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Find Dana at The Druid's Garden: Spirit Journeys in Healing the Land, Permaculture, Sustainable Living, and Creative ArtsFind out more about the Plant Cunning Conference at Plant Cunning Conference – Save the date – July 24-26, 2026Book a Vedic astrology reading with Isaac by emailing him at AskIsaacHill@gmail.comAC and Isaac welcome back Dana O'Driscoll—Grand Archdruid of Ancient Order of Druids in America, co-director and founder of the Pennsylvania School of Herbalism, author, artist, and creator of the Druid's Garden blog—to discuss her new book, "Eco Spirituality in the 21st Century," co-authored with Nate Summers. They talk about the book as a practical roadmap for difficult times, rooted in nature spirituality and community, and built around seven themes: reconnection, respect, rewilding, regeneration, resilience, re-enchantment, and revisioning. Dana explains how she and Nate collaborated (long conversations to develop the framework, then dividing chapters by strengths), how the book uses a Druid-inspired structure (Bard/ovate/druid as community/creative practice, nature-based practice, and cosmology/magical theory), and why storytelling and visioning are central as acts of magic that shape reality. The conversation explores animism and agency in the natural world, the role of gratitude and offerings in reciprocal relationships with land and plants, the need to pair magical work with practical action, and the importance of rebuilding local, in-person community through shared meals, fires, mutual aid, and tool shares as larger systems strain. Dana also shares details on upcoming events (Plant Cunning Conference July 24–26 in central New York; Hawthorn Botanical Gathering in June) and where to find her work, including the book via major booksellers, her site (thedruidsgarden.com), and the Pennsylvania School of Herbalism (paherbschool.com).01:10 Conference and Support Updates02:32 Seasonal Check In03:20 Why This Book Now08:01 Co Writing the Book11:34 Meeting Nate and Shared Druidry15:17 Seven Rs Framework22:18 Storytelling as Magic28:19 Agency Action and Enchantment33:52 Stories Shape Reality34:13 Deprogramming Cultural Beliefs35:28 Seven Rs Roadmap38:44 Enchantment Without Overload42:25 Respect Through Animism44:29 Offerings and Deep Gratitude52:15 Reindigenizing Daily Life54:09 Rebuilding Local Community59:01 Herb School and Book Links01:02:43 Final Thanks and Wrap

It's In the News.. a look at the top headlines and stories in the diabetes community. This week's top stories: big updates for stem cell and islet transplants, new pen option for Zepbound, an implantable insulin pump moves forward and more! Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom  T1D Screening info All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Episode transcription with links: Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bringing you the top diabetes stories and headlines happening now. A reminder that you can find the sources and links and a transcript and more info for every story mentioned here in the show notes. Quick reminder: I'm just back from MNO DC and I'm exhausted. But it's the best kind of tired. We had an incredible time – hope you can join us in Nashville. With a reminder that we have our first Club 1921 in Nashville – that's our educational dinner series for HCPs and patient leaders. All the info is over at diabetes-connections.com events/     Okay.. our top story this week: XX An "immune system reset" eliminated Type 1, diabetes in mice in a study conducted at Stanford Medicine without immune suppressant medications. This was a combined transplant of blood stem cells and insulin-producing pancreatic islet cells from a donor whose immune profile did not match the recipient. The dual transplant approach both restored insulin production and retrained the immune system. For the full six months of the experiment, the animals did not need insulin injections or immune suppressive medications. Challenges remain using this approach to treat Type 1 diabetes. Pancreatic islets can be obtained only after death of the donor, and the blood stem cells must come from the same person as the islets. It is also unclear whether the number of islet cells typically isolated from one donor would be enough to reverse established Type 1 diabetes. But the researchers are working on solutions, which could include generating large numbers of islet cells in the laboratory from pluripotent human stem cells, or finding ways to increase the function and survival of transplanted donor islet cells. https://scitechdaily.com/stanford-scientists-cure-type-1-diabetes-in-mice-without-insulin-or-immune-suppression/ XX An electronic implant interlaced with islet cells is being looked at to treat type 1. Researchers at the University of Pennsylvania School of Medicine worked with engineers at Harvard University to combine stem-cell biology with soft electronics. They inserted an ultrathin, flexible mesh of conductive wires — thinner than a human hair — into developing pancreatic tissue. As the cells assembled into clusters, the mesh became woven through them. The electronics can record the faint electrical signals produced by the cells that control insulin release. They can also deliver small pulses of electricity back to the cells.   After several days, the cells began to behave more like mature islets. Their internal signalling shifted, neighbouring cells started working in concert and insulin release became stronger and better timed.  Very early on here – and the transplanted cells still need to be protected from being attacked by the immune system. https://www.thetimes.com/uk/science/article/first-cyborg-pancreas-implants-type-1-diabetes-nxkv8r0fp?gaa_at=eafs&gaa_n=AWEtsqeJYYUF9TMR-GgGUG92hPyog-ISeiqGIgdyaaIKKcpvhtoftGiUaaOtQeG0NWI%3D&gaa_ts=699c50d4&gaa_sig=w-PQ0ArosZSznYDSWEzt8aQg4WC0FF5ZFRt9NedO5sSTL2FyWzupH8eSG7RCy2S8TQnlHOeKCudANWm1MNI59w%3D%3D XX Katie Beth (hand) Eledon trial – aaron kowalski post linkedin. Last fall we told you about promising results from Eledon's drug to prevent islet transplantation rejection in type 1 diabetes. The first six patients no longer had to inject or infuse insulin.. the trials continue and this month one of the patients – Katie Beth Hand – began posting about her experiences one month in, on social media, she says she's off basal insulin already and in range 99 percent of the time. She is also encouraging people to learn more about support the islet act https://lnkd.in/e8pQ7_Y7 XX This is a bill introduced last November which would change the wording on pancreatic cell transplants. The problem is that islets are classified as drugs rather than organs, making transplantations difficult for medical teams and centers to preform due to accessibility. Insurance companies are also less likely to provide reimbursements for treatment, which can cost hundreds of thousands of dollars. The official Journal of The Transplantation Society estimates the cost at about $140,000. The bill went to the senate committee of Health, Education, Labor, and Pensions in early November. No other action has been taken since then. https://www.wtoc.com/2026/02/19/bluffton-family-advocates-islet-act-help-diabetic-son/ XX Big change for the obesity drug Zepbound – now available in the multi dose KwikPen. This is a month's worth of doses in a single pen.. and it's multi dose – you can adjust it. Cash-paying patients can get the multi-dose device, called KwikPen, on the company's direct-to-consumer website, LillyDirect. Prices start at $299 per month for the lowest dose level. Until now, you could only get zepbound in a single dose auto injector or a sing dose vial. In a release, Lilly said the Food and Drug Administration approved a label expansion for Zepbound to include the multi-dose device. The KwikPen is already used for other drugs, such as Lilly's popular diabetes medication, Mounjaro – which is the same medication as zepbound, they're both tirzepitide. https://www.cnbc.com/2026/02/23/eli-lilly-launches-zepbound-obesity-drug-pen-one-month-doses.html   XX For years, researchers have observed that people who live at high elevations,  tend to develop diabetes less often than those at sea level. Although the trend was well documented, the biological explanation behind it was unclear. Scientists now say they have identified the reason. Their research shows that in low oxygen environments, red blood cells begin absorbing large amounts of glucose from the bloodstream. Their work showed that when oxygen is limited, red blood cells use glucose to generate a molecule that helps release oxygen to tissues. This process becomes especially important when oxygen is in short supply. The researchers also found that the metabolic benefits of prolonged hypoxia lasted for weeks to months after mice were returned to normal oxygen levels. They then evaluated HypoxyStat, a drug recently developed in Jain's lab that mimics low oxygen exposure. HypoxyStat is taken as a pill and works by causing hemoglobin in red blood cells to bind oxygen more tightly, limiting the amount delivered to tissues. In mouse models of diabetes, the medication completely reversed high blood sugar and outperformed existing treatments. https://www.sciencedaily.com/releases/2026/02/260221060952.htm XX Watching this one closely – Portal Diabetes gets FDA breakthrough device designation for its implantable insulin pump system. This is a system that includes not just a device that's implanted into the abdomen, but also a new, temperature stable insulin. It will work with – quote – "modern" CGM technology with a fully closed loop - and aims to deliver a functional cure for type 1. While reports say Portal's system is the first in the US – there was an implantable pump developed and used by about 500 people worldwide, including about 100 in the US – by MiniMed. Medtronic bought the company and in 2007 they stopped that program. Portal Diabetes expects to begin clinical trials on its combination system around the fourth quarter of 2027. https://www.drugdeliverybusiness.com/portal-diabetes-fda-breakthrough-implantable-insulin-pump/ XX Sequel Med Tech and Senseonics (NYSE:SENS) today announced the full U.S. launch of their CGM and insulin pump integration. That's the eversense cgm and twist pump. Sequel said its full launch with Eversense 365 makes twiist available with two compatible CGMs. twiist also pairs with the Abbott FreeStyle Libre 3 Plus sensor. Eversense 365, an implantable system, rests under the skin for the duration of a year. Users can change its external, silicone-based adhesive daily with almost no skin reactions. https://www.drugdeliverybusiness.com/sequel-senseonics-full-launch-twiist-eversense/ XX Right back with a Dexcom update, and a look at which type of diet reduces insulin use overall.. right after this: -- Back to the news.. Dexcom is watching for expanded Medicare coverage of its continuous glucose monitors to people with Type 2 diabetes who don't take insulin. CEO Jake Leach told investors on Thursday that the company has been "sitting here waiting for a coverage decision" from the Centers for Medicare and Medicaid Services Dexcom started to see commercial coverage unlock for Type 2, non-insulin users toward the end of last year, Leach said. He expects broader Medicare coverage for that group would allow nearly 12 million people to access CGMs.     In the meantime, the American Diabetes Association updated its guidelines last year to recommend clinicians consider using CGMs for Type 2 diabetes when patients are taking glucose-lowering medications other than insulin. Leach said that real world data the company has been generating supports that decision, and that Dexcom has launched a registry for non-insulin users. https://www.medtechdive.com/news/dexcom-seeks-expanded-medicare-coverage-of-cgms-for-type-2-diabetes/812223/ XX Medtronic's separation of MiniMed is not yet complete.. but continues to move forward. The company has submitted their next pump – MiniMed Flex – to the FDA. This is a pump smaller than the 780G but uses the same reservoirs and infusion sets. It will also work with both the Simplera Sync and Instinct sensors. Medtronic also began a U.S. pivotal study for Vivera, its third-generation algorithm for automated insulin delivery. It also remains set to submit its MiniMed Fit patch pump system to the FDA by the coming fall. https://www.drugdeliverybusiness.com/medtronic-submits-minimed-flex-fda-q3/ XX A study modelling how genes may influence a child's body mass index over time has found that BMI at age 10 and overall growth rate between ages one and 18 might be important factors, as the two are more likely linked to diabetes, high cholesterol, and heart disease in later life. Nearly 66,000 BMI measurements from around 6,300 children and adolescents aged one to 18 were analysed to understand the role of genes.     "Future research is needed to help identify the most effective ages to prevent obesity or poor growth for long-term benefit." https://www.ndtv.com/health/bmi-at-age-10-growth-rate-up-to-age-18-are-important-factors-for-diabetes-heart-disease-study-11125146 XX A low-fat vegan diet—without cutting calories or carbs—may help people with type 1 diabetes significantly reduce how much insulin they need. In a new analysis published in BMC Nutrition, participants following the plant-based plan lowered their daily insulin use by 28%, while those on a portion-controlled diet saw no meaningful change. Researchers say the reduced insulin requirement likely reflects improved insulin sensitivity. The original 2024 study reported additional benefits from the vegan diet. Participants lost an average of 11 pounds and showed improvements in insulin sensitivity and glycemic control. Cholesterol levels and kidney function also improved among those following the plant-based plan. https://www.sciencedaily.com/releases/2026/02/260212234212.htm XX Interesting little tidbit from the Winter Olympic Games.. the World Anti-Doping Agency (WADA) was monitoring GLP drug use. An advisory group that makes recommendations about WADA's list of prohibited substances discussed the status of GLP-1 medications, and added semaglutide (Ozempic, Wegovy, Rybelsus) and tirzepatide (Mounjaro, Zepbound) to its monitoring program That means patterns of use of these drugs will be tracked both in and out of competition.  The finding will be used to make recommendations about whether GLP-1 agonists should be added to the prohibited list, the spokesperson explained. While GLP-1 drug use is not currently prohibited, that could change before the next Summer Olympic Games in Los Angeles in 2028, he noted. https://www.medpagetoday.com/popmedicine/cultureclinic/119770 XX That's it for in the news!

In this Complex Care Journal Club podcast episode, Drs. Kathleen Chiotos and Jeffrey Gerber discuss a post hoc time-series analysis of clinician feedback reports and antibiotic prescribing for community-acquired pneumonia in children with medical complexity (CMC). They describe why children with medical complexity are often excluded from guideline-based interventions, what the data suggest about antibiotic choice and duration in this population, and next steps to design studies that include all children. SPEAKERS Kathleen Chiotos, MD, MSCE Associate Professor of Anesthesiology and Critical Care University of Pennsylvania, Children's Hospital of Philadelphia Jeffery Gerber, MD, PhD Professor of Pediatrics and Epidemiology University of Pennsylvania School of Medicine; Children's Hospital of Philadelphia HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATE Initial publication date: February 17, 2026. JOURNAL CLUB ARTICLE Chiotos K, Dutcher L, Grundmeier RW, Szymczak JE, Lautenbach E, Neuhauser MM, Hicks LA, Hamilton KW, Li Y, Muller BM, Meyahnwi D, Congdon M, Kane E, Hart J, Utidjian L, Cressman L, Jaskowiak-Barr A, Gerber JS. Off-target Impact of Clinician Feedback Reports on Antibiotic Use in Children With Medical Complexity Hospitalized With Community-Acquired Pneumonia. J Pediatric Infect Dis Soc. 2025 Oct 2;14(10):piaf089. doi: 10.1093/jpids/piaf089. PMID: 41051365. OTHER ARTICLES REFERENCED Chiotos K, Dutcher L, Grundmeier RW, Meyahnwi D, Lautenbach E, Neuhauser MM, Hicks LA, Hamilton KW, Li Y, Szymczak JE, Muller BM, Congdon M, Kane E, Hart J, Utidjian L, Cressman L, Jaskowiak-Barr A, Gerber JS. Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia. Clin Infect Dis. 2025 Feb 24;80(2):263-270. doi: 10.1093/cid/ciae593. PMID: 39656188; PMCID: PMC12120840. Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014 Aug 8;14:199. doi: 10.1186/1471-2431-14-199. PMID: 25102958; PMCID: PMC4134331. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/bgxn4mqgk45zjxhxpxgxf3px/Chiotos_and_Gerber_podcast_2-13-26 Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Chiotos K, Gerber JS, Malik K. Evidence for Everyone: Studying Antibiotic Use for Pneumonia in Children With Medical Complexity. 2/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/evidence-for-everyone-studying-antibiotic-use-for-pneumonia-in-children-with-medical-complexity.

