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February is National Hearth Month in the United States. Heart Disease remains the leading cause of death in the country despite other contributing factors. Dr. Kathy Magliato, Cardiothoracic Surgeon and Director of Women's Cardiac Services at Providence Saint John's Health Center and author of Healing Hearts: A Memoir of a Female Heart Surgeon discusses the importance of regular check-ups and ways to stay heart healthy. Follow Kennedy on Twitter: @KennedyNation Kennedy Now Available on YouTube: https://bit.ly/4311mhD Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Shouhed is a nationally renowned, board-certifiedminimally invasive weight loss surgeon with expertise in Robotic Bariatric, Gastrointestinal, and Complex General Surgery. He was born and raised in Los Angeles, California, and graduated summa cum laude from UCLA with adegree in Human Physiology. Dr. Shouhed earned early recognition, a Phi Beta Kappa induction, and a near-perfect MCAT score, which secured him a placeat UCSD School of Medicine with the highest merit-based scholarship. Dr. Shouhed completed his general surgery residency training at Cedars Sinai (#2Hospital in the country), where he graduated as Administrative Chief Resident. He completed his fellowship at Mount Sinai Hospital in New York, the first fellowship in the country, where he focused on minimally invasive bariatric, foregut and complex general surgery. Dr. Shouhed is also Medical Director of the Bariatric Surgery and Metabolic Weight Loss Center, Providence Saint John's Hospital. Our focus today is really about the vascularabdominal syndromes that we can see so prevalent in connective tissue disorders & complex conditions. Please get us started with a description of the anatomy of the abdomen, including the GI organs, but also the ligaments &connective tissue that holds these organs in place and the vasculature that feeds them oxygen & carries away metabolic wastes. Now, let's get into the syndromes that we wantto focus on today & we're going from the top down because that's how they might be unlocked, meaning closest to the heart to the most distant to the heart and in the pelvis, that's from chest to pelvis direction. a. MALS: median arcuate ligament syndromeb. SMAS: superior mesenteric artery syndrome(duodenal comp) (meat?)c. Nutcracker: renal vein compressiond. May Thurner: iliac vein compressione. Pelvic congestion syndromes including pelvicvenous insufficiency, vaginal/ labial varices For each we talk about: a. Symptomsb. Evaluation c. Treatment: ancillary tx? Visceral manipulation? What would a patient look for in a provider? Whois doing this care? How easy/ common are folks doing these treatments? Howoften can or do treatments go wrong? We end with discussing: where is research going with this? To find out more about our clinic (and request a call back): https://www.neurovedahealth.com/- Phone: 206-379-1213- Email Reception@neurovedahealth.com
BUFFALO, NY - December 3, 2024 – A new #review was #published in Oncotarget's Volume 15 on November 22, 2024, entitled “Mesenchymal stem cells - the secret agents of cancer immunotherapy: Promises, challenges, and surprising twists." Authored by Theia Minev, Shani Balbuena, Jaya Mini Gill, Francesco M. Marincola, Santosh Kesari, and Feng Lin from CureScience Institute, Sonata Therapeutics, and Pacific Neuroscience Institute and Providence Saint John's Health Center, this review explores the potential role of mesenchymal stem cells (MSCs) in cancer treatment. These stem cells can naturally target tumors and deliver therapeutic agents directly to cancer cells, potentially improving treatment outcomes while reducing side effects commonly associated with traditional therapies like chemotherapy. However, the authors also note significant challenges, pointing out that under certain conditions, MSCs may unintentionally promote tumor growth, highlighting the need for careful therapeutic design. MSCs are cells that can develop in different types of tissues, such as bone, fat, or cartilage, and act as natural repair agents. What makes them particularly special is their ability to respond to biological signals, like inflammation, which is often present in cancer. This enables them to locate tumors, and once there, they can deliver cancer treatments directly to the affected area. Clinical trials are already investigating MSC-based treatments for cancers such as brain tumors, melanoma, and ovarian cancer. Some results are promising, showing that MSCs can effectively deliver treatments and boost the immune system's fight against cancer. However, other trials have also revealed the complexities of MSC behavior, including variability in their effects and the potential to create conditions that support tumor growth. “This variability may be due to the tumor immune microenvironment's effects, where immune cells are inhibited by various factors, creating a conducive environment for tumor growth.” The authors also suggest that “Developing personalized MSC therapies tailored to the specific characteristics of a patient's tumor and immune system could enhance the efficacy and safety of MSC-based treatments.” Achieving this requires a deeper understanding of how MSCs interact with cancer cells and their surrounding environment. In conclusion, this review highlights both the potential and challenges of (MSCs in cancer therapy. With ongoing research and technological advancements, MSCs could become a key component of personalized cancer treatments, offering new hope for patients worldwide. DOI - https://doi.org/10.18632/oncotarget.28672 Correspondence to - Feng Lin - flin@curescience.org Video short - https://www.youtube.com/watch?v=Wwc3zDDitlc Subscribe for free publication alerts from Oncotarget - https://www.oncotarget.com/subscribe/ About Oncotarget Oncotarget (a primarily oncology-focused, peer-reviewed, open access journal) aims to maximize research impact through insightful peer-review; eliminate borders between specialties by linking different fields of oncology, cancer research and biomedical sciences; and foster application of basic and clinical science. Oncotarget is indexed and archived by PubMed/Medline, PubMed Central, Scopus, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science). To learn more about Oncotarget, please visit https://www.oncotarget.com and connect with us: Facebook - https://www.facebook.com/Oncotarget/ X - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/@OncotargetJournal LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Spotify - https://open.spotify.com/show/0gRwT6BqYWJzxzmjPJwtVh MEDIA@IMPACTJOURNALS.COM
We're so happy to have Dr. Kathy E. Magliato MD, MBA, FACS on the podcast this week. In addition to being one of the few female cardiothoracic surgeons in the world, she is also an entrepreneur, a NY Times Bestselling author, and a nationally recognized media expert on heart disease (fun fact, she helped characters on a pretty popular medical TV show). She has a wealth of knowledge and the training to back it up. Related Resources: Dr. Magliato is one of the few female cardiothoracic surgeons in the world and currently practices at Providence Saint John's Medical Center in Santa Monica, CA, where she founded a Multidisciplinary Women's Health Center. She has held prestigious roles, including Director of the Mechanical Assist Device/Artificial Heart Program at Cedars-Sinai Medical Center, and has been recognized by Goldman Sachs as one of the 100 Most Intriguing Entrepreneurs in the US. Dr. Magliato is also Founder and CEO of Cordex Systems, which has developed a technology that actually measures the earliest warning signs of the development of heart disease. A prolific innovator and advocate for women's cardiac health, she holds 24 patents, has served as President of the American Heart Association's Western States Affiliate Board, and authored the New York Times best-selling memoir "HEART MATTERS," which was adapted into the NBC medical drama "HEARTBEAT." Connect with us on LinkedIn: Cumby Consulting Dr. Kathy Magliato Rachel Medeiros Liz Cumby About Cumby Consulting: Cumby Consulting's team of professionals deliver innovative MedTech training services for physicians, sales representatives, teaching faculty, key opinion leaders and clinical development teams. Whether you need a complete training system developed to deliver revenue sooner or a discrete training program for a specific meeting, Cumby Consulting will deliver highly strategic, efficient programs with uncompromising standards of quality.
