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Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.
Most clinical research treats patients like data points. What gets lost when researchers stop listening to the people they study, and what does it cost the science itself? Niharika Singh is a biomedical engineer and pre-medical student with research experience at Genentech, Abbott, AstraZeneca, and the Keck School of Medicine, and a global ambassador with the United Nations SURGhub. She discusses the KevinMD article "Patient involvement transforms modern clinical research." You will hear the difference between treating a patient as a data set, engaging them as a collaborator, and inviting their emotional and lived experience into the study design. She walks through the Tiger Project hernia training across India and Ghana, what medical device design verification taught her about surgical research, and why AI in medicine is making patient voice harder to hear. You will hear a research methodology that treats the patient's voice as data worth collecting, and a case for defending human connection as AI changes how medicine is practiced. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Healthcare providers and patients often feel frustrated, burned out, and powerless... but what if they're not actually fighting each other? In this episode, I sit down with returning guest Jordan Grumet, MD, hospice physician, author, and host of the Earn & Invest podcast, to discuss his new book, The Healthcare Heist. Jordan argues that many of the challenges facing healthcare today aren't caused by clinicians or patients, but by third-party entities whose incentives often conflict with both. We discuss the "culpability myth" that has led clinicians to become scapegoats for systemic problems, the rise of insurance companies, pharmaceutical companies, private equity, and electronic medical records, and how these forces have contributed to what Jordan calls the "intimacy gap" between providers and patients as well as rising healthcare costs. Most importantly, we explore how clinicians and patients can work together to rebuild trust, strengthen relationships, and advocate for meaningful change. In this episode, you'll learn:• What the culpability myth is and how it impacts healthcare providers• How third-party interests influence patient care• Why healthcare costs continue to rise• The unintended consequences of electronic medical records• What the intimacy gap is and why it matters• How shared storytelling can help clinicians and patients become allies again• Why financial independence and career optionality may give clinicians more freedom to advocate for change Whether you're a physician associate, physician, nurse practitioner, nurse, therapist, other healthcare team member, or patient, this conversation will challenge the way you think about healthcare and who is really responsible for the problems facing the system today. Connect with Jordan and learn more about The Healthcare Heist: jordangrumet.com Order your copy of The Healthcare Heist on Amazon (associate link) If you're early in your financial independence journey, make sure to download your free copy of the PA the FI Way Beginner's Workbook. Inside you'll learn how to: ✔ Define your “why” for financial independence✔ Track your spending and build awareness✔ Start aligning your money with what matters most Download it here: https://www.pathefiway.com/download-the-free-pa-the-fi-way-beginner-s-workbook Website / Blog: pathefiway.com Follow PA the FI Way on Instagram: @pathefiway https://www.instagram.com/pathefiway/ Connect with Kat on LinkedIn: https://www.linkedin.com/in/katarina-kat-astrup-mspas-pa-c-175848255/ Watch on Youtube: https://www.youtube.com/@pathefiway Join the private Facebook group created for current and future PAs on their journey to financial independence: https://www.facebook.com/groups/pathefiway Like the Facebook page to follow along for updates: https://www.facebook.com/pathefiway
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Naltrexone is often a first-line medication for AUD. It works as an opioid receptor antagonist, reducing the rewarding effects of alcohol and decreasing cravings. Patients frequently report that alcohol becomes less pleasurable while taking the medication. Oral naltrexone is typically dosed at 50 mg daily, while a long-acting injectable formulation is also available. Avoid use in patients taking opioids and use caution in significant liver dysfunction. Acamprosate helps maintain abstinence by modulating glutamate and GABA neurotransmission. Chronic alcohol use disrupts the balance between excitatory and inhibitory pathways in the brain, and acamprosate helps restore equilibrium. It is primarily eliminated renally, making it a useful option in patients with liver disease. The most common adverse effect is diarrhea. Disulfiram works through a completely different mechanism. It inhibits aldehyde dehydrogenase, causing acetaldehyde accumulation when alcohol is consumed. This can lead to flushing, nausea, vomiting, headache, and hypotension. Because of this aversive reaction, patient motivation and adherence are critical for success. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101
What if your practice could run smoother, convert more patients, and scale without burning out your team?This episode dives into the playbook of Kristen Davis, a strategic operator who's worn nearly every hat in a dental office, from ground-level execution to high-level growth planning.Kristen shares the real story behind launching and scaling a de novo dental practice during the chaos of COVID-19, turning disruption into a blueprint for resilience and expansion. She introduces SOPHIE, a dynamic AI-supported platform that transforms dental operations by bridging the gap between software and staff, ensuring consistency, accountability, and real-time visibility. Kristen walks us through practical tactics that boost retention and reduce stress, from patient-first scripting and high-conversion follow-up cycles to purposeful morning huddles. Plus, she reveals hiring secrets, onboarding frameworks, and the essential tech tools practices overlook, all rooted in her firsthand trials and wins.What You'll Learn in This Episode:How a dental startup thrived during a pandemic by systemizing operationsThe exact follow-up schedule proven to improve unscheduled treatment conversionsPatient-phone call frameworks that nail the “why choose us” question fastChairside scripts and cues that increase case acceptance (without pressure)The daily and weekly team habits that cut chaos and elevate accountabilityWhy separating treatment and financial coordination roles drives smoother workflowsStructured onboarding that creates confident, culture-matched new hiresHow to use technology like SOPHIE and Patient Prism to maximize team performanceProven strategies for holding vendors accountable and protecting your dataWays to infuse your practice's mission and values into everything your team doesHit play and discover actionable strategies you can use to build a practice that grows, adapts, and never skips a beat, no matter what challenges come your way.Sponsors:Oryx: All-In-One Cloud-Based Dental Software Created by Dentists for Dentists. Patient engagement, clinical, and practice management software that helps your dental practice grow without compromise. Click or copy and paste the link here for a special offer! https://thedentalmarketer.lpages.co/oryx/Click here for a special offer!Net32: Founded by a dentist, for dentists. Net32 is the leading online marketplace for dental supplies, helping dental and medical professionals save on high-quality products for over 25 years. Start saving today at: https://www.net32.com/dentalmarketerClick here for a special offer!Business Name: SOPHIECheck out Kristen's Media:SOFIE: https://www.hisophie.ai/Instagram: https://www.instagram.com/kldavsherm/LinkedIn: https://www.linkedin.com/in/kristen-davis-sherman-331831a8/Mentions & Links:Tools:Patient PrismBIT USASunbitCareCreditCherry FinancingHost: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/Join this podcast's Facebook Group: The Dental Marketer SocietyLove the Podcast? Follow on Your Favorite App! https://lnkfi.re/TDMPod
Have you ever had a no good, very bad day? Well then you need to meet Job! He was a very wealthy man in the Bible who it appeared that he was blessed by God. But one day everything went from good to bad, VERY BAD! How was Job going to react? Was he going to listen to the advice of his wife and friends, or would he choose to trust and bless God even in times of loss? Year B Quarter 2 Week 26All Bible verses are from the NKJVHymn: Bringing in the SheavesWrite to Ms. Katie: seedpod@startingwithjesus.comKatie's Korner: https://startingwithjesus.com/katies-korner/Find the Lessons Here: Kindergarten https://bit.ly/SeedPodKLessonsPrimary https://bit.ly/SeedPodPLessonsConnect with Us:Website: https://startingwithjesus.comStarting With Jesus - YouTube: https://www.youtube.com/c/StartingWithJesusSeedPod - YouTube: https://www.youtube.com/channel/UCCvU2FBPEL5-Zi2QW0STVLg Instagram: https://www.instagram.com/startingwithjesusFacebook: https://www.facebook.com/startingwithjesusAcknowledgments:Bible Readings this Week: DavidPodcast Producer: Katie ChitwoodSound Engineer: Dillon AustinMy Bible First, https://bit.ly/SeedPodLesson for use of their Bible Lesson curriculum.AudioVerse, https://www.audioverse.org/ for partnering with us and supporting our ministry.Lindsey Mills, for writing and performing our SeedPod Kids Theme Song & Background Music. To learn more about her music or to get her CD, email her: lindsey@startingwithjesus.com
Dr. Shuvro Roy and Dr. Michael Levy discuss satralizumab for treating relapsing MOGAD, current management challenges, and the encouraging results of this new therapy. Read more about this abstract.
In this episode, Katie Haifley, Senior Director of Product at NRC Health, and Tanya Hammon, Director of Experience at Parkview Health, discuss how ambient AI is enhancing leader rounding by reducing documentation burdens, capturing deeper patient insights, improving service recovery opportunities, and strengthening patient-provider connections. This episode is sponsored by NRC Health.
