Podcasts about pediatric neurologist

Today's guest is, Dr. Calvin Wheeler, MD, Pediatric Neurologist, recently retired from Kaiser Permanente Northern California Regional and Medical Director of Undergraduate and Graduate medical education, having served in that role for seven years. Prior to that he was the physician-in-chief of the Kaiser Permanente Medical Center in Fremont and the Greater Southern Alameda Area for 18 years. During those 18 years, he was a member of the Board of Directors and the Operations Management Group for The Permanente Medical Group.    There are too many accomplishments to mention in this short opening. But, our most fond experience was when we first meet Dr. Wheeler and he walked picked up our daughter and saw her as a person and not just a patient.

 Migraine Headache and Advances in Management Link for MOC credit: CME Link: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098103 Pediatric and Adolescent Migraine Headache and Advances in Management FACULTY: Asra Akbar, MD is an Assistant Professor, Pediatric Neurologist and Epileptologist, Pediatric Headache Management Specialist, Division of Neurology, Department of Pediatrics, UT Health San Antonio   OVERVIEW: Welcome to Pediatrics Now, where host Holly Wayment talks with Dr. Azra Akbar, a specialist in pediatric neurology, epileptology, and headache management.  Dr. Akbar shares her expertise on common headache disorders in children, with a special focus on migraines. Discover the intricate history of migraines, ranging from its ancient descriptions to groundbreaking modern research involving calcitonin gene-related peptides (CGRPs). The episode dives into the prevalence of migraines in young patients, exploring various types such as migraine with and without aura, and other headache disorders like chronic daily headaches and medication overuse headaches. Dr. Akbar emphasizes the importance of a multifaceted approach to treatment, discussing both conventional medications and innovative neuromodulation therapies like Botox and CGRP inhibitors. In addition to medical treatments, the conversation also highlights the significance of lifestyle modifications, including diet, exercise, and the use of supplements such as Coenzyme Q10 and magnesium. Learn how pediatric practitioners can effectively manage migraines with a thorough understanding of their complex nature and multifactorial triggers. OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers DISCLOSURE TO LEARNERS: Asra Akbar, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™. Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability.

What are seizures? What do they look like? What causes a seizure? What do I do if I think my child is having a seizure?Join us as we welcome Dr. Carey Wilson, M.D. to the show. Dr. Carey Wilson is a Pediatric Neurologist and Epileptologist as well as the Medical Director for the Comprehensive epilepsy clinic at Intermountain Healthcare Primary Children's Hospital in Salt Lake City, Utah. This episode is meant to be an introduction to seizures for the non-medical person- particularly parents, grandparents, teachers, coaches. This is a great one for anyone wanting to know more about seizures, how to recognize them and what to do if you see someone having a seizure. 

Febrile seizures are seizures (abnormal electrical activity in the brain) that occur in the setting of a fever. About 2-5% of all children will experience a febrile seizure in their life. They occur between 6months and 6 years with a peak around 12-18 months of age. Although common and benign, they can be scary- especially the first time your child has one in front of you. What do you do if your child has a seizure? If it was a febrile seizure, will it happen again? Should you pre-medicate for fever?Join us as we welcome Dr. Carey Wilson, M.D. to the show. Dr. Carey Wilson is a Pediatric Neurologist and Epileptologist as well as the Medical Director for the Comprehensive epilepsy clinic at Intermountain Healthcare Primary Children's hospital in Salt Lake City, Utah. I am lucky to say I knew her when she was an intern and have gotten to watch her become an amazing physician and mother. 

Thuan Dang, M.D., MPH, pediatric neurologist, discussed children and sleep, and pediatric sleep medical care at Shriners Children's Chicago for current patients.

AJ Tesler shares the story of his daughter, Magnolia, who is living with Rett syndrome. As a parent and caregiver, AJ provides his perspective throughout the diagnostic and therapeutic journey for Rett syndrome and is joined by Rett syndrome expert Carey Fu, MD, Pediatric Neurologist at Vanderbilt University Medical Center in Nashville, TN.

Continuing the powerful conversation with Dr. Eric Payne, this second part dives even further into the challenges facing healthcare professionals in the wake of the COVID pandemic. Dr. Payne sheds light on the rising fear among physicians who hesitate to speak out against mainstream medical narratives due to censorship and professional repercussions. We examine the growing concerns about vaccine safety, particularly in relation to neurological injuries, and highlight cases of doctors facing backlash for raising these issues. The episode also speaks to the profound effects of masking mandates on children's development and emphasizes the urgent need for critical thinking and open dialogue in both the medical community and society. Tune in for this thought-provoking discussion that encourages us all to engage in truth-seeking discussions that build a better future. Dr. Eric Payne is a neurologist and clinical researcher specializing in pediatric neurology, epilepsy, neuroinflammation, and neurocritical care. He previously worked as an epileptologist and pediatric neurologist at Mayo Clinic (2014-2020) and at Alberta Children's Hospital (2020-2023).  He completed medical school and residency at the University of Calgary, and fellowship training in pediatric neurocritical care and epilepsy at the Hospital for Sick Children in Toronto. He obtained a Master of Public Health from Harvard University and is board certified in Neurology (FRCPC) and Clinical Electroencephalography (CSCN).  —Listen to Part One: Reclaiming Integrity in Medicine with Top Pediatric Neurologist Dr. Eric Payne: https://markgroves.com/episode/reclaiming-integrity-in-medicine-with-top-neurologist-dr-eric-payne/  References from the Episode: —Dr. Eric Payne's Letter: https://smartcdn.gprod.postmedia.digital/calgaryherald/wp-content/uploads/2021/09/Sep-15-FINAL-PAYNE-CPSA-letter.pdf  —Full List of Dr. Payne's References From His Letter:  https://static.showit.co/file/rXKal_TV4PXpWv42QajRqA/237093/sep-15-final-payne-cpsa-letter-references.pdf  —Still Face Experiment: Dr. Edward Tronick: https://youtu.be/vmE3NfB_HhE?si=QivHWP9_jREexK3s&t=34 —Cochrane Report on Face Masks: https://www.cochrane.org/CD006207/ARI_do-physical-measures-such-hand-washing-or-wearing-masks-stop-or-slow-down-spread-respiratory-viruses  —Updated Definitions of Immunity and Vaccine: https://www.cdc.gov/vaccines/vac-gen/imz-basics.htm  —Primary Trials: Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine: https://www.nejm.org/doi/full/10.1056/NEJMoa2034577  Resources: —Ready to transform your relationships? Download The Relationship Toolkit for free and learn the 5 essential skills to thrive in love and life! https://go.markgroves.com/relationship-toolkit-podcast  If you want to dive deeper into Mark's content, search through every episode, find specific topics we've covered, and ask him questions, go to his Dexa page: https://dexa.ai/markgroves Themes: COVID-19 pandemic response, Public Health Measures Critique, Dr. Eric Payne Interview, Dr. Eric Payne Letter, Mental Health During Pandemic, School Closures and Children, Vaccine Injuries and Recovery, Media and Public Health Narratives, Societal Impact of COVID-19, Emotional Healing Post-Pandemic, Pediatric Neurologist, Vaccine Safety Concerns, Censorship in Healthcare, Masking and Child Development, Critical Thinking in Medicine, Truth in Healthcare, Healthcare System Accountability, Open Dialogue in Medicine, Medical Censorship Contact us at podcast@markgroves.com for sponsor product support, questions, comments, or just to say hello! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Eric Payne, an esteemed pediatric neurologist with a background in public health, offers an insightful and thought-provoking critique of the public health responses to COVID-19. In this part one of a two-part conversation, he discusses how fear, media narratives, and public health policies have deeply impacted society, particularly children. Dr. Payne explores the unintended consequences of lockdowns, school closures, and mask mandates, highlighting the emotional, social, and ethical dilemmas they created. His reflections challenge mainstream perspectives, advocating for more open dialogue around these interventions, especially in the face of widespread public mistrust. This conversation invites us all to reconsider the long-term impacts of pandemic policies and opens up space for healing and understanding across diverse viewpoints. Dr. Eric Payne is a neurologist and clinical researcher specializing in pediatric neurology, epilepsy, neuroinflammation, and neurocritical care. He previously worked as an epileptologist and pediatric neurologist at Mayo Clinic (2014-2020) and at Alberta Children's Hospital (2020-2023).  He completed medical school and residency at the University of Calgary, and fellowship training in pediatric neurocritical care and epilepsy at the Hospital for Sick Children in Toronto. He obtained a Master of Public Health from Harvard University and is board certified in Neurology (FRCPC) and Clinical Electroencephalography (CSCN).  References from the Episode: —Dr. Eric Payne's Letter: https://smartcdn.gprod.postmedia.digital/calgaryherald/wp-content/uploads/2021/09/Sep-15-FINAL-PAYNE-CPSA-letter.pdf  —TikTok Tics: https://pmc.ncbi.nlm.nih.gov/articles/PMC8564823/  —Updated Definitions of Immunity and Vaccine: https://www.cdc.gov/vaccines/vac-gen/imz-basics.htm  —Full List of Dr. Payne's References From His Letter:  https://static.showit.co/file/rXKal_TV4PXpWv42QajRqA/237093/sep-15-final-payne-cpsa-letter-references.pdf  —Cochrane Report on Face Masks: https://www.cochrane.org/CD006207/ARI_do-physical-measures-such-hand-washing-or-wearing-masks-stop-or-slow-down-spread-respiratory-viruses  —Primary Trials: Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine: https://www.nejm.org/doi/full/10.1056/NEJMoa2034577  Resources: —Ready to transform your relationships? Download The Relationship Toolkit for free and learn the 5 essential skills to thrive in love and life! https://go.markgroves.com/relationship-toolkit-podcast  If you want to dive deeper into Mark's content, search through every episode, find specific topics we've covered, and ask him questions, go to his Dexa page: https://dexa.ai/markgroves Themes: COVID-19 pandemic response, Public Health Measures Critique, Dr. Eric Payne Interview, Dr. Eric Payne Letter, Mental Health During Pandemic, School Closures and Children, Vaccine Injuries and Recovery, Media and Public Health Narratives, Societal Impact of COVID-19, Emotional Healing Post-Pandemic This episode is sponsored by Cozy Earth: Use code GROVES for 40% off sitewide at http://www.cozyearth.com Contact us at podcast@markgroves.com for sponsor product support, questions, comments, or just to say hello! Learn more about your ad choices. Visit megaphone.fm/adchoices

Children with Neurological complaints represent a significant portion of what we see in the Peds ED. From Status Epilepticus to febrile seizures to the child who (maybe) had a seizure at home. This is a discussion I had with Dr. Amy Goldstein, a Pediatric Neurologist at CHOP.   Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com  Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.  

