Podcasts about patients

On this episode Frank Cutitta welcomes Tom Sullivan, Senior Director of Editorial Services & Alex (Dan) D'Orazio, CEO, Sage Growth Partners. They discuss the Hospital at Home waiver that is expanding again. Hear what Sage Growth Partners' research and CMS/MedPAC evidence say about outcomes, patient experience, logistics, equity, and ROI. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Featuring perspectives from Dr Harry Paul Erba, Dr Amir Fathi, Dr Tara L Lin, Dr Alexander Perl and Dr Eytan M Stein, including the following topics:  Introduction (0:00) Up-Front Therapy for Older Patients with Acute Myeloid Leukemia (AML) — Dr Lin (1:46) Selection of Therapy for Younger Patients with AML without a Targetable Mutation; Promising Investigational Strategies — Dr Perl (25:38) Role of FLT3 Inhibitors in AML Management — Dr Erba (48:27) Incorporation of IDH Inhibitors into the Care of Patients with AML — Dr Fathi (1:10:28) Current and Future Role of Menin Inhibitors in the Treatment of AML — Dr Stein (1:37:29) CME information and select publications

Information overload crisis — Today's endless data flood overwhelms the mind, triggering instability and reliance on simplistic narratives — ancient meditation practices build the inner stability needed to navigate this chaos clearly Filters create reality — The mind adopts filters to simplify reality into something the conscious mind can process, inevitably removing many critical details while creating a biased and inaccurate perception of reality Rigid divisions — In politics, this filtering causes people on both sides to be rigidly convinced their truth is correct. Likewise, it makes doctors worship vaccines and be unable to recognize the harms of pharmaceuticals, even when their own patients are injured Patient-focused healing — In medicine, many diagnoses can only be made if a physician works to move beyond the filters they were trained in and instead directly see the complexity that each patient brings to the encounter Path to clear perception — Cultivate intuition for key data, recognize source biases, drill to core truths, and expand awareness through nervous system health — all of which are essential for discerning reality in our hyper-connected, impactful era

Pulmonary embolisms don't always announce themselves... sometimes they ambush. One minute your patient is walking with physical therapy, the next they're hypotensive, hypoxic, and coding. This re-released early episode dives deep into why PE patients can look deceptively stable… right up until they aren't.In this episode, I revisit one of my earliest case-based teachings on pulmonary embolism, updated with an added segment on vasopressin use in obstructive shock from PE. Through real bedside stories from my time as a rapid response and ER nurse, we break down the physiology behind PE-related collapse, why intubation isn't always the answer, and how to think through management when the right ventricle is failing in front of you. This is a sobering but essential refresher on one of the most dangerous diagnoses we encounter.Topics discussed in this episode:Why pulmonary embolism is a common cause of in-hospital cardiac arrest (even if it's not common overall)Classic and subtle PE presentations and why they're often missedA real-time rapid response case: stable to crashing in minutesRisk factors for PE and the anticoagulation double-edged swordObstructive shock explained: what's actually killing the patientRight ventricular failure, septal bowing, and the spiral of deathWhy intubation can worsen outcomes in massive PEVasopressors in PE: norepinephrine, epinephrine, and vasopressinThe unique benefits of vasopressin in obstructive shockThrombolysis vs. thrombectomy: when TPA helps — and when it's deadlyBedside echo findings that point to massive PEWhy PE patients can crash during transport (and what to always bring)Nursing vigilance, rapid escalation, and activating help earlyWhen perfect care still isn't enough and the heart of nursing in end-of-life momentsMentioned in this episode:CONNECT

The Bulletproof Dental Podcast Episode 421 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak DESCRIPTION In this conversation, Peter Boulden and Craig discuss the evolution of dental marketing over the years, emphasizing the importance of creating joy and hope in marketing strategies. They explore the significance of understanding patient psychology, the value of existing patients, and the need to sell benefits rather than procedures. The discussion also touches on the role of AI in dentistry and the necessity of having a clear process for patient care. Ultimately, they highlight the psychological aspects of success and the importance of believing in one's worth to achieve business goals. TAKEAWAYS Marketing is often seen as the key to practice growth. Creating joy and hope in marketing can attract patients. Selling benefits rather than procedures is crucial for patient engagement. Understanding patient psychology can enhance treatment acceptance. Existing patients can be a valuable source of referrals. Underpriced attention in marketing can lead to better patient acquisition. AI is set to revolutionize the dental industry in the coming years. Having a clear process can improve patient experience and satisfaction. The psychology of success is essential for achieving business goals. Continuous improvement and adaptation are necessary for success in dentistry. CHAPTERS 00:00 The Role of Marketing in Dentistry 05:07 Creating Joy and Hope in Marketing 10:07 Selling Benefits Over Procedures 15:13 The Importance of Understanding Patient Needs 19:59 Seeking Underpriced Attention in Marketing 28:48 Maximizing Online Presence through Reviews and SEO 30:08 The Shift Towards Long-Form Content and Video Engagement 31:43 The Impact of AI on Business and Patient Care 33:10 Navigating the Future of Dentistry with AI 35:08 The Importance of Marketing Strategies and Underpriced Attention 39:16 Leveraging Existing Patients for Growth 41:46 The Power of Asking for Referrals and Retention 43:38 Communicating Services Effectively to Patients 44:18 Creating a Clear Process for Patient Care 46:58 The Role of Psychology in Business Success 55:32 Outro REFERENCES Bulletproof Summit Bulletproof Mastermind  

