coordinators. This does not always apply to you because the last thing I want you to do is do you want to get treatment scheduled? We are not leading them to answers with no.   We are only leading to answers of yes. So if you're going to use a yes or a no, you've got to make sure it's gonna lead to a yes. I do not want you planting them with nos. You've gotta be very careful with this. Then step three is going to be, we do comprehensive exams and we wrap it with the NDTR. You guys have heard me preach about this. This was made up in a practice, I don't know, 10 years ago. Shout out to ⁓ my Tucson practice. I know you listened to this. It was your office because your office manager didn't wanna use a route slip.   So I made up this acronym that has stuck with us for years and it's become one of the bread and butter of dentistry that I use. And I will tell you, you put this into place, you're going to add multiples to your practice. We call it the NDTR, next visit, date, time, re-care. You get those items, you put it in a nice pretty bow, doctors, you do a comprehensive exam, you make sure you don't have too many of them being crazy. Like get them into pretty much where they're onto one solution. If you are my mom or my grandma or my dad or my brother or my sister, whatever it is.   This is what I would recommend for you. If cost wasn't an option, what would you select? You can ask them, what's the most important thing to you? Cosmetic function, cost or longevity. There are ways you can tee people up and then you can guide conversations into exactly what they want. This takes finesse, this takes practice, but ultimately we're after results, we're after the W, we're after helping the most amount of freaking patients that we can, all right? So for you, if you want the W, to me, case acceptance, the way we win is by helping more patients say yes.   If you're a great doctor, I want patients saying yes to you. If you're not a great doctor, I want you to become a great doctor so more patients can say yes to you. That's where we're at. So we've got to wrap our pretty little treatment plan up with the next visit. It's clear. What is our exact next visit? Kiera, I want to see you back for the crown in the upper right. I want to see you back in two weeks. That's the date. And I need about an hour and a half of that. Please, for the love of everything, this is step whatever. I don't know. I think this is step three for you. But I want you to make sure it's very clear and concise because   Complexity is the enemy of execution. If they're walking up of like, don't even know what treatment I'm coming back for. I don't know what I need to come. A crown is gonna take me all day. I can't do that. Your patient is subconsciously planting objections and why they can't say yes to this. But if you eliminate those, like we're clearing the fog, it's very easy. I just need to see you back in two weeks. I need to see you for an hour and a half and we're gonna take care of that crown for you in the upper right and the fillings. Or we're gonna do implants, whatever it is, I don't care.   or like, hey, we're gonna see you in three visits. We're gonna start with the upper right. We're gonna take care of that. Then we're gonna go and do your SRP. And then we're gonna finalize with all the rest of the fillings. I don't care, but make it so clear and simple for them. They don't need it all. And I know we sometimes go, this is where we go from clinical jargon to patient simplicity. Make it simple. When I go in and I'm trying, I remember I was at the van store and this girl was like, so do you want a bag? And I was like, no. Do you want this? Do you want that? Do you want this? I'm like, just like I'm done.   You guys mean far too many questions. I don't even want to come back and talk to you. Like keep it. I don't even want to buy it. And I think we often forget that our patients, while we're trying to educate and explain, and there is a line of that, this isn't their passion. And I say that with the most amount of like love, like, know, I know you care about this so much, but they don't. What they care about is, are you the right person? And how are you going to get me healthy and confident? Now they might have questions that they need answers to. That's okay. But for the bulk, people want to know.   Where am I at? Why does this need to get done? And what are my steps to get it fixed? I was at the jeweler the other day and like, my gosh, it was like, you have these chips, you've got this, you've got this warranty. And I just, I didn't do anything because it was too much. I don't care about jewelry and chips and this like, is my diamond going to fall out or not? And what do I need to do to prevent that? And then they were like, well, it's this amount. And I was like, okay. But the ring didn't even cost me that much to begin with.   So you've got to make sure that it really makes sense to patients in the simplicity. So confidence, number one, you've got that. Words create worlds, you're gonna walk in there. Number two, we're gonna tee them up with giving the yeses. Number three, we're gonna give a very simple NDTR, give it to the patient, make sure it's clear and concise, what is the very next step. It's very clear, very simple for them to go through. And then we take them up to the front office and every person, if they follow this, we use route slips, we have handoffs, I don't care, you can have a virtual.   hand off, I don't care, you can type it in, but we need next visit date, time, so we're all saying the exact same thing. So this patient knows my goal for every practice is that that patient leaves the operatory, walks to the front office, which they should not do, but the visual is there that they walk up and like, hey, Kiera, Dr. Smith wants to see me back in two weeks for a crown and it needs an hour and a half for that. If it is that clear, and I need to schedule my cleaning with Sarah. Do you think that patient's bought in? The answer is yes.   You've already got them like 90 % of the way. Now all we've got to do is deal with finances. Like that's truly it. And sometimes that's not even the issue, but we need to make sure that we have that. Now, step four is schedule first. Put the emphasis and the priority on the schedule. People are like, so we got to do the crowds. It's going to be this amount. No, why are we talking money first? Dentist diagnosed it. We need to get this treatment done.   Why are we sitting here wondering if money is the issue or not? It's not, let's get the treatment done. Let's assume they want to do treatment. Remember, everybody says yes to Why would they the dentist if they don't want to get treatment done? They are here because they want to get their mouth healthy. They don't come here because they're like, well, I'm not gonna do anything with it. I went to the jeweler because I wanted my ring fixed. They made it so hard, I walked out of there because it was too hard for me. If they would have said, Kiera, perfect, your two choices are, we can either do it on warranty and this is how much it is, or if you don't, this is how much the total is.   If they would have just said it that simply for me, I would have probably fixed my ring. But it was all this nonsense that I walked out. So think about your patients the same way. So schedule first, that is our next step. Hey, perfect, so Dr. Smith wants to see you. He wants to see you back in two weeks. You're like, care of my schedule is so booked. Fine, when your schedule and my schedule align, please stop making objections for things that are simple. I need you to get out of your own way on case acceptance.   You sit there and over explain, give too many options, don't think it's good to give them urgency, cause you're like, well, the two is not gonna break. I hear you. But what you're lacking is they're gonna leave your practice, go to Costco, be thinking about cereal and the kids and dance. This is the time that they're dedicating to themselves to get their dentistry done. Be respectful of their time and make them a raving freaking fan. Make it so easy for them. I think about Disney. Disney makes it so easy for me to spend money with them.   It's a mobile app. I don't have to go stand in lines. I have this, I have that. They make it so easy for me to say yes. And my question to you is, are you making it easy for your patients to say yes to you or are you making it so hard that they don't want to? Are you making them so confused? They're like, I don't even know what just happened. With IVF, do you know how many words they talked to me about that I don't even know? But it was like, Kiera, this is your next step. This is the total of how much you'll pay and here are financing options if you need them. Now, the only reason I use that as an example,   is because IVF is about $50,000 per treatment. Just like you're all on excess cases, that is the appropriate time to talk about financing there because not everybody has 50 grand just sitting there, just like in that. But most people usually are okay with one to two to three to five to 10,000 even. Not all the time, and I'm not saying that, but be careful that then with treatment coordinate, and this is the fifth step, is we need to make sure that when we're presenting treatment, we don't assume that it's money. We don't assume it's all these things. It's not, it's your confidence in how you're saying it.   Schedule first, talk money second. Now when we're talking money, we go into it and they're like, but what's it gonna cost? No problem, I'm go over that. You're gonna be super confident. We're gonna make sure we take care of all that. Dr. Smith's super busy and I wanna make sure I reserve that time for you. I have Monday or Wednesday, which works best for you. Control the conversation, make it very simple for them. Make it very, very easy for them. Then after that, what we're gonna do is we present the totals. Here's the total amount. Here's the estimated insurance amount. This'll be your total when I see you on Wednesday.   What questions do you have for me? I want you to be super confident moving forward. I say super confident moving forward. I am guiding them. I am saying what I want them to do. This is all words again are free. Use them. I believe that this patient deserves it the best dentistry and I wanna make it as easy as possible. There was no pressure on it. There was nothing. It is very, very simple. I've told you what you need. We've got you scheduled. Here's the total. What questions do you have? Some people will be like, let's talk about financing.   Absolutely, we've got financing. Do you have savings or do you want to talk about third party financing? I'm not just throwing out my Rolodex because what happens is, and I did this, we were buying bikes. My husband and I were buying bikes back in COVID. And I remember they were like, ⁓ and or you could do this like thing and you won't have any interest. My husband and had the money. We would have paid right then and there, but because they would not stop talking and assume we weren't going to say yes,   They offered financing. And I know a lot of people fight me in the industry on this and like, no, Kiera, you should offer financing. Like that's the way of the world. I am really pro simple equates results. And if I can have simple things, I'm going to get a lot more yeses. So treatment coordination, we're going to have financial options. Make sure you have it. We want to have them immediately. We want to be really, really solid with this. We are going to present all of our treatment there. And then if they are not on a yes, I go past it two times.   If they're still not a yes, I'm gonna follow up with them in two days, two weeks, two months. Follow-up matters. You have got to follow up on this. We need to check in with them. People get busy, they've got questions. Love them. Do this out of love, not obligation. And that might be like my best line for you. Do everything with case acceptance out of love. I told the team the other day, I just imagine when a patient sits with me, I'm giving them a warm hug. And it's like, not an actual one. Please don't get weird. But like, how can I make you...   feel like you are the most important, incredible human being sitting right in front of me and I'm gonna help you get the best dentistry possible and I'm gonna make your day just a little bit better because you happen to be in my world today. That's the direction to come from. Doctors, that's the direction to come from when you're doing your case presentation. Hygienist, this is how we tee it up to our doctors. These are simple little steps and I promise you, if you will do these items, your case acceptance will flourish. If you choose to pick and choose like this as a buffet, it won't grow. It is all of these steps.   consistently every time when we look at the results, we review the results, we see how are we doing and we refine. Case acceptance is about refinement, it's not about perfection. Where am I having that one or two words where I just need to do that, just change it a little bit, what needs to happen? And I promise you, you're going to get it. So if you want help with this or you wanna be like the team where we're adding multiple millions, please, please, please join us. Reach out, Hello@TheDentalATeam.com. But you, your practice and your team.   deserve to have the best case acceptance. You deserve to have patients that love you, that wanna work with you. This is what it's about. They love you. So let them work with you. Make it easy to work with you. Progress over perfection is where it's at. And I am obsessed with this. Just think about it. People are like, well consulting, can cost so much. And I say, if I helped you get one or two more cases closed every single month, we'd pay for ourselves. And you have a fairy godmother on your team.   And you have somebody you can talk to about finances and you have somebody who grows your team and you have somebody who's going to help you with the business side of it. And you're going to have somebody who's way freaking smart in dentistry. And you're going to be able to have access to our entire group. And you're going to be able to come to a mastermind. Like why not? It is that simple. And this is what we do. And this is how we pay for our consulting. Plus give you your life back, plus help you with your patients and make your life incredible. So reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.