Dr. Surell Levine graduated from Brown University with a Bachelor of Arts in 2001 and earned her Doctor of Veterinary Medicine from the University of Pennsylvania School of Veterinary Medicine in 2009. Following graduation, she completed a fellowship in Emergency and Critical Care and worked in the Emergency Room and Intensive Care Unit at Massachusetts Veterinary Referral Hospital. She is a certified veterinary medical acupuncturist and an active volunteer with the MSPCA animal shelter. She is also the inventor of the widely used Calm & Cozy Cat Wrap, a patented swaddle designed to make veterinary visits less stressful for cats. Topics covered in this episode: Preview of Dr. Surell's conference lecture on urinary sample collection and case management in house call practice Different styles of house call medicine, showing there's no single "right" way to practice Common urinary issues seen in home visits, including UTIs, cystitis Practical urine collection strategies in the home Using ultrasound as a quick in-home screening tool for urinary red flags Real-world urinalysis interpretation Balancing gold-standard preventive care with client budgets and real-life practice challenges Links & Resources: Calm & Cozy Cat Wrap: https://calmcozycat.com/  Hopkinton Home Vet https://www.hopkintonhomevet.com/  The House Call Vet Academy Resources:  Download Dr. Eve's FREE House Call & Mobile Vet Biz Plan Find out about the House Call Vet Academy online CE course Learn more about the Concierge Vet Mastermind Get your FREE Concierge Vet Starter Kit mini course Learn more about Dr. Eve Harrison Learn more about 1-to-1 coaching for current & prospective house call & mobile vets Learn more about the House Call & Mobile Vet Virtual Conference → Register TODAY for the House Call & Mobile Vet Virtual Conference, February 7th-8th, 2026!!!!!! Music:  In loving memory of Dr. Steve Weinberg.  Intro and outro guitar music was written, performed, and recorded by house call veterinarian Dr. Steve Weinberg.  This podcast is also available in video on our House Call Vet Cafe YouTube channel  P.S. Here's a special gift from me as a huge thank you for being a part of our wonderful House Call Vet Cafe podcast community! ☕️ GET 20% OFF your Four Sigmatic Mushroom Coffee when you order through this link! 4Sig truly is my favorite!!! Enjoy it in good health, my friends!

Figure skating is one of the most popular sports at the Winter Olympics as it combines world-class athleticism with dance, choreography and music. Jackie Wong is one of the world's leading experts on figure skating and takes us behind the scenes of what it takes to be among the best in the world. From blade sharpening to music choice (the Back Street Boys will be the most popular band in Milan 2026!), figure skaters are defined by their ability to pull off daring manoeuvres with grace against the backdrop of judges watching for the smallest mistake. Wong shares some of his favourite stories from the ice, the routines and stars that have defined the sport and who, and what, to watch for in 2026. Wong is a figure skating analyst and blogs and tweets as Rocker Skating on both his website and podcast. He was a novice skater but has worked as both a judge and coach before covering the sport as an analyst and blogger from 2009.SHOW NOTESJackie's website Jackie's Podcast with co-hosts Michelle Ellis and Tara Nichols Jackie Wong (born April 11, 1982) is a figure skating analyst.[1][2] He blogs, tweets and sells merchandise as Rocker Skating as well as hosting the Ice Talk podcast at Ice Network.[3] He is based in New York.[4]Wong has worked for architectural firm Skidmore, Owings & Merrill, and is currently an associate consultant at McKinsey & Company.[5] A former novice skater who has passed the U.S. Figure Skating juvenile tests and worked as a coach and a judge, he began covering figure skating for Examiner.com in 2009.[6]He created Rocker Skating as a graduate business school project at the University of Pennsylvania in 2015 and began attracting sponsorships.[7] His commentary ranges from offering technical play-by-plays[8] to sharing his opinions on a skater's choice of costumes and music.[9]Wong has a bachelor's degree in economics and urban studies from Stanford University, a Master of Architecture degree from the University of Pennsylvania School of Design and an MBA from Penn's Wharton School.[6] He contributed to the University of Pennsylvania's biomedical research department by analyzing the movement and positions of the arms, legs and head of ice skaters and presenting them as 3D models.[10] He was selected to compete in Season 36 of "Jeopardy!"[11] and came in second place on the episode that aired May 19, 2020.[12] Hosted on Acast. See acast.com/privacy for more information.

Today we discuss Alternative revenue streams for physicians! So what are some things doctors can do outside of the clinic to make some revenue? We discuss some things in this episode!   Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine, completed an internship and orthopedic surgery residency at the University of Chicago Medical Center, and fellowships in pediatric orthopedic surgery at Nemours Children's and in sports medicine at the Rothman Institute at Thomas Jefferson University. He performs arthroscopic surgery of the knee, elbow, ankle and shoulder, as well as general orthopedic and trauma surgical procedures. His research interests are in upper extremity overuse injury prevention and general orthopedic trauma. Recently, he has developed an interest in technology and digital health innovation and routinely uses telemedicine in his sports medicine practice. He is working with several stakeholders in the organization to re-imagine the process by which pediatric orthopedic patients are triaged, navigated, evaluated and treated during the continuum of their health care experience. Provides care in Wilmington, Del., and Abington, Pa.   We answer questions you may have on the things you will encounter when it comes to billing, like: What is an IME? Expert Witness + more

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Dr. Michael Cirigliano, Associate Professor of Medicine at the University of Pennsylvania School of Medicine, has been practicing for over 30 years and is a strong advocate for the concept of food as medicine. In his daily work with patients, he emphasizes practical, sustainable approaches to healthy living. In this conversation with Alexandra Kicenik Devarenne, director of the Extra Virgin Alliance, Dr. Cirigliano discusses olive oil as a powerful functional food. He explains how its antioxidant polyphenols and heart-healthy monounsaturated fats can support cholesterol and blood pressure management, reduce inflammation, protect brain function, and may even help lower the risk of certain cancers. This video was produced by The Culinary Institute of America as an industry service to the International Olive Council. Find recipes, videos and more information at https://www.plantforwardkitchen.org/olive-oil-and-the-plant-forward-kitchen

We dissect the hidden truths of orthopedic practice, from team building to practice management, physician burnout, and more. We explore insights with Dr. Atanda about the skills that aren't taught in medical school but are crucial for success. We discuss some of the general things and concepts you need to know about billing and. coding. Dr.Atanda gives us a great overview of some things that you may not have known! Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University.  Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine, completed an internship and orthopedic surgery residency at the University of Chicago Medical Center, and fellowships in pediatric orthopedic surgery at Nemours Children's and in sports medicine at the Rothman Institute at Thomas Jefferson University.  He performs arthroscopic surgery of the knee, elbow, ankle and shoulder, as well as general orthopedic and trauma surgical procedures. His research interests are in upper extremity overuse injury prevention and general orthopedic trauma. Recently, he has developed an interest in technology and digital health innovation and routinely uses telemedicine in his sports medicine practice. He is working with several stakeholders in the organization to re-imagine the process by which pediatric orthopedic patients are triaged, navigated, evaluated and treated during the continuum of their health care experience. Provides care in Wilmington, Del., and Abington, Pa. We answer questions you may have on the things you will encounter when it comes to billing, like: what is coding and billing should you know the people who bill in your department? coding tips + more

Welcome to the Legal Nurse Podcast, where complex medical topics meet the world of litigation. In this episode, host Pat Iyer sits down with Dr. Allison Muller, a seasoned toxicologist who brings her expertise to the forefront of the ongoing opioid crisis. Together, they delve into the multifaceted role opioids play in patient care, legal cases, and toxicology, offering invaluable insights for legal nurse consultants and medical professionals alike. Throughout their conversation, Pat Iyer and Allison Muller unpack the intricacies of opioid administration, the significance of accurate medical record documentation, and the challenges of interpreting toxicology reports, especially in postmortem cases. Dr. Muller sheds light on key concepts such as opioid tolerance versus naivety, risks of over-sedation, and the life-saving but often misunderstood role of naloxone in reversing opioid overdoses. Whether you're navigating your first toxicology-related case or looking to deepen your understanding of opioid implications in acute care settings, this episode offers practical guidance and real-world examples. From common pitfalls in toxicology interpretation to the criteria for bringing a toxicologist onto your legal team, Dr. Muller and Pat Iyer provide a roadmap for safer patient care and stronger case outcomes. What you'll learn in this episode on Navigating Opioid Cases: Insights from a Toxicologist on Medical Records and Overdose Risks Here are five intriguing questions that this podcast answers: How should medical records be reviewed to accurately track opioid administration in acute care settings, and what are the limitations of toxicology blood levels in this context? Why do toxicology reports from autopsies take so long to be completed, and what complexities are involved in determining the substances present in a decedent's system? What is the difference between opioid naive and opioid tolerant patients, and why is understanding these distinctions critical for safe opioid prescribing? What are the best practices for administering Naloxone (Narcan) in cases of opioid overdose, and why is timing so crucial for its effectiveness? When is it appropriate for a legal nurse consultant to recommend involving a toxicologist in a case, especially when interpreting complex toxicology results? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Grow Your LNC Business 13th LNC SUCCESS® ONLINE CONFERENCE April 23, 24, and 25, 2026 Skills, Strategy, Results Gain deposition mastery, marketing confidence, and clinical–legal insight from industry leaders you can apply to your next case and client call. Build a Practice Attorneys Remember Learn exactly how to showcase expertise, attract referrals, and turn complex medical records into clear, defensible stories that win trust. Learn From the Best—Then Ask Them Anything Get step-by-step training, live “hot seat” solutions, and exclusive VIP Q&A time with Pat Iyer to accelerate your LNC growth. Register now- Limited spots available Your Presenters for Navigating Opioid Cases: Insights from a Toxicologist on Medical Records and Overdose Risks Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Allison Muller Toxicologist with a passion for science, family, and the outdoors. Board-certified clinical toxicologist, fellow of the American Academy of Clinical Toxicology, affiliate fellow of the American College of Medical Toxicology, and faculty at the University of Pennsylvania School of Veterinary Medicine. Scientist with a flair for explaining the hard stuff to the triers of fact and anyone who wants to learn toxicology! When she isn't on this podcast, she's caring for an orange tabby cat and a dwarf bunny (luckily the tabby doesn't know his best friend is a bunny!) Connect with Allison Muller by email at Allison@AcriMullerConsulting.com

In this episode, we walk through the incident at a Pennsylvania high school's culture fair where a Muslim student club's pro-Palestinian booth distributing keffiyehs left many Jewish students and parents feeling unsafe and excluded. We break down the competing claims of cultural expression versus political activism, and what this flashpoint reveals about free speech, identity, and school leadership in a tense global climate.Get the top 40+ AI Models for $20 at AI Box: ⁠⁠https://aibox.aiSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Not every episode that looks like a seizure is one, and for pediatricians, distinguishing the difference can be challenging. Few moments in the clinic can feel as urgent, or as uncertain, as evaluating spells. In this episode, we unravel the mysteries of seizures and their mimics to prevent misdiagnosis and avoid unnecessary intervention. This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Shavonne Massey, MD. She is a neurologist at Children's Hospital of Philadelphia and an Assistant Professor of Neurology at the University of Pennsylvania School of Medicine. Some highlights from this episode include:  Differentiators between seizures and mimics  What pediatricians can do when a child is experiencing a seizure  Key factors they can look for during an exam  Most common seizure mimics that present in children depending on age  For more information on Children's Colorado, visit: childrenscolorado.org. 

In this episode, our guest, Dr. Atanda, discusses the administrative tasks you will need to complete as a new attending, from credentialing and licensing to insurance setup and beyond, to stay compliant and start your new role with confidence. Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine, completed an internship and orthopedic surgery residency at the University of Chicago Medical Center, and fellowships in pediatric orthopedic surgery at Nemours Children's and in sports medicine at the Rothman Institute at Thomas Jefferson University. He performs arthroscopic surgery of the knee, elbow, ankle and shoulder, as well as general orthopedic and trauma surgical procedures. His research interests are in upper extremity overuse injury prevention and general orthopedic trauma. Recently, he has developed an interest in technology and digital health innovation and routinely uses telemedicine in his sports medicine practice. He is working with several stakeholders in the organization to re-imagine the process by which pediatric orthopedic patients are triaged, navigated, evaluated and treated during the continuum of their health care experience. Provides care in Wilmington, Del., and Abington, Pa.

My conversation with Aaron starts at about 24 minutes after headlines and clips Subscribe and Watch Interviews LIVE : On YOUTUBE.com/StandUpWithPete ON SubstackStandUpWithPete Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. This show is Ad free and fully supported by listeners like you! Please subscribe now for as little as 5$ and gain access to a community of over 750 awesome, curious, kind, funny, brilliant, generous soul Dr. Aaron E. Carroll is President & CEO of AcademyHealth. A nationally recognized thought leader, science communicator, pediatrician, and health services researcher, he is a passionate advocate for the creation and use of evidence to improve health and health care for all.  Before joining AcademyHealth, Dr. Carroll was a Distinguished Professor of Pediatrics and Chief Health Officer at Indiana University, where he also served as Associate Dean for Research Mentoring and the director of the Center for Pediatric and Adolescent Comparative Effectiveness Research at Indiana University School of Medicine. He earned a B.A. in chemistry from Amherst College, an MD from the University of Pennsylvania School of Medicine, and an M.S. in health services from the University of Washington School of Public Health, where he was also a Robert Wood Johnson Clinical Scholar. Dr. Carroll's research focused on the study of information technology to improve pediatric care, decision analysis, and areas of health policy including cost-effectiveness of care and health care financing reform. He is the author of The Bad Food Bible and the co-author of three additional books on medical myths. In addition to having been a regular contributor to The New York Times and The Atlantic, he has written for many other major media outlets and is co-Editor-in-Chief at The Incidental Economist, an evidence-based health policy blog. He also has a popular YouTube channel and podcast called Healthcare Triage, where he talks about health research and health policy. Join us Thursday's at 8EST for our Weekly Happy Hour Hangout!  Subscribe and Watch Interviews LIVE    On YOUTUBE.com/StandUpWithPete ON SubstackStandUpWithPete   Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on YouTube  Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page Gift a Subscription https://www.patreon.com/PeteDominick/gift Send Pete $ Directly on Venmo All things Jon Carroll  Buy Ava's Art 

Dr. Kenneth Ginsberg has focused his career on helping youth develop their own solutions to social problems and teaching adults how to serve them better. As a doctor of adolescent medicine at the Children's Hospital of Philadelphia and professor of Pediatrics at the University of Pennsylvania School of Medicine, he sees every day the challenges facing today's youth and parents. On this episode, we discuss the challenges of parenting in today's tech-driven world, share wins, and cover everything in between. Listen now!

