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Featuring articles on pulmonary arterial hypertension, oral semaglutide and cardiovascular outcomes, giant-cell arteritis, the loss of subsidized drug coverage and mortality, and neutralizing venom toxins; a review article on cancer of unknown primary site; a case report of a man with fever, nausea, and respiratory failure; and Perspectives on primary care and the free market, federal cuts at the VA, the GINA gap, and the meaning of goodbye.
This week on Health Matters, Courtney Allison is joined by Dr. Sonja Blum, a neurologist with NewYork-Presbyterian and Weill Cornell Medicine.Dr. Blum shares simple ways to protect your brain health as you age.They explore the science behind nutrition and exercise in relation to the brain, as well as the importance of social engagement, mental health, and quality sleep. They also speak about evidence that shows how meditation benefits the brain. Plus, they touch on whether or not brain puzzles actually help with cognitive function, and the unique brain health challenges faced by women.___Dr. Sonja Blum, M.D., Ph.D. is an Associate Professor of Clinical Neurology at Weill Cornell Medicine and Associate Attending at NewYork-Presbyterian/Weill Cornell Medical Center, and the Director of Memory Disorders and Cognitive Neurology Division at NewYork-Presbyterian and Weill Cornell Medicine. Dr. Blum sees adults of all ages who are having memory, attention, language, and other cognitive concerns, or who have a family history of dementia and concerned about their risks. Dr. Blum also has expertise in traumatic brain injury (TBI), including recovery from disorders of consciousness (DOC) and the long-term effects of moderate to severe TBI, as well as concussions. Her research focuses on mechanisms of cognitive aging and long-term memory dysfunction, and traumatic brain injury. Dr. Blum trained as a physician scientist completing the MD/PhD program at the University of Texas McGovern Medical School in Houston. She completed her neurology residency and behavioral neurology fellowship at the Columbia University Neurological Institute in New York City.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
In this episode, Stacey Richter explores the impact of trust on healthcare outcomes, drawing from listener contributions and prior episodes of Relentless Health Value. The discussion underscores how trust or the lack thereof affects patients, clinicians, and healthcare systems. Key points include the importance of building trusted relationships, the detrimental effects of antitrust behaviors, and the broader implications for healthcare delivery. Stacey also highlights a bonus show featuring Charles Green on earning and maintaining trust. The episode concludes with an uplifting message about the collaborative and giving nature of the Relentless Health Value community. === LINKS ===
In this episode of Health Matters, Dr. Mary Rosser, a gynecologist at NewYork-Presbyterian and Columbia, explains perimenopause, breaking down what symptoms are normal, when it's time to see a doctor, and the best options for managing some of the more challenging symptoms of perimenopause. ___Dr. Mary L. Rosser, M.D., Ph.D., NCMP is the Director of Integrated Women's Health at NewYork-Presbyterian/Columbia University Irving Medical Center and the Richard U. and Ellen J. Levine Assistant Professor of Women's Health (in Obstetrics and Gynecology) at Columbia University Vagelos College of Physicians & Surgeons. She joined the faculty of Obstetrics and Gynecology at Columbia University in April 2018 to provide routine gynecology care and to further develop a comprehensive well-woman program. She has been a practicing obstetrician gynecologist for more than 20 years, starting in private practice and then joining the faculty at Montefiore Medical Center in Bronx, NY. While at Montefiore, she created, launched, and led the forty-person Division of General Obstetrics and Gynecology. Dr. Rosser received her undergraduate degree at Emory University and a Ph.D. in Endocrinology at the Medical College of Georgia. She attended Wake Forest University School of Medicine and completed her residency at Emory University. She is also a NAMS Certified Menopause Practitioner, able to provide high-quality care for patients at menopause and beyond.Primary care and heart disease in women have always been areas of focus for Dr. Rosser. She conducted basic science research on heart disease during graduate school and was the Chair of the "Women & Heart Disease Physician Education Initiative" for District II of the American College of Obstetrics & Gynecology. She continues to conduct clinical studies around patient awareness and understanding of heart disease and well-woman care. Dr. Rosser serves on the Medical Leadership Team of the Go Red for Women movement of the American Heart Association and she is ACOG's liaison to the American College of Cardiology.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
