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Ever catch yourself thinking, “I'm doing all the right things… so why do I still feel tired, foggy, or just off?” You're working out, trying to eat better, squeezing in sleep where you can, and yet your energy and longevity still feel like a question mark. If that sounds familiar, this episode of The Happy Hustle Podcast is going to land right where you need it.In this episode, I sit down with Dr. Joy Kong, a UCLA-trained, triple board-certified anti-aging physician, stem cell specialist, educator, and CEO. Dr. Joy is the founder of Chara Health and Chara Biologics, and she's deeply committed to advancing regenerative medicine in a way that is ethical, effective, and accessible. She also founded the American Academy of Integrative Cell Therapy, where she trains physicians around the world in stem cell therapies and cutting-edge regenerative practices.This conversation dives headfirst into stem cells, longevity, and what it actually means to optimize your health for the long game. Dr. Joy breaks down complex science in a way that feels grounded and practical. We explore how diet, exercise, sleep, and regenerative therapies can work together not just to help you live longer, but to live better. This episode matters because longevity isn't about chasing perfection or biohacking extremes. It's about understanding your body, making informed choices, and stacking small, intentional habits that compound over time.Here are a few powerful takeaways you'll walk away with.First, stem cells are not science fiction anymore. Dr. Joy explains what stem cell therapy actually is, how it works, and why it's becoming one of the most promising tools in regenerative medicine today. She also clears up common misconceptions and emphasizes the importance of quality, sourcing, and proper medical oversight.Second, longevity starts with the basics before the breakthroughs. While regenerative therapies are exciting, Dr. Joy reinforces that diet, movement, and sleep are still foundational. Stem cells and advanced treatments work best when your lifestyle is already supporting your body's natural healing processes.Third, education is the real power play in health. One of the most inspiring parts of Dr. Joy's journey is her commitment to teaching both patients and physicians. When you understand your options, you're no longer guessing or blindly outsourcing your health. You're making confident, informed decisions.Fourth, anti-aging is really about regeneration, not vanity. This episode reframes anti-aging as restoring function, reducing inflammation, and improving quality of life. It's not about looking younger. It's about feeling strong, clear, and capable for decades to come.Finally, serving others is the ultimate form of optimization. Dr. Joy's mission goes beyond medicine. Her work is rooted in service, integrity, and raising the standard of care across the industry. That alignment between purpose and profession is what truly defines a happy hustler.If you're curious about stem cells, longevity, or how to future-proof your health in a grounded, responsible way, this episode is absolutely worth your time. Do yourself a favor and listen to the full conversation. And if it resonates, share it with someone ready to take ownership of their health and hustle with intention.What does Happy Hustlin mean to you?Dr. Joy says if it's not fun, why are we doing this? So what's the whole point? You're spending eight hours a day at this place. I want you to have fun. So that's the happy hustling, but how to keep that state.Connect with Dr. JoyInstagramFacebookTiktokLinkedinTwitterYoutubeFind Dr. Joy on her website: https://joykongmd.com/ Connect with Cary!InstagramFacebookLinkedinTwitterYoutube Get a copy of his new book, The Happy Hustle, 10 Alignments to Avoid Burnout & Achieve Blissful BalanceSign up for The Journey: 10 Days To Become a Happy Hustler Online CourseApply to the Montana Mastermind Epic Camping Adventure“It's time to Happy Hustle, a blissfully balanced life you love, full of passion, purpose, and positive impact!”Episode Sponsors:If you're feeling stressed, not sleeping great, or your energy's been kinda meh lately—let me put you on to something that's been a total game-changer for me: Magnesium Breakthrough by BiOptimizers. This ain't your average magnesium—it's got all 7 essential forms that your body needs to chill out, sleep deeper, and feel more balanced. I take it every night and legit notice the difference the next day. No more waking up groggy or tossing and turning all nightIf you're ready to sleep like a baby, calm your nervous system, and optimize your recovery, go grab yours now at bioptimizers.com/happy and use code HAPPY10 for 10% OFF.
Think your medical practice is safe from hackers? Learn why humans, rather than software, are often the weakest link in patient data protection. In this episode of the BackTable Podcast, host Dr. Chris Beck delves into the critical topic of cybersecurity in healthcare with Didier Jourdain, a certified Information Systems Security Professional (CISSP). --- SYNPOSIS Didier discusses his recently approved paper, 'Cybersecurity for Interventional Radiologists: A Clinical Imperative for Protecting Patient Data and Imaging Systems,' and shares his extensive background in software and application security, penetration testing, and cybersecurity risk governance. The conversation covers key issues such as phishing, ransomware, third-party vendor risks, and the vulnerabilities of the Internet of Medical Things (IOMT). Didier emphasizes the importance of education, tabletop exercises, and comprehensive third-party risk management strategies to enhance cybersecurity resilience in both hospital systems and independent physician practices. --- TIMESTAMPS00:00 - Introduction04:03 - Cybersecurity in Healthcare: A Clinical Imperative16:07 - Mitigating Cybersecurity Risks20:23 - Password Management and Best Practices27:33 - The Role of IT in Cybersecurity31:04 - Internet of Medical Things (IoMT) Vulnerabilities39:17 - Top Cybersecurity Recommendations for Physicians
"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will SteelmanThe American healthcare system is crushing its doctors. Faced with "assembly line" quotas of 25+ patients a day, hours of unpaid administrative work ("pajama time"), and a suicide rate higher than that of veterans, physicians are fleeing the profession in droves.My guest this week is Dr. Will Steelman, a board-certified internal medicine physician who lived through this crisis firsthand. After 12 years as a hospitalist, Dr. Steelman reached his breaking point during the pandemic and realized the only way to save his career, and his life, was to exit the system entirely.In this episode, we explore why Direct Primary Care (DPC) is the only viable path forward for the future of medicine. Will explains how DPC restores the doctor-patient relationship by reducing patient panels from 3,000 to 600, allowing for 90-minute visits, true price transparency, and a focus on root-cause resolution. We also discuss the clinical benefits of having time to care, including using ketogenic therapies to treat mental illness and reversing chronic metabolic disease, rather than just managing it with pills.If you want to understand why your doctor is exhausted, why your premiums are going up, and why DPC is the solution we can't afford to ignore, listen to this episode.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Link Between Diet & Mental Clarity (00:04:18) The Road to Burnout: 12 Years as a Hospitalist (00:09:17) "Is He Dead?": The Reality of Physician Suicide & Moral Injury (00:11:08) The Way Forward: Concierge vs. Direct Primary Care (00:15:35) The Math of Failure: Why 2,500 Patients is Unsustainable (00:21:16) "Click Fatigue" and the Administrative Burden (00:23:58) Leaving the System: Launching Steelman Medical Group (00:32:06) Saving the Profession: Why DPC Offers Work-Life Balance (00:40:12) True Transparency: Why DPC Lab Costs Are Dropping (00:48:58) The Luxury of Time: Treating Mental Health with Ketogenic Diets (00:59:32) The Statin Controversy & Insulin ResistanceKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