Join us for an enlightening episode with Dr. Sheldon Gross, a pediatric neurologist with over 41 years of experience. Dr. Gross shares his extensive knowledge on the common issue of headaches in children, offering practical advice for parents and caregivers. Discover the potential dietary triggers of migraines and the importance of lifestyle adjustments, such as regular exercise and adequate sleep. Dr. Gross discusses fascinating case studies, including the unexpected benefits of strength training in alleviating migraines, and emphasizes the critical role of listening to patients' concerns. Learn when it's crucial to refer a child to a neurologist and the signs that warrant immediate medical attention. Dr. Gross also highlights the collaborative efforts at the University of Texas Health Science Center to provide comprehensive care, including the innovative FAST clinic for urgent neurological assessments. This episode is a treasure trove of insights for medical professionals and parents alike, dedicated to improving the well-being of children suffering from headaches and migraines.

The majority of children and adolescents experience headache, with pooled estimates suggesting that approximately 60% of youth are affected. Migraine and tension-type headache are the leading cause of neurologic disability among children and adolescents 10 years and older. In this episode, Allison Weathers, MD, FAAN speaks with Serena Orr, MD, MSc, FRCPC, author of the article “Headache in Children and Adolescents,” in the Continuum® April 2024 Headache issue. Dr. Weathers is a Continuum® Audio interviewer and an associate chief medical information officer at Cleveland Clinic in Cleveland, Ohio. Dr. Orr is an assistant professor in the departments of Pediatrics, Community Health Sciences, and Clinical Neurosciences at Cumming School of Medicine, University of Calgary and a pediatric neurologist at Alberta Children's Hospital in Calgary, Alberta, Canada. Additional Resources Read the article: Headache in Children and Adolescents Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Guest: @SerenaLOrr Transcript   Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the show notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the show notes. AAN members, stay tuned after the episode to hear how you can get CME for listening.  Dr Weathers: This is Dr. Allison Weathers. Today, I'm interviewing Dr. Serena Orr on pediatric headache, which is part of the April 2024 Continuum issue on headache. Dr. Orr is an Assistant Professor at the University of Calgary, and a Pediatric Neurologist at Alberta Children's Hospital in Calgary, Alberta, Canada. Welcome to the podcast. So, thank you, Dr. Orr, for taking the time to speak with me about this fantastic article that covers such an important topic – headache in the pediatric population, in children and adolescents. First, I'd love to start by learning a little bit about you. Where do you practice, and how did you get interested in this topic? I love learning more about the authors of these incredible articles and how they became interested in their fields. So, you know, pediatric neurology is already a pretty subspecialized area of medicine – how did you become interested even further subspecializing in headache? Dr Orr: Well, thank you for the invitation. Nice to meet you, Dr. Weathers. I'm Serena Orr. I'm a clinician-scientist, pediatric neurologist, and headache specialist based in Canada at the Alberta Children's Hospital in Calgary, Alberta, just outside of the Rockies. I'm really passionate about headache medicine. I think I came to it because it allowed me to marry my interests in neurology and psychology together. I did my undergraduate studies at McGill in psychology and really wanted to take a biopsychosocial approach to my practice. The first child neurology patient I ever saw was a child who was experiencing migraine and having a lot of disability from it, with lots of impacts on her life - and I really saw an opportunity to take a holistic approach to the patient and marry my interests in neuroscience, neurology, and psychology together. So, I'm very excited to talk to you today about this topic that I'm really passionate about and that I think is underserved – um, hopefully get more people excited about it. Dr Weathers: But so great, and I'm sure we will do that just based on how excited I was just reading your article. So, I always like to start, actually, with what you feel is the most important clinical message of your article. What is your biggest takeaway you want to leave our listeners with? Dr Orr: Yeah, well I think this is a really big topic in neurology. So, if you look at the reasons for consulting a child neurologist, headache falls into the top three. 60% of youth experience headache in youth. If we look at what presents to neurology in terms of headache, the majority is migraine – and so that's a big focus of this article, because anywhere between a half to 88% of headache consultations in neurology are for migraine. And as I kind of alluded to in discussing my interests in this area, you know, it's really important to take a biopsychosocial approach to managing any chronic pain disorder, including migraine and headache disorders. Another big takeaway point from the article is that - specific to pediatric headache - there's really high placebo response rates that we're still trying to understand and grapple with in the field, and I think this underscores the importance in really doing patient-centered care and ensuring that you're educating patients and families about the level of evidence that we have about the placebo response rates and engaging in shared decision-making when you're choosing treatments together. So, I think those would be the main take-home points. Dr Weathers: I think both really critical. And I think even without – I'll put my plug in – even without the placebo effect, I think that shared decision-making is such an important concept for all of us in neurology to think about - but I think you make such the important point that with it, it becomes absolutely critical. I want to expand on a concept that you were just talking about. Pediatric headaches are so incredibly common, and you make the point in the article so well that they're one of the leading causes of neurological disability in pediatric patients. They have such a significant impact that really touches all aspects of these children's lives - both at school, how they impact their hobbies - pretty much everything that they do, and these long-reaching impacts. But then you go on to say that pediatric headache remains the most underfunded pediatric disease category when you take into account allocated public research dollars, which was just staggering to me. Why do you think this is? Dr Orr: I think there's a few reasons. So, one of the main reasons, I think, is that headache medicine has been underserved - there haven't been enough people who have gravitated to this field. I think this is rapidly changing as we train more people and show the world how important this topic is and how much exciting translational research is going on. But, historically, this has been a very small subspecialty that's been underserved relative to disease burden (so not enough scientists equals less research funding) - but there's another aspect to this as well. There was a paper published in 2020 by Mirin – who actually looked at research dollars in NIH based on disease burden and whether the diseases were male or female dominant - and found that there's a significant gender bias in research funding. Male-dominant diseases tend to be significantly overfunded relative to female-dominant diseases when you look at disease burden - and if you look at the female-dominant disease table, headache disorders and migraine are in the top three most underfunded disease categories amongst the underfunded female-dominant diseases. That data has been replicated looking at NIH dollars on the pediatric side as well. They didn't look at gender breakdown in the pediatric paper that was published a couple of years ago, but found, actually, that pediatric headache disorders are the most underfunded in terms of NIH research dollars to pediatric diseases – so, top underfunded relative to disease burden. So, yeah, being underserved as a field - and then, I think, gender bias has also played a significant role in what gets funded over time. Dr Weathers: Wow, that is hard to think about. And I think those are really insightful points and ones we really need to think about as we think about the bias in our research and our funding. Why is access to care and treatment for these children and adolescents so important? I know this seems like a super obvious one, but it feels like the answer is actually really much more complex. Dr Orr: Well, there's data to show that earlier diagnosis can lead to better long-term outcomes for youth with migraine - and this is really important, because if you look at the incidence curves for migraine, you see that at least a third, if not more, of incident cases occur before adulthood. We also know there's some GWAS data to show that youth-onset migraine has a higher genetic loading when looking at polygenic risk scores than adult-onset migraine, so people who have migraine onset in youth may be more genetically loaded (that may be important). And we also know that early access to diagnosis and treatment gives them a better long-term prognosis. We know that headache disorders and migraine are associated not only with long-term potential for disability on the physical side, but also increase the risk of psychiatric comorbidities developing over time, so there's really a huge opportunity in accessing a diagnosis and treatment early to improve long-term function - both on the medical side, but also potentially avert poor mental health outcomes - and also diagnose and treat a subset of people with the disease that may be more genetically loaded. We don't know if that impacts outcomes, but potentially, it does. So there's lots of reasons, I think, that we can get in there early and make a big impact – and even for those who it takes a while to find effective treatment for, really having access to education early so that they understand their disease and also ways that they can engage in self-management strategies, I think, is really empowering to the patient and really important (even if we're struggling to find the best medical therapy). Dr Weathers: You laid out a lot of really important reasons, and again, it goes back to the arguments made at the beginning about why it's so important to increase the funding so that this is no longer an area that's underserved, so that we are able to increase the access, and that everybody who needs this kind of care is able to get it. I want to shift a little bit and think about how we diagnose and work up patients who present with a headache. So as a neurologist - and also as a parent - one of the scariest considerations for me is figuring out if a headache is just a headache or if it's a sign of something else (you know, what we think of as a secondary headache disorder). What is your approach to distinguishing between the two? Dr Orr: We take a very clinical approach to diagnosis. We don't have specific biomarkers for different headache disorders, so we're still, you know, relying on a really detailed history and physical exam in order to sort out the diagnosis. As I discussed in the article, really the key first branch point (like you say) is, is this a primary headache disorder or a secondary headache disorder? There's some tools that we can use in practice to try to get at that, I think the most useful of which is the SNOOP tool - it's an acronym that goes over headache, red and orange flags. Every time I write an article where I discuss this, it's expanded to include more red or orange flags (it's in its probably third or fourth iteration now), but there's a nice table in the article that goes over some of these red and orange flags. It includes things like systemic feature (like headache, nuchal rigidity), if there's a history of cancer, if there's associated, you know, headache waking