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We're back with another edition of Fellows' Case Files! Today, we're virtually visiting Rutgers University, Robert Wood Johnson Medical School to work through a fascinating pulmonary case. Enjoy, and let us know your thoughts. Meet Our Guests Khalil El Gharib … Continue reading →
Dr. Jag Sunderram, MD, professor of medicine at the Robert Wood Johnson Medical School at Rutgers University, explains to Anna and Raven what the new trend “sleepmaxxing” and clarifies what is just a trend vs what is beneficial! Photo Credit: Getty Images
Anna and Raven talk about the extra pay that astronaut Suni Williams and Butch Wilmore received for being in space longer than expected! Since it wasn't that much money, Anna and Raven have a way they could make more money! Dr. Jag Sunderram, MD, professor of medicine at the Robert Wood Johnson Medical School at Rutgers University, explains to Anna and Raven what the new trend “sleepmaxxing” and clarifies what is just a trend vs what is beneficial! Are you up to date on this week's biggest news story? Anna and Raven will get you caught up on the trending news stories including Pope Francis being released from the hospital, the fast food one man ate and lost over 100 pounds, and the passing of George Forman! Anna, Raven, Producer Julie, and Producer Justin share how much underwear they would pack for a weeklong trip! Find out who brings over 14 pairs with them! Research is showing that men are gaining weight when they get married! Anna asks her husband and Raven asks his wife if they have experienced Love Chub! Producer Julie goes around to ask the Office Squad if they have Love Chub! Find out how to avoid experiencing Love Chub! Anna and her friends were at a bar and this man tried to get around her and said something that stopped everyone in their tracks! She is still trying to figure out he went with this name and how she could have responded better! Anna, Raven, Producer Julie, and Producer Justin tried to go all weekend with their phones! Find out how long they stayed off their phones! Anna has Raven and Producer Julie compete to see who knows what state the March Madness teams are from! March Madness is in full swing, and Anna and Raven made their own game: The Struggle is Realness! Today they compare what is more of a struggle, getting a call from the school nurse or getting a check engine light! Kevin and Rachel celebrated their ten-year-wedding anniversary with a nice dinner out, but even though Rachel bought Kevin new fishing equipment he's been eyeing, he didn't get her anything. He says he told her that they didn't have the money to buy fancy jewelry and feels that it wasn't financially responsible for him to spend money when they don't have it. She says that any milestone anniversaries require a gift. Period. Do you agree? Joseph has a chance to win $800! All he has to do is answer more pop culture questions than Raven in Can't Beat Raven!
Brain Talk | Being Patient for Alzheimer's & dementia patients & caregivers
Rutgers' neurologist Dr. William T. Hu joins Being Patient Live Talks to discuss his research on “brain fog” or cognitive impairment in Long COVID and its relation to cognitive decline and Alzheimer's disease. Read about his research here: https://www.beingpatient.com/long-covid-brain-fog-alzheimers/ Hu directs the Division of Cognitive Neurology and Alzheimer's Disease Clinic at Robert Wood Johnson Medical School, as well as the Center for Healthy Aging Research at Rutgers Institute for Health. His research focuses on biomarkers related to Alzheimer's disease, frontotemporal dementia, and Long-COVID. Hu leads several research projects including the Rutgers Biomarkers of Neurodegeneration Project, Rutgers South Asian Aging Brain Initiative, Rutgers-Stanford Chinese Older Adult Study, Rutgers-NYU Resource Center for Alzheimer's and Dementia Research in Asian and Pacific Americans, and the Cognition/Biomarker component of the New Jersey Population Health Cohort Study. Watch the live talk to learn more about Long COVID, cognitive impairment, and Alzheimer's disease.
Dr. Cate Shanahan is the leading authority on nutrition and human metabolism. A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author of The FatBurn Fix, Deep Nutrition and Food Rules, her expertise is fixing the underlying problems that cause metabolic damage and inflammation, leading to autoimmunity, weight gain, diabetes, cancer and accelerated aging processes. Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University's graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient's culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Her most recent book, Dark Calories, explains how eight common seed oils cause the cellular damage that underlies virtually all chronic disease, exposes the corruption that deceives doctors and consumers alike, and gives us a clear roadmap to recovery and rejuvenation. You can connect with Dr. Shanahan via Instagram. @drcateshanahan Related Episodes: Ep 71 - The Sugar Free Revolution with Karen Thomson Ep 123 - Dissecting Nutrition Research and Dietary Guidelines with Zoë Harcombe If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health. Disclaimer: This podcast is for general information only, and does not provide medical advice. I recommend that you seek assistance from your personal physician for any health conditions or concerns.
Co-host Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and co-host Holly Knotowicz, a speech-language pathologist living with EoE, who serves on APFED's Health Sciences Advisory Council, have a conversation about food-induced immediate response in eosinophilic esophagitis (EoE), with guest Dr. Nirmala Gonsalves, Professor of Medicine in the Division of Gastroenterology and Hepatology at Northwestern University, Feinberg School of Medicine, and Co-Director of the Northwestern Eosinophilic Gastrointestinal Disorders Program. In this episode, Ryan, Holly, and Dr. Nirmala Gonsalves discuss food-induced immediate response in EoE, recent and ongoing research into FIRE, and advice for providers. Listen to this episode to learn about food-induced immediate response (FIRE). Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own. Key Takeaways: [:50] Ryan Piansky and co-host Holly Knotowicz introduce the topic of today's episode, food-induced immediate response in eosinophilic esophagitis, and their guest, Dr. Nirmala Gonsalves, Professor of Medicine in the Division of Gastroenterology and Hepatology at Northwestern University, Feinberg School of Medicine. [1:38] Dr. Gonsalves is the Co-Director of the Northwestern Eosinophilic Gastrointestinal Disorders Program. Her research and clinical career are dedicated to improving the care of patients with eosinophilic gastrointestinal diseases, or EGIDs. [1:53] Dr. Gonsalves's extensive clinical experiences with EGIDs have shaped her research goals, which include identifying novel treatments and determining the best methods to measure disease activity. [2:20] Dr. Nirmala Gonsalves has been at Northwestern for 25 years and has been involved in the EGID and EoE space for the last 20 years. Dr. Gonsalves met Ryan during her first introduction to APFED when Ryan was “much, much younger,” so she is pleased to see him co-hosting this podcast. [2:56] Within Northwestern Medicine, Dr. Gonsalves is part of the Esophageal Group. Within the Esophageal Group, she co-directs the Eosinophilic GI Disorders Program with Dr. Ikuo Hirano. Working in the EGID space for the last 20 years has been incredibly rewarding. [3:11] Dr. Gonsalves feels lucky to be a part of The International Gastrointestinal Eosinophil Researchers (TIGERS) and the Consortium of Eosinophilic and Gastrointestinal Disease Researchers (CEGIR). [3:26] Dr. Gonsalves has focused her clinical career on understanding eosinophilic GI disorders, helping to get better diagnoses, increased awareness, and better treatments, and improving the quality of life for patients with these conditions. [4:19] Dr. Gonsalves describes the study of food-induced immediate response in eosinophilic esophagitis (FIRE). In 2017, gastroenterologist Dr. Alex Straumann, and allergist Dr. Mark Holbreich, both very familiar with EGID, started a multi-center effort and project, working with many physicians and patients to define this condition of FIRE. [4:45] The symptoms of FIRE are very different from what we typically think about as EoE symptoms. The classic symptoms of EoE in adults are dysphagia (difficulty swallowing), or food impaction (a bolus of food stuck in the esophagus). [5:37] This team of researchers in Switzerland, Northwestern, Indiana, North Carolina, Colorado, and Mt. Sinai, to name a few centers, noticed patients describing different symptoms; a more immediate response that was happening in their esophagus when they were exposed to certain specific foods, like beer or wine and avocado or banana. [6:19] Patients described an immediate reaction in their esophagus, occurring any time from seconds to minutes after ingesting that food, as a painful, squeezing sensation, and a narrowing in their esophagus that was temporally related to these foods. [6:42] It started to increase the researchers' awareness that this symptom was different from the classic dysphagia that adults and older children typically present with. [7:12] In the study, they did a two-phased investigation. First, they sent a survey to physicians used to treating EoE, to understand what their experience was about these symptoms. Based on that knowledge, they convened twice to develop a questionnaire for patients, to understand how common this is in the patient population. [7:38] The response was 47 physicians (an 82% response rate). They sent the patient survey to the EoE Swiss cohort and the response was 239 patients (a 65% response rate.) [7:58] Of the physicians, 90% reported patients reporting these symptoms. The physicians estimated this to occur in 5 to 20% of EoE patients. Looking at the patients who had FIRE with EoE, vs. EoE without FIRE, the FIRE patients were younger and more likely to have other atopic conditions like rhinitis, asthma, and dermatitis. [8:42] Patients with FIRE were more likely to have had a prior food impaction, a longer duration of disease, and a longer time to symptom presentation. Those were the risk factors in the patients. [8:56] In the patient questionnaire, 40% of the EoE patients surveyed reported that they had symptoms of FIRE. [9:29] Most of the patients in the study were adult patients. Looking at the average age of the EoE cohort vs. the EoE with FIRE cohort, the EoE with FIRE patients tended to be younger. Dr. Gonsalves suspects that patients are experiencing FIRE earlier on, but they don't know what is occurring. [9:56] Dr. Gonsalves thinks that is where the investigation is going: to understand when FIRE is happening. The symptoms are quite different than the typical first EoE symptom when something is going down slower or getting caught in the esophagus. [10:27] As far as whether FIRE is experienced by other patients besides EoE patients, the survey team only noticed FIRE in EoE patients. A follow-up study could look at the control cohort or the regular reflux cohort. Patients don't express these types of symptoms, other than EoE patients, so it seems unique to EoE patients. [10:53] When the team talked about and tried to understand more about the background of FIRE, and the risk factors, they wondered if it was similar to oral pollen syndrome, with a more immediate reaction in the esophagus. [11:49] With adults, certain liquors, wines, beers, avocados, and bananas stand out among triggers. The symptoms are so significant that patients would say on a scale of one to ten, it's a seven intensity. It's fairly immediate, within seconds to minutes, with a duration of minutes to several hours. [12:18] A lot of times, patients compensate by not eating those specific foods because they don't want that condition to happen. For some patients, it's a profound spasm-type squeezing in their chest that will occur when this happens. [13:44] Dr. Gonsalves says many patients will confuse FIRE with an anaphylactic reaction; it's not clear what it is. The multidisciplinary group of physicians that worked on this study included allergists and gastroenterologists all tried to come up with the mechanism that causes FIRE. It does not appear to be an anaphylactic reaction. [14:13] When FIRE occurs, the doctors of the multidisciplinary group ask their patients to seek care from their allergist and discuss this with their allergist, to get more testing and understanding of what's occurring. They want to be mindful if there's any risk of anaphylaxis, but it does not appear that the FIRE condition is related to anaphylaxis. [14:55] Dr. Gonsalves says we're at the very early stages of understanding the mechanisms of why FIRE is occurring. The first step was to increase awareness, define FIRE, understand it, and separate it from both EoE symptoms and anaphylaxis. We don't yet understand the mechanisms. [15:18] At Northwestern, they are looking at a study to define FIRE better. They look to see if there is IgE sensitivity to these foods. If there are not, they look to see if there are any nanometric changes in the esophagus when these foods are in the esophagus. Are people having the esophageal spasms that equate to the symptoms they describe? [16:03] That study is to understand more about the mechanisms causing FIRE. What happens to the FIRE symptoms? Once a physician treats a patient with EoE, the FIRE gets better. Patients sometimes can reintroduce the foods when their EoE is quiet. There is a short window of time to identify FIRE in a patient before treatment. [16:43] Early identification and early treatment is the mantra. They don't want to delay treatment in any patient. When the EoE goes in remission from treatment, the FIRE symptoms tend to go into remission, also. [17:01] This is unpublished data and research they are working on. Hopefully, they will learn more and be able to share it with APFED. These are their speculations. [18:17] At Northwestern, they are known for dietary therapy. Their patients gravitate toward diet therapy. The foods involved in FIRE symptoms are not big EoE triggers. In dietary therapy, when foods are reintroduced, patients describe recurrent dysphagia, heartburn, and EoE-type symptoms. [18:56] Patients having foods reintroduced don't typically describe this immediate reaction where their esophagus is spasming, contracting, and feeling very tight right after. That's a very different symptom. [19:17] For the patients studied, the foods most consistently triggering FIRE symptoms were fruits, wines, vegetables, honey, beers, and vinegar. The foods driving FIRE tend to be the foods driving oral allergy but the symptoms are different; no mouth, tongue, or lip itching, but a squeezing sensation in the esophagus. [20:29] Dr. Gonsalves says they have not identified long-term consequences of FIRE. They are very early in the stages of understanding and following it. The long-term consequences