Prostate cancer is the second-leading cause of cancer death in American men, however it's important to note that prostate cancer is treatable, and we can reduce the number of men being diagnosed with it. Jennifer Semenza speaks with Dr. Ramkishen Narayanan, Urologist and Urological Oncologist from the Center of Urologic Health at the Disney Family Cancer Center in Burbank, California which is affiliated with Providence Saint John's Medical Center. Join us as we dive into the cutting-edge developments that are reshaping the landscape of prostate cancer prevention and treatment and bringing awareness to the importance of screenings, risk factors, prevention measures and reducing the shame and stigma in talking with your doctor about symptoms you might be experiencing.Disney Family Cancer CenterDr. Ramkishen NarayananMusic from Blue Dot Sessions
Let's talk about Parkinson's Disease. Many of you could be familiar with this neurological disorder through high profile people like Michael J. Fox, who are open about their challenges with the condition. Our conversation today will focus on how it affects the body, who's at risk for developing the disorder and what new research is being developed for treatments. Dr. Melita Petrossian, a fellowship-trained neurologist and the medical director of the Pacific Movement Disorders Center at Providence Saint John's Health Center joins host Jennifer Semenza to help us learn more about navigating this neurological condition. For more information and resources visit: Pacific Movement Disorders Center (Providence Pacific Neuroscience Institute)Providence Neuroscience InstituteAmerican Parkinson Disease Association (affiliate with Providence)The Michael J. Fox Foundation for Parkinson's ResearchParkinson's Community Los Angeles (support groups and events local to Southern California)The Michael J. Fox Foundation for Parkinson's Research-Join a Research StudyClinicaltrials.govParkinson FoundationRock Steady Boxing Dancing through Parkinson's Ping Pong for Good
In 2015, The Wall Street Journal did a survey recording that while 82% of people parenting today did chores growing up, only 28% of those parents were requiring their children to do chores today. Why the significant decrease? Is it important for our children to do chores? Simeon joins me as we discuss how chores help children learn life skills, how to work together as a team, and how to grow in responsibility. Danelle Fisher, M.D., pediatrician and vice chair of pediatrics at Providence Saint John's Heath Center in Santa Monica, California, says, "When you break chores down, they are activities of daily living. You as an adult need to tend to yourself, your home, and your family. It teaches you that responsiblity as a child, that things don't just come to you, but you have to work for it." Sometimes we think that work is a part of man's sin curse, but that is not true! God created man to work! He designed for every person, old and young, to get great satisfaction from a job well done. We can help our children understand this as we include them in the habits of home. Scriptures Referenced: Deuteronomy 6:6-9 Mark 9:35 I Corinthains 10:31 Resources Referenced: Bad Therapy by Abigail Shrier https://amzn.to/3Kf7qfa When Your Child is 6 to 12 by John Drescher https://amzn.to/44NlbeJ Follow my journey by subscribing to this podcast. You can also follow me on Instagram, YouTube, and www.nohighercalling.org Subscribe to the NHC email at www.nohighercalling.org
In this episode, Christine Avanti-Fischer shares her journey from growing up around food to becoming a nutritionist and author. She emphasizes the importance of balanced nutrition and shares her approach to healthy eating and weight loss. Christine also discusses her involvement in the fight against human trafficking and encourages listeners to be aware and take action. She offers advice for young entrepreneurs and highlights the impact of mentors in her own life. The episode concludes with Christine sharing her contact information for those interested in learning more about her work. Takeaways Balanced nutrition is key to maintaining a healthy weight and overall well-being. Approach weight loss with a focus on balanced meals and listening to your body's hunger and satisfaction cues. Human trafficking is a serious issue that requires awareness and action from individuals and communities. Seek out mentors and continue to educate yourself to excel in your chosen field. Connect with Christine Avanti-Fischer on Instagram, YouTube, TikTok, and her website for healthy recipes and nutrition tips. Christine Avanti-Fischer is a best-selling author of several books most notably, Skinny Chicks Don't Eat Salads (Rodale Publishing), and Skinny Chicks Eat Real Food (Rodale Publishing), she had a 20-year career as a holistic nutritionist. She has been Hollywood's go-to nutrition/culinary expert for a multitude of celebrities. She has shared her nutrition advice on The Today Show, Good Morning America, The Doctors, Access Hollywood, E! News, Food Network, and many others. She has been a contributing expert for best-selling books, What the Doctors Eat (Rodale) The Ultimate Tea Diet (Harper Collins) and publications; Women's Health, Shape Magazine, W Magazine, Vogue, US Weekly, Health Magazine and Fitness Magazine. She has been on the advisory board for New Beauty Magazine, Intrafitt and Fab,Fit and Fun. In addition to her career in health wellness and food, Christine has been an advocate for at risk children and women volunteering in these spaces for over 30 years. In 2013 Christine and her husband Jonathon Fischer started their family foundation, JDFF (the Jonathon D. Fischer Foundation) to provide “a hand up.” JDFF's focus is on providing grants in Education, Human Trafficking, Medical Needs, Water Projects, and Animal Rights. Since 2013 JDFF has built 10 school buildings in Haiti, 3 water wells in Haiti, 4 new orphanage buildings in Haiti, 2 human trafficking rescues in Los Angeles, and has donated and volunteered with nonprofits such as the Los Angeles Dream Center, John Maxwell Leadership Foundation, Thorn, The Andrea Bocelli Foundation, The Rally for Kids with Cancer, Project Hope, Sick Kids Hospital Toronto, The David Foster Foundation, Gateway for Cancer Research, ChildHelp, and Guide Dogs Canada. Christine is the recipient of the American Icon Award in Philanthropy in 2019 and the Humanitarian of the Year Award from the David Foster Foundation in 2022. In 2023 Christine became member of the Board of Trustees of Saint John's Health Center Foundation. As a trustee Christine is committed to helping provide leadership and philanthropic support to Providence Saint John's Health Center in Santa Monica, California. Recommendations: The Bible, Purpose Driven Life, The 5am Club, The Secret Contact Christine: Instagram: @Christine_Avanti or @christineavantikitchen YouTube: @christineavanti Website: Christineavanti.com
Dr. Porter is the Director of Dementia, Alzheimer's disease, and Neurocognitive Disorders at the Pacific Brain Health Center at Pacific Neuroscience Institute (PNI) located at Providence Saint John's Health Center in Santa Monica, CA. In addition, she is a Professor of Neurosciences, Department of Translational Neurosciences and Neurotherapeutics at John Wayne Cancer Institute.https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
Dr. Amit Kochhar, MD, is double board-certified in Otolaryngology, Head and Neck Surgery and Facial Plastic and Reconstructive Surgery. He is the director of the Facial Nerve Disorders Program at Pacific Eye, Ear & Skull Base Center, Pacific Neuroscience Institute, Providence Saint John's Health Center in Santa Monica. Dr. Kochhar specializes in facial nerve disorders, complex reconstruction of the head and neck, disorders of the nose and sinuses, endoscopic nasal-sinus surgery and facial plastic surgery. https://www.pacificneuroscienceinstitute.org/people/amit-kochhar/ https://www.pacificneuro.org/facialnerve 310-477-5558
Dr. Melita Petrossian is a fellowship-trained neurologist and movement disorders specialist and is the Director of the Pacific Movement Disorders Center located at Providence Saint John's Health Center and Providence Little Company of Mary Medical Center Torrance. Dr. Petrossian's clinical interests and expertise are in movement disorders such as Parkinson's disease, tremors including essential tremors, dystonia, gait disorders, ataxia, myoclonus, blepharospasm, hemifacial spasm, Meige syndrome, spasticity, tics, and Tourette's syndrome. She also specializes in Parkinson's-related conditions such as Dementia with Lewy Bodies, progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, primary freezing of gait, and Parkinson's Disease Dementia. For more information: https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
Naveed Wagle, MD, has specialized training and research experience in the treatment of cancer of the central and peripheral nervous system. Dr. Wagle treats patients with primary and metastatic brain tumors as well as neurologic complications of cancer at Providence Saint John's Health Center. As an expert resource to Pacific Neuroscience Institute and the community, Dr. Wagle brings a wealth of knowledge and experience in neuro-oncology clinical trials design and implementation. For more information: https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
Lisa Arnold, Stroke Program Coordinator at Providence Saint John's Health Center and Dr. Reza Bavarsad Shahripour, Vascular Neurologist at Providence Saint John's Health Center Neurovascular and Stroke Center discuss what you need to know about strokes and how to reduce your risk of having a stroke. For more information and resources, visit: providence.org
In today's episode, you'll hear two men talking about endometriosis. I recognize the optics of this, but this is a topic I haven't covered yet, and an important one, so when today's expert approached the show with the idea to discuss endometriosis, I said absolutely. Dr. Laurence Orbuch completed his training at the New York Hospital Weill Cornell Medical College and SUNY Upstate Medical Center. He served as the Director of Minimally Invasive and Pelvic Reconstructive Surgery at The Mount Sinai Hospital and Director of Gynecologic Robotic Surgery at The Mount Sinai Beth Israel Hospital. Dr. Orbuch is currently Clinical Professor of Obstetrics and Gynecology at both Cedars- Sinai Marina Del Rey Hospital and Providence Saint John's Hospital in Los Angeles and Lenox Hill Hospitals in New York. He is also the Medical Director of GYN Laparoscopic Associates LA in Beverly Hills, California. In his practice, he specializes in minimally invasive and robotic surgery for the treatment of endometriosis and all benign gynecologic conditions requiring surgical intervention. www.LAGynDoc.com We talk about the pathophysiology of endometriosis, which was very surprising for me, how it typically presents, as well as some atypical presentations, that make more sense given his explanation for how it occurs. We talk about who is at higher risk, different conditions that may be caused or influenced by endometriosis, some misdiagnoses that may actually be endometriosis, and treatment options.
