Podcasts about patients

On this episode, we provide an overview of insulin. We discuss the various insulin products available, basal vs prandial insulin, and dosing strategies. We also review clinical concepts such as overbasalization.  Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continuing education credit for select episodes. For existing Unlimited (Gold) freeCE members, this CE option is included in your membership benefits at no additional cost! A password, which will be given at some point during this episode, is required to access the post-activity test. To earn credit for this episode, visit the following link below to go to freeCE's website: https://www.freece.com/ If you're not currently a freeCE member, we definitely suggest you explore all the benefits of their Unlimited Membership on their website and earn CE for listening to this podcast. Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. If you purchase an annual membership, you'll also get a free digital copy of High-Powered Medicine 3rd edition by Dr. Alex Poppen, PharmD. HPM is a book/website database of summaries for over 150 landmark clinical trials.You can visit our Patreon page at the website below:  www.patreon.com/corconsultrx We want to give a big thanks to Dr. Alex Poppen, PharmD and High-Powered Medicine for sponsoring the podcast..  You can get a copy of HPM at the links below:  Purchase a subscription or PDF copy - https://highpoweredmedicine.com/ Purchase the paperback and hardcover - Barnes and Noble website We want to say thank you to our sponsor, Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx We also want to thank our sponsor Freed AI. Freed is an AI scribe that listens, prepares your SOAP notes, and writes patient instructions. Charting is done before your patient walks out of the room. You can try 10 notes for free and after that it only costs $99/month. Visit the website below for more information: https://www.getfreed.ai/  If you have any questions for Cole or me, reach out to us via e-mail: Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com

Why Your Customer Experience Is Killing Referrals (and How to Fix It) In this episode, Doc Danny shares the three-step customer experience framework that drives more referrals, boosts retention, and builds a reputation that speaks for itself. Inspired by a recent emergency surgery experience with his son, Danny lays out exactly how clinics can elevate their communication and consistency—without spending a dime on marketing.

A mysterious dust fills a young family's apartment. The truth begins to unravel when the mother gets a call from the pediatrician - the monster deep within the walls has been unleashed. LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett. EP1 features Zak Orth, Jenny Maguire, Daphne Gaines, and Micheal Gaston. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes. Casting by Alaine Alldaffer and Lisa Donadio.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

There's a downside to being too nice in a relationship. Overly agreeable behavior can dampen your partner's attraction. Here's how to be nice and have boundaries. Are you stuck being a good girl? Afraid to speak up when hurt or push back when your needs aren't being met? Are you the good guy? Always there for your partner, who's never there for you? Patient to a fault and doing all the work to keep your partner even-keeled? This video is for you. You can be loving and not lose yourself in the process. Too Nice Creates Resentment Setting Boundaries with Diplomacy Loving Them Without Losing Yourself Work with Me: Consultation: Books: Breakup Triage; The Cure for Heartache Audible Allowing Magnificence; Living the Expanded Version of Your Life - Book and Audiobook: Connect with Me! Website: susanwinter.net YouTube: YouTube Channel Instagram: Instagram Profile Twitter: Twitter Profile Facebook: Facebook Page LinkedIn: LinkedIn Profile TikTok: TikTok Profile