What happens when a patient can't afford the treatment you prescribe but is too embarrassed to say so? Health care executive Adam Cunningham joins the show to unpack the devastating ripple effects of medical debt, drawing on his KevinMD article, "The hidden toll of medical debt on patient health and survival," and sharing how one friend lost her job, her insurance, and nearly her ability to function before finding affordable biologic treatment for rheumatoid arthritis overseas. You'll hear why 16 percent of U.S. suicides have a contributing factor of medical debt, how patients weigh financial ruin against ending their lives, and what makes China's tier one hospitals a surprisingly viable option for Americans priced out of care at home. Cunningham explains the accreditation systems that ensure quality abroad, the role patient advocates play in navigating costs, and the one question every physician should ask before assuming a patient will follow through on a treatment plan. If you've ever wondered whether medical tourism is legitimate or just risky, this episode offers a grounded, practical perspective you need to hear. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

A new study is being pushed through the media claiming AI chatbots are dangerous because they struggle to diagnose patients with incomplete information. Really? So do doctors. Every single day. Patients walk in with vague symptoms, missing details, bad memories—and doctors guess. They call it “clinical judgment.” When AI does the same thing, suddenly it’s a crisis? Give me a break. Because buried inside this so-called warning is the truth they don’t want you focused on: when the data is complete, AI doesn’t just compete—it dominates. Accuracy jumps north of 90 percent. So let’s be clear about what this actually is. Not a warning. Not a breakthrough. A narrative. This is the beginning of the medical establishment circling the wagons. Because AI is exposing something they never wanted you to question—that the system isn’t nearly as precise, as consistent, or as untouchable as they’ve claimed. AI doesn’t get tired. It doesn’t have an ego. It doesn’t rush you out of the room in seven minutes. And it doesn’t protect a broken system. So now the messaging begins: “Don’t trust it. It’s dangerous. Stick with us.” But what they’re really saying is this: Don’t replace us. We break down the study, the spin, and why this could be the opening shot in a full-scale war against AI in medicine. If you’re ready to take control of your health without waiting on a broken system, start here

Every pediatric visit tells two stories. One is about the child in front of us: their growth, symptoms and milestones. The other belongs to the parent beside them, often unspoken but deeply felt. In this episode, we're talking about parental wellbeing and why it belongs at the center of pediatric care. From chronic stress and mental health challenges to resilience and support systems, a caregiver's experience doesn't stay in the background but rather shapes a child's biology, behavior and long-term health. To discuss this important topic, we are joined by Mona Amin, DO. She is a board-certified pediatrician, a mom of two and the founder of the incredible podcast PedsDocTalk, a globally recognized platform reaching over 1.5 million people.  Some highlights from this episode include: Why a parent's mental health impacts child health and development  The role the pediatrician can play in identifying parental struggles  Common misconceptions about parental mental health  Healthy boundaries between sharing details and privacy  For more information on Children's Colorado, visit: childrenscolorado.org. 

Rebecca Benghiat holds a JD, passed the bar, and skipped corporate law to build mental health systems instead. She now serves as Chief of Staff and Head of Impact at Inner Foundation, where she helps direct capital toward emerging adults ages 18 to 30 and asks a hard question every day: Is this actually working?In this conversation, she dismantles the myth of easy fixes. She explains why mental health measurement resists clean metrics, why a PHQ 9 score starts a conversation but never finishes one, and why “scale” often flatters institutions more than it helps people. She breaks down how impact investing shapes care delivery, why schools need networked systems not slogans, and why friction might be developmentally necessary.The stakes are real. Vulnerable families navigate snake oil, glossy apps, and pay to play algorithms while carrying the burden of choice in crisis. Benghiat lives inside that complexity and refuses to simplify it.RELATED LINKSRebecca BenghiatInner FoundationAspen Ideas HealthThe Jed FoundationFEEDBACKLike 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 this episode, Charlie Lougheed, CEO and co-founder, Axuall, and James Whitfill, MD, Senior Vice President of Strategic Partnerships and Chief Transformation Officer, HonorHealth, discuss how accurate provider data and AI are reshaping patient access and care delivery. They explore data governance, the risks of poor data quality, and how better infrastructure can improve matching, efficiency, and patient outcomes.This episode is sponsored by Axuall.

Most private practice owners know they need marketing… but very few understand what's actually working right now — especially when it comes to getting found online. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Jeremy DuPont, former cash-based clinic owner turned founder of Patch Digital Marketing, to break down what's driving patient growth in today's digital-first landscape. Jeremy shares how he built and scaled a multi-location cash-based clinic in Boston without relying on physician referrals — and why mastering digital marketing became the key to predictable growth. After successfully growing and selling his clinic, he now helps other practice owners do the same through Google Ads, local SEO, and conversion-focused systems. This conversation dives deep into one of the biggest shifts happening right now: why Google Maps — not your website — is becoming the most important place for your clinic to show up. Jeremy also walks through a live audit of a real clinic, showing exactly how rankings work, where opportunities are hiding, and what most clinics are doing wrong when it comes to local visibility. Together, they explore: Why 70%+ of patients searching for services are using Google Maps — not traditional searchHow Google's AI and search changes are reshaping how patients find clinicsThe 3 key drivers of local SEO: Google Business Profile, directories, and website authorityWhy most clinics ignore their Google Business profile — and how that hurts rankingsHow review volume and consistency directly impact your visibilityThe role of local directories and why they build trust with Google and AI toolsHow to identify missed opportunities in nearby areas and services (like dry needling or pelvic health)Why ranking for the wrong keywords brings traffic… but not patientsThe difference between “marketing that looks good” vs. marketing that actually convertsWhen paid ads make sense — and why most clinics start too early or too small If you're a practice owner trying to get more patients without relying on referrals — or you're frustrated that your marketing isn't translating into real growth — this episode gives you a clear, practical roadmap to start winning locally.

Four years ago, Dr. Connie Cheung was running a thriving hot yoga and functional wellness business. Then, acute kidney failure from lupus nephritis changed everything. Recorded 16 days after her second kidney transplant, Dr. Connie shares the full story for the first time — in sequence, without the polished version. In this episode, you'll hear: → How lupus nephritis and acute kidney failure pulled her out of her hot yoga business and into a dialysis clinic — almost overnight → What it was like to undergo chemotherapy to save her kidneys — and have it fail  → Three years of home hemodialysis as a single mother — the schedule, the fear, the scary moments alone with the machine at midnight → Her twin sister who tried to donate a kidney, and why blood type O made matching nearly impossible → A yoga student who stepped forward to donate her kidney — and what that kind of generosity does to a nervous system that has been in survival mode for years → A kidney transplant that was severely rejected within weeks — and a medical team that dropped her, labeled her difficult, and walked away → Three more years on the transplant waitlist with a high PRA (panel reactive antibody) — two calls that came close and then fell through → Closing her business, losing her identity, and learning to hold fear and hope simultaneously → How EASE OS™ was born — not from research, but from a body that had no other option → Where she is now: 16 days post-transplant, grateful and terrified, and applying her own framework to her own recovery in real time This is not an inspirational story. It is the origin story of EASE OS™ — a health integration framework built around four systems: Enteric (gut brain), Autonomic (nervous system safety), Somatic (body as data), and Empowered Psychology (identity inside illness). ➢ If you have been told your labs are normal, but your body doesn't feel normal, this episode is for you. ➢ If you are a practitioner with complex patients whose results won't hold, this episode is for you.  ➢ If you have ever been labeled difficult by a system that ran out of answers — this episode is especially for you. Topics covered: lupus nephritis, kidney failure, chronic kidney disease, home hemodialysis, kidney transplant, transplant rejection, high PRA antibody sensitization, living kidney donor, functional medicine, nervous system regulation, chronic illness identity, medical trauma, integrative health, EASE OS™ framework, autonomic nervous system healing, somatic awareness, empowered psychology Learn more about EASE OS™: drconniecheung.com Apply for the Clinical Diagnostic Intensive: drconniecheung.com/Clinical-Diagnostic-Intensive Follow Dr. Connie on Instagram: @drconniecheung Primary keywords → kidney failure → kidney transplant → dialysis → lupus nephritis → home hemodialysis → transplant rejection → living kidney donor → chronic kidney disease → functional medicine → chronic illness  Secondary / long-tail keywords → high PRA transplant → nervous system regulation chronic illness → medical trauma healing → chronic illness identity loss → integrative health autoimmune  → labeled difficult patient → autonomic nervous system healing → somatic awareness illness → complex patient functional medicine →single mother chronic illness Long-tail keywords are where Dr. Connie has a real competitive advantage — no one else owns "high PRA transplant" or "labeled difficult patient" in the podcast space. Be sure to subscribe to our podcast and YouTube channel so you never miss an episode of the EASE OS: Less Effort, More Power! We release new episodes every week. Click here to subscribe to our podcast on iTunes: Apple Podcast: EASE OS™: Less Effort, More Power Click here to subscribe to our podcast on Spotify: Spotify: EASE OS™: Less Effort, More Power And if you liked this message, please leave us a review on iTunes!. Be sure to follow Dr. Connie on Instagram and Tiktok! Instagram: @drconniecheung  TikTok: @drconniecheung_ LinkedIn: Dr. Connie Cheung