child up in the morning with vomiting - and a variety of features. I have to say the level of evidence for some of the features is relatively low, and our understanding of some of the red flags has changed over time. As one example, we used to think occipital headaches in youth were almost always associated with a secondary headache disorder, but now there's more emerging data to show that it's actually relatively common for youth with migraine to have an occipital location. So, really, using the tool is about kind of putting the whole picture together to try to risk stratify. In the majority of youth who present with recurrent headaches, who don't have any red or orange flags, and who have an unremarkable neurological examination without focal deficits, it typically is such that we don't have to do further investigation - but any red or orange flags (or a combination of them), any focal deficits on exam, would typically be where we would be considering neuroimaging. It's very unusual that we have an indication to do an EEG or large amounts of blood work in youth with headache, but it is context specific - for example, a case presenting with recurrent hemiplegia (you may have Todd's paralysis on the differential and you may want to do an EEG), or in a youth who also has GI symptoms (I picked up some youth with celiac disorder who have chronic headaches as well). So there are specific circumstances where blood work, EEG may be indicated (or obviously lumbar puncture in the case of suspected infection, et cetera), but for the most part, we're really relying on a very thorough history and physical exam to sort out our pretest probability of a secondary headache disorder and whether we need to do neuroimaging and further investigations. Dr Weathers: I think keeping in mind that systematic approach and really working through the algorithm is really reassuring and makes sense that, one, you won't miss something kind of worrisome, but on the other hand, that you're also not doing unnecessary testing, either. Along those lines, what do you think is the easiest mistake to make when treating children and adolescents with headache, and how do you avoid it? Dr Orr: I think the easiest mistake to make is undertreatment. Both for acute and preventive therapies, I often see undertreatment. I think families are often hesitant to give medication to their children, and so I have a lot of families say, “Oh, well, you know we typically wait the attacks out until they get more severe, we try to avoid medication, we use cold compresses, et cetera.” So, explaining to families that acute treatment (of course, we don't want to overuse it) and overusing simple analgesics (NSAIDS) more than three days a week can increase the risk of higher frequency of attacks and medication overuse headache - but undertreatment is a risk, too. And the way I like to explain it to families is in the scientific basis of pain chronification - so I'll say to families, “You know, we have these pain pathways in our brain. If we let them go off for long periods of time, they get stronger (and so that's where we want to get medication in quickly to try to shorten the exposure of the attacks). When you don't do that, those pain pathways may start out like a dirt road - and maybe then you have lots of long attacks, and then it gets paved, and then it becomes a highway.” I find it's a useful way to help families understand the concept of pain chronification and why we want them to treat attacks. The same thing goes for undertreatment on the preventive side. If you know a youth is having frequent attacks that are impacting their life and their ability to function, we really should be thinking about a daily preventive treatment, because we know that pill-based interventions will result in a significant reduction in headache frequency in at least two-thirds of youth - and again, allowing the youth to have frequent attacks contributes to that pain chronification (and explain it to families in a similar way to what I just explained for acute treatment) - but there can be a lot of hesitancy to engage with pill-based treatments, even though we know that they can be helpful. Dr Weathers: I think that's a really powerful point - and I think something we also, frankly, probably tend to do on the adult side as well – but, especially, I could see where there's even probably more hesitancy in children and adolescents (this concern that we're going to overtreat them and then end up inadequately treating, which leads to increased problems). And also goes back to the concept you were talking about earlier about the importance of shared decision-making and really engaging with the patient and their families in the discussion early on to help avoid that, as well to have everybody aware of the benefits and the side effects of all of the different options, I think is so critical. I was also really excited to see you (in the article) write about the importance of a trauma-informed care approach. This is an area I'm really passionate about in my work as a clinical informaticist and how we can leverage the electronic health record to support trauma-informed care and raising awareness of what a patient's triggers may be. Can you explain to our listeners who may not be knowledgeable about this approach what it means, and why you think that this might be applicable to children adolescents with headache? Dr Orr: Thanks for bringing that up. I think it's really important as well. We've done some work in my lab (and many others have as well) to show that there's a relationship between adverse childhood experiences and the development of headache disorders in youth and adults. By adverse childhood experiences, I mean exposure to highly stressful (like toxic stress) environments in early childhood, such as experiencing death of a parent, divorce, abuse, neglect. So, we know that adverse childhood experiences are associated with higher risk of developing migraine and headache disorders, and knowing that and how common these are amongst our patients - really think it's important to advocate for screening all children, adolescents coming in with recurrent headaches for adverse childhood experiences and exposure to trauma, because it really will impact not only how you interact with the patient, but also potentially what you will screen them for on the mental health side. And so providing trauma-informed care, I think - of course we want it to be targeted - but really taking this approach with all patients is actually a good way to think about it, because trauma is very common in our society, and some of the ways that we've measured trauma in the past (like some of the examples that I gave, divorce, death of a parent) are really narrow and don't encompass broader aspects of trauma (like systemic racism and other things that people are experiencing that haven't been adequately measured). So what trauma-informed care is - you know, there's a few core aspects, and one is screening all patients for trauma. The way I do that in clinic is just asking them if they've had any major stressful life events (and then I give a few examples), but there are standardized questionnaires that can be used for this as well. And then really trying to develop a nurturing rapport with the patient - an open listening strategy, asking open-ended questions, being empathic with patients and families - I know we all try to do this, anyway, but really focusing on that, especially in the context of trauma. And then thinking carefully about not only how you're talking to the patient, but how you're approaching them during the physical exam (so, for example, asking permission before touching the patient rather than just diving into the exam to be sensitive to that). And then also recognizing, like I said, that some of the ways that we've conceptualized trauma have been a little bit narrow, and that trauma may occur in context outside of what we traditionally think of. Dr Weathers: Again, I think that's so important and could be certainly much more broadly applied than even just to this one field, but thrilled to see that you're incorporating it into your work and your research (and again, it was discussed in the article) - and, absolutely, I think that the more that we incorporate it as well here, I think, that the better off for all of our patients and the improved care we provide. Moving on from that, I always like to end my interviews on a positive and hopeful note, and so I'd love to hear from you what you're most excited about in the field of pediatric headache. What breakthroughs do you think are coming, or what's giving you the most hope? Dr Orr: There's so much, there's so much exciting stuff going on in our field (and so, you know, I'll have to rein in myself in here), but one thing is there's been an explosion of novel treatment options on the adult migraine side in the last five to ten years, including agents targeted at the CGRP pathway, calcitonin gene-related peptide, some monoclonal antibodies, and receptor antagonists. There's been an explosion of neuromodulation options with now five devices that have various levels of FDA clearance for use in adults and/or youth with migraine. And there are, for most of these devices and novel drugs, either published studies or ongoing research into how they may be used in youth, so I'm hopeful that we will have more treatment options that are evidence based for youth going forward. This is in part due to the Pediatric Research Equity Act that came out a couple of decades ago now that has put requirements for pediatric studies when new drugs are approved by the FDA for adults - so I think that has had an impact, and I'm hopeful that we'll have an expanded treatment landscape in the years to come. There's also a lot of really exciting, more kind of fundamental research going on that I think will help us move the pediatric field forward more rapidly. In the past, we have really often borrowed from what the adult neurologists are doing for adults with headache disorders without really understanding some of the fundamental biological and psychosocial differences between headache disorders onset in youth versus adulthood, and so there is more and more research going on to understand the biology of migraine in youth and some of the risk factors at this age and some of the features that may make youth a little bit different, because it's very rare that youth are just little versions of adults for any disease or problem. And then, you know, I've seen a really large expansion in the number of trainees who are interested in headache medicine since I've entered this field (I've even got one of our residents who's going to do a headache fellowship, which is exciting), and seeing the growth and interest in headache medicine and the number of people being trained really gives me a lot of hope for the future, because there's so much work to be done in this area, and, really, that's where we're going to have the largest impact - is in mentoring and fostering the next generation of headache neurologists. So, there's lots of reasons to be excited, and I would say to the trainees listening that if you want an exciting career where there's lots of opportunity to make impact both clinically on your patients and in terms of educating the next generation and spearheading research initiatives, headache medicine is for you. Dr Weathers: I think that is incredibly inspiring and will hopefully get a lot of our listeners excited about joining this incredible field. Well, thank you for, again, this great article and for all of your time this evening, I've learned so much and really enjoyed speaking with you. Dr Orr: Thank you. Likewise, it was great to have this opportunity. I really enjoyed it.   Dr Weathers: Again, today, we've been interviewing Dr. Serena Orr whose article on pediatric headache appears in the most recent issue of Continuum on headache. Be sure to check out Continuum Audio podcasts from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. And right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/ Spring2024, or use the link in the episode notes, to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.