In the midst of the COVID insanity, the medical industry was weaponized against the general public, and authoritarian decision-making was normalized throughout hospitals. Patients were given no ability for informed consent, and the benefit of the herd was prioritized over the personal sovereignty of the individual. How does one put a price on integrity and courage? Doctor Ahmad Malik stood up against the jabs while trying to navigate the medical system in order to retain his career as an orthopedic surgeon. What he discovered was infuriating but not surprising, and fueled his mission to spread the truth, as he walked away from everything in order to retain his dignity. The Octopus of Global Control Audiobook: https://amzn.to/3xu0rMm Hypocrazy Audiobook: https://amzn.to/4aogwms Website: www.Macroaggressions.io Activist Post: www.activistpost.com Sponsors: Chemical Free Body: https://www.chemicalfreebody.com Promo Code: MACRO C60 Purple Power: https://c60purplepower.com/ Promo Code: MACRO Wise Wolf Gold & Silver: www.Macroaggressions.gold LegalShield: www.DontGetPushedAround.com EMP Shield: www.EMPShield.com Promo Code: MACRO ECI Development: https://info.ecidevelopment.com/-get-to-know-us/macro-aggressions Christian Yordanov's Health Program: www.livelongerformula.com/macro Privacy Academy: https://privacyacademy.com/step/privacy-action-plan-checkout-2/?ref=5620 Brain Supreme: www.BrainSupreme.co Promo Code: MACRO Above Phone: abovephone.com/macro Promo Code: MACRO Van Man: https://vanman.shop/?ref=MACRO Promo Code: MACRO My Patriot Supply: www.PrepareWithMacroaggressions.com Activist Post: www.ActivistPost.com Natural Blaze: www.NaturalBlaze.com Link Tree: https://linktr.ee/macroaggressionspodcast Doc Malik's website: www.DocMalik.com Doc Malik's podcast: https://podcasts.apple.com/za/podcast/doc-malik/id1687952188

This message tells us to be generous in our living and giving. Expect that some of what we sow will fall flat, but we should be patient and leave the results to God.Time:MorningMinister:Rev. Taylor KernTexts:Ecclesiastes 11:1–7Series:Ecclesiastes

THE CASE It is Friday, the end of a long and busy week and a sunny weekend is calling you. Your tasks this afternoon includes seeing some patients who have complex comorbidity and have been booked in for medication reviews. Next up is a longstanding patient, aged 76 who is on 14 different medication, for […]

Where can you actually use AlloClae? Dr. Franco breaks down how this first-of-its-kind filler for the body is changing what's possible. From subtle refinements to shape and volume exactly where you want it, AlloClae is donor fat processed for safety, ready off the shelf, and made specifically for larger body areas that traditional fillers can't handle. Patients love that it skips major surgery, keeps downtime low, and still delivers natural-looking results that blend perfectly with your anatomy. Popular areas to enhance: Hip dips, butt contour, calves Lipo irregularities, dents, or trauma spots Breast rippling, asymmetry, small touch-ups Muscle definition for pecs, shoulders, abs and more Arms, thighs, hands — anywhere you want a smooth shape AlloClae gives you more control, better shape, and results that look like you — just more sculpted. If you've ever wished you could fix tiny details without another round of surgery, or shape areas you can't hit with the gym alone, this opens a whole new world. Watch the full deep dive on YouTube or tune in wherever you get your favorite podcasts.  

In this episode of THE MENTORS RADIO, Host Tom Loarie talks with Mai Nguyen, PhD, the remarkable 36-year-old neuroscientist who is the co-founder and CEO of OptoCeutics and the inventor of EVY LIGHT®, a breakthrough light-based therapy aimed at slowing the progression of Alzheimer's and other memory disorders. Her journey is anything but ordinary. Born in Vietnam, raised in California as the youngest of nine children in a struggling family, she spent her childhood at a local Flea Market and then went on to earn a PhD in neuroscience. But it was a "chance" conversation with a Danish professor that changed her life, and quite likely the lives of millions who will benefit from her decision. In this episode, you'll explore the science behind Dr. Mai Nguyen's light therapy innovation, her deeply personal and unlikely entrepreneurial journey and the powerful values that have guided her. This is a conversation about courage, healing and what it means to be a leader with heart and grit.  Listen to THE MENTORS RADIO podcast anywhere, any time, on any platform, including Spotify and Apple, just click here! Of course, we are always grateful for your 5-star review on Spotify and Apple podcasts, which helps us reach even more people!! SHOW NOTES: MAI NGUYEN, Ph.D.: BIO: https://optoceutics.com/about/about-mai-nguyen/ COMPANY: https://optoceutics.com/ ARTICLES: Mai Nguyen of OptoCeutics: Five Things I Wish Someone Told Me Before I Became a CEO Can flashing lights stall Alzheimer's? What the science shows Safety, Feasibility, and Potential Clinical Efficacy of 40 Hz Invisible Spectral Flicker versus Placebo in Patients with Mild-to-Moderate Alzheimer's Disease: A Randomized, Placebo-Controlled, Double-Blinded, Pilot Study

Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Joaquin Sanches-Sotelo ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patient Matched Baseplates in Primary Reverse Shoulder Arthroplasty."⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Although it is customary to refrain from eating meat during the Nine Days (from the 2 nd of Ab through Tisha B'Ab), Hacham Ovadia Yosef ruled that eating meat is allowed for health purposes. For example, if a physician advised a patient to eat meat for his health, or if a patient is recovering from illness or from a procedure and he wishes to eat meat to make him feel stronger, he may do so. In fact, Hacham Ovadia ruled that since meat during the Nine Days is forbidden by force of custom, and not according to the strict Halacha, there is room to allow anyone who feels a medical need to eat meat to do so. However, Hacham Ovadia cautioned that a healthy person who has no need for meat, but simply wants to eat some meat during the Nine Days, must not do so, and violating this custom without a valid reason constitutes a grievous sin. Additionally, if a patient's medical need can be met by eating fish, then this should be preferred. A pregnant woman who experiences a craving for meat may – and, in fact, must – be given meat, as failing to satisfy a craving for a particular food during pregnancy could endanger the fetus. A woman within thirty days after childbirth, and a woman who is nursing an infant, may eat meat in order to maintain her strength. Hacham Ovadia considered the possibility of allowing even a woman during menstruation to eat meat if she feels the need, as she might be weakened by the loss of blood, though he remained uncertain about this leniency. One who eats meat during the Nine Days for medical reasons does not require Hatarat Nedarim (annulment of vows) before eating meat. Normally, one who discontinues a custom must first perform Hatarat Nedarim, but in this case, since the custom allows eating meat for health purposes, the patient does not break the "vow" by eating meat. However, a patient with a chronic condition that will always require him to eat meat during the Nine Days, who thus needs to permanently discontinue the practice of refraining from meat, should perform Hatarat Nedarim. Is it permissible to feed meat to children during the Nine Days? When it comes to non-kosher food, there is a debate among the Rishonim as to whether one may feed children food that is forbidden Mi'de'rabbanan – by force of Rabbinic enactment. All agree that one may not feed a child food that the Torah itself forbids, but the Rashba (Rav Shlomo Ben Aderet of Barcelona, Spain, 1235-1310) maintained that foods proscribed by the Rabbis may be fed to children. According to the Rashba, it would certainly be permissible to feed children meat during the Nine Days, as meat is forbidden in this period only by force of custom. The Rambam, however, ruled that no forbidden food may be fed to children, even food which the Torah permits but the Sages prohibited. Accordingly, the Mishna Berura ruled that one may not feed meat even to very young children during the Nine Days. Hacham Ovadia Yosef, however, disagreed, arguing that meat is not forbidden at all during the Nine Days, and we refrain from meat only by force of custom. Moreover, the Magen Abraham (Rav Abraham Gombiner, Poland, 1635-1682) maintained that the custom to refrain from meat during the Nine Days from the outset did not include children. Another reason to permit feeding meat to children is that according to some opinions, this custom has the status of a vow, and children are allowed to eat food proscribed merely by force a vow. Additionally, a number of Poskim noted the frailty of children, particularly in modern times, such that denying meat to children who are accustomed to eating meat could adversely affect their health. And, it is permissible to feed children food whose permissibility is subject to a debate among the Poskim, and the practice to refrain from meat during the Nine Days is not universally accepted. For all these reasons, Hacham Ovadia maintained that children should not be denied meat during the Nine Days. The only exception he made was for a twelve-year-old boy, who, since he will soon become a bar-mitzvah, should be trained not to eat meat during this period. (It is worth noting that when it comes to fasting, Hacham Ovadia felt very strongly that children should not be allowed to fast, as they require food for their health. He ruled that children under the age of bar-mitzvah – even twelve-year-olds – should not fast, even on Yom Kippur, and that Rabbis should announce in the synagogue on Yom Kippur that parents should return home to make sure their children eat.) It is permissible during the Nine Days to eat meat and drink wine at a Se'udat Misva – meaning, a meal that constitutes a Misva. One who wishes to eat meat at a Se'udat Misva does not require Hatarat Nedarim, because the custom itself allows eating meat at such an event, and thus the "vow" is not being broken. One example is the meal celebrating a Berit Mila. All guests who were invited to participate in the meal may partake of meat and wine, but clearly a person who does not know the family cannot just show up at the meal in order to enjoy meat and wine. Although it is permissible to eat meat at a Berit, one may not take some meat home from the