This is a re-release of an interview with Benjamin Turale from Temple of Mercury. Benjamin lives on Wudawurung land in Victoria. Benjamin is an award winning alchemist who lives live and breathes the Hermetic current. He is Director of Education in the International Alchemy Guild and is very active in the alchemy community internationally, and works to help preserve and pass on the Albertian Alchemical lineage.In this interview, Benjamin and I explore intricate world of alchemy and its historical significance. Benjamin shares the definitions of key terms like alchemy and spagyrics, and hermeticism. Benjamin shares his personal journey into the field, and the rich lineage of alchemical practices. The discussion delves into the origins of alchemy in ancient Egypt, its evolution through various cultures, and the impact of the Royal College of Physicians on the transition to modern chemistry. The episode culminates in an exploration of the Philosopher's Stone, its symbolic meanings, and its relevance in both historical and contemporary contexts. We explore Alchemy's historical roots, the significance of spagyrics, and the transformative processes involved in creating spagyrical medicine. We discuss the importance of fire in alchemical practices, the relationship between alchemy and hermeticism, and Benjamin shares about the potent teachings offered at the Temple of Mercury. Benjamin has a highly intelligent and spiritualy deep connection to the path of alchemy and I know you are going to really love this one.Show Notes: Temple of Mercuryhttps://www.thetempleofmercury.com/about-the-templeTemple of Mercury Courses:https://www.thetempleofmercury.com/in-person-coursesFacebook:https://www.facebook.com/thetempleofmercuryInstagram:https://www.instagram.com/thetempleofmercury/*BUY ME A CUPPA*If you liked the episode and want more, a cuppa fuels our work and time, which is given for free. Leave a comment and a few bucks here: buymeacoffee.com/theeldertree**THE ELDER TREE TROVE PATREON COMMUNITY**You can join our Patreon here and gain a deeper connection to our podcast. Pay only $2 per week to have access to bonus and often exclusive resources and opportunities- plus support the Elder tree at the same time!To find out more about The Elder Tree visit the website at www.theeldertree.org and donate to the crowdfunding campaign here.You can also follow The Elder Tree on Facebook and Instagram and sign up to the newsletter.Find out more about this podcast and the presenters here. Get in touch with The Elder Tree at: info@theeldertree.org The intro and outro song is "Sing for the Earth" and was kindly donated by Chad Wilkins. You can find Chad's music here and here. ** TATIANA's PERSONAL OFFERINGS **Aside from founding and managing The Elder Tree, Tatiana runs Alchemilla Herbals, and is a herbal educator and medicine maker. Find her here:www.alchemillaherbals.com.auwww.facebook.com/alchemillaherbalswww.instagram.com/alchemillaherbals
"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will SteelmanThe American healthcare system is crushing its doctors. Faced with "assembly line" quotas of 25+ patients a day, hours of unpaid administrative work ("pajama time"), and a suicide rate higher than that of veterans, physicians are fleeing the profession in droves.My guest this week is Dr. Will Steelman, a board-certified internal medicine physician who lived through this crisis firsthand. After 12 years as a hospitalist, Dr. Steelman reached his breaking point during the pandemic and realized the only way to save his career, and his life, was to exit the system entirely.In this episode, we explore why Direct Primary Care (DPC) is the only viable path forward for the future of medicine. Will explains how DPC restores the doctor-patient relationship by reducing patient panels from 3,000 to 600, allowing for 90-minute visits, true price transparency, and a focus on root-cause resolution. We also discuss the clinical benefits of having time to care, including using ketogenic therapies to treat mental illness and reversing chronic metabolic disease, rather than just managing it with pills.If you want to understand why your doctor is exhausted, why your premiums are going up, and why DPC is the solution we can't afford to ignore, listen to this episode.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Link Between Diet & Mental Clarity (00:04:18) The Road to Burnout: 12 Years as a Hospitalist (00:09:17) "Is He Dead?": The Reality of Physician Suicide & Moral Injury (00:11:08) The Way Forward: Concierge vs. Direct Primary Care (00:15:35) The Math of Failure: Why 2,500 Patients is Unsustainable (00:21:16) "Click Fatigue" and the Administrative Burden (00:23:58) Leaving the System: Launching Steelman Medical Group (00:32:06) Saving the Profession: Why DPC Offers Work-Life Balance (00:40:12) True Transparency: Why DPC Lab Costs Are Dropping (00:48:58) The Luxury of Time: Treating Mental Health with Ketogenic Diets (00:59:32) The Statin Controversy & Insulin ResistanceKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Today, I am excited to share the first class in a series of lipid masterclasses with the amazing Dr. Thomas Dayspring! Dr. Dayspring is certified in internal medicine and clinical epidemiology and is a fellow of the American College of Physicians and the National Lipid Association. He was previously the Educational Director of a nonprofit organization and has served as the Chief Academic Advisor for two major cardiovascular labs. Given the in-depth nature of my discussions with Dr. Dayspring over several sessions, each lasting nearly six hours, it seemed logical to present these masterclasses in segments to make them easier to understand. In our first class today, we dive into the fundamentals, exploring what lipids are and how lipids and fatty acids are classified. We cover the physiology and transport of cholesterol and the roles of apoptosis, apo-proteins, and apo-lipoproteins; we unravel the differences between HDL, LDL, IDL, and VLDL; and we explain how to calculate LDL and triglycerides to assess metabolic health. Dr. Dayspring also shares his preferences regarding lab values and indicators that help him assess the early risk of cardiovascular disease. We cover some detailed aspects of physical chemistry in this episode, so I highlight the main clinical points throughout our conversation to make it easier to follow. Be sure to join Dr. Dayspring and me for our next episode in the lipid masterclass series. IN THIS EPISODE YOU WILL LEARN: What are lipids, and why are they important? Dr. Dayspring explains what triglycerides are. How lipids get absorbed and transported throughout the body What lipoproteins are, and how they get classified How cholesterols get calculated The impact of triglycerides on cholesterol levels and cardiovascular health How high triglyceride levels can indicate early insulin resistance or increased ASCVD risk What is the role of HDL particles? How metabolic syndrome impacts cardiovascular health Bio: Thomas Dayspring MD is a Fellow of both the American College of Physicians and the National Lipid Association and is certified in internal medicine and clinical lipidology. After practicing in New Jersey for 37 years, he moved to Virginia in 2012. He served as an educational director for a nonprofit cardiovascular foundation and, until mid-2019, as a Chief Academic Advisor for two major CV laboratories. Since then, he has served as a virtual cardiovascular / lipidology educator. Career-wise he has given over 4000 domestic (in all 50 states) and several international lectures, including over 600 CME programs on atherothrombosis, lipids/lipoproteins (and their treatment), vascular biology, biomarker testing, and women's cardiovascular issues. He has authored several manuscripts and lipid textbook chapters and performed several podcasts. For several years, he was an Associate Editor of the Journal of Clinical Lipidology. He was the recipient of the 2011 National Lipid Association's Presidents Award for services to clinical lipidology and the 2023 Foundation of NLA Clinician/Educator Award. He has over 34K followers on his educational Twitter (X) feed (@Drlipid). He has Gold Heart Member status as a professional member of the American Heart Association and serves as a Social Media Ambassador for the European Atherosclerosis Society and the National Lipid Association. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community (The Midlife Pause/Cynthia Thurlow) Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause supplement line Connect with Dr. Thomas Dayspring Twitter (@DrLipid) LinkedIn Books written by Gary Taubes