come from untreated EoE. Dr. Gonsalves lists some consequences of untreated EoE, including worsening scarring, strictures, and dysphagia. [21:08] Dr. Gonsalves speculates and wonders if physicians were sometimes confused between dysphagia, oral-pollen allergy symptoms, and FIRE symptoms, without it being clear what the patient was experiencing, leading to a delay in diagnosis. [21:52] Dr. Gonsalves says having patients with FIRE symptoms highlights the importance of having a multidisciplinary program and having a good collaboration with allergists, dieticians, and GI health psychologists to address food fear and anxiety, pathologists, and pediatricians. It's important to have conversations with colleagues. [22:31] Dr. Gonsalves says there's no test for FIRE, which is why we're doing this research project; understanding what is behind FIRE, now that we know FIRE exists, we have a description, and we know how prevalent it is. We need to look at the patient and look for contractions of the esophagus upon exposure to the food with manometry. [23:18] Manometry is a tube with pressure sensors used for measuring esophageal pressure and the strength of contractions. Patients with EoE have various abnormalities in their esophageal contractions. To study FIRE, with the manometry tube in place, the patient will eat the trigger food or drink to see if there are heightened contractions. [25:24] Manometry is not an easy test. It is done when necessary to understand esophageal motility and function. It's not easy to recruit for these tests and there are not many candidates as the symptoms go away quickly with treatment. The technicians are skilled in doing the testing. It's done routinely and safely. [26:47] Dietary, pharmacological, steroidal, and biological treatments can be effective in treating EoE symptoms. When EoE symptoms stop, FIRE typically stops. There has not been a study to document this, but it has been observed clinically. After a patient has been treated and then is tested for esophageal motility, FIRE does not typically recur. [28:05] Dr. Gonsalves shares her suspicion that there is something related to esophageal inflammation that triggers this type of response and a hypercontractile state in that setting. Ryan reminds listeners that this podcast is not medical advice; always consult with your physician before making any changes or trying new treatment options. [29:40] When a provider talks to a patient, they might ask about dysphagia if they are making modifications for swallowing, and how they swallow something dry or dense. Can they perceive it going slowly down their esophagus? Are they taking in lots of liquid to help this food pass? Are they chewing excessively? Are they avoiding foods or pills? [30:40] These questions help providers understand if there is disease activity and if they are not symptomatic because of avoiding these types of foods. Those are EoE questions. [30:52] Asking about FIRE symptoms or oral pollen allergy symptoms, the provider will go down a list of allergic history questions about allergic rhinitis, asthma, eczema, and anaphylactic symptoms. Also, mouth itching, lip-tingling, or throat itching when they eat certain foods. [31:20] After they eat these foods, do they ever experience an immediate sensation of narrowing or tightening or spasm in the esophagus, or burning pain that happens secondary to the dysphagia? The important thing is to separate the transit dysphagia of things moving slower down the esophagus from this perception of squeezing pain. [32:18] Holly thanks Dr. Gonsalves for sharing her expertise to help others. [32:37] Dr. Gonsalves's last word is that this condition exists. Providers, ask your patients about them. It was remarkable to Dr. Gonsalves how profound the symptoms were that patients described to the point where they avoided these foods and were scared of these foods. [32:56] Interestingly, FIRE is very different from EoE symptoms. It does exist. Ask about it! That will help tease out the reactions that are occurring. Especially, understand that when going on a food elimination diet, these are separate from the EoE triggers. [33:18] If you identify these symptoms, or oral pollen symptoms, or coexisting atopic conditions, partner with an allergist so that we understand the mechanisms behind this and make sure that nobody is at risk for anaphylaxis from these types of things. [33:49] Dr. Gonsalves is pleased to partner with TIGERS and to be on a site for the CEGIR Group. Dr. Gonsalves heads up the development of the Non-EoE Consensus Guidelines, to understand what goes into a diagnosis of Non-EoE EGID and what that entails. She continues to research dietary therapy and making it better for patients. [34:31] She works to understand different metrics to measure activity in the esophagus, histologically as well as motility-based, and the genetic changes that occur with different treatments, and doing all this, partnered with an amazing group of collaborators through the CEGIR Consortium and others to improve patients' quality of life. [35:01] Dr. Gonsalves feels lucky that 20-something years ago, she bumped into the leaders of APFED and other patient advocacy groups and shared their experience with Northwestern. She is grateful for the privilege of working with all the wonderful physicians and patients who help us learn about these conditions. [35:46] To learn more about Dr. Gonsalves's research, please check out the links in the show notes. To learn more about eosinophilic gastrointestinal disorders, visit apfed.org/egids. If you're looking for a specialist who treats eosinophilic disorders, use APFED's specialist finder at apfed.org/specialist. [36:10] To connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections. [36:21] Ryan thanks Dr. Nirmala Gonsalves for joining us today. Holly thanks APFED's Education Partners, AstraZeneca, Bristol Myers Squibb, GlaxoSmithKline, Sanofi, and Regeneron, linked below, for supporting this episode. Mentioned in This Episode: Nirmala Gonsalves, MD Northwestern Medicine Feinberg School of Medicine Ikuo Hirano, MD Publication discussed: Food-induced immediate response of the esophagus — A newly identified syndrome in patients with eosinophilic esophagitisAmerican Partnership for Eosinophilic Disorders (APFED) APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/egids apfed.org/specialist apfed.org/connections Education Partners: This episode of APFED's podcast is brought to you thanks to the support of AstraZeneca, Bristol Myers Squibb, GlaxoSmithKline, Sanofi, and Regeneron. Tweetables: “Working in the EGID space for the last 20 years; it's been incredibly rewarding. I've been lucky enough to be invited to be a part of The International Gastrointestinal Eosinophil Researchers (TIGERS).” — Nirmala Gonsalves, M.D. “Our patients will describe it; it's a profound spasm-type squeezing in their chest that will occur when FIRE happens.” — Nirmala Gonsalves, M.D. “There's no clear test yet for FIRE, which is why we're doing this research project; really understanding what is behind FIRE, now that we know FIRE exists, we have a description of it and we know how prevalent it is.” — Nirmala Gonsalves, M.D. Bio: Dr. Gonsalves is a Professor of Medicine in the Division of Gastroenterology & Hepatology at Northwestern University Feinberg School of Medicine and Co-Director of the Northwestern Eosinophilic Gastrointestinal Disorders Program. She completed her undergraduate training at the University of Notre Dame, medical school at Robert Wood Johnson Medical School in New Jersey, and her internship, residency, and fellowship at Northwestern, where she has stayed on as an attending physician since 2005. In this role, she has co-authored more than 60 manuscripts and presented at more than 40 national or international meetings that focus on eosinophilic gastrointestinal diseases (EGIDs). Her research and clinical career is dedicated to improving the care of patients with these rare disorders. Her extensive clinical experiences with EGIDs have shaped the overarching research goals that include identifying novel treatments and determining the best methods to measure disease activity. She is a site investigator for the NIH-funded U54 Grant Consortium of Eosinophilic Gastrointestinal Disease Researchers (CEGIR, PI-Rothenberg) and Core Lead for the Northwestern Biorepository for an NIH sponsored PPG Grant on Esophageal Biomechanics (PI-Pandolfino).
Dr. Priya Jaisinghani, MD, is a dedicated endocrinologist specializing in adult care, with expertise in endocrinology, obesity medicine, and diabetes. She serves as a Clinical Assistant Professor in the Department of Medicine at NYU Grossman School of Medicine and is board-certified by the American Board of Internal Medicine. Dr. Jaisinghani completed her fellowship in Endocrinology at New York Presbyterian - Weill Cornell, following her residency in Internal Medicine at Rutgers Robert Wood Johnson Medical Center. She obtained her MD from Robert Wood Johnson Medical School. Dr. Jaisinghani is committed to providing personalized and compassionate care, focusing on conditions such as diabetes, autoimmune thyroid disease, hair loss, and fertility issues. _____________________________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org Follow us on Instagram! www.instagram.com/JOWMA_org Follow us on Twitter! www.twitter.com/JOWMA_med Follow us on Facebook! https://www.facebook.com/JOWMAorg/ Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e
Sigh, See, Start: How to Be the Parent Your Child Needs in a World That Won't Stop Pushing―A Science-Based Method in Three Simple Steps by Alison Escalante https://amzn.to/49vJ7EP In a perfectionistic parenting culture that tells you that you are never enough no matter how much you do for your kids, this unique approach empowers you with a simple parenting technique to gain confidence, remain grounded, and connect positively with your children. Dr. Alison Escalante is a board-certified pediatrician with more than two decades of experience who has spent the last ten years exploring ways to equip parents to meet their children's needs. She has experienced first-hand the culture of criticism and anxiety that drains parental joy and leaves parents feeling bad about what they should or should not be doing with and for their children. She calls this the parenting “ShouldStorm,” and this book is her invitation to escape that cycle and be the parent your child needs. In this game-changing parenting book, Dr. Escalante outlines her 3-step science-based approach to escaping the ShouldStorm and embracing should-free mindful parenting. Going into detail about each step, she clearly explains how to implement this approach in everyday situations where parents may feel overwhelmed and shares real results from parents and children who use the technique: SIGH: In moments of parental overwhelm, take a breath all the way into your belly. Imagine it's a sigh of relief. Sighs help you stop and center yourself instead of reacting to the "should" in your head. SEE: Notice what's going on. See your child. Are they happy? Are they close to tears? Are their fists balled in anger? START: Then, and only then, start listening, and start thinking about what an appropriate reaction would be. Do they need a hug? Some space? Something else? In the vein of Good Inside, this book offers a simple approach and practical, proven strategies any parent can use. It also explores parenting culture and why it has become more and more intense over recent decades. For anyone who wants a proven toolkit for resisting a parenting culture that shames them when they can't meet unrealistic expectations, Sigh, See, Start is your new go-to tool for joyful parenting.About the author Dr. Alison Escalante is a board-certified pediatrician with more than two decades of experience who has spent the last ten years exploring ways to equip parents to meet their children's needs. She is an Adjunct Professor of Pediatrics at Rush University. She is a Forbes Contributor, a writer at Psychology Today, a TEDx speaker, and author of Sigh, See, Start: How to Be The Parent Your Child Needs in a World That Won't Stop Pushing. Her undergraduate degree was in History from Princeton University, where she studied Ideological and Cultural History. She obtained her M.D. from Robert Wood Johnson Medical School at Rutgers University. Her pediatric residency training was at Duke University and the University of Chicago. She is a former Clinical Instructor in Pediatrics at Northwestern Feinberg School of Medicine.
Dr Cate has emerged as a leading authority on nutrition and human metabolism. A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author The FatBurn Fix, Deep Nutrition & Food Rules She was Endorsed by popular athletes such as NBA players Kobe Bryant, Dwight Howard, & Steve Blake after re-engineering the entire diet and food process habits for the LA Lakers After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University's graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient's culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family-run company interested in saving money by the betterment of health. DrCate.comJoin us on the GCP to unleash the unadulterated & object truth with Dr. Cate!
We know that what kids see on screens or the content they consume can have serious effects on offline living. Dr. Jon-Patrick Allem is an Associate Professor at the Rutgers School of Public Health and Rutgers, Robert Wood Johnson Medical School, he is also a core member of the Institute for Nicotine and Tobacco Studies. Jon's research shows the different ways that corporations influence adolescent health with current projects focused on identifying sources of exposure to tobacco marketing among adolescents and young adults through product placement in social media and influencers. Listen now!
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
This is a "book-ends" episode where we interview Dr. Renee Darko. Remember a few months ago we interviewed her husband, "Dr. Nii" but there is no question that "Dr. Renee" deserves her own spotlight!On this episode of the D.O. or Do Not Podcast, we meet Dr. Renee Darko who as she states wears “ a lot of different hats”. In this episode Dr. Darko tells her inspiring journey to become an OBGYN. She attended Pace University and Hunter College for her undergraduate training followed by the Kansas City College of Osteopathic Medicine and Rockhurst University with a dual D.O/ MBA degree. She completed her OB/GYN residency at Robert Wood Johnson Medical School and went on to the Morehouse School of Medicine where she did a fellowship in Health Policy Leadership. Dr. Darko is the mother of two children and works as a part time/ locum OBGYN. She will tell us about how she accomplices these two herculean tasks. She talks about the difficulty having a long distance relationship in residency. She speaks about how to persevere when people tell you "you can't." She talks about her podcast, her mentorship of minority students, her children's book and MUCH MUCH more!A don't miss!