Dr. DebWhat if I told you that the stomach acid medication you’re taking for heartburn is actually causing the problem it’s supposed to solve that your doctor learned virtually nothing about nutrition, despite spending 8 years in medical school. That the very system claiming to heal you was deliberately designed over a hundred years ago by an oil tycoon, John D. Rockefeller, to create lifelong customers, not healthy people. Last week a patient spent thousands of dollars on tests and treatments for acid reflux, only to discover she needed more stomach acid, not less. The medication keeping her sick was designed to do exactly that. Today we’re exposing the greatest medical deception in modern history, how a petroleum empire systematically destroyed natural healing wisdom turned medicine into a profit machine. And why the treatments, keeping millions sick were engineered that way from the beginning. This isn’t about conspiracy theories. This is a documented history that explains why you feel so lost about your own body’s needs welcome back to let’s talk wellness. Now the show where we uncover the root causes of chronic illness, explore cutting edge regenerative medicine, and empower you with the tools to heal. I’m Dr. Deb. And today we’re diving into how the Rockefeller Medical Empire systematically destroyed natural healing wisdom and replaced it with profit driven systems that keeps you dependent on treatments instead of achieving true health. If you or someone you love has been running to the doctor for every minor ailment, taking acid blockers that seem to make digestive problems worse, or feeling confused about basic body functions that our ancestors understood instinctively. This episode is for you. So, as usual, grab a cup of coffee, tea, or whatever helps you unwind. Settle in and let’s get started on your journey to reclaiming your health sovereignty all right. So here we are talking about the Rockefeller Medical Revolution. Now, what if your symptoms aren’t true diagnosis, but rather the predictable result of a medical system designed over a hundred years ago to create lifelong customers instead of healthy people. Now I learned this when I was in naturopathic school over 20 years ago. And it hasn’t been talked about a lot until recently. Recently. People are exposing the truth about what actually happened in our medical system. And today I want to take you back to the early 19 hundreds to understand how we lost the basic health wisdom that sustained humanity for thousands of years. Yes, I said that thousands of years. This isn’t conspiracy theory. This is documented history. That explains why you feel so lost when it comes to your own body’s needs. You know by the turn of the 20th century. According to meridian health Clinic’s documentation. Rockefeller controlled 90% of all petroleum refineries in America and through ownership of the Standard Oil Corporation. But Rockefeller saw an opportunity that went far beyond oil. He recognized that petrochemicals could be the foundation for a completely new medical system. And here’s what most people don’t know. Natural and herbal medicines were very popular in America during the early 19 hundreds. According to Staywell, Copper’s historical analysis, almost one half of medical colleges and doctors in America were practicing holistic medicine, using extensive knowledge from Europe and native American traditions. People understood that food was medicine, that the body had natural healing mechanisms, and that supporting these mechanisms was the key to health. But there was a problem with the Rockefeller’s business plan. Natural medicines couldn’t be patented. They couldn’t make a lot of money off of them, because they couldn’t hold a patent. Petrochemicals, however, could be patented, could be owned, and could be sold for high profits. So Rockefeller and Andrew Carnegie devised a systematic plan to eliminate natural medicine and replace it with petrochemical based pharmaceuticals and according to E. Richard Brown’s comprehensive academic documentation in Rockefeller, medicine men. Medicine, and capitalism in America. They employed the services of Abraham Flexner, who proceeded to visit and assess every single medical school in us and in Canada. Within a very short time of this development, medical schools all around the us began to collapse or consolidate. The numbers are staggering. By 1910 30 schools had merged, and 21 had closed their doors of the 166 medical colleges operating in 19 0, 4, a hundred 33 had survived by 1910 and a hundred 4 by 1915, 15 years later, only 76 schools of medicine existed in the Us. And they all followed the same curriculum. This wasn’t just about changing medical education. According to Staywell’s copper historical analysis. Rockefeller and Carnegie influenced insurance companies to stop covering holistic treatments. Medical professionals were trained in the new pharmaceutical model and natural solutions became outdated or forgotten. Not only that alternative healthcare practitioners who wanted to stay practicing in alternative medicine were imprisoned for doing so as documented by the potency number 710. The goal was clear, create a system where scientists would study how plants cure disease, identify which chemicals in the plants were effective and then recreate a similar but not identical chemical in the laboratory that would be patented. E. Richard Brown’s documents. The story of how a powerful professional elite gained virtual homogeny in the western theater of healing by effectively taking control of the ethos and practice of Western medicine. The result, according to the healthcare spending data, the United States now spends 17.6% of its Gdp on health care 4.9 trillion dollars in 2023, or 14,570 per person nearly twice as much as the average Oecd country. But it doesn’t focus on cure. But on symptoms, and thus creating recurring clients. This systematic destruction of natural medicine explains why today’s healthcare providers often seem baffled by simple questions about nutrition why they immediately reach for a prescription medication for minor ailments, and why so many people feel disconnected from their own body’s wisdom. We’ve been trained over 4 generations to believe that our bodies are broken, and that symptoms are diseases rather than messages, and that external interventions are always superior to supporting natural healing processes. But here’s what they couldn’t eliminate your body’s innate wisdom. Your digestive system still functions the same way it did a hundred years ago. Your immune system still follows the same patterns. The principles of nutrition, movement and stress management haven’t changed. We’ve just forgotten how to listen and respond. We’re gonna take a small break here and hear from our sponsor. When we come back. We’re gonna talk about the acid reflux deception, and why your cure is making you sicker, so don’t go away all right, welcome back. So I want to give you a perfect example of how Rockefeller medicine has turned natural body wisdom upside down, the treatment of acid, reflux, and heartburn. Every single day in my practice I see patients who’ve been taking acid blocker medications, proton pump inhibitors like prilosec nexium or prevacid for years, not for weeks, years, and sometimes even decades. They come to me because their digestive problems are getting worse, not better. They have bloating and gas and nutrition deficiencies. And we’re seeing many more increased food sensitivities. And here’s what’s happening in the Us. Most people often attribute their digestive problems to too much stomach acid. And they use medications to suppress the stomach acid, but, in fact symptoms of chronic acid, reflux, heartburn, or gerd, can also be caused by too little stomach acid, a condition called hyper. Sorry hypochlorhydria normal stomach acid has a Ph level of one to 2, which is highly acidic. Hydrochloric acid plays an important role in your digestion and your immunity. It helps to break down proteins and absorb essential nutrients, and it helps control viruses and bacteria that might otherwise infect your stomach. But here’s the crucial part that most people don’t understand, and, according to Cleveland clinic, your stomach secretes lower amounts of hydrochloric acid. As you age. Hypochlorhydria is more common in people over the age of 40, and even more common over the age of 65. Webmd states that the stomach acid can produce less acid as a result of aging and being 65 or older is a risk factor for developing hypochlorhydria. We’ve been treating this in my practice for a long time. It’s 1 of the main foundations that we learn as naturopathic practitioners and as naturopathic doctors, and there are times where people need these medications, but they were designed to be used short term not long term in a 2,013 review published in Medical News today, they found that hypochlorhydria is the main change in the stomach acid of older adults. and when you have hypochlorydria, poor digestion from the lack of stomach, acid can create gas bubbles that rise into your esophagus or throat, carrying stomach acid with them. You experience heartburn and assume that you have too much acid. So you take acid blockers which makes the underlying problem worse. Now, here’s something that will shock you. PPI’s protein pump inhibitors were originally studied and approved by the FDA for short-term use only according to research published in us pharmacists, most cases of peptic ulcers resolve in 6 to 8 weeks with PPI therapy, which is what these medications were created for. Originally the American family physician reports that for erosive esophagitis. Omeprazole is indicated for short term 4 to 8 weeks. That’s it. Treatment and healing and done if needed. An additional 4 to 8 weeks of therapy may be considered and the University of Minnesota College of Pharmacy, States. Guidelines recommended a treatment duration of 8 weeks with standard once a day dosing for a PPI for Gerd. The Canadian family physician, published guidelines where a team of healthcare professionals recommended prescribing Ppis in adults who suffer from heartburn and who have completed a minimum treatment of 4 weeks in which symptoms were relieved. Yet people are taking these medications for years, even decades far beyond their intended duration of use and a study published in Pmc. Found that the threshold for defining long-term PPI use varied from 2 weeks to 7 years of PPI use. But the most common definition was greater than one year or 6 months, according to the research in clinical context, use of Ppis for more than 8 weeks could be reasonably defined as long-term use. Now let’s talk about what these acid blocker medications are actually doing to your body when used. Long term. The research on long term PPI use is absolutely alarming. According to the comprehensive review published in pubmed central Pmc. Long-term use of ppis have been associated with serious adverse effects, including kidney disease, cardiovascular disease fractures because you’re not absorbing your nutrients, and you’re being depleted. Infections, including C. Diff pneumonia, micronutrient deficiencies and hypomagnesium a low level of magnesium anemia, vitamin, b, deficiency, hypocalcemia, low calcium, low potassium. and even cancers, including gastric cancer, pancreatic cancer, colorectal cancer. And hepatic cancer and we are seeing all of these cancers on a rise, and we are now linking them back to some of these medications. Mayo clinic proceedings published research showing that recent studies regarding long-term use of PPI medication have noted potential adverse effects, including risks of fracture, pneumonia, C diff, which is a diarrhea. It’s a bacteria, low magnesium, low b 12 chronic kidney disease and even dementia. And a 2024 study published in nature communications, analyzing over 2 million participants from 5 cohorts found that PPI use correlated with increased risk of 15 leading global diseases, such as ischemic heart disease. Diabetes, respiratory infections, chronic kidney disease. And these associations showed dose response relationships and consistency across different PPI types. Now think about this. You take a medication for heartburn that was designed for 4 to 8 weeks of use, and when used long term, it actually increases your risk of life, threatening infections, kidney disease, and dementia. This is the predictable result of suppressing a natural body function that exists for important reasons. Hci plays a key role in many physiological processes. It triggers, intestinal hormones, prepares folate and B 12 for absorption, and it’s essential for absorption of minerals, including calcium, magnesium, potassium, zinc, and iron. And when you block acid production, you create a cascade of nutritional deficiencies and immune system problems that often manifest as seemingly unrelated health issues. So what’s the natural approach? Instead of suppressing stomach acid, we need to support healthy acid production and address the root cause of reflux healthcare. Providers may prescribe hcl supplements like betaine, hydrochloric acid. Bhcl is what it’s called. Sometimes it’s called betaine it’s often combined with enzymes like pepsin or amylase or lipase, and it’s used to treat hydrochloric acid deficiency, hypochlorhydria. These supplements can help your digestion and sometimes help your stomach acid gradually return back to normal levels where you may not need to use them all the time. Simple strategies include consuming protein at the beginning of the meal to stimulate Hcl production, consume fluids separately at least 30 min away from meals, if you can, and address the underlying cause like chronic stress and H. Pylori infections. This is such a sore subject for me. So many people walk around with an H. Pylori infection. It’s a bacterial infection in the stomach that can cause stomach ulcers, causes a lot of stomach pain and burning. and nobody is treating the infection. It’s a bacterial infection. We don’t treat this anymore with antibiotics or antimicrobials. We treat it with Ppis. But, Ppis don’t fix the problem. You have to get rid of the bacteria once the bacteria is gone, the gut lining can heal. Now it is a common bacteria. It can reoccur quite frequently. It’s highly contagious, so you can pick it up from other people, and it may need multiple courses of treatment over a person’s lifetime. But you’re actually treating the problem. You’re getting rid of the bacteria that’s creating the issue instead of suppressing the acid. That’s not fixing the bacteria which then leads to a whole host of other problems that we just talked about. There are natural approaches to increase stomach acid, including addressing zinc deficiency. And since the stomach uses zinc to produce Hcl. Taking probiotics to help support healthy gut bacteria and using digestive bitters before meals can be really helpful. This is exactly what I mean about reclaiming the body’s wisdom. Instead of suppressing natural functions, we support them instead of creating drug dependency, we restore normal physiology. Instead of treating symptoms indefinitely, we address the root cause and help the body heal itself. In many cultures. Bitters is a common thing to use before or after a meal. But yet in the American culture we don’t do that anymore. We’ve not passed on that tradition. So very few people understand how to use bitters, or what bitters are, or why they’re important. And these basic things that can be used in your food and cooking and taking could replace thousands of dollars of medication that you don’t really need. That can create many more problems along the way. Now, why does your doctor know nothing about nutrition. Well, I want to address something that might shock you all. The reason your doctor seems baffled when you ask about nutrition isn’t because they’re not intelligent. It’s because they literally never learned this in medical school statistics on nutritional education in medical schools are staggering and help explain why we have such a health literacy crisis in America. According to recent research published in multiple academic journals, only 27% of Us. Medical schools actually offer students. The recommended 25 h of nutritional training across 4 years of medical school. That means 73% of the medical schools don’t even meet the minimum standards set in 1985. But wait, it gets worse. A 2021 survey of medical schools in the Us. And the Uk. Found that most students receive an average of only 11 h of nutritional training throughout their entire medical program. and another recent study showed that in 2023 a survey of more than a thousand Us. Medical students. About 58% of these respondents said they received no formal nutritional education while in medical school. For 4 years those who did averaged only 3 h. I’m going to say this again because it’s it’s huge 3 h of nutritional education per year. So let me put this in perspective during 4 years of medical school most students spend fewer than 20 h on nutrition that’s completely disproportionate to its health benefits for patients to compare. They’ll spend hundreds of hours learning about pharmaceutical interventions, but virtually no time learning how food affects health and disease. Now, could this be? Why, when we talk about nutrition to lower cholesterol levels or control your diabetes, they blow you off, and they don’t answer you. It’s because they don’t understand. But yet what they’ll say is, people won’t change their diet. That’s why you have to take medication. That’s not true. I will tell you. I work with people every single day who are willing to change their diet. They’re just confused by all the information that’s out there today about nutrition. And what diet is the right diet to follow? Do I do, Paleo? Do I do? Aip? Do I do carnivore? Do I do, Keto? Do I do? Low carb? There’s so many diets out there today? It’s confusing people. So I digress. But let’s go back. So here’s the kicker. The limited time medical students do spend on nutrition office often focuses on nutrients think proteins and carbohydrates rather than training in topics such as motivational interviewing or meal planning, and as one Stanford researcher noted, we physicians often sound like chemists rather than counselors who can speak with patients about diet. Isn’t that true? We can speak super high level up here, but we can’t talk basics about nutrition. And this explains why only 14% of the physicians believe they were adequately trained in nutritional counseling. Once they entered practice and without foundational concepts of nutrition in undergrad work. Graduate medical education unsurprisingly falls short of meeting patients, needs for nutritional guidance in clinical practice, and meanwhile diet, sensitive chronic diseases continue to escalate. Although they are largely preventable and treatable by nutritional therapies and dietary. Lifestyle changes. Now think about this. Diet. Related diseases are the number one cause of death in the Us. The number one cause. Yet many doctors receive little to no nutritional education in medical school, and according to current health statistics from 2017 to march of 2020. Obesity prevalence was 19.7% among us children and adolescents affecting approximately 14.7 million young people. About 352,000 Americans, under the age of 20, have been diagnosed with diabetes. Let me say this again, because these numbers are astounding to me. 352,000 Americans, under the age of 20, have been diagnosed with diabetes with 5,300 youth diagnosed with type, 2 diabetes annually. Yet the very professionals we turn to for health. Guidance were never taught how food affects these conditions and what drug has come to the rescue Glp. One S. Ozempic wegovy. They’re great for weight loss. They’re great for treating diabetes. But why are they here? Well, these numbers are. Why, they’re here. This is staggering to put 352,000 Americans under the age of 20 on a glp, one that they’re going to be on for the rest of their lives at a minimum of $1,200 per month. All we have to do is do the math, you guys, and we can see exactly what’s happening to our country, and who is getting rich, and who is getting the short end of the stick. You’ve become a moneymaker to the pharmaceutical industry because nobody has taught you how to eat properly, how to live, how to have a healthy lifestyle, and how to prevent disease, or how to actually reverse type 2 diabetes, because it’s reversible in many cases, especially young people. And we do none of that. All we do is prescribe medications. Metformin. Glp, one for the rest of your life from 20 years old to 75, or 80, you’re going to be taking medications that are making the pharmaceutical companies more wealth and creating a disease on top of a disease on top of a disease. These deficiencies in nutritional education happen at all levels of medical training, and there’s been little improvement, despite decades of calls for reform. In 1985, the National Academy of Sciences report that they recommended at least 25 h of nutritional education in medical school. But a 2015 study showed only 29% of medical schools met this goal, and a 2023 study suggests the problem has become even worse. Only 7.8% of medical students reported 20 or more hours of nutritional education across all 4 years of medical school. This systemic lack of nutrition, nutritional education has been attributed to several factors a dearth of qualified instructors for nutritional courses, since most physicians do not understand nutrition well enough to teach it competition for curriculum time, with schools focusing on pharmaceutical interventions rather than lifestyle medicine and a lack of external incentives that support schools, teaching nutrition. And ironically, many medical schools are part of universities that have nutrition departments with Phd. Trained professors who could fill this gap by teaching nutrition in medical schools but those classes are often taught by physicians who may not have adequate nutritional training themselves. This explains so much about what I see in my practice. Patients come to me confused and frustrated because their primary care doctors can’t answer basic questions about how food affects their health conditions. And these doctors aren’t incompetent. They simply were never taught this information. And the result is that these physicians graduate, knowing how to prescribe medications for diabetes, but not how dietary changes can prevent or reverse it. They can treat high blood pressure with pharmaceuticals, but they may not know that specific nutritional approaches can be equally or more effective. This isn’t the doctor’s fault. It’s the predictable result of medical education systems that was deliberately designed to focus on patentable treatments rather than natural healing approaches. And remember this traces back to the Rockefeller influence on medical education. You can’t patent an apple or a vegetable. But you can patent a drug now. Why can’t we trust most medical studies? Well this just gets even better. I need to address something that’s crucial for you to understand as you navigate health information. Why so much of the medical research you hear about in the news is biased, and why peer Review isn’t the gold standard of truth you’ve been told it is. The corruption in medical research by pharmaceutical companies is not a conspiracy theory. It’s well documented scientific fact, according to research, published in frontiers, in research, metrics and analytics. When pharmaceutical and other companies sponsor research, there is a bias. A systematic tendency towards results serving their interests. But the bias is not seen in the formal factors routinely associated with low quality science. A Cochrane Review analyzed 75 studies of the association between industry, funding, and trial results, and these authors concluded that trials funded by a drug or device company were more likely to have positive conclusions and statistically significant results, and that this association could not be explained by differences in risk of bias between industry and non-industry funded trials. So think about that. According to the Cochrane collaboration, industry funding itself should be considered a standard risk of bias, a factor in clinical trials. Studies published in science and engineering ethics show that industry supported research is much more likely to yield positive outcomes than research with any other sponsorship. And here’s how the bias gets introduced through choice of compartor agents, multiple publications of positive trials and non-publication of negative trials reinterpreting data submitted to regulatory agencies, discordance between results and conclusions, conflict of interest leading to more positive conclusions, ghostwriting and the use of seating trials. Research, published in the American Journal of Medicine. Found that a result favorable to drug study was reported by all industry, supported studies compared with two-thirds of studies, not industry, supported all industry, supported studies showed favorable results. That’s not science that’s marketing, masquerading as research. And according to research, published in sciencedirect the peer review system which we’re told ensures quality. Science has a major limitation. It has proved to be unable to deal with conflicts of interest, especially in big science contexts where prestigious scientists may have similar biases and conflicts of interest are widely shared among peer reviewers. Even government funded research can have conflicts of interest. Research published in pubmed States that there are significant benefits to authors and investigators in participating in government funded research and to journals in publishing it, which creates potentially biased information that are rarely acknowledged. And, according to research, published in frontiers in research, metrics, and analytics, the pharmaceutical industry has essentially co-opted medical knowledge systems for their particular interests. Using its very substantial resources. Pharmaceutical companies take their own research and smoothly integrate it into medical science. Taking advantage of the legitimacy of medical institutions. And this corruption means that much of what passes for medical science is actually influenced by commercial interests rather than pursuant of truth. Research published in Pmc. Shows that industry funding affects the results of clinical trials in predictable directions, serving the interests of the funders rather than the patients. So where can we get this reliable, unbiased Health information, because this is critically important, because your health decisions should be based on the best available evidence, not marketing disguised as science. And so here are some sources that I recommend for trustworthy health and nutritional information. They’re independent academic sources. According to Harvard Chan School of public health their nutritional, sourced, implicitly states their content is free from industry, influence, or support. The Linus Pauling Institute, Micronutrient Information Center at Oregon State University, which, according to the Glendale Community college Research Guide provides scientifically accurate information about vitamins, minerals, and other dietary factors. This Institute has been around for decades. I’ve used it a lot. I’ve gotten a lot of great information from them. Very, very trustworthy. According to the Glendale Community College of Nutrition Resource guide Tufts, University of Human Nutritional Research Center on aging is one of 6 human nutrition research centers supported by the United States Department of Agriculture, the Usda. Their peer reviewed journals with strong editorial independence though you must still check funding resources. And how do you evaluate this information? Online? Well, according to medlineplus and various health literacy guides when evaluating health information medical schools and large professional or nonprofit organizations are generally reliable sources, but remember, it is tainted by the Rockefeller method. So, for example, the American College of cardiology. Excuse me. Professional organization and the American Heart Institute a nonprofit are both reliable sources. Sorry about that of information on heart health and watch out for ads designed to look like neutral health information. If the site is funded by ads they should be clearly marked as advertisements. Excuse me, I guess I’m talking just a little too much now. So when the fear of medicine becomes deadly. Now, I want to address something critically important that often gets lost in conversations about health, sovereignty, and questioning the medical establishment. And while I’ve spent most of this episode explaining how the Rockefeller medical system has created dependency and suppressed natural healing wisdom. There’s a dangerous pendulum swing happening that I see in my practice. People becoming so fearful of pharmaceutical interventions that they refuse lifesaving treatments when they’re genuinely needed. This is where balance and clinical judgment become absolutely essential. Yes, we need to reclaim our basic health literacy and reduce our dependency on unnecessary medical interventions. But there are serious bacterial infections that require immediate antibiotic treatment, and the consequences of avoiding treatment can be devastating or even fatal. So let me share some examples from research that illustrate when antibiotic fear becomes dangerous. Let’s talk about Lyme disease, and when natural approaches might not be enough. The International Lyme Disease Association ilads has conducted extensive research on chronic lyme disease, and their findings are sobering. Ileds defines chronic lyme disease as a multi-system illness that results from an active and ongoing infection of pathogenic members of the Borrelia Brdorferi complex. And, according to ilads research published in their treatment guidelines, the consequences of untreated persistent lyme infection far outweigh the potential consequences of long-term antibiotic therapy in well-designed trials of antibiotic retreatment in patients with severe fatigue, 64% in the treatment arm obtained clinically significant and sustained benefit from additional antibiotic therapy. Ilas emphasizes that cases of chronic borrelia require individualized treatment plans, and when necessary antibiotic therapy should be extended their research demonstrates that 20 days of prophylactic antibiotic treatment may be highly effective for preventing the onset of lyme disease. After known tick bites and patients with early Lyme disease may be best served by receiving 4 to 6 weeks of antibiotic therapy. Research published in Pmc. Shows that patients with untreated infections may go on to develop chronic, debilitating, multisystem illnesses that is difficult to manage, and numerous studies have documented persistent Borrelia, burgdorferi infection in patients with persistent symptoms of neurological lyme disease following short course. Antibiotic treatment and animal models have demonstrated that short course. Antibiotic therapy may fail to eradicate lyme spirochetes short course is a 1 day. One pill treatment of doxycycline. Or less than 20 days of antibiotics, is considered a short course. It’s not long enough to kill the bacteria. The bacteria’s life cycle is about 21 days, so if you don’t treat the infection long enough, the likelihood of that infection returning is significant. They’ve also done studies in the petri dish, where they show doxycycline being put into a petri dish with active lyme and doxycycline does not kill the infection, it just slows the replication of it. Therefore, using only doxycycline, which is common practice in lyme disease may not completely eradicate that infection for you. So let’s talk about another life threatening emergency. C. Diff clostridia difficile infection, which represents another example where antibiotic treatment is absolutely essential, despite the fact that C diff itself is often triggered by antibiotic use. According to Cleveland clinic C. Diff is estimated to cause almost half a million infections in the United States each year, with 500,000 infections, causing 15,000 deaths each year. Studies reported by Pmc. Found thirty-day Cdi. Mortality rates ranging from 6 to 11% and hospitalized Cdi patients have significantly increased the risk of mortality and complications. Research published in Pmc shows that 16.5% of Cdi patients experience sepsis and that this increases with reoccurrences 27.3% of patients with their 1st reoccurrence experience sepsis. While 33.1% with 2 reoccurrences and 43.2% with 3 or more reoccurrences. Mortality associated with sepsis is very high within hospital 30 days and 12 month mortality rates of 24%, 30% and 58% respectively. According to the Cdc treatment for C diff infection usually involves taking a specific antibiotic, such as vancomycin for at least 10 days, and while this seems counterintuitive, treating an antibiotic associated infection with more antibiotics. It’s often lifesaving. Now let’s talk about preventing devastating complications. Strep throat infections. Provide perhaps the clearest example of when antibiotic treatment prevents serious long-term consequences, and, according to Mayo clinic, if untreated strep throat can cause complications such as kidney inflammation and rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, and a specific type of rash of heart valve damage. We also know that strep can cause pans pandas, which is a systemic infection, often causing problems with severe Ocd. And anxiety and affecting mostly young people. The research is unambiguous. According to the Cleveland clinic. Rheumatic fever is a rare complication of untreated strep, throat, or scarlet fever that most commonly affects children and teens, and in severe cases it can lead to serious health problems that can affect your child’s heart. Joints and organs. And research also shows that the rate of development of rheumatic fever in individuals with untreated strep infections is estimated to be 3%. The incidence of reoccurrence with a subsequent untreated infection is substantially greater. About 50% the rate of development is far lower in individuals who have received antibiotic treatment. And according to the World health organization, rheumatic heart disease results from the inflammation and scarring of the heart valves caused by rheumatic fever, and if rheumatic fever is not treated promptly, rheumatic heart disease may occur, and rheumatic heart disease weakens the valves between the chambers of the heart, and severe rheumatic heart disease can require heart surgery and result in death. The who states that rheumatic heart disease remains the leading cause of maternal cardiac complications during pregnancy. And additionally, according to the National Kidney foundation. After your child has either had throat or skin strep infection, they can develop post strep glomerial nephritis. The Strep bacteria travels to the kidneys and makes the filtering units of the kidneys inflamed, causing the kidneys to be able to unable or less able to fill and filter urine. This can develop one to 2 weeks after an untreated throat infection, or 3 to 4 weeks after an untreated skin infection. We need to find balance. And here’s what I want you to understand. Questioning the medical establishment and developing health literacy doesn’t mean rejecting all medical interventions. It means developing the wisdom to know when they’re necessary and lifesaving versus when they’re unnecessary and potentially harmful. When I see patients with confirmed lyme disease, serious strep infections or life. Threatening conditions like C diff. I don’t hesitate to recommend appropriate therapy but I also work to support their overall health address, root causes, protect and restore their gut microbiome and help them recover their natural resilience. The goal isn’t to avoid all medical interventions. It’s to use them wisely when truly needed, while simultaneously supporting your body’s inherent healing capacity and addressing the lifestyle factors that created the vulnerability. In the 1st place. All of this can be extremely overwhelming, and it can be frightening to understand or learn. But remember, the power that you have is knowledge. The more you learn about what’s actually happening in your health, in understanding nutrition. in learning what your body wants to be fed, and how it feels, and working with practitioners who are holistic in nature, natural, integrative, functional, whatever we want to call that these days. The more you can learn from them, the more control you have over your own health and what I would urge you to do is to teach your children what you’re learning. Teach them how to live a healthy lifestyle, teach them how to keep a clean environment. This is how we take back our own health. So thank you for joining me today on, let’s talk wellness. Now, if this episode resonated with you. Please share it with someone who could benefit from understanding how the Rockefeller medical system has shaped our approach to health, and how to reclaim your body’s wisdom while using medical care appropriately when truly needed. Remember, wellness isn’t just about feeling good. It’s about understanding your body, trusting its wisdom, supporting its natural healing capacity, and knowing when to seek appropriate medical intervention. If you’re ready to explore how functional medicine can help you develop this deeper health knowledge while addressing root causes rather than just managing symptoms. You can get more information from serenityhealthcarecenter.com, or reach out directly to us through our social media channels until next time. I’m Dr. Dab, reminding you that your body is your wisest teacher. Learn to listen, trust the process, use medical care wisely when needed, and take care of your body, mind, and spirit. Be well, and we’ll see you on the next episode.The post Episode 250 -The Great Medical Deception first appeared on Let's Talk Wellness Now.