Board-certified pediatrician and certified coach Jessie Mahoney discusses her article "Why doctors must stop waiting and reclaim their lives." Jessie explains how medical training conditions doctors to view endurance as a virtue and delay their own basic needs for the sake of the profession. She argues that the health care system exploits this willingness to wait, using physician silence to maintain the status quo. The conversation highlights the heavy personal cost of this resignation, from eroded relationships to lost joy. Jessie shares her own terrifying yet clarifying experience of leaving a job after eighteen years to choose alignment over approval. Discover how reclaiming your agency today can unlock a life of fulfillment before it is too late. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Send a textIn this premiere episode of On with Von, The Incubator launches an exciting new collaboration with the Vermont Oxford Network (VON). Hosts Dr. Ben Courchia and Dr. Daphna Yasova Barbeau sit down with Dr. Roger Soll, President of VON, and Dr. Bob White, a pioneer in NICU design, to explore the critical "Evidence to Practice" gap in the NICU environment. Moving beyond simple neuroprotection, the conversation dives into neuropromotion, examining the impact of light, sound, and sensory inputs on the developing brain. From debunking misconceptions about retinopathy to optimizing design for family integration, this discussion offers actionable insights for every bedside clinician.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
In this episode (recorded live), Halle Tecco speaks with Dr. Robert Wachter, Chair of Medicine at UCSF, about their concurrently released books on healthcare innovation and AI.They share thoughts on the dual challenge of innovation in healthcare and the role of AI, covering:Why past waves of tech failed to change healthcare and why AI may finally break throughHow AI is making a difference today in healthcareWhere AI-assisted diagnosis and prescribing could go next, and the risks of over-relying on humans “in the loop” How EHR vendors (like Epic) hold the "poll position" for AI implementation due to workflow integrationWhy innovators must become healthcare "anthropologists"; and clinicians must understand technology and AIPlus, a surprise guest from Prenuvo joins us to chime in. Order Halle's new book, Massively Better Healthcare hereOrder Bob's new book, A Giant Leap here—About our guest: Robert M. Wachter, MD is Professor and Chair of the Department of Medicine at the University of California, San Francisco (UCSF). Author of 300 articles and 6 books, he coined the term “hospitalist” in 1996 and is often considered the “father” of the hospitalist field, the fastest-growing medical specialty in U.S. history. He is a past president of the Society of Hospital Medicine, past chair of the American Board of Internal Medicine, a Master of the American College of Physicians, and an elected member of the National Academy of Medicine. Modern Healthcare magazine has ranked him among the 50 most influential physician-executives in the U.S. more than a dozen times; he was #1 on the list in 2015. His 2015 book, The Digital Doctor: Hope, Hype and Harm at the Dawn of Medicine's Computer Age, was a New York Times bestseller. His new book is A Giant Leap: How AI is Transforming Healthcare and What That Means for Our Future.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this interview, Dr. Nikia Smith, a board-certified anesthesiologist, wellness coach, and retreat curator, shares how she experienced burnout twice during her attending career and nearly left medicine. She describes early warning signs (persistent fatigue despite rest, increasing irritability, and eventual emotional numbness and autopilot), and links her initial burnout to chronic understaffing after colleagues left and a lack of administrative support, including being told the team was “handling it so well” that additional hires were unnecessary. After a near-20-hour call shift, she set boundaries by refusing further call, began educating herself on burnout, compassion fatigue, and self-compassion (including reading Kristin Neff), and rebuilt recovery through small, joy-based habits, movement (starting with Pilates), and reconnecting with community. She ultimately left a job that would not put agreed terms into a contract, moved to a no-call role to regain nights and weekends, and later negotiated for a part-time contract; she now works in Las Vegas under a contract requiring eight days per month, aligned with her goal of working 10 days or less. Dr. Smith explains how her personal retreat became an annual four-day wellness retreat for physicians (expanding to other clinicians) that includes CME and group learning on moral injury, perfectionism, invisible labor/“third shift,” and practical strategies such as boundary-setting, negotiating schedules, and mutual support (including helping participants craft emails). She advises clinicians to talk to others to learn what's possible, keep asking for what they need (e.g., administrative time for committee work), and recognize that burnout recovery is not a quick fix but a process of re-engaging with self and community. Here are 3 key takeaways from this episode: Burnout Recovery Takes Time and Intentional Action: Burnout develops gradually over years, and recovery requires more than just rest. Dr. Smith emphasizes reconnecting with activities that bring joy and energy (like movement, hobbies, and community), even when exhausted. Small, consistent steps—like 5-minute walks or puzzles—can help rebuild your capacity to recharge. Advocate for Your Non-Negotiables: Healthcare systems often claim certain accommodations are "impossible" until you're ready to leave. Dr. Smith successfully negotiated no-call schedules and eventually part-time work (8-10 days/month) by persistently asking and being willing to walk away. She encourages clinicians to keep asking for what they need and get terms in writing. Systemic Issues Require Personal Boundaries: While healthcare systems prioritize profits over provider wellbeing, waiting for institutional change isn't sustainable. Dr. Smith learned to set firm boundaries—like refusing additional committee work without administrative time, and leaving jobs that wouldn't honor her needs. The solution involves both advocating for systemic change and taking personal responsibility for protecting your wellbeing. Meet Dr. Nikia Smith: Dr. Nikia Smith is a practicing board-certified anesthesiologist, wellness coach, and retreat facilitator. She's also the founder of She Is Fire Forged, a transformative wellness brand that helps high-achieving women of color reclaim their peace, power, and purpose. With over a decade (and counting!) of experience in the high-stress world of medicine, Nikia brings a deeply informed lens to conversations around burnout, boundaries, and emotional restoration. Nikia specializes in guiding women—especially Black women in leadership and healthcare—through the exhaustion that comes from constantly being everything for everyone. She equips her clients with the tools to say no without guilt, build lives rooted in their own definitions of success, and live in softness over survival mode. Through retreats, coaching, and community care, Nikia curates spaces where women are invited to pause, reset, and reimagine what thriving truly looks like. Her work blends evidence-based wellness tools with embodied spiritual practice, creating a holistic path forward rooted in softness, sustainability, and self-trust. She's also been featured as a guest on the Docs Get Money and Free to Be Mindful podcasts. Outside of her work, Nikia prioritizes rest, joy, and connection. You'll find her reading, recharging with loved ones, and spending time with her niece, modeling what's truly possible for a strong and powerful woman in this world. Connect with Dr. Nikia Smith:
RevitalyzeMD - RMD Podcast: All things Aesthetics & Wellness
For more information, call 706.529.3072 or visit www.VitruvianHealth.com/specialtycare.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
Para más información, llame al 706-529-3072 o visite www.VitruvianHealth.com/specialtycare.Este programa no pretende diagnosticar ni tratar enfermedades ni reemplazar la atención médica profesional. Si tiene algún problema de salud, consulte a su profesional de la salud.