Jose Carrillo, MD, is a board-certified neurologist and neuro-oncologist specializing in the diagnosis and treatment of primary and secondary brain tumors, including glioblastoma multiforme, primary CNS lymphoma, meningioma, and brain metastases, as well as the neurologic complications of cancer. In addition, Dr. Carrillo is involved in the enrollment of patients into several clinical trials. Dedicated to advancing medicine, Dr. Carrillo is a strong proponent of leading-edge research in the diagnosis, treatment and prevention of all types of CNS tumors, including metastatic brain and spine tumors, primary malignant brain and spinal cord tumors, primary benign or low‐grade brain or spine tumors, and skull base and pituitary tumors. His particular research interests involve neuroimaging brain tumor features and molecular markers pertaining to treatment and survival. Dr. Carrillo is an Associate Professor of Neurology at the Saint John's Cancer Institute at Providence Saint John's Health Center and has been recognized by Coast magazine as a Physician of Excellence, and by L.A. Magazine as a Southern California Super Doctor. To learn about Dr. Carrillo and other PNI doctors visit pacificneuro.org
Our guest is Dr. Marlon Garzo Saria, Ph.D., RN, AOCNS, NPD-BC, FAAN, is a Regional Vice President of the Philippine Nurses Association of America, overseeing operations in the Western Region comprised of 16 chapters and 2 subchapters with over 800 members. He is a Nurse Scientist and Director of Professional Practice at Providence Saint John's Health Center. Marlon is also an Assistant Professor at Saint John's Cancer Institute and Pacific Neuroscience Institute in California. He extends influence by developing and implementing nursing practice and protocols standards, providing nursing expertise and input into formulating departmental policies, participating in strategic planning, and establishing an evidence-based practice expectation and focus for professional nursing practice. He serves as a Deputy Chief Nurse for the 452nd Aeromedical Staging Squadron, U.S. Air Force Reserve, overseeing training, employment, and standards of practice for nurses and medical technicians.Dr. Saria is a thought-leader in professional, military, community, and education settings, having served in leadership roles in professional associations,multi-professional military services, and social-civic-political organizations.Through diverse clinical and leadership experiences nationally andinternationally, he has made significant contributions to professional,community, and academic environments to advance patient care, create innovative work environments, promote scholarship in practitioners, and develop leaders. He is a fellow in the American Academy of Nursing.Hosts: Manny Ramos and Mindy OfianaDirected and Produced by: Rodney CajudoExecutive Producers: Mary Joy Garcia-Dia and Carmina Bautista
Welcome to HEALTH POWER (FORMERLY NATURALLY SAVVY) Lisa is joined by Mandy Ingber, The New York Times best-selling author of Yogalosophy: 28 Days to the Ultimate Mind-Body Makeover and creator of the yoga-hybrid DVD YOGALOSOPHY to talk about her book, Yogalosophy for Inner Strength: 12 Weeks to Heal Your Heart and Embrace Joy. This is a very candid and personal interview. Mandy opens up about her own heartache relating to experiences growing up in her family and in romantic relationships. Mandy is a celebrity fitness and wellness expert. Her twenty years of teaching experience have attracted such clients as Jennifer Aniston, Kate Beckinsale, Helen Hunt, Ricki Lake, Jennifer Lawrence, Jennifer Meyer, and Brooke Shields.Mandy's class has been awarded “Best of LA” in Daily Candy, LA Weekly, and Los Angeles Magazine. Ingber is a keynote speaker and an event headliner for such events as the Boston Red Sox Foundation's FenwaYoga, Peoplemagazine's A-List Workout, SELF Magazine's Workout in the Park, and more. She has been a spokesperson for companies such as Silk Soymilk and a contributing fitness and wellness advisor on multiple platforms, including Health, POPSUGAR, SELF magazine, Shape, USA Today, Women's Health, and Yahoo! Mandy is a fitness blogger for E! Online and www.People.com and is featured regularly in the following publications: Elle, Glamour, Harper's Bazaar, InStyle, Los Angeles Magazine, O, The Oprah Magazine, People, SELF, Us Weekly, Vanity Fair, Vogue, and more. Television appearances include Access Hollywood, E! News, Fox Extra, Good Day L.A., Good Morning America, the Chelsea Lately show, and the TODAY show, among others. Ingber is also on the advisory committee for the Cancer Prevention Clinic at the Margie Petersen Breast Center at Providence Saint John's Health Center. Prior to her career in fitness, Ingber performed on Broadway in the original company of Brighton Beach Memoirs, played Annie Tortelli on the all-time-favorite series Cheers, and is forever remembered for her famous rap in the cult classic Teen Witch.Mandy Ingber teaches workshops at the Omega Institute for Holistic Studies and at independent yoga studios. Follow her on Twitter, Facebook, Instagram, and You Tube. BOOK DESCRIPTION: Yogalosophy for Inner Strength: 12 Weeks to Heal Your Heart and Embrace Joy."Heartbreak is a universal experience, and self-compassion is vital to healing. In this moment of truth lies the opportunity to find action-oriented ways to love yourself.”Building on the concepts in her New York Times bestselling book Yogalosophy, Mandy Ingber, fitness and wellness instructor to the stars, now gives us Yogalosophy for Inner Strength—a revolutionary and inspiring self-care program to uplift and strengthen the alignment of mind, body, heart, and spirit during times of adversity like loss, transition, grief, or heartbreak. Yogalosophy for Inner Strength is a twelve-week wellness program, which includes five exercise routines for strength, happiness, and cardiovascular health, as well as meditations, recipes, playlists, and rituals designed to support the healing of the heart and build lasting resilience. In Yogalosophy for Inner Strength, Ingber incorporates anecdotes from her personal journey through loss and trying times, and stories from experts within her inner circle of friends. Whether you're experiencing crisis or simply feeling adrift, Yogalosophy for Inner Strength will help guide and carry you through your transition by providin
Sheldon Jordan, MD is a clinical associate professor of neurology at UCLA and USC. He has a private practice in Santa Monica, California. He has taught two interventional programs at UCLA and helped establish the stroke service at UCLA and Providence Saint John's Health Center. He has authored numerous books and journal articles, and he lectures nationally and internationally on brain health and regeneration. His newest book Regenesis: The Brain Doctor's Guide to Health will be available this summer. He specializes in advanced imaging techniques, interventions for brain and nerve injury, anti-aging of the brain, and regenerative medicine. As chief investigator for The Regenesis Project, Dr. Jordan advances the boundaries of neurological care through the exploration of cutting edge and targeted approaches for brain health and regeneration. He has ongoing laboratory research which he is translating from the bench to the beside. Dr. Jordan is also an avid photographer and artist and has illustrated books and presented artwork in various galleries. His diverse background is the foundation of his unique and comprehensive approach to healthcare.