The Psychology of Exercise and Why We Struggle to SucceedGuest: Dr. Domenick SportelliBio: Dr. Domenick Sportelli is a medical physician who received a Bachelors degree in Biology as well as a Masters of Science degree in Biology from Montclair State University. Upon graduation from NYIT School of Osteopathic Medicine, Dr. Sportelli started off in General Family Medicine, and then pivoted to focus on mental health and began his four-year Residency Training in General Psychiatry at Robert Wood Johnson Medical School. Dr. Sportelli is Board Certified by the American Board of Psychiatry and Neurology and he is Fellowship Trained in Child and Adolescent PsychiatryDr. Sportelli was and remains very involved in academic medicine through publishing his research teaching residents and medical students at RWJ Medical School as well as being involved with The American Psychiatric Association and American Academy of Child and Adolescent Psychiatry.Domenick has also become a noted expert media personality, appearing regularly as a guest on the TV show The Doctors, FoxNews and various other new outlets.Links:https://drdsportelli.comhttps://linktr.ee/Drsportelli@drsportelli on Instagram and Twitter
Synopsis: Joel Schneider, Ph.D. and Robert Kotin, Ph.D. are the President & CEO and Founder & Chief Technology Advisor, respectively, of Carbon Biosciences, an emerging leader in the development of novel parvovirus-derived gene therapies. Joel and Robert sit down with host Rahul Chaturvedi to discuss the arc of their careers, how the AAV field has changed over the last decade, and how they approach building out their team at Carbon. They also talk about Carbon's focus on cystic fibrosis and the implications of The Cystic Fibrosis Foundation investing in their Series A. Finally, they both weigh in on what excites them when thinking about the future of gene therapy. Biographies: Dr. Joel Schneider joined Carbon as CEO in 2022, after serving as Chief Operating Officer at Solid Biosciences. As Solid's first employee, he played an instrumental role in building the company's unique disease-focused business model. Dr. Schneider is an accomplished biosciences executive with a track record of achievement in identifying, developing, and financing high potential therapeutic modalities and has diverse leadership experiences across R&D, technical and corporate operations, and corporate development organizations. Dr. Schneider holds a Ph.D. from Rutgers University and an undergraduate degree from Brandeis University and is the author of numerous peer-reviewed articles related to Duchenne and stem cell biology. He completed a postdoctoral fellowship at Harvard University in the Department of Stem Cell and Regenerative Biology, where he characterized and developed the small molecules that enhance skeletal muscle regeneration. Dr. Robert Kotin has been a leader in adeno-associated virus (AAV) research for 35 years, focusing on the molecular biology of the virus's non-structural proteins and then leveraging this understanding to develop novel AAV vectors for somatic cell gene therapy. Beginning as a postdoctoral fellow at Cornell University Medical Center, Dr. Kotin discovered a common integration site for AAV DNA in human chromosome 19, which he designated AAVS1 locus. He spent most of his career in the Intramural Research Program at the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH), first as a tenure-track investigator and then as a tenured senior investigator and Head of the Laboratory of Molecular Biology and Gene Therapy. While at the NIH, Dr. Kotin's laboratory invented and developed a scalable recombinant adeno-associated virus (rAAV) production process in Sf9 cells which was licensed by UniQure, ThermoFisher, Voyager, Biomarin, and others and was used to produce Glybera™, the first rAAV product granted regulatory agency approval for sale. Additional research from the Kotin lab resulted in the discovery of an AAV replicative product that has been described as closed-ended linear duplex DNA (ceDNA) and became the basis of the non-viral gene therapy company Generation Bio (NASDAQ: GBIO). Dr. Kotin served as vice president of virology and gene therapy at Voyager Therapeutics from 2014 to 2016. Since 2016, he has served as an adjunct professor at UMass Medical School, where his research interests include vectorizing and characterizing ancestral parvoviruses based on inferred sequences from endogenous virus elements (EVEs) as novel gene therapy vectors. Dr. Kotin earned his B.A. in biology from the University of California, Santa Cruz, and his doctorate in microbiology from Rutgers University and the University of Medicine and Dentistry of New Jersey (now Robert Wood Johnson Medical School).
CONVERSATIONS WITH CALVIN WE THE SPECIES #breastcancer #author #screenwriter #musicals #lawyer NEW: DIANE UNIMAN, Author, “Bonjour, Breast Cancer, I'm Still Smiling” https://www.youtube.com/c/ConversationswithCalvinWetheSpecIEs 191 Interviews. GLOBAL Reach. Earth Life. Amazing People. PLEASE SUBSCRIBE (You can almost find any subject you want) ** DIANE UNIMAN; Certified Positive Psych Life Coach; Make Mondays Marvelous Seminars (Inner Peace) NYC; Breast Cancer Survivor; Author, “Bonjour Breast Cancer-I'm Still Smiling;” Lawyer, Musicals, Screenwriter YouTube: https://www.youtube.com/watch?v=wHwWVOOo4_E Contacts: Website: www.princessdianevonbrainisfried.com www.harmaxiproductions.com Link to book: https://amzn.to/2MFKCc7 Featured in Chicken Soup for The Soul; Beverly Hills Times Magazine & FabUKMagazine! Blog: https://www.princessdianevonb.com/blog/ https://www.instagram.com/princessdianevonb/ https://www.linkedin.com/in/diane-uniman-bb548635/ BEGINNING NOV 14th: Make Mondays Marvelous Virtual 3 part seminar (individual or 3 parts) Marlene Meyerson JCC Manhattan www.mmjccm.org (Look for Make Mondays Marvelous) BIO: Diane Young Uniman, aka Princess Diane von Brainisfried®, is a Phi Beta Kappa graduate of The University of Pennsylvania and criminal justice appeals attorney-turned expert on happiness, optimism, and positivity. Diane gives corporate and private sector wellbeing seminars on happiness, optimism, positivity, and productivity. She's a Certified Positive Psychology Life Coach, Certified Laughter Yoga Leader, advanced student at the New York School of Practical Philosophy, and was a facilitator at Miami's first World Happiness Summit (WOHASU.) Some venues where she's presented her seminars are Wakefern Food Corporation, Robert Wood Johnson Medical School, Marlene Meyerson JCC Manhattan, and Greene Turtle. Diane is also a breast cancer survivor. Her book, Bonjour, Breast Cancer–I'm Still Smiling!...Wit, Wisdom, & Optimism for Beating the Breast Cancer Blues is a practical and humorous guide that shows how to go from fear and despair to reclaim your happiness mojo when breast cancer or other trauma strikes. It won numerous awards including Independent Author Book of the Year and Living Now's Medal for Health and Wellness recognizing books published for their contributions to positive global change. Diane's screenplays and musicals have won over 60 film festival and industry awards and her work's been performed at Lincoln Center and Off-Broadway. Her writing has been featured in Chicken Soup for the Soul, WomenOnBusiness.com, Brides, FAB-UK Magazine, Beverly Hills Magazine among others and she's been featured on tv, radio, and podcasts. As Princess Diane von Brainisfried she writes a tongue-in-chic happiness lifestyle blog from a funny princess point of view at www.princessdianevonbrainisfried.com. In her spare time, she sings opera, gardens, studies French, and cooks up tasty vegetarian fare for family and friends. ** Conversations with Calvin ALSO ON AUDIO: SPOTIFY http://spoti.fi/3bMYVYW GOOGLE PODCASTS http://bit.ly/38yH3yP edits by Claudine Smith- Email: casproductions01@gmail.com ** PLEASE SUBSCRIBE (You can almost find any subject you want) #animalwelfare #climatechange #ONEHEALTH #womenshealth #popculture #singersongwriter #GenZ #Nutrition
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michel Kahaleh, MD Endoscopic ultrasound-guided gallbladder drainage (ESU) is used to treat patients with cholecystitis and infection of the gallbladder. So when should we be utilizing ESU, and what are some common challenges associated with this procedure? Joining Dr. Peter Buch to explore this topic is Dr. Michel Kahaleh, Chief of Endoscopy, Director of the Pancreas Program, and Medical Director of the Advanced Endoscopy Research Program at Robert Wood Johnson Medical School.
My next podcast guest, Dr. Geralda Xavier is a highly skilled physician executive with more than 15 years of experience in clinical care and medical staff leadership. She is a board-certified emergency medicine physician and maintains national certifications in clinical practice. She has a strong reputation for being a change management champion using robust process improvement, fostering team engagement, and promoting psychological safety across disciplines and departments. In her current role as Chief Medical Officer for Hackettstown and Newton Medical Centers at Atlantic Health System she plays a pivotal role in supporting and advancing physician engagement, integration, and alignment with both hospitals and within Atlantic Health System. She is also responsible for overseeing the quality and patient safety initiatives within both medical centers. Dr. Xavier earned her Bachelor of Arts in Chemistry from Brooklyn College. She then earned her Doctor of Medicine and Master of Public Health at Robert Wood Johnson Medical School and a Master of Business Administration from Haslam College of Business at the University of Tennessee. She is also a Safety, Quality, Informatics, and Leadership Fellow from Harvard School of Medicine, Institute for Healthcare Improvement Advisor, Fellow of Americas's Essential Hospitals, and Certified Lean Six Sigma Green Belt. As you can imagine, leading a team through change can be difficult, but Dr. Xavier has been named a change management champion and shares with us what that means and the obstacles she faces in that role. She also shares her wins and how she drives her team to success. She gives us insight into her journey as a healthcare leader and what she does to implement self-care in her busy schedule. If you're ready to transition into a leadership role and make an impact in healthcare by supporting your colleagues, reducing healthcare disparities, and improving outcomes, then I invite you to join me for my FREE 5-day challenge Unleash Your Inner Leader. Go to www.justtherightbalance.com/5daychallenge. This challenge runs from September 26-30. So join now as seats are filling up fast!.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michel Kahaleh, MD Per-oral endoscopic myotomy (POEM) is a specialized endoscopic procedure to treat motility disorders of the esophagus. But what's the procedure's specific use in treating achalasia and other esophageal dysmotilities? To help answer that key question, Dr. Peter Buch is joined by Dr. Michel Kahaleh, Professor of Medicine and Director of the Pancreas Program in the Department of Medicine at Robert Wood Johnson Medical School, to discuss which patients to consider for POEM and key limitations of the procedure that clinicians should be aware of.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Michel Kahaleh, MD Per-oral endoscopic myotomy (POEM) is a specialized endoscopic procedure to treat motility disorders of the esophagus. But what's the procedure's specific use in treating achalasia and other esophageal dysmotilities? To help answer that key question, Dr. Peter Buch is joined by Dr. Michel Kahaleh, Professor of Medicine and Director of the Pancreas Program in the Department of Medicine at Robert Wood Johnson Medical School, to discuss which patients to consider for POEM and key limitations of the procedure that clinicians should be aware of.
Catherine Shanahan, M.D. and Jack Murphy Live. Dr. Cate and Jack discuss: - How big Ag, Big Pharm, and Big Education conspire to keep us fat, sick, and dumb - How food and environment effect your epigenetics and could be creating a separate nutritional class in America - The impact of your food choices on your children and DNA - Is Autism caused by seed oils? - Deep Nutrition - Fat Burn Fix Catherine Shanahan, M.D is a board-certified family physician. She trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. She practiced medicine in Hawaii for a decade, where she studied ethnobotany, as well as the culinary habits of her healthiest patients. Her books include Deep Nutrition and The Fat Burn Fix. She currently runs a metabolic health clinic in Denver, Colorado and serves as the Director of the Los Angeles Lakers PRO Nutrition Program. Jack Murphy's Book, "Democrat To Deplorable," Now Available On Audiobook: https://adbl.co/3qXvlEY Liminal Order: https://www.liminal-order.com Follow Jack Murphy: Twitter: https://twitter.com/jackmurphylive Instagram: https://www.instagram.com/jackmurphylive/ Minds: https://www.minds.com/jackmurphylive/
April is Parkinson's Disease Awareness month, and on this episode of Managed Care Cast, we take a look at the Parkinson's Progression Markers Initiative (PPMI), a study from the Michael J. Fox Foundation for Parkinson's Research (MJFF). The multicenter, international study aims to end Parkinson disease, which is expected to double worldwide by 2040, to more than 14 million people. The study is investigating the biomarkers and other data collected from a wide range of individuals—those without the disease, those with very early disease, and those with more advanced disease. Originally launched in 2010, the study is expanding online where it wants to collect information from more than 100,000 people, particularly those with a first-degree relative with Parkinson, those with a genetic mutation for the disease, or those who act out their dreams in their sleep. Our guest on this episode is Roseanne D. Dobkin, PhD, a clinical psychologist and associate professor of psychiatry at the Robert Wood Johnson Medical School at Rutgers University, and one of the investigators of the study.