When Insurance Gets Between Doctors and PatientsDr. Elizabeth Ames and Dr. Caleb Bupp are deeply committed to their patients. But like so many clinicians today, they're spending an extraordinary amount of time battling insurance companies instead of practicing medicine.Between prior authorizations, step therapy requirements, and outright coverage denials, physicians and their teams are buried in paperwork, often at the direct expense of patient care. Time that should be spent listening, diagnosing, and treating is instead consumed by forms, phone calls, and appeals.Boston Globe reporter Jonathan Saltzman raised the concern and Dr. Ames brought it to my attention. The reporter talks about, a new program rolled out by Blue Cross Blue Shield of Massachusetts. The insurer says the initiative is designed to control rising healthcare costs for its 3 million members, noting that costs have increased by 30 percent since 2021. But, the program specifically targets physicians who bill for the most expensive visits. The reason for the increased expense, which is discussed in our podcast, is because doctors are choosing to spend more time with rare disease patients who have complicated health issues. They need to spend more time with complex medical needs patients than say, someone with a sore throat.Drs. Ames and Bupp warn that this approach fundamentally misunderstands patient care, particularly for those with complex or rare conditions. “These patients don't need less time; they need more” says Dr. Ames. Physicians argue that policies like this risk rushed appointments, strained doctor/patient relationships, and poorer outcomes. Nowhere is this more concerning than in the rare disease community, where delays and denials can be devastating.Dr. Elizabeth Ames and Dr. Caleb Bupp talk about what this looks like in real life. As pediatric geneticists, they see firsthand how insurance barriers impact families already navigating diagnostic odysseys, uncertainty, and fear. Their work sits at the intersection of cutting-edge science and deeply human stories, and insurance interference often disrupts both. Dr. Ames, “Usually we get faxes saying, this has been denied and we start working on it. But the family gets a letter that the drug they need, the process is delayed by a “no”. We try and have good communication and say, “hey, we got this denial,” we're working on it. But I think it's deaths by a thousand cuts for the family. Families take the denial as, “I'm not worth of coverage, and that's really hard”. Dr. Bupp says they have had to hire genetic counselors, a job that didn't exist even 5 years ago, “We have a job description in our organization for it now because of the complexities that come with trying to unravel these insurance situations”.We should also note that Dr. Ames, Dr. Bupp, and I all serve on the Rare Disease Advisory Council (RDAC) in Michigan. “I think rare disease advocacy, there is power in numbers. One person can be a huge difference maker, but it's not one plus one equals two. It really exponentially grows, and I think with things like rare disease advisory councils, that gives you a better connection within your state, for state government and for advocacy. And I also think, or I hope, that it gives a place for an individual to plug in and that can then magnify and amplify. their voice so that they're not alone”. Many states have RDAC's, You can see if your state has an RDAC. For more on the Michigan RDACIn this article and in the podcast we are not speaking on behalf of the council, but it's important to understand why bodies like RDAC exist in the first place. Michigan is home to approximately one million people living with rare diseases, and the RDAC was created to ensure their voices, and experiences help shape policy. RDAC meetings are open to the public, and anyone in Michigan can participate and offer public comment. We hope you join our meetings via zoom (sometimes hybrid).This conversation isn't just about insurance policies. It's about time, trust, and whether our healthcare system truly serves patients, especially those with the most complex needs. Speak up, share your story. Advocate. Make a difference, Mold the future, for future generations.To look at the Everylife Diagnosis Odyssey https://everylifefoundation.org/delayed-diagnosis-study/ discussed in the podcast. Everylife impact of diagnosis: https://everylifefoundation.org/burden-study/ Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/enRead us on Substack: https://substack.com/@lstb?utm_campaign=profile&utm_medium=profile-pageWatch our trailer of Embracing Egypt: https://youtu.be/RYjlB25Cr9Y
In this episode, Dr Aoife Duignan speaks with Dr Mireia Moragas about how to treat headaches in a pregnant person. They discuss what questions physicians should ask themselves when a pregnant person attends the acute ward with headaches, the green and red flags for headaches as well as the medications that are safe during pregnancy. Dr Mireia Moragas is a Consultant Neurologist in Edinburgh where she also runs the Headache Clinic, as well as participating in the acute care of patients with stroke. She has participated in the local and Scottish national headache guidelines as well as the local protocols for management of headache and stroke during pregnancy. Dr Aoife Duignan is a specialist trainee in geriatric and general medicine in South East Scotland. She is also Co-Chair & Vice Chair - Representation for the Trainees and Members' Committee (T&MC). Recording date: 10 November 2025 --Useful Links-- Bumps (Best Use of Medicines in Pregnancy) - https://www.medicinesinpregnancy.org/ Maternity pathway and schedule of care - https://www.gov.scot/publications/maternity-pathway-schedule-care-clinical-guidance-schedule/ National Maternity Network, Management of Headache in Pregnancy Guidance - https://www.perinatalnetwork.nhs.scot/wp-content/uploads/2023/02/2023-02-21-Headache-in-Pregnancy.pdf NHS Scotland Centre for Sustainable Delivery - https://www.nhscfsd.co.uk/media/nswenkmf/national-headache-pathway-migraine-during-pregnancy-and-following-childbirth.pdf RefHelp NHS Lothian - https://apps.nhslothian.scot/refhelp/ RefHelf Migraine/Chronic Headache in pregnancy - https://apps.nhslothian.scot/refhelp/guidelines/neurology/headache/migraine-chronic-headache-in-pregnancy/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://x.com/RCPEdinTrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).
Physician, author, and health care reform advocate David K. Cundiff discusses his article "Accountable care cooperatives: a community-owned health care fix." David outlines a transformative plan to replace the fragmented U.S. insurance system with member-owned, nonprofit cooperatives that integrate medical treatment with housing, nutrition, and social support. The conversation explores how shifting to a bottom-up, locally governed model with global budgets can freeze government spending while significantly improving patient outcomes through smaller physician caseloads and direct primary care. David argues that by addressing social determinants of health and cutting administrative waste, we can save trillions of dollars and restore trust in medicine. Discover how a democratic approach to wellness can build a society grounded in solidarity and shared prosperity. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
When It Makes Sense To Retire EarlyHow To Lock Your Social Security NumberHow Much Home Can You AffordInflation Drops Under TrumpBondi Congressional Hearing Was A Clown ShowThe Save America Act (Voter ID) Gets New LifeA Grandpa's Lesson About MoneyAnd Much More!!!