Episode 210: Heat Stroke BasicsWritten by Jacob Dunn, MS4, American University of the Caribbean. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Definition:Heat stroke represents the most severe form of heat-related illness, characterized by a core body temperature exceeding 40°C (104°F) accompanied by central nervous system (CNS) dysfunction. Arreaza: Key element is the body temperature and altered mental status. Jacob: This life-threatening condition arises from the body's failure to dissipate heat effectively, often in the context of excessive environmental heat load or strenuous physical activity. Arreaza: You mentioned, it is a spectrum. What is the difference between heat exhaustion and heat stroke? Jacob: Unlike milder heat illnesses such as heat exhaustion, heat stroke involves multisystem organ dysfunction driven by direct thermal injury, systemic inflammation, and cytokine release. You can think of it as the body's thermostat breaking under extreme stress — leading to rapid, cascading failures if not addressed immediately. Arreaza: Tell us what you found out about the pathophysiology of heat stroke?Jacob: Pathophysiology: Under normal conditions, the body keeps its core temperature tightly controlled through sweating, vasodilation of skin blood vessels, and behavioral responses like seeking shade or drinking water. But in extreme heat or prolonged exertion, those mechanisms get overwhelmed.Once core temperature rises above about 40°C (104°F), the hypothalamus—the brain's thermostat—can't keep up. The body shifts from controlled thermoregulation to uncontrolled, passive heating. Heat stroke isn't just someone getting too hot—it's a full-blown failure of the body's heat-regulating system. Arreaza: So, it's interesting. the cell functions get affected at this point, several dangerous processes start happening at the same time.Jacob: Yes: Cellular Heat InjuryHigh temperatures disrupt proteins, enzymes, and cell membranes. Mitochondria start to fail, ATP production drops, and cells become leaky. This leads to direct tissue injury in vital organs like the brain, liver, kidneys, and heart.Arreaza: Yikes. Cytokines play a big role in the pathophysiology of heat stroke too. Jacob: Systemic Inflammatory ResponseHeat damages the gut barrier, allowing endotoxins to enter the bloodstream. This triggers a massive cytokine release—similar to sepsis. The result is widespread inflammation, endothelial injury, and microvascular collapse.Arreaza: What other systems are affected?Coagulation AbnormalitiesEndothelial damage activates the clotting cascade. Patients may develop a DIC-like picture: microthrombi forming in some areas while clotting factors get consumed in others. This contributes to organ dysfunction and bleeding.Circulatory CollapseAs the body shunts blood to the skin for cooling, perfusion to vital organs drops. Combine that with dehydration from sweating and fluid loss, and you get hypotension, decreased cardiac output, and worsening ischemia.Arreaza: And one of the key features is neurologic dysfunction.Jacob: Neurologic DysfunctionThe brain is extremely sensitive to heat. Encephalopathy, confusion, seizures, and coma occur because neurons malfunction at high temperatures. This is why altered mental status is the hallmark of true heat stroke.Arreaza: Cell injury, inflammation, coagulopathy, circulatory collapse and neurologic dysfunction. Jacob: Ultimately, heat stroke is a multisystem catastrophic event—a combination of thermal injury, inflammatory storm, coagulopathy, and circulatory collapse. Without rapid cooling and aggressive supportive care, these processes spiral into irreversible organ failure.Background and Types:Arreaza: Heat stroke is part of a spectrum of heat-related disorders—it is a true medical emergency. Mortality rate reaches 30%, even with optimal treatment. This mortality correlates directly with the duration of core hyperthermia. I'm reminded of the first time I heard about heat stroke in a baby who was left inside a car in the summer 2005. Jacob: There are two primary types: -nonexertional (classic) heat stroke, which develops insidiously over days and predominantly affects vulnerable populations like children, the elderly, and those with chronic illnesses during heat waves; -exertional heat stroke, which strikes rapidly in young, otherwise healthy individuals, often during intense exercise in hot, humid conditions. Arreaza: In our community, farm workers are especially at risk of heat stroke, but any person living in the Central Valley is basically at risk.Jacob: Risk factors amplify vulnerability across both types, including dehydration, cardiovascular disease, medications that impair sweating (e.g., anticholinergics), and acclimatization deficits. Notably, anhidrosis (lack of sweating) is common but not required for diagnosis. Hot, dry skin can signal the shift from heat exhaustion to stroke. Arreaza: What other conditions look like heat stroke?Differential Diagnosis:Jacob: Presenting with altered mental status and hyperthermia, heat stroke demands a broad differential to avoid missing mimics. -Environmental: heat exhaustion, syncope, or cramps. -Infectious etiologies like sepsis or meningitis must be ruled out. -Endocrine emergencies such as thyroid storm, pheochromocytoma, or diabetic ketoacidosis (DKA) can overlap. -Neurologic insults include cerebrovascular accident (CVA), hypothalamic lesions (bleeding or infarct), or status epilepticus. -Toxicologic culprits are plentiful—sympathomimetic or anticholinergic toxidromes, salicylate poisoning, serotonin syndrome, malignant hyperthermia, neuroleptic malignant syndrome (NMS), or even alcohol/benzodiazepine withdrawal. When it comes to differentials, it is always best to cast a wide net and think about what we could be missing if this is not heat stroke. Arreaza: Let's say we have a patient with hyperthermia and we have to assess him in the ER. What should we do to diagnose it?Jacob: Workup:Diagnosis is primarily clinical, hinging on documented hyperthermia (>40°C) plus CNS changes (e.g., confusion, delirium, seizures, coma) in a hot environment. Arreaza: No single lab confirms it, but targeted testing allows us to detect complications and rule out alternative diagnosis. Jacob: -Start with ECG to assess for dysrhythmias or ischemic changes (sinus tachycardia is classic; ST depressions or T-wave inversions may hint at myocardial strain). -Labs include complete blood count (CBC), comprehensive metabolic panel (electrolytes, renal function, liver enzymes), glucose, arterial blood gas, lactate (elevated in shock), coagulation studies (for disseminated intravascular coagulation, or DIC), creatine kinase (CK) and myoglobin (for rhabdomyolysis), and urinalysis. Toxicology screen if history suggests. Arreaza: I can imagine doing all this while trying to cool down the patient. What about imaging?-Imaging: chest X-ray for pulmonary issues, non-contrast head CT if neurologic concerns suggest edema or bleed (consider lumbar puncture if infection suspected). It is important to note that continuous core temperature monitoring—via rectal, esophageal, or bladder probe—is essential, not just peripheral skin checks. Arreaza: TreatmentManagement:Time is tissue here—initiate cooling en route, if possible, as delays skyrocket morbidity. ABCs first: secure airway (intubate if needed, favoring rocuronium over succinylcholine to avoid hyperkalemia risk), support breathing, and stabilize circulation. -Remove the patient from the heat source, strip clothing, and launch aggressive cooling to target 38-39°C (102-102°F) before halting to prevent rebound hypothermia. -For exertional cases, ice-water immersion reigns supreme—it's the fastest method, with immersion in cold water resulting in near-100% survival if started within 30 minutes. -Nonexertional benefits from evaporative cooling: mist with tepid water (15-25°C) plus fans for convective airflow. -Adjuncts include ice packs to neck, axillae, and groin; -room-temperature IV fluids (avoid cold initially to prevent shivering); -refractory cases, invasive options like peritoneal lavage, endovascular cooling catheters, or even ECMO. -Fluid resuscitation with lactated Ringer's or normal saline (250-500 mL boluses) protects kidneys and counters rhabdomyolysis—aim for urine output of 2-3 mL/kg/hour. Arreaza: What about medications?Jacob: Benzodiazepines (e.g., lorazepam) control agitation, seizures, or shivering; propofol or fentanyl if intubated. Avoid antipyretics like acetaminophen. For intubation, etomidate or ketamine as induction agents. Hypotension often resolves with cooling and fluids; if not, use dopamine or dobutamine over norepinephrine to avoid vasoconstriction. Jacob: What IV fluid is recommended/best for patients with heat stroke?Both lactated Ringer's solution and normal saline are recommended as initial IV fluids for rehydration, but balanced crystalloids such as LR are increasingly favored due to their lower risk of hyperchloremic metabolic acidosis and AKI. However, direct evidence comparing the two specifically in the setting of heat stroke is limited. Arreaza: Are cold IV fluids better/preferred over room temperature fluids?Cold IV fluids are recommended as an adjunctive therapy to help lower core temperature in heat stroke, but they should not delay or replace primary cooling methods such as cold-water immersion. Cold IV fluids can decrease core temperature more rapidly than room temperature fluids. For example, 30mL/kg bolus of chilled isotonic fluids at 4 degrees Celsius over 30 minutes can decrease core temperature by about 1 degree Celsius, compared to 0.5 degree Celsius with room temperature fluids. Arreaza: Getting cold IV sounds uncomfortable but necessary for those patients. Our favorite topic.Screening and Prevention:-Heat stroke prevention focuses on public health and individual awareness rather than routine testing. -High-risk groups—elderly, children, athletes, laborers, or those on impairing meds—should acclimatize gradually (7-14 days), hydrate preemptively (electrolyte solutions over plain water), and monitor temperature in exertional settings. -Communities during heat waves need cooling centers and alerts. -For clinicians, educate patients with CVD or obesity about early signs like dizziness or nausea. -No formal "screening" exists, but vigilance in EDs during summer surges saves lives. -Arreaza: I think awareness is a key element in prevention, so education of the public through traditional media like TV, and even social media can contribute to the prevention of this catastrophic condition.Jacob: Ya so heat stroke is something that should be on every physician's radar in the central valley especially in the summer time given the hot temperatures. Rapid recognition is key. Arreaza: Thanks, Jacob for this topic, and until next time, this is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References:Gaudio FG, Grissom CK. Cooling Methods in Heat Stroke. J Emerg Med. 2016 Apr;50(4):607-16. doi: 10.1016/j.jemermed.2015.09.014. Epub 2015 Oct 31. PMID: 26525947. https://pubmed.ncbi.nlm.nih.gov/26525947/.Platt, M. A., & LoVecchio, F. (n.d.). Nonexertional classic heat stroke in adults. In UpToDate. Retrieved September 7, 2025, from https://www.uptodate.com/contents/nonexertional-classic-heat-stroke-in-adults. (Key addition: Emphasizes insidious onset in at-risk populations and the role of urban heat islands in exacerbating classic cases.) Heat Stroke. WikEM. Retrieved December 3, 2025, from https://wikem.org/wiki/Heat_stroke. (Key additions: Details on cooling rates for immersion therapy, confirmation that anhidrosis is not diagnostic, and fluid titration to urine output for rhabdomyolysis prevention.)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Make use of your time and lead more people to Christ today. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible.     Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org   Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from December 20,2025, through January 2, 2026.