What happens at one of the world's largest rheumatology conferences, and why should patients care? In this special episode of The Health Advocates, Steven Newmark is joined by Dr. Shilpa Venkatachalam, Director of Patient-Centered Research at the Global Healthy Living Foundation (GHLF), to discuss the biggest takeaways from EULAR 2026, the annual congress of the European Alliance of Associations for Rheumatology. The conversation explores why conferences like EULAR are so important for advancing patient care, how researchers, physicians, and patient advocates work together to shape the future of rheumatology, and why the patient voice has become an essential part of medical research. Steven and Shilpa also highlight GHLF's contributions to this year's conference, including two original research posters examining barriers to the early recognition of hidradenitis suppurativa and the unmet informational and support needs of people living with Sjögren's disease. Along the way, they discuss exciting emerging trends in rheumatology and clinical care, especially the increasing emphasis on patient-reported outcomes. Whether you're living with a rheumatic disease, caring for someone who is, or simply interested in the future of healthcare, this episode offers an inside look at how today's research is helping shape tomorrow's treatments—and why patient perspectives are more important than ever. Access the GHLF HS Diagnosis Accelerator: https://ghlf.org/hscheck/ Contact Our HostSteven Newmark, Chief of Policy at GHLF: snewmark@ghlf.orgA podcast episode produced by Amelia Violet Prouse, Associate Podcast & Video Producer at GHLF.We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.orgListen to all episodes of The Health Advocates on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.
What does a family caregiver actually need – and what does that mean for the founders building solutions for them? In this expert conversation, Katie Brandt, director of caregiver support services at Massachusetts General Hospital's Frontal Temporal Di...
On this episode, Payton explores the bizarre medical mystery of a patient who seemed to know the impossible, and the only explanation was the voice inside her head. Links: Patreon: https://www.patreon.com/murderwithmyhusbandNetflix: https://www.netflix.com/murderwithmyhusband NEW MERCH LINK: https://mwmhshop.com Discount Codes: https://mailchi.mp/c6f48670aeac/oh-no-media-discount-codes Twitch: twitch.tv/throatypie Instagram: https://www.instagram.com/paytonmorelandshow/ Discount Codes: https://mailchi.mp/c6f48670aeac/oh-no-media-discount-codes Watch on Youtube: https://www.youtube.com/channel/UCUbh-B5Or9CT8Hutw1wfYqQ Listen on Apple: https://podcasts.apple.com/us/podcast/into-the-dark/id1662304327 Listen on spotify: https://open.spotify.com/show/36SDVKB2MEWpFGVs9kRgQ7 Case Sources: Ripleys - https://www.ripleys.com/stories/hallucinatory-doctors Neatorama - https://www.neatorama.com/2008/04/07/ghostly-voices-tell-woman-of-brain-cancer-miracle-or-madness/ National Library of Medicine - https://pmc.ncbi.nlm.nih.gov/articles/PMC2128009/ Rational Psychiatry - https://rationalpsychiatry.substack.com/p/guided-by-voices IFL Science - https://www.iflscience.com/the-woman-whose-hallucinations-diagnosed-her-correctly-with-a-brain-tumor-66332 Learn more about your ad choices. Visit podcastchoices.com/adchoices
(00:00) — From physics to premed: Riley describes deciding to pursue medicine at the end of sophomore year after shadowing in medical physics.(03:37) — Patient transport as a first clinical role: what it taught him about hospital environments and patient interaction.(04:54) — Staying in the physics major: why switching wasn't necessary and how he fit in prerequisites.(08:24) — Building the premed timeline late: summer courses, goal-setting by semester, and the gap year decision.(16:02) — The hardest part of applying: managing secondaries, imposter syndrome, and the waiting game.(22:23) — Three interviews, three acceptances: what Riley attributes his success to.(25:46) — Interview prep without sounding scripted: the three-theme framework and how to make it feel like a conversation.(31:27) — Choosing between schools: how to go beyond the marketing and talk to real students.(35:47) — Advice for mid-college premeds: taking it one day at a time and celebrating smaller wins.Riley didn't walk into college planning to become a physician. He was drawn to physics, considered medical physics, shadowed in that field, and only pivoted to medicine at the end of his sophomore year — after a mentor asked whether he'd thought about becoming the doctor in the department instead. What followed was a deliberate, practical process of building a premed application without abandoning the major he actually loved. He stayed in physics, added prerequisites alongside his existing coursework, and leaned into what made his background unusual rather than trying to blend in with the typical biology-major applicant. The result was three interviews and three acceptances. In this conversation, Riley and Dr. Gray cover the real mechanics of that process: how to find shadowing when you have no network, what patient transport actually teaches you, how to prepare for interviews without scripting yourself into a corner, and how to choose between schools once you have options. It's a practical, grounded conversation for any premed who feels behind or wonders whether their non-traditional path is a liability.What You'll Learn:- Why staying in a non-biology major can strengthen rather than hurt your application- How to build a shadowing network from scratch using a referral approach- What patient transport does and doesn't offer as a clinical experience- How to prepare for medical school interviews without sounding rehearsed- How to evaluate medical schools beyond rankings by talking to current students
Nurses everywhere are fed up. They're organizing and walking picket lines more than ever before. Here in the Chicago area, more than 2,000 of them have voted to unionize in just the last month. On today's In the Loop, we'll hear first-hand accounts from a couple of local nurses and a journalist who's been following their efforts. GUESTS: Jessica Ahn, registered nurse in the emergency department at Saint Mary of Nazareth Hospital Sarah Louise Dawson, registered nurse in medical ICU at Rush University Medical Center Kristen Schorsch, WBEZ public health and politics reporter For a full archive of In the Loop interviews, head over to wbez.org/intheloop.
Hidden in the Turtle Mountains near the Canadian border sits the crumbling remains of San Haven, a place that began as a hopeful tuberculosis sanatorium and ended as one of North Dakota's most controversial institutions. Patients arrived seeking healing, but many never left. Decades later, abandoned wards, empty elevator shafts, and haunting stories transformed the forgotten complex into one of the state's most infamous ghost stories. Tonight, we uncover the tragic history of San Haven and the echoes that still linger in the woods. HAH DISCORD - https://discord.com/invite/bJdbpH3hQm YouTube - https://www.youtube.com/@HauntedAmericanHistory TikTok - @hah_podcast hauntedamericanhistory.com Patreon- https://www.patreon.com/hauntedamericanhistory LINKS FOR MY DEBUT NOVEL, THE FORGOTTEN BOROUGH Barnes and Noble - https://www.barnesandnoble.com/w/the-forgotten-borough-christopher-feinstein/1148274794?ean=9798319693334 AMAZON: https://www.amazon.com/dp/B0FQPQD68S Ebook GOOGLE: https://play.google.com/store/books/details?id=S5WCEQAAQBAJ&pli=1 KOBO: https://www.kobo.com/us/en/ebook/the-forgotten-borough-2?sId=a10cf8af-5fbd-475e-97c4-76966ec87994&ssId=DX3jihH_5_2bUeP1xoje_ SMASHWORD: https://www.smashwords.com/books/view/1853316 !! DISTURB ME !! APPLE - https://podcasts.apple.com/us/podcast/disturb-me/id1841532090 SPOTIFY - https://open.spotify.com/show/3eFv2CKKGwdQa3X2CkwkZ5?si=faOUZ54fT_KG-BaZOBiTiQ YOUTUBE - https://www.youtube.com/@DisturbMePodcast www.disturbmepodcast.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Physical therapists keep saying they provide value — but then many clinics hand patients a confusing menu of visits, rates, packages, discounts, weekday pricing, weekend pricing, and “per visit” math.That confusion may be costing you patients.In this episode of PT Breakfast Club, Tony Meritato, Dave Kittle, and Jimmy McKay break down a real cash pay physical therapy pricing problem and ask a bigger question:Are physical therapists selling the wrong thing?Patients are not really buying “visits.”They are buying relief, confidence, access, trust, and a clear plan to get back to the life they want.This conversation covers cash based physical therapy, private practice pricing, price anchoring, simplifying your offer, patient decision-making, and why “confuse me, lose me” might be one of the most important marketing lessons for any physical therapy business.We also talk about AI coaching, business coaching, babysitter economics, roof replacement psychology, pharma advertising, digital physical therapy platforms, and why PTs need to stop talking themselves out of money.In this episode:00:00 PT Breakfast Club opens00:30 Tony's accidental weight-loss strategy03:00 Using AI for running, fitness, and accountability07:30 AI vs human coaching12:45 Dave's cash pay PT pricing card14:30 Why too many numbers confuse patients17:40 If price is the biggest thing, you compete on price18:40 Price anchoring and why it works21:15 Should PTs sell visits, appointments, or outcomes?24:30 The simple buying journey: call, evaluation, plan of care29:30 What cash pay physical therapists are charging36:15 Babysitter pricing as a value lesson44:30 Buying back time and unlocking value47:00 What PT can learn from pharma and insurance ads49:30 Selling hope instead of visits58:00 Sword, Kaia, and where PT investment is going01:00:15 Parting shotsHosts:Tony MaritatoDave KittleJimmy McKay
“Healthcare, in my opinion, is the ultimate team sport.” I love this quote from today's guest. And it reminds me that patient experience is not just about the patient; it starts with every member of that patient's care team. If they do not feel respected, trusted, and valued, it will absolutely impact the experience of their patients. Brian Carlson, VP of Patient Experience of Vanderbilt Health, knows that trickle down effect all too well. And, as a result, he's been building the patient experience at that organization from the inside out. The outcome? Year-over-year improvement in patient experience scores. Over 80% participation in voluntary patient experience training. Three times over having the organization vote “YES!” to continue this type of training. Experience matters, and Brian has the data to prove it. Brian Carlson leads enterprise strategy for patient experience, workforce culture, and digital engagement across the 40,000-person Vanderbilt Health system. Brian's work focuses on the intersection of culture, operations, and technology, including AI-enabled approaches to experience management and patient engagement at scale. He has led major initiatives in patient access, digital health adoption, and workforce culture transformation.