Palliative care physician and certified physician development coach Christie Mulholland discusses her article "Why every physician needs a sabbatical (and how to take one)." Christie reveals the harsh reality that while sabbaticals exist on paper, unwritten rules often prevent doctors from accessing this critical recovery tool until it is too late. She shares her personal journey of taking an unsanctioned, unpaid break to combat burnout and how that decision allowed her to return to medicine with renewed purpose. The conversation explores why elite athletes and tech companies prioritize strategic rest while health care treats it as a luxury, offering practical steps for financial planning and reentry. Discover how stepping away from the grind might actually be the only way to stay in the profession you love. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Send a textHow much oxygen is enough when resuscitating extremely preterm infants? This week on The Incubator Podcast, Ben and Daphna explore the TORPIDO 30/60 trial comparing 60% versus 30% FiO2 at birth. While primary outcomes were similar, babies in the 60% group needed fewer chest compressions and less epinephrine—a signal worth discussing.They examine an Indian non-inferiority study on surfactant thresholds (40% vs 30% FiO2), where waiting until 40% meant significantly fewer intubations and shorter respiratory support for the youngest babies. Ben presents compelling Melbourne data showing growth-restricted preterm infants face six-fold higher NEC risk—even with identical feeding protocols—and discusses how critical birth history gets "lost" as babies grow.Daphna tackles therapeutic hypothermia in late preterm infants, reviewing Toronto's retrospective analysis showing 34-35 weekers experience higher mortality and more brain injury compared to 36-37 weekers. As units rewrite cooling protocols, are we moving too fast on limited evidence?The episode concludes with Ben, Daphna, and Eli discussing the repeal of "sensitive locations" protections for immigration enforcement. Through the story of a mother detained while visiting her NICU baby in Chicago, they explore how these policies impact family-centered care and highlight advocacy opportunities through the Protecting Sensitive Locations Act.Current research meets real-world NICU challenges—all in one episode.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
In this episode, Heather Isola, Vice President of Physician Assistant Services at Mount Sinai Health System, discusses how PAs are becoming central to workforce strategy, access, and care delivery amid growing supply and demand challenges. She shares insights on team based care models, top of license practice, and building sustainable systems to support advanced practice providers.
Otolaryngologist Alan P. Feren discusses his article "How system strain contributes to medical gaslighting in health care." Alan explores why encounters that patients experience as dismissive or manipulative often stem from communication breakdowns driven by productivity pressures rather than clinician malice. He examines the cognitive reality of modern practice where heuristic shortcuts and a discomfort with uncertainty lead well-intentioned providers to offer premature reassurance that feels like invalidation. The conversation highlights critical inflection points like early interruptions and reliance on "normal" test results that erode trust and delay diagnosis. Alan argues that resolving this crisis requires moving beyond blame toward a partnership model where uncertainty is explicitly named and shared. Learn how shifting the focus from transactional care to collaborative sense-making can restore safety and humanity to the exam room. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
email chris@drchrisloomdphd.com with "Podcast freebie" to book a coveted FREE guest spot on the show. To book a PREMIUM spot on the Podcast: https://www.drchrisloomdphd.com/_paylink/AZpgR_7fBook a 1-on-1 coaching call: https://www.drchrisloomdphd.com/booking-calendar/introductory-session Become a member of our Podcast community: https://www.drchrisloomdphd.com/membershipSubscribe to our email list: https://financial-freedom-podcast-with-dr-loo.kit.com/Click here to join PodMatch (the "AirBNB" of Podcasting): https://www.joinpodmatch.com/drchrisloomdphdClick here to purchase my books on Amazon: https://amzn.to/2PaQn4pClick here to purchase my audiobooks, visit: https://www.audible.com/author/Christopher-H-Loo-MD-PhD/B07WFKBG1FTo help support the show:CashApp- https://cash.app/$drchrisloomdphdVenmo- https://account.venmo.com/u/Chris-Loo-4Buy Me a Coffee- https://www.buymeacoffee.com/chrisJxDisclaimer: Not advice. Educational purposes only. Not an endorsement for or against. Results not vetted. Views of the guests do not represent those of the host or show.
Send a textIn this episode of Neo News, the team examines the intersection of immigration policy and neonatal care. We review a recent op-ed discussing the "chilling effect" of immigration enforcement on families seeking care in "sensitive locations" like hospitals. The discussion highlights a harrowing report from The 19th about a family detained by ICE while en route to the NICU, sparking a conversation on how fear impacts parental presence and follow-up adherence. The hosts explore the Protecting Sensitive Locations Act and the critical role neonatologists play in advocating for safe access to healthcare for all families.----Vernon, L., Swenson, S., & Miller, E. (2025, October). Immigration policies are creating impossible choices for NICU families. Cleveland.com. https://www.cleveland.com/opinion/2025/10/immigration-policies-are-creating-impossible-choices-for-nicu-families-lelis-vernon-sarah-swenson-and-emily-miller.htmlBarclay, M. L. (2025, December). Postpartum immigrant detention by ICE. The 19th. https://19thnews.org/2025/12/postpartum-immigrant-detention-ice/Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Board-certified internist with a long-standing focus on public health, tobacco control, and preventive care Edward Anselm discusses his article "The economic case for investing in tobacco cessation." Edward reveals that while smoking rates have hit historic lows, 19.5 percent of adults still use tobacco, with significant disparities persisting across race, ethnicity, and income levels. He analyzes why only 6.4 percent of patients receive optimal treatment involving both counseling and medication despite 80 percent of users being advised to quit. The conversation highlights the financial argument for cessation, noting that Medicare reimburses $15.50 for brief counseling, yet systems bill this for less than 2 percent of visits. Edward outlines how a systems-change approach can create a net reduction in costs and generate substantial revenue for accountable care organizations. Discover how treating tobacco use aggressively is both good medicine and smart business strategy. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Send a textIn this segment, Ben and Daphna review a retrospective study from the Hospital for Sick Children comparing outcomes of therapeutic hypothermia in late preterm (34-35 weeks) versus early term (36-37 weeks) infants. They discuss the significantly higher rates of mortality, hemodynamic instability, and hypoglycemia found in the younger cohort, known as "Group 1". The hosts explore the implications of using MRI scoring systems like the Weeke score for preterm brains and debate the ethical challenges of conducting future randomized trials as clinical practice shifts away from cooling younger babies based on emerging retrospective data.----Whole-body hypothermia in late preterm and early term infants: a retrospective analysis from a neurocritical care unit. Martinez A, Cikman G, Al Kalaf H, Wilson D, Banh B, Abdelmageed W, Beamonte Arango I, Christensen R, Branson HM, Cizmeci MN.Pediatr Res. 2026 Jan 7. doi: 10.1038/s41390-025-04701-x. Online ahead of print.PMID: 41501407Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Lkvod כה שבט, the 25ht of Shvat, marking 37th Yarzeit of my father A”H, *Dr. Avrohom Abba Seligson: The Rebbe's Physician*, we share a voice file which includes facts and stories about him. This Audio is comprised of 2 recorded files, originally posted in our “Zichronos of the Rebbe Group” (in 5780/2020). Listening time is about 14 min. Due to its length you may need to download it to a computer.
In this episode of the Physician Assistant Exam Review Podcast, we walk through the “Do I worry?” side of derm: how to quickly sort benign vs concerning skin lesions using pattern recognition, not panic. Instead of memorizing every lesion in isolation, you'll learn to organize them into buckets you'll actually see on exams and in clinic: By […] The post 155 Benign vs Concerning Skin Lesions – “Do I Worry?” Patterns You'll See on PANCE appeared first on Physician Assistant Exam Review.