This “MOGcast” edition of the “Ask the Expert” podcast series is a collaborative episode titled, “The Latest in Treatments from an Adult and Pediatric Perspective.” Dr. Elias Sotirchos and Dr. Grace Gombolay joined Julia Lefelar of The MOG Project and Dr. GG deFiebre of SRNA and answered questions from the online audience. Dr. Sotirchos and Dr. Gombolay reviewed acute treatments for MOG antibody disease (MOGAD) in adults and children and possible side effects [00:03:57]. Regarding preventative treatments, Dr. Sotirchos and Dr. Gombolay described the importance of shared decision-making with patients to consider factors like administration method, insurance coverage, and patient preferences [00:20:10]. They discussed ongoing clinical trials for MOGAD treatments and the hope for future FDA approval [00:51:38]. Finally, Dr. Gombolay highlighted the difficulties in accessing preventive medications for patients from certain demographic groups and ongoing efforts to improve access [00:56:35]. Elias Sotirchos, MD is a neurologist at Johns Hopkins Hospital in Baltimore, Maryland. He specializes in the diagnosis, management, and treatment of neuroimmunological disorders that involve the central nervous system, including multiple sclerosis (MS), neuromyelitis optica spectrum disorder (NMOSD), and myelin oligodendrocyte glycoprotein-immunoglobulin G (MOG-IgG)-associated disorder (MOGAD). His research focuses on developing and validating novel imaging and blood-based biomarkers of these conditions, and clinical trials of experimental therapeutic agents. Grace Gombolay, MD is a Pediatric Neurologist at Children's Healthcare of Atlanta and Assistant Professor at Emory University School of Medicine. Dr. Gombolay attended medical school at The Johns Hopkins School of Medicine, where she was awarded a yearlong position as a Howard Hughes Medical Institute–National Institutes of Health Research Scholar in basic immunology research. After finishing medical school, she completed a pediatric neurology residency at Massachusetts General Hospital. She then completed an additional year of fellowship training in pediatric neuroimmunology at Boston Children's Hospital, Brigham and Women's Hospital and Massachusetts General Hospital. Over the course of her career at Children's, Dr. Gombolay started the Pediatric Neuroimmunology and Multiple Sclerosis Clinic. This multidisciplinary clinic helps manage all aspects of patient care, including medical, psychological and school-related issues. Her goal is to have the clinic become part of multi-center collaborations for clinical care and research. Dr. Gombolay also serves as a part-time consultant for the Centers for Disease Control and Prevention (CDC), where she reviews cases related to surveillance of acute flaccid myelitis cases in the U.S.

Get to know Dr. Sarah Weatherspoon, a Pediatric Neurologist at Le Bonheur!

For personalized guidance, I'm offering podcast listeners a free 20-minute Thriving Mama Glow Assessment call. We'll evaluate your situation and, even if I'm not the right fit for you, I'll provide useful resources and support to help you on your journey.You can access the first 3 chapters of The Master Plant Experience and to learn more about the Quantum Drops you can check them out through Dr. Maya Shetreat's affiliate link.In this captivating episode of "The Thriving Mama," host Stephanie Davis dives deep with guest Dr. Maya Shetreat, exploring the transformative power of nature and using Quantum Drops in motherhood. Maya, a pediatric neurologist and plant medicine guru, navigates us through sensory experiences, community connections, and life transitions. All the while sharing her profound insights on healing, embracing the feminine, and nurturing our children. Stephanie opens up about her journey with Quantum Drops and reveals the profound impact they had. Join us on this enlightening journey to harmonize with nature, empower our intuition, and ultimately thrive as mothers. Dr. Maya Shetreat, MD, is a neurologist, herbalist, urban farmer, ceremonialist, and author of The Dirt Cure and the newly released The Master Plant Experience: The Science, Safety and Sacred Ceremony of Psychedelics. She has been featured in the New York Times, The Telegraph, NPR, Sky News, The Dr. Oz Show and more. Dr. Maya created Quantum Drops, a vibrational Master Plant product that is safe, legal, and deeply transformative. She is also the founder of the Terrain Institute, where she offers training for psychedelic-informed practitioners as well as an upcoming Quantum Practitioner Certification.Key Topics Discussed:Quantum drops and their integration into daily lifeNature's healing powers and plant medicineImportance of community in motherhoodEmbracing holistic approaches in healthcareRole of master plants in transformationTimestamps:10:03 Food is important for the immune system.16:09 Professional and personal journeys are nonlinear and unpredictable.17:05 Challenging societal norms to advocate for balance and truthfulness.21:04 Psychedelic plants are considered masters and grown for their reciprocity.24:10 Questioning doing something? Then discover a profound shift with Ayahuasca songs.33:16 Grief and loss held in collective consciousness.40:00 Supporting transition, integrating change, and connecting in the community.45:41 Using altered brainwaves for emotional and trauma work with plant-based ceremonies.48:07 Practicing intuition to stay centred as a mother.Guest Socials:Dr. Maya Shetreat | WebsiteQuantum Drops | Website

Will airdrops of food help people of Gaza on the brink of famine? That's the case the Biden administration is making to the public as Israeli war cabinet minister Benny Gantz visited Washington this week. Meanwhile, as Israel blocks aid, Palestinians are being forced to take extreme measures to avoid starvation. In this episode:  Ali Harb (@Harbpeace), Al Jazeera Senior Producer Omar Abdel-Mannan (@Dr_Omar_AM), Pediatric Neurologist & Co-Founder, Health Workers 4 Palestine (@HealthWorkers4Pal) Episode credits: This episode was produced by Miranda Lin and Sarí el-Khalili with our host Malika Bilal. Ashish Malhotra and Zaina Badr fact-checked this episode. Our sound designer is Alex Roldan. Our lead of audience development and engagement is Aya Elmileik and Adam Abou-Gad is our engagement producer. Alexandra Locke is The Take's executive producer. Ney Alvarez is Al Jazeera's head of audio. Connect with us: @AJEPodcasts on Twitter, Instagram, Facebook, Threads and YouTube

Well Said has invited Dr. Avy Ronay, a Pediatric Neurologist who leads Northwell Health's pediatric concussion program and Lead Clinical Strategist for remote Physiological Monitoring, Communications, Digital Health and Sensors for Northwell to talk about how to use the information from self-tracking to live healthier, better lives.

95.7 The Game Every Saturday, 7:30 AM Learn more about Dr. Bridget Obstrem as a professional and a parent! Great discussion and learn more about her journey with preschools and what she has learned with KFS School.