meal; eating meat is allowed only at the meal itself. The leftover meat should either be frozen or distributed to the needy. However, the infant's father, the Mohel and the Sandak are allowed to eat meat that entire day. For them, the day of the Berit is a Yom Tob, and so they may eat meat at any point during that day, even after the meal. Meat may be eaten at a Berit even in the case of a "Mila She'lo Bi'zmanah" – a Berit that was performed after the infant's eighth day because he was sick and unfit for circumcision on the eighth day. However, if the baby was deemed healthy enough for a Berit Mila before the Nine Days, the Berit may not be delayed until the Nine Days for the purpose of serving meat and wine, as it is forbidden to unnecessarily delay a Berit. And if the Berit was unnecessarily postponed until the Nine Days, meat and wine may not be eaten at the meal. Hacham Bension Abba Shaul (Israel, 1924-1998) ruled that if the Berit was cancelled at the last minute because the infant became sick and unfit for circumcision, the meat that was prepared for the Se'uda may be eaten, despite the fact that no Berit took place. He bases this ruling on the principle that if a person genuinely tried performing a Misva, but was unsuccessful due to circumstances beyond his control, he is nevertheless credited with the fulfillment of a Misva. Since he planned to perform the Misva and attempted to do so, he receives credit for a Misva despite the outcome. Hence, if the infant suddenly became unfit for Berit Mila, the parents are nevertheless considered to have fulfilled the Misva of giving him a Berit that day, and thus the meal qualifies as a Se'udat Misva, where meat and wine may be served. The customary Zohar recitation conducted on the night before a Berit does not qualify as a Se'udat Misva, and thus meat may not be eaten at this event. This is the ruling of Hacham Ovadia Yosef. The meal at a Pidyon Ha'ben is considered a Se'udat Misva, and thus meat is allowed. If a boy turns thirteen during the Nine Days, and a meal is held on his birthday to celebrate the occasion, then this meal qualifies as a Se'udat Misva, and meat may be served. However, if the meal is held on a different day, and not on his birthday, then meat may not be eaten at the meal. If the boy's birthday is Ereb Rosh Hodesh Ab, the meal should be postponed until after Tisha B'Ab. A Siyum celebration following the completion of the study of a Masechet (tractate of Gemara) constitutes a Se'udat Misva, and meat may be eaten at such an event. All those invited to participate in the meal may eat meat, even if they were not involved at all in the learning of the Masechet. If a Siyum is made in a meat restaurant, those who happen to be in the restaurant may listen to the Siyum and eat meat (though it would certainly be inappropriate to intentionally go around to meat restaurants in the hope of finding a Siyum). Hacham Ovadia Yosef ruled that it is permissible to specifically schedule the completion of a Masechet for the Nine Days, though one who finished a Masechet before the Nine Days may not intentionally leave the final line for the Nine Days for the purpose of eating meat. Although some people look askance at the widespread practice to arrange Siyum celebrations for the Nine Days in order to permit meat, many great Rabbis not only approved of this practice, but even encouraged it. Some explained that by celebrating Torah learning we actually make a significant contribution to the rebuilding of the Bet Ha'mikdash. And it is told that the Ba'al Shem Tob (founder of Hasidism, 1698-1760) specifically arranged his Torah learning such that he would make a Siyum during the Nine Days – not because he craved meat and wine, but rather because this weakened the power of the Satan. The Satan wields great strength during this time of year, and one way we overpower the Satan is by increasing our Torah learning and celebrating our learning accomplishments. In fact, the letters that spell Satan's name – Samech, Mem, Alef and Lamed – can be read as an acrostic representing the phrase "Siyum Masechet En La'asot" – "Do not make a Siyum of a Masechet," or "Se'udat Misva En La'asot" – "Do not make a Se'udat Misva." The Satan specifically does not want us to conduct Siyum celebrations, and so we are encouraged to do so during this period when the Satan's strength is at its height. Thus, as many great Sages encouraged making Siyum celebrations during the Nine Days – and especially in light of the fact that to begin with, meat and wine are forbidden during this period only by force of custom – one should not object to those who make Siyumim for the sake of permitting meat and wine. Hacham Ovadia writes that it is improper for several people to divide a Masechet between them, such that each studies only a small portion, for the sake of conducting a joint Siyum. The Jewish community of Izmir, Turkey, had the custom not to allow meat at a Siyum during the Nine Days, and to eat fish, instead. Hacham Ovadia ruled that members of that community who settled in Eretz Yisrael may adopt the lenient practice of eating meat at a Siyum. A mourner in the twelve-month period of mourning for a parent, Heaven forbid, may attend a Siyum celebration as long as no music is played. As music is not permitted at a Se'udat Misva during the Nine Days, a mourner is allowed to attend and partake of meat and wine.