Acesse o Guia de bolso de IOT do TdC no link: http://bit.ly/4dyi6n8Pedro Magno e Lucca Cirillo conversam sobre os alvos de LDL em 4 populações:- Evento cardiovascular prévio- Presença de diabetes- LDL > 190 mg/dL- Outras situações Veja mais em https://www.tadeclinicagem.com.br/guia/259/hipercolesterolemia-familiar/Veja o vale a pena ouvir de novo em https://www.youtube.com/watch?v=k42rmssU1xE&ab_channel=TadeClinicagemReferências:1. Mach, François et al. “2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk.” European heart journal vol. 41,1 (2020): 111-188. doi:10.1093/eurheartj/ehz4552. Faludi, André Arpad et al. “Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose – 2017.” Arquivos brasileiros de cardiologia vol. 109,2 Supl 1 (2017): 1-76. doi:10.5935/abc.201701213. Grundy, Scott M et al. “2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.” Journal of the American College of Cardiology vol. 73,24 (2019): 3168-3209. doi:10.1016/j.jacc.2018.11.0024. Pearson, Glen J et al. “2021 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults.” The Canadian journal of cardiology vol. 37,8 (2021): 1129-1150. doi:10.1016/j.cjca.2021.03.0165. Marx, Nikolaus et al. “2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes.” European heart journal vol. 44,39 (2023): 4043-4140. doi:10.1093/eurheartj/ehad1926. Vrints, Christiaan et al. “2024 ESC Guidelines for the management of chronic coronary syndromes.” European heart journal vol. 45,36 (2024): 3415-3537. doi:10.1093/eurheartj/ehae1777. Hong, Sung-Jin et al. “Treat-to-Target or High-Intensity Statin in Patients With Coronary Artery Disease: A Randomized Clinical Trial.” JAMA vol. 329,13 (2023): 1078-1087. doi:10.1001/jama.2023.24878. Cannon, Christopher P et al. “Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes.” The New England journal of medicine vol. 372,25 (2015): 2387-97. doi:10.1056/NEJMoa14104899. Sabatine, Marc S et al. “Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease.” The New England journal of medicine vol. 376,18 (2017): 1713-1722. doi:10.1056/NEJMoa161566410. http://departamentos.cardiol.br/sbc-da/2015/calculadoraer2017/etapa1.html11. Lipidology update: targets and timing of well-established therapies, Luigina Guasti 1, MD, PhD, FAHA, FESC; Alessandro Lupi 2, MD at https://www.escardio.org/Councils/Council-for-Cardiology-Practice-(CCP)/Cardiopractice/lipidology-update-targets-and-timing-of-well-established-therapies12. Ray, Kausik K et al. “EU-Wide Cross-Sectional Observational Study of Lipid-Modifying Therapy Use in Secondary and Primary Care: the DA VINCI study.” European journal of preventive cardiology vol. 28,11 (2021): 1279-1289. doi:10.1093/eurjpc/zwaa04713. Cholesterol Treatment Trialists' (CTT) Collaboration et al. “Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170,000 participants in 26 randomised trials.” Lancet (London, England) vol. 376,9753 (2010): 1670-81. doi:10.1016/S0140-6736(10)61350-5
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SUC865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until May 18, 2026.AD-SAFE: An Initiative to Build Understanding of ARIA and Skills Needed to Guide Treatment Decisions in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SUC865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until May 18, 2026.AD-SAFE: An Initiative to Build Understanding of ARIA and Skills Needed to Guide Treatment Decisions in Primary Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.
Did you know that some weight loss medications can help people lose up to 20% of their body weight, comparable to bariatric surgery outcomes? In this episode, I dive into the latest research comparing two major weight loss medications, Wegovy (semaglutide) and Zepbound (tirzepatide), based on findings from the 72-week SURMOUNT-5 trial. I explain how Zepbound led to greater weight loss (about 20.2% vs. 13.7% with Wegovy), possibly due to its dual action on GIP and GLP-1 receptors. Both drugs were generally well tolerated, with similar side effects like nausea and constipation, though Wegovy had slightly more people stop due to GI issues. I also emphasize that while Zepbound may appear more effective, individual needs, such as cardiovascular health or sleep apnea, should guide treatment decisions. Lastly, I remind you that sustainable weight loss requires patience, realistic expectations, and a holistic approach that includes lifestyle changes, not just medication. Tune in to this episode to learn which weight loss medication might be right for you and why your journey to health is more than just the number on the scale. Episode Highlights: Comparison of Wegovy (semaglutide) and Zepbound (tirzepatide) Average weight loss outcomes and waist circumference changes between both medications Mechanism of action: GLP-1 vs. dual GIP/GLP-1 receptor targeting Side effect profiles and tolerability of both medications FDA approval differences, including cardiovascular risk reduction and sleep apnea treatment Importance of personalized treatment plans and setting realistic weight loss expectations Ongoing research into oral formulations and long-term safety studies Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Titan Medical Center owner and CEO, John Tsikouris along side Titan Medical Athlete Big Dru, answer your health and fitness questions live from our social media accounts. They give fitness tips, health advice and in particular nutrition for this weeks topic! Tune in every Friday at 2PM EST and get your qurstions answered!