In this episode of The 92 Report, Peter Kang attended medical school in Philadelphia where he had a wonderful experience at the University of Pennsylvania, learning about different fields and cultures, and making friends. One pivotal moment in medical school was during a physician patient relationship course led by a thoughtful psychiatrist who reminded him that it's a routine experience for the doctors, but it could be one of the most pivotal moments in the patient's life, and they can remember everything about their encounters, which has been helpful to him throughout his career. A Career in Pediatric Neurology Peter chose pediatric neurology as his field of study, completing most of his training in Philadelphia and New Haven. He spent over a decade in Boston, where he gained valuable exposure to both the Boston area and New England. His mentorship from a well-known geneticist, Luke Konkel, helped fill a crucial gap in his career as a physician scientist. This experience gave him a strong background in genetics and has been useful to him up to this day. Peter's research interests include rare diseases. In his clinic work, he deals with these patients daily, as they might be one of only a few dozen people in the United States with that particular diagnosis. The challenge is finding enough patients to prove that a treatment works or an idea about the disease is valid. Peter also runs a research laboratory and spends much of his time supervising the lab. However, he finds it both interesting and useful to be able to connect his work in the lab with his work in the clinic.  Genomics Research and Genetic Diseases Peter discusses his experience running a research lab and how it has evolved over the years. He started his independent research laboratory in Boston and later moved to Florida in 2013. He learned about running a lab from his mentor, which involved a lot of subtleties and was a lot like running a small business in terms of financing, grant applications, and hiring and managing personnel etc. The lab's focus is on genomics research, which helps identify patients with genetic diseases that don't have clear diagnoses. He explains some of the difficulties they run into and how they approach mystery diagnosis.Peter is currently a professor at the University of Minnesota, where his lab is based. He moved to Minnesota during the COVID pandemic. He and his wife were initially excited about moving to Minnesota.The move was motivated by the opportunity to work with a renowned muscular dystrophy center at the University of Minnesota, which had a unique focus on the condition.  Finding Solutions to Mystery Diagnosis Peter's lab has been working on finding solutions to mystery diagnosis in genetic testing, which has been a focus for over a decade. He believes that genetic testing can help solve these mysteries and is working towards a more accurate understanding of genetic diseases. Peter discusses the challenges of treating rare neurological diseases, particularly in children. He highlights two types of diseases that have been challenging to diagnose and treat: muscular dystrophy and spinal muscular atrophy. Muscular dystrophy is a childhood disease, with milder forms starting in adulthood. Duchenne muscular dystrophy is a well-known example, with patients often experiencing difficulty walking and falling as they grow older. Genetic testing has become more effective in diagnosing these diseases, but there are still shortened life expectancies and increased dependence on others for activities. Spinal muscular atrophy is another type of disease that is not technically classified as muscular dystrophy but is also seen in neuromuscular specialists. The most severe form of this disease was typically fatal by the age of two years due to motor neuron loss in the spinal cord. However, in 2016, the first FDA treatment for spinal muscular atrophy was approved, which has helped children to walk normally and avoid ventilators. Screening Programs and Metabolic Disorders Peter talks about the newborn screening programs that have been around for several decades, with each state offering slightly different panels of tests. The original screening tests focused on metabolic disorders, which could be treated by eliminating certain nutrients from the baby's diet. Newborn screening has evolved to include spinal muscular atrophy and genetically based tests. Some metabolic disorder diseases have been cured now, with some being cured through diet changes and new therapies being developed. However, Peter highlights the fact that the exact cure depends on how the word "cure" is applied, which is a topic of discussion among inpatient communities. Overall, he emphasizes the importance of early detection and treatment for rare neurological diseases to improve outcomes and overall health. Peter discusses his experiences dealing with pediatric patients and how he is constantly developing his interaction skills. He emphasizes the importance of understanding the patient's perspective and avoiding taking sides. He also shares his experience of dealing with multiple people in the room, including parents and spouses, and how to navigate these conversations effectively. Challenges in Pediatric Medicine One challenge in pediatric medicine is dealing with multiple people, and sometimes there may be a difference of opinion between the child and their parent. To address this, he suggests documenting both sides of the medical record and discussing the perspectives of both parties. When discussing a child with muscular dystrophy, he advises communicating the diagnosis to the parents and the child, considering their age and preferences. He also advises being candid about the prognosis and focusing on the positives. He does not spontaneously discuss life expectancy during clinic visits due to its unpredictable nature and the hope that new therapies will come online for these patients. Advances in Biotechnology Peter talks about advancements in biotechnology. In the past few years, there has been an inflection point in biotech with advancements like RNAi, Moderna, and other technologies. There is an incredible array of technologies available that were not available in the past, such as small molecules, gene therapies, stem cells, and proteins. The interaction between academia and the biotech industry has become more collaborative, and there is a better understanding that they are working towards the same goals. Peter states that, in the future, there will be more genetic or molecular solutions specific to certain targets for treating both rare and common diseases. This specificity will continue to grow, and there will be ways to accelerate the pace of developing tailored treatments. Harvard Courses and Professors on Influence Peter mentions two gratifying courses that still resonate with him today. One was Philosophy 168, taught by John Rawls, which helped him understand Kant's ethical theory and how to see things from a different perspective. Another course was Expository Writing 52, taught by Richard Marius, who showed him how powerful writing could be and how words can influence people's behavior. Peter believes these courses have helped him develop confidence in his writing abilities and have prepared him for the challenges of personalized medicine in the coming decades. He is looking forward to the developments in the biotech sector and the potential for personalized medicine to become more of a reality. He recalls a conversation with Richard Marius, who encouraged him to bring the story to life and that it's okay to write about one's family. He also discusses how his education as a philosopher major has helped him with thinking and analysis, and achieving clarity around a particular issue or ethical dilemma. He uses this knowledge to resolve complex issues and helps patients make informed decisions about therapy options. On a global scale, Peter addresses the resource allocation for Rare Disease Research, which is a thorny problem due to limited resources. He believes that it's crucial to not let individuals with rare diseases be left behind, as they often feel isolated and struggle to find others who understand their condition.  Timestamps: 04:20 Rare disease research and clinical practice 08:52 Running a research lab, genomics research, and mystery diagnoses 14:03 Muscular dystrophy diagnosis and treatment 20:00 Treating and curing neuromuscular diseases in children 28:26 Communicating with children about serious illnesses 32:57 Rare disease diagnosis and potential treatments 38:13 Personalized medicine, gene editing, and philosophy 43:00 Writing skills, ethical dilemmas, and rare diseases CONTACT: https://med.umn.edu/bio/peter-b-kang https://www.linkedin.com/in/pbkang pbkang@post.harvard.edu  

Interview with Pediatric Neurologist, Duke Professor, Pediatric Sleep Specialist: Dr Sujay Kansagra. Listen to this amazing episode on the science behind baby sleep, what Dr Kansagra does, and his thoughts on topics like sleep training, sleep regressions, and parent guilt

Betrayal is a deeply traumatic experience that can have profound effects on the body's physiological balance. It triggers the body's stress response system, and when this system is constantly activated due to betrayal, it can have detrimental effects on our overall well-being.   In this riveting episode, Dr. Debi embarks on an enlightening conversation with Dr. Jorina Elbers, the visionary Program Director of the Trauma Recovery Project at the HeartMath Institute. Together, they unravel the intricate tapestry of HeartMath—a groundbreaking approach to healing from betrayal and trauma.   Join us as Dr. Jorina, a distinguished Pediatric Neurologist, unveils the profound neurological implications of chronic stress and trauma. Discover how HeartMath's heart-centered programs serve as a transformative beacon, alleviating the burdens of trauma and other stress-induced conditions. In this intimate conversation, we dissect the intricate interplay between stress and our physical well-being, exploring how HeartMath can recalibrate the delicate balance of our hearts and nervous systems.   A pinnacle moment in our exchange unfolds as Dr. Jorina illuminates the potency of regenerative emotions. These emotions, she reveals, possess the remarkable ability to reshape our physiology. Tune in as she imparts a simple yet powerful technique—an invaluable tool applicable in diverse scenarios, from enhancing relationships to elevating overall well-being.   For those intrigued by the profound potential of HeartMath in supporting the journey to healing, this episode is a must-listen. Dr. Jorina's generosity in sharing her expertise unveils a path to recovery that will undoubtedly resonate with many who have weathered the storm of betrayal.   Join us in gratitude as we delve into the heart of healing, guided by the wisdom of Dr. Jorina Elbers. This episode promises to be a source of inspiration and solace for those navigating the complex terrain of recovery. Key Takeaways:   [00:03:10] Effects of stress on the body. [00:03:24] The physiological effects of stress. [00:06:08] Dysregulation in the body. [00:11:33] Depletion and post-betrayal syndrome. [00:15:50] Heart rate variability and coherence. [00:15:55] Train for heart rhythm coherence.  [00:19:23] Trust and regulation in healing. [00:21:52] The power of the heart. [00:26:52] Physical heart pain during betrayal. [00:30:28] Heart coherence and regenerative emotions. [00:35:14] Trust and nervous system regulation. Memorable Quotes   "We're also learning about inflammatory markers. So, it's affecting our inflammation. It's affecting our ability to fight infections, so we get sick more easily. So actually, the research is very clear. That stress is affecting our body, not just our mind." – Dr. Jorina Elbers   "I kind of imagine emotions to be like that. Initially, it's a light, a form of light. And then it gets so dense because it's not released. And it creates a density, a physical manifestation inside the body that then gets suppressed even more. And it creates a physical problem." – Dr. Jorina Elbers Links Mentioned In This Episode   Website: thepbtinstitute.com Where To Find Our Guest   Website: heartmath.org   Website: heartmath.com   Instagram: @heartmathinstitute   Sign-up for the HeartMath Experience: heartmath.org/training/heartmath-experience  

Eric is a Pediatric Neurologist at the Alberta Children's Hospital in Calgary. William is a Nuclear Medicine Physician who was formerly employed by the Cross Cancer Institute in Edmonton.  We discuss Premier Smith, AHS, Bill 36 in BC & masking kids. Eric enters the show at the 12 minute mark.  Let me know what you think Text me 587-217-8500 Substack:https://open.substack.com/pub/shaunnewmanpodcastE-transfer here: shaunnewmanpodcast@gmail.com Website: https://silvergoldbull.ca/Email: SNP@silvergoldbull.comPhone (877) 646-5303 – general sales line, ask for Grahame and be sure to let us know you're an SNP listener.