Mandy Ingber, is a celebrity fitness, yoga and wellness expert. Her twenty-five years of teaching experience have attracted such clients as Jennifer Aniston, Kate Beckinsale, Helen Hunt, Ricki Lake, Jennifer Lawrence, and Brooke Shields. Mandy's classes have been awarded “Best of LA” in Daily Candy, LA Weekly, and Los Angeles Magazine. She is The New York Times best-selling author of Yogalosophy: 28 Days to the Ultimate Mind-Body Makeover and Yogalosophy For Inner Strength: 12 Weeks to Heal Your Heart and Embrace Joy . She has been a contributing fitness and wellness advisor on multiple platforms, including Health, POPSUGAR, SELF magazine, Shape, USA Today, Women's Health, and Yahoo! Mandy was a fitness blogger for E! Online and www.People.com and is featured regularly in the following publications: Elle, Glamour, Harper's Bazaar, InStyle, Los Angeles Magazine, O, The Oprah Magazine, People, SELF, Us Weekly, Vanity Fair, Vogue, and more. Television appearances include Access Hollywood, E! News, Fox Extra, Good Day L.A., Good Morning America, the TODAY show, among others. Ingber is also on the advisory committee for the Cancer Prevention Clinic at the Margie Petersen Breast Center at Providence Saint John's Health Center. Prior to her career in fitness, Ingber performed on Broadway in the original company of Brighton Beach Memoirs, played Annie Tortelli on the all-time-favorite series Cheers, and is forever remembered for her famous rap in the cult classic Teen Witch. Mandy Ingber teaches workshops at the Omega Institute for Holistic Studies and at independent yoga studios. She is an astrologer and is currently offering private council through readings and consultations online, as well as astrology classes at The Den Meditation Center. Her mission statement is “Integrate all facets of myself in order to inspire self-love." First Leaf: Join today and get 6 bottles of wine for $29.95 and free shipping! Go to www.Tryfirstleaf.com/INMYHEART Audible: Audible editors have curated a range of titles featuring experts in a wide range of self-care and self-development categories. Go to www.audible.com/wellbeing Stitch Fix: Go to www.stitchfix.com/INMYHEART for 25% off when you keep everything in your Kids Fix. Feals: Go to www.Feals.com/INMYHEART and get 50% off your first order with free shipping. Learn more about your ad-choices at https://www.iheartpodcastnetwork.com
Think Neuro Mini: Meer Dr David Butler Dr. David M. Butler is board certified both by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. Affiliated with Providence Saint John's Health Center throughout his career, Dr. Butler has been providing compassionate, expert care to his patients since 1988. In 2019, he transitioned over to Pacific Eye, Ear & Skull Base Center at Pacific Neuroscience Institute. Visit Dr. Butler's profile: https://www.pacificneuroscienceinstit... For more information or to schedule an appointment, please call: 310-829-7792
Dr. Amit Kochhar, MD, is double board-certified in Otolaryngology, Head and Neck Surgery and Facial Plastic and Reconstructive Surgery. He is the director of the Facial Nerve Disorders Program at Pacific Eye, Ear & Skull Base Center, Pacific Neuroscience Institute, Providence Saint John's Health Center in Santa Monica. Dr. Kochhar specializes in facial nerve disorders, complex reconstruction of the head and neck, disorders of the nose and sinuses, endoscopic nasal-sinus surgery and facial plastic surgery. https://www.pacificneuroscienceinstitute.org/people/amit-kochhar/ https://www.pacificneuro.org/facialnerve 310-477-5558
If you've never had a migraine headache, you are lucky. Sufferers say the pain alone is wretched, and there are a host of other awful symptoms. A migraine can garble a person's speech, paralyze parts of the body, cause the sensation of a room spinning, and make any motion feel like moving through molasses. Dr. Dorothy Dada, a neurologist at Providence Saint John's Medical Center, a hospital partner of the Pacific Neuroscience Institute, specializes in migraines and in helping people get relief from them. Migraines are among the top five causes of disability in women, who are more prone to migraines than men. Their cause remains a mystery. Evidence points to heredity, but not every migraine sufferer appears to have a genetic history. Fortunately, there are treatments beyond painkillers like ibuprofen. Antidepressants that bolster the neurotransmitter Serotonin help in many cases. Listen to this episode of Think Neuro to learn how experts like Dr. Dorothy Dada are tackling this debilitating—and all too common—ailment. pacificneuro.org 310-582-7641
Dr. Jason Tarpley, MD, Ph.D. is the Director of the Stroke Center at Providence Saint John's Health Center and directs the Pacific Stroke and Neurovascular Center. His focus is treating patients with ischemic and hemorrhagic stroke and intracranial vascular lesions such as aneurysms or arteriovenous malformations. He is also trained in neuroendovascular therapy to treat these patients. You can read more about Dr. Kaiser at the link below https://www.pacificneuroscienceinstitute.org/people/jason-tarpley/
Sheldon Jordan, MD is a clinical associate professor of neurology at UCLA and USC. He has a private practice in Santa Monica, California. He has taught two interventional programs at UCLA and helped establish the stroke service at UCLA and Providence Saint John's Health Center. He has authored numerous books and journal articles, and he lectures nationally and internationally on brain health and regeneration. His newest book Regenesis: The Brain Doctor's Guide to Health will be available this summer. He specializes in advanced imaging techniques, interventions for brain and nerve injury, anti-aging of the brain, and regenerative medicine. As chief investigator for The Regenesis Project, Dr. Jordan advances the boundaries of neurological care through the exploration of cutting edge and targeted approaches for brain health and regeneration. He has ongoing laboratory research which he is translating from the bench to the beside. Dr. Jordan is also an avid photographer and artist and has illustrated books and presented artwork in various galleries. His diverse background is the foundation of his unique and comprehensive approach to healthcare.
Dr. Porter is the Director of Dementia, Alzheimer’s disease, and Neurocognitive Disorders at the Pacific Brain Health Center at Pacific Neuroscience Institute (PNI) located at Providence Saint John’s Health Center in Santa Monica, CA. In addition, she is a Professor of Neurosciences, Department of Translational Neurosciences and Neurotherapeutics at John Wayne Cancer Institute. https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
In this episode, Dr. Kesari talks about his 20 years of working with patients suffering a deadly disease. He speaks about how his patients and their families are like his own and how his connection to them gave him a deep understanding of living and dying.Dr. Santosh Kesari is a board-certified neurologist and neuro-oncologist and is currently Chair and Professor, Department of Translational Neurosciences and Neurotherapeutics, Saint John’s Cancer Institute. He is also Director of Neuro-oncology at Pacific Neuroscience Institute, Providence Saint John’s Health Center and Providence Little Company of Mary Medical Center Torrance and leads the Pacific Neuroscience Research Center at Pacific Neuroscience Institute.Dr. Kesari is ranked among the top 1% of neuro-oncologists and neurologists in the nation, according to Castle Connolly Medical Ltd and an internationally recognized scientist and clinician. He is a winner of an Innovation Award by the San Diego Business Journal. He is on the advisory board of American Brain Tumor Association, San Diego Brain Tumor Foundation, Chris Elliott Fund, Nicolas Conor Institute, Voices Against Brain Cancer, and Philippine Brain Tumor Alliance. He has been the author of over 250 scientific publications, reviews, or books. He is the inventor on several patents and patent applications, and founder and advisor to many cancer and neurosciences focused biotech startups. In addition, he is a member of the Los Angeles Biomedical Research Institute.Dr. Kesari has had a long-standing interest in cancer stem cells and studies their role in the formation of brain tumors and resistance to treatment. He believes that in order to cure patients with brain tumors we first need to gain a better molecular and biological understanding of the disease. A physician/scientist, Kesari harnesses his experience in surgery, chemotherapy, immunotherapy, radiation therapy and novel devices to help develop Precision Therapeutic Strategies that will advance medicine to a new stage in the battle against brain tumors and eradicate the disease.HighlightsDr. Kesari graduated from University of Pennsylvania, School of Arts and Sciences in 1992 and earned a PhD degree in molecular biology and a MD from the University of Pennsylvania, School of Medicine.He completed his residency in neurology at the Massachusetts General Hospital/Brigham and Women’s Hospital/Harvard Medical School and his neuro-oncology fellowship at the Dana-Farber Cancer Institute in Boston. He was previously assistant professor of neurology at Harvard Medical School/Dana-Farber Cancer Institute/Brigham and Women’s Hospital and then professor of neurosciences at UC San Diego. He is a member of the Society of Neuro-Oncology, American Society of Clinical Oncology, Indian Society of Neuro-Oncology, American Neurological Association, and American Academy of Neurology.Support the show (https://healgrief.org/donations/)
Dr. Chipp Miller is a board-certified otolaryngologist with over 30 years of experience treating patients with the utmost quality of care. Affiliated with Providence Saint John’s Health Center and highly esteemed in his field, Dr. Miller's care thrives on patient understanding and participation. He takes pride in spending the time to discuss diagnosis and treatment options with each individual patient. In 2019, he transitioned over to Pacific Eye, Ear & Skull Base Center at Pacific Neuroscience Institute. For more information: https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