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. James Rory Tucker to discuss undersea medicine, specifically scuba diving and free diving. The two discuss a variety of subtopics within these areas, including the Mammalian Dive Reflex, cardiovascular considerations for diving, temperature considerations, and MORE! Dr. James Rory Tucker is an Assistant Professor, Clinical Family & Community Medicine, in the Lewis Katz School of Medicine at Temple University. Dr. Tucker is interested in the studies of Musculoskeletal injuries, Exercise prescription, Athletic concussions, and medical assessment of scuba divers. Tucker received his MD from Drexel University of College of Medicine, his Fellowship as a Primary Care Sports Medicine at Rutgers University, Robert Wood Johnson Medical School, New Brunswick, NJ, and completed his residency in Family Medicine at The Reading Hospital and Medical Center, Reading, PA. Dr. Tucker is board certified in family medicine and sports medicine. For more on Dr. Tucker, you can click here: https://www.templehealth.org/doctors/james-rory-tucker To keep up to date with everything we are currently doing on the podcast, be sure to subscribe and follow @brawnbody on social media! This episode is brought to you by CTM band recovery products - the EXACT soft tissue recovery technology used by Dan. CTM Band was founded by Dr. Kyle Bowling, a sports medicine practitioner who treats professional athletes (and was a guest on the Brawn Body Podcast!). You can check out their website here: https://ctm.band/collections/ctm-band ... while you're there, be sure to use the coupon code "BRAWN10" for 10% off! This episode is also brought to you by Ice shaker! Use our affiliate link to help support future podcast episodes and development by clicking here: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything we do, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/daniel-braun/message Support this podcast: https://anchor.fm/daniel-braun/support
Dr. Stuart Peltz founded PTC Therapeutics in 1998 and has served as Chief Executive Officer and a member of the Board of Directors since the company's inception. Under his leadership, PTC has grown from a research organization to a publicly traded, global commercial organization with multiple approved products and a foundation of strong technology platforms that continues to drive a robust discovery pipeline for patients with rare disorders. PTC now has a footprint in more than 50 countries, with offices in 20 countries and more than 1,000 employees. Prior to founding PTC, Dr. Peltz was a Professor in the Department of Molecular Genetics & Microbiology at the Robert Wood Johnson Medical School, Rutgers University. Dr. Peltz is a recognized scientific leader in RNA biology in the area of post-transcriptional control processes involving mRNA turnover and translation, with more than 30 years of research and over 100 publications in this area. Dr. Peltz has received a number of business and scientific awards. Notably, he was elected as a Fellow of the American Academy for the Advancement of Science in 2010. He was recognized as PharmaVoice's 100 Most Inspiring People in 2009 and received the Dr. Sol J. Barer Award for Vision Innovation and Leadership in 2014. He earned a Ph.D. from the McArdle Laboratory for Cancer Research at the University of Wisconsin.
Some diseases run in the family, when more than one person has the same kind of illness passed down through genes. One of those genes, called APOL1, has variations that are linked to an increased risk for kidney disease, especially in under-resourced communities of color. In today's bonus episode, we discuss how a clinical research study is looking to understand the effect of APOL1 on kidney transplant outcomes from living and deceased donors, and why it's important for you to be part of this research study. In this episode, you will hear from: Marva Moxey-Mims, MD, FASN Dr. Moxey-Mims is Professor of Pediatrics at George Washington University School of Medicine and Chief of the Division of Nephrology at Children's National Health System, Washington, D.C. Dr. Moxey-Mims serves as the Study Chair of the APOLLO Steering Committee and Chair of the Publications & Presentation Committee. Jonah Odim, MD Dr. Odim is Chief of the Clinical Transplantation Section at the National Institute of Allergy and Infectious Diseases (NIAID). Dr. Odim serves as a representative of the National Institutes of Health (NIH) on the APOLLO Steering Committee and member of the Dissemination Working Group. Glenda V. Roberts Glenda is the Director of External Relations & Patient Engagement for the Center for Dialysis Innovation at the University of Washington Kidney Research Institute. Glenda serves as a member of the APOLLO Community Advisory Committee, the Recruitment Committee, and the Dissemination Working Group. Sylvia E. Rosas, MD, MSCE Dr. Rosas is a nephrologist and epidemiologist at the Joslin Diabetes Center and the Beth Israel Deaconess Medical Center. Sylvia serves as the Principal Investigator of APOLLO Clinical Center 09 (Harvard University) and member of the Dissemination Working Group. Krista Lentine, MD, PhD, FAST, FAST Dr. Lentine is Medical Director of Living Donation, Co-Director of Clinical Research, and Mid-America Transplant/Jane A. Beckman Endowed Chair in Transplantation at Saint Louis University (SLU). Krista serves as co-Principal Investigator for APOLLO Clinical Center 03 (Johns Hopkins | SLU), member of the Data, Ancillary Studies, and Publications & Presentation Committees, and chair of the Dissemination Working Group. Denay Richards Ms. Richards and her family were born in the Caribbean when her mother was diagnosed with ESRD. They moved to the United States, where her mother was told that she had about 3 months to live. On August 29th, 2000, Denay's father donated a kidney to her and in 2020 they celebrated their 20 year - “kidneyversary.” As a child, Denay loved helping her mother with the dialysis process, organizing medications, and attending hospital visits. It was this exposure to the medical field that encouraged Denay to pursue a career in surgery. In 2019 she graduated from Princeton University with a degree in Molecular Biology and as of 2021 is an MD/PhD student in a dual degree program with Robert Wood Johnson Medical School and Princeton University. In 2019, she earned a double board qualification as a fitness nutrition specialist and personal trainer under the International Sports Sciences Association. In 2020, Denay was diagnosed with an APOL1 mutation that is more prevalent in the African American community and has been linked to early kidney failure. Denay says that her diagnosis has empowered her to expand education about renal health, fitness/nutrition, and genetic predispositions for kidney failure to the world, especially disenfranchised populations that are at greater risk. Genetics and kidney disease: https://www.kidney.org/atoz/content/genetics-kidney-disease
A conversation with 18-year-old Haley Nelson, who was long COVID, and Dr. Larry Kleinman of Robert Wood Johnson Medical School who has been studying long COVID in kids.
On this week's episode of The Parley In All Blue Mark is joined by Dr. Lisa Cain.Lisa D. Cain, Ph.D., a graduate of Jackson State Univ. with a B.S.in biology received a Ph.D. in Anatomy at the Univ. of Mississippi Medical Center and was a postdoctoral fellow in the Center for Advanced Biotechnology and Medicine at Robert Wood Johnson Medical School. She joined The Univ. of Texas School of Dentistry at Houston faculty in 2017 as Associate Dean for Professional Development and Faculty Affairs, and as a Professor in the Dept. of Diagnostic and Biomedical Sciences. Her involvement in education spans 30 years. She is the recipient of teaching awards and honors, including the UT System Regents' Outstanding Teaching Award (ROTA) and the Dr. Martin Luther King Service Award. She is a Marshall Goldsmith's Certified Executive Leadership Coach and is an artist who incorporated her love for art into the educational arena.Highlights from the episode:Dr. Lisa Cain's upbringing in Canton, MississippiDr. Lisa Cain's Career and professional experienceWhat led Dr. Lisa Cain to start paintingDr. Lisa Cain's style of paintingA deeper look into a few of her artwork piecesResources: www.lisacain.orgConnect with Dr. Lisa CainLinkedIn: @lisa-cain-ph-d-sccConnect with Mark Dawson:Instagram: @iammarkdawsonLinkedIN: @mark-a-dawsonWebsite: www.bentonmuse.comTwitter: @Iammarkdawson
Today, I am blessed to have here with me for a second time Dr. Cate Shanahan. She is the leading authority on nutrition and human metabolism. Free 7 Day Keto Challenge: http://www.ketokampchallenge.com A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author of The FatBurn Fix, Deep Nutrition and Food Rules, her expertise is fixing the underlying problems that cause metabolic damage and inflammation, leading to autoimmunity, weight gain, diabetes, cancer and accelerated aging processes. Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University's graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient's culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family-run company interested in saving money by the betterment of health. She's also the Medical & Scientific Advisor at CB Supplements, overseeing their premium-grade multi collagen protein, and for beliv, a forward-thinking Latin American beverage company. In this episode, Dr. Cate explains how we are kept on an island of unhealthy seed oils. We chat about how these seeds oils are being stored in our body fat for years at a time and why extended fasts may not be safe for people who are not metabolically healthy. We talk about the differences between monounsaturated, saturated, and polyunsaturated fats. Then, Dr. Cate reveals how dietary linoleic acid omega-6 ends up in our membranes and inner fat cells. Tune in as Dr. Cate chats about the effects of fatty acids on mitochondria and why our mitochondria love a ketogenic lifestyle. Free 7 Day Keto Challenge: http://www.ketokampchallenge.com 90 Day Detox Program: http://www.ketokampdetox.com Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- / / E P I S O D E S P ON S O R S PureForm Omega Plant Based Oils (Best Alternative to Fish Oil): http://www.purelifescience.com Use ben4 for $4.00 off. Paleo Valley beef sticks, apple cider vinegar complex, organ meat complex & more. Use the coupon code KETOKAMP15 over at https://paleovalley.com/ to receive 15% off your entire order. Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. [01:30] When You're Scared of Fat, You'll Be Hungry For Processed Foods We are kept on an island of unhealthy seed oils by traumas around saturated fat and cholesterol. When you're scared of traditional fats, then that opens you up to being hungry for whatever the processed food companies want to feed you. Processed foods always have a lot of seed oils in them. Seed oils are truly toxic. [06:50] The Differences Between Monounsaturated, Saturated, and Polyunsaturated Fats Monounsaturated is the main fatty acid in olive oil. The most common fats in seed oils are polyunsaturated. Saturated fats are the most common fat in coconut oil. It's also the most prevalent fat in butter. The difference between these fats chemically is the stability to heat. Saturated fats are the most stable and have an antioxidant effect. Polyunsaturated fatty acids oxidize and create oxidative stress. [12:40] The Metabolic Pathway For How Dietary Linoleic Acid Omega-6 Ends Up In The Membranes and Inner Fat Cells You swallow a potato chip, and it gets broken up in your stomach a few hours later. Then it shows up in your intestinal tract where enzymes from your pancreas break apart the fats in there. Most of the fats are in the form of triglycerides. We have to use lipases in our pancreas to break it up. From there, it goes into the intestinal cells. Later, it gets picked up from your liver. The liver takes it all apart and repackages it in this thing called low-density lipoprotein. [21:50] How Seed Oils Can Stay In Your Body For Extended Periods of Time Linoleic acid in our fat cells has a long half-life. Body fat is stuck with us until we use it. If you've been eating seed oils your whole life, it will take a couple of years for it to be gone. If you aren't metabolically healthy or fit, you shouldn't do extended fasts because they're releasing so many pro-inflammatory oils all at once. [27:35] Should I Avoid Peanut Oil or Eat More Peanut Oil? Peanut oil is okay if it's unrefined. In fact, peanut oil is actually good because it's a traditional fat. Some peanuts have oil profiles that are more like olives. There's a lot of variables with plants, so it's hard to be absolute about anything. The best quality peanuts are the larger ones, and they do have a better fatty acid profile. [33:15] Why Do Some People Think That Seed Oils Are Good For You? The American Heart Association pumps out 13 journals either weekly or monthly. They're putting out hundreds of articles every year, funded by Procter & Gamble and other companies selling junk food and seed oils. The American Heart Association is giving out the wrong information. Dietitians are doing their homework; their job is to read the wrong pile of articles. The American Heart Association is the biggest fake news organization out there. [36:30] Effects of Fatty Acids on Mitochondria: Implications For Cell Death Read the article Effects of Fatty Acids on Mitochondria: Implications For Cell Death: https://pubmed.ncbi.nlm.nih.gov/12206909/ This study explains why people who have PUFA in their body fat will feel tired when they go on a diet. PUFA is a terrible fuel for your body cells. The mitochondria will stop producing energy when their fuel is PUFA. When people go on a diet, they feel like they can't do it anymore because they are so tired. Energy loss is a huge part of obesity. [44:55] Why Ketones Are A Great Energy Source For The Mitochondria Ketones are designed out of your body fat. When you're burning your body fat, and your liver is healthy, it makes ketones for you. Ketones are like predigested fuel. Ketones are a better fuel, and our cells actually work better when they have access to that better fuel. Hearts that have access to ketones can actually pump 30% harder than hearts that don't. [47:45] The Brain Needs Omega-3 and Omega-6: Here's What You Need To Know Your brain needs omega-3 and omega-6. However, your brain needs longer omega-3 and omega-6. Only fish and animal products can have long versions of omega-3 and omega-6. You have to have these enzymes that elongate them. If you've been eating too much seed oil, your enzymes are not functional, and they don't work very well. Fatty liver is such a devastating disease because it cannot elongate these fatty acids. AND MUCH MORE! Resources from this episode: Check out Dr. Cate's Website: https://drcate.com Follow Dr. Cate Facebook: https://www.facebook.com/DoctorCate/ Twitter: https://twitter.com/drcateshanahan Instagram: https://www.instagram.com/drcateshanahan/ Listen to Dr Cate Shanahan, The Fatburn Fix, 8 Fats to Avoid on Keto, & Metabolism Myths KKP:178: https://podcasts.apple.com/mn/podcast/dr-cate-shanahan-fatburn-fix-8-fats-to-avoid-on-keto/id1470779784?i=1000488992552 Read the article Effects of Fatty Acids on Mitochondria: Implications For Cell Death: https://pubmed.ncbi.nlm.nih.gov/12206909/ Read The Fat Burn Fix: https://www.amazon.com/Fatburn-Fix-Great-Weight-Using/dp/1250114497/benazadi-20 Get Deep Nutrition: https://www.amazon.com/Deep-Nutrition-Your-Genes-Traditional/dp/1250113822/benazadi-20 Join theKeto Kamp Academy: https://ketokampacademy.com/7-day-trial-a WatchKeto Kamp on YouTube: https://www.youtube.com/channel/UCUh_MOM621MvpW_HLtfkLyQ Watch Keto Kamp on YouTube: https://www.youtube.com/channel/UCUh_MOM621MvpW_HLtfkLyQ Free 7 Day Keto Challenge: http://www.ketokampchallenge.com Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- / / E P I S O D E S P ON S O R S PureForm Omega Plant Based Oils (Best Alternative to Fish Oil): http://www.purelifescience.com Use ben4 for $4.00 off. Paleo Valley beef sticks, apple cider vinegar complex, organ meat complex & more. Use the coupon code KETOKAMP15 over at https://paleovalley.com/ to receive 15% off your entire order. Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. *Some Links Are Affiliates* // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so ▸clubhouse | @thebenazadi Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.