Host: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.Guest(s): Dr. Sarah Conerly, Pediatric Neurologist at the University of Mississippi Medical CenterTopic: Neurology, Headaches and Migraines, SeizuresSend your questions or comments to: kids@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Emma is joined by "Sleep Doctor Chris" from Instagram, AKA Dr. Chris Allen, a Pediatric Neurologist and Sleep Specialist. In this episode: * Becoming a sleep influencer on social media to help raise awareness about sleep issues. * Chris shares his own journey with OSA and how it helps him to relate to the experiences his OSA patients have. * Attending a conference and leaving CPAP behind and realizing how much worse he felt without CPAP therapy. * Discovering the University of Chicago sleep clinic for pediatrics and then completing a fellowship at the University of Michigan. * Normalizing the need to attend regular CPAP checkups as sleep apnea changes over time and the pressures needed can change. * Dr. Allen on the range of options available to treat obstructive sleep apnea. * Misunderstandings between minimum usage requirements vs. using the CPAP every time you sleep. * The importance of representation as a black doctor with OSA. Connect with Chris: www.instagram.com/sleepdrchris Connect with Chris's wife: https://www.instagram.com/wiseweightmanagement Connect with Emma: Get on the email list ⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠ ⁠⁠⁠⁠⁠ Follow the podcast on Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠@sleepapneastories⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Email Emma at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sleepapneastories@gmail.com⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.sleepapneastories.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  *NEW* - Order "The 6-Week CPAP Solution Workbook" by Emma Cooksey now! I took everything I know about CPAP and solving CPAP problems and I put it all in a short, easily accessible workbook for new and struggling CPAP users. ⁠⁠⁠Click here⁠⁠⁠ in the US or search your Amazon store for the title in your country. Librarians and bookstore owners, the workbook is also available to order on Ingram Sparks now and it comes out on that platform on 1st October 2023. US and Canadian patients affected by the Philips CPAP recall. Please complete this survey: ⁠⁠https://survey.ucalgary.ca/jfe/form/SV_cM7jj2mP2RapabY⁠⁠ Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences of medical procedures and devices.  This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment. --- Support this podcast: https://podcasters.spotify.com/pod/show/emma-cooksey/support

Episode 99 of Ask Dr Jessica with Dr Taryn Liu, discussing autism.  Dr Liu is a dedicated pediatric neurologist who specializes neuro developmental disabilities in children, and she primarily treats children with autism.   In this podcast, you will hear Dr Liu share her compassion and insights into autism spectrum disorder.  She demystifies common misconceptions, and also explains the social and emotional challenges.  Additionally, she highlights early signs in children, like joint attention and non-verbal communication.  Her insights provide valuable information for both parents and professionals who would like a deeper understanding of autism spectrum disorder.  If you would like to see Dr Liu as a physician, she currently works at Children's Hospital of Los Angeles.Get matched with a therapist by using Better Help! Give it a try---invest in your mental health: https://betterhelp.com/askdrjessica for 10% off your first month of therapy. Thank you to Better Help for supporting the Ask Dr Jessica podcast.Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com. Dr Jessica Hochman is also on social media:Follow her on Instagram: @AskDrJessicaSubscribe to her YouTube channel! Ask Dr JessicaSubscribe to this podcast: Ask Dr JessicaSubscribe to her mailing list: www.askdrjessicamd.comThe information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.

Dr. Christy interviews Dr. Robert Sebunya, Pediatric Neurologist in Kampala, Uganda and 2022 recipient of the Child Neurology Society's Bernard D'Souza International Fellowship Award.

In this episode, we welcome Maria Xiang, a pediatric neurologist, join us to share her personal journey and insights on how to remain emotionally present in the midst of life's challenges. Maria opens up about how she believed that virtue and self-sacrifice were her protection, leading her to overwork and overprepare without considering her own worthiness and fulfillment. She shares how this mindset affected her during her medical training, especially when dealing with her mother's end-stage cancer. She also shares practical tips and strategies she's learned over the years to help her remain emotionally present and connected with her wiser self, including understanding that human needs go beyond just food, shelter, and minimal sleep. Join us in this enlightening conversation as Maria shares her experiences and insights on how to remain emotionally present and honor your human needs, even in the face of life's most difficult challenges. Xinran Maria Xiang is a pediatric neurologist. She shares her story and discusses her KevinMD article, "Finding emotional presence in a dehumanizing system: a physician's journey." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/K3s3t5 Powered by CMEfy.

My guest is Dr. Sarah Cheyette, Pediatric Neurologist. In this episode, Dr. Sarah Cheyette discusses how anxiety, depression and suicidal ideation and ADHD can be related. Dr. Sarah Cheyette graduated cum laude in Cognitive Neuroscience from Princeton University and received her medical degree from the UCLA David Geffen School of Medicine.  Following specialty training in pediatrics at Cedars-Sinai Medical Center in Los Angeles and in pediatric neurology at Seattle Children's Hospital she settled with her family in the San Francisco Bay Area. She practices at the Palo Alto Medical Foundation where she focuses on treating ADHD in both children and adults.  She is the author of three books on ADHD: ADHD and the Focused Mind, Winning with ADHD, and ADHD & Me as well as a book on headaches (Mommy My Head Hurts). In this episode, Dr. Sarah Cheyette discusses how anxiety, depression and suicidal ideation and ADHD can be related.  In this episode, Dr. Sarah Cheyette and I discuss the following: How is anxiety and depression and ADHD related? How being able to focus builds our self-esteem? How too much in an unfocused state can lead to bad feelings? How emotions turn off the thinking part of our brain? Symptoms of anxiety and/or depression is an individual experience What are treatments for an ADHD person that struggles with anxiety and/or depression? How to help an ADHD child manage school life and keep anxiety and/or depression in check? The role electronics plays in our kids What to do when a child's anxiety or depression leads them to avoidance or isolation? When suicidal ideation becomes a factor with an ADHD child? Brought to you by ADHDKidsCanThrive.com   #adhd #adhd parent support #anxiety #depression #suicidal ideation #screentime #electronics #avoidance #adhd treatments

Dr. Dorlyne Brchan, MD is a board-certified pediatric neurologist and board-certified headache physician with extensive background in treating headaches and migraines of all ages!   Dr. Brchan is a member of the American Headache Society and the Child Neurology Society. She was also awarded a delegate of the International Headache Academy in 2021. Furthermore, she has had the privilege of providing education and promoting advocacy to families and parents through Miles for Migraine. She has a special interest in adolescent care, complimentary and integrative management, as well as procedures in headache medicine. Dr. Brchan also serves her family as a devoted Army wife and mother of two young daughters. She has had the unique privilege of traveling the United States and, therefore, gaining diverse experiences in medical organizations and communities. She is a Christian which forms the foundation and backbone to all her values, goals, and pursuits. She deeply loves and cares for all those she has the privilege to know and serve.  Dr. Brchan jam packs this episode with all her expertise in headaches and migraines. 1. What causes migraines and headaches? 2. Top methods of treatment (preventive, abortive, therapies, supplements, procedures) 3. Nutrition and the gut-brain-microbiome axis 4. Biblical and faith-based perspective of pain 5. Mind-body therapies 6. Our faith-based headache coaching program launching late January/early February! Details below: Headache coaching program: 8 weeks long 8 weekly calls with group + 1-2 fifteen minute touch-base sessions; then 1:1 session Teach neuroscience of pain Pain re-processing therapy (Cognitive reframing from Biblical worldview); negative thoughts to become aware and focus on positive; mindset; growth from stagnant using neurolinguistic programming Gut health and nutrition; immune health, and more. Because this is a Biblical approach method, it is quite contrary to current secular treatment approaches, we're trying to provide this treatment approach ourselves without the ability to have financial backing of a specific medical organization. Our goal is to make it as affordable as possible and are praying about what God may do in the future to make this treatment approach even more accessible over time. We are trusting Him to provide the means for this to not only provide physical healing options but; most importantly bring our patients to the ultimate healer of all, Jesus Christ and tend to the proper nourishment of our relationship with Him and who we are in Him. Sign Up for a FREE 15-min discussion of the program to learn more (judgement and commitment-free!): https://www.healthispowher.com/ OR Email us at Hello@HealthIsPowHer.Com  ---------------------------------------------------------------- Sleep for Teens Coaching Program!!! Email us at hello@healthispowher.com If you think your teen needs help with their sleep, as we're launching our sleep coaching program just for adolescents this coming January/February 2023!  We can only take so many due to the nature of the group coaching program, but your teens will be coached by two top pediatric integrative medicine physicians in the country, as well as one who got the NIH federally-funded grant on sleep interventions for teens!!  These are evidence-based tools to help your teen thrive at school, perform well on exams, and go throughout the day without any daytime drowsiness, concentration, or focus issues!!  These are tried and true sleep methods for teens, so get your child's SPOT today!   --------------------------------------------------------------- And as our team is growing, we are launching our first faith-based headache and migraine coaching program for women (and a separate one just for teens!!) this coming February 2023. If you want to learn more, contact us through the form on the website, or email us at hello@healthispowher.com, or set up a time to schedule a call with us below!  Plus, your coach team consists of two physicians, one board-certified neurologist and headache physician, and one triple-board certified physician/headache doc with a multitude of clinical and personal experience with pain and headaches! https://www.healthispowher.com/ ------------------------------------------------------------- I'm now offering a FREE Call with ME for women who are finally ready to heal themselves from chronic pain and autoimmune symptoms that's holding them back from moving their bodies freely and having enough energy to do all the things they love again! Go to our website and sign up here!  Judgement and commitment FREE! https://healthispowher.com/ ------------------------------------------------------------ Ideal Life Without Pain Quiz: If you are a woman who has struggled with chronic pain, headaches, pelvic pain, or fibromyalgia.  If you have dreams of living a normal life again, free of pain and illness. If you want to have energy and feel refreshed when you wake up each morning. If you want to spend time with your loved ones. If you're into spiritual growth and personal development and may have dabbled in meditation. If you have sought support groups and answers to your healing.  If this sounds like you, I would be so GRATEFUL if you could take my survey so I can better serve you! and if you leave your e-mail, you'll get a free discovery call with me, Dr. Anna, MD https://forms.gle/ZCRSogcVARUk6PNJ8   ------------------------------------------------------------ Hope you enjoy! Don't forget to rate and review us on this podcast platform so we can continue reaching like-minded women! Drop us a comment or like on instagram @HealthIsPowHer and facebook @HealthIsPowHer ---------------------------------------------------------------- DISCLAIMER Anna Esparham, M.D.is a medical doctor, but she is not your doctor, and she is not offering medical advice on this podcast. If you are in need of professional advice or medical care, you must seek out the services of your own doctor or health care professional. This podcast provides information only, and does not provide any financial, legal, medical or psychological services or advice. None of the content on this podcast prevents, cures or treats any mental or medical condition. You are responsible for your own physical, mental and emotional well-being, decisions, choices, actions and results. Health Is PowHer, LLC disclaims any liability for your reliance on any opinions or advice contained in this podcast.  