ONS member Marlon Garzo Saria, PhD, RN, FAAN, director of clinical education and professional practice at Providence Saint John's Health Center in Santa Monica, CA, ONS Leadership Development Committee member, and member of the Greater Los Angeles and South Bay ONS Chapters, joins Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS, to discuss career planning, which is also the subject of a 2021 ONS Congress™ session he copresented. Click the link in the episode notes to learn more. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by April 9, 2023. The planners and faculty for this episode have no conflicts to disclose, and the episode has no commercial support. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Check out these resources from today's episode: Complete this evaluation for free NCPD. ONS Voice article: Oncology Nurses Enhance Cancer Care Through Mentorship Opportunities Oncology Nursing Podcast Episode 27: How Self-Care Can Impact Your Nursing Practice Oncology Nursing Podcast Episode 99: How to Set Goals for a Successful Nursing Career ONS Congress™ session on career planning Develop your nursing career with ONS resources. Follow this flowchart to find career guidance for your level of practice. ONS Career Development Learning Library ONS Leadership Development Committee ONS Leadership Learning Library ONS Nursing Self-Care Learning Library
Doctors in Israel have found when pregnant women get COVID shots, their babies are born with ready-made COVID-fighting antibodies. The researchers believe that the find vindicates health officials' call to pregnant women to get vaccinated against the coronavirus. Dr. Sherry Ross is an OB/GYN and Women's Health Expert at Providence Saint John's Health Center in Santa Monica.Mainland Europe is getting hit hard again by the coronavirus. Cases are going up and Italy is entering a third lockdown. Bloomberg reporter Marco Bertacche joins from Milan, Italy.Disneyland and Disney's California Adventure will open back up on April 30th. It was just about a year ago they closed because of the pandemic. There will be changes, social distancing and masks required. How safe will the Happiest Place on Earth be? Dr. Doctor Peter Chin-Hong is an infectious disease specialist at UC San Francisco.The airline industry took a beating in 2020. Countries closed their borders and many people didn't want to take the chance of flying and getting sick with COVID. But, undeterred by the pandemic, two new airlines are launching. Joe Brancatelli, the founder and editor of the business traveler advisory site JoeSentMe.com, explains. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Doctors in Israel have found when pregnant women get COVID shots, their babies are born with ready-made COVID-fighting antibodies. The researchers believe that the find vindicates health officials' call to pregnant women to get vaccinated against the coronavirus. Dr. Sherry Ross is an OB/GYN and Women's Health Expert at Providence Saint John's Health Center in Santa Monica. Mainland Europe is getting hit hard again by the coronavirus. Cases are going up and Italy is entering a third lockdown. Bloomberg reporter Marco Bertacche joins from Milan, Italy. Disneyland and Disney's California Adventure will open back up on April 30th. It was just about a year ago they closed because of the pandemic. There will be changes, social distancing and masks required. How safe will the Happiest Place on Earth be? Dr. Doctor Peter Chin-Hong is an infectious disease specialist at UC San Francisco. The airline industry took a beating in 2020. Countries closed their borders and many people didn't want to take the chance of flying and getting sick with COVID. But, undeterred by the pandemic, two new airlines are launching. Joe Brancatelli, the founder and editor of the business traveler advisory site JoeSentMe.com, explains. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Melita Petrossian is a fellowship-trained neurologist and movement disorders specialist and is the Director of the Pacific Movement Disorders Center located at Providence Saint John’s Health Center and Providence Little Company of Mary Medical Center Torrance. Dr. Petrossian’s clinical interests and expertise are in movement disorders such as Parkinson’s disease, tremors including essential tremors, dystonia, gait disorders, ataxia, myoclonus, blepharospasm, hemifacial spasm, Meige syndrome, spasticity, tics, and Tourette’s syndrome. She also specializes in Parkinson’s-related conditions such as Dementia with Lewy Bodies, progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, primary freezing of gait, and Parkinson’s Disease Dementia. For more information: https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
Naveed Wagle, MD, has specialized training and research experience in the treatment of cancer of the central and peripheral nervous system. Dr. Wagle treats patients with primary and metastatic brain tumors as well as neurologic complications of cancer at Providence Saint John’s Health Center. As an expert resource to Pacific Neuroscience Institute and the community, Dr. Wagle brings a wealth of knowledge and experience in neuro-oncology clinical trials design and implementation. For more information: https://www.pacificneuroscienceinstitute.org/about-us/our-team/ | (310) 582-7640
Fever, a cough, fatigue — at this point you can probably recite the symptoms of COVID-19 in your sleep. But even as the pandemic nears the year mark, a new, puzzling possible symptom has emerged: COVID tongue. Professor Tim Spector, an epidemiologist from King's College London, tweeted in January that COVID-positive patients were emailing him with strange oral symptoms, including inflamed, discolored tongues, and sores in their mouths. And while it may seem counterintuitive that a respiratory virus could make your tongue weird, experts tell Bustle COVID tongue isn't all that out there. "We know that SARS COV-2 triggers a variety of diffuse inflammation and clotting reactions throughout the body, so it is not surprising that the presence of mouth sores has been documented," Dr. Kathleen Jordan M.D., SVP of Medical Affairs at women’s health provider Tia, tells Bustle. She explains that a lot of things can cause inflammation that breaks down the epithelial lining — that inner layer of skin — in your mouth, and causes an open sore prone to infection and pain. Herpes, infections, and canker sores are all common culprits. COVID might now be joining that list. A study in British Journal of Dermatology in September 2020 found that, out of 666 patients, over 25% had some kind of symptom in their mouth or tongue, including swollen lumps on the tongue, scalloping at the tongue's edges, or burning sensations. And a June 2020 study in Evidence-Based Dentistry suggested a link between COVID and painful mouth blisters. Professor Spector, who leads the UK arm of the crowd-sourced ZOE COVID Symptom study, told TODAY that COVID tongue can show up as a furry coating on the tongue surface. Why? “The tongue contains a high concentration of a protein called angiotensin converting enzyme 2 (ACE2)," Dr. Omid Mehdizadeh M.D., an otolaryngologist at Providence Saint John's Health Center, explains. "It's been found to be a primary attachment site for the COVID-19 virus." The virus enters cells via attachment sites, using them as gateways. Because there's a lot of this protein on the tongue, the COVID virus might show up there in droves — and make your tongue look like a fuzzy bath mat. COVID tongue isn't on the World Health Organization's official list of symptoms, and it's also not used to diagnose COVID. "Tongue lesions, or ulcers, are not a typical classic indication of COVID-19, and are very nonspecific with many possible causes," Dr. Jordan says. "One should not assume that you have COVID if you have a mouth sore." One study in the Journal of Infectious Diseases in August 2020 suggested that, for a lot of people, mouth ulcers might be side effects of the battering that COVID gives the immune system, rather than symptoms themselves. This kind of tongue weirdness can also be caused by mouth infections like oral thrush, dehydration, or antibiotics. If you suddenly develop a swollen tongue or a strange sore in your mouth, Dr. Jordan recommends keeping the sore area clean with medical rinsing. If there's the faintest possibility you might have COVID-19, she says, you should get tested and quarantine until your results come back negative. Amorim Dos Santos, J., Normando, A., Carvalho da Silva, R. L., De Paula, R. M., Cembranel, A. C., Santos-Silva, A. R., & Guerra, E. (2020). Oral mucosal lesions in a COVID-19 patient: New signs or secondary manifestations?. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 97, 326–328. https://doi.org/10.1016/j.ijid.2020.06.012 Nuno-Gonzalez, A., Martin-Carrillo, P., Magaletsky, K., Martin Rios, M. D., Herranz Mañas, C., Artigas Almazan, J., García Casasola, G., Perez Castro, E., Gallego Arenas, A., Mayor Ibarguren, A., Feito Rodríguez, M., Lozano Masdemont, B., Beato, M., Ruiz Bravo, E., Oliver, P., Montero Vega, M. D., & Herranz Pinto, P. (2021). Prevalence of mucocutaneous manifestations in 666 patients with COVID-19 in a field hospital in Spain: oral and palmoplantar findings. The British journal of dermatology, 184(1), 184–185. https://doi.org/10.1111/bjd.19564 Shang, J., Wan, Y., Luo, C., Ye, G., Geng, Q., Auerbach, A., & Li, F. (2020). Cell entry mechanisms of SARS-CoV-2. Proceedings of the National Academy of Sciences of the United States of America, 117(21), 11727–11734. https://doi.org/10.1073/pnas.2003138117 Sinadinos, A., Shelswell, J. (2020) Oral ulceration and blistering in patients with COVID-19. Evid Based Dent21, 49. https://doi.org/10.1038/s41432-020-0100-z