Family physician Kelly Bain discusses her article "Why physician business literacy matters." Kelly explains that while doctors are trained to diagnose and treat patients, they are rarely prepared to navigate the complex financial realities of the modern health care industry. She argues that bridging this educational gap is essential for health systems to survive the shift from fee-for-service to value-based care models like WISeR and TEAM. The conversation highlights how understanding coding, risk adjustment factors, and operational efficiency empowers clinicians to become active stewards of resources rather than passive participants. Kelly emphasizes that when physicians master the business side of medicine, they protect patient access and ensure the long-term sustainability of care for vulnerable populations. Learn why the future of medical leadership requires a seat at the financial decision-making table. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
email chris@drchrisloomdphd.com with "Podcast freebie" to book a coveted FREE guest spot on the show. To book a PREMIUM spot on the Podcast: https://www.drchrisloomdphd.com/_paylink/AZpgR_7fBook a 1-on-1 coaching call: https://www.drchrisloomdphd.com/booking-calendar/introductory-session Become a member of our Podcast community: https://www.drchrisloomdphd.com/membershipSubscribe to our email list: https://financial-freedom-podcast-with-dr-loo.kit.com/Click here to join PodMatch (the "AirBNB" of Podcasting): https://www.joinpodmatch.com/drchrisloomdphdClick here to purchase my books on Amazon: https://amzn.to/2PaQn4pClick here to purchase my audiobooks, visit: https://www.audible.com/author/Christopher-H-Loo-MD-PhD/B07WFKBG1FTo help support the show:CashApp- https://cash.app/$drchrisloomdphdVenmo- https://account.venmo.com/u/Chris-Loo-4Buy Me a Coffee- https://www.buymeacoffee.com/chrisJx
Send a textIn this episode of Journal Club, Ben and Daphna review a prospective cohort study from the Journal of Perinatology that examines the care of neonates following in-utero growth restriction. The hosts unpack the critical distinction between Fetal Growth Restriction (FGR) and Small for Gestational Age (SGA), highlighting how the "decay of information" in the NICU can lead clinicians to overlook early risk factors as babies grow. They discuss the study's alarming findings regarding the six-fold increased risk of Necrotizing Enterocolitis (NEC) in SGA infants and the importance of maintaining a comprehensive medical history throughout a patient's stay.----Care of neonates following in-utero growth restriction: A prospective cohort study exploring neonatal morbidity. Alda MG, Wood AG, MacDonald T, Charlton JK.J Perinatol. 2025 Sep;45(9):1219-1225. doi: 10.1038/s41372-025-02397-9. Epub 2025 Aug 21.PMID: 40841433 Free PMC article.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
This week includes studies on promising new therapies for IgA nephropathy, evolving antithrombotic strategies after coronary stenting, and the inciting antigen in rare vaccine-related clotting syndromes. We review the urgent challenge of mucormycosis and follow the case of a young woman with headaches and hypertension. We discuss human-subjects research. Perspectives examine rural health, data interoperability, drug labels in the courts, and a pediatrician's dilemma.
CONNECT WITH JULIE MATTSON:• Website: https://pushinguplilies.com• Facebook: https://www.facebook.com/pushinguplilies
In this episode, host Courtney Allison speaks with Dr. Jessica Hennessey, cardiologist at NewYork‑Presbyterian and Columbia, about the trend of cozy cardio and how accessible, home‑based movement can support cardiovascular health. Dr. Hennessey explains why moderate‑intensity exercise is both sustainable and effective, offering improvements in cardiovascular function, metabolism, and daily energy levels. The discussion explores the benefits of walking versus running, how heart rate zones help guide workout intensity, and the importance of rest and active recovery. Dr. Hennessey also highlights how movement helps regulate stress and why strength training—especially for women—is essential for long‑term metabolic and bone health. Chapters:Chapter 1: Understanding Cozy Cardio – Convenience, Comfort, and Where it Fits in Heart HealthUnderstanding cozy cardio and how low‑impact movement supports heart health, and how it lowers barriers to exercise and makes movement feel inviting.Chapter 2: Why Moderate Exercise MattersChapter 3: Cozy Doesn't Mean Easy—Just AccessibleChapter 4: Walking vs. Running: Which Is Better for the Heart?Chapter 5: Using Heart Rate to Guide Your WorkoutChapter 6: The Importance of Rest Days and RecoveryChapter 7: HIIT: Benefits, Risks, and When to Use ItChapter 8: Strength Training & Heart Health, Especially for WomenChapter 9: Building a Sustainable Exercise RoutineChapter 10: Final Takeaway Key Topics CoveredWhat cozy cardio is and examplesHow cozy cardio focuses on convenience, comfort and lowering barriers to exercise.Moderate vs. High-Intensity ExerciseHow it can improve VO2 maxAccessibility and sustainability in fitnessWalking vs. runningUsing heart rate as a guide for exerciseThe importance of rest daysExercise as stress reductionHIIT workouts: explanation, benefits and riskStrength training and heart healthBuilding a sustainable routine by choosing activities you enjoy and making movement a natural part of the dayTakeaway MessageMeaningful improvements in cardiovascular health do not require high‑intensity workouts. Moderate, accessible forms of exercise—such as “cozy cardio”—can effectively enhance heart and metabolic function, support stress regulation, and promote long‑term adherence. By prioritizing comfort, sustainability, and consistency, individuals can integrate movement into their daily routines in ways that are both achievable and beneficial for overall health.Expert GuestDr. Jessica Hennessey is an electrophysiologist who specializes in arrhythmia management with a special focus on catheter ablation, pacemakers/defibrillators, and atrial fibrillation at NewYork-Presbyterian/Columbia University Irving Medical Center. Dr. Hennessey is also the Esther Aboodi Assistant Professor of Cardiology (in medicine) at Columbia University Vagelos College of Physicians and Surgeons. She is board-certified in cardiovascular disease and cardiac electrophysiology.For more health and wellness news, visit NewYork-Presbyterian's Health Matters website.
Carmel Shacharis an assistant clinical professor of law and faculty director of the Health Law and Policy Clinic at Harvard Law School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. H. Howard and C. Shachar. The Rural Health Transformation Program — An Avenue for Promoting Administrative Policies. N Engl J Med 2026;394:625-627.