Peripheral artery disease has been called the ‘silent circulatory crisis'—affecting millions, limiting mobility, and quietly raising the risk of heart attack, stroke, and limb loss. For decades, treatment focused on walking programs, aspirin, and sometimes a stent or bypass. But today, the landscape is changing. From PCSK9 inhibitors that drive cholesterol to record lows, to GLP-1 agonists like semaglutide improving walking distance, to novel antithrombotic strategies that balance bleeding and clotting—PAD care is entering a new era. In this episode, we'll explore the breakthroughs, the evidence behind them, and what they mean for patients who just want to keep moving forward." Hosted by the University of Michigan Department of Vascular Surgery: - Robert Beaulieu, Program Director - Frank Davis, Assistant Professor of Surgery - Luciano Delbono, PGY-5 House Officer - Andrew Huang, PGY-4 House Officer - Carolyn Judge, PGY-2 House Officer Learning objectives:  1.  Describe the current evidence-based recommendations for multifactorial medical management of peripheral artery disease (PAD), including lipid, glycemic, and antithrombotic strategies per 2024 SVS/AHA guidelines.  2. Interpret the clinical implications of the FOURIER trial regarding the role of PCSK9 inhibition in reducing cardiovascular events in patients with atherosclerotic disease, including PAD.  3.  Evaluate the emerging role of GLP-1 receptor agonists, such as semaglutide, in improving walking performance and quality of life among patients with diabetic PAD based on findings from the STRIDE trial. Sponsor URL: https://www.goremedical.com/ References:  H. L. Gornik et al., “2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease,” JACC, vol. 83, no. 24, pp. 2497–2604, June 2024, doi: 10.1016/j.jacc.2024.02.013. L. Mazzolai et al., “2024 ESC Guidelines for the management of peripheral arterial and aortic diseases: Developed by the task force on the management of peripheral arterial and aortic diseases of the European Society of Cardiology (ESC) Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS), the European Reference Network on Rare Multisystemic Vascular Diseases (VASCERN), and the European Society of Vascular Medicine (ESVM),” Eur Heart J, vol. 45, no. 36, pp. 3538–3700, Sept. 2024, doi: 10.1093/eurheartj/ehae179. https://pubmed.ncbi.nlm.nih.gov/40169145/ M. S. Sabatine et al., “Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease,” N Engl J Med, vol. 376, no. 18, pp. 1713–1722, May 2017, doi: 10.1056/NEJMoa1615664. https://pubmed.ncbi.nlm.nih.gov/28304224/ M. P. Bonaca et al., “Semaglutide and walking capacity in people with symptomatic peripheral artery disease and type 2 diabetes (STRIDE): a phase 3b, double-blind, randomised, placebo-controlled trial,” Lancet, vol. 405, no. 10489, pp. 1580–1593, May 2025, doi: 10.1016/S0140-6736(25)00509-4. https://pubmed.ncbi.nlm.nih.gov/40169145/ N. E. Hubbard, D. Lim, and K. L. Erickson, “Beef tallow increases the potency of conjugated linoleic acid in the reduction of mouse mammary tumor metastasis,” J Nutr, vol. 136, no. 1, pp. 88–93, Jan. 2006, doi: 10.1093/jn/136.1.88. https://pubmed.ncbi.nlm.nih.gov/16365064/ Please 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/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate 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-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Is your practice patient- or production-driven? The answer should be purpose-driven. Kiera talks about how shifting your core values in a certain way can actually grow everything else. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I am excited. This is a podcast built just for you by you. If you ever want me to make a podcast for you, just email in Hello@TheDentalATeam.com or go to our website, TheDentalATeam.com and click on the podcast tab. You can submit topics for me to record for you. And today is a great one and I'm super excited about it. Someone asked production focus versus patient focus striking the right balance.   Does it have to be both? So is your practice driven by numbers or by people? And does it have to be a choice? I'm super jazzed. I'm super excited because this is the type of juicy stuff I like to get into because this is what offices talk about all the time. Oh my gosh, we're production focused. Well, that means you're not patient focused. Oh my gosh, you're patient focused. That means you're not production focused. Does it have to be? There's tension. It's tension. It's like, are you on the right side or the left side? Are you blue or are you Which side are you on?   Like there's tension here, production focus versus patient focus. Does it really have to be this debate? So I love this. Email me. You guys are love a good pen pal. Hello@TheDentalATeam.com. I like pen pals. You guys remember that? If you want to write me a letter, you can send me a letter. It's in Verdi, Nevada on the website, P.O. Box. I think it's 635 Verdi, Nevada. No clue what it is, but I will get it and I'll send you a postcard back. So pen pal for real, email us.   You guys, really do love a good pen pal. I will seriously send you a letter back. So ⁓ write me. I would love to hear from you. But I'm curious, does it have to be production focus or patient focus or can it be both? Is it the chicken or the egg? I definitely think that there has to be a way because the most successful practices integrate production and patience. So the answer is yes, it can be both. And I don't care what side of the coin you're on. I'm gonna teach you that you can actually be on both sides of the coin and still maintain your ethics.   like your ethical integrity, all of that. You guys, this is the Dental A Team. I'm obsessed with dentists. I'm obsessed with dental teams. I'm obsessed with making you happy. I'm obsessed with positively impacting this world in the greatest way possible. And that's why we built this podcast free for you to give you all the tips and tricks. And all I ask in return is that you leave us a review and share this with somebody that can change their life. My goal is to have this podcast into the hands of every single dental office out there. And guys, you are crushing it. We are in the millions of downloads and I can't do that without you. So please today.   share, download, or leave us a five star review. That means the world to me and I do read those reviews. So thank you. Thank you for everybody who reads those reviews. I appreciate each of you. So today I want to talk about patient focused version of production focused because you know, I got a pen pal out there. production focused means that we're focused on high volume, goal driven, and we're going to probably have burnout. Like that's the drive. It is a lot of times ego. That's okay. So when I'm talking to you.   You can test yourself right now. Are you ready? I'm gonna say, hey, what is your production? Now, to answer that, what's your production? If you just told me your number in gross, you're a little ego driven and I love you for it. And I'm gonna tell you that that is one of the worst things to do because there's no way for us you to ever collect it. I was talking to a practice the other day and they're like, yes, Kiera, we are a $7 million practice and we had a million dollars worth of write-offs. And I was like, well, shoot. So.   You're actually, think they actually have two million. So you're not a seven million, you're a five million. That's a bit of a minute. So you're actually a five million dollar practice and I'd rather talk about real numbers because then I can actually truly get you to seven million rather than feeding your ego at this. So that tends to be the case where you're, if you, you might be a bit production. If you're presenting those in gross, ⁓ present them in, it's okay to your buddies. You can present in gross. To me, to here, to this conversation in real life.   please, please, please present them in net, what you can actually collect. Now, if we're too patient focused, we tend to run at a slower pace, high trust, but we risk a lot of inefficiency and you actually risk the, like, you really do run a risk of you're not looking at the numbers and you actually can create a really, really, really scary spot where you actually are in like profit row where you have no money. ⁓ And so you gotta have both.   We've got to have production where we're able to serve our patients and we've got to care about our patients. We've got to make sure that both of those come together because that's a true business. This is what we're looking for. So I just want you to look at yourself right now and I want you to audit you and your practice. Where do you lean more? Okay. So do you lean a little more left? Do you lean a little more right? Do you lean a little more production focused or do you lean a little more patient focused? It's okay. There's no right or wrong. I just want you to like really look at yourself and assess what route do you fall?   because it's gonna help you, okay? So where are you? We're not like all patient or all production, but which way do you lean? I want you to answer that. You can pen pal me. Remember, I got pen pals out there. So be another pen pal for me. And then step two is I want you to marry metrics with meaning, which isn't that cute? Yes, chat GPT helped me on that one. Marry metrics with meaning, I love that. I was like, that is such a good way to bring this to the table. So we want you guys to be like in the middle, we're not production, we're not patient, we're purpose.   Did you love that? Another P, we're not patient, we're not production, we're purpose driven. So what this is going to be is you can actually like increase case acceptance to outcomes, not quotas. So it's not like we need 20 crowns, we need to help this many patients. help team members see, like I love Tiff, she said this, she was like, production is the measuring stick to see how many patients we're serving. That feels so much better than like we got to hit 150,000.   No, 150,000 shows is how many patients were able to serve. Let's quantify that up to how many patients and now let's put that up to 200,000 and serve that many patients. So we'll help you guys see that like this is a reflection of care. It's not like just, I don't know, like a number on a scorecard. It's people. You guys, all that production was people that we were able to change their lives. That's what we do in Dental A Team. I literally like, when we talk about our numbers, for a while I put up numbers and it was just a number.   So you can tell it's a little bit more production focused rather than patient focused. And it didn't matter to me. And then when I was like, okay, we're going to go out and I want to serve, like I want Dental A Team to serve 500 dental practices. Like in one year, I want us to have that many that to me, like think of how many lives we're going to change. Cause my ultimate goal is impact to possibly impact this world in the greatest way possible. So I was like, all right, let's put an audacious goal out there. I want to serve 500 offices. Yeah, you can join us. Yes, of course.   And like now it became funds. Like the number is tied to people. Cause I ultimately care about people. care about impact. Money can have impact, but it doesn't drive me. What drives me is changing people's lives. Life is my passion, dentistry is my platform. So how can you help your team see that? So we have to help them see like for me with teams, case acceptance, I'm just saying like that's how many smiles you were able to like truly benefit. There's so many lives you're able to change. I believe the case acceptance is life changing. I was the patient on the other side of that coin.   who literally had my life changed by identities. So when we shifted like KPIs are metrics, yes, but metrics have meaning and their purpose. So what does this case acceptance actually reflect? What does this production actually reflect? What did these new patients numbers actually reflect? And when we look at it as this like patient centric, it becomes so much more fun. I did this in a team meeting the other day where, gosh, we were sitting there and I was like, all right, rattle off to me like why you guys go to Chick-fil-A? And they're like talking about it. Not one of them said price.   Not one of them. Not one of them when I talked about McDonald's said price. So when I looked at this, I thought, okay, people go to Chick-fil-A for the experience. And I thought, how can we become a more patient centric practice that uses metrics to see how we're doing of serving those patients? That's what it is. That's how you marry metrics with meaning. These numbers on a KPI scorecard are telling me the vitals of how good we're serving our patients.   So when I look at our hygiene, I wanna know, are we diagnosing perio or are we doing bloody profies? When I look at Florida, you guys, I'm a huge proponent of Florida. If you're not, that's okay, we can still be friends. I'm here to also teach you holistic. I love Florida. Florida changed my life. It prevented so many cavities for me, like truly was life-changing. So I'm like, absolutely, give it to patients. So when I look at your hygiene numbers, I'm not looking at like, did you get your eight out of eight today? I'm looking at like, did you help proactively prevent decay on all of your patients today?   Of course, if they don't want it, that's fine. But like, let's use our words, words are free. Let's set it up in a way to help more patients say yes. I am patient centric with production numbers and using words to get the results I'm looking for. I'm looking for outcomes, not effort. One of my favorite, favorite, favorite lines, and it's probably gonna become like a core value. My team doesn't know this, you guys, is we measure our, we measure by outcomes, not activity. ⁓ we measure it by outcomes.   not activity because I can sit here and say, I served this many patients, but if I didn't close any cases, I did not get the outcome of helping truly get them the smiles and the health that they deserve. Bottom line. So then step three is you got to change your culture. You got to have a culture that supports both. It's got to be efficiency and empathy. It's got to be production and patient. It's got to be like truly driven. And I've got so many offices like Kiera, I don't want to my team about the numbers. That's fine. You don't have to.   But can't we also help them see that the numbers are helping more patients? Every team I've ever gone into has told me the reason they're in tennis tree is to help change patients' lives. That's why they're here. So when I look at this, I'm like, okay, if that's why we're all here, how do we know that we're actually helping the number of patients that we could? Like genuinely somebody tell me, how do we actually know in a tangible, non-emotional way? How do I know? So we've got to help people see that like, okay, fantastic. We have a culture where when we hit our numbers,   We know we serve the patients that we're set here to serve. Period. You're not gonna go away from that and helping people see that numbers equate the outcomes we're looking for. Numbers help us serve patients. And on the flip side, when we, like you guys, there's a book called Unreasonable Hospitality. Have your team do fun things like that where we celebrate the birthdays, the weddings, the anniversaries, the celebrations. We have like a little gift basket on the side where we can quickly go and have some fun with those people to make this magic moment for our patients.   have magic moments that produce results. Team training, we gotta do patient and production language. We've gotta be empathetic. So for me to say like, my gosh, I'm so excited that you don't work with Dr. Jones. Dr. Jones is incredible. They're gonna take great care of you. Let's get you scheduled for this appointment. I know Dr. Jones definitely wants to get you back. I've got Monday or Wednesday, which works best for you. That was patient and production centric, both in the same exact equation.   when I talk to them about case acceptance, it's like, perfect. So here's the treatment that Dr. Jones diagnosed for you. This is your total out of pocket. This is your insurance estimate. This will be your total when I see you on Wednesday. What questions do you have for me? I want you to be rock solid moving forward. Again, production and patient focus. I want them to be so solid. I'm genuinely so concerned about them. I really want them to be solid. If they tell me they got to talk to their spouse, absolutely, 100%. I want you to talk to your spouse.   Help me what questions they're going to ask. That way I can make sure you're fully prepped when you chat with them. That's production and patient focused. A cancellation calls in. my gosh, what's going on? Tell me, like, ⁓ I've been so worried about you. Like help me understand where you at, what's going on. Like, are you okay? Tell me like, you're sick. Like, my gosh, what's going on? I know there's been a bug going around. Someone says I can't make it from work. my gosh. Like, I'm so sorry to hear that. Tell me what's going on. Let's find a solution. I know Dr. wanted to see you.   I can't wait to see you and I know there's gonna be a solution for us. Production and patient focus. And I think when teams see that you don't have to be one or the other, production focus can come across aggressive, patient focus can come across non-aggressive and very like twiddling my thumb sometimes. And so I'm like the true win is the middle ground. The true win is where we see that patients need to feel loved.   and important and that they're humans. And they also need to see that we love them so much. And we're going to make sure that they get the treatment that they need to get done. And we're going to help use our words to make sure it's easy for them to say yes. Both are doable. Both are right. Both are necessary. This is how you guys are able to have it. And so I think you guys can have conversations with the team. How can we be patient and production focused? How can we marry the two because we know the best practices are both.   They are, there's not one lever that's stronger than the other. Both are married together as a perfect whole, two perfect complete whole. How can we be more, if you know from, remember we did an audit, if you know you're a little more production focused, how can you be a bit more patient focused? Have that come up in the team. If you know you're a bit more patient focused, how can we be a bit more production focused? And I know you might be bristling on both sides. Production focused people might think that, my gosh, it's a complete waste of time to be patient focused.   Patient focused people, they're like, my gosh, you'll maybe be aggressive and like force these people into treatment. The answer is no to both of those. Us treating people like human beings, production focused teams will actually make those patients want to be here more. Our teams that are more patient focused, turning more production focused, it's gonna help us make sure that we're not missing things on the patients, that we're not doing inadequate care. And that actually that patient's not leaving confused and that they truly know what they need to do. And it's very clear of next steps for them.   Clear is kind. Being direct is kind. Loving people as people is kind. So I'd really encourage you to adopt this into your practice. And if you struggle with this, if your doctor is like, ⁓ I am not having that team meeting, I'm not having that conversation, great. That's why we have a job. That's what we love to do. Our job is to align doctors and team members to help team members see that production is patient focused and to see that patient focus is production focused. Both sides are necessary.   You need both of them. And so to be able to help you and your team get there, I think is a beautiful thing. So I would really, really, really encourage you to be patient and production focused, both of them. Look to see where you could be a little bit more on whichever side you don't naturally lean to. I know you can already do more on the side that you naturally lean to. Go the other side. I want you to think about it. I want you to bring that into your culture. And I'd really encourage you. And if you struggle with this or you're like, I don't really know how to do this, reach out. Hello@TheDentalATeam.com.   It's not just about this. It's about other goals. It's about other spaces. It's about other awkward conversations that you just don't know how to navigate. It's about getting your team and you doctors rowing in the exact same direction. And that's what we're here to do. So reach out. Hello@TheDentalATeam.com. And as always remember, patient and production is purpose driven dentistry. And that's what you're here to do. And I know that you're here for that. I know that you care so much about your patients and that's why I wanted to really bring this up. So thanks for the pen pal. Thanks for writing. I'd love to hear from more of you. Hello@TheDentalATeam.com.   Go to our website, give me some more topics and reach out. I'd love for you to be one of our 500 practices. We get to help love serve and have that be the purpose to positively impact and change your life for the better. Not just your practice, but you as a person. Because at the end of the day, I care about you as a human being. I care about you thriving. I care about you having the practice of your dreams and having the team of your dreams because I care about you as a human. So reach out and as always know that I'm rooting for you. Know that I care about you.   Know that I adore you as always. Thanks for listening. I'll catch you next time on the Dental A Team Podcast.  