Dr. Beckford interviews Dr. Alfy on this episode of the podcast. You don't want to miss this episode:
Dr. Deepa Verma is double board certified in family medicine and integrative holistic medicine. She graduated magna cum laude from The College of NJ, and is a graduate of Rutgers Medical School: formerly known as Robert Wood Johnson Medical School. Dr. Verma completed her family medicine residency at Somerset Medical Center, and was elected chief resident. When she is not busy raising her three boys, Dr. Verma enjoys music, the beach, healthy cooking, reading, exercising, and hopes to one day travel the world. Dr. Verma is an accomplished dancer and tennis player, and enjoys being competitive in any sport or game. She has always harbored a passion for healthy and happy living, and instills those same personal values in her patients. Dr. Verma's philosophy and approach to optimal living resonates in how she practices medicine: ”wholistically.” Spreading the wealth means spreading the health. In 2013, Dr. Verma founded Synergistiq Integrative Health. After years of feeling unfulfilled by treating patients traditionally, Dr. Verma decided to change course—following her passion to educate and heal each individual as a whole, rather than a fragmented and dissected collection of systems. Today, Dr. Verma is deeply committed to the importance of integrative medicine, and practices exactly what she preaches: living her life the same way that she expects her patients to. Synergistiq Integrative Health represents peace, renewal, and rebirth, as the practice was born during a challenging time in Dr. Verma's personal life. From the beginning, Dr. Verma's goal has been to create a practice that could give patients an opportunity for health and happiness. Dr. Verma strives to enrich the lives of everyone she meets, as she understands the frustration and angst of patients who are sick and tired of feeling tired and sick. Dr. Verma is an author and blogger for several publications, regularly appearing on Bay News 9 to discuss current health topics. She filmed a documentary about integrative medicine for Voices in America, hosted by James Earl Jones, and is working on the pilot for Plant Based Medicine. Dr. Verma additionally serves as a medical consultant for the online publication “Greatist,” and is a key opinion leader for Pathway Genomics.
Dr. Rasean Hodge and Nick Mccauley – Making Sense Of The Cannabis DebateAir Date Live Streaming on OMTimes TV 2 September at 12:00 PM ET/9:00 AM PT Watch the Livestream on OMTimes Radio & TV Facebook or OMTimesTV Youtube Air Date OMTimes Radio 9 September at 12:00 ET/9:00 PTWith statistics showing that stress, depression, anxiety and fear are fast becoming a major global problem, more and more people are turning to medical marijuana to help lift their low moods, calm chronic tension, ameliorate withdrawal symptoms, and ease their physical, mental, and emotional pain.But how effective is medical marijuana really? And, perhaps more importantly, how safe?While marijuana is the most commonly used drug of abuse in the USA, 26 states and the District of Columbia have now enacted laws that have legalized its use in some form, and three additional states have passed measures permitting the use of medical marijuana. With the cannabis debate being such a hot topic of late, Rebecca and Sandie have invited experts Dr. Rasean Hodge and Nick McCauley on to Cracked! The Podcast this week to unravel some of the many myths and misconceptions about cannabis in general, and the question of medical marijuana being a safer alternative to opiates and NSAIDs in treating PTS, depression, anxiety, addiction, mental health issues, and pain.Dr. Rasean Hodge received his Bachelor of Arts in Psychology from Morehouse College and earned his medical degree, cum laude, from the Robert Wood Johnson Medical School. Dr. Hodge completed his internship and residency in Family Medicine from the Morehouse School of Medicine in 2005.Upon completion of his education, Hodge matriculated into Family Medicine and served as Investigator on numerous clinical research studies aimed at making the human condition better for those who are suffering. His compassion for those in need continued to be evident as he has led several Hospice Programs throughout Georgia as both Medical Director and Assistant Medical Director.Nick McCauley is an expert on marijuana.Visit the CRACKED! The Podcast show page https://omtimes.com/iom/shows/cracked-the-podcast/Connect with Sandie Sedgbeer at https://www.sedgbeer.comConnect with Rebecca Schaper at https://www.rebeccaschaper.com/#DrRaseanHodge #NickMccauley #RebeccaSchaper #SandieSedgbeer #CrackedThePodcast
About Marcy ShankmanAfter five years as the Leadership Coach and Strategist for the Cleveland Metropolitan School District, Marcy is now serving as the inaugural Chief Organizational Learning Officer. In this brand new role, Marcy continues to hold primary responsibility for providing leadership development support to the CEO, the District's executive leadership team (“the Chiefs”), and 65-person Senior Leadership Team (SLT). Additionally, Marcy has been charged with designing and implementing a system-wide learning agenda for all employees of the District. Marcy lives in Shaker Heights with her husband Brett and loves being a mom for their two college-aged children, Rebecca and Joshua.About Ralph GigliottiRalph is Assistant Vice President for Strategic Programs in the Office of University Strategy and Director of the Center for Organizational Leadership at Rutgers University, where he provides executive leadership for a portfolio of signature academic leadership programs, consultation services, and research initiatives. He engages directly with academic and administrative leaders in strengthening the Center's role as a hub for leadership development research and initiatives. He also serves as a part-time faculty member in the Department of Communication, PhD Program in Higher Education, and Department of Family Medicine and Community Health at Robert Wood Johnson Medical School.Marcy and Ralph just edited the book: Using Inventories and Assessments to Enhance Leadership DevelopmentQuote From This Episode"What we've learned is that assessments add tremendous value if used with intentionality, if linked with some broader theoretical frame, if facilitated appropriately, and effectively by individuals who are qualified to help with the assessment and the debriefing."Resources Mentioned in This EpisodePersonality Assessment: The Ice Cream Personality TestMovie: Persona - The Dark Truth Behind Personality AssessmentsBook: Caste by Isabel WilkersonBook: Think Again by Adam GrantBook: Upstream by Dan HeathAbout The International Leadership Association (ILA)The ILA was created in 1999 to bring together professionals with a keen interest in the study, practice, and teaching of leadership. Connect with Scott AllenWebsite
Today, I am blessed to have here with me, the leading authority on nutrition and human metabolism, Dr. Cate Shanahan. A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author of The FatBurn Fix, Deep Nutrition and Food Rules, her expertise is fixing the underlying problems that cause metabolic damage and inflammation, leading to autoimmunity, weight gain, diabetes, cancer and accelerated aging processes. Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University's graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient's culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family-run company interested in saving money by the betterment of health. She's also the Medical & Scientific Advisor at CB Supplements, overseeing their premium-grade multi collagen protein, and for beliv, a forward-thinking Latin American beverage company. In this episode, Dr. Cate reveals the details behind her health journey and nutritional career. Dr. Cate discloses what it was like to work for the LA Lakers and the diet that helped Kobe Bryant recover from a terrible ankle injury. Also, Dr. Cate explains why we need to avoid The Hateful Eight Oils and how it could be the key to reducing coronavirus deaths. Plus, we talk all about omega-3s, the problem with fish oils, and everything you need to know about our metabolisms. Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- / / E P I S O D E S P ON S O R S PureForm Omega Plant Based Oils (Best Alternative to Fish Oil): http://www.purelifescience.com Use ben4 for $4.00 off. Upgraded Formulas Hair Mineral Deficiency Analysis & Supplements: http://www.upgradedformulas.com Use BEN10 at checkout for 10% off your order. Paleo Valley beef sticks, apple cider vinegar complex, organ meat complex & more. Use the coupon code KETOKAMP15 over at https://paleovalley.com/ to receive 15% off your entire order. Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. About The Hateful Eight Avoid these oils: Corn Canola Cottonseed Soy Sunflower Safflower Rice Grapeseed They are too high in unstable fatty acids. The average person is getting most of their calories from these oils. Without these seed oils, we would not have the burden of chronic disease. We were healthier 100 years ago, and we had no clue about vitamins, minerals, and supplements. The Great Exchange After a certain point, our body wants nothing to do with these unstable fatty acids. Two percent of daily calories should come from omega-3 and omega-6. We actually need more omega-3 than we do omega-6. The exchange of good fatty acids for bad fatty acids opens the door to chronic disease. Once we exceed the two percent amount of unstable fatty acids, then they end up in our body fat. We have a lot of people who are on the skinny side but are centrally obese. Our bodies cannot traffic these unstable acids properly. That's why it stays near the fat lining of our intestines. Start eating the monounsaturated fatty acids. Clear your life of the seed oils. We Need More Omega-3s Than Omega-6s On a healthy diet, omega-3s are more likely to get damaged during cooking. For the amount that is ultimately absorbed, we need more omega-3 sources in the food that we eat. You can't supplement more omega-3 if you have been eating a standard American diet. Instead, you have to cut the omega-6. If you reduce omega-6 without increasing your intake of omega-3, then your blood levels of omega-3 will start to rise. Oxidation science is very complicated, and there is a lot to consider. Fish Oil Is Highly Unstable Oxygen will attack the bond and destroy the molecule. Fish oil has two double bonds. So the oxygen is nine billion times more likely to attack. Fish oils can have five double bonds. It is so unstable that it rarely makes it off the shelf before it's destroyed. The fish oil will turn into toxic compounds. People are getting toxic compounds from low-quality fish oils. Resources from this episode: Check out Cate's Website Follow Cate Facebook Twitter Instagram Read The Fatburn Fix Read Deep Nutrition Buy Food Rules: A Doctor's Guide to Healthy Eating Join theKeto Kamp Academy WatchKeto Kamp on YouTube Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- / / E P I S O D E S P ON S O R S PureForm Omega Plant Based Oils (Best Alternative to Fish Oil): http://www.purelifescience.com Use ben4 for $4.00 off. Upgraded Formulas Hair Mineral Deficiency Analysis & Supplements: http://www.upgradedformulas.com Use BEN10 at checkout for 10% off your order. Paleo Valley beef sticks, apple cider vinegar complex, organ meat complex & more. Use the coupon code KETOKAMP15 over at https://paleovalley.com/ to receive 15% off your entire order. Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. *Some Links Are Affiliates* // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so ▸clubhouse | @thebenazadi Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.