On this episode of the podcast, US Marine Corps Major Chris Lovell (RET.), CEO of Lovell Government Services discusses his decorated military career and transition to the public sector. Lovell's company connects service-disabled veteran-owned businesses with the VA, providing advanced medical technology like Inspire Sleep for sleep apnea and Siren Sox for diabetic foot ulcers.Lovell highlighted the VA's efforts under Secretary Doug Collins to improve veteran care, including reducing the patient care backlog by 25% and supporting the VA Home Loan Program Reform Act President Trump just signed into law. The Home Loan program will help veterans avoid homelessness and catch back up on their mortgage payments. Lovell emphasized the importance of maintaining high standards for military service and praised President Trump's policies for boosting military morale and recruitment.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

“IAQ is no longer just a maintenance issue—it's a strategic lever for improving patient outcomes and financial performance in healthcare.” “Saving a single dollar in energy for a hospital is like generating twenty dollars in patient revenue.” “The big message: it's not as big a lift as it used to be. Smart IAQ solutions are now turnkey and data-driven.” In this episode of the Building HVAC Science Podcast, host Bill Spohn is joined by Renée Jacobs, a seasoned expert in healthcare construction and building automation. Renée shares her career journey from hands-on construction to leading the healthcare vertical at Distech Controls. Her passion for improving patient outcomes through smarter building systems shines as she explains how indoor air quality (IAQ) has become a pivotal factor in modern healthcare environments. Renée draws a compelling analogy between early skepticism of handwashing and today's evolving recognition of IAQ's role in patient health. She highlights how advanced sensors and smart building automation are transforming reactive facility management into a proactive, data-driven practice. One standout example she discusses is a hospital system that drastically improved both IAQ and energy management through Distech's Atrius platform, earning them a Better Buildings Award from the Department of Energy. The conversation also dives into key industry standards like ASHRAE 170, the hidden costs of inaction, and the importance of leveraging AI and IoT in HVAC systems to enhance both care and cost-efficiency. Renée wraps up by emphasizing that implementing smart IAQ solutions is no longer a daunting task—it's a strategic investment that is more accessible and turnkey than ever before. Renee's LinkedIn: https://www.linkedin.com/in/renee-r-jacobs/ Distech website: https://www.distech-controls.com/ ASHRAE Standard 170: https://www.ashrae.org/technical-resources/standards-and-guidelines/standards-addenda/ansi-ashrae-ashe-standard-170-2017-ventilation-of-health-care-facilities Episode 48: With Stephanie Taylor https://www.buildinghvacscience.com/ep48-buildings-health-an-interview-with-dr-stephanie-taylor/ This episode was recorded in July 2025.