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We dissect the hidden truths of orthopedic practice, from team building to practice management, physician burnout, and more. We explore insights with Dr. Atanda about the skills that aren't taught in medical school but are crucial for success. Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University.  Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine, completed an internship and orthopedic surgery residency at the University of Chicago Medical Center, and fellowships in pediatric orthopedic surgery at Nemours Children's and in sports medicine at the Rothman Institute at Thomas Jefferson University.  He performs arthroscopic surgery of the knee, elbow, ankle and shoulder, as well as general orthopedic and trauma surgical procedures. His research interests are in upper extremity overuse injury prevention and general orthopedic trauma. Recently, he has developed an interest in technology and digital health innovation and routinely uses telemedicine in his sports medicine practice. He is working with several stakeholders in the organization to re-imagine the process by which pediatric orthopedic patients are triaged, navigated, evaluated and treated during the continuum of their health care experience. Provides care in Wilmington, Del., and Abington, Pa. We answer questions you may have on the things you will encounter when you go into practice as a physician, like: What is an efficient way to do your job as a physician? How do you utilize different members of your team for efficiency? How do you prevent burnout? And more.  

The alleged link between vaccines and autism is back in the news this week, being regularly speculated on by both President Trump and Health and Human Services secretary Robert F. Kennedy Jr.  The claim has been repeatedly disproven: there is no evidence that vaccines and autism are related. But the myth is powerful. In this episode: the roots of the modern anti-vaccine movement, and of the fears that still fuel it – from a botched polio vaccine, to the discredited autism study, to today. This episode originally published in February 2025. Guests:Paul Offit, director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and a professor of pediatrics at the University of Pennsylvania School of MedicineElena Conis, historian of medicine and public health and a professor in journalism and history at the University of California, BerkeleyArthur Allen, senior correspondent for nonprofit KFF Health News and author of Vaccine: The Controversial Story of Medicine's Greatest LifesaverTo access bonus episodes and listen to Throughline sponsor-free, subscribe to Throughline+ via Apple Podcasts or at plus.npr.org/throughline.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Today's guest is Dr. Amy Durham, a Professor of Anatomic Pathology and Associate Dean for Education at the University of Pennsylvania School of Veterinary Medicine. We sat down for this interview during the 2024 ACVP/ASVCP annual meeting in Seattle, WA, when she was the outgoing Chief Operating Officer (COO) of the ACVP. We discuss how the COO supports the mission of the ACVP, the most significant accomplishments of her tenure, and the transition to the current COO, Dr. Tony Alves. We also learn more about her path in pathology and how she achieved her career goals as a young person. Get ready for a wonderful conversation with Dr. Durham. ___ More Information on: 2025 ACVP Annual Meeting in NOLA Disability in Medicine Mutual Mentorship Program Harold W. Casey Scholarship Award More Information on the ACVP Training Program Accreditation ACVP Errors in Publications Portal ___ ACVP Social Media Facebook - ACVP Meetings and Topics Instagram - americancollegevetpath X (Twitter) - @ACVP LinkedIn - AMERICAN COLLEGE OF VETERINARY PATHOLOGISTS  ____ Thank you to Nicholas Pankow, Assistant Audio Editor, for his help editing this episode. Music: Guestlist by Podington Bear, licensed under an Attribution-NonCommercial 3.0 International License.  The contents of this audio do not necessarily reflect the opinions of the American College of Veterinary Pathologists (ACVP) or the participants' affiliations. Spoken audio content and associated photos are the property of the American College of Veterinary Pathologists, 2025. 

In this powerful and inspiring episode of the Counselor Accents Podcast, we welcome back our dear friend and brilliant colleague, Steve Sharp. Steve joins us to talk about his latest work, Redesigning Schools to Be Antiracist, where he introduces a practical framework for creating meaningful, lasting change in schools. From understanding why systems often resist change to learning how to disrupt the Oppression Cycle, Steve brings both depth and hope to the conversation about equity in education.Just as we were recording, Steve got the exciting news that his brand-new book, Lives Worth Living: Applying Zero Suicide as a Prevention Approach for Schools, had officially launched—and we get a sneak peek! In typical Steve fashion, he blends heart, humor, and expertise while tackling some of the most critical issues facing schools today.With an impressive résumé that includes serving on the ASCA Board of Directors, leading the Pennsylvania School Counselors Association, being named PA Middle School Counselor of the Year, and becoming a bestselling author and consultant—you might expect Steve to have moved on from the day-to-day work of school counseling. But what we love most? He's still in the trenches, showing up for students every day and reminding us why our work matters.Tune in for a conversation that will challenge, encourage, and equip you as a school counselor and change maker.

In this episode, I'm talking with pediatrician and author Ken Ginsburg about his new book Lighthouse Parenting. Ken shares his powerful framework for showing up as a steady, loving guide for our kids—offering both support and boundaries as they grow. We get into what it means to really know and prepare our kids, how to be their safe harbor in tough times, and why our own self-care matters just as much as theirs, especially in today's world of social media and constant pressure. About Dr. Ken Ginsburg Dr. Ken Ginsburg practices Adolescent Medicine at The Children's Hospital of Philadelphia and is a Professor of Pediatrics at the University of Pennsylvania School of Medicine. Dr. Ginsburg practices social adolescent medicine – service with special attention to prevention and the recognition that social context and stressors affect both physical and emotional health. His research over the last 35 years has focused on facilitating youth to develop their own solutions to social problems and to teach adults how to better serve them. He is the Founding Director of The Center for Parent and Teen Communications which works to empower parents with the skill-sets to strengthen their family connections and position them to guide their teens to become their best selves. It works to shift the cultural narrative about adolescence from being a time to survive to one in which development is to be optimized. His books include, Building Resilience in Children and Teens: Giving Kids Roots and Wings; Congrats- You're Having a Teen!: Strengthen Your Family and Raise a Good Person; and Lighthouse Parenting:Raising your Child with Loving Guidance for an Enduring Bond. All of these works are published by The American Academy of Pediatrics. He currently works with Covenant House International's 35 sites to solidify and magnify their practice model rooted in the healing power of loving and respectful adult connections with youth. Things you'll learn from this episode What “lighthouse parenting” is and how it offers a research-backed framework for guiding kids to grow up as resilient, thriving adults What it means to be a “secure base” for our kids and the power of stability in fostering resilience in all children Why preparing kids for life's challenges starts with feeling unconditionally loved and truly known Why self-care, authentic modeling, and genuine repair are essential for strong parent-child relationships What it means to “actively see the best in our child” and why it matters  Resources mentioned About Dr. Ken Ginsburg Center for Parent and Teen Communication Fostering Resilience Lighthouse Parenting: Raising your Child with Loving Guidance for an Enduring Bond by Dr. Ken Ginsburg Congrats—You're Having a Teen! Strengthen Your Family and Raise a Good Person by Dr. Ken Ginsburg Building Resilience in Children and Teens: Giving Kids Roots and Wings by Dr. Ken Ginsburg Dr. Devorah Heitner on Helping Kids Thrive in a Digital World (Tilt Parenting Podcast) Dr. Devorah Heitner on Parenting Kids Growing Up in Public (Tilt Parenting Podcast) Learn more about your ad choices. Visit podcastchoices.com/adchoices

Obstructive sleep apnea (OSA) is an increasingly common diagnosis. Yet most behavioral health providers are unaware that they can play a role in both the assessment and treatment of OSA in their patients. Today we're joined by an expert in the subfield of sleep psychology, Dr. Phil Gehrman. He shares basic information about what OSA is, how providers can effectively screen for it, and how they can facilitate treatment for this dangerous condition. Despite what you might have heard before, Dr. Gehrman posits that behavioral health providers can play “a huge potential role that really is untapped.” Dr. Phil Gehrman is Professor of Psychology in the Department of Psychiatry of the University of Pennsylvania School of Medicine. He directs the Sleep, Neurobiology and Psychopathology lab at Penn. He has an active research program exploring the mechanisms and treatment of sleep and circadian dysregulation in the context of mental health disorders. Dr. Gehrman's clinical specialization is on the delivery of cognitive behavioral and chronotherapeutic interventions for insomnia, circadian rhythm disorders, and other sleep disorders. The overarching goal of his work is to advance the understanding of the links between sleep and mental illness through translational research that spans biology to therapeutics.Resources mentioned in this episode: STOP Screening tool for Obstructive Sleep Apnea: https://deploymentpsych.org/content/insomnia-toolsMotivational Interviewing for CPAP Adherence: Rapelli G, Pietrabissa G, Manzoni GM, Bastoni I, Scarpina F, Tovaglieri I, Perger E, Garbarino S, Fanari P, Lombardi C and Castelnuovo G (2021) Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions. Front. Psychol. 12:705364. doi: 10.3389/fpsyg.2021.705364Motivational Interviewing resources: https://deploymentpsych.org/Clinical-Skills-ResourcesSystematic desensitization: https://www.veterantraining.va.gov/insomnia/docs/PAP_Desensitization.pdfPractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Incorporate the STOP into your practiceBecome familiar with behavioral and motivational approaches listed aboveConnect with your local sleep medicine clinicReach out to us via Speakpipe with your questions and commentsSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In

Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Dr. Markus B. Blatz is Professor of Restorative Dentistry, Chairman of the Department of Preventive and Restorative Sciences and Assistant Dean for Digital Innovation and Professional Development at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, where he also founded the Penn Dental Medicine CAD/CAM Ceramic Center, an interdisciplinary venture to study emerging technologies and new ceramic materials while providing state-of-the-art esthetic clinical care. Dr. Blatz graduated from Albert-Ludwigs University in Freiburg, Germany, and was awarded additional Doctorate Degrees, a Postgraduate Certificate in Prosthodontics, and a Professorship from the same University. Dr. Blatz is co-founder and past President of the International Academy for Adhesive Dentistry (IAAD) and a founding member of the European Academy of Digital Dentistry (EADD). He is a board-certified Diplomat in the German Society for Prosthodontics and Biomaterials (DGPro) and a member of multiple other professional organizations, including the American Academy of Esthetic Dentistry, the European Academy of Esthetic Dentistry, the International College of Prosthodontists, the American College of Prosthodontists (honorary member), Academy of Osseointegration, and O.K.U. Honor Dental Society. He is the Editor-in-Chief of Compendium of Continuing Education in Dentistry, Associate Editor of the Journal of Esthetic and Restorative Dentistry and of Quintessence International, Section Editor for the International Journal of Prosthodontics, and serves on the editorial boards of numerous other recognized scientific dental journals. He is coauthor of the international bestseller “evolution – contemporary protocols for anterior single-tooth implants”, which has been translated on over 8 languages. Prior to joining Penn Dental Medicine as Chairperson of the Department of Preventive and Restorative Sciences in September 2006, Dr. Blatz was at Louisiana State University (LSU) Health Sciences Center School of Dentistry in New Orleans, where he served as Chairman of the Department of Comprehensive Dentistry and Biomaterials and Assistant Dean for Clinical Research. During his tenure at LSU, Dr. Blatz also directed the Masters of Science in Oral Biology Program and was a senior faculty member in the Department of Prosthodontics. From 1994 to 1998 he was an Assistant Professor and from 1998 to 1999 a senior faculty member in the Department of Prosthodontics at Albert Ludwigs University Freiburg School of Dentistry in Freiburg, Germany. A widely published and internationally respected lecturer, Dr. Blatz's main focus within clinical practice and research is esthetic dentistry with an emphasis on implantology and dental materials, particularly ceramics and adhesion. Dr. Blatz is the recipient of multiple teaching and research awards and has published and lectured extensively on dental esthetics, restorative materials, and implant dentistry. He was recently named one of the “World's Top 100 Doctors in Dentistry”.