Why do some physical illnesses persist despite perfect test results and top-tier medication? Today's guest, Dr. Brian Broom, argues that the answer often lies in the patient's personal story. As both a consultant physician in immunology and a psychotherapist, Dr. Broom occupies a unique space in healthcare. In this deep-dive conversation, he explains why modern medicine's tendency to treat the body and mind as separate compartments (dualism) fails many patients with chronic conditions. Discussion Highlights: The "Brave Face" Rash: A case study on how suppressed emotional burdens manifest as inflammatory physical conditions. Symbolic Illness: Understanding "cold urticaria" and other conditions as symbolic representations of life trauma. The Physician's Reputation: How Dr. Broom maintains credibility as a "serious immunologist" while challenging his colleagues to see the "whole person". The Mystery of Being: Moving beyond "theories of everything" to embrace the relational and spiritual aspects of human health. Guest Bio: Dr. Brian Broom is a philosopher physician, former consultant immunologist at Auckland City Hospital, and the developer of the postgraduate Mind Body Healthcare program at AUT University. He is a recipient of the Distinguished Service Award from the New Zealand Association of Psychotherapy and the author of several definitive works on the integration of story and medicine. - Facebook: https://www.facebook.com/dougbeitz/ - Instagram: https://www.instagram.com/dougbeitz/ - Website: https://buymeacoffee.com/dougbeitz - Spotify: https://open.spotify.com/show/6mQ258nugC3lyw3SpvYuoK?si=7cec409527d34438 - Apple Podcasts: https://podcasts.apple.com/au/podcast/intuitive-conversations-with-doug/id1593172364 - LinkedIn: https://www.linkedin.com/in/doug-beitz-472a4b338/ - Tiktok: https://www.tiktok.com/@dougbeitz178
In this episode of Pursuing Health, Dr. Julie Foucher Brown explores direct primary care as a model that restores time, trust, and relationship to medicine. Through conversations with physicians practicing DPC, Julie examines what becomes possible when care is no longer driven by insurance—but by people. Related Episodes: Ep 111 - A New Model for Primary Care with Dr. Kenneth Rictor Ep 128 - Dr. Jeffrey Geller on Loneliness and the Power of Groups Ep 308 - Dr. Lilian White on Providing Empowered Care If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health. Disclaimer: This podcast is for general information only, and does not provide medical advice. I recommend that you seek assistance from your personal physician for any health conditions or concerns.
Season 38 examines one of Victorian England's most infamous murderers: William Palmer, the Rugeley Poisoner. This four-part series traces his crimes from gambling addiction to serial murder—and the groundbreaking forensic investigation that brought him to justice.The Fatal WagerNovember 1855. A man lies dying in Room 10 of the Talbot Arms inn. His back arches off the mattress. His jaw locks. Every muscle seizes at once.John Parsons Cook had won big at the Shrewsbury races just days earlier. His horse Polestar crossed the finish line first, putting nearly a thousand pounds in his pocket. He should have been celebrating.Instead, he's being murdered—slowly, methodically—by his own friend and physician.Dr. William Palmer stands beside the bed, taking Cook's pulse. He doesn't call for help. He waits.The VictimJohn Parsons Cook was twenty-eight years old in 1855. Born into comfortable circumstances, he inherited enough money from his father to live without working. He trained for the law but never practiced—the racing circuit called to him instead.Cook followed the horse racing meets across England: Shrewsbury, Wolverhampton, Chester. He owned horses. He wagered heavily. He lived for the thundering hooves and the roaring crowds.But Cook suffered from chronic poor health. Stomach troubles plagued him. This made him dependent on physicians—a dependency that would prove fatal when his racing companion William Palmer decided he needed to die.The CrimeWilliam Palmer was a surgeon, a family man, and a serial killer.By November 1855, Palmer owed more than twenty thousand pounds to moneylenders. His gambling addiction had consumed him. He had already murdered for money—his wife Anne (insurance payout: thirteen thousand pounds), his brother Walter (insurance claim pending), possibly his mother-in-law, and at least four of his own infant children.When Cook won at Shrewsbury, Palmer saw an opportunity. The two men traveled together back to Palmer's hometown of Rugeley. Cook took his usual room at the Talbot Arms—directly across the street from Palmer's house.Palmer began visiting Cook immediately, administering "treatments" for his illness. Each time Cook improved, another dose sent him back to agony.Cook suspected. He told friends: "I believe that damn Palmer has been dosing me." But suspicion wasn't proof, and Palmer was a doctor. Doctors could be trusted.The InvestigationWhat followed Cook's death would transform British forensic science and create new legal precedent.Dr. Alfred Swaine Taylor, England's foremost toxicologist, examined Cook's remains. He found no strychnine in the body—the poison metabolized too quickly. But the symptoms were unmistakable: tetanic convulsions, locked jaw, arched back.Taylor's testimony established a critical principle: absence of poison does not equal absence of poisoning. Clinical symptoms and circumstantial evidence could establish murder even when the weapon couldn't be found.Palmer's trial became so notorious that Parliament passed special legislation—the Central Criminal Court Act 1856, forever known as "Palmer's Act"—to move the case from Staffordshire to London's Old Bailey.Thirty-two medical experts testified. The jury deliberated eighty-two minutes.Verdict: Guilty.Historical ContextThe Palmer case exposed the vulnerability of Victorian society to medical murderers. Physicians held almost unquestioned authority. Patients trusted them with their lives—literally.Palmer exploited this trust systematically. His medical knowledge allowed him to choose poisons that were difficult to detect, calculate doses that would kill without immediate suspicion, and explain away symptoms as natural illness.The case accelerated the development of forensic toxicology across Europe. Scientists raced to develop more sensitive tests for alkaloid poisons like strychnine.Sources consulted: Old Bailey Online trial transcripts (May 1856); The Times contemporary coverage; British Newspaper Archive; Oxford Dictionary of National Biography; forensic toxicology historical analysis.ResourcesPrimary Sources:Old Bailey Online: Trial of William Palmer (May 1856) — oldbaileyonline.orgBritish Newspaper Archive coverage of Rugeley poisoner caseFurther Reading:Katherine Watson, "Poisoned Lives: English Poisoners and Their Victims" (2004)Robert Graves, "They Hanged My Saintly Billy" (1957) — literary treatmentCrisis Resources:For concerns about elder financial abuse or medical exploitation: Adult Protective ServicesSupport the ShowIf Foul Play brings you into history's darkest corners, consider leaving a review on Apple Podcasts or Spotify. Reviews help new listeners discover the show—and every share helps us continue telling these stories.Our Sponsors:* Check out BetterHelp: https://www.betterhelp.comSupport this podcast at — https://redcircle.com/foul-play-crime-series/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Psychiatrist Sarah Hollander, clinical psychologist Kelly D. Holder, and physician advocate and physical therapist Kim Downey discuss their article "Joy in medicine: a new culture." Sarah, Kelly, and Kim explore how the culture of medicine must evolve from a system of endurance to one of meaningful well-being. They examine the critical role of medical education in shaping the next generation, arguing that joy is not just an emotion but an alignment of purpose that can be taught and modeled. The conversation highlights the power of shared vulnerability and how caring for each other through heartbreak fosters a deeper, more resilient professional community. Discover how integrating humanity into the curriculum can help physicians avoid burnout and rediscover the soul of their practice. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Send a textIn this episode of Journal Club, Ben and Daphna review a non-inferiority trial from the European Journal of Pediatrics exploring surfactant administration thresholds in preterm neonates. The study, conducted in India, compares a 30% versus 40% FiO2 threshold for babies 26-32 weeks gestational age. The hosts break down the counterintuitive findings regarding respiratory support duration in younger subgroups and discuss the broader implications of using rigid FiO2 heuristics versus individualized patient assessment. They also debate how resource availability influences clinical protocols and the potential benefits of "LISA" (Less Invasive Surfactant Administration) for avoiding intubation.----Higher (40%) versus lower (30%) FiO2 threshold for surfactant administration in preterm neonates between 26 and 32 weeks of gestational age: a non-inferiority randomized controlled trial. Haq MI, Datta V, Bandyopadhyay T, Nangia S, Anand P, Murukesan VM.Eur J Pediatr. 2025 Nov 25;184(12):793. doi: 10.1007/s00431-025-06628-1.PMID: 41288797 Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results… Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income. And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com. =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== Former hospital executive and operations leader Joe White explains how years spent running ER, hospitalist, and ICU services showed him the hidden costs and inefficiencies of traditional locums arrangements. Working as an ER tech, COO, and corporate VP, he saw firsthand how opaque markups, slow credentialing, and rigid contracts hurt both hospitals and physicians, and why it made sense to rebuild the process from the ground up. He describes how that experience led him to launch SendIt, a platform that lets physicians contract directly with hospitals, set their own hourly rates, control their availability, and treat clinical work more like flexible fractional gigs. Along the way, he demystifies how hospital finances really work, how administrators think about coverage and service lines, and what doctors should understand before negotiating, signing up for locums work, or relying on staffing agencies You'll find links mentioned in the episode at nonclinicalphysicians.com/restore-physician-autonomy/
In this episode, Sowmya Viswanathan, Chief Physician Executive at BayCare Health System, joins the podcast to discuss building strong academic programs through research and teaching, managing rapid population growth, and supporting value-based care models. She also shares her priorities for 2026, including moving care upstream while continuing to deliver high-end, specialized care across the system.