Episode 331 hosts Dr Bita Farrell (Anaesthesiologist from California, USA) & Dr Roni Munk (Dermatologist from Montreal, Canada) Back in September 2025 Dr Jake and David were attendance as speakers at the Canadian Aesthetic Expo. They took the opportunity to record with two other leading KOL speakers; Bita (previously on Episode 283) & Roni. We first get an understanding of our guests own patient demographics and their recent experiences of dealing with filler anxiety expressed by their patients. We explore the nuances of an effective patient consultations and cover the aspects of winning trust, education and the role of personalised consultations. We then discuss the growing prominence of regenerative medicine including insights into exosomes, PRP, PDGF and effective combination therapies. Our guests share their own experiences, philosophies, emphasize a patient-centric approach and the role of lifelong learning to achieve success. 00:00 Introduction  01:03 Meet the Guests: Dr Bita Farrell and Dr Roni Munk 01:43 Roni's Practice and Insights 02:32 Bita's Background 04:39 Trends and Challenges in Aesthetic Treatments 08:13 Exosomes, PRP, and Regenerative Medicine 15:18 Consultation and Building Trust with Patients 18:02 The Life of a Speaker and Live Injecting 19:33 The Challenges of On-Stage Consultations 20:25 The Importance of Authenticity and Preparation 20:49 Building Trust Through Pre-Consultations 23:18 The Role of Consultation in Treatment Success 24:53 Training and Continuous Learning in Aesthetics 31:15 The Evolution of Practice and Learning from Peers 34:29 Closing Remarks and Future Plans ALL IA LINKS & CONTACT INFORMATION

The good news is, when you're suffering under the hand of God, His eye is all the more bent on you. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible.     Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org   Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Dr. Julia Linke (University of Mainz, Germany) joins AJP Audio to discuss the use of neural efficiency, a measure of brain activity, as a potential biomarker in the treatment of children with anxiety disorder.  Afterwards, AJP Editor-in-Chief Dr. Ned Kalin joins the podcast to put the rest of the issue into context. 00:31   Linke interview 02:15   State or a trait? 04:15   Neural efficiency and CBT 05:22   Potential as a biomarker 07:08   Patient-rated and parent-rated measures of anxiety 08:16   Immediate clinical implications 09:50   Limitations 10:43   Future directions of research 11:44   Kalin interview 11:50   Linke et al. 15:16   Mallard et al. 18:11   Naples et al. 21:44   Mac Giollabhui et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Janice Golding reports the latest on the fatal hit-and-run in Toronto's midtown that claimed the life of a 70-year-old woman; Patients in the Peterborough area have a brand-new, state-of-the-art centre to call upon in the new. Pauline Chan has the details.

New Years Day Service

Orthopedic surgeon Kevin J. Campbell discusses his article "Health care is having its Yahoo moment." Kevin explains how the current medical system is stuck in an obsolete pipeline model similar to early internet directories where human gatekeepers create dangerous delays in communication. He introduces the concept of delayed relevance where patient questions about fever or swelling lose value if answered days later and advocates for an AI-driven platform approach to provide immediate physician-vetted responses. The conversation explores how shifting to automated systems can relieve staff burnout while increasing patient trust through consistent and timely guidance. We must embrace this technological evolution to deliver the responsive and effective care that modern medicine demands. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

This week, we share advances in treatment for EGFR-mutated lung cancer, a brain-penetrant enzyme therapy for a rare pediatric disorder, and dual targeting of extramedullary myeloma. We review cardiogenic shock, work through a challenging diagnostic puzzle in a young woman with recurrent illness, and explore Perspectives on corporatized care, vaccine policy, AI in medicine, and where clinicians carry grief.