“Relationship is a noun, but 'relationshipping' is a verb and it takes a lot of agency and some skill.” "You have to know what you want." "Pause is power." Episode summary | In this episode of the ROG Return on Generosity podcast, executive coach and psychotherapist Dr. Lani Nelson-Zlupko describes the difference between relationships and “relationshipping”, sharing insights on effective communication, emotional intelligence, and the importance of accountability in relationships to build meaningful connections. She introduces the MOVE method as a practical framework for navigating difficult conversations, emphasizing the value of self-awareness, understanding needs, and negotiating with empathy. The episode highlights key concepts like relationship hygiene, rehearsing communication strategies, and “losing well” as essential tools for personal and professional growth. Together, Lani and Shannon discuss common barriers to effective relationshipping and connection—including ego, fear, and pride—and offer actionable strategies for improving interpersonal dynamics and achieving deeper, more authentic relationships. R.O.G. Takeaway Tips | Relationships require agency and active engagement. Relationship is a noun, but relationshipping is a verb. Understanding what you want is crucial in relationships. Pause is a powerful tool in communication. Navigating needs involves accountability and clarity. The MOVE method helps in effective communication. Rehearsing conversations can lead to better outcomes. Expect defensiveness in interpersonal interactions. Losing well is part of maintaining relationships. Positivity is essential in healthy relationships. Collaboration is key to resolving conflicts. Navigating difficult conversations requires calmness and clarity. Understanding negotiation dynamics is crucial before engaging in discussions. Time is essential for changing relationship dynamics and habits. Apologies are vital for repairing relationships and require accountability. Healthy relationships are built on reciprocity and mutual contribution. Effective communication of needs is key to relationship satisfaction. Overcoming stagnation in relationships involves addressing fears and barriers. Identifying barriers like pride and ego can help in personal growth. Maintaining relationship hygiene involves positivity and curiosity. A small change can lead to significant progress in relationships.   Chapters | 00:00 Introduction to Dr. Lani Nelson-Zlupko 01:50 The Importance of Relationships 04:28 Understanding "Relation-shipping" as a Verb 07:08 Navigating Needs and Accountability in Relationships 09:46 The MOVE Method: A Framework for Effective Communication 16:45 Rehearsing Conversations for Better Outcomes 20:59 The Value of Losing Well in Relationships 26:53 Persisting Through Defensive Reactions 30:40 Navigating Difficult Conversations 32:29 Understanding Negotiation Dynamics 33:58 The Importance of Time in Relationships 35:22 The Art of Apology 38:09 Building Healthy Relationships 40:16 Reciprocity in Relationships 42:21 Communicating Needs Effectively 45:01 Overcoming Stagnation in Relationships 46:20 Identifying Barriers to Progress 49:42 Maintaining Relationship Hygiene 53:25 Rapid Fire Insights   Guest Bio | Dr. Lani Nelson-Zlupko is an executive coach and psychotherapist with over 25 years of success bringing skills for change management and human resilience to clients and companies around the world.  Lani excels in understanding human behavior. She studies why people get stuck and how they move forward.  Dr. Nelson's data-driven strategies enable people to elevate the best in themselves and elicit the best in others, with a keen eye to the very real psychological, interpersonal and institutional challenges they must navigate.  Her tools for human motivation, collaboration, coping, resilience, accountability, and cohesion have empowered individuals, families, teams, and companies to move forward.  Lani earned her bachelor's degree from Harvard and her master's and doctorate degrees from the University of Pennsylvania School for Social Policy and Practice.  She served as adjunct faculty at the University of Pennsylvania for over twenty-five years, is published in leading scientific journals, is a TEDx speaker and Fortune 500 keynote presenter.   Guest Resources:  3 Strategies to Promote Healthy Working Relationships Leading Without Authority by Keith Ferrazzi The Right Kind of Wrong by Amy Edmonson  TEDx: Staying Stuck or Moving Forward Move Forward by Dr. Lani Nelson-Zlupko Mindset by Carol Dweck   Bridge Between Resources: 5 Degree Change Course Free N.D.I. Network Diversity Index  Free Generosity Quiz    Credits: Lani Nelson-Zlupko, Host Shannon Cassidy, Bridge Between, Inc. Coming Next: Please join us next week, Episode 236, Special Guest, Yvette Thornton.

In this enlightening episode of the me&my health up podcast, Dr. Nancy O'Hara shares her expertise on Lyme disease and its related conditions, including PANS and PANDAS. She discusses her journey from conventional medicine to functional medicine, emphasising the importance of understanding tick-borne diseases, their symptoms, and the critical role of prevention. Dr. O'Hara highlights the significance of supporting the immune system through diet and lifestyle changes, and she offers insights into treatment options, including herbal remedies. The conversation aims to raise awareness about these often-misdiagnosed conditions and provide listeners with practical advice for maintaining health and well-being.TakeawaysLyme disease is caused by the spirochete Borrelia and can lead to various symptoms.PANS and PANDAS are pediatric neuropsychiatric disorders linked to infections.Preventive measures against tick-borne diseases include proper clothing and tick checks.Misdiagnosis of tick-borne diseases can lead to chronic health issues.Herbal treatments can be effective alternatives to antibiotics for tick-borne diseases.Diet plays a crucial role in supporting the immune system and overall health.Lifestyle factors such as exercise and sleep are essential for immune health.Natural biohacking involves simple practices like breathing and outdoor activities.Awareness and education about tick-borne diseases are vital for families and practitioners.Support for immune health should start from pregnancy and continue through childhood.About Dr. Nancy O'Hara: Dr. Nancy O'Hara is a board-certified pediatrician with a distinguished focus on PANS, PANDAS, and other neurodevelopmental disorders. As a leading trainer and mentor, she educates clinicians globally on the recognition and treatment of these complex conditions. Dr. O'Hara graduated with highest honours from Bryn Mawr College and is a member of the Alpha Omega Alpha Honour Society at the University of Pennsylvania School of Medicine, where she also earned her Master's degree in Public Health. Before her medical career, she taught children with autism and practiced as a general pediatrician from 1993 to 1998. In 1999, she established a consultative, integrative practice dedicated to children with special needs, focusing on neurodevelopmental disorders, ADHD, PANS/PANDAS, BGE, OCD, Lyme disease, and Autism Spectrum Disorder. Connect with Dr. Nancy O'Hara:Website: www.drohara.com Instagram: @nhoharamdFacebook: Dr. Nancy O'Hara LinkedIn: Dr. Nancy O'HaraPodcast: "Demystifying PANS/PANDAS" Feel free to reach out and connect with Dr. O'Hara to learn more about her work and the important issues surrounding children's health! About me&my health up & Anthony Hartcher       me&my health up seeks to enhance and enlighten the well-being of others. Host Anthony Hartcher is the CEO of me&my wellness which provides holistic health solutions using food as medicine, combined with a holistic, balanced, lifestyle approach. Anthony holds three bachelor's degrees in Complementary Medicine; Nutrition and Dietetic Medicine; and Chemical Engineering.  Chapters00:00 Introduction to Lyme Disease and Dr. Nancy O'Hara's Journey03:08 Understanding Lyme Disease: Symptoms and Diagnosis06:00 Prevention and Awareness of Tick-Borne Diseases09:08 The Impact of Misdiagnosis and Chronic Symptoms12:00 Treatment Approaches: Herbal vs. Antibiotic15:01 PANS and PANDAS: Understanding Pediatric Neuropsychiatric Disorders17:50 Supporting Immune Health: Lifestyle and Dietary Factors 20:53 Natural Biohacking: Simple Practices for Health24:01 Conclusion and Resources for Further Learning

Justice David Souter has died.  Souter was one of the most private, low-profile justices ever to have served on the Supreme Court. He rarely gave interviews or speeches. Yet his tenure was anything but low profile. Deemed a “home run” nominee by Republicans, Souter defied partisan expectations on the bench and ultimately ceded his seat to a Democratic president.As we reflect on his legacy, we wanted to share this episode again.  Produced two years ago, this episode tells the story of how “No More Souters” became a rallying cry for Republicans and inspired a backlash that would change the Court forever.Voices in the episode include:• Ashley Lopez — NPR political correspondent• Anna Sale — host of Slate's Death, Sex & Money podcast • Tinsley Yarbrough — author and former political science professor at East Carolina University• Heather Gerken — Dean of Yale Law School and former Justice Souter clerk• Kermit Roosevelt III — professor at University of Pennsylvania School of Law and former Justice Souter clerk• Judge Peter Rubin — Associate Justice on Massachusetts Appeals Court and former Justice Souter clerk• Governor John H. Sununu — former governor of New Hampshire and President George H.W. Bush's Chief of StaffLearn more:• 1992: Planned Parenthood v. Casey• 1992: Lee v. Weisman• 2000: Bush v. Gore• 2009: Citizens United v. FEC

You could fill an entire bookshelf with guides on babies and toddlers, or the best strategies for dealing with teenagers. But for Dr. Kenneth Ginsburg, one of the most critical stages for child development is the pre-adolescent phase, when kids really begin to push their parents away and first ask the biggest questions of their lives: Who am I? Am I normal? Where do I fit in? On this episode of Paternal, Dr. Ginsburg returns to the show for the first in a series of special episodes devoted to the issues affecting our kids. He dives deep into the idea of brain puberty and what's happening in the minds of kids in this pre-adolescent phase, why they're trying harder than ever to break free from their parents, how screen habits figure into their development, and why you should leave your own painful memories of middle school out of the conversation with your kids. Dr. Kenneth Ginsburg is a pediatrician specializing in Adolescent Medicine at the Children's Hospital of Philadelphia and a Professor of Pediatrics at the University of Pennsylvania School of Medicine. He is also the author of Lighthouse Parenting: Raising Your Child With Loving Guidance for a Lifelong Bond.

The World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS), in collaboration with OPENPediatrics, recognizes World PICU Awareness Week 2025. This initiative aims to raise global awareness about the importance of PICUs and critical care wards worldwide, emphasizing how healthcare professionals in these units, regardless of resource setting, are driving change. From predictive analytics to AI-driven teamwork, this episode explores how pediatric intensive care units across North America are blending technology and human insight to transform care. Hear experts from leading children's hospitals in the U.S. discuss how innovation, frontline collaboration, and a focus on people, not just machines, are shaping the future of critical care for children. HOST Maya Dewan, MD, MPH Division Director, Division of Critical Care Attending Physician, Pediatric Intensive Care Unit & Associate Professor UC Department of Pediatrics Cincinnati Children's Hospital United States of America GUESTS Matthew Zackoff MD, Med Director, Critical Care Fellowship Program Co-Lead Digital Simulation, Center for Simulation and Research Attending Physician, Pediatric Intensive Care Unit Assistant Professor, UC Department of Pediatrics Cincinnati Children's Hospital United States of America Sanjiv Mehta, MD, MBE Sanjiv D Mehta, MD, MBE, MSCE Assistant Professor of Anesthesiology and Critical Care Medicine, University of Pennsylvania School of Medicine Attending Physician, Division of Pediatric Critical Care Medicine, Children's Hospital of Philadelphia Associate Medical Director for Analytics - ICU United States of America Jean Anne Cieplinski-Robertson, MSN, RN Senior Director of Nursing, Critical Care Children's Hospital of Philadelphia United States of America DATE Initial publication date: May 8, 2025. TRANSCRIPTS English - https://cdn.bfldr.com/D6LGWP8S/at/b73v7gmf79nzjt9bt3vg3w/WPAW-25_North_America_Final_English.pdf Spanish - https://cdn.bfldr.com/D6LGWP8S/at/2xjfmjbwfcw739f6f68tj4q/WPAW-25_North_America_Final_Spanish.pdf French - https://cdn.bfldr.com/D6LGWP8S/at/9b4xsp88j7m3t438rpxrc62t/WPAW-25_North_America_Final_French.pdf Portuguese - https://cdn.bfldr.com/D6LGWP8S/at/5bqn4q6fnw8b5gnr6swvvbx/WPAW-25_North_America_Final_Portuguese.pdf Italian - https://cdn.bfldr.com/D6LGWP8S/at/3n2xjk7tvrqgmtwwhx3mb8nb/WPAW-25_North_America_Final_Italian.pdf German - https://cdn.bfldr.com/D6LGWP8S/at/2q58jgjq7p99nxsgmbqp887/WPAW-25_North_America_Final_German.pdf Arabic - https://cdn.bfldr.com/D6LGWP8S/at/ntsn8qpntsfkm65krzs6hqc/WPAW-25_North_America_Final_Arabic.pdf Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Through the Wildlife Futures Program, the University of Pennsylvania School of Veterinary Medicine (Penn Vet) is conducting a study to explore leading causes of mortality in deer with and without CWD within a CWD-endemic area. The study team outfitted deer with GPS-collars programmed to emit a mortality signal to promptly retrieve carcasses for a complete necropsy with associated ancillary tests to determine the cause of death. Early results are in, and we are joined by Dr. Erick Gagne and Dr. Jennifer Hoy-Petersen of Penn Vet to discuss what the team has found so far. Featured Sponsor/Partners Bass Pro Shops & Cabela's   Important Links:   Current Penn Vet Research Follow Nick Pinizzotto on Instagram Follow Brian Grossman on Instagram Sign up for NDA's free weekly e-newsletter   Subscribe to the Podcast on: Apple Podcasts Spotify iHeartRadio   About the National Deer Association The National Deer Association (NDA) is a non-profit deer conservation group that works to ensure the future of wild deer, wildlife habitat and hunting. Thank you for subscribing to our podcast! Support NDA's mission by becoming a member today.

Send us a textIn this conversation, Dr. Paul Offit and pediatrician Jessica Hochman discuss the importance of vaccinations, the challenges of vaccine hesitancy among parents, and the need for nuanced conversations in public health. They explore the impact of the COVID-19 pandemic on public trust, and the science behind vaccination schedules. The discussion emphasizes the importance of understanding parental concerns while advocating for the safety and efficacy of vaccines. About Paul A. Offit, MD!Paul A. Offit, MD, is Director of the Vaccine Education Center and professor of pediatrics in the Division of Infectious Diseases at Children's Hospital of Philadelphia. He is the Maurice R. Hilleman Professor of Vaccinology at the Perelman School of Medicine at the University of Pennsylvania.Dr. Offit is an internationally recognized expert in the fields of virology and immunology, and was a member of the Advisory Committee on Immunization Practices to the Centers for Disease Control and Prevention. He is a member of the Food and Drug Administration Vaccines and Related Biological Products Advisory Committee, and a founding advisory board member of the Autism Science Foundation and the Foundation for Vaccine Research, a member of the Institute of Medicine and co-editor of the foremost vaccine text, Vaccines.He is a recipient of many awards including the J. Edmund Bradley Prize for Excellence in Pediatrics from the University of Maryland Medical School, the Young Investigator Award in Vaccine Development from the Infectious Disease Society of America, a Research Career Development Award from the National Institutes of Health, and the Sabin Vaccine Institute Gold Medal.Dr. Offit has published more than 160 papers in medical and scientific journals in the areas of rotavirus-specific immune responses and vaccine safety. He is also the co-inventor of the rotavirus vaccine, RotaTeq, recommended for universal use in infants by the CDC. For this achievement, Dr. Offit received the Luigi Mastroianni and William Osler Awards from the University of Pennsylvania School of Medicine, the Charles Mérieux Award from the National Foundation for Infectious Diseases, and he was honored by Bill and Melinda Gates during the launch of their Foundation's Living Proof Project for global health.In 2009, Dr. Offit received the President's Certificate for Outstanding Service from the American Academy of Pediatrics. In 2011, he received the Humanitarian of the Year Award from the BiologicDr 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. For more content from Dr Jessica Hochman:Instagram: @AskDrJessicaYouTube channel: Ask Dr JessicaWebsite: www.askdrjessicamd.com-For a plant-based, USDA Organic certified vitamin supplement, check out : Llama Naturals Vitamin and use discount code: DRJESSICA20-To test your child's microbiome and get recommendations, check out: Tiny Health using code: DRJESSICA Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com.The 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.