Stu Peltz, Ph.D., CEO and Founder of PTC Therapeutics, discusses the Talent Pipeline Program, a global internship program the company launched last year to help newly graduated students during the COVID-19 pandemic. Through the internship program, recent graduates received real-world work experience and training across all departments from research through commercialization. He provides a look over the past year, highlighting how successful the program has been and discussing how innovative internship programs can make a major difference for graduates. Dr. Peltz founded PTC Therapeutics in 1998 and has served as Chief Executive Officer and a member of the board of directors since the company's inception. Under his leadership, PTC has grown from a research organization to a publicly traded, global commercial organization with multiple approved products and a foundation of strong technology platforms that continues to drive a robust discovery pipeline for patients with rare disorders. Prior to founding PTC, Dr. Peltz was a Professor in the Department of Molecular Genetics & Microbiology at the Robert Wood Johnson Medical School, Rutgers University. Dr. Peltz is a recognized scientific leader in RNA biology in the area of post-transcriptional control processes involving mRNA turnover and translation, with more than 30 years of research and over 100 publications in this area. Dr. Peltz received a Ph.D. from the McArdle Laboratory for Cancer Research at the University of Wisconsin. #PTCTherapeutics #TalentPipelineProgram
Dr. Herbert Geller is a Senior Investigator in the Developmental Neurobiology Section and Head of the Office of Education at the National Heart, Lung, and Blood Institute of the National Institutes of Health. The Geller lab investigates why people don't recover from central nervous system injuries including spinal cord injuries. They are working on developing potential treatments that will help people recover function after spinal cord injury, particularly focusing on how to inhibit the stop signals in the brain that prevent cells from regenerating after injury. When he's not busy in the lab, Herbert stay active with running, skiing, and gardening. We also discovered that he is quite handy and has been hard at work repairing and restoring his old house. He received his PhD in Biomedical Engineering from Case Western Reserve University and conducted postdoctoral research afterward at the University of Rochester School of Medicine and Dentistry. Herbert served on the faculty at the Robert Wood Johnson Medical School for over 30 years before joining the NIH. He is a member of the Society for Neuroscience and the American Association for the Advancement of Science. In our interview, Herb shares his journey through life and science.
Host Mary Marchetta O'Dowd discusses the issues of trust and how it affects testing and vaccinations for COVID-19 with Shawna Hudson, Professor and Research Division Chief, Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, and Robert Atkins, Director, New Jersey Health Initiatives, Robert Wood Johnson Foundation, and Associate Professor of Nursing and Childhood Studies, Rutgers University-Camden. On The Pandemic is a biweekly RutgerCast series where university experts and leaders in health examine the critical challenges we face in our recovery from the COVID-19 Pandemic.
Mobile applications are useful to educate medical students and trainees; however, there is no objective method to assess their quality. Vincent A. DeLeo, MD, talks to Babar Rao, MD, about determining the usefulness and credibility of dermatology educational apps including factors such as affordability, accuracy, and ease of use. “I think we will be dependent on digital learning, so the only way to really move forward is to get involved. ... I think we have to get involved and make sure that what is available on these digital educational portals is also as relevant or as accurate as our printed material,” Dr. Rao notes. They also discuss the shortcomings found in such apps, such as conflicts of interest and glitches in software performance. Article: https://www.mdedge.com/dermatology/article/233009/aesthetic-dermatology/mobile-apps-professional-dermatology-education Downloadable PDF: https://cdn.mdedge.com/files/s3fs-public/CT106006321.PDF * * * Host: Vincent A. DeLeo, MD (University of Southern California, Los Angeles) Guest: Babar Rao, MD (Center for Dermatology, Robert Wood Johnson Medical School, New Brunswick, N.J., and the department of dermatology, Weill Cornell Medicine, New York) Disclosures: Dr. DeLeo is a consultant for Estée Lauder. Dr. Rao reports no conflict of interest. Show notes by: Allegra Sparta, Melissa Sears * * * You can find more of our podcasts at http://www.mdedge.com/podcasts Email the show: podcasts@mdedge.com
DIANE UNIMAN Author Bonjour #BreastCancer I'm Still Smiling, Lawyer, Certfd + psychology life coach 9-23-20 When I'm not smashing champagne bottles over the bows of ships or blogging my brains out at my palace desk at www.princessdianevonbrainisfried.com, I'm a certified positive psychology life coach and I give humorous seminars and private coaching on habits and strategies for happiness, optimism and positivity for your best life now. The princess is the author of Bonjour, Breast Cancer I'm Still Smiling! which is #1 on BOOK AUTHORITY'S BEST NEW BREAST CANCER BOOKS TO READ IN 2020, Midwest Book Review's “Reviewer's Choice,” an International Book Awards Finalist, and a Living Now Evergreen Book medalist for books “created to commemorate world-changing books honored for their contributions to positive global change.” This practical and humorous guide to beating the breast cancer blues combines von Brainisfried's own insights and epiphanies with research-based positive psychology strategies, along with the wisdom of thinkers like Socrates, Cherokee legend makers, and her own Jewish great grandmother. The book shows how to reclaim your happiness mojo and go from fear and despair to positivity and optimism. Diane is also the optimist expert for the Women's Health Institute of Robert Wood Johnson Medical School, and was a facilitator at Miami's World Happiness Summit. When the Princess is not wearing her tiara hat, she's a Phi Beta Kappa graduate of The University of Pennsylvania and criminal justice appeals attorney-turned writer of screenplays and musicals. Her work has been featured at Lincoln Center's Broadway's Future series and was accepted into Fringe/NYC, and Tony Award-winning producer Ken Davenport's Rave Festival. She has won over fifty awards for her screenplays and musicals and an ASCAP award for writing. Diane is also an opera singer and an advanced student at the New York School of Practical Philosophy. To receive periodic FREE happiness pointers from a funny princess view & FREE REPORT for a royally happy life via my website: https://forms.aweber.com/form/30/5965... www.princessdianevonbrainisfried.com https://princessdianevonb.com/books/ Facebook: www.facebook.com/princessdianevonb
Alison Escalante MD, Pediatrician, TEDx Speaker, and Forbes Contributor, was featured on the December 6, 2020, episode of our Coaches Corner Podcast, during which BJ Gray, the founder of GrayMatter Coaching, discussed saying goodbye to 2020! Alison’s undergraduate degree was in History from Princeton University, where she studied Ideological and Cultural History. She obtained her M.D. from Robert Wood Johnson Medical School at Rutgers University. Her pediatric residency training was at Duke University and the University of Chicago. She is a former Clinical Instructor in Pediatrics at Northwestern Feinberg School of Medicine. The W2W Coaches Corner is a weekly episodic podcast during which our team of experts bring you valuable insights and inspiration from their work with executives and entrepreneurs from across the country! Our coaches include BJ Gray, whose experience as a top executive with Fortune 500 companies gives her a unique understanding of what both employees and companies need to be successful. She started GrayMatter Coaching to help leaders improve their inner game. Listen (and subscribe!) to this episode below or on Apple Podcasts, Spotify, Google Play, Radio.com or iHeartRadio!
Alison Escalante MD, Pediatrician, TEDx Speaker, and Forbes Contributor, shared the story behind her title with us on Sunday, December 6, 2020.Alison's undergraduate degree was in History from Princeton University, where she studied Ideological and Cultural History. She obtained her M.D. from Robert Wood Johnson Medical School at Rutgers University. Her pediatric residency training was at Duke University and the University of Chicago. She is a former Clinical Instructor in Pediatrics at Northwestern Feinberg School of Medicine. She lives in Illinois with her husband, two rambunctious sons, and a variety of hamsters. SUE SAYSRarely does one family experience tragedy twice, but in Alison's case, that's exactly what happened. Both her mother and brother on two separate occasions were involved in accidents that led to brain damage. Alison's experience as an 11-year-old witnessing this, inspired her to go into medicine as a way to help people who are physically and mentally suffering. Support this podcast at — https://redcircle.com/women-to-watch-r/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
The constant pressure to optimize ourselves and our performance steals our joy. But when we are present, the world is full of wonder.Alison Escalante, MD Alison Escalante MD, Pediatrician, TEDx Speaker, and Forbes Contributor, shared the story behind her title with us on Sunday, December 6, 2020. Alison’s undergraduate degree was in History from Princeton University, where she studied Ideological and Cultural History. She obtained her M.D. from Robert Wood Johnson Medical School at Rutgers University. Her pediatric residency training was at Duke University and the University of Chicago. She is a former Clinical Instructor in Pediatrics at Northwestern Feinberg School of Medicine. She lives in Illinois with her husband, two rambunctious sons, and a variety of hamsters. SUE SAYS Rarely does one family experience tragedy twice, but in Alison’s case, that’s exactly what happened. Both her mother and brother on two separate occasions were involved in accidents that led to brain damage. Alison’s experience as an 11 year old witnessing this, inspired her to go into medicine as a way to help people who are physically and mentally suffering. Listen (and subscribe!) below or on Apple Podcasts, Spotify, Google Play, Radio.com or iHeartRadio!
To ask a question on a future episode, follow @ketogenicgirl and @fastketopodcast on Instagram for posts, updates, ask me anything questions and more! Welcome to episode #200 of Fast Keto! Dr. Cate Shanahan is the leading authority on nutrition and human metabolism. A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author of The FatBurn Fix, Deep Nutrition and Food Rules, her expertise is fixing the underlying problems that cause metabolic damage and inflammation, leading to autoimmunity, weight gain, diabetes, cancer and accelerated aging processes. Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University’s graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient’s culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family-run company interested in saving money by the betterment of health. https://drcate.com/ Link to The Fat Burn Fix Book: Click Here Link to Dr. Cate's episode with Bill Maher: https://drcate.com/dr-cate-on-real-time-with-bill-maher/ Try the brand new Carnivore Meal Plans! https://www.ketogenicgirl.com/ Get Your Free e-Book on starting keto: https://www.ketogenicgirl.com/pages/free-ebook kApex® Link & code to get 10% off link & code to get 10% off! http://www.kenergize.com/fastketo10 - Try Perfect Keto Collagen or Coffee! Use the code “FASTKETO” to save 20%: www.perfectketo.com/fastketo Prior to beginning a ketogenic diet you should undergo a health screening with your physician to confirm that a ketogenic diet is suitable for you and to rule out any conditions and contraindications that may pose risks or are incompatible with a ketogenic diet[, including by way of example: conditions affecting the kidneys, liver or pancreas; muscular dystrophy; pregnancy; breast-feeding; being underweight; eating disorders; any health condition that requires a special diet [other conditions or contraindications]; hypoglycemia; or type 1 diabetes. A ketogenic diet may or may not be appropriate if you have type 2 diabetes, so you must consult with your physician if you have this condition. Anyone under the age of 18 should consult with their physician and their parents or legal guardian before beginning such a diet]. Use of Ketogenic Girl videos are subject to the Ketogenicgirl.com Terms of Use and Medical Disclaimer. All rights reserved. If you do not agree with these terms, do not listen to, or view any Ketogenic Girl podcasts or videos.