Among all the other symptoms of mild COVID-19 — exhaustion, coughs, fevers — one has stood out as the weirdest: losing your sense of smell. Anosmia, as it's called, turns out to be a pretty common side effect of COVID. For around one in six people with COVID, loss or change in sense of smell might be their only symptom of COVID, according to a study published in Rhinology in June. It's also thought to be behind a rash of people complaining online that their Yankee Candles had "no smell". "Oftentimes during an infection there can be temporary loss of taste or smell due to inflammation and swelling in the nasal passages, which improves within weeks of the infection going away," Dr. Tania Elliott M.D., allergy and infectious disease doctor at NYU Langone Health, tells Bustle. If you've had severe COVID-19, your loss of smell might be more intense and long-lasting; an Iranian study published in International Forum Of Allergy & Rhinology in April found 59 out of 60 hospitalized COVID-19 patients had significant smell problems. COVID doesn't just cause smell loss. According to a study published in Rhinology, some people also experience parosmia, where their sense of smell is distorted or in some way impaired, months after their initial COVID diagnosis. You might smell weird odors that don't seem to be really there, like fish or sulfur, or only pick up on bits of a smell. "I had COVID in mid-September," Jill, 42, tells Bustle. "I had no sense of taste or smell, and my smell is still not quite right; it’s like I can only smell parts of a smell, if that makes sense. So my beloved Jo Malone lime, basil, and mandarin perfume now just smells like a very expensive pot of pesto." The British Medical Journal says parosmia and anosmia are both common side effects of viral illnesses, including COVID, but while COVID-related coughs might disappear quickly, problems with smell could stick around for months. "More than two-thirds of patients tend to recover their sense of taste and smell within three weeks," Dr. Omid Mehdizadeh M.D., otolaryngologist at Providence Saint John's Health Center, tells Bustle. A study of 382 COVID patients with smell loss published in Journal of Otolaryngology in May found that 79% of them recovered significantly in a month. But long-haul smell loss is definitely not uncommon. In one study published in Frontiers In Medicine in November, 20% of patients showed no improvement in their ability to smell two months after they were first treated, and tended to have experienced more severe COVID-19. If you have parosmia, it might take a slightly longer time to clear up. According to a study in Rhinology in December, 43% of patients reported parosmia after they were diagnosed, and it took around two and a half months for symptoms to go away, though some people still felt their smell wasn't quite right after six months. Scientists don't know why COVID-related smell and taste problems stick around for so long in some people. Dr. Kathleen Jordan M.D., a doctor with Tia Health, tells Bustle that it's unclear whether there might be damage to the chemosensors, the special cells in your nose and mouth that translate substances, like salt or smoke, into signals to the brain. She says COVID could also have caused lasting problems for neural pathways that help interpret smells, or to the functional tissue of your brain. "More studies are needed to identify the prognosis, the reason why, and the best interventions." If you're still experiencing problems with your taste and smell months after infection, it's not yet known when or if they might clear up. "It is too soon to tell if these changes will be permanent," Dr. Elliott says. Various smell therapies designed for post-viral anosmia in general could be useful. There's currently a clinical trial in development to see if exposure to strong smells could help people with post-COVID smell loss. For now, though, the best cure could be more time. Lechien, J. R., Chiesa-Estomba, C. M., Beckers, E., Mustin, V., Ducarme, M., Journe, F., Marchant, A., Jouffe, L., Barillari, M. R., Cammaroto, G., Circiu, M. P., Hans, S., & Saussez, S. (2021). Prevalence and 6-month recovery of olfactory dysfunction: a multicentre study of 1363 COVID-19 patients. Journal of internal medicine, 10.1111/joim.13209. Advance online publication. https://doi.org/10.1111/joim.13209 Lechien, J. R., Journe, F., Hans, S., Chiesa-Estomba, C. M., Mustin, V., Beckers, E., Vaira, L. A., De Riu, G., Hopkins, C., & Saussez, S. (2020). Severity of Anosmia as an Early Symptom of COVID-19 Infection May Predict Lasting Loss of Smell. Frontiers in medicine, 7, 582802. https://doi.org/10.3389/fmed.2020.582802 Hopkins, C., Surda, P., & Kumar, N. (2020). Presentation of new onset anosmia during the COVID-19 pandemic. Rhinology, 58(3), 295–298. https://doi.org/10.4193/Rhin20.116 Hopkins, C., Surda, P., Vaira, L. A., Lechien, J. R., Safarian, M., Saussez, S., & Kumar, N. (2020). Six month follow-up of self-reported loss of smell during the COVID-19 pandemic. Rhinology, 10.4193/Rhin20.544. Advance online publication. https://doi.org/10.4193/Rhin20.544 Hopkins, C., Surda, P., Whitehead, E. et al. (2020) Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study. J of Otolaryngol - Head & Neck Surg49, 26. https://doi.org/10.1186/s40463-020-00423-8
President-elect Joe Biden says he wants to release nearly all available coronavirus vaccine doses, instead of holding back some of the vaccine. Dr. William Schaffner from Vanderbilt University School of Medicine says the incoming Biden administration appears to follow the British vaccine distribution model. Doctors are getting inundated with questions about the coronavirus vaccine distribution and its process. But medical service providers don't have all the answers. Dr. Anita Gorwara from Providence Saint John's Health Center in Santa Monica breaks down some of the FAQs.With the advent of the coronavirus vaccine, many people are already developing anxiety about going back to the office and having to deal with annoying co-workers. Dr. Jamie Zuckerman shares tip on how to prepare for the stress of life after the pandemic. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
President-elect Joe Biden says he wants to release nearly all available coronavirus vaccine doses, instead of holding back some of the vaccine. Dr. William Schaffner from Vanderbilt University School of Medicine says the incoming Biden administration appears to follow the British vaccine distribution model. Doctors are getting inundated with questions about the coronavirus vaccine distribution and its process. But medical service providers don't have all the answers. Dr. Anita Gorwara from Providence Saint John's Health Center in Santa Monica breaks down some of the FAQs. With the advent of the coronavirus vaccine, many people are already developing anxiety about going back to the office and having to deal with annoying co-workers. Dr. Jamie Zuckerman shares tip on how to prepare for the stress of life after the pandemic. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Walavan Sivakumar is a fellowship-trained neurosurgeon with a focus on skull base and minimally invasive and endoscopic neurosurgery. Selected as a multiple-year recipient of the SuperDoctor Rising Stars Edition, Dr. Sivakumar has a particular interest and expertise in brain tumors, skull base tumors, pituitary/parasellar tumors, and intraventricular brain tumors, and he applies the keyhole concept, utilizing advanced neuroimaging and microsurgical techniques to minimize collateral damage to the brain. He practices at PNI-South Bay located at Providence Little Company of Mary Medical Center in Torrance, California. In addition, he treats patients at the Spine Institute at Little Company of Mary to help relieve and cure back conditions due to spine involvement. Dr. David M. Butler is board certified both by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. Affiliated with Providence Saint John's Health Center throughout his career, Dr. Butler has been providing compassionate, expert care to his patients since 1988. In 2019, he transitioned over to Pacific Eye, Ear & Skull Base Center at Pacific Neuroscience Institute. For more information: pacificneuro.org | (310) 582-7640
Dr. David M. Butler is board certified both by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. Affiliated with Providence Saint John's Health Center throughout his career, Dr. Butler has been providing compassionate, expert care to his patients since 1988. In 2019, he transitioned over to Pacific Eye, Ear & Skull Base Center at Pacific Neuroscience Institute. For more information: pacificneuro.org | (310) 582-7640
Autumn means it's time for pumpkin spiced everything, russet-colored apples, and scheduling your flu vaccine. But what should you do if you diligently make the appointment, get your mask in order, and then wake up on the morning with a fever? It's important to know the facts about the flu shot, including things like whether you should get the flu shot if you're sick. "It's important to get the flu shot this year," Dr. Julia Blank M.D., a family medicine physician at Providence Saint John's Health Center, tells Bustle. Getting the flu vaccine will help reduce the risk that you'll be hospitalized with flu-related problems, freeing up resources for a potential surge of COVID-19 patients this winter. You'll also reduce your risk of getting co-infected with flu and COVID-19 at the same time — which is unlikely, but can still happen (and would really suck). When it comes to getting the flu shot while you're sick, your choices depend on your symptoms, doctors say. The Centers for Disease Control and Prevention (CDC) recommends everyone six months and older receive an annual influenza vaccine. But they also state that people who currently have a moderate-to-severe illness with or without a fever should wait until they recover to get vaccinated. There are a couple of reasons for this. "You should not get a flu shot if you have a fever or are severely ill, as this may prolong your recovery and blunt your body’s immune response to the flu vaccine," Dr. Blank says. The flu vaccine prompts your immune system to develop antibodies to fight off the influenza virus. If you're already sick, your immune system is already hard at work fighting off your current illness. You're just giving it more to do, and it might not be able to do both jobs as effectively. It could be harder for your body to develop the antibodies against the flu, or it could end up making it harder for your body to fight against your present illness. It's also easy to confuse the symptoms of a more severe illness with side effects from the vaccine, which could be frustrating and lead to you treating the effects the wrong way — trying to sweat out a fever rather than seeking medical help, for instance. Either way, it's not ideal. You don't want to get a flu shot just to still get the flu later on — that's literally the opposite of what you're going for. And you don't want to make your recovery time of your current illness longer, because that's just uncomfortable. The main signal that you should postpone your flu shot, experts say, is a fever. If you have no fever but are ill enough that you've called out of work, or are contemplating going to see your doctor or the E.R., you shouldn't go in either. If in doubt, call the doctor; they'll be able to give guidance about whether it's safe. The flu shot won't raise your risk of getting COVID-19, but if you have symptoms of the coronavirus, like a fever, cough, or shortness of breath, you should cancel your flu vaccine and get a COVID-19 test. You don't want to expose the person giving you the flu jab to potential COVID-19 infection. You can reschedule after your test comes back negative, or after 10 days of isolation if your symptoms have improved and you don't have a fever. While doctors recommend not getting the flu shot if you're very sick or if you have a fever, they agree it's probably fine to go through with it if you have a simple cold. "A mild illness such as a cold shouldn’t get in the way," Dr. Blank says. The only time you should really reschedule it is if your symptoms are more severe, or if COVID-19 might be the culprit.