The amount of time children and adolescents spend with a screen is absolutely stunning. Lots of people, including parents, health leaders, educators, elected leaders from both parties I might mention, and even children themselves, are highly concerned and are discussing what might be done about all this. I'm delighted to begin this series of podcasts on children and screen time. Today we're welcoming two very special guests who can talk about this topic in general, and especially about what's being done to protect children and adolescents. Several podcasts will follow this one that deal with food and nutrition in particular. Our first guest, Kris Perry, is Executive Director of Children and Screens, an organization devoted to protecting children. In the digital world by addressing media's impact on child development, communicating state-of-the-art information, and working with policymakers. Prior to joining children in Screens, Kris was senior advisor of the Governor of California and Deputy Secretary of the California Health and Human Services Agency. Our other guest, Dr. Dimitri Christakis is a professor of pediatrics at the University of Washington School of Medicine, and director of the Center for Child Health Behavior and Development at Seattle Children's. He's also editor-in-chief of JAMA Pediatrics and both Chief Scientific Officer and Chair of the Scientific Advisory Board of Children and Screens. He's also the co-editor of a new book that I'm very excited to discuss. Interview Summary Download The Handbook of Children and Screens: https://link.springer.com/book/10.1007/978-3-031-69362-5 Kris, let's start with you. Could you set the stage and give us some sense of how much time children spend in front of screens, children and adolescents, and what devices are being used and what kind of trends are you seeing? Yes, I'd be happy to. I had better news for your listeners, but as you might imagine, since the advent of the smartphone and social media, the youth digital media use has been increasing each year. Especially as children get older and have increasing demands on their time to use screens. But let's just start at the beginning of the lifespan and talk about kids under the age of two who shockingly are spending as much as two hours a day on screens. Most spend about 50 minutes, but there's a significant chunk spending up to two hours. And that rises to three or three to five hours in childhood. And eventually in adolescence, approximately eight and a half hours a day our adolescents are spending online. Also wanted to talk a little bit about middle childhood children, six to 12 years of age. 70% of them already have a social media account, and we all know social media wasn't designed for children. And there are restrictions on children under 13 using them, and yet children six to 12 most have an account already. Over half of four-year-olds have a tablet and two thirds of children have their own device by the age of eight; and 90% of teens. This probably won't be surprising, and yet we should really think about what this means; that 90% of teens are using YouTube, 60% are on TikTok and Instagram, and 55% use Snapchat. I'll stop by ending on a really alarming statistic. Oh my, there's more? There's more. I know it! I told you. I'll be the bearer of bad news so that we can talk about solutions later. But, children are checking their devices as often as 300 times per day. 300 times. 300 times per day, and we're talking about screen time right now. And we know that when you're using time to be on screens, you are not doing something else. And we know that childhood is full of challenges and skill building and mastery that requires repetition and tenacity and grit and effort. And the more children are on their screens, whether it's social media or other entertainment, they're not doing one of these other critical child development tasks. That's pretty amazing. And the fact that the older kids are spending more time on before a screen than they are in school is pretty alarming. And the younger, the really youngest kids, that's especially alarming. So, Dimitri, why should we fret about this? And I realize that fret is kind of a mild word here. Maybe all I'll panic would be better. But what are some of the major concerns? Well, I don't think panic is ever the right reaction, but the numbers Kris conveyed, you know, I think do paint a, let's say, concerning story. You know, the simple reality is that there's only so much time in a day. And if you think about it, teenagers in particular should sleep for eight to 10 hours a day at a minimum. They really should be in school six and a half, seven hours a day. And then when you add the numbers, Kris conveyed, you realize that something's giving because there isn't enough time left to spend eight and a half hours a day. The two things at a minimum that are giving are sleep. Kids are losing sleep to be on screens. And I'm sorry to say that they're losing school while they're on screens. We just published a paper that used passive sensing to see where and when children are on their screens. And found that the typical child in the United States spends an hour and a half during the school day on their device. And it's not, before any of your guests ask, on Wikipedia or Encyclopedia Britannica. It's on the usual suspects of social media, TikTok, etc. So, you know, we talk about displacement, and I think it's pretty obvious what's being displaced during school hours. Its time focused on learning if it's in the classroom, and time focused on being authentically present in real time and space if it's during recess. School hours are precious in that way, and I think it is concerning that they're spending that much time in school. And I told you the median. Of course, some kids are above that, a significant half of them are above it. And at the high end, they're spending 30 to 40% of school time on screens. Now, some schools have enacted policies. They don't typically enforce them very well. One of the things that drives me nuts, Kelly, is that as an academic, you know we love to argue amongst ourselves and hem and haw. And this issue about whether or not there's such a phenomenon as digital addiction is still being hotly debated. Honestly, the only behavioral addiction that's being seriously considered at this point is gaming disorder. The DSM-5 didn't consider gaming, considered it, but didn't include, it said it needed further study in 2013. In 2022, the WHO did include gaming disorder as an ICD-11 diagnosis. But just as further evidence how slow science is compared to technology., I mean gaming, while it's still an entity, represents a small fraction of most people's screen time. And the numbers that Kris conveyed, a small fraction of that for some on average was gaming. For some people, it's their screen use of choice, but for many, it's social media. YouTube, although I consider YouTube to be a social media, etc. And at the high end when you hear the numbers Kris conveyed in my mind that's a behavioral addiction any way you define it. Well, and if you think about things that we all agree are addictive, like nicotine and alcohol and heroin, people aren't doing it 300 times a day. So it's really pretty remarkable. And that's exactly right. One of the salient criteria for those addictions is that it's interfering with activities of daily living. Well, you can't be on a screen for nine hours a day when you're supposed to be asleep for 10 and at school for six without interfering with activities of day. The math isn't there. And things like being physically active and going out and playing. That's right. It doesn't add up. So, you don't need the DSM-5. You don't need a psychiatrist. You need a mathematician to tell you that there's too much time on this thing. Alright, so Kris, talk to us if you will, about the Children and Screens organization. I have a lot of respect for the organization and its work. Tell us how it got started and what its objectives are. Well, it's so great to be on this show with you and get to see you in your day job, Kelly. Because you've been an advisor, like Dimitri, to the institute almost since its inception, which is in 2013. As you know, our founder, Dr. Pamela Hurst-Della Pietra, really became concerned as a parent about the way digital media was impacting her children and sought out some answers. Well, what does this mean? Why is this happening? What should I do? And found out that this, of course, is 2013, this is a long time ago. There wasn't that much research yet. And it was multidisciplinary. In other words, there might be a study among neuroscientists or developmental psychologists, even ophthalmologists. But there really hadn't been, yet, a concerted effort to bring these different disciplines and the research together to try to answer some of these hard questions about the impact on kids. And lo and behold, here we are, almost 13 years since the advent of the smartphone and social media. And there is an astounding amount of research across disciplines. So, what we do at the institute is we try to translate it as fast as we can and make it actionable for parents, providers, and policy makers. And we do that through our Ask the Experts webinar series where we bring the experts themselves directly to our audience to talk about these impacts and answer questions. We also create printables, you might say, like tip sheets and Research at a Glance Digest, and newsletters and FAQs and we've upgraded our website to make it very navigable for parents of kids of all ages. I even started my own podcast this year, which has been really fun. Dimitri was my first guest, so it's great to see him here. And we have convenings. We're having our third Digital Media Developing Mind Scientific Congress this summer where the experts come together in person to discuss issues. And we really try to focus them on advancing research and supporting it, translating it, and positioning the issue as a policy priority. We'll be in Washington, DC where we know lawmakers are grappling with the impact of digital media on child development, how to make online, products safer for kids and protect their data. The Institute is in the middle of all of this, trying to facilitate more discussion, more results and more support for parents primarily. Kris, a couple of things occur to me. One is that the breadth of work you do is really very impressive because you're not only having very hands-on kind of in the real world ex advice for parents on how to navigate this world, but you have advice for and helpful resources for policy makers and for researchers and people. It's really quite an impressive breadth of work. The other thing that occurred to me is that I don't think you and I would have any podcast career at all if it hadn't been for Dimitri helping us out. So thanks Dimitri. Yeah. So, let me ask you, Dimitri, so I know that both you and Kris are committed to an evidence-based approach to making policy. Yeah. But technology advances way more quickly than scientists can evaluate it. Much less come up with policies to deal with it. And by the time research gets funded, completed, published, you're on to eight new levels of technology. So how does one handle this fundamental problem of pace? It's a really good question. I mean, I can tell you that we should at a minimum learn from the mistakes we've made in the past. And, you know, one of the most critical, frankly, that most people don't really understand is that we talk about the age at which children get social media accounts in this country. Kris pointed out that actually pre-teens routinely have social media accounts. Social media companies do very little to age gate. They're trying to do more now, but even the age at which we've accepted it is being normative is 13. Few people know where that comes from. That doesn't come from talking to pediatricians, psychologists, parents about what age is the appropriate age. It comes entirely from COPPA (Children's Online Privacy Protection Act), which basically was the original privacy act that said that before the age of 13, companies could not collect data from children. So, because these companies were interested in collecting data, they set the age at 13 so as to not have any constraints on the data they collected. Well, that's not even common sense-based policy, let alone evidence-based policy. And it's never been revisited since. It's very troubling to me. And as things move forward, I think we have to learn from those mistakes. Medicine has a maxim which is do no harm. We use that phrase a lot and I think it's a good one in this case. I think it's a particularly good one as we see the new technologies emerging around artificial intelligence. And you know, again, like any new technology, it has incredible upside. We made the mistake and we're still paying for it, about not appreciating the downsides of social network sites, and frankly, the internet in general. And I would hope we put guardrails in place now. And if you will apply the same standard we apply to other non-technology based products. You can't introduce a new pharmaceutical to anybody, let alone to children, until you show it's safe and effective. You can't bring toys to the world that are dangerous. Why do we have more safety precautions around toys than we do around websites for children? You know, a lot of it involves changing defaults, doesn't it? Because if the default is that government or somebody out there has to prove that something is harmful before it gets taken away. That changes everything then if you began at a different point where these companies have to prove that these things are safe. Correct. Or they're permitted. Then the companies would find workarounds and they would play games with that too, but at least that would help some. Well, it would help some. And at least we'd be philosophically in the right place. By the way, Kris didn't say it, so I'll say it. You know, the mission of Children and Screens, lest we sound like Luddites here, is not get kids away from technology. Take away their smartphones. We all recognize that technology is here to stay. I think all of us appreciate the incredible upside that it brings to children's lives. The mission of Children and Screens is to help children lead healthy lives in a digital world. And part of the reason she and I often talk about the concerns we have is because the pros make the case for themselves. I mean, you know, no one needs to come here and tell you how amazing it is that you could Google something or that you could get somewhere with GPS. I mean, we know it's amazing and we all rely on it. And none of us are ever talking about getting rid of that stuff. That makes good sense. It's like, you know, children benefit from the fact that they can get around with their parents in the automobile. But you want to have car seats in there to protect them. Exactly. And that's exactly right. There needs to be assurances of safety and they're none. I mean, they're really virtually none. The age getting is a joke. And even if we accept it as effective, the age set of 13 is too young, in my opinion. We started this conversation talking about these medias being addictive, I believe they're addictive. There are legitimate academics that will debate me on that, and I'm happy to join that debate. But as I said before, it's a tough argument to win when people spending upwards of 10 to 16 hours a day doing it. I don't know what you call that besides addictive. We can argue about what percentage are doing that, but nevertheless, once you accept something as addictive, for other addictive things we immediately age gate it above 18 or 21, right? Mm-hmm. We don't believe that the teenagers have the ability to regulate their alcohol or tobacco or gambling, all of which we accept are addictive. In fact, in the case of alcohol, we raised the age from 18 to 21 because we thought even 18-year-olds weren't able to do it. And yet somehow for this behavior, we think of it as just so different that it doesn't require greater cognitive capacity. And I don't believe that. Yeah, very good point. Kris, let me ask you a question about how you and your colleagues at Children and Screens set priorities because there are a lot of things that one could potentially worry about as outcomes. There's violence that kids see on social media. There's cognitive and brain development, social developments, social interactions, and bullying. Mental health, body image, diet, all these things are out there. How do you decide what to work on? Well, we try to work on all of it. And in fact, we've built up a fair amount of expertise and resources around almost 25 different topics. And we also understand that, you know, childhood is a long period of time. Birth to 18, birth to 21, birth to 25, depending on who you talk to. So, we're able to take those 25 topics and also provide deeper, you might say, resources that address the different stages of development. We're really trying to do as much as we can. What's been interesting over these last few years is trying to figure out when to be reactive, when to be proactive. And by being proactive, we go out looking for the research, translating it, digesting it, and creating materials with it that we think are really accessible and actionable. At the same time, as Dimitri points out, there are policy windows and there are opportunities that present themselves that you have to react to. If you just only talk about what you want to talk about to each other you're missing some of these external opportunities to inform policy and policy makers. Help influence the way that parents and providers are talking about the issue. Framing it in such a way that engages youth and makes them want what we want for them. We're really excited by increasing opportunities to partner in coalitions with others that care about kids and teachers and nurses and doctors. But we also are speaking directly to leaders in states and school districts at the federal level, at the local level. You would be, I'm sure, not surprised to hear that we are contacted every day by groups that support parents and families. Asking for resources, asking for support, because they're seeing the impact now over many years on their children, their development. Their academic ability. Their cognitive and analytical ability. Their social emotional ability. Their ability to pay attention to tasks that we all know are critical in building that foundation for essentially, you know, future success. The Institute is being pulled in many directions. Ee try really hard to be strategic about what are people asking us for? What does the research say and how can we get that to them as quickly as possible? Dimitri - Can I add to that? You know, I want to emphasize that the concern around the effects of screen use on children's lives is shared by parents on both sides of the aisle. 