CORE RESOURCES: Rutherford's Vascular and Endovascular Therapy 10th Edition, Chapters 88, 89, 91, and 94 Atlas of Vascular Surgery and Endovascular Therapy 2nd Edition, Chapter 9 ADDITIONAL RESOURCES: Audible Bleeding Episodes Holding Pressure - Carotid Endarterectomy: https://www.audiblebleeding.com/2024/02/27/holding-pressure-carotid-endarterectomy/ Holding Pressure Case Prep - Endovascular Basics: https://www.audiblebleeding.com/2023/04/23/holding-pressure-case-prep-endovascular-basics/ Videos TCAR Technical Video: https://jnis.bmj.com/content/14/8/842 Articles Society for Vascular Surgery clinical practice guidelines for management of extracranial cerebrovascular disease: https://www.jvascsurg.org/article/S0741-5214%2821%2900893-4/fulltext Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system: https://www.jvascsurg.org/action/showPdf?pii=S0741-5214%2816%2931862-6 Referenced Studies ROADSTER-1 https://pubmed.ncbi.nlm.nih.gov/30611582/ ROADSTER-2 https://pubmed.ncbi.nlm.nih.gov/32811386/ https://pubmed.ncbi.nlm.nih.gov/35381327/ TCAR Surveillance Project https://jamanetwork.com/journals/jama/fullarticle/2757579?utm_source=openevidence&utm_medium=referral https://pubmed.ncbi.nlm.nih.gov/36172943/ OUTLINE: CAROTID ARTERY DISEASE 1. Pathophysiology/etiology Carotid artery disease is primarily driven by atherosclerotic plaque deposition. Risk factors: hypertension, hyperlipidemia, diabetes, smoking, and advanced age. Nonatherosclerotic etiologies: fibromuscular dysplasia, carotid dissection, vasculitic disease, carotid webs, and trauma. When the endothelium is damaged, monocytes migrate to the site and differentiate into macrophages that take up oxidized LDL particles to become foam cells. Meanwhile, an inflammatory response occurs where activated platelets release thromboxane A2, platelet derived growth factor, and inflammatory cytokines that promote further platelet aggregation and vascular inflammation. Smooth muscle cells migrate and proliferate, forming the structural framework of the atheroma. Within the lesion, necrotic debris and lipid accumulate, creating a vulnerable plaque. Plaque rupture exposes this material to the bloodstream, serving as a nidus for thrombus formation which can lead to ischemic events. Carotid bifurcation is particularly prone to plaque formation due to turbulent blood flow. Embolization of plaque from this area can result in TIA or ischemic stroke. 2. Presentation Patients are often asymptomatic and stenosis is incidentally found on imaging. Symptomatic patients present with neurologic symptoms including unilateral motor and sensory loss, aphasia (difficulty finding words), dysarthria (difficulty speaking), amaurosis fugax (temporary monocular vision loss due to embolus to the ophthalmic artery), transient ischemic attacks Physical exam findings may be notable for auscultation of a carotid bruit. Patients may also have evidence of retinal artery embolization on fundoscopic examination (Hollenhorst plaque) or asymptomatic cerebral infarction. 3. Diagnosis USPTF recommends against screening for asymptomatic carotid artery stenosis. In patients with no risk factors, SVS recommends against screening for asymptomatic carotid artery stenosis. However, they do recommend screening for asymptomatic clinically significant carotid bifurcation in certain groups of patients with multiple risk factors. These risk factors include patients with clinically significant peripheral vascular disease, patients 65 and older with history of CAD, smoking, hypercholesterolemia, and patients prior to coronary artery bypass. Relevant findings on physical exam or imaging findings may warrant screening, but screening is not recommended for the presence of neck bruit alone without other risk factors, as this finding has a low sensitivity and specificity for detecting clinically significant carotid artery stenosis. Carotid duplex ultrasound: first-line imaging modality for both screening and initial evaluation of stenosis, noninvasive, low-cost CTA: rapid, high-resolution, three-dimensional imaging of vascular anatomy, risk of contrast and radiation exposure MRA: high-quality, three-dimensional imaging without radiation or contrast, expensive with longer acquisition time, can overestimate stenosis in severe disease DSA/angiography: gold standard, expensive, invasive, not generally recommended for routine diagnostic evaluation or screening 4. Classification Carotid artery stenosis is classified by degree of luminal narrowing. NASCET method: standard in current practice. Compares the minimal residual lumen at the point of greatest stenosis to the diameter of the normal distal internal carotid artery. Classification of stenosis: Mild: 70 bpm, and ACT >250 seconds to optimize cerebral perfusion and minimize thrombotic risk. Clamp the carotid artery just proximal to the arterial sheath to establish active flow reversal. Flow controller settings: Low setting High setting Flow-stop button: allows for temporary cessation of flow (used when we inject contrast). Confirm flow reversal via two different ways: The first way is to stop flow to the venous return sheath with the stopcock, clearing the line with hep saline injection, and then opening the stopcock and seeing the blood returning to the controller in a reverse fashion. The second way is to perform an angiogram with a small amount of contrast injection while holding the flow-stop button. Using the angio we want to make sure that contrast is flowing retrograde in the cervical ICA thereby confirming flow reversal. Carotid artery stenting, balloon angioplasty, and completion angiogram At this point, a standard carotid angioplasty and stenting procedure is performed. ENROUTE transcarotid Neuroprotection System device: inner diameter of 8F and an outer diameter of 10F Has its own carotid artery stent system but is also compatible with all FDA-approved carotid stents. Final angiogram is performed to confirm stent position, vessel patency, and absence of complications including vasospasm at the distal end of the stent and filling defects from protrusion of atheromatous material through the stent Cessation of flow reversal and sheath removal Allow the flow reversal to run for a few minutes after the final balloon angioplasty to clear any debris. Antegrade flow is restored by releasing the carotid clamp and closing the stopcocks on the neuroprotection system. The patient is auto-transfused the blood from the flow line back to the venous system. As the arterial access system is removed and the puncture site is closed with the U-stitch. IV protamine is administered to reverse the heparin. Standard closure is performed at the incision site. Meanwhile, hemostasis is achieved after removal of the femoral vein sheath with brief manual compression. Postop care/complications Postop care All patients after a TCAR should be monitored in the ICU setting for 24 hours, as an embolic stroke, hypotension with or without bradycardia, or hypertension can occur. Should a TIA or stroke be observed, a carotid duplex scan and CT angiogram should be immediately obtained to assess the stent site and the presence of an embolic or thrombotic filling defect, dissection, or occlusion. Dual antiplatelet therapy: continue for 45 days to 12 months Aspirin and statin therapy: continued indefinitely Surveillance duplex imaging: 4 weeks, 6 months, and 12 months, and annually thereafter. Postop complications Hematoma Stroke Myocardial infarction Cerebral hyperperfusion syndrome Sudden and excessive increase in cerebral blood flow to previously hypoperfused brain tissue is met with vasculature that cannot constrict appropriately from chronic vasodilation Leads to breakthrough hyperperfusion. This results in cerebral edema, intracerebral hemorrhage, and neurological symptoms. Cranial nerve injury Hypoglossal nerve (CN XII) injury: ipsilateral tongue deviation. It is the most commonly injured cranial nerve. Vagus nerve (CN X) injury: hoarseness and possible vocal cord paralysis. Glossopharyngeal nerve (CN IX) injury: soft palate dysfunction. Recurrent laryngeal nerve injury: voice hoarseness and inability to cough as it innervates all of the voice box muscles except for the cricothyroid muscle Marginal mandibular nerve injury: ipsilateral lip droop, injury is rare in TCAR. Stent restenosis Pseudoaneurysm Access site infection
This week, we discuss a promising step toward a functional cure for chronic hepatitis B, first-line pulsed field ablation for persistent atrial fibrillation, reducing the demand for transfusion in surgery, treatment for rifampicin-resistant tuberculosis, and a decade-long look at CAR T-cell therapy outcomes. We review peanut allergy and discuss a case of a man with leg weakness, pain, and weight loss; Perspectives explore GLP-1 access, air-quality policy, and the human realities of homelessness.