In this episode, I sat down with Dr. Chris McCallum to discuss how primary care PTs are changing the landscape of “health coverage” by contracting directly with employers. The “Direct to Employer” model of care puts PTs on-site where the workers are and significantly reduces the need for self-insured employers to redirect care claims to health insurance companies. It's advantageous for the worker, the employer and the PT! And in my opinion, it's the direction that we MUST pursue in order to preserve our profession. Here's some of the links we discussed: How to find self-insured companies. Companies must file with the Department of Labor, so that is where you will find a list: https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/reporting-and-filing/form-5500 OSHA recordable data: search the BLS website for Injuries, Illnesses and Fatalities to get an idea of employer injury rates. https://www.bls.gov/iif/ We talked about how to get paid by employers: Hourly rate model Service based pricing (FFS) Risk Sharing The On-Site Physical Therapist (book): https://us.amazon.com/Site-Physical-Therapist-Direct-Employer/dp/B0CJDDNGXK/ref=sr_1_1?crid=1VS47PGDOPKX5&keywords=isbn+979-8-218-18265-6&qid=1695568551&s=books&sprefix=isbn+979-8-218-18265-6,stripbooks,119&sr=1-1 Contact Info: chris@mccallumPT.com, www.mccallumIP.com
This episode recorded live at the Becker's Hospital Review 15th Annual Meeting features David Carmouche, MD, Executive Vice President & Chief Clinical Transformation Officer at Lumeris. Dr. Carmouche discusses how Lumeris is leveraging AI to redefine primary care delivery, scale access, and improve outcomes—without sacrificing quality or provider trust.This episode is sponsored by Lumeris.
On this episode of “Raise the Line” we welcome Dr. Sheldon Fields, a trailblazer in the nursing field and the president of the National Black Nurses Association. In a candid conversation, Dr. Fields shares his inspiring journey from the bedside to becoming a prominent figure in nursing, HIV/AIDS prevention and academia and also shares the challenges he faced as a Black man in a predominantly white and female field. "I fell in love with a profession that has not always loved me back," he tells host Kelsey Lafayette. Dr. Fields brings over thirty years of experience as an educator, researcher, clinician, administrator, consultant, health policy specialist, and entrepreneur to his current role at NBNA, and as the inaugural associate dean for equity and inclusion at the College of Nursing at Penn State University, where he also serves as a research professor. Listeners will find Dr. Fields' insights on navigating a career in healthcare particularly valuable, as he stresses the importance of resilience, continuing education, and mentorship. It's a compelling listen for anyone interested in the intersection of health, policy, and social justice.Mentioned in this episode:National Black Nurses Association If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast
Send us a textIn this episode of the VCA Voice Podcast, Dr. Kerl is pleased to welcome Dr. Roy Wilson. Listen in as he shares his diverse journey in veterinary medicine, highlighting his experiences from practicing in Germany to his current role as a Regional Medical Director at VCA. He emphasizes the importance of collaboration between veterinarians and technicians, the pivotal role of primary care veterinarians in educating clients, and the significance of building long-term relationships with pet owners. Dr. Wilson also discusses preventive healthcare and the role of the Companion Animal Parasite Council (CAPC) in promoting pet health. In their conversation, they explore the dynamic collaboration among veterinary professionals, the resources provided by CAPC, and the various parasite-associated diseases that pet owners should be aware of. The discussion also highlights the risks parasites pose to both pets and their owners, the significance of preventive measures, and the evolving perspectives on parasite prevention in veterinary practice.For more information on Companion Animal Parasite Control, please visit the CAPC Page.Visit our website: vcavoice.comAll episodes produced by dādy creative
What happens when a routine day in primary care suddenly turns into a life-threatening emergency? As a nurse practitioner in primary care, I initially thought I'd left the high-stakes emergencies behind in my hospital days. The reality is quite different – from acute asthma attacks to stroke symptoms, emergencies can and do walk through our clinic doors without warning. In this episode, I'm breaking down the essential components of emergency preparedness in the primary care setting. I discuss the types of emergencies you might encounter, your role as the first responder, and how to perform effective risk stratification to determine which situations can be managed in-office versus those requiring immediate transfer to higher levels of care. Get full show notes, transcript, and more information here: https://blog.npreviews.com/handling-emergencies-primary-care/
Featuring articles on multiple sclerosis, narcolepsy type 1, antiretroviral therapy in children with HIV, and porcine kidney xenotransplantation; a review article on Ph-positive acute lymphoblastic leukemia; a case report of a woman with peritonsillar swelling and bleeding; and Perspectives on the power of physicians in dangerous times, on community health centers, on AI-driven clinical documentation, and on driving Jackson.
Criminal Justice Evolution Podcast - Hosted by Patrick Fitzgibbons
Too many Americans slip through the cracks when primary care and behavioral health services sit in separate silos. Dr. Patricia Robinson wants to change that. In this episode, she lays out her vision for fully integrated primary care – where patients see their physician and therapist under one roof. We dig into why the status quo leaves millions untreated, how consolidated teams cut friction for patients, and why clinicians must guard against burnout while the U.S. faces a mental‑health worker shortage.