Eric is a Pediatric Neurologist at the Alberta Children's Hospital in Calgary. William is a Nuclear Medicine Physician who was formerly employed by the Cross Cancer Institute in Edmonton. We discuss Premier Smith, AHS, Bill 36 in BC & masking kids. Eric enters the show at the 12 minute mark. Let me know what you think Text me 587-217-8500

This podcast will present an overview on cranial nerves. It will cover cranial neuropathies, the etiology, clinical manifestations, investigations and management of various cranial nerve disorders, and examination of cranial nerves in children. This podcast was created by Alekhya Nimmagadda, a medical student at the Apollo Institute of Medical Sciences and Research with the help of Dr. Janette Mailo, a Pediatric Neurologist at the University of Alberta.

This week's episode discusses concussions and their connection with migraines and ADHD.Migraines fall under the umbrella of fibromyalgia. Both involve problems in how the brain and central nervous system process stimuli. You are sure to gain greater insight into both of these. You can learn more about Dr. Cheyette through her website.Dr. Lenz is an internist, pediatrician, lifestyle medicine physician, and clinical lipidologist with an interest in helping those with fibromyalgia and related problems go beyond just learning to live with it to even reverse fibromyalgia. He is also the author of the book "Conquering Your Fibromyalgia: Real Answers and Real Solutions for Real Pain. " It is also available on audiobook with Dr. Lenz as the narrator. If you have questions or topics, you would like to have discussed on a future podcast, email Dr. Lenz at doctormichaellenz@gmail.com. You can also share a recording of your question. If you have a question, it is likely that hundreds of others have the same question. You can also go to Conquerinyourfibromyalgia.com  to learn more through blogs that Dr. Lenz has done on fibromyalgia. Remember this podcast is meant for informational purposes only. It is NOT intended to be and should NOT be interpreted as medical advice for any medical condition and any individual. It is also not intended to be a substitute for medical advice. The content presented is provided as a starting point in your research and a helpful guide when discussing your individual circumstances with your trusted medical providers. All listeners are strongly urged to seek medical attention and guidance regarding any symptoms and health concerns.

This is the first of a 3 part conversation with Dr. Cheyette, a pediatric neurologist and author with a special interest in migraines and ADHD. Migraines fall under the umbrella of fibromyalgia. Both involve problems in how the brain and central nervous system process stimuli. You are sure to gain greater insight into both of these. You can learn more about Dr. Cheyette through her website.Dr. Lenz is an internist, pediatrician, lifestyle medicine physician, and clinical lipidologist with an interest in helping those with fibromyalgia and related problems go beyond just learning to live with it to even reverse fibromyalgia. He is also the author of the book "Conquering Your Fibromyalgia: Real Answers and Real Solutions for Real Pain. " It is also available on audiobook with Dr. Lenz as the narrator. If you have questions or topics, you would like to have discussed on a future podcast, email Dr. Lenz at doctormichaellenz@gmail.com. You can also share a recording of your question. If you have a question, it is likely that hundreds of others have the same question. You can also go to Conquerinyourfibromyalgia.com  to learn more through blogs that Dr. Lenz has done on fibromyalgia. Remember this podcast is meant for informational purposes only. It is NOT intended to be and should NOT be interpreted as medical advice for any medical condition and any individual. It is also not intended to be a substitute for medical advice. The content presented is provided as a starting point in your research and a helpful guide when discussing your individual circumstances with your trusted medical providers. All listeners are strongly urged to seek medical attention and guidance regarding any symptoms and health concerns.

Have you ever wondered what media does to the child brain?  We all know that we don't want to overdue screens with our kids---but we live in a time when screens are unavoidable! What should parents do?  In this weeks episode of Ask Dr Jessica, our guest is pediatric neurologist, Dr Jane Tavyev.   Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children.  Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. Do you have a future topic you'd like Dr Jessica Hochman to discuss?  Email your suggestion to: askdrjessicamd@gmail.com. Dr Jessica Hochman is also on social media:Follow her on Instagram: @AskDrJessicaSubscribe to her YouTube channel! Ask Dr JessicaSubscribe to this podcast: Ask Dr JessicaSubscribe to her mailing list: www.askdrjessicamd.comThe information presented in Ask Dr Jessica is for general educational purposes only.  She does not diagnose medical conditions or formulate treatment plans for specific individuals.  If you have a concern about your child's health, be sure to call your child's health care provider.

Dr. Mariam Hull is a pediatric neurologist with a fellowship in movement disorders. She has been with Baylor for residency, fellowship, and now as an attending physician. Today's discussion will include her experience training at Baylor, the field of pediatric neurology, her research and the implications of Covid-19 on movement disorders, and her personal take on wellness in medicine.

Dr. Luda Mila Sorin, a Pediatric Neurologist based in Chicago, IL discusses the prevalence, causes, and symptoms of pediatric epilepsy and what parents should do if they believe their child is having seizures. Learn about the risk factors, how to get support, and resources if you or someone you know is faced with this condition. DISCLAIMER: THE INFORMED MOM PODCAST DOES NOT PROVIDE MEDICAL ADVICE No material from our hosts or guests is intended to be a substitute for professional medical advice.  We strive to provide you with education and information so that you can then go to your own provider and get an individualized approach to your medical needs and questions. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen. Never disregard professional medical advice or delay in seeking it because of something you have heard in this podcast. 

It's the Memorial Day holiday weekend and we're on top of it with one of the big topics as summer officially begins: Protecting your skin. If you know someone who has faced Melanoma, or some other kind of skin cancer, you will be quick to make sure fresh sunscreen is part of your summer regimen. We are delighted to have Dr. Shadi Damanpour, Board-Certified Dermatologist at North Dallas Dermatology Associates to help insure you are safe for fun in the sun this summer. Another thing to keep an eye out for are the two poisonous spiders in North Texas. Dr. Otto Marquez, Emergency Medicine Physician at Texas Health Presbyterian Hospital Dallas tells us how they treat bites from Black Widow and Brown Recluse spiders in the ER. Finally, a touching topic from Children's Health. Some North Texas families experience visible disabilities with their young children, causing them to wonder if they might have a neurological issue. Genetics now plays a key role in diagnosing these childhood issues, and is giving clinicians a big advantage in treating it. Dr. Saima Naeem Kayani, Pediatric Neurologist at Children's Health and Assistant Professor at UTSW joins us with some invaluable information for parents facing this challenge. See acast.com/privacy for privacy and opt-out information.

What is the impact of illness or infection on a patient with mitochondrial disease? Patients, parents, and healthcare providers with firsthand experience of mitochondrial disease have probably experienced the consequences of an illness or infection. Illnesses and infections have a more dramatic and prolonged impact on children and adults who suffer from mitochondrial disorders, often causing long periods of fatigue, regression in developmental milestones, skills or baseline function, and exacerbation or complaints of additional (unrelated) symptoms during and after the period of illness. In addition, some physicians and families notice an increased susceptibility to illness for patients with mitochondrial disease. However, there is limited published data on systematic analysis of immune system in patients with mitochondrial disease. Research focusing on the relationship between immune function and the mitochondria has been mostly limited to cell-based studies. Join us to listen, learn and discuss the recent research and publication from an interdisciplinary collaboration between clinical investigators, Dr. Melissa Walker (Neurology), Katherine Sims (Metabolic Diseases) and Jolan Walter (Pediatric Immunology) at Massachusetts General Hospital, Boston, MA. These clinicians sought to determine how often infection and illness (including a systemic inflammatory response) occurred in patients with well-defined mitochondrial disease and immunodeficiency. A subset of their mitochondrial patients with evidence of immune abnormaliites repsponded well to immunoglobulin replacement therapy with less infections, preserved developmental milestones and improved quality of life. About the Speaker Dr. Katherine Sims is a Pediatric Neurologist at the Massachusetts General Hospital. Her clinical work over the last 30 years has focused on the broad scope of neurogenetic disorders including those of the lysosome, particularly neuronal ceroid lipofuscinosis [Batten disease, NCL disorders], Fabry disease, Norrie disease, general neurometabolic disorders and, most recently, the primary mitochondrial energy metabolism disorders Over the last 15 years, Dr. Sims, working as clinician scientist, has directed the design and development of Patient Registries and BioRepositories for Mitochondrial, NCL and Norrie diseases. She is an expert diagnostician and works with great facility in identifying clinical cases and facilitating entry into appropriate clinical translational studies. Jolan E. Walter, MD, PhD is the Director of Pediatric Immunodeficiency Program at Massachusetts General Hospital for Children. Dr. Walter’s clinical care focuses on patients with immune deficiency. She jointly follows patients with mitochondrial disease and immune dysfunction with the Neurogenetics Program (Dr Kathy Sims, Dr Amel Karaa and Dr Melissa Walker). She also conducts translational research on autoimmune manifestation of primary immunodeficiencies. Dr. Walter has graduated with a MD and PhD from University of Pecs, Hungary. Dr. Walter is has trained in Pediatrics at Children’s Hospital of the King’s Daughters, Eastern Virginia Medical School and in Allergy/Immunology at Boston Children’s Hospital. During her training, she conducted research both in the field of Virology and Immunology. Melissa A. Walker, MD, PhD is a fourth year trainee in the Massachusetts General Hospital Child Neurology Residency ProgramDr. Walker’s clinical and scientific interests focus on improving the understanding and treatment of primary mitochondrial disorders. Dr. Walker received her MD and PhD degrees from Columbia University College of Physicians and Surgeons in New York City, New York. She train

An interview with Dr. Jennifer Bain, pediatric neurologist and assistant professor at Columbia University Irving Medical Center.