Today, I am blessed to have here with me, the leading authority on nutrition and human metabolism, Dr. Cate Shanahan. A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author of The FatBurn Fix, Deep Nutrition and Food Rules, her expertise is fixing the underlying problems that cause metabolic damage and inflammation, leading to autoimmunity, weight gain, diabetes, cancer and accelerated aging processes. Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University’s graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient’s culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family-run company interested in saving money by the betterment of health. She’s also the Medical & Scientific Advisor at CB Supplements, overseeing their premium-grade multi collagen protein, and for beliv, a forward-thinking Latin American beverage company. In this episode, Dr. Cate reveals the details behind her health journey and nutritional career. Dr. Cate discloses what it was like to work for the LA Lakers and the diet that helped Kobe Bryant recover from a terrible ankle injury. Also, Dr. Cate explains why we need to avoid The Hateful Eight Oils and how it could be the key to reducing coronavirus deaths. Plus, we talk all about omega-3s, the problem with fish oils, and everything you need to know about our metabolisms. // E P I S O D E S P ON S O R S PureForm Omega Plant Based Oils (Best Alternative to Fish Oil): http://www.purelifescience.com Use ben4 for $4.00 off. http://www.Kettleandfire.com/ketokamp and use KETOKAMP at checkout to save 15% on your entire order. ☕️ Purity Coffee: http//:www.ketokampcoffee.com, use ketokamp at checkout for 10% off // T I M E S T A M P S [00:30] About Dr. Cate While in Hawaii, Dr. Cate got a mysterious problem with her right knee. Nothing would help it. She had surgery and saw multiple specialists. Eventually, Dr. Cate took her husband’s advice and cut the sugar. After learning about nutrition, Dr. Cate realized that our health problems started in the 1950s. Now, Dr. Cate says we should take advantage of all the living and edible parts of our landscape. [09:05] How Dr. Cate Gets Her Message Out To The World There are so many barriers in place for education on nutrition. For one, Dr. Cate would give talks about nutrition. So, she got a reputation for being a Master of Nutrition. However, people would come from all over Hawaii to ask Dr. Cate everything! There was no way to manage it. Later, Dr. Cate moved to New Hampshire to get her message out. She found out the medical system was silencing her message, not where she lived. Currently, Dr. Cate works for a company directly. That way, her income is not based on churning through people as fast as possible. [12:50] Working For The LA Lakers The only reason Dr. Cate worked for the LA Lakers was because of her husband. Her husband had the idea that it would be great if there were a radical overhaul on their nutritional science. When players get injured, Dr. Cate will use the natural healing properties of bone broth to get them on the court as fast as possible. Kobe Bryant was totally on board for the natural healing methods. After an ankle injury, he recovered in two weeks using a diet. Bone broth and collagen are like a missing food group – it helps skin, hair, nails, ligaments, and the gut. The most important thing that no one is talking about is The Hateful Eight Seed Oils. These oils are incompatible with athletic performance. A big part of Dr. Cate’s job was making sure that the players knew what to order and what to avoid. [19:00] About The Hateful Eight Avoid these oils: Corn Canola Cottonseed Soy Sunflower Safflower Rice Grapeseed They are too high in unstable fatty acids. The average person is getting most of their calories from these oils. Without these seed oils, we would not have the burden of chronic disease. We were healthier 100 years ago, and we had no clue about vitamins, minerals, and supplements. [24:10] The Great Exchange After a certain point, our body wants nothing to do with these unstable fatty acids. Two percent of daily calories should come from omega-3 and omega-6. We actually need more omega-3 than we do omega-6. The exchange of good fatty acids for bad fatty acids opens the door to chronic disease. Once we exceed the two percent amount of unstable fatty acids, then they end up in our body fat. We have a lot of people who are on the skinny side but are centrally obese. Our bodies cannot traffic these unstable acids properly. That’s why it stays near the fat lining of our intestines. Start eating the monounsaturated fatty acids. Clear your life of the seed oils. [28:55] We Need More Omega-3s Than Omega-6s On a healthy diet, omega-3s are more likely to get damaged during cooking. For the amount that is ultimately absorbed, we need more omega-3 sources in the food that we eat. You can’t supplement more omega-3 if you have been eating a standard American diet. Instead, you have to cut the omega-6. If you reduce omega-6 without increasing your intake of omega-3, then your blood levels of omega-3 will start to rise. Oxidation science is very complicated, and there is a lot to consider. [33:40] Fish Oil Is Highly Unstable Oxygen will attack the bond and destroy the molecule. Fish oil has two double bonds. So the oxygen is nine billion times more likely to attack. Fish oils can have five double bonds. It is so unstable that it rarely makes it off the shelf before it’s destroyed. The fish oil will turn into toxic compounds. People are getting toxic compounds from low-quality fish oils. [36:30] How To Reduce Coronavirus Deaths Brazil leads in the consumption of seed oils. They are also the country that leads in the number of deaths from coronavirus. Countries that consume more peanut oil have a lot fewer coronavirus deaths. This isn’t a crazy coincidence. The connection is inflammation. Coronavirus is a modest virus when you compare it to things like the bubonic plague. The virus will make our own processes work against us. That way, the virus can continue to divide into our bodies. When people die from the virus, it’s the inflammation in their lungs. Avoid unstable fats to stay healthy. [41:35] Thoughts On Peanut Oil Peanut oil straddles the seed oil and the nut oil worlds. Nut oils are much more stable than seed oils. Peanuts are really seeds. However, it’s not enough to be a problem in our body. You do not have to process the peanut so harshly. You can extract it without high heat, pressure, and chemicals. You can have peanut oils made with pure and raw materials. [45:00] The Metabolism Does Not Have Speeds Our metabolism doesn’t have speeds; it has efficiency and inefficiency. When we are a fat burner, it can efficiently switch from burning calories in our last meal to burning fat if we have a healthy metabolism. Our metabolism can burn our body fat, so we don’t get hungry hours after a meal. That is an efficient metabolism. If our metabolism is inefficient, then we have a hard time burning body fat. AND MUCH MORE! Resources from this episode: Check out Cate’s Website Follow Cate Facebook Twitter Instagram Read The Fatburn Fix Read Deep Nutrition Buy Food Rules: A Doctor's Guide to Healthy Eating Join theKeto Kamp Academy WatchKeto Kamp on YouTube // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.
Dr. Cate Shanahan drops by the show today to talk about The Fatburn Fix on Episode 1667 of The Livin’ La Vida Low-Carb Show. “We are all living in The Truman Show. That’s the same mindset that keeps us in this fantasy world where nutrition is concerned.” – Dr. Cate Shanahan Support this show by becoming a Patron at Patreon! Dr. Cate Shanahan is the leading authority on nutrition and human metabolism. A board-certified Family Physician with over 20 years of clinical experience, and NY Times bestselling author of The FatBurn Fix, Deep Nutrition and Food Rules, her expertise is fixing the underlying problems that cause metabolic damage and inflammation, leading to autoimmunity, weight gain, diabetes, cancer and accelerated aging processes. Her passion is helping people feel their best. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University’s graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient’s culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family-run company interested in saving money by the betterment of health. Listen in today as Jimmy talks with Dr. Cate about her new book The FatBurn Fix and the importance of optimizing your body’s ability to fuel itself with your own body fat.
Dr. Dominic D’Agostino is a leading researcher into the therapeutic effects of the ketogenic diet. He is featured on Joe Rogan, Tim Ferriss, Impact Theory, TED, and dozens of other top media outlets. This is a wide-spanning conversation on high fat diets, time-restricted feeding, fasting, and even nutrition psychotherapy.Who is Dr. Dominic D’Agostino? Dominic D’Agostino, Ph.D., has maintained involvement in a vast array of professional, academic and personal endeavors. As an Associate Professor with tenure at the University of South Florida, Dom teaches students of the Morsani College of Medicine and the Department of Molecular Pharmacology and Physiology, with a focus on such topics as neuropharmacology, medical biochemistry, physiology, neuroscience, and neuropharmacology. He is also a Research Scientist at the Institute for Human and Machine Cognition (IHMC) to assist with their efforts towards optimizing the safety, health and resilience of the warfighter and astronaut.His laboratory develops and tests metabolic-based strategies for targeting CNS oxygen toxicity (seizures), epilepsy, neurodegenerative diseases, and cancer. To investigate the mechanism of these pathologies he uses a variety of in vivo and in vitro techniques, including radio-telemetry (EEG, EMG), electrophysiology, fluorescence microscopy, confocal microscopy, atomic force microscopy (AFM), biochemical assays and in vivo bioluminescence imaging. His laboratory has adapted many of these techniques for use inside environmental chambers, which allows them to manipulate oxygen concentrations (from hypoxia to hyperbaric oxygen). His current project is to identify cellular mechanisms of seizures from CNS oxygen toxicity and to develop mitigation strategies against it. His efforts have focused specifically on measuring brain EEG, neuronal excitability, reactive oxygen species (ROS) production and biomarkers of oxidative stress. The main focus of his lab over the last 10 years has been understanding the anticonvulsant and neuroprotective mechanism of the ketogenic diet and ketone metabolite supplementation. The shift in brain metabolism (from glucose to ketones) reduces neuronal hyperexcitability, oxidative stress and enhances brain energy metabolism. This approach can be used to treat a wide variety of pathologies linked pathophysiologically to metabolic dysregulation, including cancer. Other areas of interest include researching drugs that target cancer-specific metabolic pathways. He was a research investigator and crew member on NASA’s Extreme Environment Mission Operation (NEEMO 22) and has a personal interest in environmental medicine and methods to enhance safety and physiological resilience in extreme environments. His research is supported by the Office of Naval Research (ONR), Department of Defense (DoD), private organizations and foundations.With a wide range of research interests, Dominic D’Agostino holds membership in the Undersea and Hyperbaric Medicine Society, Aerospace Medical Association, Society of Neuroscience, American Physiological Society, and the American Association of Cancer Research, additionally serving on numerous editorial boards and as a Reviewer for dozens scholarly publications. Before joining the faculty at USF, D’Agostino completed a postdoctoral fellowship in neuroscience at Boonshoft School of Medicine at Wright State University. A graduate of Robert Wood Johnson Medical School and Rutgers University, Dominic D’Agostino earned his Ph.D. and B.S. from these respective institutions.Highlights[3:44] Making two different diets work at home[7:14] Life underwater for 10 days[20:01] APOE4 and the Ketogenic diet's effects on Alzheimer's disease [27:37] Effects of removing dairy and saturated fat on biomarkers[33:21] The ketogenic diet and atherosclerosis[37:40] How to build muscle in ketosis[41:27] Taking a year off from weightlifting[47:40] How to lose the benefits of intermittent fasting[54:10] Dr. Dom’s opinion on one meal a day[56:16] Should you schedule cheat meals?[1:06:00] The importance of micronutrients[1:08:05] The best keto snacks[1:13:40] Adherence and ketosisResourcesNASA NEEMONEEMO 22 Photo GalleryThe Charlie FoundationByrd Alzheimer's InstituteMary NewportDr. Dom’s BlogPractical Guides to the Keto DietSponsorsKeto Nutritionketonutrition.org is Dr. Dominic D’Agostino’s personal website. If you go there and purchase any of the products available, you will be donating to Dr. Dom’s research. 100% of profits go to Dr. D'Agostino's time. Please head on over to ketonutrition.org/support and discover the ways that you can help Dr. Dominic and his team achieve their goals.BiOptimizersMost supplements contain only 1 or 2 forms of magnesium... when in reality there are at least 7 that your body needs and benefits from. That’s why I’m so excited to tell you about a new magnesium product I’ve been taking now called, Magnesium Breakthrough. It’s the ULTIMATE magnesium supplement, easily the best I’ve ever seen or experienced... with all 7 forms of this mineral.I’m even more excited because it’s finally BACK IN STOCK! Magnesium Breakthrough has been selling faster than the company who makes it, BiOptimizers, has been able to keep up with. It’s already sold out a few times and due to supply shortages with everything going on in the world, it could very well be sold out again shortly.I was able to arrange for some stock to be set aside just for our audience and I guarantee it’s the BEST deal available on this product. Seriously! With volume discounts combined with our custom 10% coupon code, BOOMER, you can save up to 40% off select packages of Magnesium Breakthrough! That’s an AMAZING value. And I promise that deal is ONLY available on this specific website, www.magbreakthrough.com/boomerMagnesium Breakthrough is the most effective magnesium supplement I’ve ever tried. Say goodbye to having to buy 7 different bottles of magnesiums to get the complete dose.Go to www.magbreakthrough.com/boomer and use coupon code BOOMER to save up to 40% off select packages to get the most full-spectrum and effective magnesium product ever.Continue Your High Performance Journey with Dr. Dom D’AgostinoWebsiteInstagramFacebookTwitterYouTubeDisclaimer This information is being provided to you for educational and informational purposes only. This is being provided as a self-help tool to help you understand your genetics, biodata and other information to enhance your performance. It is not medical or psychological advice. Virtuosity LLC, or Decoding Superhuman, is not a doctor. Virtuosity LLC is not treating, preventing, healing, or diagnosing disease. This information is to be used at your own risk based on your own judgment. For the full Disclaimer, please go to (Decodingsuperhuman.com/disclaimer). See acast.com/privacy for privacy and opt-out information.