This week on Health Matters, Courtney Allison is joined by Dr. Erica Eldon, physiatrist with NewYork-Presbyterian and Columbia.They discuss how our body builds strong and healthy bones, and what happens to our bones as they age—including why they can get brittle and contribute to things like breaks in hips or wrists, and even losing height in our spine.Dr. Eldon describes the key factors in maintaining bone health over time. She explains why it's especially important for women to incorporate resistance training into their self care, and offers some practical steps for everyone to take toward strong, healthy bones at every phase of life.___Dr. Erica Eldon, DO, is doctor of interventional spine care with NewYork-Presbyterian and Columbia. She specializes in treating patients with acute and chronic musculoskeletal and spine injuries. Dr. Eldon is board eligible in both Physical Medicine & Rehabilitation and Pain Medicine. She received her Doctorate of Osteopathic Medicine (DO) from Midwestern University-Arizona College of Osteopathic Medicine, underwent residency training in Physical Medicine and Rehabilitation at the Icahn School of Medicine at Mount Sinai Hospital where she also served as Chief Resident, and completed a multidisciplinary pain medicine fellowship at Weill Cornell/NewYork Presbyterian Hospital, Hospital for Special Surgery, and Memorial Sloan Kettering Hospital.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
Alice Chen is a primary care internist in Washington, DC, and former executive director of Doctors for America. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.T. Chen and V.H. Murthy. The Power of Physicians in Dangerous Times. N Engl J Med 2025;392:1873-1875.
Avoid routine or reflexive therapeutic drug monitoring (TDM) unless there is a specific clinical indication Be vigilant about enzyme induction and inhibition interactions when prescribing anti-seizure medications Proactively counsel women of childbearing age about the teratogenic risks associated with anti-seizure medications Discuss reproductive risks with men taking valproate, especially if planning to conceive Refer patients of reproductive age to epilepsy specialists early to optimise treatment and family planning Host: Dr David Lim | Total Time: 48 mins Expert: Dr Moksh Sethi, Neurologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-432 Overview: With measles outbreaks on the rise in the United States and globally, it's important to skillfully recognize cases and effectively promote vaccination. This episode offers practical tips to identify measles and support patient conversations, helping you protect individual patients and strengthen community health. Episode resource links: CDC Health Alert Network, March 7, 2025 CDC Measles (Rubeola) UNICEF press release Guest: Alan M. Ehrlich, MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-432 Overview: With measles outbreaks on the rise in the United States and globally, it's important to skillfully recognize cases and effectively promote vaccination. This episode offers practical tips to identify measles and support patient conversations, helping you protect individual patients and strengthen community health. Episode resource links: CDC Health Alert Network, March 7, 2025 CDC Measles (Rubeola) UNICEF press release Guest: Alan M. Ehrlich, MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Episode 200 is a celebration of your journey and questions, as I dive deep into the realities of weight loss, medications, and staying consistent through it all. In this episode, I celebrate a huge milestone—our 200th episode of the Back on Track: Achieving Healthy Weight Loss podcast! I take this opportunity to answer your most frequently asked questions from TikTok, YouTube, Instagram, and podcast listeners, covering a wide range of topics like weight loss medications (such as Qsymia and Contrave), combining medications, insurance, PCOS, managing side effects, and more. I also dive into important issues like long-term use of medications, how they affect hormones and metabolism, dealing with weight loss plateaus, and how shift work and mindset can impact progress. Furthermore, I share tips for staying consistent and remind you that small steps matter on this journey. Celebrate 200 episodes of transformative weight loss advice with me and tune in now for expert answers to your most pressing health and weight loss questions! Episode Highlights: Frequently asked questions about weight loss medications like Qsymia and Contrave Comparison between Qsymia, Contrave, and GLP-1 medications Medication safety regarding Lexapro, alcohol, and pregnancy Understanding PCOS and insulin resistance in weight management Addressing muscle loss and weight plateaus during weight loss Strategies to manage hunger with shift work and circadian rhythm disruptions Overcoming the “all or nothing” mindset for long-term consistency and success Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Titan Medical Center Athlete, Big Dru answers questions regarding Fitness, Health and Lifestyle from our live stream audience! Summer is right around the corner and we know you want that beach body! Big Dru gives details on our Titan Weight Loss Therapies and goes in depth on nutrition, meals, and foods!