Suzy Jackson, a digital health specialist focusing on Patient Tech, highlights the shift in the pharmaceutical industry from a provider-focused model to direct engagement with patients. Using AI to create a more consumer-like, personalized healthcare experience will benefit patients and inform researchers and providers about adherence to care and drug side effects.  Patient Tech helps reach underserved populations and moves from providing information to a proactive environment, enabling action and more informed discussions with healthcare providers. Suzy explains, "So everything for me in the Patient Tech space is anything that helps a patient find care, navigate care options, or indeed stay on care, including anything to do with lifestyle interventions and preventative care as well. So I think the category is expanding very, very rapidly, and I'm excited to see what will go on in the next few years." "Well, I think it's pretty safe to say that this is a new venture for the pharmaceutical industry as a whole. I think traditionally, a lot of time has been spent on ACP education and thinking about how we make HCPs aware of all the choices and therapeutic interventions that are available for their patients. But in the last couple of years, we've really seen a shift, and I think that's caused by a multitude of different factors I'm sure we can speak about, but there's really been a shift to standing on the frontline with patients for pharma and making sure that they're providing patients with care that otherwise patients are going to find in other spaces."  #PatientTech #DigitalHealth #AI #HealthcareInnovation #PatientCenteredCare #HealthEquity #PharmaTech #HealthTech #PatientExperience #WomenInHealth #HealthInnovation #AIinHealthcare #HealthcareLeadership #FutureOfHealth #Lifesciences #PharmaDTP suzy-jackson.com Download the transcript here  

Suzy Jackson, a digital health specialist focusing on Patient Tech, highlights the shift in the pharmaceutical industry from a provider-focused model to direct engagement with patients. Using AI to create a more consumer-like, personalized healthcare experience will benefit patients and inform researchers and providers about adherence to care and drug side effects.  Patient Tech helps reach underserved populations and moves from providing information to a proactive environment, enabling action and more informed discussions with healthcare providers. Suzy explains, "So everything for me in the Patient Tech space is anything that helps a patient find care, navigate care options, or indeed stay on care, including anything to do with lifestyle interventions and preventative care as well. So I think the category is expanding very, very rapidly, and I'm excited to see what will go on in the next few years." "Well, I think it's pretty safe to say that this is a new venture for the pharmaceutical industry as a whole. I think traditionally, a lot of time has been spent on ACP education and thinking about how we make HCPs aware of all the choices and therapeutic interventions that are available for their patients. But in the last couple of years, we've really seen a shift, and I think that's caused by a multitude of different factors I'm sure we can speak about, but there's really been a shift to standing on the frontline with patients for pharma and making sure that they're providing patients with care that otherwise patients are going to find in other spaces."  #PatientTech #DigitalHealth #AI #HealthcareInnovation #PatientCenteredCare #HealthEquity #PharmaTech #HealthTech #PatientExperience #WomenInHealth #HealthInnovation #AIinHealthcare #HealthcareLeadership #FutureOfHealth #Lifesciences #PharmaDTP suzy-jackson.com Listen to the podcast here  

TUE – Clark looks at A.I. in health care. Patients use it more than doctors – and that could be dangerous, because A.I. could be wrong! If you've got medical decisions to make, TALK. TO. A. DOCTOR.