Have you ever had a no good, very bad day? Well then you need to meet Job! He was a very wealthy man in the Bible who it appeared that he was blessed by God. But one day everything went from good to bad, VERY BAD! How was Job going to react? Was he going to listen to the advice of his wife and friends, or would he choose to trust and bless God even in times of loss? Year B Quarter 2 Week 26All Bible verses are from the NKJVHymn: Bringing in the SheavesWrite to Ms. Katie: seedpod@startingwithjesus.comKatie's Korner: https://startingwithjesus.com/katies-korner/Find the Lessons Here: Kindergarten https://bit.ly/SeedPodKLessonsPrimary https://bit.ly/SeedPodPLessonsConnect with Us:Website: https://startingwithjesus.comStarting With Jesus - YouTube: https://www.youtube.com/c/StartingWithJesusSeedPod - YouTube: https://www.youtube.com/channel/UCCvU2FBPEL5-Zi2QW0STVLg Instagram: https://www.instagram.com/startingwithjesusFacebook: https://www.facebook.com/startingwithjesusAcknowledgments:Bible Readings this Week: DavidPodcast Producer: Katie ChitwoodSound Engineer: Dillon AustinMy Bible First, https://bit.ly/SeedPodLesson for use of their Bible Lesson curriculum.AudioVerse, https://www.audioverse.org/ for partnering with us and supporting our ministry.Lindsey Mills, for writing and performing our SeedPod Kids Theme Song & Background Music. To learn more about her music or to get her CD, email her: lindsey@startingwithjesus.com
What does it actually look like when a doctor refuses to give up on a patient, even when the statistics say there's nothing left to do?In this episode of Integrative Cancer Solutions, Dr. K sits down with Dr. William Nelson, NMD, a naturopathic oncologist with nearly 30 years in practice, to walk through the tools and thinking behind some of his most remarkable patient outcomes. From a stage 4 colon cancer case with an inoperable tumor and mets to the liver and lung who now has no evidence of disease, to the science behind mistletoe fever induction and regional hyperthermia, this conversation goes deep into what integrative cancer care can do when it's done right. Dr. Nelson also breaks down the real difference between naturopathic medicine and functional medicine, why chemotherapy alone can never finish the job, and how he uses mistletoe not as a replacement for conventional care but as the immune reset that makes everything else work better.If you or someone you love is navigating a cancer diagnosis and wondering whether there's more to the picture than surgery, chemo, and radiation, this episode is worth your full attention.Key Takeaways:0:00 Introduction1:12 Naturopathic oncology treats the whole patient not just the tumor6:06 Naturopathic medicine vs functional medicine10:07 Why more supplements is not better in cancer care13:00 Patients hiding integrative care from their oncologist15:46 Stage 4 colon cancer with no evidence of disease19:04 Mistletoe fever induction for advanced cancer25:07 Hyperthermia delivers 1500% more chemo without more toxicity29:44 Mistletoe as immune modulator not just cancer killer33:11 How mistletoe teaches the immune system to recognize cancer36:22 Mistletoe used safely alongside immunotherapy38:48 Believe Big offers financial support for mistletoe treatment Schedule a Free 15-Min Cancer/Lyme Consultation at The Karlfeldt Center: 208-338-8902Resources:Believe Big — https://www.believebig.orgJohns Hopkins Medicine — https://www.hopkinsmedicine.org Medical Disclaimer: This content is for educational purposes only and is not intended to diagnose, treat, cure, or replace professional medical advice. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.
Looking to strengthen your veterinary dentistry skills and improve patient outcomes? Access our FREE RACE-accredited online veterinary dentistry course and join thousands of veterinary professionals advancing their dental knowledge. https://ivdi.org/free --- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT --- Client communication and home care compliance are among the most important factors influencing long-term success in veterinary dentistry. In this episode, Annie Mills, LVT, answers questions submitted during recent online trainings and shares practical strategies for improving client education, increasing treatment acceptance, and helping pet owners become active participants in their pet's oral health. The episode also explores evidence-based home care recommendations, including the role of Veterinary Oral Health Council (VOHC) approved products, practical options for dogs and cats, and why home care should be viewed as an essential component of every dental treatment plan. Annie also addresses common objections to dental radiography and explains why comprehensive assessment and diagnosis must take priority over cosmetic cleaning alone. Whether you're looking to improve client communication, increase follow-up compliance, or strengthen your preventive dentistry protocols, this episode provides practical guidance you can immediately apply in general practice. What You'll Learn in This Episode
Exam Room Nutrition: Nutrition Education for Health Professionals
Give Nutrition Advice Without Making Patients Feel Punished Have you ever asked, “Do you have any other questions?” at the end of a visit and immediately regretted it?Same.Because of course they have more questions. Important questions. Questions that probably should have been asked 15 minutes ago, except now you're already behind, the next patient is waiting, and you're trying to be compassionate without completely derailing the visit.In this episode, I'm talking with Maya Feller, MS, RD, CDN, registered dietitian, author of Eating From Our Roots, and founder of Maya Feller Nutrition, about the art of inviting patients into treatment instead of simply telling them what to do.We talk about cultural humility, implicit bias, why foods like rice, tortillas, noodles, plantains, and traditional starches get unfairly blamed for chronic disease, and how clinicians can help patients improve blood sugar, blood pressure, and lipids without stripping away the foods that feel like home. Maya also shares a brilliant framework for setting the agenda with patients, asking permission, and keeping the visit patient-centered without losing control of the clock. In this episode, you'll learn: Why “healthy” food is often viewed through an Anglo-American lens, and how that can unintentionally shame patients' cultural foods How to be curious before corrective when talking about nutrition, weight, chronic disease, and food traditions How to use the plate method more flexibly What to say when patients want to improve blood sugar, blood pressure, cholesterol, or inflammation without giving up familiar foods Why frozen meals, canned foods, jarred foods, dried beans, frozen vegetables, and center-aisle foods absolutely belong in realistic nutrition counseling How to help patients reduce added sugar without making it feel like punishment Maya's strategy for “sugar interactions” and helping patients create a beginning, middle, and end around sweets How to start the visit by asking what is on the patient's mind, while still addressing your clinical priorities Resources Mentioned:Episode 146: When Culture is Erased from GuidelinesConnect with MayaAny Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
Drs. Cohen and Chang review how CLL and its treatments weaken the immune system and lead to poorer responses to vaccines. Even though vaccine protection is often reduced, the experts emphasize that vaccination remains a key strategy for infection prevention, alongside careful timing around therapy and proactive counseling for patients and their families.
HOW MUCH DO DENTAL IMPLANTS COST!? Access the FREE Guide to Dental Implants Here: https://bit.ly/4fmK604Want to know if you may be eligible for Permanent Teeth in 24 Hours? Take the 60-Sec Quiz Here: https://bit.ly/4vjfst1▬▬▬▬▬▬▬▬ Contents of this video ▬▬▬▬▬▬▬▬▬▬Disclaimer: Nuvia Dental Implant Centers are locally owned and operated by licensed dental practitioners. These locally owned and operated practices are part of a professional network of dental implant centers operated by prosthodontists, oral surgeons, and restorative dentists. Each Nuvia Dental Implant Center has a business affiliation with Nuvia MSO, LLC, a Dental Support Organization that provides non-clinical support to each center.Nuvia Dental Implant Centers are able to provide patients with a bridge made with an FDA approved permanent material, zirconia, in 24-hours. No temporary denture. Not all those who come in for a consultation are medically cleared to receive permanent zirconia teeth in 24-hours. Follow up appointments are required to confirm implant integration and make adjustments if necessary. Results may vary in individual cases. Patients represented in videos are actual NUVIA patient(s) and may have been compensated for their time in telling their story.While soft foods immediately after surgery are generally approved by our clinical team, the local surgeon may give individual instruction on dental implant aftercare according to the specific circumstances applicable to each case.From 2022 through 2024 Nuvia had a documented 99.18% dental implant success rate. During a documented pressure test Nuvia's 24Z teeth withstood 2330 Newtons of Force before breaking.Copyright 2024. Nuvia Dental Implant Centers. All rights reserved.