75% of parents are concerned about the impact of screens on their children's lives. 35% of teenagers are concerned about their dependents on screens and that it has a negative effect on their lives. Actually by some studies, some surveys, even more than 35 to 50% of teenagers are concerned. And both sides of the political aisle agree in large part of this. And Kris and Kelly, you guys are the policy wonks, you can speak more to that. So it's a serious indictment on us as grownups and as a society that we have not done more to deliver on this issue. Why? When there's bipartisan agreement amongst many policymakers. This is not a political [00:22:00] issue to speak of and there is widespread concern on the part of parents and even teenagers. Why is nothing happening? Well, one has to look no further than where the money is. And that's a problem. I mean, that's a serious indictment on our political system when we can't deliver something that is needed and basically wanted by everybody but the industry itself. We'll come back and talk in a few moments about the policy issues and where industry gets involved here. But let me take just a bit of a detour from that and talk about the book that I mentioned earlier, because I think it's such a valuable resource. Now, when I mention the name of this book I'm urging our listeners to write this down or to remember it because you can get the book at no cost. And I'll come back, Kris, and explain what made that possible and why the decision was to make this an open access book. But Dimitri, let's begin with you. So you, along with Lauren Hale, edited this book that's entitled, The Handbook of Children and Screens: Digital Media Development and Wellbeing From Birth Through Adolescence. I think it's an extraordinary piece of work, but tell, tell us about the book.  It was an extraordinary undertaking. There's I think 178 or 180 authors. Literally, it's a who's who of experts in children and media research in all disciplines. It represents pediatrics, psychiatry, psychology, communications experts, demography, lawyers, neuroscientists. I don't know who I'm forgetting. Every single discipline is represented. Leading scientists in all of those areas. Virtually every topic that someone might be of interest to people. And we deliberately made the chapters short and easily accessible. So, it is, I think, a great resource for the constituents we serve. For teachers, for parents, for researchers, for policymakers. And it is free. The hardest part of it, to be honest, as an editor, was getting peer reviewers because unfortunately, every expert was conflicted since they all had an article in it. But it was a long time coming. And again, this was really the brainchild of Pam (Pamela Hurst-Della Pietra) and we're grateful to have brought it along. So, you go all the way from the neuroscience, how children's brains are reacting to this, all the way out there into the public policy and legal arena about what can be done about it. And then kind of everything in between. It's remarkable how much the book covers. It's almost a thousand pages. I mean, it is a tome to be sure. And don't forget to mention, Dimitri, we aren't even two months post publication, and we have 1.6 million views of the document, despite its gargantuan size. I think that is really a tribute to experts like you and others that have really studied this issue and can speak directly to its impacts. It's been great to see the success so far. You know, not a small number of those views is from me logging on. And then a million from me and then we got there. So, it is free because it's online and you can download it. You can also order a hard copy for I think, $60, but I'm not sure why you would do that if you can download it for free. But it's up to you. So, Kris, it's unusual for a book like this to be made open access and free to the general public. What made that possible and why was that so important? We want the maximum number of people to use it and treat it like the premier resource that it is. And the only way you can really do that is to fund it to be open access and find a publisher that does open access publishing, which we did with Springer. I mean, most journal articles are behind a paywall and publishers do require you to purchase either a subscription or the document itself to download it or order it. And we just really wanted maximum access. So, we funded it to be published in that way. And I think honestly, it helped us even sort of create it in the first place. People want to be a part of something that has that level of access and is available so widely. So, I think it was a kind of mutually beneficial. It gets more people to read it, but it got more people to write for it too, I think. Right, Dimitri? Dimitri - I agree. I mean, you know, the numbers 1.6 million are extraordinary. I mean, Kelly, you've been internal editor. I mean, as a editor of JAMA Pediatrics, if an article gets 70,000 views, it's in our top 1%, you know, 200,000 views is 0.01%. 1.6 million in growing is really extraordinary. And that's about the number of people that read my articles. 1.6. And of course, they're not all scientists. I mean, many of them are parents and maybe are policy makers, but that's Kris's point, you know. The moment anyone hits a paywall, even if it's a dollar or two, they're going to walk away. It's great to see it get so much traction. Alright, so again, for our listeners, the title of the book is The Handbook of Children and Screens. And it's really a terrific resource. Alright, so let's turn our attention to a really important matter. And we've sort of touched on this, but who's in charge of protecting our children? You know, Dimitri at the end of the day help survey this landscape for us. I mean, is it congress, is it the administrative branch of government? What role do the courts play? Are there legal actors taking meaningful action? What's being done does it come anywhere near, meeting the need. Tell us about what that landscape is like? Well, there isn't adequate protections for children. And we talked a little bit about that earlier. There's been an enormous loophole, unfortunately, created by Congress when they added the Section 230 to the Communications Decency Act in 1996. And that was put in place essentially to provide protections for internet companies. And it basically said that they should be treated like bookstores and not publishers. That they weren't responsible for content they were just conveying it. And what that means, in effect, was that the companies had sort of carte blanche to do whatever they want. And they've used that very effectively, legally, to argue that any restriction, any culpability on their part, is protected by that Act. That they're exonified for any ill that occurs as a result of their product. The only exception that's been made of it, to date, was around sex trafficking on back page, if anyone remembers that. But other than that, social media sites and internet sites in general have been able to say that they're not liable for anything that's done. And I think that was a huge mistake that was made. It needs to be rectified. It's being challenged in the courts presently. My own belief is that, and I'm not speaking as a lawyer, is that when that law was passed, it was under the assumption as I said, that they were just conveying information. No one at the time foresaw the development of algorithms that would feed the information. It's really not a bookstore when you are making recommendations. Once you start recommending things, I think you're no longer merely a purveyor of product. You're actually pushing it. So, Kris, tell us about the Children and Screens and the role the organization plays in this space. And how do you deal with policy and is it possible to be bipartisan? Yeah, I mean, it's essential. There's no way to get anything done, anywhere on these policy matters at a population level without working in a bipartisan or non-partisan manner, which is what we've always done. And it's easy to do that when you're following the science, not ideology. And you're putting the science first and you're creating resources and tools and support for those mostly staffers, honestly, that are trying to help their bosses get smarter and better at talking about these issues as they evolve and become more complicated over time. It takes more effort to staff a lawmaker on this front. And they're very anxious to learn and understand because they're meeting with parents of children who have been harmed. Or frankly didn't even survive their childhood because of the social media platform. There's great urgency on the part of policymakers. We've heard everything from school phone bans to outright social media bans proposed as policies. And one thing I like to come back to is it's one thing to want to take action and make your best guess at what would have the best impact. But it's another thing to study whether or not that policy actually achieved its result. And it's a part of this that by staying bipartisan, nonpartisan allows us to say, 'Hey lawmaker, if you're able to get that to happen, we'd really like to come in and help study whether or not your idea actually achieves the results that you wanted, or if it needs to be adjusted or amended over time.' Fantastic. That's so important to be doing that work, and I'm delighted the organization is doing it. Let me ask a question here. If you think about some of the areas of public health that I've been following, like tobacco, for example. Opioids more recently. Vaping products. And in the case of my own particular work food policy. The administrative legislative branches of government have been almost completely ineffective. If I think about food policy over the years, relatively little has been accomplished. Even though lots of people have worked really hard on it. Same thing happened with tobacco for many years. Opioids, same thing.  And it's until you get the third branch of government involved, the judiciary, and you start suing the actors who were causing the harm do you get much action. Not only do the lawsuits seem to have an effect, but they soften the ground for legislative things that then can occur because public opinion has changed. And then those things help make a difference as well. What do you think about that kind of issue in this space?  I think you're exactly right. I mean, I think the failure of our legislative branch to enact policy leaves us with very few options at this point anyway, except to try to pursue it through the judiciary. There are challenges there. First and foremost, it's a big and well-funded industry, not unlike tobacco or big food, as you mentioned and there's this Section 230 that's given them kind of blanket immunity to date. But there are many, many very large pending cases in several jurisdictions brought by individuals, brought by school districts, brought by states. And those, at least provisionally have gotten further than prior cases have with which have been thrown out based on Section 230. So, we'll see what happens with that litigation. But right now, my guess is it's the best chance we have to set some guardrails. And I think there are plenty of guardrails that could be set. Everything that these companies have done to make their products addictive can be undone. Can be made protective. The tobacco company deliberately designed their products to be addictive. While they tried to make the claims that they were less addictive, you know. They made light cigarettes that had holes in the filter so that it would diffuse the carbon and nicotine, but people quickly learned they could cover those up with their fingers and think they were smoking light cigarettes, and smoke more of them. There's a lot of things that can be done in this space to undesign the problematic nature of the products. And quite apart from the financial settlements, which will get companies attention, I hope that that's part of any settlement if it gets that far. It'll be interesting to see where those go. And, also historically, one important part of these lawsuits is what gets turned up in discovery. And what sort of intent the companies have and how much do they know about harms. And how much do they know about addiction and things like that. And how they might have proceeded in the face of that information that then doesn't get disclosed to the public. In any event, we'll see where that goes. Dimitri, what about the argument that responsibility resides with parents. It's up to parents to protect their kids from this, and government doesn't need to be involved. I've never understood that argument. I mean parents obviously are children's most important safeguard, but as a society, we enact policies and laws to assist parents in that. I mean to me, if I made the argument, well, why, why do we have minimum ages of drinking. It's parents' job to make sure their kids don't drink. How would that possibly play out? Look, it's hard enough as a parent anyway, because kids do get around these laws. But we still have them and it's a lot easier as a parent. I think most parents would agree their life's made easier by minimum age restrictions on certain things. We have seatbelt laws. I mean, why do we have seatbelt laws? Why don't we just tell its parents' job to make sure their kids buckle up? The truth is its society and parents working hand in hand to try and keep children safe. And I think it also helps parents to be able to say that there are laws around this, and I expect you to follow the laws. So, I don't think it's an either or. Okay, well, I think that's a very good way to frame it. There are many, many precedents where we protect children. And why not do it here too? So let me end with a question I'd like to ask both of you. So, in this sea of concerns that we've discussed, is there a reason for optimism? And Kris, let me start, start with you. What do you think? Absolutely. I think the young people I've met that are leading among their peers are incredibly impressive and are armed with the research and their energy and their own lived experience in ways that are very compelling. At the same time, I think the vast amount of research that has now been compiled and translated and acted upon, whether in courtrooms or in state houses, it's becoming more, and we're all getting more steeped and aware of more nuanced information. And finally, I would just say, there is a tipping point. We are reaching as a society, adults and kids alike, we are reaching a tipping point where we can't withstand the pressure of technology in every aspect, every corner of our day, our life. And we want relief. We deserve relief. And I think that's what's going to take us over the finish line. Good. Well, I'm glad to hear those optimistic notes. Dimitri, what about you? I can find reasons to be optimistic. I mean, look, the reality is that technologies have enriched our lives in many ways. And I think if we put guardrails in place, we can make sure that future ones do even better. I have a piece coming out in JAMA Pediatrics around the use of AI, which people are very concerned about, I think rightly. But specifically, about the use of AI and people with intellectual developmental disabilities, making the use case, that there are ways in which it could be extremely beneficial to that population. A population I care deeply about in my role as the Chief Health Officer at Special Olympics International. And in particular, let's say in terms of the doctor patient interaction where it could facilitate their communication with their provider, and it could also help the provider better communicate with them. Look, that use case isn't going to be a priority for the purveyors of artificial intelligence. It's a small, non-lucrative use of a technology. But it's a good one. And if we created the right incentives and put in the right guardrails, we could find many other ways that technology can serve the needs of all of us going forward. I think the problem is that we've tended to be reactive rather than proactive. And to not start with the do no harm first premise, particularly when it comes to children. AI is another example of that where I hope we don't make the same mistake we made with social media. Bios Kris Perry is the executive director of the Children and Screens Institute. Kris most recently served as Senior Advisor to Governor Gavin Newsom of California and Deputy Secretary of the California Health and Human Services Agency where she led the development of the California Master Plan for Early Learning and Care and the expansion of access to high-quality early childhood programs. She led systems change efforts at the local, state and national levels in her roles as executive director of First 5 San Mateo, First 5 California and of the First Five Years Fund. Through it all, Perry has fought to protect children, improve and expand early learning programs, and increase investments in low-income children. Perry was instrumental in returning marriage equality to California after the landmark 2013 U.S. Supreme Court ruling Hollingsworth v. Perry, which she wrote about in her book Love on Trial (Roaring Forties Press, 2017). Dimitri Christakis, MD, MPH is the Children and Screens Institute's inaugural Chief Science Officer. He is also the George Adkins Professor at the University of Washington, Editor in Chief of JAMA Pediatrics, and the Chief Health Officer at Special Olympics International. Christakis is a leading expert on how media affects child health and development. He has published over 270 peer reviewed articles (h-index 101) including dozens of media-related studies and co-authored a groundbreaking book, The Elephant in the Living Room: Make Television Work for Your Kids. His work has been featured on Anderson Cooper 360, the Today Show, ABC, NBC, and CBS news as well as all major national newspapers. Christakis received his undergraduate degree at Yale University and his medical training at the University of Pennsylvania School of Medicine and completed his residency and Robert Wood Johnson Clinical Scholar Fellowship at the University of Washington School of Medicine. 