Why Isn't TEAM More Popular? Why Do So Many Therapists Resist TEAM CBT? Featuring Matt May, MD Why has the therapeutic community been so resistant to TEAM? This topic has been a concern to me or many years. To be honest, it isn't new. From the very start of cognitive therapy, when I was first learning it, I began modifying it to make it more dynamic, powerful, and effective. But to be honest, I ran into a small (at the time) of Beck loyalists who branded me as an "outsider," something Beck also did when my book, Feeling Good, began to sell and gain popularity. This saddened and frustrated me, and still does, but it had some great spin-off. On my own, my ideas and approaches grew rapidly, and there was no scarcity of young therapists who wanted to work with me.  Below, you will ready Matt's take on why TEAM CBT has not caught on better, followed by my own thoughts. So read, and enjoy, and feel free to share your own thinking on this topic!  On the live podcast, you will hear our lively discussion with our beloved and brilliant host, Rhonda! Thanks for listening today!  Matt, Rhonda, and David Matt's take: Hi David, I'm excited to discuss this topic!  Also, I agree we would be hard-pressed to cover it in an hour, which I believe is the goal for the podcast. So, why isn't TEAM isn't more popular?  My short answer is that TEAM isn't more popular because many therapists don't want to learn it. Those reasons will vary from one person to another and relate to concepts in the model, itself, like 'process resistance' and 'outcome resistance'. While biological factors, like deficits in cognitive flexibility and neuroplasticity, the 'primacy effect' and age-related changes in the brain, combined with the complexity of the TEAM model, will make it near-impossible for some folks to learn it, these barriers are hard to address with our current technology For the purpose of this conversation, it probably makes more sense to consider the psychological barriers therapists have to adopting a model that is scientifically proven to be superior to other approaches.  As a proponent of TEAM and an instructor, I'd love to know what I'm doing wrong, in presenting the model and how to get more people excited about learning it.  While more research would help us see the problem more clearly, here are some factors that likely play a role: It seems humans have a hard time adopting new truths, regardless of the field being considered. I believe it was Schopenhauer who said all new truths go through three phases on the way to acceptance:  People will ridicule it, violently oppose it, then say they knew it all along as self-evident! One cause of this is something called the 'primacy effect'. People preferentially retain the first version of a story they hear.  If that information is corrected, later, they will continue to believe the first version they heard.  Biological Factors play a role in learning, including genetics, aging, illness and toxic exposure. 'Switching gears', mentally, is more challenging in people with Schizophrenia and their first-degree relatives, for example.  We know that neuroplasticity is greatest in our youth and declines over our lifespan.  Hence the importance of early education and attending to our overall health, habits, nutrition and medical care.       Socioeconomic and Cultural factors certainly play a role.  This is well documented in the book, 'The Emperor's New Drugs', showing how marketing prevailed over science in promoting "antidepressants".  Many therapists in training tell me, 'oh, they wouldn't let me use a measurement tool where I work'.   Lack of 'Critical Thinking'. What people believe often has nothing to do with what is evidence-based or logical.  Many people reject global warming despite the evidence and prefer to believe in conspiracy theories.  We tend to preferentially believe what someone says if we feel a kinship or loyalty to that person or view them as an 'expert'. People might believe RFK Jr. when he says immunizations are dangerous, for example, because he is in their political party and in a position of power, rather than review the science for themselves. Sunk-Cost Fallacy:  People who have gone through training may have a sense that they have invested too much time and money in their education to discard that model and start afresh. Even if we covered this in just a few minutes, we'd still be up against the hardest part of TEAM to learn, Agenda Setting.   Lots of 'Good Reasons' NOT to have open hands, explore topics paradoxically, and reasons this is challenging, technically. So, yeah, we'll have a lot to discuss and I'm looking forward to that! Sincerely, Matt Here is David's list Taking a page out of your book, Matt, our field is filled with so-called "schools" of therapy that function much like cults, most with a narcissistic "leader" at the helm. In a cult, members are required to be absolutely loyal, and to believe in claims the guru makes that have little or no evidence to back them up. For example, most "schools" of therapy claim to know "the" cause of emotional distress, when the causes of depression and other forms of emotional disturbance are still not known. What I have been suggesting is that we get rid of all the schools of therapy and usher in a new era of science-based, data-driven therapy, which would amount to a revolution in our field. This idea, which I feel passionate about, always meets with stiff and hostel opposition / push back. People just don't want to hear it. TEAM integrates high-level empathy and compassion with firm accountability. Give Stanford story with Sunny Choi, and the statement that "Stanford graduate students and faculty cannot be held accountable for doing psychotherapy homework. The need insight-oriented therapy!" This angrily issued statement conveyed, actually, two cult-like (to my thinking) components: First, we KNOW that patients should not be asked to do psychotherapy homework between sessions. Second, we KNOW that "insight-oriented therapy" is the treatment, without ever evaluating them. TEAM focuses on the here and now, and emphasize a "fractal" approach to treatment, where the same distortions and self-defeating beliefs will be embedded in the patient's negative thoughts and feelings every time she or he is upset. So, when you change the present, you have already changed the past. Whereas most therapies have traditionally (and still) focus on the past, thinking they will find the cause of the patient's distress in some pattern or traumatic event. TEAM focuses on rapid change in the here and now, where as many (most?) therapies focus on talk therapy that unfolds slowly, over a period of months, years, or even more. This DOES provide a powerful financial incentive to do "talk therapy," since this drastically provides financial security and reduces the incredible pressure of constantly have to find new patients. TEAM is very challenging to learn. I have taught over 50,000 therapists in the past 35 years or more, through my supervision of graduate students and psychiatric residents, my weekly training group at Stanford, and my workshops, including intensive, around the US and Canada. And one lesson that has emerged is just how difficult it is to learn TEAM. It requires a high level of intelligence and aptitude, and an unusual dedication and commitment. A great many of the most important tools, like Assessment of Resistance, and Externalization of Voices with the CAT, Self-Defense, and the Acceptance Paradox, are extremely difficult to learn and master.  And most give up, and drop out, in favor of some simpler and more formulaic therapy that is easy to learn. TEAM training requires constant role-playing with specific and immediate feedback on your performance, which includes bot a letter grade (A, B, C, etc.) as well as what you did that was effective, and where you fell short and might need to fine-tune your technique with frequent role reversals, always with feedback. This means lots of criticism along the way, which many (most?) therapists do not like. And although we repeatedly emphasize the philosophy of "joyous failure," and "learning through failure," most people do not buy it emotionally. We all want success and compliments! And NOT the "great death" of the self." The "great death" permeates every phase of the T E A M process. At the T = Testing, you will nearly always learn that your perceptions of your patients feel, and how they feel about you, are way off base. This is critically important, but painful for most, as it is a direct body blow to our "need" to be in the role of "expert." Unlike most other forms of therapy, we require therapists to measure patients' feelings, "in the here and now," at the start and end of every therapy session, using brief, highly reliable scales that assess feelings of depression, suicidal urges, anxiety, anger, and also happiness, as well as relationship satisfaction or discord. These scales function like an "emotional X-ray machine," allowing therapists for the first time to see exactly how effective or ineffective you were in every therapy session. Can you take it? On the positive side, this information will allow you to fine tune the therapy and learn from all of your patients every day. On the negative side, you may not want to have to "see" your failures before your eyes at every session with every patient. David: Tell the story of Tuesday group patient who proudly showed me her depression (and other scores) over the previous year with one of her patients. . . But there was absolutely no improvement in any scale. This was shocking and it made me very sad. My goal is to get dramatic changes within a single session. This "great death" continues during the E phase. TEAM therapists are required to ask "What's my grade on empathy" during the session, and also patients fill out the Empathy Scale and other scales on the "Patient's Evaluation of Therapy Session" right after the session. These scales are set up to make therapist failure common, almost universal at first. A warm and curious dialogue about where the therapist went wrong can revolutionize the therapy and deepen the relationship—quickly. But at what cost to the fragile ego of the insecure shrink? The "great death" continues with A = Paradoxical Agenda Setting. You give up your role as the "expert:" or "helper" or "rescuer," which many therapist refuse to do, and instead "become" the patient's subconscious resistance, arguing, with compassion and logic, that there are many GOOD reasons NOT to change. This freaks therapists out! The "great death" continues with the M = Methods phase of the session. I have developed roughly 140 methods to help people challenge distorted negative thoughts and self-defeating beliefs, and have always taught that no one method will work for everyone who's depressed and anxious. So you will have to try many methods, using the Recovery Circle, to find the one that works for each patient. But these methods are challenging to learn, and most therapists don't seem to have the intelligence, aptitude, or commitment to learning how to use them. Many of the methods and insights of TEAM or subtle nuances that many therapists do not "get" or perhaps do not want to "get." Example, the ACT training group, where someone held up the Feeling Good book and said, "We do not want THIS!" They falsely believed that "leaning into" your feelings is always the answer, and wrong believed that TEAM tried to make people happy all the time—called Toxic Positivity—whereas nothing could be further from the truth. In fact, I mentioned healthy negative feelings as early as, I think, Chapter 3 in Feeling Good, "Sadness is Not Depression," where I told the story of an elderly man who died on the Stanford inpatient medical service one evening when I was a medical student. Much of what I teach is shocking and at odds with what people are taught in graduate school. For example, the idea that most people with depression and anxiety—NOT everybody!—can be effectively treated in a single, extended therapy session. Curses! That sounds horrible! And even worse-sounding is the idea that change typically happens suddenly, at the very moment patients stop believing their distorted thoughts. Of course, since most therapists have not seen these phenomena, due perhaps to not having the skill, they insist instead that David is some type of fool, liar, or con artis. Okee Dokee! People—therapists and patients alike—do not "get" a great many of the key ideas in TEAM. For example, let's say the socially anxious patient totally believes the thought, "I shouldn't be so screwed up!" the necessary and sufficient conditions for emotional change. The necessary condition: The Positive Thought (PT) must be 100% true. Rationalizations and half-truths have never helped anybody. The sufficient condition: The PT must drastically reduce your belief in the negative thought. And that's when your negative thoughts will suddenly change. There is even more of what I teach is shocking and at odds with what people believe. For example, 2,000 years ago Epictetus stated they key premise of all the cognitive therapies: "People are disturbed, not by things, or events, but by the views they have of them". And recently, our research team has provided proof of this for the first time, in a study of nearly 7,000 users of our Feeling Great app, using sophisticated statistical modeling techniques. So, the three tenants of cognitive therapies, including TEAM, are: First, you FEEL the way you THINK. In other words, all of your positive and negative feelings result from your thoughts in the here-and-now. Second, depression and anxiety are the world's oldest cons. In other words, your negative thoughts, like "I'm not as good as I should be," or "I'm a hopeless case,"—will be loaded with many of the ten cognitive distortions and are extremely misleading—but you don't realize this when you're upset. You will believe these thoughts with all your heart and feel CERTAIN that they are 100% true. Third, you can CHANGE the way you FEEL. But lots of people will won't have it. They keep insisting on theories that simply aren't true—that emotions cause thoughts, for example—and on methods that may have little or no "punch" above and beyond the placebo effect. Story of Tuesday group student who was scolded in her graduate school counseling program for using the words "thought" or cognition during a therapy session. She was told ONLY to focus on feelings. Many people—therapists and patients alike—strongly believe that therapist empathy is THE key to healing. I have developed many powerful empathy tracking and training methods, but our clinical experience and research has shown, over and over, that therapist empathy is NOT the key to healing. They keys involve using TEAM systematically, and the rapid healing happens during the A and M for the most part. But those are the hard parts! Other problems include the idea that we can convert normal human emotional distress into a series of "mental disorders" that are listed in the DSM, the "bible" of the American Psychiatric Association. In TEAM, we consider each patient's patterns of suffering at the start of therapy, quickly and easily screened by the EASY Diagnostic System, but monitor therapy and patient progress with simple tools that measure feelings, like depression, anxiety, anger, and more. But this is an argument for another day. There's a lot more issues, too. Have I, David, contributed to the resistance to TEAM? Absolutely I have. I plead guilty as accused, and I'm proud of it. I'm totally aware that people—maybe even you— get turned off by criticism, and naturally recoil to protect your "in group," as Matt so clearly pointed out, and maintain loyalty to your "leader," whether it's Freud, Jung, Beck, Hayes, Rogers, or whoever. People are more emotional than rational, and people can be intentionally cruel and deceptive, too, all in the name of what they believe. We see that in our politics these days too. People believe things that are totally false, and wildly implausible, because the group or leader says it's true, it's the way things are. I'm a strong believer that science and truth will win out in the long run. Is this inevitable? I'm not totally confident, and have my doubts, but I am also filled with hope, and look to a future with more therapists like our beloved Matt May, MD and others who have dared to venture in a radically new direction, much like the early astronomers like Galileo and Copernicus who dared to challenge the superstitious teachings of the Catholic church. Those brave and brilliant early souls said, "things are NOT the way you think!" And they used data and mathematical modeling to prove their points. But there were a hundreds years of intimidation and suffering until people finally began to catch on to the then-ridiculous and outrageous ideas that the sun does NOT actually revolve around the earth, and that the earth is NOT the center of the universe. Those NOTS changed history. Can it happen again in the fields of psychiatry and psychotherapy? I hope so, and I've been giving my all, in my teaching, research, clinical work and writing, to make this happen. Sadly, I've fallen far short of my dream, but I'm thankful every day for what I've got, and the wonderful colleagues I'm privileged to know and love. Warmly, David, Matt and Rhonda

Contributor: Aaron Lessen, MD Educational Pearls: Patients with pulmonary embolism (PE) are divided into three risk categories Low risk (non-massive PE): patients are stable Treatment: prescribe anticoagulants and discharge home Intermediate risk (submassive PE): patients are stable but display evidence of clot burden such as elevated troponin, elevated BNP, and/or right heart strain Treatment is controversial High risk (massive PE): patients are unstable with hypotension, hypoxia, and/or respiratory distress Treatment: IV thrombolysis to prevent decompensation A recent randomized controlled trial evaluated treatment of intermediate risk PE patients Patients were randomized to receive either thrombectomy with anticoagulation or anticoagulation alone The primary outcome evaluated changes in right ventricular enlargement at 48 hours A controversial primary outcome because it does not speak to mortality or incidence of other necessary aggressive interventions Low clinical significance The study found that thrombectomy significantly reduced right ventricular enlargement faster than anticoagulation alone. However, there was no statistical difference in mortality or need for other treatments Treatment for intermediate risk PE patient remains controversial The same study will have second follow-up at 90 days to see if there are other benefits References Lookstein RA, Konstantinides SV, Weinberg I, Dohad SY, Rosol Z, Kopeć G, Moriarty JM, Parikh SA, Holden A, Channick RN, McDonald B, Nagarsheth KH, Yamada K, Rosovsky RP; STORM-PE Trial Investigators. Randomized Controlled Trial of Mechanical Thrombectomy With Anticoagulation Versus Anticoagulation Alone for Acute Intermediate-High Risk Pulmonary Embolism: Primary Outcomes From the STORM-PE Trial. Circulation. 2026 Jan 6;153(1):21-34. doi: 10.1161/CIRCULATIONAHA.125.077232. Epub 2025 Nov 3. PMID: 41183181. Summarized by Meg Joyce, MS2 | Edited by Meg Joyce & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

Ever looked at your schedule and thought…“Ugh… that patient.”You're not alone.Dreading certain patients is something almost every pelvic PT or OT experiences — but it's not something we talk about enough.In this episode, we break down:The subtle signs you might be dreading certain patients (even if you don't realize it)Why it happens — from tricky diagnoses to personality challenges to specific stages of careAnd what to actually do about itBecause it's not about being a better “perfect” clinician.It's about building the confidence to handle whatever walks through your door.The truth is:

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-480 Overview: Tune in as we discuss nonsurgical options for managing knee osteoarthritis in primary care. This episode reviews current guidelines and highlights new research on yoga as an effective alternative to traditional strengthening exercises. Gain practical insights to help patients reduce pain, improve function, and delay surgery—all while expanding your integrative treatment toolkit. Episode resource links: Abafita BJ, Singh A, Aitken D, et al. Yoga or strengthening exercise for knee osteoarthritis: a randomized clinical trial. JAMA Netw Open. 2025;8(4):e253698. doi:10.1001/jamanetworkopen.2025.3698 Brophy, Robert H. MD; Fillingham, Yale A. MD. AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition. Journal of the American Academy of Orthopaedic Surgeons 30(9):p e721-e729, May 1, 2022. | DOI: 10.5435/JAAOS-D-21-01233 Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-480 Overview: Tune in as we discuss nonsurgical options for managing knee osteoarthritis in primary care. This episode reviews current guidelines and highlights new research on yoga as an effective alternative to traditional strengthening exercises. Gain practical insights to help patients reduce pain, improve function, and delay surgery—all while expanding your integrative treatment toolkit. Episode resource links: Abafita BJ, Singh A, Aitken D, et al. Yoga or strengthening exercise for knee osteoarthritis: a randomized clinical trial. JAMA Netw Open. 2025;8(4):e253698. doi:10.1001/jamanetworkopen.2025.3698 Brophy, Robert H. MD; Fillingham, Yale A. MD. AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition. Journal of the American Academy of Orthopaedic Surgeons 30(9):p e721-e729, May 1, 2022. | DOI: 10.5435/JAAOS-D-21-01233 Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Matthew Loscalzo, LCSW, APOS Fellow, City of Hope, Duarte, CA Recorded on March 30, 2026 Matthew Loscalzo, LCSW, APOS Fellow Founding Executive Director and Professor Emeritus of Supportive Care Medicine and Professor of Population Sciences City of Hope Duarte, CA In this episode, licensed clinical social worker Matthew Loscalzo explores how survivors and healthcare professionals often define “normal” differently after treatment. He discusses the emotional shifts that impact relationships, work, and future planning, and shares how healthcare professionals can support meaningful conversations and shared decision-making after treatment ends. Tune in to hear practical insights for supporting patients beyond treatment. Mentioned on this episode: Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals by Linda Klein, Matthew Loscalzo (Editor), Marshall Forstein (Editor) Additional Blood Cancer United Resources: Blood Cancer United Accredited and Non-Accredited Healthcare Professional Education Blood Cancer United Resources for Patients

Visit: RadioLawTalk.com for information & full episodes! Follow us on Facebook: bit.ly/RLTFacebook Follow us on Twitter: bit.ly/RLTTwitter Follow us on Instagram: bit.ly/RLTInstagram Subscribe to our YouTube channel: www.youtube.com/channel/UC3Owf1BEB-klmtD_92-uqzg Your Radio Law Talk hosts are exceptional attorneys and love what they do! They take breaks from their day jobs and make time for Radio Law Talk so that the rest of the country can enjoy the law like they do. Follow Radio Law Talk on Youtube, Facebook, Twitter & Instagram!

“Being a CF aunt has shaped so much of my life. Now I get the opportunity to turn that love and connection into helping even more people at Breathe Strong CF."  Julie Dunn Eichenberg didn't just find the cystic fibrosis community, she's been part of it for more than 30 years as a proud CF aunt. That personal connection is what makes this next chapter so meaningful. Julie recently stepped into the role of Executive Director at BreatheStrong CF, where the focus is on helping people with cystic fibrosis live stronger, healthier lives through exercise, education, and empowerment. And while she brings decades of experience in leadership, fundraising, and relationship-building, she's honest about getting used to the role. She's learning. Listening. Figuring out the day-to-day. And really taking the time to understand how she can best serve the community in this new position. Before this, Julie spent 20 years at Turner Broadcasting System (now part of Warner Bros. Discovery), and later held leadership roles at Florida State University and Fan Data Insights. But no matter where her career took her, the CF community was always part of her life. She's also been deeply involved with the Cystic Fibrosis Foundation, serving as Chair of the Georgia Chapter and contributing at the national level. We talk about what it feels like to step into a leadership role that's so personal. The excitement, the pressure, and the responsibility that comes with it. Julie shares what she's learning, what's surprised her, and why her connection as a CF aunt continues to guide every decision she makes. Because for Julie, this isn't just a job,  it's personal. Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/enRead us on Substack: https://substack.com/@lstb?utm_campaign=profile&utm_medium=profile-pageWatch our trailer of Embracing Egypt: https://youtu.be/RYjlB25Cr9Y

The Magician's Elephant teaches us that even the impossible can be possible when we open our eyes and hearts to those around us. Baltese is a town where nothing extraordinary ever happens. Recovering from a recent war, it's a lonely place, where young Peter lives a harsh life. Then one day, a magician conjures an elephant from the sky. The creature's appearance sets off a chain of events so remarkable, so impossible, that it changes Baltese forever. As Peter is catapulted into the quest of his life, he discovers a magical bond with the majestic creature and risks everything not only to find his sister, but to set the elephant free.Nancy Harris (Book and lyrics) is an award-winning playwright from Dublin whose work has been produced in Dublin, London, and New York. Her plays include: Somewhere Out There You, Two Ladies, The Beacon, Our New Girl, and No Romance. She has written stage adaptations of The Kreutzer Sonata by Leo Tolstoy, The Red Shoes by Hans Christian Anderson, and a version of Sophocles'        Philoctetes for children: The Man with the Disturbingly Smelly Foot. She wrote the book and co-wrote the lyrics with composer Marc Teitler for the new musicals,  Baddies The Musical. She is a past recipient of The Rooney Prize for Irish Literature, the Stewart Parker Award, and has been a finalist for The Susan Smith Blackburn Prize. For television she is the creator and writer of the comedy/drama series “The Dry,” for which she received a BAFTA nomination. @nancyfallonharris Marc Teitler (Music and lyrics) is a composer known for his dark, playful, and otherworldly scores spanning stage musicals, theater, film, and animation. A recipient of the Guardian Innovation Award, his cross-disciplinary work has honed his ability to craft immersive, emotionally resonant storytelling that often draws on the surreal, magical, and uncanny. He is the co-creator of The Grinning Man, the cult hit musical hailed as “crowned by an extraordinary score” (WhatsOnStage), directed by Tom Morris. The show premiered at Bristol Old Vic, transferred to the West End, and inspired international productions, a motion-capture film adaptation directed by Andy Serkis, and a chart-topping cast album. His earlier musical Baddies, co-written with Nancy Harris, was praised by The Guardian as “delightfully witty and endlessly imaginative.” Marc is currently developing an AI-themed musical adaptation of Pinocchio, with Tommy Antonio and Natalie Abrahami. Marc's music has featured in “American Horror Story,” “The Patient,” “Portlandia,” “Bones,” “The Loud House,” and “The Seventh Dimension,” and he has scored numerous animations including Hearts, nominated for the VW Score Award at the Berlin International Film Festival and Stuck On a Sunday by Marc Craste. The music video for his haunting song “Stranger in Paradise,” directed by Gabriella Orozco, was nominated for Best Animated Short at Raindance 2025. His commercial credits include PlayStation and Johnnie Walker. For theater, he has composed scores for Dance Nation (Almeida), Blood & Gifts (National Theatre), The Secret Agent (Young Vic), and most recently, The Red Shoes by Nancy Harris (Royal Shakespeare Company). @marcteitlermusic

In this episode, Nicole Semeraro, Founder & CEO, Karias Health, shares how she is creating a first-of-its-kind platform that unifies health plans, cost containment, and consumer experience for employers.

Love the podcast? Send us a text!What happens when the person trained to care for others suddenly becomes the patient?In this deeply meaningful episode of Breast Cancer Conversations, Laura speaks with Bron Watson — a registered nurse, educator, and entrepreneur whose life changed dramatically after being diagnosed with breast cancer in 2018, followed by a blood cancer diagnosis in 2023. Bron brings a powerful perspective shaped by both clinical expertise and lived experience. As someone who spent nearly two decades caring for patients, she suddenly found herself navigating fear, uncertainty, identity shifts, and the emotional complexity that comes with a cancer diagnosis.Through her personal journey, Bron created The Serenity Project, an initiative designed to help others find calm, clarity, and self-compassion in the midst of the overwhelming experience of cancer. Together, Laura and Bron explore: What it feels like when the caregiver becomes the patient  How a cancer diagnosis can challenge identity, control, and confidence  The emotional impact of facing cancer more than once  Why learning to slow down can be one of the hardest lessons  The role of self-compassion in healing  How Bron's nursing background shaped her cancer experience  The inspiration behind The Serenity Project  How community and reflection can support survivorship  Why resilience does not mean pushing through everything alone About Bron WatsonBron Watson is a registered nurse with over 17 years of clinical experience and more than a decade as an educator and business owner. After her breast cancer diagnosis in 2018 and blood cancer diagnosis in 2023, she founded The Serenity Project, a platform designed to help individuals navigate cancer with greater calm, clarity, and self-compassion. Bron combines evidence-based knowledge with lived experience to help others feel less alone and more empowered during and after diagnosis.Support the showLatest News: Become a Breast Cancer Conversations+ Member! Sign Up Now. Join our Mailing List - New content drops every Monday! Discover FREE programs, support groups, and resources from SurvivingBReastCancer.org! Enjoying our content? Please consider supporting our work. 

In this episode, Nicole Semeraro, Founder & CEO, Karias Health, shares how she is creating a first-of-its-kind platform that unifies health plans, cost containment, and consumer experience for employers.

Fluoride conversations don't have to feel uncomfortable. In this Bonus episode, we're joined by Jen Post, RDH, MDH, FADHA, to discuss practical strategies for improving patient communication and increasing fluoride acceptance.   Jen shares how hygienists can confidently address common patient concerns, simplify their messaging, and create more effective chairside conversations.   We also explore how Clinpro™ Clear fluoride varnish supports both clinicians and patients with its clear appearance, smooth application, and comfortable feel—helping reduce objections and improve overall acceptance.   Listeners will walk away with actionable tips to strengthen preventive care conversations and enhance the patient experience.   About Our Guest   Jen Post, RDH, MDH, FADHA is an Advanced Clinical Applications Specialist at Solventum with extensive experience in clinical practice, education, and research. She is a Fellow of the American Dental Hygienists' Association and brings a passion for practical, patient-centered care.   What We Talked About   How to approach fluoride conversations with confidence   Common patient concerns and how to address them   What makes Clinpro™ Clear different   Strategies to increase case acceptance   Call to Action   Enjoyed this episode? Share it with a colleague and start improving your fluoride conversations today.   This episode is sponsored by Solventum Dental Solutions.   Resources: https://www.solventum.com/en-us/home/f/b5005503000/   https://s7d9.scene7.com/is/content/mmmspinco/clinpro-clear-brochure-ds-rps-enpdf   Jen Post: jpost2@solventum.com   About the Company Solventum Dental Solutions builds on over 70 years of innovation to support dental professionals with trusted products and solutions that enhance patient care and clinical outcomes.  