Dr. Michelle Burson practices dentistry and prosthodontics in Iowa City and has a fascinating story of how she first found herself in Prosth. She talks about how each case has a digital element, how dentists can personalize treatment for their patients, digital dentures, and more! Ladies & Gentlemen, you're listening to "Confessions From A Dental Lab" and we're happy you're here. Subscribe today and tell a friend so we can all get 1% better :)Connect with Dr. Burson on instagram at @prosthodontist_eats and email her at michelle.burson11@gmail.comFollow KJ & NuArt on Instagram at @lifeatnuartdental, you can also reach me via email: kj@nuartdental.comLearn more about the lab and request information via our website: https://www.nuartdental.com/new-dentist-contact-form/

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

Show notes at pharmacyjoe.com/episode1048. In this episode, I'll discuss how often opioid overdose patients also have a benzodiazepine co-exposure. The post 1048: How often do opioid overdose patients also have benzodiazepine co-exposure? appeared first on Pharmacy Joe.

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

Difficult patients are rarely truly difficult, they are often just confused, misaligned, or reacting to unclear communication. In this episode, Dr. Bruce Baird shares how valuing your team, improving communication, and creating a family-like environment in your practice transforms stress into confidence and productivity.  

Send us a textWelcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick chat about five important research studies published in 2024:Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (FINEARTS-HF) (0:00 – 4:09)Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (SURMOUNT-OSA) (4:10 – 9:28)Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (FLOW) (9:29 – 14:23)Tirzepatide for Metabolic-Dysfunction Associated Steatohepatitis with Liver Fibrosis (SYNERGY-NASH) (14:24 – 20:28)Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (BALANCE) (20:29 – 23:59)And for the Good Stuff:Toronto Star Santa Claus Fund, Calgary Food Bank, Epilepsy Canada (24:00 - 25:23)Calling keen trainees!Trainees, med students, residents: The Rounds Table and Trial Files (https://trialfiles.substack.com/) are looking for keen individuals to support our efforts.Reach out to fralickmpf@gmail.com if you are interested in getting involved. Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

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

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

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

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

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

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

This week on Health Matters, we explore how to protect yourself from diseases carried by ticks and mosquitos. Dr. Jennifer Small-Saunders, an infectious disease expert with NewYork-Presbyterian and Columbia, explains why mosquitos are more attracted to some people than others. She also shares symptoms of diseases like West Nile Virus and Lyme Disease, how we can go about our summer activities without getting bitten, and what to do if you've been bitten.___Dr. Jennifer Small-Saunders is an Infectious Diseases physician-scientist who studies molecular mechanisms of antimalarial drug resistance in Plasmodium falciparum parasites. She is a practicing Infectious Diseases physician who sees patients on both the Internal Medicine and Infectious Diseases teaching services. She completed Internal Medicine residency and Infectious Diseases fellowship at Columbia University Irving Medical Center (CUIMC). Her postdoctoral studies investigated the landscape of mutations in the P. falciparum chloroquine resistance transporter PfCRT and how these mutations contribute to parasite resistance to chloroquine and piperaquine in Asia and Africa. Her group now uses mass spectrometry and gene editing techniques to study the role of tRNA modification reprogramming and translational control in resistance to the first line antimalarial, artemisinin.  The goal of her group is to uncover stress-response pathways in malaria parasites that can be targeted by new treatments.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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