Elizabeth Warren is at it again. The Massachusetts senator is pushing legislation that should alarm anyone who believes in free markets, private investment, and access to healthcare. Most importantly, it should concern patients. Warren's so-called "Stop Corporate Crimes Against Healthcare Act" is being marketed as a way to protect Americans from corporate abuse. In reality, it threatens private investment and could accelerate hospital closures, particularly in rural communities. The most troubling part of the bill is simple: prison. Warren wants new criminal penalties for healthcare executives and investors based on government determinations about business decisions. The legislation would also allow officials to claw back compensation years after the fact. Think about that. Invest in healthcare and you could become the next political target. That's not accountability. That's intimidation. What's especially troubling is that Warren repeatedly conflates private equity firms with Real Estate Investment Trusts, known as REITs. The two are not the same. Private equity firms buy and manage companies. REITs own real estate. In healthcare, REITs often purchase hospital properties and lease them back to operators. This allows hospitals to unlock capital tied up in real estate and reinvest it into patient care, equipment, technology, and expansion. REITs don't run hospitals. They don't hire doctors. They don't fire nurses. They don't make patient care decisions. They own buildings and provide capital. For decades, this financing model has helped hospitals remain open and expand services. It is widely used throughout the American economy. Yet Warren wants Americans to believe these property owners are responsible for healthcare's problems. The reality is that many hospitals depend on outside investment to survive. If investors believe they could face prison, asset seizures, or political persecution, they will stop investing. Capital dries up. Projects stop. Services disappear. Hospitals close. The communities hit hardest will be rural America. Patients will travel farther for care. Emergency services become less accessible. Healthcare deserts expand. Ironically, the very people Warren claims to be helping could become the biggest victims of her legislation. What Warren ignores is the real crisis facing healthcare. The system is drowning in waste, fraud, abuse, and unsustainable government spending. Billions of taxpayer dollars disappear into bloated bureaucracies every year while politicians promise more benefits and more programs without meaningful reform. Instead of fixing the problems government helped create, Warren is searching for a scapegoat. That scapegoat is private investment. And that should concern every American. Because when politicians start threatening prison for legal business activity, investors leave. When investors leave, hospitals lose access to capital. When capital disappears, services disappear. And when services disappear, patients pay the price. This bill isn't really about protecting patients. It's about expanding government power. Like so many progressive proposals before it, the goal is more regulation, more bureaucracy, and more control concentrated in Washington. The result won't be better healthcare. It will be fewer hospitals, fewer choices, and fewer options for the communities that need healthcare the most. That is why Elizabeth Warren's latest healthcare proposal is so dangerous.SponsorsThe Maverick Systemhttps://TheMaverickSystem.comVRA Insiderhttps://VRAInsider.comPatriot Mobilehttps://www.PatriotMobile.com/GrantThe Wellness Companyhttps://Twc.Health/GrantUse Code: GRANT For 10% OffLost Soldier Oil And Gashttps://www.LostSoldier.comSugarfina Investment Opportunityhttps://invest.sugarfina.comSee omnystudio.com/listener for privacy information.
Join Elevated GP by visiting THEELEVATEDGP.COM In Part 2 of his conversation with Dr. Melissa Seibert, periodontist Dr. David Wong unpacks why patients actually decline treatment — and it's rarely the money or the dentistry. It's the connection you failed to build. He walks through the soft-skill work that's defined his career: reading where a patient sits on the decision-making scale, designing a separate consultation room so he can sit beside patients instead of across from them, and disarming fight-or-flight by finding common ground fast. He also shares one of the most underrated networking moves in dentistry — joining your local Chamber of Commerce — and how it helped him launch a practice from scratch. The second half pivots to the clinical: ridge preservation as a high-ROI skill for general dentists, how to think about bone graft material selection without getting overwhelmed by terminology, membrane selection for beginners through advanced users, and the specific brands David reaches for day to day. About the Guest Dr. David Wong is a board-certified periodontist and Fellow of the International Congress of Oral Implantologists — the only periodontist in Oklahoma to hold that distinction. He completed his periodontal training at the University of Missouri-Kansas City as chief resident, earned advanced implant and oral plastic surgery credentials from Temple University and the Misch International Implant Institute, and has published in the field of oral plastic surgery. Beyond his clinical work, he has spent his career studying the art of case presentation and patient communication. Chapter Markers Time Section 00:00 Pre-roll: Elevated GP 00:49 Welcome and episode preview 02:14 Why patients decline treatment — the connection problem 04:24 The mistake of trying to build trust in one appointment 05:06 Recommended books and resources on soft skills 06:44 Why David joins mastermind groups outside dentistry 08:35 The Chamber of Commerce — an untapped networking resource 10:41 How the Chamber helped David launch his practice from scratch 11:20 Ridge preservation as a high-ROI skill for GPs 12:30 Honest take on dental photography ROI 13:27 Bone graft material selection — keeping it simple 14:38 Allografts vs. xenografts and the global supply reality 15:18 Membrane selection: beginner, intermediate, advanced 16:19 The handling reality of amnion-chorion membranes 17:19 When primary closure matters 17:53 Non-resorbable / PTFE membranes — when they help, when they hurt 19:04 Subscribe CTA 19:20 The specific brands David uses day to day 20:35 The one thing David has invested most in: case presentation 21:09 Inside David's consultation room setup 23:04 Three resources for learning case presentation Key Takeaways On why treatment plans get declined. When patients say "I'll go home and think about it," dentists default to "they don't value the dentistry" or "they can't afford it." David's argument: the most common reason is that you didn't build trust or form a connection. People will spend $20,000 on a European vacation but not on asymptomatic dental work — that's a comparison about trust and felt need, not budget. Connection is a long game, not a five-minute pitch. New dentists try to close trust in a single appointment. David's reframe: you'll see this patient over years. Foster the relationship as long as it takes, and they will do the treatment — maybe not all at once, but eventually. The "I'm the doctor, you're the patient" model breaks in fee-for-service. Patients in a fee-for-service practice are decision-makers, not compliant subjects. You have to meet them as one. Design the room around the conversation. For any case over roughly $1,500, David moves the patient to a dedicated consultation room and sits side-by-side at a table — not across the operatory chair. He pays attention to where he's seated relative to the patient and the door. He has even recorded his own case presentations on camera and had them coached. The Chamber of Commerce is one of the most underused networking moves in dentistry. Every city has one. Dues are minimal or free. You get a room full of local entrepreneurs — publishers, contractors, surgeons, service providers — solving the same problems you are, just in different industries. When David launched his practice from scratch, the Chamber funded part of his open house, ran his ribbon-cutting, and brought a crowd. Get your CE ROI right. Start with skills that pay dividends immediately — molar endo, ridge preservation/socket grafting. They have low downside (a missed socket graft is no worse than not grafting at all), short learning curves, and you'll actually use them weekly. "Sexy" CE without immediate clinical application sits unused. Keep ridge preservation simple. Don't get lost in the 70/30 vs. 50/50 mineralized/demineralized debate. David teaches just two categories: mineralized cortical bone, or mineralized cortical-cancellous bone. That's it. For membranes, beginners should default to a long-lasting resorbable collagen membrane. The fancier options (cross-linked, titanium-reinforced, amnion-chorion, PTFE) are handling-skill problems before they're outcome problems. Case presentation isn't about "salesy words." It's about reading non-verbal cues, responding appropriately, and conducting the conversation — not delivering the right script. Notable Quotes "It's not necessarily just because they don't want it. It's not necessarily just because of financial constraints. It's because we didn't build the trust. We didn't form that connection." "You're going to see this patient more than one time. Hopefully ten years from now they're still your patient — so you have to foster that relationship as long as it takes." "We'll spend $20,000 on a European vacation. We won't spend $20,000 on dentistry when we're asymptomatic and have no known issues." "You spend all that money [on a photography setup] and you still use your intraoral camera to sell single-tooth dentistry. Good job." "Two, three years later, I am the guy where they're just like, 'Dr. Wong, just take my money and do it.'" "A lot of times dentists think that case presentation is using the right words — salesy words. That's not it at all." Resources Mentioned Books on influence, communication, and mindset Influence — Robert Cialdini Pre-Suasion — Robert Cialdini (the "second one" referenced in the conversation) Vanessa Van Edwards' work (and her courses on the Masterclass app) How to Win Friends and Influence People — Dale Carnegie How We Decide — Jonah Lehrer Books by Jonah Berger The E-Myth Revisited — Michael Gerber As a Man Thinketh — James Allen (~50 pages, mindset) Organizations and programs Your local Chamber of Commerce Local Toastmasters (for speaking) Spear Study Club masters program The Elevated GP (Dr. Seibert's virtual study club) Paul Homoly's case presentation program Clinical products David uses day to day Membrane: Mem-Lok resorbable collagen (BioHorizons) — current default Membrane (when available): OsseoGuard / Ossix Plus (Dentsply Sirona) — currently on hold Bone graft: MinerOss mineralized cortical or cortical-cancellous (BioHorizons) Bone graft (alternate supplier): Symbios mineralized cortical (Dentsply Sirona)