In this episode, Sri Narasimhan, VP of Enterprise Customer Experience and Insights at CVS Health, discusses how agentic AI twin simulations are enabling faster, more scalable, and more human-centered decision-making. He shares real-world examples of how this technology is uncovering new patient insights, improving adherence, and reshaping how healthcare organizations design and deliver care.

In this episode of Docs in a Pod, hosts Dr. Rajay Seudath and Carmenn Miles sit down with Dr. Rodrigo Pereira for an informative and approachable conversation about Chronic Obstructive Pulmonary Disease (COPD). Together, they break down what COPD is, common causes and symptoms, and why early detection is so important. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities:  7:00 to 7:30 am CT:  San Antonio (930 AM The Answer)  DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth])  6:30 to 7:00 pm CT: 

Clinical director at Franklin Park Family Dental in Dorchester and Tremont Family Dentistry in Boston, Charan Teja Bobba, discusses his article "Treating methamphetamine-associated dental disease in safety-net clinics." Charan reflects on the profound human reality behind treating patients with severe addiction, noting that a ruined smile often represents a lifetime of being let down by the health care system. He explains the physical devastation of meth mouth, where acidity, dry mouth, and teeth grinding create a perfect storm of enamel erosion and decay. The conversation emphasizes why safety-net practices are vital for restoring not just oral health, but a person's identity and self-esteem. By prioritizing patience and trust over rushed clinical work, dentists can help vulnerable populations feel human again. Discover how providing full dental care to those in recovery is a fundamental step toward restoring true medical equity and wholeness. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Nutritionist Leyla Muedin discusses news from Secretary Robert F. Kennedy Jr.'s “Take Back Your Health” tour, highlighting hospital commitments to nutrition-driven care, including connecting Florida farms directly to hospital food systems. She reports that CMS issued a quality and safety special alert directing hospitals to align meals with the 2025–2030 Dietary Guidelines for Americans, emphasizing whole nutrient-dense foods and adequate protein while reducing ultra-processed foods, sugar-sweetened beverages, refined carbohydrates, and added sugars, and reinforcing Medicare participation requirements such as meeting individual nutrition needs, dietitian oversight, current therapeutic diet manuals, and integrating nutrition into quality improvement. At Nicklaus Children's Hospital, Kennedy and CMS Administrator Dr. Mehmet Oz met with healthcare leaders; the hospital signed a pledge to partner with Florida producers to improve food quality, remove procurement barriers, and expand medically tailored meals and training. Muedin praises regenerative agriculture and local supply chains and contrasts these efforts with past high-carbohydrate hospital diets.

"Cancer and environmental disasters in particular, but the worsening of our environment, are really things that are great equalizers. And we recognize that we're all kind of in this world together. We can really face these issues on a more human level. I think always recognizing that if we look at something, we think, 'Well, that doesn't relate to me or that problem is it really isn't my problem'—it sure is," ONS member Margaret "Peggy" Rosenzweig, PhD, CRNP-C, AOCNP®, FAAN, ONS scholar-in-residence and distinguished service professor of nursing and Nancy Glunt Hoffman Chair in Oncology Nursing at the University of Pittsburgh School of Nursing in Pennsylvania told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the effects of the environment on cancer care and outcomes. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by April 10, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Nurses caring for people with cancer require knowledge to recognize and address how environmental factors influence cancer care delivery, patient outcomes, and workforce resilience. Episode Notes  Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 190: The Environment, Cancer, and Nurses' Role in Advocating for Climate Change Episode 107: Social Determinants Lead to Unequal Access to Health Care ONS Voice articles: Most Oncology Nurses Want to Address Climate Change but Don't Know How to Start Here's How the Environment Affects Cancer Care—and What Oncology Nurses Can Do About It Climate Change Is Contributing to the Cancer Burden, and Nurses Must Take Action Clinical Journal of Oncology Nursing articles: Oncology Nurses' Awareness, Concern, Motivations, and Behaviors Related to Climate Change and Health Environmental Risk Factors: The Role of Oncology Nurses in Assessing and Reducing the Risk for Exposure Oncology Nursing Forum articles: Research Priorities of the Oncology Nursing Society: 2024–2027 The Impact of Climate Change Across the Cancer Control Continuum: Key Considerations for Oncology Nurses (ONS white paper) ONS Huddle Card: Environmental Health and Climate Change ONS Congress® session: The Impact of Climate Change on Patient Care Supportive Care in Cancer article: Climate Disasters and Oncology Care: A Systematic Review of Effects on Patients, Healthcare Professionals, and Health Systems What If We Get It Right? by Ayana Elizabeth Johnson The Cancer–Climate Connection: Environmental Drivers of Cancer in the Climate Era (webinar by AnnMarie L. Walton) To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "The process of establishing these research priorities usually happens every three or so years. And there's a lot of preliminary work of talking to multiple parties of interest regarding what they believe the research priorities are, what nurses are seeing in clinics and in the community, and really multiple opinions regarding where the direction of research for ONS should go. And we heard this time—loud and clear—from researchers, from nurses in clinics and in communities, from scholars, and multiple other interested parties, that the environment in a very broad context was very much a concern and specifically a concern for impact on cancer care delivery, quality, and outcomes." TS 1:49 "You can take some cancer outcome data and you can take patient data related to home address or zip code or even larger geographic areas and kind of do correlational studies to see 'Does one impact the other?' … There's been a lot of those in the literature. But they are very helpful because they're starting to define this idea that beyond the idea of just demographics—gender, age, race—that the whole concept of neighborhood and the influences of the neighborhood do impact cancer outcomes. And that's where we're seeing the sort of explosion in literature across multiple malignancies, stages of cancer, and across multiple questions—specific kinds of outcomes, everything from quality of life to tumor progression." TS 8:43 "There is growing literature around how cancer delivery can be better prepared for climate-related disasters. … There's a good article by Pamela Ginex that was published in Supportive Care in Cancer talking about climate disasters and oncology care. And that was really a systematic review looking at published literature and starting to classify where are the disruptions and how could we think about that from a research perspective. They ended up saying there are these patient-level outcome disruptions that of course include treatment disruption but also include this inability to communicate with the oncology care team, which is quite distressing. And there's a workforce disruption because there are very distressed clinicians who are experiencing the same climate-related disaster in their own lives and feeling like they are torn between their commitment to work and their commitment to family." TS 13:25 "After all these years in oncology nursing, I am convinced that we have to get the consideration of neighborhood. I think we do have to get back to the neighborhood level in order to boost the resilience of communities against cancer throughout the cancer trajectory." TS 31:53 "Let's take some of this to the community and boost the community in that way. I really feel like we have to think about just boots on the ground outside of the cancer center, instead of just documenting disparities or even doing interventional work, but still within our little ivory towers." TS 34:21 "You see the work of many in looking at the specific environmental risks to nurses through the toxic chemicals to which were exposed. But then thinking about the people who aren't as protected as nurses and the environmental workers, who are usually contracted out or not in unions, who don't have some of the same protections that nurses or other healthcare workers might have, and they are exposed to the chemicals without proper training or sometimes without protection. All of these things are very much worthy of an oncology nursing voice elevating these questions and saying, 'How can we study this? How can we best mitigate some of these risks?' Oncology nursing—we have to use our respect and good name in elevating all of these questions." TS 35:39

In this episode of the Od'ing on Movies podcast, Dr. Jacobi Cleaver and Dr. Jacob Wilson take listeners on a unique journey, blending entertainment with real-world clinical insight. While the discussion centers around the film Send Help, the conversation quickly evolves into something far more impactful: a reflection on patient care, communication, and the realities of practicing optometry today. For […]

In this episode of the Podiatry Legends Podcast, I chat with Jason Cunningham, business advisor, author, and media commentator, about what it really takes to build a successful business. We explore why many podiatrists get stuck working in their business instead of on it, and how shifting your focus to strategy, systems, and structure can completely change your results. If you want to build a podiatry business that gives you more freedom, better patients, and long-term growth, this is an episode you don't want to miss. Key Takeaways Build your business as if you plan to sell it Most podiatrists are stuck being technicians, not owners Strategy is useless if it's not shared Your mission should be simple and clear Culture matters more in tough times Systems create freedom Patients notice friction in your business Collaboration beats competition long-term You need to think like an owner, not just a clinician A great business gives you choice If you've been enjoying the Podiatry Legends Podcast, consider leaving a rating and review. It will only take you two minutes.   Have you checked out the Podiatry Legends Podcast website? https://www.podiatrylegends.com/ Have you ever considered a business coach? https://www.tysonfranklin.com/coaching/   

At age 12, Dr. Chrystal Starbird stood by a pond after turning her mother in to the police. She watched tadpoles and fish move beneath the surface and found a strange kind of order. Science became her refuge long before it became her career. Years later, she built that refuge into a profession. She now serves as an Assistant Professor at the University of North Carolina, studies structural biology tied to cancer and Alzheimer's disease, and won Cell's first Rising Black Scientist Award in 2020. On paper, she fits the model of success. In practice, she had to fight for basic access at every stage.Conference travel required upfront cash she did not have. Networking favored pedigree over merit. Mentorship often depended on who knew your name in the room. Chrystal learned those rules, then chose to break them open for others.Oliver Bogler examines what Chrystal calls the advocacy tax. She has delivered over 70 invited talks. Nearly 40 percent focus on equity, mentorship, and policy. Academic reward systems do not count that labor toward tenure. She still does it.Through her leadership at the Life Science Editors Foundation, Chrystal helped build the JEDI program, which pairs underrepresented scientists with editors from journals like Cell and Nature. The program has supported over 100 awardees with more than 1,000 hours of mentorship. This episode exposes how biomedical science rewards output while ignoring the work required to make the system accessible. It also shows what happens when the people most affected refuse to step back.RELATED LINKSDr. Chrystal StarbirdStarbird LabLife Science Editors FoundationJEDI ProgramFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. H.E. Hinson and Dr. Vijay Ramanan discuss the upcoming Clinical Trials Plenary Session at the AAN Annual Meeting and the landmark studies shaping neurological care. For more information about this event, visit the AAN website.  