Russell Ramsay, Ph.D., is a clinical psychologist and an Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania School of Medicine. He serves as the Associate Director of Penn's Adult ADHD Treatment and Research Program, with a particular expertise in psychosocial treatments for adults with ADHD. Russell is here to discuss the diagnosis of ADHD between adolescents and adults, while also discussing benefits of certain therapies amongst the age ranges.

Stand Up is a daily podcast that I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 700 awesome, curious, kind, funny, brilliant, generous souls Check out StandUpwithPete.com to learn more Dr. Aaron E. Carroll is President & CEO of AcademyHealth. A nationally recognized thought leader, science communicator, pediatrician, and health services researcher, he is a passionate advocate for the creation and use of evidence to improve health and health care for all.  Before joining AcademyHealth, Dr. Carroll was a Distinguished Professor of Pediatrics and Chief Health Officer at Indiana University, where he also served as Associate Dean for Research Mentoring and the director of the Center for Pediatric and Adolescent Comparative Effectiveness Research at Indiana University School of Medicine. He earned a B.A. in chemistry from Amherst College, an MD from the University of Pennsylvania School of Medicine, and an M.S. in health services from the University of Washington School of Public Health, where he was also a Robert Wood Johnson Clinical Scholar. Dr. Carroll's research focused on the study of information technology to improve pediatric care, decision analysis, and areas of health policy including cost-effectiveness of care and health care financing reform. He is the author of The Bad Food Bible and the co-author of three additional books on medical myths. In addition to having been a regular contributor to The New York Times and The Atlantic, he has written for many other major media outlets and is co-Editor-in-Chief at The Incidental Economist, an evidence-based health policy blog. He also has a popular YouTube channel and podcast called Healthcare Triage, where he talks about health research and health policy. Join us Thursday's at 8EST for our Weekly Happy Hour Hangout!  Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on YouTube  Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Follow and Support Pete Coe Buy Ava's Art  Hire DJ Monzyk to build your website or help you with Marketing Gift a Subscription https://www.patreon.com/PeteDominick/gift

Join Elevated GP: www.theelevatedgp.com Free Class II Masterclass - Click Here to Join Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Mark A. Latta, D.M.D., M.S., professor of general dentistry,served as dean of the School of Dentistry from 2011 to 2021.  Prior to the dean's appointment, he served as the Associate Dean for Research at Creighton University School of Dentistry since 1995.  He personally has been awarded more than 140 research grants on prosthetic dental restorative materials, adhesives and bonding and dental material clinical trials.  A speaker and lecturer of international renown, he has published more than 85 manuscripts and more than 200 abstracts and presented at numerous state and national dental association meetings and throughout the world. Prior to joining Creighton, Latta served as director of Research and Development for the Trubyte Division of Dentsply International, York, PA.  During his industrial career he contributed to or was responsible for more than 20 new dental product introductions and is an inventor or co-inventor of numerous patents.   He earned his dental degree at the University of Pennsylvania School of Dental Medicine in 1983, and his master's degree in oral biology from the University of Maryland Baltimore College of Dental Surgery in 1995. He also spent one year in hospital general practice residency at York Hospital, York, PA.   Dr. Latta, a Fellow in the American College of Dentists and the International College of Dentists is also a member of Omicron Kappa Upsilon, the national honorary dental society.  He has also served as president of the Dental Materials Group and the International Association for Dental Research.

Stand Up is a daily podcast that I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 700 awesome, curious, kind, funny, brilliant, generous souls Check out StandUpwithPete.com to learn more GET TICKETS TO PODJAM II In Vegas March 27-30 Confirmed Guests! Professor Eric Segall, Dr Aaron Carroll, Maura Quint, Tim Wise, JL Cauvin, Ophira Eisenberg, Christian Finnegan and The Ladies of The Hue will all join us!   Dr. Aaron E. Carroll is President & CEO of AcademyHealth. A nationally recognized thought leader, science communicator, pediatrician, and health services researcher, he is a passionate advocate for the creation and use of evidence to improve health and health care for all.  Before joining AcademyHealth, Dr. Carroll was a Distinguished Professor of Pediatrics and Chief Health Officer at Indiana University, where he also served as Associate Dean for Research Mentoring and the director of the Center for Pediatric and Adolescent Comparative Effectiveness Research at Indiana University School of Medicine. He earned a B.A. in chemistry from Amherst College, an MD from the University of Pennsylvania School of Medicine, and an M.S. in health services from the University of Washington School of Public Health, where he was also a Robert Wood Johnson Clinical Scholar. Dr. Carroll's research focused on the study of information technology to improve pediatric care, decision analysis, and areas of health policy including cost-effectiveness of care and health care financing reform. He is the author of The Bad Food Bible and the co-author of three additional books on medical myths. In addition to having been a regular contributor to The New York Times and The Atlantic, he has written for many other major media outlets and is co-Editor-in-Chief at The Incidental Economist, an evidence-based health policy blog. He also has a popular YouTube channel and podcast called Healthcare Triage, where he talks about health research and health policy. Join us Thursday's at 8EST for our Weekly Happy Hour Hangout!  Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on YouTube  Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Follow and Support Pete Coe Buy Ava's Art  Hire DJ Monzyk to build your website or help you with Marketing Gift a Subscription https://www.patreon.com/PeteDominick/gift      

In this episode, our host interviews Dr. David Burns about his methods for overcoming negative thoughts and promoting joy using CBT techniques. Dr. Burns discusses various techniques and introduces his new digital tool, the Feeling Great app, which tracks personal feelings to facilitate quick and effective therapy, using advanced methods to help users change their thought patterns and emotions. Additionally, Dr. Burns emphasizes the importance of measurements in therapy for accountability and optimization, while promoting the availability of scientifically backed, drug-free treatment options for depression and anxiety, revealing his commitment to revolutionizing mental health care through his app and other resources. Listen now! “If you look at the DSM, the diagnostic and Statistical manual, hundreds of so-called mental disorders that are described. So whatever emotion you have, it can be turned into a mental disorder. So if you're shy and most of us get anxious in public speaking or around other people, well, you don't. You're not shy. You have a mental disorder called social anxiety disorder. And that really, excuse the language, pisses me off when they do that, because you've taken a very common problem and turned it into a mental disease, and then people think they need some pill for that. And to me, that's meaningless and it's, it's wrong.” ~Dr. David Burns, Adjunct Clinical Professor Emeritus of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine To learn more -- or read the transcript -- please visit the official episode page. Our guest, Dr. David Burns, graduated magna cum laude from Amherst College, received his M.D. from Stanford University School of Medicine, and completed his psychiatry residency at the University of Pennsylvania School of Medicine. He has served as Acting Chief of Psychiatry at the Presbyterian / University of Pennsylvania Medical Center (1988) and Visiting Scholar at the Harvard Medical School (1998), and is certified by the National Board of Psychiatry and Neurology. Dr. Burns is currently Adjunct Clinical Professor Emeritus of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine, where he is involved in research and teaching. He has received numerous awards, including the A. E. Bennett Award for his research on brain chemistry, the Distinguished Contribution to Psychology through the Media Award, and the Outstanding Contributions Award from the National Association of Cognitive-Behavioral Therapists. He has been named Teacher of the Year three times from the class of graduating residents at Stanford University School of Medicine, and feels especially proud of this award. In addition to his academic research, Dr. Burns has written a number of popular books on mood and relationship problems. His best-selling book, Feeling Good: The New Mood Therapy, has sold over 4 million copies in the United States, and many more worldwide. Feeling Good is the book most frequently “prescribed” for depressed patients by psychiatrists and psychologists in the United States and Canada. Surveys indicate that American mental health professionals rate Feeling Good as the #1 book on depression, out of a list of 1,000 self-help books. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Lauren Yap joins host Dr. Joel Berg to chat about the upcoming AAPD Pediatric Oral Health Advocacy Conference (POHAC) in Washington, DC. Each year, hundreds of early career pediatric dentists visit the nation's capital to advocate for the issues impacting the profession and optimal oral health of all children with congressional staff. Dr. Yap shares her experiences as a previous POHAC attendee, as well as how she encourages her peers to seize any opportunity to be a strong voice for themselves and their patients, whether it be in the operatory to the state or national level. Guest Bio: Lauren C. Yap, DMD, MPH, is a Clinical Associate Professor in the Division of Pediatric Dentistry and serves as the Assistant Program Director for the Postdoctoral Pediatric Dental Residency Program at the University of Pennsylvania School of Dental Medicine and Children's Hospital of Philadelphia. She earned her dual degree in Dentistry (DMD) and Public Health (MPH) from the Temple University Kornberg School of Dentistry and College of Public Health in 2019 and subsequently completed an Advanced Education in General Dentistry Certificate in Hawaii, followed by a Pediatric Dentistry Certificate at Geisinger Medical Center in Danville, PA. Board-certified by the American Board of Pediatric Dentistry, Dr. Yap is an active leader in the field, currently serving as the Pennsylvania Public Policy Advocate for the American Academy of Pediatric Dentistry (AAPD) and as a member of the Committee on Scientific Affairs. She is also a recent graduate of the ADA Institute for Diversity in Leadership (2024) and proudly serves as the Third District Representative for the American Dental Political Action Committee (ADPAC). Before pursuing her dental education, Dr. Yap worked as an elementary school math teacher and served as a research assistant at the National Institutes of Health (NIH) within the Center for Asian Health.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week at NSTA: The Bus Stop - Executive Director Curt Macysyn is joined by  Gerry Wosewick, Executive Director of the Pennsylvania School Bus Association. Gerry and Curt delve into the Under the Hood Exemption and address some common misconceptions. The duo discuss the recent transition in the PSBA Presidency. Gerry highlights the upcoming legislative session in the Commonwealth of Pennsylvania and the items PSBA will be monitoring. Lastly, the duo preview the upcoming Baseball season. Become a subscriber and listen to a new episode of NSTA: The Bus Stop every week - targeted advertising packages are available too!Support the show

Authoritarian parents. Permissive parents. Disengaged parents. Lighthouse parents. How would you describe the parents you had as a kid and, more importantly, what type are you now that you're a parent? The answer could speak volumes about how you interact with your kids when it comes to the rules of the house, how to build resilience, and how much you value expressing emotions. And it will likely determine just how strong the bond is between you and your kids for the rest of their lives. On this episode of Paternal, Dr. Kenneth Ginsburg -  a pediatrician specializing in Adolescent Medicine at the Children's Hospital of Philadelphia and a Professor of Pediatrics at the University of Pennsylvania School of Medicine - breaks down the different styles of parenting and which one consistently yields the best results for children. He also discusses a pair of challenges often echoed by fathers on Paternal - how to honor your kids' emotions instead of shutting them down, and why it's crucial to show yourself some grace in front of your kids.  Dr. Ginsburg is the author of three books on parenting including Lighthouse Parenting, available wherever you buy books beginning March 18.

Richard Feifer, MD, Chief Medical Officer of InnovAge, joins Eric to explore the transformative potential of the PACE (Program of All-Inclusive Care for the Elderly) model. Richard shares compelling stories and strategies showcasing how PACE integrates medical, physical, social, and emotional care to improve outcomes for seniors and individuals with complex needs. Listeners will gain insights into: The unique interdisciplinary care team (IDT) approach and how it delivers personalized, efficient care. Innovations in reducing hospitalizations and shifting care to home-based settings. Lessons on advanced care planning and end-of-life support that prioritize patient goals. Operational strategies for managing costs while maintaining exceptional patient experiences. Richard explores the economic and practical sustainability of the PACE model, providing actionable insights for healthcare leaders aiming to replicate its success.   About Richard As a physician executive with broad healthcare industry experience, Dr. Richard Feifer helps organizations achieve their fullest potential in an ever-changing environment. Rich is a board-certified internist with clinical experience in primary care, geriatrics, and urgent care medicine.  As a health system leader, he has also developed expertise in population health management, value-based payment models, clinical analytics, and technology-driven healthcare transformation.   Rich has dedicated his career to improving the quality and efficiency of healthcare and the health of populations he has served. Most recently, as executive vice president and chief medical officer of Genesis HealthCare, he led one of the nation's largest skilled nursing and long-term care providers, operating over 400 facilities in 25 states in 2019. As president of Genesis Physician Services, a Genesis subsidiary with over 450 physicians, nurse practitioners, and physician assistants in 2019, he navigated the successful transition to value-based care delivery. In that capacity, he also launched and served as chief medical officer of the only national accountable care organization focused on nursing home residents, LTC ACO.   Prior to joining Genesis, Rich was Aetna's chief medical officer of National Accounts, leading the department of Clinical Consulting, Strategy, and Analysis, which helped large employers improve the health and productivity of their employees and dependents. Before Aetna, Rich served as vice president of Clinical Program Innovation and Evaluation at Medco, where he was responsible for the organization's portfolio of care enhancement programs.   A graduate of Brown University and the University of Pennsylvania School of Medicine, Rich received his master's in health services management from Columbia University. He is an assistant clinical professor at the University of Connecticut and a board member of the Accreditation Commission on Health Care.    About InnovAge Our passion and mission is to help frail seniors age in their own homes with dignity. InnovAge has done this through PACE for more than 30 years.    As the largest provider of the Program of All-inclusive Care for the Elderly (PACE) based on participants served, InnovAge is dedicated to expanding this successful program to serve as many seniors as possible nationwide. In some communities, like Philadelphia, PACE is known as Living Independence for the Elderly.    With InnovAge's Program of All-inclusive Care for the Elderly (PACE), older individuals have a team of healthcare professionals focused on providing all the connected care they need. This helps seniors live at home for as long as possible, instead of going to a nursing home or other care facility. 

On this week's Tech Nation, Moira speaks with Dr. David Fajgenbaum, a Professor at Pennsylvania School of Medicine, and President of Every Cure, talks about his efforts to unlock the hidden potential of existing drugs to save his own life, and others. Then, NPR science correspondent Nell Greenfieldboyce talks about her take on being a science journalist and about her book, “Transient and Strange… Notes on the Science of Life”.

On this week's Tech Nation, Moira speaks with Dr. David Fajgenbaum, a Professor at Pennsylvania School of Medicine, and President of Every Cure, talks about his efforts to unlock the hidden potential of existing drugs to save his own life, and others. Then, NPR science correspondent Nell Greenfieldboyce talks about her take on being a science journalist and about her book, “Transient and Strange… Notes on the Science of Life”.