In this episode, we continue our discussion of neonatal opioid withdrawal syndrome (NOWS), focusing on clinical features, treatment, and care after discharge. Our host, Paul Wirkus, MD, FAAP and guest Camille Fung, MD review the signs and symptoms clinicians use to recognize and assess withdrawal, along with current approaches to medication management and supportive care in the hospital setting. The conversation also addresses discharge planning, including criteria for safe transition home and coordination with caregivers. Finally, we explore the important role of the primary care pediatrician in follow-up—monitoring growth and development, supporting families, and coordinating ongoing services to promote the best possible outcomes for these infants. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Anjani Mahabashya M.D., CHCQM-PHY is the founder of the founder of a physician-led consulting company focused on Utilization Management, CDI, coding process improvement, and Physician Advisor staffing. Dr Mahabashya is a national speaker, a two-time TEDx speaker, and has been featured on multiple podcasts. She has also trained and mentored physicians to become effective, high-impact Physician Advisors. Some of the topics we discussed were:How Dr. Mahabashya got into physician advising after a career-ending injury The physician advisor exam and the benefits of taking it How to work as a physician advisorAdvice for people interested in getting into some sort of physician advising role And more!Connect with Dr. Mahabashya:Email:anjaniM@avenrasolutions.com LinkedIn:https://www.linkedin.com/in/anjani-m-848a201b9/
This week on Rising Up For Justice, Dr. Phil Verhoef, the immediate past president (and a national board member) of Physicians for a National Health Program.
Back to Where It All Begins: The Journey of Dr. Jason HauaIn this episode of The Pediatric Lounge podcast, hosts George and Jason introduce Dr. Jason Haua, who shares his unique career story of moving from leading a large, successful independent practice back to solo practice, focusing on mental health and autism. Dr. Haua discusses the importance of finding joy and fulfillment in medical practice, the challenges and benefits of running a smaller practice, and his reasons for stepping away from a larger organizational structure. The conversation explores the intricacies of managing a solo practice, dealing with insurance and administrative challenges, and the importance of maintaining a positive work culture. Dr. Haua also shares insights on legacy planning, practice efficiency, and the evolving landscape of pediatric care.00:00 Introduction to The Pediatric Lounge01:00 Meet Dr. Jason Haua: A Journey Back to Solo Practice01:42 The Philosophy of Returning to Solo Practice03:24 Building and Managing a Successful Practice07:17 Challenges and Rewards of Mental Health Focus08:30 Operational Efficiency in a Small Practice16:10 Transitioning from Large Group to Solo Practice20:36 The Role of Technology and Personal Touch39:46 Future Plans and Legacy41:44 Balancing Work and Personal Life42:44 Challenges of Starting a Medical Practice44:43 Financial Struggles in Pediatrics46:27 The Cost of Medical Equipment and Supplies48:21 Navigating Insurance and Billing Issues01:13:07 The Role of Optimism in Professional and Personal Life01:15:31 Conclusion and Final ThoughtsSupport the show
Board-certified pediatrician, certified coach, and mindfulness and yoga teacher Jessie Mahoney discusses her article "Pediatrician vs. grandmother: Choosing love over medical advice." Jessie explores the internal conflict she faced between her medical training and her role as a grandmother when her twin granddaughters were born at home. She examines how the physician's impulse to offer risk assessments and warnings can often feel like rejection to loved ones who simply want support. The conversation highlights the transformative power of asking "What would love do?" to navigate complex family dynamics without alienating those we care about most. Jessie shares insights on how to replace the need for control with the gift of presence and trust. Learn how to let go of the need to be right to preserve the relationships that matter most. True team-based care starts with you. When you join ChenMed, you'll feel seen, heard, and valued. That's because ChenMed practices transformative, physician-led care, focusing on prevention and empowering providers to have a lasting impact on their patients and communities. So, whether you're applying for a primary care physician, nurse practitioner, cardiologist, or medical director position, you'll feel supported and fulfilled in every aspect of your career. Find a job that feels right. Visit ChenMed.com/Physicians to learn more. VISIT SPONSOR → https://chenmed.com/Physicians SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
email chris@drchrisloomdphd.com with "Podcast freebie" to book a coveted FREE guest spot on the show. To book a PREMIUM spot on the Podcast: https://www.drchrisloomdphd.com/_paylink/AZpgR_7fBook a 1-on-1 coaching call: https://www.drchrisloomdphd.com/booking-calendar/introductory-session Become a member of our Podcast community: https://www.drchrisloomdphd.com/membershipSubscribe to our email list: https://financial-freedom-podcast-with-dr-loo.kit.com/Click here to join PodMatch (the "AirBNB" of Podcasting): https://www.joinpodmatch.com/drchrisloomdphdClick here to purchase my books on Amazon: https://amzn.to/2PaQn4pClick here to purchase my audiobooks, visit: https://www.audible.com/author/Christopher-H-Loo-MD-PhD/B07WFKBG1FTo help support the show:CashApp- https://cash.app/$drchrisloomdphdVenmo- https://account.venmo.com/u/Chris-Loo-4Buy Me a Coffee- https://www.buymeacoffee.com/chrisJx
Physicians face higher rates of depression, anxiety, and suicide risk than the general population — yet fewer than one in three with a mental health condition ever receives care. In this episode, Dr. Jesse Ehrenfeld, professor of anesthesiology at the Medical College of Wisconsin and Global Chief Medical Officer for AIDOC, discusses what happens when physicians consider getting help. The conversation looks at how concerns about licensing, confidentiality, and other structural barriers can make seeking care feel risky, and why progress has been uneven. You can listen to the first half of the conversation here. Hosted on Acast. See acast.com/privacy for more information.