Feeling drained, foggy, and inflamed — and can't figure out why? In this episode of the supplement ingredient series, Nurse Doza breaks down glutathione, the body's master antioxidant. Produced in the liver and essential for fighting oxidative stress, glutathione levels are depleted in 1 in 4 people with fatty liver — making supplementation a game-changer for energy, brain clarity, digestion, and overall detox capacity.    Featured Partner: SHED   SHED delivers glutathione in a direct-to-bloodstream vial format — bypassing the gut degradation that makes most oral supplements ineffective. For anyone battling fatty liver, brain fog, low energy, or chronic inflammation (exactly the conditions discussed in this episode), SHED's bioavailable glutathione offers what diet alone can't replicate: fast, measurable antioxidant replenishment at the cellular level.

How AI Could Strengthen the Doctor-Patient Relationship: Dr. Ashwin Vasan, Senior Fellow in Health Policy and Global Affairs at Yale School of Public Health and Affiliate Faculty at Yale Jackson School of Global Affairs “Ultimately, AI needs to be a tool that doesn't break down trust or empathy or clinical judgment, but rather helps enhance those things.” That aspirational perspective from Dr. Ashwin Vasan, Senior Fellow in Health Policy and Global Affairs at the Yale School of Public Health and Affiliate Faculty at the Yale Jackson School of Global Affairs, frames a nuanced conversation about one of healthcare's most consequential changes. Drawing on his experience as New York City Health Commissioner during the COVID-19 crisis and decades in global and public health, Dr. Vasan argues that the future of AI in medicine should be shaped less by the technology itself than by the values guiding its implementation, and that physicians need to play an active role in this process. “I think it behooves us to engage with this technology and steer it in the directions that we want as a society.” This timely discussion also offers Dr. Vasan's thoughtful perspectives on: How AI could allow physicians to focus on the human side of care; The risks of AI reinforcing inequities and driving costs higher; Public health as the marriage of science, society and trust. Join host Lindsey Smith for a valuable Raise the Line episode on how AI can be harnessed to benefit patients and provides alike.  Mentioned in this episode: Yale School of Public Health Yale Jackson School of Public Affairs If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

In this podcast, experts Charles M. Rudin, MD, PhD; Alex A. Adjei, MD, PhD; and Millie Das, MD; discuss the latest treatment advances for extensive-stage small cell lung cancer (ES-SCLC), including how to sequence bispecific T-cell engagers and antibody-drug conjugates and ways to manage adverse events associated with these newer therapies.

Triggerwarnung: In dieser Folge geht es um Tierquälerei. Regina und Peter können es kaum erwarten: Schon bald soll ihre Tochter Vivien aus der Psychiatrie entlassen werden, wo sie die vergangenen Monate stationär behandelt wurde. Regina und Peter freuen sich darauf, bald endlich wieder fernab der Klinikmauern Zeit mit ihr zu verbringen. Doch als Peter am 31. Mai 2022 auf dem Weg ist, um Vivien einen Besuch abzustatten, erhält er einen Anruf von ihrem behandelnden Arzt, der seine und Reginas Welt in Scherben legt. Und ihnen schmerzlich klar macht, dass ihre Tochter die geschlossene Station niemals mit gepackten Taschen verlassen wird… Psychiatrische Kliniken sind ein wichtiger Bestandteil unseres Gesundheitssystems: Mehr als 800. 000 Menschen wurden laut Statistischem Bundesamt im Jahr 2024 in psychiatrischen Krankenhäusern stationär behandelt. In dieser Folge von “Mordlust - Verbrechen und ihre Hintergründe” werfen wir einen genauen Blick auf das System Psychiatrie. Unter anderem sprechen wir über geschlossene Stationen, die Voraussetzungen für Zwangseinweisungen und beleuchten den Umgang mit vermeintlich gefährlichen Patient:innen. Expert:innen in dieser Folge: Fachärztin für Psychiatrie und Psychotherapie Barbara Jost, Fachanwältin für Medizin- und Arzthaftungsrecht Sabrina Diehl Laurent LaFleur, Richter am OLG München Prof. Dr. Anke Bramesfeld vom Niedersächsischen Ministerium für Soziales, Arbeit, Gesundheit und Gleichstellung. **Credit** Hosts: Paulina Krasa, Laura Wohlers Producer: Paulina Krasa, Laura Wohlers und Jon Handschin Redaktion: Paulina Krasa, Laura Wohlers, Jennifer Fahrenholz Schnitt: Pauline Korb Rechtliche Abnahme: Abel und Kollegen **Quellen (Auswahl)** Das Organspende-Register: https://organspende-register.de/erklaerendenportal/ Landgericht München I: Urteil vom 5. August 2023 - liegt vor Oberlandesgericht München: Beschluss vom 31. Juli 2025 - liegt vor Studie: “Tötungsdelikte in Kliniken für Psychiatrie aus der Metaperspektive eines Bundeslandes”: https://t1p.de/vhrfo Bayerischer Rundfunk: “Patienten als Täter. Tatort Psychiatrie”: https://t1p.de/zqico **Partner der Episode** Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte: https://linktr.ee/Mordlust Du möchtest Werbung in diesem Podcast schalten? Dann erfahre hier mehr über die Werbemöglichkeiten bei Seven.One Audio: https://www.seven.one/portfolio/sevenone-audio

In this episode of A Tale of Two Hygienists, Jessica and David sit down with dental hygienist Angeli Walton to share her powerful story of recognizing early signs of a thyroid condition—within herself. What began as clinical awareness quickly turned into a deeply personal journey, as Angeli navigated the unexpected shift from provider to patient.   Angeli reflects on how her training helped her notice subtle changes that might have otherwise gone overlooked, and how trusting those instincts ultimately led to early detection. The conversation explores the emotional and professional impact of experiencing healthcare from the other side of the chair, offering a unique perspective that many clinicians don't anticipate, but can learn from.   Together, they discuss the broader role dental professionals play in identifying systemic health concerns, and why paying attention to small details can make a life-changing difference. Angeli also shares insights on self-advocacy and why it's critical for clinicians to speak up—both for their patients and themselves.   This episode offers a meaningful reminder that the skills used every day in practice extend far beyond oral health, and can be just as important in protecting your own well-being.   What We Talked About:   Recognizing early signs of systemic conditions How clinical instincts can support early detection The experience of transitioning from provider to patient Why subtle symptoms shouldn't be ignored The importance of self-advocacy in healthcare   If you found this episode valuable, be sure to subscribe to A Tale of Two Hygienists, leave a review, and share it with colleagues who are passionate about whole-body health and early detection.   Resources:   Email: Angeli.damron@gmail.com Instagram: @angeliwalton