Please donate to the show!Our fourth and final episode in our series on healthcare discusses the findings of an alarming report into the state of health care in Massachusetts conducted by the Massachusetts Health Policy Commission. We explore the difficulties of getting primary and preventative care in our state, the realities that insurance coverage figures obscure, and what the future of the medical profession in Massachusetts might look like.You can read the HPC report here: https://masshpc.gov/publications/policyresearch-brief/dire-diagnosis-declining-health-primary-care-massachusetts-andYou're listening to Incorruptible Mass. Our goal is to help people transform state politics: we investigate why it's so broken, imagine what we could have here in MA if we fixed it, and report on how you can get involved.To stay informed:Subscribe to our YouTube channel at https://www.youtube.com/@theincorruptibles6939Subscribe to the podcast at https://incorruptible-mass.buzzsprout.com/Sign up to get updates at http://ww12.incorruptiblemass.org/podcast?usid=18&utid=30927978072Donate to the show at https://secure.actblue.com/donate/impodcast
Listen in as Paula Henao, MD; Rohit Loomba, MD, MHSc; Cheryl Pirozzi, MD, MS; and Corinne Young, NP, FCCP, discuss their screening and monitoring strategies for patients with alpha-1 antitrypsin deficiency, including:Why early detection is key for improving patient outcomesHow to monitor through use of noninvasive imaging and biopsy per guideline recommendationsHow to coordinate patient care to provide much-needed multidisciplinary careWhat therapies in the pipeline could transform the treatment landscape for this genetic disease PresentersPaula Henao, MDAssistant Professor of MedicineDivision of Pulmonary, Allergy and Critical Care MedicinePenn State Hershey Medical CenterHershey, PennsylvaniaRohit Loomba, MD, MHScProfessor of MedicineChief, Division of Gastroenterology and HepatologyDirector, MASLD Research CenterUniversity of California, San DiegoSan Diego, CaliforniaCheryl Pirozzi, MD, MSAssociate Professor of Internal MedicineDivision of Pulmonary and Critical Care MedicineUniversity of UtahSalt Lake City, UtahCorinne Young, NP, FCCPPresident/FounderAssociation of Pulmonary Advanced Practice ProvidersColorado Springs, ColoradoLink to full program: https://bit.ly/4dgCRnq
Did you know that simply tracking your steps each day can double your chances of reaching your weight loss goals? In this episode, I explored how digital tech tools like fitness trackers, heart rate monitors, smart scales, continuous glucose monitors (CGMs), streaming fitness apps, and sleep tech can support your weight loss journey. I shared personal experiences using devices like the Fitbit, Apple Watch, and Garmin, emphasizing how they helped me stay accountable and understand my body's needs better. From real-time data on your activity and heart rate to insights on your sleep and glucose levels, these tools offer valuable support—but they're not without downsides, such as cost, data accuracy, and the risk of obsession. Ultimately, I encouraged picking one or two tools based on your biggest challenges and reminded my listeners that while tech can help, real progress still depends on showing up and staying consistent. Tune in to discover which digital tools can supercharge your weight loss journey and help you stay on track effortlessly! Episode Highlights: Benefits and drawbacks of fitness trackers How heart rate monitors help optimize fat burn and endurance training Insights from smart scales on body composition beyond weight Role of continuous glucose monitors (CGMs) in personalized nutrition Advantages and limitations of streaming fitness apps Impact of sleep tech on metabolism and weight loss Integration of digital tools through platforms like Apple Health and MyFitnessPal Tips for choosing the right tech based on your biggest health challenge Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/DEN865. CME/AAPA credit will be available until April 24, 2026.Primary Care at the Center of RSV Prevention: Community-Focused Strategies to Foster Trust and Vaccine Acceptance In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
Breast pain is common and is often managed with reassurance, education, topical NSAIDs, and stress-reduction strategies Triple test remains the gold standard for evaluating breast symptoms, with a diagnostic accuracy of over 99.6% when performed correctly Perimenopause brings breast changes, including fibrocystic changes and increased fat, which can affect cancer risk Online risk calculators like org and iPrevent are valuable tools for assessing true breast cancer risk, highlighting that lifestyle factors have more impact than family history Risk-reduction strategies include daily exercise, limiting alcohol, maintaining a healthy weight, and considering individualised approaches to menopause hormone therapy Host: Dr Marita Long | Total Time:25 mins Expert: Dr Virginia Barid, Women's Health GP Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.
My conversation with Emily begins at 30 mins 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 Emily Feiner on Blue Sky Emily on Facebook Emily Feiner, LCSW currently serves as the Chief of Social Work at the VA New Jersey Healthcare System (VANJHCS), a large healthcare system with 2 main campuses and 11Community Based Outpatient Clinics (CBOCs). In that capacity she oversees a staff of over 150 professional social workers and support staff that provide a wide range of social work services in inpatient acute, outpatient and residential settings. Social workers at VANJHCS provide case management, discharge planning, program coordination, psychotherapy and educationservices. Prior to being appointed to her current position, Emily was the Program Manager for the Transition and Care Management (TCM) program at VANJHCS which serves Post 9/11 Veterans, providing case management and other support services. She began her career with the VHA in 2008 when she was hired as a CBOC Social worker at the Hudson Valley VA Health Care System. In that capacity she provided concrete services, case management and crisis intervention to Veterans in a Primary Care clinic. This allowed her to learn the VHA system inside and out rather quickly. Prior to joining VA, Ms. Feiner enjoyed a varied career in Social Work spanning over two decades. She worked with adolescents and young adults in schools and an outpatient clinic, homeless pregnant women in a maternity shelter, and was the Director of an Outpatient Substance Abuse Counseling Center. Ms. Feiner was also an adjunct professor of Social Work at Fordham Graduate School of Social Services where she taught courses in Advanced Practice, Human Behavior and the Social Environment, Substance Abuse Treatment and Clinical Practice seminar. In addition, she