Send us a text

Send us a text

Cameron is joined by Skya Jones, Education Manager at Boulevard and key opinion leader in the aesthetics industry, and they discuss the importance of patient coordination, the role of technology in medical aesthetics, and how to build an effective tech stack. Skya shares her insights on avoiding overbuying tech, understanding the revenue stack, and the significance of education in enhancing patient experience. The conversation emphasizes the need for automation and efficient processes to improve business operations in the aesthetics field.Listen In!Thank you for listening to this episode of Medical Millionaire!Takeaways:Skya Jones has nearly a decade of experience in medical aesthetics.Patient coordinators play a crucial role in the patient experience.Automation is key to improving efficiency in medical practices.Tech migration can be challenging but is necessary for growth.Avoid overbuying tech tools that don't integrate well with existing systems.Understanding the revenue stack is essential for business success.Education is vital for both providers and patients in aesthetics.A holistic approach to services can enhance client retention.Regular audits of client experiences can identify areas for improvement.Building SOPs can streamline training and maintain consistency.Unlock the Secrets to Success in Medical Aesthetics & Wellness with "Medical Millionaire"Welcome to "Medical Millionaire," the essential podcast for owners and entrepreneurs inMedspas, Plastic Surgery, Dermatology, Cosmetic Dental, and Elective Wellness Practices! Dive deep into marketing strategies, scaling your medical practice, attracting high-end clients, and staying ahead with the latest industry trends. Our episodes are packed with insights from industry leaders to boost revenue, enhance patient satisfaction, and master marketing techniques.Our Host, Cameron Hemphill, has been in Aesthetics for over 10 years and has supported over 1,000 Practices, including 2,300 providers. He has worked with some of the industry's most well-recognized brands, practice owners, and key opinion leaders.Tune in every week to transform your practice into a thriving, profitable venture with expert guidance on the following categories...-Marketing-CRM-Patient Bookings-Industry Trends Backed By Data-EMR's-Finance-Sales-Mindset-Workflow Automation-Technology-Tech Stack-Patient RetentionLearn how to take your Medical Aesthetics Practice from the following stages....-Startup-Growth-Optimize-Exit Inquire Here:http://get.growth99.com/mm/Use this link to sign up and get 10% off:https://try.joinblvd.com/medspacmo Scale Your Medspa With Growth99:Click Here Get 20% Off Growth99: https://get.growth99.com/mm/ Be a Guest on Medical Millionaire: Click Here To Apply: https://calendly.com/medspaceo/medical-millionaire-podcast-prep-call?back=1&month=2025-12 Bridgeline Medical: Peptides & GLP-1 Solutions for Practice Owners:Click For Best Peptide Pricing, Service, And Safety 503A:https://gamma.app/docs/Simplifying-Compounded-Medication-Ordering-tf

EP326: 2025 Retrospective - What Actually Worked (And Flopped) for Physician Entrepreneurs.  This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one. _____________ This Episode is also sponsored by Ryze Health Every minute counts in medicine—so why waste it on clunky admin work? With Ryze Health, practice management becomes effortless. Our all-in-one platform streamlines scheduling, patient communications, and insurance verification, giving you fewer no-shows, faster check-ins, and happier patients. Free yourself from paperwork and phone tag so you can focus on what truly matters: providing care. Visit http://ryzehealth.com/BootstrapMD today and see how simple running your practice can be. ______________   Join us for Doctor PodFest in Florida! Go here to secure your ticket: https://doctorpodfest.com/doctorfest2026-203599?am_id=desiree7783  ______________ Dr. Mike Woo-Ming pauses the usual Bootstrap MD format for a candid two-part series. In Part 1, he delivers a no-hype 2025 retrospective: the biggest wins (cash/hybrid models, content as infrastructure, smarter investing), the brutal flops (commodity telehealth, passive income myths, unused AI tools), and the quiet trends most doctors missed entirely. 2025 stripped away the illusions for physician entrepreneurs. While some chased shiny objects and got burned, others built real leverage, freedom, and wealth. In this raw year-in-review, Dr. Mike Woo-Ming shares exactly what crushed it, what crashed hard, and the under-the-radar shifts that separated the thriving doctors from the overwhelmed ones. No fluff, just the real lessons from coaching hundreds of physicians through the year's chaos.   Top 3 Actionable Takeaways  Own the patient relationship with niche cash/hybrid models: Stop competing on price in commoditized markets. Build a practice where you choose patients, control scheduling, and have pricing power, whether full cash, membership, or strategic hybrid. Micro-niches like executive perimenopause, endurance athletes, beat generic telehealth every time in 2025. Treat content as infrastructure, not marketing:  One consistent long-form platform (podcast, YouTube, newsletter) compounds trust and authority faster than rented social algorithms. Patients who consume 10+ episodes arrive pre-sold, not price-shopping. Start owning your distribution now, consistency beats perfection. Go deep on fewer bets instead of wide and scattered: Spreading across 10 mediocre ventures creates overwhelm with no leverage. The 2025 winners picked 1–2 interconnected things (niche practice, community, content and membership) and mastered them. Depth creates moats; breadth creates burnout.   About the Show: Bootstrap MD is the ultimate podcast for physician entrepreneurs looking to escape traditional healthcare and control their financial futures. Hosted by Dr. Mike Woo-Ming, a successful physician, entrepreneur, and investor, the show delivers actionable insights on starting businesses, creating passive income, and navigating healthcare entrepreneurship. Featuring interviews with industry leaders, physicians, and experts in telemedicine and digital health, it's your guide to building a profitable, fulfilling career.  Tune in weekly at  http://bootstrapmd.com   About the Host: Dr. Mike Woo-Ming has over 20 years of experience as a physician entrepreneur. He's built and sold multiple seven-figure companies and now leads Executive Medical, a group of clinics specializing in age management and aesthetics. Through BootstrapMD, he mentors physicians in business, content creation, and autonomy. Let's Connect: www.https://www.bootstrapmd.com   Want to start a podcast? Check out the Doctor Podcast Network!  

HOW MUCH DO DENTAL IMPLANTS COST!? Download the FREE Guide to Dental Implants Here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/3YHWmOZWant to know if you may be eligible for Permanent Teeth in 24 Hours? Take the 60-Sec Quiz Here: https://bit.ly/4qJ8Ge7▬▬▬▬▬▬▬▬ Contents of this video ▬▬▬▬▬▬▬▬▬▬Disclaimer: Nuvia Dental Implant Centers are locally owned and operated by licensed dental practitioners. These locally owned and operated practices are part of a professional network of dental implant centers operated by prosthodontists, oral surgeons, and restorative dentists. Each Nuvia Dental Implant Center has a business affiliation with Nuvia MSO, LLC, a Dental Support Organization that provides non-clinical support to each center.*Nuvia Dental Implant Centers are able to provide patients with a bridge made with an FDA approved permanent material, zirconia, in 24-hours. No temporary denture. Not all those who come in for a consultation are medically cleared to receive permanent zirconia teeth in 24-hours. Follow up appointments are required to confirm implant integration and make adjustments if necessary. Results may vary in individual cases. Patients represented in videos are actual NUVIA patient(s) and may have been compensated for their time in telling their story.*While soft foods immediately after surgery are generally approved by our clinical team, the local surgeon may give individual instruction on dental implant aftercare according to the specific circumstances applicable to each case.To hear patient's speech after prosthetic placement please search Nuvia Dental Implant Center on YouTube and watch patient stories.*Individual results may vary based on a number of factors.Copyright 2024. Nuvia Dental Implant Centers. All rights reserved.

Hi listeners. It's that time of year when we all take a few of those precious moments between the holidays and starting the New Year to look back, plan ahead, and savor those moments before heading back to work. This is the final DiepCJourney® podcast of 2025 and I decided to go solo for the first time since beginning this podcast during the pandemic in January of 2021. Let's take a look back at what we have provided courtesy of my outstanding guests. I always say, a podcast is only as good as its guests, and I am so lucky to have met them via my podcast and many I have met in person. When I had my first podcast with Dr. C in January of 2021, we had been working together in this patient education advocacy space for six years. That number has now rolled over to 11 years working together and he has been a cherished guest on so many topics on the podcast. Since that first podcast in January of 2021, I have interviewed surgeons, both microsurgeons and breasts surgeons from across the world. Thank you to each of you for providing such valuable information to the listeners of the podcast. I set this podcast up originally as a stand-alone platform but now because of changes in social media platforms I am able to share most of the podcast over on the DiepCFoundation YouTube channel. You can find them on the channel listed as Podcasts if you'd like to watch them and actually see my guests. It's a fun alternative and really what some followers like over listening to the podcast. With a niche podcast like this, my priority is creating content that truly serves the community—not chasing numbers. In a space as specific as breast reconstruction, I measure success by connection and education rather than statistics. The beauty of a niche podcast is that it reaches exactly who needs it most, so I focus on value over metrics. Last year in January we kicked off the year with my friend Rory Zura of Foobs and Fitness. Understanding and knowing the research behind the benefits of exercise for breast cancer patients is so important and a topic that is asked about often. Thanks Rory! She is a survivor with her own unique story. Patients stories matter to many, not only other patients, but healthcare professionals who can improve their communication and protocols for patients based on patient stories. One of the most listened to podcast of 2025 was from Margaret Tueller Proffit, a young BRCA genetic mutation carrier who started her reconstruction with implants, transitioned to DIEP flap and then graced us with the conclusion of her reconstruction by sharing one of the best quotes I heard from a patient all year, "Go forth with confidence"! Sensation of the breast always gets a lot of listeners. Our interview with Dr. Lisa Hunsicker was popular. We tackled diastasis recti and why to repair it during DIEP with Dr. Kesley McClure of Southwest Breast and Aesthetics and found out what other procedures are performed in Phoenix at their facility with her colleague, Dr. Arvind Gowda. Dr. Craigie shared a very interesting interview with us on the delay procedure, the SIEA, and the TDAP. These alternative methods of using a patients own tissue are very important for patients who don't always find this information easily. Nipple reconstruction with Dr. Carpenter at PRMA came out of an in-person meeting we had at a microsurgery summit I attended. Thanks Dr. Carpenter for your warm smile and willingness to spend time with me to educate our audience. I invite each of you listening to use the search engine to explore all the topics we have talked about with my guest on the link I'll provide at the end of the episode details. Libsyn has been a great podcast platform for us to use so a shout out to them! As part of the resources we provide at DiepCFoundation, this podcast being one of them, we also have the DiepCFoundation YouTube channel I mentioned earlier and the DiepCJourney® blog. I want to leave you with a message from an end of the year blog I wrote just a couple of days ago. Here is the link to read the entire blog. https://diepcjourney.com/kindness-gratitude-courage-my-compass-for-2026/ Here is what I wrote: As I step into 2026, I find myself returning again and again to three simple words. Those words are kindness, gratitude, and courage. They aren't new concepts. They aren't complicated. But they have become the compass points guiding how I want to show up in the world, how I want to lead, and how I want to serve the breast cancer community that has shaped my life in ways I never could have imagined. These three words have carried me through seasons of uncertainty, moments of profound connection, and the quiet, steady work of advocacy. They have grounded me when the world felt heavy and lifted me when I needed reminding that hope is not naïve. Hope is necessary. And as I look toward the year ahead, they feel more necessary than ever. Here's to a year guided by purpose, connection, and the quiet strength that lives within us all. I cannot wait for you to listen to our guests in 2026, our sixth season. Thank you for listening and being a part of the Journey! The DiepCJourney® on our YouTube channel: https://www.youtube.com/@DiepCFoundation/podcasts Connect with me on the following platforms: Instagram: https://www.instagram.com/diepcfoundation/ Facebook: https://www.facebook.com/diepCfoundation.org/ LinkedIn: https://www.linkedin.com/in/terricoutee/ Pinterest: https://www.pinterest.com/tgcoutee/    

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/PSM865. CME/MOC/AAPA/IPCE credit will be available until December 18, 2026.Achieving Disease Control in TGCT: Critical Steps For Integrating Evidence-Based Care With CSF1R Inhibitors In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and TGCT Support, a program of The Life Raft Group. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from Daiichi Sankyo, Inc., Deciphera Pharmaceuticals, and Merck KGaA, Darmstadt, Germany.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/PSM865. CME/MOC/AAPA/IPCE credit will be available until December 18, 2026.Achieving Disease Control in TGCT: Critical Steps For Integrating Evidence-Based Care With CSF1R Inhibitors In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and TGCT Support, a program of The Life Raft Group. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from Daiichi Sankyo, Inc., Deciphera Pharmaceuticals, and Merck KGaA, Darmstadt, Germany.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/PSM865. CME/MOC/AAPA/IPCE credit will be available until December 18, 2026.Achieving Disease Control in TGCT: Critical Steps For Integrating Evidence-Based Care With CSF1R Inhibitors In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and TGCT Support, a program of The Life Raft Group. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from Daiichi Sankyo, Inc., Deciphera Pharmaceuticals, and Merck KGaA, Darmstadt, Germany.Disclosure information is available at the beginning of the video presentation.