Today, I'm joined by an amazing alum of The Big Talk Academy Mastery, Lee Powers. You may remember Lee from Episode 741 that released in April, where I featured her big talk, "A Nurse's Awakening from a Coma: Lessons Learned from Being the Patient." Lee is a nurse, speaker, and advocate with decades of experience. After surviving a patient assault that left her on a ventilator in the ICU, she founded ICUiCare™ to humanize critical-care recovery through education and advocacy, empowering patients, families, and healthcare teams to solve complex health challenges and rebuild lives. In this episode, we'll explore: The value of pharmacogenetic testing in preventing medication complications The number of ICU survivors affected by Post-Intensive Care Syndrome (PICS), and why more people aren't talking about it How medicine often operates on a one-size-fits-all approach, and how you can become a better advocate for your healthcare Her current favorites: Book: Man's Search for Meaning and Speaker: Tricia More from Lee Powers Her first appearance on The Big Talk podcast in Episode 741 Website: https://leepowersrn.com/ LinkedIn: https://www.linkedin.com/in/lee-powers-rn-bsn-034845337/ More from Tricia Claim your spot for my two-day virtual masterclass, The Art of The Big Talk Join me LIVE for my Complimentary Monthly Workshop Explore my content and follow me on YouTube Follow me on Instagram Connect with me on Facebook Connect with me on LinkedIn Visit my website at TriciaBrouk.com
In 2020, Emily Mendenhall drove from Washington, DC to Okoboji, Iowa, a town of 800 that swells to 200,000 every summer, and walked into a pandemic that looked nothing like the one dominating national headlines. Inside gas stations and bars, masks marked you as an outsider. In one stop, a man told her family they would not be served if they kept theirs on. Her 6 year old daughter cried, confused. Mendenhall, a medical anthropologist at Georgetown University, did what she always does. She started asking questions. Over months, she interviewed neighbors, former classmates, and local officials, including her own brother in law who helped lead the local COVID response. The result became Unmasked, a case study in how community identity, economics, and politics shaped public health decisions in real time. That work led directly into her latest book, Invisible Illness: A History, from Hysteria to Long COVID, where she tracks a much older problem. Patients with chronic illness, especially women, often fail to meet medicine's demand for proof. Without a clear diagnosis, they lose access to care, insurance coverage, and legitimacy. Mendenhall argues that long COVID did not create this failure. It exposed it.This conversation centers on how healthcare systems reward certainty and punish complexity. Long COVID clinics send patients to 17 specialists without resolution. Insurance structures require diagnoses that many conditions cannot provide. Medical training still struggles to integrate trauma, mental health, and chronic disease into a coherent model of care.Mendenhall brings lived experience into the conversation. After COVID, she dealt with months of fatigue and escalating anxiety that altered her baseline health. She does not claim the label of long COVID, but she understands how quickly the system becomes harder to navigate once symptoms stop fitting clean categories. The stakes are not theoretical. In the United States, access to healthcare, disability benefits, and treatment still depends on whether a condition can be measured, coded, and reimbursed. For millions living with invisible illness, the burden of proof becomes the illness itself.RELATED LINKSEmily MendenhallInvisible Illness: A History, from Hysteria to Long COVIDScience PoliticsGeorgetown UniversityFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Many med spas spend heavily on attracting new patients while overlooking one of the biggest growth opportunities already inside the practice: the existing patient base. Sustainable esthetic practice growth doesn't come from acquiring more patients alone—it comes from creating an experience that keeps them coming back. In this episode, I sit down with Abby Honaker, President of Partner Success at Pink Sky, to discuss how practice owners can improve patient retention, strengthen provider accountability, and create systems that support long-term growth. We talk about everything from provider utilization and compensation structure to treatment plans, patient outreach, and building a service experience that drives loyalty. Every Patient Interaction Should Move the Journey Forward One thing I constantly see is that medical aesthetics is failing to maximize each patient interaction. Whether it's recommending skincare, discussing future treatments, or helping a patient understand their long-term goals, every touchpoint is an opportunity for education and deeper engagement. The strongest practices don't treat visits as one-time transactions. They create intentional patient journeys with clear next steps, personalized care plans, and a consistent service experience that encourages rebooking and patient loyalty. When patients understand where they're going next, retention and revenue improve. Retention Is Built Through Systems, Not Hope Patient retention isn't accidental. It comes from clear processes, team training, and data-driven decisions. • Train providers and front desk teams on every service offered • Use targeted marketing and patient outreach to reactivate inactive patients • Build treatment plans that extend three, six, or nine months into the future • Track rebooking rates and provider utilization regularly • Create membership programs that support long-term engagement • Standardize scripts to improve consistency across the patient journey The practices that maximize revenue are often the ones that create predictable systems around the client experience. Providers Should Be Advisors, Not Order Takers Patients don't come to your practice because they're experts in treatment planning. They come because you are. That means providers should confidently recommend the care they believe will produce the best outcome rather than allowing patients to "order off the menu." Whether it's upselling skincare, integrating wellness services, or recommending additional treatments, education is part of delivering high-quality care. Avoid making assumptions about what patients can or cannot afford. Present the best recommendation, explain the value, and allow the patient to decide what works for them. Data Creates Better Decisions—and Better Outcomes Successful med spa practices combine exceptional care with strong operational discipline. As your med spa scales, creating a profitable exit—or simply building a more sustainable business—depends on having systems that support both the patient experience and financial performance. The goal isn't simply to add more services. It's to build a practice where every touchpoint strengthens loyalty, improves outcomes, and supports long-term profitability. Follow Shannon & Keep What You Earn: Shannon Weinstein is the founder of a fractional CFO firm specializing in helping 7-figure aesthetics and wellness practices scale with clarity, cash flow, and confidence. Shannon is committed to helping med spa owners understand, fix, and maximize their business's enterprise value, offering actionable advice and resources, including a popular free video series specifically for aesthetics practice owners. Connect with Shannon: Fractional CFO Services and Executive Financial Review: https://www.keepwhatyouearn.com/ Connect with Shannon: https://www.linkedin.com/in/shannonweinstein Watch full episodes: https://www.youtube.com/@KeepWhatYouEarn Listen on your favorite podcast app: https://pod.link/1580071347 Instagram: https://www.instagram.com/shannonkweinstein/ The information shared is for educational purposes only and is not individualized financial advice. Aesthetics practice owners should consult a qualified professional before implementing financial strategies discussed here. About Abby Honaker: Abby Honaker is an aesthetics, wellness, and longevity strategist with more than 25 years of experience building and scaling healthcare businesses. Since 1998, she has worked across multiple sectors—including plastic surgery, dermatology, chiropractic, dental, aesthetics, wellness, and fitness—bringing a unique blend of clinical expertise and operational leadership to every stage of growth. A business graduate with more than 40 certifications spanning nutrition, health coaching, personal training, and athletic performance, Abby Honaker has launched multiple wellness clinics, helped lead her family's dental practices, and opened her own med spa after becoming a Master Aesthetician and Laser Technician. Having served in nearly every role within a practice—from provider and patient coordinator to brand manager, owner, consultant, and marketing lead—Abby Honaker specializes in helping clinics optimize operations, improve profitability, and scale sustainably. She is known for implementing modern growth systems, including AI-enabled operations, technology integrations, SOP development, and revenue strategies that support both expansion and successful exits. Connect with Abby: Instagram: https://www.instagram.com/abby_honaker/ LinkedIn: https://www.linkedin.com/in/abby-honaker-38bb1775/ Website: https://pinksky.life/