also taught in the Human Services program at Westchester Community College. She has maintained a private psychotherapy practice since 1988. Emily has always had a strong commitment to her community and has served on the boards of several community agencies including HeadStart of Rockland and Planned Parenthood Hudson Peconic. She was twice elected to her local Village Board of trustees. Ms. Feiner holds a Bachelor of Arts degree from Hamilton College and a Masters of Social Work from Hunter College of the City University of New York. She has completed the coursework for a PhD in Social Work at New York University. She is the proud mother of two young adults, and enjoys going to hear live music, skiing and hiking in her free time. Emily Feiner, LCSW currently serves as the Chief of Social Work at the VA New Jersey Healthcare System Prior to being appointed to her current position, Emily was the Program Manager for the Transition and Care Management (TCM) program at VANJHCS which serves Post 9/11 Veterans, providing case management and other support services. She began her career with the VHA in 2008 when she was hired as a CBOC Social worker at the Hudson Valley VA Health Care System. In that capacity she provided concrete services, case management and crisis intervention to Veterans in a Primary Care clinic. She worked with adolescents and young adults in schools and an outpatient clinic, homeless pregnant women in a maternity shelter, and was the Director of an Outpatient Substance Abuse Counseling Center. Ms. Feiner was also an adjunct professor of Social Work at Fordham Graduate School of Social Services where she taught courses in Advanced Practice, Human Behavior and the Social Environment, Substance Abuse Treatment and Clinical Practice seminar. In addition, she also taught in the Human Services program at Westchester Community College. She has maintained a private psychotherapy practice since 1988. Emily has always had a strong commitment to her community and has served on the boards of several community agencies including HeadStart of Rockland and Planned Parenthood Hudson Peconic. She was twice elected to her local Village Board of trustees. Ms. Feiner holds a Bachelor of Arts degree from Hamilton College and a Masters of Social Work from Hunter College of the City University of New York. She has completed the coursework for a PhD in Social Work at New York University. She is the proud mother of two young adults, and enjoys going to hear live music, skiing and hiking in her free time. Join us Monday's and Thursday's at 8EST for our Bi Weekly Happy Hour Hangout's ! 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
Featuring articles on high-risk smoldering multiple myeloma, M. tuberculosis infection, type 2 diabetes, uncontrolled hypertension, and lymphoma; a review article on the chemistry of food; a case report of a man with weight loss, weakness, and anorexia; and Perspectives on the dismantling of foreign-assistance efforts, on the crushing weight of nonclinical demands in primary care, and on the last dose.
These days it seems like everyone has a take on the ideal skin care routine. So rather than listen to an influencer or celebrity, we decided to ask one of our experts: what is the right way to care for our skin over time? And what vitamins and products are actually important? NewYork-Presbyterian and Weill Cornell Medical dermatologist Dr. Shari Lipner shares some of her recommendations for how to take care of your skin, addresses some myths about skin and aging and gets into which fads may actually be dangerous for your health.___Dr. Shari Lipner is board certified in Dermatology and has a wide range of clinical experience in the diagnosis and management of skin, hair, and nail disorders. She is one of the few experts in nail disorders in the world, and treats patients with nail psoriasis, nail fungal diseases, brittle nails, and nail cancers. She is also one of the leading researchers in dermatology. She has authored over 400 peer-reviewed publications, numerous books and book chapters, lectures nationally and internationally, and is frequently featured by the media including CNN, NPR, Self, Allure, The Washington Post, and The New York Times for her expertise. ___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
Christopher Duggan is the director of the Center for Nutrition at Boston Children's Hospital, a professor of pediatrics at Harvard Medical School, and a professor in the Departments of Nutrition and Global Health and Population at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. C.P. Duggan and Z.A. Bhutta. “Putting America First” — Undermining Health for Populations at Home and Abroad. N Engl J Med 2025;392:1769-1771.
Listen in as Joseph Kim, MD, MPH, MBA, interviews Sejal Desai, MD, DABOM, to learn about how she implemented virtual support groups to improve obesity care at her practice, including:Dedicating 5 support groups with chat features to obesity-specific topics (eg, sleep, nonscale wins)Moderating these chats to ensure no misinformation is shared and a positive, safe space is maintainedExpanding to include other virtual options that allow patients to engage more in their careUtilizing free and subscription-based services to aid in marketing effortsSharing lessons learned for those interested in implementing similar virtual options for their patients PresentersJoseph Kim, MD, MPH, MBAPresidentQ Synthesis, LLCNewtown, PennsylvaniaSejal Desai, MD, DABOMBoard-Certified Obesity Medicine PhysicianOwner & Medical DirectorTula Medical Weight Loss & WellnessKaty, TexasLink to full program: https://clinicaloptions.com/content/qi-resource-hub
Lumeris introduces Tom, an agentic AI solution designed to support primary care teams and bridge the 2 billion-hour primary care gap in the US. In this episode, Dr. David Carmouche, Chief Clinical Transformation Officer at Lumeris, shares insights into the company's new agentic AI solution, Tom, and how it aims to revolutionize primary care. David discusses Lumeris's history, rooted in the belief that technology is crucial for high-quality, accountable primary care. He explains how Tom leverages the company's data aggregation capabilities to launch multiple coordinated agents on behalf of patients, proactively extending care and freeing up clinicians' time. David also highlights the pressing need to address the 2 billion-hour primary care gap in the US and how Tom can help bridge it by automating tasks, providing services that should happen but aren't, and upskilling the delivery of primary care. Tune in to learn how Lumeris is leveraging AI to transform primary care, improve patient access, and empower clinicians! Resources: Connect with and follow Dr. David Carmouche on LinkedIn. Learn more about Lumeris on their LinkedIn and website. Email David directly here.
Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith is joined by Sue Peters—a healthcare improvement leader with a background in audiology and extensive experience in quality improvement for clinical teams. Sue and Sarah dive into the day-to-day challenges clinicians face, from the dreaded in-basket workload to the complexities of team communication and patient care coordination. Together, they explore practical strategies to streamline processes, clarify roles within clinical teams, and leverage everyone's unique skills to create more efficient and sustainable practice environments. Sue shares actionable tips on offloading non-physician work, optimizing EMRs, and effectively onboarding patients—all while ensuring that both providers and patients benefit from these improvements. Plus, they chat about breaking old habits, embracing true teamwork, and even finding ways to take things out of everyone's overloaded "backpack." Here are 3 key takeaways from this episode: Embrace Team-Based Care: Don't try to shoulder all the work alone. By clearly defining roles and empowering every member of the care team—from RNs and LPNs to MOAs—practices can improve patient access, reduce wait times, and allow clinicians to focus on what matters most. Optimize Your EMR Processes: Standardizing how we populate and use EMR data not only improves patient care, but also makes it much easier to delegate and manage population health. Consistency in documentation enables actionable reporting—and lets the right team member handle the right task. Involve Everyone in Change: Successful quality improvement requires all voices at the table, not just physicians. When team members participate in designing solutions, they're more engaged, invested, and open to new ways of working. Sue Peters Bio: Sue Peters is a Healthcare Improvement Leader working with Primary Care and Specialty Teams to achieve true team-based care through Quality Improvement. Imagine a team where every member has a critical role in patient care and is working to top of scope, allowing you to focus on the work for which you are highly trained - It is possible. -------------- Would you like to view a transcript of this episode? Click here Learn more about our guest: https://petersconsulting.ca/ https://www.linkedin.com/in/sue-peters-b8661774/ **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
Urban and rural Vermont communities face a primary care shortage
We're honored to continue our global tour of medical education today with Professor Katarzyna Taran, MD, PhD, a pioneering interdisciplinary researcher of tumor cell biology, an award winning educator noted for her focus on student engagement, and -- in a first for a Raise the Line guest -- a shooting sports certified coach and referee. As Professor Taran explains to host Michael Carrese, these seemingly disparate professional activities require the same underlying attributes: patience, the ability to overcome barriers, openness and adaptation. She believes those last qualities are especially important for today's medical students to acquire given the accelerated pace of change in healthcare. “They need to be equipped with the ability for critical thinking, to analyze and synthesize, and to search for unconventional solutions.” Professor Taran tries to impart these skills, in addition to the medical and scientific knowledge students must know, through a high level of engagement. “Teaching is relational, so try to be familiar with students' concerns. Talk to them, listen to them and you will become someone they trust.” In this wide-ranging and engaging conversation, Professor Taran also discusses her work as the head of the Laboratory of Isotopic Fractionation in Pathological Processes in Chair of Oncology, the use of neurodidactics in teaching, and the connection between the science of pathology and the future of humans in space. Mentioned in this episode:Medical University of Lodz If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast
Featuring articles on lipoprotein(a), familial polycythemia, leukocyte adhesion deficiency, COPD, and on policies on reducing alcohol consumption; a review article on addressing alcohol use; a Clinical Problem-Solving on gazing into a crystal ball; and Perspectives on death and taxes, on cancer metastases, and on a good innings.