En Haïti, l'hôpital universitaire La Paix est l'un des rares hôpitaux publics du pays à fonctionner encore correctement. Lorsqu'il a visité l'hôpital universitaire La Paix au début du mois, Le Nouvelliste a découvert un établissement métamorphosé. Alors qu'il avait longtemps été perçu comme insalubre et incapable de fournir des soins adéquats, l'hôpital La Paix est aujourd'hui propre, climatisé, doté de tous les services spécialisés, opérationnels 24h sur 24, avec des patients dont le nombre a doublé en trois ans. Une transformation permise grâce à l'aide de l'Organisation panaméricaine de la Santé, la branche régionale de l'OMS. Cet appui sera certainement décisif dans les prochains mois, avec le déploiement annoncé de la Force multinationale de répression des gangs (FRG), et une éventuelle intensification des opérations. L'hôpital, rapporte Le Nouvelliste, est désormais prêt à prendre en charge 30 à 40 blessés par balle par jour. Dans la commune de Delmas, les habitants de plusieurs quartiers célèbreront le passage à la nouvelle année dans le noir, faute d'éclairage public. Mais « selon toute vraisemblance, écrit Le Nouvelliste, ni l'obscurité ni la situation socio-économique difficile n'auront raison de la joie de vivre des habitants. La fête, même dans le noir, devient un symbole de résilience et de courage d'une population prise en étau entre instabilité politique, insécurité et difficultés économiques. » Une opération secrète qui fait beaucoup parler Le président colombien Gustavo Petro a indiqué hier que l'opération secrète menée la semaine dernière au Venezuela par la CIA, rendue publique lundi par son homologue américain, avait visé une fabrique de cocaïne dans le port de Maracaibo, dans l'ouest du pays. Le Wall Street Journal relève que ce n'est pas la première fois que Donald Trump communique ainsi sur des opérations censées restées secrètes. Ce qui provoque un certain désarroi chez les responsables de la CIA. CNN, de son côté, reproche à l'administration américaine de sembler naviguer à vue dans cette confrontation qui ne cesse de s'aggraver. « Ni Donald Trump ni ses principaux conseillers en politique étrangère n'ont esquissé de scénario de sortie », constate CNN qui redoute un nouveau bourbier. Chaos à la Sécu La Sécurité sociale américaine termine l'année dans la tourmente, raconte le Washington Post. En cause, les milliers de licenciements et de démissions qui se sont produits ces derniers mois, et qui entraînent aujourd'hui une saturation des services désormais occupés par un personnel souvent inexpérimenté. Résultat : des situations kafkaïennes pour les usagers. Et notamment pour Aimé, un Camerounais dont l'identité avait été mal enregistrée à son arrivée aux États-Unis il y a deux ans. On avait remplacé son prénom par son nom de famille. Il avait jusqu'à mi-janvier pour faire corriger ces informations sur son permis de conduire, indispensable pour aller travailler. Sauf que le premier rendez-vous qu'on lui propose... est le 9 février. Les habitants de Culiacan entre deux feux Les habitants de la ville de Culiacan, au Mexique, sont pris entre les feux croisés de deux camps de narcotrafiquants. Une guerre interne au sein du cartel de Sinaloa oppose les fils d'El Chapo au groupe d'El Mayo, le criminel arrêté aux États-Unis a l'été 2024. Les autorités déployées en masse sur place ne sont pas parvenues à endiguer cette vague de violence. Officiellement, le conflit a fait plus de 2 000 morts, et au moins autant de disparus. Toute cette violence laisse des traces : les deuils et les traumas chez les habitants que Gwendolina Duval, notre correspondante à Mexico, a rencontrés. Les violences faites aux femmes en hausse au Brésil Plus de 1180 féminicides ont été recensés cette année au Brésil, une augmentation de 36%. Plusieurs cas ont marqué les esprits, comme celui d'un homme qui a écrasé sa compagne avec sa voiture avant de la traîner sur plus d'1 kilomètre. Elle est aujourd'hui amputée des deux jambes. En ce mois de décembre, plusieurs manifestations contre les féminicides ont eu lieu dans tout le pays, comme le rapporte notre correspondante à Rio de Janeiro, Sarah Cozzolino.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/PSM865. CME/MOC/AAPA/IPCE credit will be available until December 18, 2026.Achieving Disease Control in TGCT: Critical Steps For Integrating Evidence-Based Care With CSF1R Inhibitors In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and TGCT Support, a program of The Life Raft Group. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from Daiichi Sankyo, Inc., Deciphera Pharmaceuticals, and Merck KGaA, Darmstadt, Germany.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/PSM865. CME/MOC/AAPA/IPCE credit will be available until December 18, 2026.Achieving Disease Control in TGCT: Critical Steps For Integrating Evidence-Based Care With CSF1R Inhibitors In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and TGCT Support, a program of The Life Raft Group. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from Daiichi Sankyo, Inc., Deciphera Pharmaceuticals, and Merck KGaA, Darmstadt, Germany.Disclosure information is available at the beginning of the video presentation.

Discover the patients who need timely treatment for metabolic dysfunction–associated steatohepatitis (MASH). How will you find them? And then what will you do? Credit available for this activity expires: [12/30/26] Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/patient-case-challenge-how-would-you-manage-this-patient-2025a1000zqo?ecd=bdc_podcast_libsyn_mscpedu

Are you a bonus parent? This one's for you. Listen to "Affirmations for Stepparents."If this episode was helpful and you want to leave a tip, simply go to AffirmationPod.com/TipJarThe sister episode to this one is Episode 432 Reparenting Yourself Please remember on your birthday you can listen to Birthday Affirmations! It's Episode 318 that published on 1-1-21 AffirmationPod.com/BirthdayAffirmations Thinking of one-on-one coaching?Looking to change your mindset and empower yourself to a better you?Sign up for an affirmations coaching session and let's get to work at AffirmationPod.com/Coaching WANT MORE EPISODES LIKE THIS ONE? Episode 307 Healing Affirmations https://AffirmationPod.com/HealingAffirmations Episode 274 Healing Is Possible and I'm Starting to Heal https://AffirmationPod.com/HealingIsPossible Episode 185 Patient with the Process  https://AffirmationPod.com/Patient Episode 39 Affirmations for Parenting Young Children https://AffirmationPod.com/ParentingYoungChildren REVIEWS

The most anticipated annual tradition on Out of Patients returns with the 2025 Holiday Podcast Spectacular starring Matthew's twins Koby and Hannah. Now 15 and a half and deep into sophomore year, the twins deliver another unfiltered year end recap that longtime listeners wait for every December. What began as a novelty in 2018 has become a time capsule of adolescence, parenting, and how fast childhood burns off.This year's recap covers real moments from 2025 A subway ride home with a bloodied face after running full speed into that tree that grows in Brooklyn. Broadway obsessions fueled by James Madison High School's Roundabout Youth Ensemble access, including Chess, & Juliet, Good Night and Good Luck, and Pirates of Penzance holding court on Broadway. A Disneylanmd trip where the Millennium Falcon triggered a full system reboot. A New York Auto Show pilgrimage capped by a Bugatti sighting. All the things.The twins talk school pressure, AP classes, learner permit anxiety, pop culture fixation, musical theater devotion, and the strange clarity that comes with turning 15. The humor stays sharp, the details stay specific, and the passage of time stays undefeated. This episode lands where the show works best: family, honesty, and letting young people speak for themselves.FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Read the full notes and transcript at Dr. Aimee's website. After 20 years of practicing medicine, I've learned that not everything is sunshine and rainbows. To help myself and my fertility patients, I've adopted a "float through life" mindset—emphasizing mindfulness, calmness, adaptability, and acceptance. Whether you're going through IVF or simply exploring your fertility options, cultivating a positive mindset can help you feel more grounded and supported in the process. In this episode, I share how mindfulness and a flexible mindset can be powerful tools for fertility patients. Instead of being consumed by stress or uncertainty, you'll learn how to approach IVF and your fertility journey with more ease, presence, and hope. This shift toward a positive mindset doesn't mean ignoring challenges—it means embracing tools that allow you to move through them with greater strength and grace. In this episode, we cover: How to embrace situations as they come without spiraling when plans change The power of mindfulness and accepting impermanence in difficult times Ways to stay flexible, cultivate gratitude, and detach from rigid outcomes Why humor, lightheartedness, and community support matter in tough moments Practical steps for prioritizing self-care, limiting overthinking, and trusting the journey Would you like to learn more about IVF?Click here to join Dr. Aimee for The IVF Class. Join the class, and you'll get to join Dr. Aimee for a live class call where she will explain IVF and there will be time to ask her your questions live on Zoom.   Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.    

In the second part of this two-part series, Dr. Shuvro Roy examines the study's findings and their implications for clinical practice moving forward. Show citation: Kim M, Park YH, Song YS, et al. Gait Improvement Following CSF Tap Test in NPH Patients With and Without Striatal Dopaminergic Deficit: A Preliminary Study. Neurol Clin Pract. 2025;15(6):e200549. doi:10.1212/CPJ.0000000000200549

In this episode of the Science of Skin podcast, Dr. Ted Lain and Dr. Andrew Alexis discuss Triferatine Cream, a novel fourth-generation retinoid. They explore its mechanism of action, clinical efficacy, and the importance of addressing not only acne lesions but also the psychosocial impacts of acne on patients. The conversation delves into the results of phase three and phase four clinical trials, highlighting Triferatine's effectiveness in treating both acne and post-inflammatory hyperpigmentation. The episode emphasizes the need for dermatologists to consider the entire acne journey and the long-term benefits of retinoid therapy for their patients. To watch this an other episodes, be sure to check out our YouTube page Takeaways: Triferatine is a novel fourth-generation retinoid. It binds preferentially to the RAR gamma receptor, enhancing its efficacy. Triferatine not only treats acne but also improves scarring and pigmentation. Clinical trials show significant efficacy in both facial and truncal acne. The psychosocial impact of acne is profound and long-lasting. Retinoids are foundational in acne treatment regimens. Patients benefit from continued use of retinoids beyond acne clearance. Phase four studies demonstrate Triferatine's effectiveness in reducing atrophic scars. Acne-induced hyperpigmentation is a significant concern that needs addressing. Education about retinoids can improve patient compliance.See omnystudio.com/listener for privacy information.

FOREVER Digital Storage - Their mission is to be the complete, permanent, and safe place where millions of families save and enjoy their memories for generations. Please support this sponsor of the podcast.In this episode, we speak with Mark Burnett, founder of My Brain Restore™, about his personal battle with Parkinson's and early Alzheimer's — and the controversial path that followed. My Brain RestoreBurnett discusses:* His diagnoses and the moment he realized standard treatment offered no path to recovery* Why he turned to Japanese neurological research overlooked in Western medicine* The development of his proprietary processing method and why he believes it matters* What he can measure, what he cannot yet prove, and where critics are right to be skeptical* The ethical risks of self-experimentation when the alternative is slow decline* Why FDA limitations complicate public conversations about neurological recoveryThis is not a promotional interview. It is a rigorous, good-faith examination of claims, evidence, and uncertainty, designed to let listeners decide for themselves where they land.Topics Covered:* Parkinson's disease* Alzheimer's disease* Neurodegeneration and brain plasticity* Supplements vs. pharmaceuticals* Evidence standards and clinical trials* FDA regulation and medical claims* Patient-driven innovationImportant Disclaimer:This episode is for informational purposes only and does not constitute medical advice. Always consult licensed medical professionals before making health decisions. Get full access to Melvin E. Edwards at storiesfromreallife.substack.com/subscribe

What happens when the founder of Mint.com takes on one of healthcare's most broken experiences—patient communication? In this episode of Bright Spots in Healthcare, Eric Glazer sits down with Aaron Patzer, Founder and CEO of Vital, to explore how simplicity, clarity, and human-centered design can drive real impact in healthcare. Drawing from his journey building Mint, Aaron shares why most healthcare technology misses the mark, how better communication improves outcomes and ROI, and what leaders must do to design experiences people actually use. The conversation goes deep on: Why simplifying complexity—not adding more tech—is the real innovation How better patient communication drives measurable ROI for hospitals What healthcare leaders can learn from consumer tech about trust, adoption, and engagement The leadership principles Aaron relies on when innovating inside highly regulated, slow-moving systems If you're a healthcare leader navigating digital transformation, AI investment decisions, or experience strategy, this episode offers clear thinking, hard-earned lessons, and proof that when you make it easier for people to understand what's happening, everything works better.   References: Book Reference - The Design of Everyday Things by Don Norman About Aaron: Aaron Patzer is a renowned entrepreneur, engineer, and innovator best known as the founder of Mint.com, the personal finance platform that revolutionized money management for millions of users. After launching Mint in 2007, Patzer led it to rapid success, growing the user base to over 25 million and overseeing its acquisition by Intuit in 2009. A passionate advocate for user-centered design and simplicity in complex systems, Patzer built Mint.com by combining his technical acumen with a deep understanding of user experience and behavioral finance. He holds degrees in Electrical Engineering, Computer Science, and a Master's from Princeton University. Following Mint, Patzer continued to push boundaries in tech and health innovation. He co-founded Vital, a healthcare startup focused on improving hospital emergency room, urgent care, and inpatient experiences using AI and design thinking. Ranked by KLAS as #1 in patient experience, Vital achieves concrete results: 30–50% fewer LWOBS/AMA, 10–15% higher NPS, stronger HCAHPS scores, reduced ED bounce- back, and 10% lower 30-day readmissions. Designed to integrate seamlessly with existing EHR systems, Vital provides a user-friendly interface that engages patients, resulting in 60%+ adoption rates, 5-10x higher than the competition. View our product overview. Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com   About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/

In the city of Wyoming, Minnesota, a hospital security guard dies days after a violent Christmas Day assault by a patient, triggering murder charges and mourning across the tight-knit community. A Fort Wayne, Indiana babysitter is charged after saying she slapped the baby as hard as an adult. Drew Nelson reports.See omnystudio.com/listener for privacy information.

In this episode of the PRS Global Open Keynotes podcast, Dr. Arun Gosain and Dr Gabrielle Rodriguez discuss the efficacy of antifibrinolytic agents in decreasing blood loss in infant patients undergoing minimally invasive surgery for craniosynostosis.  This episode discusses the following PRS Global Open article: "Benefits of Antifibrinolytics in Minimally Invasive Surgical Repair of Single-suture Craniosynostosis"  by Gabrielle C. Rodriguez, Anitesh Bajaj, Parul Rai, Morgan A. Gamble, Emily George, Umer Qureshi, Taylor G. Hallman and Arun K. Gosain Read it for free on PRSGlobalOpen.com: https://journals.lww.com/prsgo/fulltext/2025/11000/benefits_of_antifibrinolytics_in_minimally.22.aspx Dr. Arun Gosain is Professor of Pediatric Plastic and Reconstructive Surgery at the Northwestern University Feinberg School of Medicine at the Ann and Robert H Lurie Children's Hospital of Chicago in Illinois. Dr. Gabrielle Rodriguez is a research fellow at The Gosain Plastic Surgery and Craniofacial Biology Laboratory. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Plastic Surgery at the University of Sydney in Australia. #PRSGlobalOpen; #KeynotesPodcast; #PlasticSurgery; Plastic and Reconstructive Surgery- Global Open The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

In this episode, Dr. Rebecca and Dr. Nathan pull back the curtain on this special deep dive that was done for the Thyroid Inner Circle community, exploring the often-missing link in thyroid healing: mitochondrial health. They discuss why optimizing thyroid hormones doesn't always translate into better energy, metabolism, or weight loss and how cellular function plays a major role in how the body adapts, heals, and burns fuel. You'll hear a high-level conversation on the connection between T3, mitochondria, inflammation, blood sugar, gut health, toxins, and modern stressors, along with the necessary action steps and things you can start doing today that influence mitochondrial health and long-term metabolic resilience. If you've improved your labs but still don't feel like yourself, this episode helps explain what may be happening beneath the surface—and why true healing goes beyond hormones alone. Resources mentioned in this episode: ► Mitochondrial support supplements discussed in the podcast: https://us.fullscript.com/plans/drswarren-nathan-warren-1687799355-im8-daily-ultimate-essentials ⭐ Your feedback means so much to me! If you've found this episode helpful, please subscribe and leave a 5-star review—it's one of the best ways to help me share this message with the world.