The beginning of cold weather and shorter days means a lot of shifts are coming: swapping out your outdoor runs for treadmill sessions, salads for soups, and cute summer clothes for cozy sweaters and socks. However, for some people, the start of the cooler seasons also heralds a downward swing in mood. Seasonal affective disorder, where you experience symptoms of depression in response to environmental factors, is also sometimes known as the winter blues. But despite that moniker, seasonal affective disorder symptoms may start showing up sooner than you'd think. "Seasonal affective patterns of depression are episodes of depressive disorder that present at a particular time of the year, most commonly in the fall or winter," Marya Mendez, Ph.D. L.M.F.T., a psychotherapist and family therapist at Providence Saint John's Child & Family Development Center, tells Bustle. "In most cases, the episodes of depression have onset in fall or winter and remit or alleviate in the spring." Researchers are still not entirely sure what SAD's relationship to seasonality is; the body's reaction to shifts in temperature and light levels seem to be the core issue, as are negative psychological responses to different seasons. SAD is most commonly associated with autumn and winter, though the change of seasons in spring and summer can also bring it on. "The predominant symptoms of SAD include sadness, decreased activity, anxiety, irritability, and daytime tiredness," Dr. Marc Romano of the Delphi Behavioral Health Group tells Bustle. "Individuals with SAD also present with increased sleep, increased appetite, and decreased sexual interest." Mendez says that if you have SAD, you might experience a lack of motivation, put off necessary tasks, isolate yourself from others and feel low for most of the day. A study published in Journal of Sleep Research in 2016 found that people with SAD also tend to experience more nightmares and sleep problems in winter. A review of seasonal depression published in Clinical Psychological Science in 2016 found that diagnosing SAD is incredibly tricky because it often relies on people self-reporting their own moods, but that there definitely seems to be some kind of relationship between the shifting of the seasons and mood in some members of the population. Mendez says it's more common in young adults, women, and people with a history of mental health challenges, particularly depression. It may even be in your genes, according to a study published in PNAS in 2016, which would explain why some people are vulnerable to it and others aren't. So what time of year should you be on the lookout for lower mood and other symptoms? Rather than popping up in the depths of winter, SAD can being to show up at the beginning of a seasonal change. "Research indicates that seasonal affective low mood may be informed by some people’s response to a decrease in daylight hours," Mendez says. One study published in Neuropsychopharmacology in 2016 found that this could relate to the brain's ability to transport serotonin, a neurotransmitter related to mood. Without sunlight, your serotonin levels start to go down, and that experience could be more intense in people with SAD. While many of us don't really notice the days beginning to shorten or the leaves going yellow, people with SAD may begin to experience their symptoms early in the fall. September is often a time of great stress in the northern hemisphere, as the school year begins, offices return from the summer slump, and holidays feel far off. "SAD has been found to have higher rates in northern regions and lower rates in southern areas," Dr. Romano says. In terms of treatment, light exposure can help. "The treatments for SAD have included light therapy, anti-depressant medication, and the use of melatonin," Dr. Romano explains. According to a 2020 study published in Psychotherapy and Psychosomatics, bright light therapy shows a lot of promise as a treatment for SAD, but scientists believe it's most effective when it's combined with therapy. If you're experiencing SAD, Mendez recommends going to a therapist to learn coping strategies and decrease negative thoughts and behaviors in the colder months. If you are starting to feel symptoms, invest in a good SAD lamp, get sunshine, and schedule a session to talk with somebody who listens. If you or someone you know is seeking help for mental health concerns, visit the National Alliance on Mental Illness (NAMI) website, or call 1-800-950-NAMI(6264). For confidential treatment referrals, visit the Substance Abuse and Mental Health Services Administration (SAMHSA) website, or call the National Helpline at 1-800-662-HELP(4357). In an emergency, contact the National Suicide Prevention Lifeline at 1-800-273-TALK(8255) or call 911. Pjrek, E., Friedrich, M. E., Cambioli, L., Dold, M., Jäger, F., Komorowski, A., Lanzenberger, R., Kasper, S., & Winkler, D. (2020). The Efficacy of Light Therapy in the Treatment of Seasonal Affective Disorder: A Meta-Analysis of Randomized Controlled Trials. Psychotherapy and psychosomatics, 89(1), 17–24. https://doi.org/10.1159/000502891 Sandman, N., Merikanto, I., Määttänen, H., Valli, K., Kronholm, E., Laatikainen, T., Partonen, T., & Paunio, T. (2016). Winter is coming: nightmares and sleep problems during seasonal affective disorder. Journal of sleep research, 25(5), 612–619. https://doi.org/10.1111/jsr.12416 Rohan, K. J., Meyerhoff, J., Ho, S. Y., Evans, M., Postolache, T. T., & Vacek, P. M. (2016). Outcomes One and Two Winters Following Cognitive-Behavioral Therapy or Light Therapy for Seasonal Affective Disorder. The American journal of psychiatry, 173(3), 244–251. https://doi.org/10.1176/appi.ajp.2015.15060773 Traffanstedt, M. K., Mehta, S., & LoBello, S. G. (2016). Major Depression With Seasonal Variation: Is It a Valid Construct? Clinical Psychological Science, 4(5), 825–834. https://doi.org/10.1177/2167702615615867 Tyrer, A., Levitan, R., Houle, S. et al. (2016) Increased Seasonal Variation in Serotonin Transporter Binding in Seasonal Affective Disorder. Neuropsychopharmacol41, 2447–2454. https://doi.org/10.1038/npp.2016.54
Kian Karimi, MD, FACS, is a double-board certified facial plastic surgeon/head and neck surgeon at the Pacific Eye, Ear & Skull Base Center at Pacific Neuroscience Institute. He has a particular interest in rhinoplasty, minimally invasive facial rejuvenation, and ethics. At Pacific Neuroscience Institute, Providence Saint John’s Health Center, Dr. Karimi specializes in surgical treatments of nasal airway obstruction, sinus disease, skin cancer reconstruction, and endonasal endoscopic removal of pituitary tumors. Originally from Indiana, Dr. Karimi graduated top of his class at Indiana University School of Medicine. He completed his head and neck surgery residency at the University of Florida, and fellowship in facial plastic surgery at the University of Toronto. Dr. Karimi has a strong commitment to training physicians and aesthetic professionals in the latest, minimally invasive facial aesthetics techniques. He is a nationally recognized educator and is featured regularly in shows such as EXTRA!, and he is a recurring guest on CBS 'The Doctors'. For more information: pacificneuro.org | (310) 829-8265
ONS member Rebecca Crane Okada, PhD, RN, CNS, AOCN®, program manager of the patient support and Willow Sage wellness programs at Providence Saint John's Margie Petersen Breast Cancer Center in Santa Monica, CA, and Greater Los Angeles ONS Chapter member, joins Chris Pirschel, ONS staff writer, to discuss why the words you use matter to patients, how to reframe the cancer conversation, and ways to empower patients during cancer treatment. Music Credit: "Fireflies and Stardust" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 Episode Notes: Check out these resources from today's episode: Complete this evaluation for free nursing continuing professional development. Use Storytelling to Hear Your Patient's Voice Focusing On the Little Things Can Make a Big Difference SPIKES: A Framework for Breaking Bad News to Patients With Cancer Episode 14: Having Difficult Conversations in Oncology Practice Psychosocial Dimensions of Oncology Nursing Care (Second Edition) Patient-Centered Communication in Cancer Care
Why is my son throwing a tantrum? Why doesn't my daughter listen to me? Should I be concerned about my toddler's behavior, or is he just craving attention? Young children are biologically programmed to remain in close proximity to their parents but how do children react to separation? How does anxiety impact the development and behavior of children? And what is a normal and healthy response to separation anxiety? Child Psychologist Lara Sando, Ph.D., makes sense of the often bewildering behavior patterns of children aged 0 to 5. Insightful, educational, and funny, this episode is a must for any parent. Dr. Sando practices psychology at the Providence Saint John's Child and Family Development Center in Santa Monica California. Thank you for listening!