Hormones are about far more than hot flashes. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald is joined by urologist and hormone expert Dr. Kelly Casperson for a conversation that challenges conventional thinking about menopause, hormone replacement therapy (HRT), and healthy aging. Dr. Casperson explains why menopause may be better understood as a form of hypogonadism, shares the story behind the removal of the FDA's black box warning on vaginal estrogen, and explores the latest evidence on estrogen, progesterone, and testosterone therapy for women. Topics include: • Vaginal estrogen and the FDA black box warning • The lasting impact of the Women's Health Initiative (WHI) • Estrogen, brain health, and mitochondrial function • Testosterone therapy for women: science and misconceptions • Hormone therapy after age 60 • Patient education, body literacy, and informed decision-making • Exercise, sleep, alcohol reduction, and other foundations of healthy aging Whether you're a functional medicine practitioner or someone interested in menopause, longevity, and women's health, this evidence-based conversation offers practical insights and a fresh perspective on hormone care. Show notes and references: https://www.drkarafitzgerald.com/fxmed-podcast/ Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/ GUEST DETAILS Dr. Kelly Casperson is a board-certified urologic surgeon,CEO and founder of The Casperson Clinic, a modern practice dedicated to hormones and sex medicine, renowned public speaker, sex educator, and host of the top-ranking podcast You Are Not Broken. Dedicated to empowering women, Dr. Kelly blends humor, candor, and science to demystify sexual health, intimacy, and midlife wellness. Through her podcast and online courses, she tackles myths about desire and normalizes conversations around healthy, fulfilling sex. Her work also provides essential education on hormones and midlife health. Connect with Dr. Kelly on Instagram (@kellycaspersonmd) or visit http://kellycaspersonmd.com . THANKS TO OUR DIAMOND SPONSORS DUTCH: https://dutchtest.com/for-providers Biotics Research: https://www.bioticsresearch.com/ Time—Line Nutrition: http://pro.timeline.com/ THANKS TO OUR GOLD SPONSORS Fullscript Journeys: http://www.fullscript.com/journeys-kara Equelle: http://equelle.com CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You Practitioner Training Program: https://www.drkarafitzgerald.com/trainingyyi/ Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw
Have you ever had a no good, very bad day? Well then you need to meet Job! He was a very wealthy man in the Bible who it appeared that he was blessed by God. But one day everything went from good to bad, VERY BAD! How was Job going to react? Was he going to listen to the advice of his wife and friends, or would he choose to trust and bless God even in times of loss? Year B Quarter 2 Week 26All Bible verses are from the NKJVHymn: Bringing in the SheavesWrite to Ms. Katie: seedpod@startingwithjesus.comKatie's Korner: https://startingwithjesus.com/katies-korner/Find the Lessons Here: Kindergarten https://bit.ly/SeedPodKLessonsPrimary https://bit.ly/SeedPodPLessonsConnect with Us:Website: https://startingwithjesus.comStarting With Jesus - YouTube: https://www.youtube.com/c/StartingWithJesusSeedPod - YouTube: https://www.youtube.com/channel/UCCvU2FBPEL5-Zi2QW0STVLg Instagram: https://www.instagram.com/startingwithjesusFacebook: https://www.facebook.com/startingwithjesusAcknowledgments:Bible Readings this Week: DavidPodcast Producer: Katie ChitwoodSound Engineer: Dillon AustinMy Bible First, https://bit.ly/SeedPodLesson for use of their Bible Lesson curriculum.AudioVerse, https://www.audioverse.org/ for partnering with us and supporting our ministry.Lindsey Mills, for writing and performing our SeedPod Kids Theme Song & Background Music. To learn more about her music or to get her CD, email her: lindsey@startingwithjesus.com
Chris Hughen sat down with Aaron Kubal to discuss his pain and rehab mentorship, patient communication and education, analogies and metaphors, AI in rehab, and much more. Watch the full episode: https://youtu.be/UNiBtHOe5gA Episode Resources: Aaron's Instagram Aaron's Pain and Rehab Mentorship Previous Episodes with Aaron: #135 and #84 --- Membership: https://e3rehab.com/premium/ Mentoring: https://e3rehab.com/mentoring/ Coaching & Consultations: https://e3rehab.com/coaching/ Rehab & Performance Programs: https://e3rehab.com/programs/ Resource Guides: https://e3rehab.com/resource-guides Newsletter: https://e3rehab.ck.page/19eae53ac1 --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ X: https://x.com/E3Rehab LinkedIn: https://www.linkedin.com/company/e3rehab/ Facebook: https://www.facebook.com/e3rehab --- Podcast Sponsor: Vivo Barefoot: Get 20% off all shoes! - https://www.vivobarefoot.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Kody Hughes
In this week's Especially for Athletes podcast, Shad Martin and Dustin Smith tackle one of the greatest challenges facing youth sports today: patience. Too often athletes are labeled too early as stars or failures before their bodies, confidence, and abilities have fully developed. Through powerful insights about development, confidence, work ethic, and a moving story from Cameron Stewart about his son Tyson, Shad and Dustin remind parents, coaches, and athletes that development is not linear and that some of the greatest athletes are simply late bloomers. This episode is a must-listen for anyone tempted to judge potential too quickly.Key Takeaways1. Don't Label Athletes Too EarlyChildren develop physically, mentally, emotionally, and socially at different rates. Success—or struggle—at age 10 does not predict success at age 18.2. Puberty Changes EverythingMany athletes who appear average before puberty become exceptional later as their bodies and confidence develop.3. Focus on Growth, Not Playing TimeInstead of demanding opportunities, ask: "What do I need to do to improve?" Growth should always come before entitlement.4. Let Kids ExploreYoung athletes should be allowed to try different sports and activities until they discover where their talents and passions align.5. Love of the Game MattersIf a child still loves a sport, don't pull them away simply because they aren't currently the best player.6. Struggle Builds Valuable SkillsAthletes who must work for opportunities often develop resilience, work ethic, and perseverance that become major advantages later.7. There Are Lessons on the BenchAthletes learn just as much from fighting for playing time as they do from standing on the podium.00:32:17 - Introduction: Why Youth Sports Needs More Patience00:33:37 - The Danger of Labeling Kids Too Early00:36:27 - Why Puberty Changes Everything00:37:52 - Cameron Stewart's Story About His Son Tyson00:38:57 - How Parents Should Approach Playing Time Conversations00:41:42 - Why Late Bloomers Matter00:42:37 - When Should Kids Quit a Sport?00:45:02 - Family Rules About Commitment and Finishing Seasons00:46:02 - James Clear's "Explore vs. Exploit" Principle00:47:27 - Finding Your Lane Through Exploration00:48:17 - Final Advice for Parents and Coaches00:49:37 - Lessons Learned from Cameron Stewart's Example00:50:07 - Eyes Up, Do the Work⸻Especially for Athletes: Website: https://e4a.org Facebook: https://www.facebook.com/EspeciallyForAthletes/ X: https://x.com/E4Afamily Instagram: https://www.instagram.com/especiallyforathletes/ YouTube: https://www.youtube.com/channel/UCmbWc7diAvstLMfjBL-bMMQJoin the conversation using #E4APodcast⸻Credits: Hosted by Dustin SmithProduced by E4A and IMAGINATE STUDIO
Join host Dr. Alex Crespo as he chats with Dr. William Ricci and third year medical student, Mr. Robert Bilodeau about their article entitled: " Patient-Reported Outcomes After Distal Radius Fractures Differ Across Geographic and Cultural Populations: A Global Systematic Review and Meta-Analysis," as they go beyond the text to understand the impetus behind the study and interesting information they derived during the study. Click here to see the abstract. For additional educational resources visit OTA.org
Music is more than entertainment — it's a form of healing. In this episode of the miniVHAN podcast, PJ Cowan, senior program manager of the nonprofit Musicians On Call, shares how they are transforming patient care through live music, emotional connection and whole-person care.
How Do Clinicians & Patients Feel About Prior Auth? Lynne Nowak, Chief Data and Analytics Officer, at Surescripts, shares highlights from their research on how clinicians feel about prior authorization, her point of view on responsible AI, and how it all ties back to better experiences for patients and clinicians. All that, plus the Flava of the Week about Whoop partnering with HealthEx to offer clinician access. How does this signal the move from performance wearable to health intelligence platform, and and should we offer wearables a bigger seat at the table when building the consumer constellation of care? Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Send us Fan MailShow notes A physician built a solid, growing independent practice over six years, then got bored with the pace and chased three new ideas at once. None launched. The original practice still lost an estimated $180,000 in revenue degradation over twelve months, not from a bad decision, but from the boring work quietly going undone. This episode is the framework for staying in the room with it. The compounding cost of distraction. The revenue cycle does not tolerate divided attention. When leadership focus drifts, performance does not collapse, it leaks. A $350K-a-month practice that drifts for six months can lose $84,000 in net collections that never gets recovered. The shiny idea did not cost the money. The distraction did. The patience advantage. A boring denial-rate fix that recovers $8,000 to $12,000 a month compounds every month forward. A new service line that might add $5,000 a month creates complexity with no compounding. Patient money picks the boring fix every time. The boredom threshold. James Clear calls boredom the greatest threat to success. When the practice is working, the work stops feeling like progress and starts feeling like maintenance. The reframe: the boring work is not maintenance, it is compounding. The Five Shiny Objects That Cost Practices the Most The Shiny Object Adding a second location before ops are solid Switching EMR mid-growth Launching a new service line Hiring aggressively before systems exist Chasing a new payer vertical What It Feels Like Growth and scale Modernizing and streamlining Diversification and new revenue Team building and capacity Revenue diversification What It Actually Costs 2x overhead, fragmented leadership, billing gaps at both sites 6 to 12 months of workflow disruption, revenue dip during transition Core service attention drops, existing margin erodes Payroll grows faster than revenue, management overwhelm follows Credentialing lag, cash flow gap, billing team stretched thin Three actions this week Name the hard problem you have been avoiding, and write it down. Calculate what one boring fix is worth over twelve months (a 3% net collection lift on $300K a month is $108,000 a year). Schedule the boring meeting that keeps getting skipped: weekly, named owner, standing agenda. Resources 30-Day Revenue Recovery Plan (primary): eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan Book a call with Heather: calendly.com/heather-natrevmd Payment Posting Audit Checklist (supporting): eligibility.natrevmd.com/payment-posting-checklist Referenced: Atomic Habits by James Clear.