An interview with Dr. Felicia Gliksman, pediatric neurologist and director of the Concussion Center at Hackensack University Medical Center in New Jersey.

Have a listen as Wendy Taylor, M.Ed., consults with Dr. Sarah Cheyette, a pediatric neurologist, author, and ADHD expert. Learn about a key approach that harnesses unique ADHD traits and capitalizes on them as strengths, not weaknesses. They will also discuss the cycle of positive reinforcement, focus, productivity, and mindset that leads to eventual success, as well as how to minimize the negative effects of a stressed brain. Join us for an enlightening discussion on all things ADHD! You can connect with Wendy on Instagram, Twitter, Facebook and LinkedIn, as well as browse her website Learning Essentials for tutoring resources, blog posts, and more! 

Dr. Grace Gombolay, Pediatric Neurologist at Children's Healthcare of Atlanta and Assistant Professor at Emory University School of Medicine, on her research in neuroinflammatory disease and autoimmune encephalitis. Recent papers in JCN: https://journals.sagepub.com/doi/full/10.1177/08830738211025867 https://journals.sagepub.com/doi/full/10.1177/0883073820939392

Dr. Grace Gombolay, Pediatric Neurologist at Children's Healthcare of Atlanta and Assistant Professor at Emory University School of Medicine, talks about recent research from her lab and from the University of California-San Francisco.

Pediatric neurologists are doctors who care for children's nervous systems. Listen to Dr. Tara Johnson as she provides insights into what it takes to be a successful pediatric neurologist.

This week we sit down with Dr. Jorina Elbers of the Heart Math Institute to discuss the long term neurological effects of trauma related to children from hard places. ______________________________________ Join the Mamas Well Community for the latest podcast releases, useful resources and Wisdom From The Well Cards HERE: https://www.mamaswell.com/community​​...​ To download this week's Wisdom from the Well Card, as well as the cards for all past and future episodes.. https://mamaswell.com/wftw-sign-up/​​​​​ Subscribe to Mamas Well YouTube: https://youtube.com/channel/UC5B52aJ6...​... Subscribe and listen to Mamas Well on Apple Podcasts: https://podcasts.apple.com/us/podcast...​... Mamas Well on Socials Facebook: https://www.facebook.com/mamaswelll​​...​

In this week's episode, we hear from Dr. Sean Goretzke, who is a Pediatric Neurologist and Division Director of Child Neurology Services at Cardinal Glennon Children's Hospital where he has a special interest in managing children with concussions and cerebral palsy. Dr. Goretzke is also an assistant professor of Pediatric Neurology in the Department of Neurology at Saint Louis University School of Medicine.Dr. Goretzke is the father of six kids and I can say with certainty that this has greatly influenced his very relatable style when practicing medicine, which is something he shares more about in this episode. We touch on a variety of subjects ranging from navigating difficult medication decisions, comfort measures and quality of life discussions, and my personal favorite, the social inequalities that impact healthcare and medicine.VOTE HERE for "Disability" to be a podcast categoryBe sure to visit our Website or Shop for Atypical Truth swag!Music by amiinaCover-art by Kendall BellTranscription provided HEREResearch can be found HERE

On Part 2 of this episode, we continue the discussion with our special guest,  Dr. Maya Shetreat, M.D., a thought leader in Medicine and a pioneer who has helped redefine how we think about health.  After her conventional training as a Pediatric Neurologist she continued to grow intellectually and philosophically and is now also an herbalist and urban farmer.  She is the author of the groundbreaking book, The Dirt Cure: Growing Healthy Kids with Food Straight from the Soil, which has been translated into multiple languages. Her work has been highlighted in The NY Times, The Telegraph, the Dr. Oz Show, and a multitude of other media forums.   She is the Founder of the Terrain Institute - which fosters the field of Terrain Medicine: earth-based programs for transitional healing.  Dr. Maya picks up on her discussion of the microbiome, including details of the mitochondria and the concept of quorum sensing. She highlights that we are many organisms functioning as one unit and the relationships we have with the world around us. This has been her motivation for starting the Terrain Institute, to promote our alignment internally and externally - the Ecoterrain -  to attain health.   Dr. Maya and Dr. Fethke enter into a discussion of Epigenetics - the idea that we have a genetic code and depending on the particular interactions with our environment can turn on or off disease-causing genes. Dr. Maya explains the concept of Resiliency and Hormesis in which a little regular stress actually makes us stronger. Getting a little messy with a diversity of foods and exposures creates a healthy internal terrain. If we make the environment around us too clean, then we may be handicapping our systems. This thesis underlies the title of her book - The Dirt Cure.   Together they touch upon the implications of this thesis for the current Covid-19 pandemic, here and abroad,  and the the impact of healthcare disparities as a major contributor to negative epigenetic effects - racism-induced lack of Resiliency - in our own country.  Dr. Maya finishes our episode with a retrospective look at the professional and intellectual hurdles she overcame in creating her approach to health. She is now more confident than ever as her ideas are increasingly gaining validity as a part of mainstream research and scientific thought. She emphasizes that to be healthy we must establish a good relationship with the environment around us.  References:  1. The Terrain Institute - shtreat.mn.co, 2.  Drmaya.com 3. Book - The Dirt Cure: Growing Healthy Kids with Food Straight from the Soil - 2016, Publisher- Atria Books.   You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode is also available in video format on Youtube @drfethkemd).

On this episode, our special guest is Dr. Maya Shetreat, M.D., a thought leader in Medicine and a pioneer who has helped redefine how we think about health.  After her conventional training as a Pediatric Neurologist, she  continued to grow intellectually and philosophically and is now also an herbalist and urban farmer.  She is the author of the groundbreaking book, The Dirt Cure: Growing Healthy Kids with Food Straight from the Soil, which has been translated into multiple languages. Her work has been highlighted in The New York Times, The Telegraph, the Dr. Oz Show, and a multitude of other media forums.   She is the Founder of the Terrain Institute - which fosters the field of Terrain Medicine: earth-based programs for transitional healing.  Dr. Maya begins Part 1 of this episode by opening up about how her professional and personal life became intertwined early in her career. Her journey was triggered by one of her children's health issues that took her from the mainstream of Medicine into a direction that questioned certain traditional doctrines and continues to challenge conventional wisdom. She faced limitations in treating her son, even from the best experts in the field , who fell back on their predictive coding - another form of implicit bias in healthcare - instead of keeping an open mind.  Feeling abandoned by standard approaches, and caught between her responsibilities to her son and her medical training, Dr. Maya's investigations led her to a whole new world that emphasizes the profound impact of nutrition on our health.  Soon enough she found herself forging a novel path that led her to become an expert in the microbiome and gut-brain connection of our bodies. She remains a passionate advocate for all of us to attain the mutually beneficial interaction with our planet and the other life forms we cohabitate with.   In easy to understand terms, Dr. Maya takes us through the details of how we define the microbiome and how the gut-brain connection actually works. She describes the immune system under stress as constantly in alarm mode.  She has added to an extensive literature that explains how this constant stress mode, the cell danger response, when unable to turn off, leads to other medical conditions including mood disorders, autism, seizures and ADHD.   Dr. Maya finishes Part 1 of this episode with us by warning that, more than ever before, our latest food processing mechanisms may be inciting our immune systems to remain constantly on alert - unable to take a break -  thereby adversely affecting our health.  She emphasizes that this over-purification of our food and environment is particularly harmful to our growing children.    Dr. Fethke finishes this episode by summarizing Dr. Maya's theme that How we start off life as infants and children has lifelong implications. He asks us to consider wether this concept should be part of Healthcare Reform.  References: 1. The Terrain Institute - shtreat.mn.co,   2.  Drmaya.com   3. Book - The Dirt Cure: Growing Healthy Kids with Food       Straight from the Soil - 2016, Publisher- Atria Books.  You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode is also available in video format on Youtube @drfethkemd).

Interesting conversation with Dr. Freedman about medicine, medical misinformation and frustrations overcoming misinformation in social media and with patients, his discipline of neurology and some possibly good news on that horizon, and his life as a pro-vaccine advocate and why he chose to be outspoken about the importance of vaccinating your family!

Could that twitch be a harmless reflex or is it a symptom of seizure? Dr. Sarah Weatherspoon, Pediatric Neurologist at Le Bonheur Children's Hospital and Assistant Professor of Pediatric Neurology at The University of Tennessee Health Science Center, discusses infantile epilepsy.

Dr. Rooman Ahad is a pediatric neurologist and shares with us her career's journey. She also gives us some insight into how her field relates to what we are teaching with NGSS. She is an especially special guest because we were classmates in high school! I'm proud of all she has accomplished and excited to share with you.  Shownotes at www.ngsnavigators.com/blog/045 for links to resources.  Join our Facebook Group  and let us know what  you think of this episode. And remember, you're phenomenal!