My guest on episode 11 is Obstetrician and Gynecologist, Dr. Paula Shulman. Her office is located in Santa Monica, California and she has hospital privileges at Providence Saint John’s Hospital and UCLA. She practices the full breadth of women’s healthcare and strives to use shared decision making whenever possible. She is a supporter of VBAC and vaginal delivery of twins, and encourages her patients to use both Eastern and Western medicine to achieve their fertility goals. She also specializes in menopause. Dr. Shulman shares how she had 2 harrowing traumatic births of her own and how her personal experiences have helped her be a more compassionate and thoughtful doctor. She also shares how she discovered her passion and career path in obstetrics and gynecology. Dr. Shulman screens her patients for postpartum mood and anxiety disorders during pregnancy and after the delivery. She encourages women to come up with their "birth preferences" (instead of a "birth plan) and works closely with her patients throughout their pregnancies. She is a big supporter of a team approach to her patients care and also of Eastern medicine to achieve fertility goals and/or support the woman's body hormonally - or for any reason. Dr. Paula Shulman can be reached at her office: 310-453-6767 or email at paula@smwha.com I hope you enjoyed listening to this episode of Shattered Conception - please follow me and if you have a moment to leave a positive review I'd be very grateful. Thank you and Namaste
Healthcare Communication: Effective Techniques for Clinicians
Kathy Magliato, MD, MBA, FACS, discusses techniques to bond quickly with patients. Her book, Heart Matters, a New York Times best seller, is the basis of the NBC drama, Heartbeat, about her life. She is the incoming president of the American Heart Association – Western States Affiliate. She founded and directed a Multidisciplinary Women’s Health Center to address the cardiac needs of female patients at Providence Saint John’s Medical Center in Santa Monica, California, where she is on staff. She is entrepreneur and was named by Goldman Sachs as one of the 100 most intriguing entrepreneurs. She is developing diagnostic cardiac technology.
Tamara Walker, RN, aka MomRN, and her expert guests share practical advice, information and support for raising a happy, healthy family.It’s during this time of year that many of us are concerned about growing waistlines, but what about our gum lines? What impact do the rich foods, cheeses, extra sweets, alcoholic beverages and other indulgences that we partake in at holiday parties and gatherings have on our mouths and teeth? Celebrity dentist, Dr. Lee Gause, joins us to discuss what steps we can take to help ensure our mouths remain healthy and fresh despite all of the decadent food and drinks we tend to consume during the holiday season. Many Americans take pills every day to manage disease and improve their health. For the heart rhythm disorder atrial fibrillation or a-fib, blood thinners that help prevent stroke-causing blood clots can make minor injuries life threatening. So for patients like today’s guest who are avid travelers, the risk of being hours from medical attention can be dangerous. Joining us is Academy Award nominated documentary film maker, Jim Burroughs, and his cardiologist Dr. Shephal Doshi of Providence Saint John’s Health Center to talk about how medical advancements are providing ways to help afib patients stay active.Recent data from the annual San Antonio Breast Cancer Symposium is shedding new light on a survivor’s most nagging fear – will my cancer come back? Dr. Tara Sanft from the Yale Cancer Center Survivorship Clinic is here to share study findings that redefine the five-year survival milestone.Time is running out when it comes to getting your holiday shopping done! Whether you’ve waited until the last minute or don’t know what to get the gamer who has everything, Tech Expert Andrea Smith is here with THE last-minute holiday gift guide. She has tips to scoring the hottest gaming gadgets and a few cool points for mom and dad!
Tamara Walker, RN, aka MomRN, and her expert guests share practical advice, information and support for raising a happy, healthy family.It’s during this time of year that many of us are concerned about growing waistlines, but what about our gum lines? What impact do the rich foods, cheeses, extra sweets, alcoholic beverages and other indulgences that we partake in at holiday parties and gatherings have on our mouths and teeth? Celebrity dentist, Dr. Lee Gause, joins us to discuss what steps we can take to help ensure our mouths remain healthy and fresh despite all of the decadent food and drinks we tend to consume during the holiday season. Many Americans take pills every day to manage disease and improve their health. For the heart rhythm disorder atrial fibrillation or a-fib, blood thinners that help prevent stroke-causing blood clots can make minor injuries life threatening. So for patients like today’s guest who are avid travelers, the risk of being hours from medical attention can be dangerous. Joining us is Academy Award nominated documentary film maker, Jim Burroughs, and his cardiologist Dr. Shephal Doshi of Providence Saint John’s Health Center to talk about how medical advancements are providing ways to help afib patients stay active.Recent data from the annual San Antonio Breast Cancer Symposium is shedding new light on a survivor’s most nagging fear – will my cancer come back? Dr. Tara Sanft from the Yale Cancer Center Survivorship Clinic is here to share study findings that redefine the five-year survival milestone.Time is running out when it comes to getting your holiday shopping done! Whether you’ve waited until the last minute or don’t know what to get the gamer who has everything, Tech Expert Andrea Smith is here with THE last-minute holiday gift guide. She has tips to scoring the hottest gaming gadgets and a few cool points for mom and dad!
Dealing with death is dificult, and it is very hard when parents pass on, even though this is what is expected to happen one day. However, when a child passes on, the grief experienced by the parents is undescribable. Miriam Slozberg interviews Dr. Ivy Margulies, who is a funeral director and a certified death midwife, as known as a bereavement doula on Exploring the Eight House. In addition to her private practice, Dr. Ivy Margulies has founded Angels Born Still, specifically focused reproductive maternal mental health. She specializes in infertility and all types of of pregnancy loss including selective termination, abortion, miscarriage, stillbirth and infant death. Dr. Ivy Margulies has over 20 years experience working in family and child settings. She has been associated with UCLA's Child Study Center, Providence Saint John's Hospital Child Study Center, Children's Hospital Los Angeles and has been the staff psychologist for the Akasha Center for Integrative Medicine in Santa Monica. She is featured as a grief and parenting expert for KidsInTheHouse.com. Dr. Margulies has presented at many conferences, written many articles on parenting, postpartum depression and maternal bereavement, and has been the featured guest on several radio shows, and on television. She also creates home funerals for stillborn babies.