Download Swamp Dweller Scary Stories:Itunes: https://apple.co/2L7znZpSpotify: https://spoti.fi/2WUFDG8►join the swamp dwellers!►Subscribe to my channel: https://www.youtube.com/channel/UCyYjOfKMuuIv0oMjG68Reug►Follow me on Instagram! https://www.instagram.com/swampdwellerofficial/►Join me on Twitter: https://twitter.com/iSwampDweller►'Like' my Facebook Page: https://www.facebook.com/SwampDwellerReads►Submit stories to http://swampdweller.net/ or swampdwellereads@gmail.com
Patient portal messaging continues to expand across health systems, and it has become an increasingly important method for patient-clinician communication. Authors Michal Mankowski, PhD, assistant professor, and Jane Long, MD, research resident, both from the Department of Surgery at NYU, discuss their new research letter with JAMA Deputy Editor Joseph Ross, MD, MHS. Related Content: Trends in Patient Portal Messages, Office Visits, and Telephone Encounters National Trends in Patient Messaging—The Growing Electronic Inbox
The words doctors use during fertility care can wound the patient sitting across the desk. "Failed cycle." "Poor responder." "Ovarian failure." For a woman already carrying the grief of a child she has never had, those words can feel like nails in a coffin. Oluyemisi Famuyiwa, a fertility specialist, argues that infertility grief is compounded by cultural stigma and by clinical language medicine rarely audits. This episode is based on her article "The emotional impact of infertility is grief unspoken," published on KevinMD. You will hear why up to 40 to 50 percent of infertility cases involve a male factor, why the team-based script ("do it for your partner") often gets a resistant husband to agree to testing, what social media hides about donor eggs and late-in-life pregnancies, why no supplement can reverse the biological aging of eggs, and why being culturally nosy is one of the most useful clinical skills a fertility doctor can develop. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
On today's episode, Dr. Mark Costes sits down with Dr. Parth Patel, owner of Revive Dental in Alpharetta, Georgia, to unpack his journey from associate dentist to owner of a thriving fee-for-service practice. Dr. Patel shares how his early exposure to different practice models helped him clarify the kind of dentistry he wanted to build, one centered on comprehensive care, patient relationships, and a high-touch experience. The conversation explores the realities of staying out of network, how his team communicates value to patients with PPO benefits, and why alignment in language, systems, and culture is critical from the first phone call through long-term retention. Throughout the episode, he emphasizes the importance of vision, intentional growth, premium patient experience, and building a practice that can scale without sacrificing identity. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://revivemysmile.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast
Dr. Shuvro Roy talks with Dr. Michael Levy about satralizumab for treating relapsing MOGAD, current management challenges, and the encouraging results of this new therapy. Read more about this abstract. Disclosures can be found at Neurology.org.
Are you a caring dentist who finds it hard to accept when a patient is beyond your help?In this episode, Dr. Don Barden, a scholar of economics and human behavior, candidly talks about a critical failure, one that many dentists might relate to: assuming you can help everyone. Sharing his wealth of knowledge and experience, Dr. Barden shows the dangers of this mindset and explains the importance of recognizing that patients, and indeed anyone, can only be truly helped when they are willing to help themselves. Unpack his insights and learn why he thinks that acknowledging this reality can be a significant step towards succeeding as a practice owner. As Dr. Barden says, "Failure is ongoing. Failure is something that you should embrace because it tells you what not to do, and it opens the door for everything you should be doing."Listen to Don's Other Episodes Here:Feel Passion for Dentistry Again: 12-Months to Success with This Mindset Shift | Don Barden | MME – The Dental Marketer PodcastHost: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/Join this podcast's Facebook Group: The Dental Marketer SocietyLove the Podcast? Follow on Your Favorite App! https://lnkfi.re/TDMPod
Have you ever had a no good, very bad day? Well then you need to meet Job! He was a very wealthy man in the Bible who it appeared that he was blessed by God. But one day everything went from good to bad, VERY BAD! How was Job going to react? Was he going to listen to the advice of his wife and friends, or would he choose to trust and bless God even in times of loss? Year B Quarter 2 Week 26All Bible verses are from the NKJVHymn: Bringing in the SheavesWrite to Ms. Katie: seedpod@startingwithjesus.comKatie's Korner: https://startingwithjesus.com/katies-korner/Find the Lessons Here: Kindergarten https://bit.ly/SeedPodKLessonsPrimary https://bit.ly/SeedPodPLessonsConnect with Us:Website: https://startingwithjesus.comStarting With Jesus - YouTube: https://www.youtube.com/c/StartingWithJesusSeedPod - YouTube: https://www.youtube.com/channel/UCCvU2FBPEL5-Zi2QW0STVLg Instagram: https://www.instagram.com/startingwithjesusFacebook: https://www.facebook.com/startingwithjesusAcknowledgments:Bible Readings this Week: DavidPodcast Producer: Katie ChitwoodSound Engineer: Dillon AustinMy Bible First, https://bit.ly/SeedPodLesson for use of their Bible Lesson curriculum.AudioVerse, https://www.audioverse.org/ for partnering with us and supporting our ministry.Lindsey Mills, for writing and performing our SeedPod Kids Theme Song & Background Music. To learn more about her music or to get her CD, email her: lindsey@startingwithjesus.com
This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Ravi Bashyal, Vice-Chairman, Patient and Provider Experience and Director, Outpatient Hip and Knee Replacement Surgery, Endeavor Health; Clinical Assistant Professor, Orthopaedic Surgery, University of Chicago Pritzker School of Medicine. He discusses leading through healthcare consolidation, maintaining a relentless focus on patient outcomes and experience, and delivering high-value outpatient joint replacement care in an evolving healthcare landscape.
Social prescribing is changing how health care is traditionally thought of by linking patients to community-based activities to address stress, loneliness and overall well-being. Through partnerships at hospitals and museums, Charlotte is beginning to explore how creative expression can support mental and physical health. We explore how social prescribing works and the research behind it.
A young doctor returns to her childhood slum to open a free clinic, but when a dying patient vanishes from her examination room and his grieving cousin swears the boy has simply gone home, she begins to wonder what kind of people she's really been treating.Look for this podcast on Apple Podcasts, Spotify, iHeart Radio, Amazon Music, Pandora, TuneIn Radio, and other podcast apps. Get a list of free listening apps here: https://weirddarkness.tiny.us/OTRCHAPTERS & TIME STAMPS (All Times Approximate)…00:00:00.000 = Show Open00:01:30.028 = CBS Radio Mystery Theater, “All Unregistered Aliens” (February 09, 1978) ***WD00:45:43.486 = Calling All Cars, “Burma White Case” (December 06, 1933) ***WD (LQ)01:14:27.499 = Casey Crime Photographer, “Clue In The Clouds” (February 26, 1944) ***WD01:45:06.776 = CBC Mystery Theater, “The Cable Car Incident” (1967) ***WD (LQ)02:11:42.746 = Chet Chetter's, “Biloxi And the Bogus Beavers From Bornac” (1990-1992) ***WD02:40:43.122 = The Clock, “Ghost Story” (December 13, 1955)03:07:11.394 = Creeps By Night, “Strange Burial of Alexander Jordan03:36:40.775 = SONG: Static Wax, “The Dead Man's Bell” (based on the Strange Burial of Alexander Jordan): https://weirddarkness.com/music03:43:07.328 = The Crime Club, “Dead Man Control” (March 20, 1947) ***WD04:11:24.922 = Crime Classics, “Peaceful Pass T. Edwin Bartlett Grocer” (June 22, 1953)04:40:59.478 = Danger Dr. Danfield, “Little Meteorite Wanted To Be a Star” (February 02, 1947)05:07:17.930 = Show Close(ADU) = Air Date Unknown(LQ) = Low Quality***WD = Remastered, edited, or cleaned up by Weird Darkness to make the episode more listenable. Audio may not be pristine, but it will be better than the original file which may have been unusable or more difficult to hear without editing.CUSTOM WEBPAGE: https://weirddarkness.com/WDRR0694