Have you ever wondered why anxiety in children can look and feel so physical—and what we as pediatricians, parents, or caregivers can do about it? We're visiting a fan favorite from Episode #26 of Pediatric Meltdown, Dr. Lia Gaggino sits down with Dr. Colleen Cullinan, a leading pediatric psychologist, to dissect the powerful 3 B's approach: Brain, Body, and Behavior. Together, they reveal eye-opening truths about integrated behavioral health, the ways anxiety manifests in kids, and practical, actionable strategies for managing emotional meltdowns in real-time. This is not just about recognizing anxiety—it's about transforming how we support kids inside and outside the exam room. If you want to empower families, level up your clinical skills, and make a tangible difference, don't miss this conversation. This episode could change the way you think about pediatric care—forever.[00:00 - 11:35] Integrated Care Foundations: Building Partnerships in Pediatric PracticeIntegrated behavioral health bridges the gap between physical and mental health, creating seamless care experiences for families.Primary care is often the first—and sometimes only—entry point for children facing emotional or behavioral challenges.Partnerships between pediatricians and behavioral health providers increase accessibility, reduce stigma, and foster earlier intervention.The synergy and trust between pediatricians and psychology professionals leads to holistic, effective patient care.[11:36 - 15:49] The Role of Primary Care in Managing Anxiety and Emotional HealthPrimary care providers serve as trusted anchors, introducing mental health as an essential component of overall health.Familiarity with a child's history allows pediatricians to recognize subtle behavior changes and collaborate meaningfully with behavioral specialists.Normalizing physical symptoms of anxiety (like stomachaches and headaches) helps bridge conversations from medical to emotional concerns.Educating families on the inseparability of physical and emotional health empowers them to seek support without shame.[15:50 - 28:55] Anxiety Explained: The 3 B's and Practical Strategies for KidsThe "3 B's": Brain, Body, and Behavior, are interlinked—anxiety in the brain triggers body sensations, which guide behavior, often leading to avoidance.Psychoeducation is key: Emphasizing to families and youth that everyone experiences anxiety validates their feelings and reduces shame.Simple, actionable distress tolerance tools—breathing exercises, grounding techniques (like the “five senses” method), and focusing attention—can be taught in minutes during a regular visit.Providers can help children recognize “worry thoughts” and redirect their response before anxiety spirals into withdrawal or meltdown.[28:56 - 49:20] When to Escalate: Distress Tolerance, Prevention, and Team-Based SolutionsDistress tolerance techniques can bridge the gap until a child can access specialized behavioral care—or be sufficient for milder cases.Functional impairment is the marker for when anxiety moves from “manageable” to requiring traditional CBT or higher-level intervention.Exposure therapy explained: At its core, CBT for anxiety involves identifying fears and encouraging gradual, manageable exposure to them, with improvement through repetition.Advocacy for integrated behavioral health, resource sharing, and ongoing partnerships with community therapists are essential for sustainable, high-impact child mental health care.[49:21- 53:34] Dr. Lia's...
In this episode of Health Matters, Dr. Courtney DeAngelis, a clinical psychologist at NewYork-Presbyterian and Columbia discusses what happens in the mind and body during anxiety, distinguishes between anxiety attacks and panic attacks, and shares effective strategies and practical advice for managing anxiety.___Courtney DeAngelis, PsyD, is an Assistant Professor of Medical Psychology (in Psychiatry) within the Division of Child and Adolescent Psychiatry at Columbia University. She also serves as a licensed clinical psychologist at the Columbia University Clinic for Anxiety and Related Disorders-Westchester (CUCARD-Westchester).Dr. DeAngelis specializes in the assessment and treatment of children, adolescents, and young adults with anxiety, mood, habit, posttraumatic stress, and disruptive behavior disorders. She has expertise in treating OCD, generalized, separation, and social anxiety disorders, specific phobias, posttraumatic stress disorder, and childhood externalizing disorders (ADHD, Oppositional Defiant Disorder, and Conduct Disorder).Throughout her career, Dr. DeAngelis has received specialized training in the provision of several evidence-based treatments, including cognitive behavioral therapy (CBT), exposure and response prevention (EX/RP), functional family therapy (FFT), and trauma-focused cognitive behavioral therapy (TF-CBT). Dr. DeAngelis has more recently received specialized training in the treatment of complicated grief. She is accepting patients of all ages who may be experiencing traumatic stress and/or grief during the COVID-19 pandemic.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. In Part 2, Jim discusses considerations for opening your own practice, the various models for reimbursement, and the future role of PAs in primary and specialty care. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/
Arthur Robin Williams is an associate professor of clinical psychiatry at Columbia University and a research scientist at the New York State Psychiatric Institute. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.R. Williams. Death and Taxes — Is Alcohol the Solution? N Engl J Med 2025;392:1665-1667.
California's Primary care shortage persists despite ambitious moves to close the gapIn postfire Altadena, Fear and anexietyreign as burglary soars.Israel's AI experiments in Gaza war raise ethical concernsTrumps first 100 day ratings are sinking
The further away I am from my general pediatric training the more I forget how to manage chronic complaints and “primary care like” presentations. That is why I brought Dr. Noah Makovsky again to help us (PEM clinicians) do a better job with those patients.
This episode of Relentless Health Value features Dr. Kenny Cole from Ochsner Health System. The discussion emphasizes the critical role of trusted relationships and excellent primary care teams in keeping patients out of the emergency room, thus reducing healthcare costs. Stacey Richter revisits this conversation to highlight the importance of care teams building trust with patients and the concept of primary care as an investment in health and wellness. The episode outlines four key points for delivering great primary care, including accountability for outcomes, belief in clinical goals, standardized care flows, and building patient trust. Dr. Cole also discusses the real-world challenges and strategies for achieving clinical and financial success in primary care. The episode serves as a guide for plan sponsors, clinicians, and healthcare executives looking to improve primary care delivery and align it with financial viability. The discussion is further enriched with insights on digitizing care pathways and the importance of measuring and sharing best practices to achieve high standards of care.I Stacey revisits, in a take two, this episode with Dr. Kenny Cole because she's listening to it this time with a new focus. That focus is the theme that keeps coming up over and over and over again on Relentless Health Value these past few months. === LINKS ===
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