Stand Up is a daily podcast that I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 700 awesome, curious, kind, funny, brilliant, generous souls Check out StandUpwithPete.com to learn more GET TICKETS TO PODJAM II In Vegas March 27-30 Confirmed Guests! Professor Eric Segall, Dr Aaron Carroll, Maura Quint, Tim Wise, JL Cauvin, Ophira Eisenberg, Christian Finnegan and More! Dr. Aaron E. Carroll is President & CEO of AcademyHealth. A nationally recognized thought leader, science communicator, pediatrician, and health services researcher, he is a passionate advocate for the creation and use of evidence to improve health and health care for all.  Before joining AcademyHealth, Dr. Carroll was a Distinguished Professor of Pediatrics and Chief Health Officer at Indiana University, where he also served as Associate Dean for Research Mentoring and the director of the Center for Pediatric and Adolescent Comparative Effectiveness Research at Indiana University School of Medicine. He earned a B.A. in chemistry from Amherst College, an MD from the University of Pennsylvania School of Medicine, and an M.S. in health services from the University of Washington School of Public Health, where he was also a Robert Wood Johnson Clinical Scholar. Dr. Carroll's research focused on the study of information technology to improve pediatric care, decision analysis, and areas of health policy including cost-effectiveness of care and health care financing reform. He is the author of The Bad Food Bible and the co-author of three additional books on medical myths. In addition to having been a regular contributor to The New York Times and The Atlantic, he has written for many other major media outlets and is co-Editor-in-Chief at The Incidental Economist, an evidence-based health policy blog. He also has a popular YouTube channel and podcast called Healthcare Triage, where he talks about health research and health policy. Join us Thursday's at 8EST for our Weekly Happy Hour Hangout!  Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on YouTube  Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Follow and Support Pete Coe Buy Ava's Art  Hire DJ Monzyk to build your website or help you with Marketing     Gift a Subscription https://www.patreon.com/PeteDominick/gift

In this episode of the RWS Clinician's Corner, Dr. Nancy O'Hara shares invaluable resources for parents and practitioners working with children suffering from chronic illnesses and neurodevelopmental disorders. She emphasizes the significance of individualized treatment tailored to each child's needs and the importance of collaboration, especially with dietitians and nutritionists. Her holistic approach integrates dietary changes, gut health, and addressing underlying triggers – offering a comprehensive strategy to manage these complex conditions.   In this interview, we discuss: -Specific characteristics and symptoms of PANS/PANDAS -How the immune system is involved in these disorders & the complex nature of autoimmune conditions -The importance of gut health and genetic considerations -What parent involvement and child engagement looks like -Long-term symptoms and support strategies -Dietary recommendations & the role of functional nutrition  -Understanding PANS/PANDAS in adults   The Clinician's Corner is brought to you by Restorative Wellness Solutions.  Follow us: https://www.instagram.com/restorativewellnesssolutions/    Join us for our free, four-day virtual event: The Clinical Success Showcase, January 27-30th.  Register here.   Connect with Dr. Nancy O'Hara: Website: www.drohara.com Facebook: www.facebook.com/drnancyohara Instagram: www.instagram.com/nhoharamd Buy Dr. Nancy's book - Demystifying PANS/PANDAS - here. Get 10% off of Dr. O'Hara's all-access membership using this link. Subscribe here and the field guide will be emailed to you.   Timestamps:  00:00 Dr. Nancy O'Hara discusses pediatric neuropsychiatric syndrome. 09:37 Equipping practitioners with invaluable resources for families. 13:23 Pediatric syndrome's evolving, controversial, affecting adults. 19:33 Genetics and microbiome impact autoimmune responses. 25:39 Pandas controversy: multifactorial, recognition, complexity, antibiotics. 30:00 Moms consult for family autoimmune concerns frequently. 34:41 Strong foundations require consistent healthy lifestyle choices. 41:28 Limit dairy for three weeks, expect improvement. 45:23 Join Clinical Success Showcase: uncover practitioners' real cases. 51:31 Book's comprehensive case studies benefit parents and practitioners. 54:18 Permission requested to try new approaches collaboratively. 01:01:49 What is the average recovery timeline? 01:05:21 Assess, treat, follow-up, evaluate; measure improvement. 01:10:34 Join, follow, review, share, email suggestions, thanks.   Speaker bio: Dr. Nancy O'Hara is a board certified Pediatrician. Prior to her medical career, Dr. O'Hara taught children with autism. She graduated with highest honors from Bryn Mawr College and as a member of the Alpha Omega Alpha Honor Society from the University of Pennsylvania School of Medicine. She earned a Master's degree in Public Health from the University of Pittsburgh. After residency, chief residency and general pediatric fellowship at the University of Pittsburgh, Dr. O' Hara entered general private practice in 1993, and in 1998 began her consultative, integrative practice solely for children with special needs. Since 1999 she has dedicated her functional medicine practice to the integrative and holistic care of children with chronic illness and neurodevelopmental disorders such as ADHD, PANDAS/PANS, OCD, Lyme and ASD.    She is also a leader in the training of clinicians, both in the United States and abroad. Dr. O'Hara has written a comprehensive guidebook, “Demystifying PANS / PANDAS: A Functional Medicine Desktop Reference on Basal Ganglia Encephalitis”, which is available on Amazon in e-book or soft-cover formats.   Keywords:  PANS, PANDAS, pediatric neuropsychiatric disorders, autoimmune disorders in children, chronic illnesses in children, functional medicine, Medmaps.org, Aspire Care, PANDAS Physician Network, diet and nutrition for children, food sensitivity testing, autoimmune triggers, genetic susceptibility, genetic markers for PANDAS, basal ganglia inflammation, OCD in children, restrictive eating disorders, Lyme disease co-infections, gut health, anti-inflammatory diets, protein intake for children, behavioral and clinical case studies, functional nutrition, herbal remedies vs. antibiotics, Dr. Nancy O'Hara, Margaret Floyd Barry, caregiver involvement, healthcare collaboration, immune system support, nutrition and supplements for children Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Pam Hale, DVM,  MBA, JM, has held numerous high level leadership roles within veterinary medicine, from chief of staff to chief medical officer. She is a highly engaged veterinary industry consultant as an operation, start up and firm building subject matter expert.  She is a graduate of the Tuskegee University College of Veterinary Medicine. Earning her Master of Business Administration from St. George's University.  Hale also earned in 2023 a Juris Master's degree from Florida State University. She is a member of the American Veterinary Medical Association and Georgia VMA. She serves on the Dean's Counsel for Tuskegee University College of Veterinary Medicine and the American Veterinary Medical Association Professional Liability Insurance Trust. She served on the inaugural board of the Wedgewood Pharmacy Advisory Board from 2022-2023. She recently joined the board of the Society of Veterinary Medical Ethics (SVME).  In addition, she is a member of Vet Partners and the CHIEF organization for women executives. She shares her home in Atlanta, GA with 5 pups and husband, Chuck (USAF veteran retired). George Melillo, VMD,  founder and chief veterinary officer of Heart + Paw, is a graduate of the University of Pennsylvania School of Veterinary Medicine.  He has had a long career working in private practice, as a practice owner, and in corporate veterinary medicine.  In addition, Melillo has also been involved in two successful start-ups in human pharmaceuticals.  Melillo started Heart + Paw with a passion for the profession.  His vision was to create a practice where veterinarians and veterinary care providers, who he believes have the noblest of hearts, can practice happy, healthy, and successfully.  In addition, the vision for Heart + Paw was to reimagine pet care for the pet parent and create a new model of care for pets.  Outside of veterinary medicine,  Melillo lives with his wife of 34 years and his 12-year-old Jack Russell rescue, Pancho.        Keith True, DVM, MBA, chose a career in veterinary medicine because of his love for animals, and a desire to pursue the many entrepreneurial opportunities the field offers. After graduating from the University of Illinois College of Veterinary Medicine in 2014, True became a partner at three hospitals in the Chicagoland area. During that time, he developed expertise in orthopedic surgery and discovered a love for building successful businesses, including the foundational work of developing strong, cohesive teams. His interest in business led True to pursue a Master's in Business Administration. True founded True Vet Potential in 2023 with a goal focused on removing the barriers to practice ownership and providing the necessary business training and coaching to help veterinarians thrive in the field of entrepreneurship. True and his wife, Lauren, are the proud parents of 4 young children and enjoy traveling the world, whether it be for marathon running or pleasure. 

The Story of My Life, Part 1 David is interviewed by Joshua Gibson, Host of the Psychological Weightlifting Podcast   Hi! Today will be a bit different. I appeared as a guest on a cool podcast called Psychological Weightlifting, hosted by Joshua Gibson. I kind of described the trajectory of my career, starting with my post-doctoral depression research at the University of Pennsylvania School of Medicine, with an intermediate stop at the former Presbyterian University of Pennsylvania Medical Center, where I had a run-in with a violent individual named Bennie, and culminating in my work refining TEAM-CBT in my years on the adjunct faculty at the Stanford Medical School. Joshua and I really hit it off, and at the end of the podcast, he asked me if I could briefly illustrate some of the techniques I've developed in TEAM-CBT. I asked if he had an negative thoughts that we might work with, and boy, was I in for a big surprise. In fact, you'll hear all about it next week! Thanks for listening today! Joshua, Rhonda, and David

Joing www.theelevatedgp.com DOT - Use the Code DENTALDIGEST for 10% off Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Connect with Melissa on Linkedin Dr. Markus B. Blatz is Professor of Restorative Dentistry, Chairman of the Department of Preventive and Restorative Sciences and Assistant Dean for Digital Innovation and Professional Development at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, where he also founded the Penn Dental Medicine CAD/CAM Ceramic Center, an interdisciplinary venture to study emerging technologies and new ceramic materials while providing state-of-the-art esthetic clinical care. Dr. Blatz graduated from Albert-Ludwigs University in Freiburg, Germany, and was awarded additional Doctorate Degrees, a Postgraduate Certificate in Prosthodontics, and a Professorship from the same University. Dr. Blatz is co-founder and past President of the International Academy for Adhesive Dentistry (IAAD) and a founding member of the European Academy of Digital Dentistry (EADD). He is a board-certified Diplomat in the German Society for Prosthodontics and Biomaterials (DGPro) and a member of multiple other professional organizations, including the American Academy of Esthetic Dentistry, the European Academy of Esthetic Dentistry, the International College of Prosthodontists, the American College of Prosthodontists (honorary member), Academy of Osseointegration, and O.K.U. Honor Dental Society. He is the Editor-in-Chief of Compendium of Continuing Education in Dentistry, Associate Editor of the Journal of Esthetic and Restorative Dentistry and of Quintessence International, Section Editor for the International Journal of Prosthodontics, and serves on the editorial boards of numerous other recognized scientific dental journals. He is coauthor of the international bestseller “evolution – contemporary protocols for anterior single-tooth implants”, which has been translated on over 8 languages. Prior to joining Penn Dental Medicine as Chairperson of the Department of Preventive and Restorative Sciences in September 2006, Dr. Blatz was at Louisiana State University (LSU) Health Sciences Center School of Dentistry in New Orleans, where he served as Chairman of the Department of Comprehensive Dentistry and Biomaterials and Assistant Dean for Clinical Research. During his tenure at LSU, Dr. Blatz also directed the Masters of Science in Oral Biology Program and was a senior faculty member in the Department of Prosthodontics. From 1994 to 1998 he was an Assistant Professor and from 1998 to 1999 a senior faculty member in the Department of Prosthodontics at Albert Ludwigs University Freiburg School of Dentistry in Freiburg, Germany. A widely published and internationally respected lecturer, Dr. Blatz's main focus within clinical practice and research is esthetic dentistry with an emphasis on implantology and dental materials, particularly ceramics and adhesion. Dr. Blatz is the recipient of multiple teaching and research awards and has published and lectured extensively on dental esthetics, restorative materials, and implant dentistry. He was recently named one of the “World's Top 100 Doctors in Dentistry”.

Dr. David Burns, clinical psychiatrist, Adjunct Clinical Professor Emeritus at Stanford Medical School, bestselling author of numerous books, an award-winning researcher and teacher, and podcast host joins me on this episode. David graduated magna cum laude from Amherst College, received his M.D. from Stanford University School of Medicine, and completed his psychiatry residency at the University of Pennsylvania School of Medicine. Articles about him have been featured in notable media outlets including The New York Times and Reader's Digest, and he's been interviewed on more than 1,000 radio and TV shows. Topics we cover include David's journey into psychiatry, experiences that shaped his groundbreaking work in cognitive behavioral therapy, what's behind our feelings, cognitive distortions, why we resist change, TEAM CBT, and more. Get connected with David: Website: https://feelinggood.com/ Facebook: https://www.facebook.com/DavidBurnsMD/ Twitter: https://x.com/daviddburnsmd LinkedIn: https://www.linkedin.com/in/david-burns-86178657/ Purchase a copy of Feeling Great: https://www.amazon.com/Feeling-Great-Revolutionary-Treatment-Depression/dp/1962305392 Try the Feeling Great app: https://www.feelinggreat.com/ Listen to the Feeling Good Podcast: https://podcasts.apple.com/us/podcast/feeling-good-podcast-team-cbt-the-new-mood-therapy/id1171155453 Leave a 5-star review with a comment on Apple Podcasts: https://podcasts.apple.com/us/podcast/business-minds-coffee-chat/id1539014324  Subscribe to my Business Builder Newsletter: https://bit.ly/32y0YxJ  Want to learn how you can work with me to gain more clarity, build a rock-solid foundation for your business, and achieve the results and success you deserve? Visit http://jayscherrbusinessconsulting.com/ and schedule a 1:1 discovery coaching call. Enjoy, thanks for listening, and please share with a friend! To your success, Jay

It's often not the big power moves that change our lives; it's the small, intentional actions. By focusing on micro-skills, even the most ambitious goals become achievable.In this episode, we talk with Drs. Adaira Landry and Resa E. Lewiss about their new book, MicroSkills: Small Actions, Big Impact. We explore how financial literacy, self-presentation, concise communication, and allyship can be developed as essential micro-skills for a successful career. We also navigate workplace dynamics, including recognizing and addressing issues like mansplaining and bropropriating. Finally, we discuss the nuances of learning when to say “yes” or “no,” and the art of timely, respectful communication.

Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 700 awesome, curious, kind, funny, brilliant, generous souls Read Dr Carroll piece we discuss What Obesity Drugs and Antidepressants Have in Common Dr. Aaron E. Carroll is President & CEO of AcademyHealth. A nationally recognized thought leader, science communicator, pediatrician, and health services researcher, he is a passionate advocate for the creation and use of evidence to improve health and health care for all.  Before joining AcademyHealth, Dr. Carroll was a Distinguished Professor of Pediatrics and Chief Health Officer at Indiana University, where he also served as Associate Dean for Research Mentoring and the director of the Center for Pediatric and Adolescent Comparative Effectiveness Research at Indiana University School of Medicine. He earned a B.A. in chemistry from Amherst College, an MD from the University of Pennsylvania School of Medicine, and an M.S. in health services from the University of Washington School of Public Health, where he was also a Robert Wood Johnson Clinical Scholar. Dr. Carroll's research focused on the study of information technology to improve pediatric care, decision analysis, and areas of health policy including cost-effectiveness of care and health care financing reform. He is the author of The Bad Food Bible and the co-author of three additional books on medical myths. In addition to having been a regular contributor to The New York Times and The Atlantic, he has written for many other major media outlets and is co-Editor-in-Chief at The Incidental Economist, an evidence-based health policy blog. He also has a popular YouTube channel and podcast called Healthcare Triage, where he talks about health research and health policy. Pete on Threads Pete on Tik Tok Pete on YouTube  Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll  Follow and Support Pete Coe Buy Ava's Art  Hire DJ Monzyk to build your website or help you with Marketing