Is science enough for total healing? Dr. Alex Lion and Dr. Anastasia Holman reveal how Spiritual Care in Healthcare is the secret to supporting clinical teams and patients in crisis. Modern medicine often focuses on the cure, but what happens when the goal is healing the whole person? In this episode of The Chaplain's Compass, hosts Rev. Alice Tremaine and Rev. John Betz explore the "Team-Based Spirituality" model. This revolutionary curriculum moves spiritual care out of the silo of the chaplaincy and integrates it into the daily workflow of physicians, nurses, and interprofessional teams. By analyzing the Havruta method of collaborative reflection and sharing case studies from pediatric neuro-oncology, our guests prove that spiritual care is a vital resource for preventing clinician burnout and navigating complex medical uncertainty. Whether you are a healthcare leader or a frontline provider, you will learn how to create inclusive spaces that honor every faith background—including atheism—to provide truly comprehensive care. Upcoming Workshop Meet the Speakers in New Orleans! Dr. Alex Lion and Reverend Dr. Anastasia Holman will be presenting a hands-on workshop on the Team-Based Spirituality Curriculum at the 2026 APC Conference. Don't miss this opportunity to learn how to scale spiritual care in your health system. Connect with Alice and John on social media: Instagram: @alicetremaine (Alice) @researchchaplain (John) https://www.linkedin.com/in/alicetremaine/ https://www.linkedin.com/in/chaplainbetz/ Leave us a message at the Chaplain's Compass phone number: 502-536-7508 Learn more about chaplaincy at https://www.chaplaincynow.com/ and the association of professional chaplains at https://www.apchaplains.org/

In this conversation, Jeff Sarris and Jill Harris discuss the complexities of dealing with kidney stones, including what to do when diagnosed, how to navigate doctor visits, the importance of diet, and making informed decisions about surgery. Jill shares her extensive experience as a nurse and emphasizes the need for patient education and compliance with dietary changes to manage kidney stones effectively.TakeawaysPeople often feel frantic when they have kidney stones.Jill helps patients understand their urine collection results.Dietary changes can significantly impact kidney stone management.Patients should ask their doctors about the best course of action for their stones.Living with kidney stones can provide motivation for dietary compliance.Surgery decisions should be made based on individual anxiety and stone location.Patients often feel lost when making decisions about their health.The kidney stone diet promotes overall health, not just stone prevention.Compliance with dietary recommendations can lead to improved health outcomes.Understanding one's own health is crucial for making informed decisions.00:00 Introduction to Kidney Stones01:06 Understanding Urine Collection and Diet03:01 Navigating Doctor's Advice on Kidney Stones07:31 The Role of Current Stones in Compliance09:46 The Kidney Stone Diet and Its Benefits——HAVE A QUESTION? _Leave us a voicemail at (773) 789-8764.KIDNEY STONE DIET® APPROVED PRODUCTSProtein Powders, Snacks, and moreWORK WITH JILL _Start HereKidney Stone Diet® All-Access PassKidney Stone Diet® CourseKidney Stone Diet® Meal PlansKidney Stone Diet® BooksPrivate Consultation with JillOne-on-One Deep Dive24-Hour Urine AnalysisSUPPORT THE SHOW _Join the PatreonRate Kidney Stone Diet on Apple Podcasts or Spotify——WHO IS JILL HARRIS? _Since 1998, Jill Harris has been the #1 kidney stone prevention nurse helping patients reduce their kidney stone risk. Drawing from her work with world-renowned University of Chicago nephrologist, Dr. Fred Coe, and the thousands of patients she's worked with directly, she created the Kidney Stone Diet®. With a simple, self-guided online video course, meal plans, ebooks, group coaching, and private consultations, Kidney Stone Diet® is Jill's effort to help as many patients as possible prevent kidney stones for good.

Breakthrough science has never been stronger — yet patients still miss life-saving therapies.Despite decades of innovation, most precision medicines fail at the last mile of healthcare delivery.The problem isn't discovery. It's how science, capital, and systems are aligned — or not.Possessing elite science is no longer enough to win in the multi-trillion-dollar biopharma ecosystem.As innovation shifts from West to East and from treatment to prevention, leadership teams struggle to bridge scientific depth with incentives, execution, and real-world delivery. Capital follows speed and scale — not intention — and healthcare systems built decades ago are failing to keep up.In this episode, Alasdair Milton, Principal at KPMG, explains where innovation actually breaks — and what must change for cures to reach patients at scale. From diagnostics and data silos to capital allocation and prevention models, this conversation reframes the next decade of precision medicine.

Drs Harrington and Gibson's annual review of cardiovascular medicine: ACS guidelines, antiplatelet management, GLP-1s, and ever lower LDL-C with drugs or even gene editing are among the highlights. This podcast is intended for healthcare professionals only. To read a transcript or to comment, visit https://www.medscape.com/author/bob-harrington New ACS Guidelines 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes https://doi.org/10.1161/CIR.0000000000001309 ACS Guideline Chair and Vice-Chair Discussion https://www.medscape.com/viewarticle/acs-guidelines-2025-key-points-chair-and-vice-chair-2025a100093l Antiplatelet/Antithrombotic Strategies Prasugrel Beats Ticagrelor in High-Risk Patients With Diabetes After PCI https://www.medscape.com/viewarticle/prasugrel-beats-ticagrelor-high-risk-patients-diabetes-after-2025a1000wbt Early Withdrawal of Aspirin after PCI in Acute Coronary Syndromes (NEO-MINDSET) https://www.nejm.org/doi/full/10.1056/NEJMoa2507980 Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation (AQUATIC) https://www.nejm.org/doi/full/10.1056/NEJMoa2507532 Bayesian Machine Learning Model Guiding Iterative, Personalized Anticoagulant Dosing Decision-Making : ENGAGE AF-TIMI 48 Trial Analysis https://doi.org/10.1016/j.jacadv.2025.102504 Factor XI Inhibitors Bristol Myers, J&J Stop Blood Clotting Drug Trial After Interim Review https://www.medscape.com/s/viewarticle/bristol-myers-j-j-stop-blood-clotting-drug-trial-after-2025a1000vqu Bayer's Asundexian Met Primary Efficacy and Safety Endpoints in Landmark Phase III OCEANIC-STROKE Study in Secondary Stroke Prevention https://www.bayer.com/en/us/news-stories/oceanic-stroke OAC-Naive Subgroup From OCEANIC-AF Published https://www.medscape.com/viewarticle/novel-blood-thinner-shows-promise-atrial-fibrillation-2025a10008lz GLP-1 and Myotrophic Drugs Lilly's Next-gen Drug Shows Greater Weight Loss Than Zepbound in Late-stage Trial (TRIUMPH-4) https://www.medscape.com/s/viewarticle/lillys-next-gen-drug-tops-zepbound-weight-loss-late-stage-2025a1000ys1 Amylin Analog Eloralintide Reduces Weight in Phase 2 Trial https://www.medscape.com/viewarticle/amylin-analog-eloralintide-reduces-weight-phase-2-trial-2025a1000uqf CRISPR and Lipid Lowering Patient-Specific In Vivo Gene Editing to Treat a Rare Genetic Disease https://www.nejm.org/doi/full/10.1056/NEJMoa2504747 Gene Therapy Shows Lipid Improvement but Raises Flags https://www.medscape.com/viewarticle/gene-therapy-shows-lipid-improvement-raises-flags-2025a1000uzw Phase 1 Trial of CRISPR-Cas9 Gene Editing Targeting ANGPTL3 https://www.nejm.org/doi/full/10.1056/NEJMoa2511778 Evolocumab in Patients without a Previous Myocardial Infarction or Stroke (VESALIUS-CV) https://www.nejm.org/doi/pdf/10.1056/NEJMoa2514428 Prehospital GLP IIb/IIIa Zalunfiban at First Medical Contact for ST-Elevation Myocardial Infarction (CELEBRATE) https://evidence.nejm.org/doi/full/10.1056/EVIDoa2500268 You may also like: Hear John Mandrola, MD's summary and perspective on the top cardiology news each week, on This Week in Cardiology https://www.medscape.com/twic Questions or feedback, please contact news@medscape.net

Anticoagulation Monotherapy in Patients with Chronic Coronary Artery Disease and Atrial Fibrillation   Guest: Keri Zieminski, APRN, C.N.P., D.N.P. Host: Sharonne Hayes, M.D.   This episode of Mayo Clinic's “Interviews With the Experts” will give an overview of anticoagulation monotherapy in patients with chronic CAD and atrial fibrillation. Discussion will include a brief overview of recently published trials that highlight the use of anticoagulation monotherapy in chronic CAD with atrial fibrillation, and how to manage a patient on anticoagulation monotherapy that needs to undergo noncardiac surgery.    Topics Discussed: Why has there been a shift towards redefining antithrombotic medical therapy in patients with chronic CAD with atrial fibrillation? What's changed? Recently published trials that highlight the use of anticoagulation monotherapy in the chronic CAD + AF population. What is your process for managing a patient on anticoagulation monotherapy that needs to go for noncardiac surgery?    Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode.   Podcast episode transcript found here.

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-465 Overview: Many patients with coronary artery disease take aspirin, but how should clinicians navigate management when an anticoagulant is also needed? In this episode, we review indications for therapy, explore evidence on dual use, and discuss how to counsel patients on balancing cardiovascular benefits with the risks of combination therapy. Episode resource links: Lemesle G, Didier R, Steg PG, et al. Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation. N Engl J Med. Published online August 31, 2025. https://www.nejm.org/doi/full/10.1056/NEJMoa2507532 Guest: Alan M. Ehrlich, MD, FAAFP   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  

Can a year's worth of hard-won ground marketing lessons help you escape inconsistent patient numbers for good?This episode challenges everything you think you know about ground marketing. Michael unpacks why true, sustainable growth isn't about charming scripts or one-off tactics, it's about building an external operating system for your practice. Discover how moving from random “hit or miss” outreach to a structured model transforms conversations into appointments, and appointments into loyal patients. Drawing on a year's worth of lessons, you'll learn how systems, psychology, and the right ecosystems can form the backbone of a repeatable, team-driven patient acquisition process.We go beyond the basics, revealing the psychology that makes potential patients feel genuinely safe and understood, no matter their background or setting, from bustling cities to close-knit small towns. Learn how to turn “no” into valuable data, adapt your strategies to fit your unique local environment, and integrate authentically with community hubs like gyms, schools, or senior centers. Plus, we break down actionable ways to empower your team, assign clear marketing roles, and track your progress so you can become the practice everyone in your area trusts. If you're ready to replace random acts of marketing with a reliable system that builds real authority, this episode is for you!What You'll Learn in This Episode:Why ground marketing is a system, not a handful of sales tactics.How to implement a flywheel approach for consistent patient flow.The psychological foundations of trust and rejection in marketing outreach.Steps to transition from random outreach to repeatable, data-driven processes.How to leverage schools, gyms, and local hubs to grow your practice.Assigning team roles to create accountability and measurable results.Ways to adapt your ground marketing to urban vs. rural environments.Tracking, reviewing, and improving each stage for predictable growth.Turning every patient interaction into a community-building opportunity.Start your journey to sustainable new patient growth with the best lessons we've learned in a year of ground marketing!‍‍Learn More About the Ground Marketing Course Here:Website: https://thedentalmarketer.lpages.co/the-ground-marketing-course-open-enrollment/‍Host: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Love the Podcast? Let Us Know How We're Doing on Apple Podcasts!

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com What if AI could not only track your health but truly care for you when your doctor isn't around? In this episode, Dr. Jennie Luna, Founder and CEO of NuVee, discusses creating an AI health companion called Koa, designed to provide empathy and support to patients between doctor visits. She explains the difference between GLP-1 and GIP+GLP-1 medications for diabetes and obesity. Dr. Luna also shares her journey in healthcare, discussing how AI is transforming the industry and the need for more compassionate care in managing chronic conditions, such as obesity. She discusses how technology can bridge the gap in patient care, providing personalized support where it's needed most. Tune in to discover how AI is transforming the future of healthcare and enabling patients to live healthier, more connected lives Resources Connect with and follow Dr. Jennie Luna on LinkedIn. Follow NuVee on LinkedIn and discover their website!

In part one of this two-part series, Dr. Shuvro Roy explains idiopathic normal pressure hydrocephalus (iNPH), its diagnostic challenges, and a study on whether dopamine transporter (DAT) scan results affect gait improvement after a CSF tap test. Show citation: Kim M, Park YH, Song YS, et al. Gait Improvement Following CSF Tap Test in NPH Patients With and Without Striatal Dopaminergic Deficit: A Preliminary Study. Neurol Clin Pract. 2025;15(6):e200549. doi:10.1212/CPJ.0000000000200549