  This episode of WarDocs features Air Force Lieutenant Colonel, Dr. Charisma Evangelista, the Air Force's leading voice on refractive surgery and an expert in ocular trauma. The conversation begins with her upbringing in the Philippines and her unique path to military medicine, driven by a desire for service and the supportive, collaborative culture she found at the Uniformed Services University. Dr. Evangelista explains her transition from a prospective general surgeon to an ophthalmologist, highlighting the precision of microscopic surgery and the profound impact of sight restoration. She provides a detailed look at the "shield and ship" protocol for managing ruptured globes in combat environments, emphasizing the critical importance of preventing further injury at the point of care.    Dr. Evangelista also shares her experiences as the sole ophthalmologist deployed to Bagram, Afghanistan, where she managed severe, multi-system trauma cases while navigating limited resources. A pivotal moment in the interview occurs when she describes her own experience as a patient; she suffered a retinal detachment while performing surgery, an event that deepened her empathy for those facing vision loss and shaped her leadership style. Currently serving as the Refractive Surgery Consultant to the Air Force Surgeon General, she discusses the technological advancements in corneal collagen cross-linking and refractive standards that maintain pilot and warfighter readiness.    The episode concludes with her leadership philosophy of trust, empathy, and perseverance, alongside her advice for the next generation of military physicians. This comprehensive discussion highlights the technical expertise, emotional resilience, and deep compassion required to protect the vision of the American warfighter, offering listeners an inspiring look at the intersection of high-stakes surgery and humanitarian service. Chapters   (00:00-01:11) Introduction of Lt Col Charisma Evangelista, MD (01:12-05:13) Foundations in Medicine and the Choice of Ophthalmology (05:14-09:32) Specialized Training and Combat Deployment to Afghanistan (09:33-17:00) Ocular Trauma Protocols and Innovations in Refractive Surgery (17:01-22:35) Personal Resilience as a Patient and Leadership Philosophy (22:36-27:10) Advice for Future Medics and Defining a Military Hero Chapter Summaries   (00:00-01:11) Introduction of Lt Col Charisma Evangelista, MD: The episode opens with a tribute to the delicate nature of eye surgery in combat. Host Dr. Doug Soderdahl introduces Dr. Charisma Evangelista as a deeply compassionate healer and a leading expert in military ophthalmology and refractive surgery standards. (01:12-05:13) Foundations in Medicine and the Choice of Ophthalmology: Dr. Evangelista shares her journey from a small town in the Philippines to the Uniformed Services University, highlighting the family-oriented culture of military medical training. She discusses her transition from general surgery to ophthalmology, sparked by a love for microscopic precision and the collaborative nature of the specialty. (05:14-09:32) Specialized Training and Combat Deployment to Afghanistan: The discussion follows Dr. Evangelista through her prestigious civilian fellowship and her subsequent deployment to Bagram Airfield. She details the challenges of serving as the sole ophthalmologist in a combat theater, managing severe ocular trauma and multi-system injuries with limited resources. (09:33-17:00) Ocular Trauma Protocols and Innovations in Refractive Surgery: This section focuses on the "shield and ship" protocol for point-of-injury care and the rewarding outcomes of sight-restoring surgeries. Dr. Evangelista also explains her role as a consultant for the Air Force Surgeon General, detailing how advancements like corneal collagen cross-linking keep service members mission-ready. (17:01-22:35) Personal Resilience as a Patient and Leadership Philosophy: Dr. Evangelista provides a moving account of her own retinal detachment and the traumatic recovery process that followed. She explains how being a patient informed her leadership at the Department of Defense's largest eye center, prioritizing trust, empathy, and perseverance. (22:36-27:10) Advice for Future Medics and Defining a Military Hero: In the final segment, Dr. Evangelista offers encouragement to pre-med and medical students, emphasizing the unique opportunities for growth in military medicine. She reflects on her "Hero of Military Medicine" recognition and her desire to leave a legacy of inspiration and compassionate service. Take Home Messages Protecting the Ruptured Globe: In cases of severe ocular trauma, the most critical step for non-specialists is the "shield and ship" protocol, which involves placing a hard, protective shield over the eye without applying any pressure to the globe. Preventing additional injury at the point of care is essential for giving specialists the best chance to restore a service member's vision. Refractive Surgery as a Readiness Multiplier: Laser vision correction and specialized treatments for conditions like keratoconus are more than elective procedures; they are essential for warfighter readiness. By reducing dependence on eyeglasses and stabilizing corneal conditions, military ophthalmologists ensure that pilots and ground troops can perform their duties with maximum agility and precision. Empathy through the Patient Experience: True compassion in medicine often stems from understanding the fear and uncertainty of the patient. Experiencing a serious medical crisis personally can transform a surgeon's perspective, allowing them to lead with greater empathy and build deeper trust with those under their care. The Collaborative Power of Military Medicine: The military medical system thrives on a culture that prioritizes collective success over individual competition. This foundation of unit cohesion ensures that physicians work together across specialties to provide the highest standard of care in both domestic hospitals and austere combat environments. Persistence in the Face of Adversity: Success in high-stakes fields like ophthalmology requires the ability to persevere through personal health crises, professional challenges, and the rigors of deployment. Growth and innovation often occur as a direct result of these struggles, making a leader more resilient and effective in their mission to serve.   Episode Keywords Military Medicine, Ophthalmology, Ocular Trauma, Eye Surgery, Refractive Surgery Standards, LASIK, PRK, K-LEX, Corneal Collagen Cross-linking, Keratoconus, Bagram Airfield, Combat Medic Training, Eye Injury Protocols, Shield and Ship, Retinal Detachment, Uniformed Services University, Air Force Surgeon General, Hero of Military Medicine, Surgical Leadership, Medical Humanitarian Missions, WarDocs Podcast, Dr. Charisma Evangelista, Sight Restoration, Combat Surgery, Military Healthcare. Hashtags #MilitaryMedicine, #Ophthalmology, #CombatSurgery, #EyeHealth, #WarDocs, #AirForceMedicine, #RefractiveSurgery, #VeteransHealth   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

The difference between associates producing $8K a day versus $1.4K a day? It has nothing to do with clinical skill.In this episode, the DPH coaches explain why building rapport with patients is the foundation of case acceptance. You'll learn how to coach your associates without pushing them away, a 2-minute exercise that makes patient conversations feel more natural, and how to work as a team to build trust before the doctor even walks in.Topics discussed:When associates don't want to build rapportA simple exercise to build patient connectionsThe cost of poor treatment planningHow to explain rapport to associates in a way that gets buy-inHow to build trust before the doctor walks inConversation starters that actually feel naturalThe right way to coach associates (& why it's a non-negotiable)This episode was produced by Podcast Boutique https://www.podcastboutique.comFree Webinar this wednesday on the Dental Practice Heroes App.  Download the App from the App store for free and register on the meetup's tab.  Don't be a silly goose....Download the Dental Practice Heroes App today and access all the free resources available to you. (Awesome Android ppl Click Here)Take Control of Your Practice and Your LifeWe help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams.Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

The Oregon State Hospital in Salem, the state’s only public psychiatric hospital, is facing multiple lawsuits alleging retaliation against those who have formally raised serious issues about the way it is treating — or failing to treat — its patients. OSH has been out of compliance with federal standards in recent years, and it has been found in contempt of court for not admitting mentally ill criminal defendants quickly enough. Last year, Lindsey Sande, the deputy chief nursing officer at OHS was so concerned she made a formal complaint. But she says nothing was done, and the patient died 9 days later. She says she was demoted shortly thereafter, along with two other whistleblowers. We’ll talk with Lillian Mongeau Hughes who covers homelessness and mental health for The Oregonian/Oregonlive.com. And we hear directly from Sande about how she sees OSH patients being cared for and how employees who speak up are being retaliated against.

This week, we present new research on intensive LDL cholesterol targets, team-based strategies to improve blood pressure control, emerging therapies for immune and oncologic diseases, and a next-generation yellow fever vaccine. We review celiac disease and follow a compelling case of post-procedural complications. Perspectives explore health disparities and efforts to strengthen care in vulnerable communities.

Dr Nada Andric wants to improve the health of people who are marginalised in the community and their access to healthcare.She works at the Reverend Bill Crews GP clinic, a place where people who might be completely off the database of society can get help.Whether they're facing homelessness, dealing with mental health issues, addiction, or simply don't have a Medicare card or passport to their name. This year, the clinic in the Sydney suburb of Ashfield turns 40.This episode of Conversations was produced by Alice Moldovan, the Executive Producer is Nicola Harrison.It explores health care, addiction, homelessness, poverty, doctors, domestic violence, mental health, society, Reverend Bill Crews.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.

This is a recording of a reactions segment featuring Chunky, Jocelyne, Jade and Corey. This live stream dives deep into a topics including current news, politics, culture, personal finance, real estate, investing, the stock market, spirituality and history.If you enjoy lively conversation and want your questions answered in real time, click on this link to watch upcoming live streams and be part of the conversation: https://www.youtube.com/@CoachCoreyWayne/streams Join this channel to get access to exclusive members only videos, full viewer questions podcasts & The 3% Man & Mastering Yourself Study Group Podcasts with the girls where we discuss the content of both books in depth:https://www.youtube.com/channel/UCQTAVxA4dNBCoPdHhX9nnoQ/join 

The Tenpenny Files – A cancer diagnosis triggers urgent decisions before patients fully understand their condition. Dr. Francisco Contreras explains how cancer behaves, how metabolism and immunity influence its growth, and why treatment approaches differ globally. This conversation reveals overlooked insights, offering a clearer path toward managing cancer with informed, balanced, and patient-centered strategies...

Zach and Kevin are joined by Alan to navigate the murky waters of patient skepticism. The trio explores the frustration of the "impasse"—when clinical evidence points to a cracked lower molar, but the patient is convinced the pain is coming from a perfectly healthy upper tooth. They discuss the strategic use of referrals to specialists for "validation," the evolution of clinical confidence that comes with gray hair, and how technology like CBCT and high-res photography allows dentists to stop "convincing" and start "showing."  Join the Very Clinical Facebook group!  Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Are you a practice owner who feels like the bottleneck in your own business? If you're tired of being the hardest-working person in your office, I've got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he's hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He's going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It's about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It's 100% guaranteed, so you've got nothing to lose but the stress. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Join the Johns Hopkins Thoracic Surgery Subspecialty team on this rapid research review revealing how investigative efforts have changed the way we view and use Veno-venous (VV) ECMO therapy in the pre-lung transplant patient population working to avoid ventilator dependence and the associated morbidity while facilitating continued ambulation and preoperative optimization. Hosts:- Dr. Alfred J. Casillan, MD, PhDAttending Thoracic Surgeon Johns Hopkins Hospital - Kyla Rakoczy, MD Johns Hopkins General Surgery ResidentReferences:Awake ECMO as Bridge to Lung Transplantation Fuehner T, Kuehn C, Hadem J, Wiesner O, Gottlieb J, Tudorache I, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. American Journal of Respiratory and Critical Care Medicine. 2012;185(7):763–768. PMID: 22268135 Link: https://pubmed.ncbi.nlm.nih.gov/22268135/Predictors of Successful ECMO Bridging Tipograf Y, Salna M, Minko E, Grogan EL, Sonett JR, Bacchetta MD. Outcomes of extracorporeal membrane oxygenation as a bridge to lung transplantation. Annals of Thoracic Surgery. 2019;107(5):1456–1463. PMID: 30790550 Link: https://pubmed.ncbi.nlm.nih.gov/30790550/Intubation Status and ECMO Bridging Outcomes Zhou AL, Jennings MR, Akbar AF, et al. Utilization and outcomes of nonintubated extracorporeal membrane oxygenation as a bridge to lung transplant. Journal of Heart and Lung Transplantation. 2025;44(4):661–669. PMID: 39486773 Link: https://pubmed.ncbi.nlm.nih.gov/39486773/ECMO Duration and Waitlist Mortality Shou BL, Kalra A, Zhou AL, et al. Impact of extracorporeal membrane oxygenation bridging duration on lung transplant outcomes. Annals of Thoracic Surgery. 2024;118(2):496–503. PMID: 38740080 Link: https://pubmed.ncbi.nlm.nih.gov/38740080/Mechanical Ventilation as a Risk Marker Mason DP, Thuita L, Alster JM, Murthy SC, Budev MM, Mehta AC, et al. Lung transplantation in recipients requiring mechanical ventilation: outcomes and risk factors. Journal of Thoracic and Cardiovascular Surgery. 2010;139(1):114–119. PMID: 19931096 Link: https://pubmed.ncbi.nlm.nih.gov/19931096/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewOral Board Simulator: https://app.behindtheknife.org/oral-board-simulatorTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US