We are excited to announce Bonni S. Goldstein, MD as the CannMed 2020's Keynote Presenter in the Medicine Focus Area. The title of Dr. Goldstein's presentation is “Cannabis Medicine for Children.” She will be sharing her latest clinical findings, including promising results from her clinical practice focusing on the use of phytocannabinoid medicines to treat serious pediatric medical condition, including epilepsy, autism, and cancer. You can hear Dr. Goldstein talk about her work on the latest episode of the CannMed Coffee Talk Podcast where she joins us as our guest. (Use the player at the bottom at the post to listen.) As one of the most respected and experienced medical practitioners in this field, we are honored to have Dr. Goldstein once again take a major role at CannMed 2020. She has been a member of CannMed's Advisory Board for three years and developed the CannMed Medical Practicum, a day-long workshop where healthcare providers, clinicians, caregivers, and patients learn the science of medical cannabis as well as practical advice about how to use various cannabinoids to treat a range of medical conditions. A native of New Jersey, Dr. Goldstein received her undergraduate degree at Rutgers University, and her medical degree at Robert Wood Johnson Medical School at the University of Medicine and Dentistry of New Jersey. She did her internship, residency, and chief residency at Children's Hospital Los Angeles (CHLA). Dr. Goldstein was a Clinical Instructor in Pediatrics at USC School of Medicine, Emergency Transport Attending Physician at CHLA, and Emergency Medicine Attending Physician in the Pediatric Emergency Department at LA County - USC Medical Center. Her interest in the science of medicinal cannabis was kindled more than ten years ago after witnessing its beneficial effects in a friend who was seriously ill. Since then, she has been evaluating and treating both adult and pediatric patients for the use of medicinal cannabis. Dr. Goldstein is a sought-after lecturer to many patient support programs, including the Cancer Support Community in Southern California. She has been a featured speaker at CannMed since our first conference at Harvard University in 2016. She has also presented at the Medical Cannabis for Autism conference at Children's Hospital of Philadelphia and the International Congress on Clinical Trials in Cannabis in London, as well as many other cannabis conferences. She is currently the Medical Director of Canna-Centers, a Los Angeles-based medical practice devoted to helping patients use cannabis medicine for serious and chronic medical conditions. She is also Medical Advisor to WeedMaps.com, a board member of the International Association of Cannabis as Medicine, and a member of the International Cannabinoid Research Society and the Society of Cannabis Clinicians. She is the author of Cannabis Revealed and her second book, Cannabis is Medicine, will be published by Little, Brown Spark in September 2020. We are thrilled to have Dr. Goldstein as one of our Keynote Speakers and look forward to her participation in the CannMed Medical Practicum! Additional Resources: Canna-Centers WebsiteWPA4AProject CBD Dr. Goldstein's CannMed Presentations - 2018 | 2017
How coronavirus kills “healthy” people, with Cate Shanahan, M.D. Check out my bestselling book, The Carnivore Code: www.thecarnivorecodebook.com You can find Dr Cate Shanahan and her new book at www.DrCate.com and www.FatBurnFix.com Dr. Cate Shanahan is a board certified Family Physician. Her expertise is diet-driven disease, specifically the twin roles of PUFAs and sugar in promoting weight gain, insulin resistance, prediabetes and other common diet-driven conditions. Her passion is educational programs that improve productivity & reduce employer healthcare costs by cultivating healthy habits at the individual and organization-wide levels. After getting her BS in biology from Rutgers University, she trained in biochemistry and genetics at Cornell University’s graduate school before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient’s culinary habits. She applied her learning and experiences in all these scientific fields to write Deep Nutrition: Why Your Genes Need Traditional Food. Together with Dr. Tim DiFrancesco and NBA legend Gary Vitti, she created the PRO Nutrition program for the LA Lakers and helped forge a partnership between Whole Foods Market and numerous NBA teams. In May of 2018 she begin Director of Metabolic Health for ABC Fine Wine and Spirits, a progressive, family run company interested in saving money by betterment of health. Time Stamps: 10:24 How do we move forward with the Coronavirus crisis 14:29 Update on Coronavirus numbers. 15:44 What is a Coronavirus and how does it affect us? 18:54 How can ACE Inhibitors and Angiotensin receptor blockers affect those with Covid19? 25:23 Would Stephen recommend taking these medications? 30:03 Are healthy people at risk for this virus? 34:29 How do we define healthy? 38:39 Data on comorbidities and other studies. 46:37 Acute hyperglycemia and insulin resistance’s effect on the immune system. 51:51 Blood glucose levels? 56:59 Immune dysfunction in patients with Diabetes Melitus 57:54 The immune response in people with Diabetes. 1:01:51 Insulin receptor mediated stimulation and T cells. 1:03:39 Does insulin resistance impede our ability to fight a virus? 1:05:29 studies (continued) 1:07:19 Pop Sugar article on obesity. 1:09:03 The role of cholesterol in the immune system/role of fatty acid in defending against viruses 1:18:03 Statins and the immune system 1:32:13 Where to find Stephen’s work? 1:32:49 What is the most radical thing Stephen has done recently? Study mentioned: https://www.sciencedirect.com/science/article/a BluBlox: www.blubox.com use the code CarnivoreMD for 15% off your order Ancestral Supplements https://ancestralsupplements.com/ Code SALADINOMD on the shopify site to receive 10% off. White Oak Pastures: Use the code CARNIVOREMD at www.whiteoakpastures.com for 10% off your first order! JOOVV: www.joovv.com/paul To subscribe to my newsletter visit: carnivoremd.com My contact information: Book: www.thecarnivorecodebook.com PATREON: https://www.patreon.com/paulsaladinomd SOCIAL MEDIA Instagram: @carnivoremd Website: carnivoremd.com Twitter:@carnivoremd Facebook: Paul Saladino MD email: drpaul@carnivoremd.com
Triage and treatment tents have become ubiquitous in the current pandemic, improving throughput and keeping infectious but relatively well patients outside of the hospital. In this episode, emergency physician Josh Bucher, assistant professor at the Robert Wood Johnson Medical School, breaks down how his team has set up and uses their tent. Discussed here: arrival logistics, initial screening, flow through the tent, using telehealth rather than an in-person clinician, and making the decision of discharge home or send to the emergency department. The “why” of using tents for triage and treatment of COVID-19 patients is generally the same, but the “how” differs. This episode gives insight into how one New Jersey hospital is doing it. Tent hours, staffing and volume They average 40 patients per day. Open from 11am - 11pm, anticipating expansion to 9am - 1am. The more patients they can see in the tent, the less time and resources they’ll need to devote to terminal cleaning of contaminated ED rooms. Typical surge of patients is from 5pm - 8pm. 2 nurses staff the tent at all times. Nurse shifts are 4 consecutive hours without a scheduled break. What happens when patients first arrive to the ED? They go to a small triage tent outside the main entrance of the ED which is staffed with a nurse and a registrar, both in full PPE . Vitals are taken (temp, pulse ox, heart rate but not BP). Patients are assessed to see if they meet tent criteria: Symptoms of fever (>100.4℉), URI symptoms, cough, and/or SOB. Not overtly dyspneic or toxic appearing. Age < 60 HR < 130 bpm Pulse ox ≥ 95. They are considering lowering that pulse ox threshhold to allow more patients through the tent process Patients who meet tent criteria are masked and directed to walk over to the tent. Then what? Visitors are not allowed to accompany them into the tent. They stop at a table to get a piece of paper on which they enter their own registration info. Full registration processing takes place later. A nurse guides the patient to a chair which is facing a telehealth robot device. The nurse asks triage questions and gets a medical history. A physician is listening (aided by the robot) and simultaneously entering information into the EMR. The robot has a stethoscope attached to facilitate lung auscultation, though the audio quality is poor. Facetime on a phone or tablet could be used as a substitute for a robot. No diagnostic testing is done in the tent (including COVID-19 testing). This is due to limited supply. The only patients tested for COVID are those being admitted. Disposition from the tent. Physician makes decision about discharge from tent vs. ED admission. This is largely clinical judgement. Overt dyspnea, hypoxia at rest, pulse ox dropping to the mid 80s on standing in place ambulation for 20-30 seconds are some of the factors used to decide on disposition. 95% of patients are discharged. Patients are told they likely have COVID and of the need to self-quarantine. Return precautions stress the need to return for difficulty breathing. Discharge instructions printed from printer in tent. 5-6 patients per day are sent to the ED for further evaluation. What PPE is being used? Staff in the tent wear a Tyvek suit, N95 mask, multiple pairs of gloves, and a face shield. The outer pair of gloves is changed between patients. PAPRs and CAPRs are in short supply and reserved for the OR and ED staff performing high risk procedures (ie. intubation). How is transmission of infection minimized in the tent? The tent is completely under negative pressure. Any surface touched by a patient is wiped down with a bleach wipe. Throughput is typically quick, so there is less risk of spreading droplets. Entire process from triage to discharge can take as little as 15 min. Patients move through the tent in one direction and don’t spend a prolonged time in one spot. This minimizes exposure to the staff.
Dr. Decker is a pediatric cardiologist specializing in electrophysiology, cardiac arrhythmias, cardiomyopathies and heart failure. He offers innovative and minimally invasive techniques to benefit patients at the Johns Hopkins All Children’s Heart Institute. Before joining All Children’s, Dr. Decker was an assistant professor of pediatrics at Baylor College of Medicine and Texas Children’s Hospital in Houston, where he completed a fellowship in pediatric cardiology, an advanced fellowship in heart failure/transplantation, and an advanced fellowship in pediatric electrophysiology at Baylor College of Medicine. A graduate of Robert Wood Johnson Medical School in Camden, New Jersey, Dr. Decker did his pediatric residency training at Children’s National Medical Center in Washington, D.C. You can see his full bio at https://www.hopkinsallchildrens.org/Find-A-Doctor/Practitioner-Details/Jamie--Andrew--Decker White Coat Story is a podcast series for school students to gain first-person insights into the practice of medicine, and what it takes to get there.
Peak Human - Unbiased Nutrition Info for Optimum Health, Fitness & Living
Hello there Sapien Tribe! That’s right, we’re a tribe now. This is very fitting to me and we have a lot of great people leading the way. I’m going to make pages for each of them on http://Sapien.org I’m talking about people like Professor Bill Schindler who’s hosting an online video series with a bunch of great people. Somehow I slipped in there and am kicking it off with one of the OGs Robb Wolf on Monday, October 28th. Sign up for free at https://www.modernstoneagediet.com/bs/ He’s having a bunch of these other tribe leaders on like Tara Couture (my favorite person ever - @slowdownfamstead on Instagram), Mark Sisson, Shawn Baker, all the people. Professor Bill is a great guy, a friend, and I want to support his project and message. That link is https://www.modernstoneagediet.com/bs/ or find it in the show notes. Now that I strategically brought up show notes, I’ll mention the message I got from a Patreon supporter who said “If I realized you offered such extensive show notes to patreon supporters I would of joined a hell of a lot sooner. What a valuable perk!!! I think if you elaborate on the podcast about on how comprehensive these google docs are (links to studies, links to youtube videos, refined information, and links to articles) surely more people will join for access!” It’s all Kristi! She does an awesome job. Support us at http://patreon.com/peakhuman You can also get grass finished meat delivered to your door at http://NoseToTail.org And put a few branches on our fire. This tribe metaphor is going to continue. You have to just try this even if it’s just to get the ground beef with the organs mixed in. There’s really no other way you can get grass finished beef plus liver, heart, kidney, and spleen all ground into a perfect little ball of nutrition for a better price, taste, or convenience factor. Support Sapien and a family Texas ranch by ordering at http://NoseToTail.org The film is going great. We don’t have a release date but you can still preorder it and get some of the perks by clicking through http://FoodLies.org to the Indiegogo page. And now onto the guest today, Dr. Cate Shanahan. I read her book Deep Nutrition awhile back and was hooked. She has a great philosophy that’s very inline with the Sapien lifestyle. She’s a board certified family physician, she trained in biochemistry and genetics at Cornell University’s graduate school before attending Robert Wood Johnson Medical School. She helped create the PRO nutrition program for the LA Lakers which helped Kobe start eating an ancestral diet and boost his performance as he went later into his career. She’s got a new book coming out early next year called Fatburn Fix which you can already preorder on Amazon https://www.amazon.com/Fatburn-Fix-Great-Weight-Using/dp/1250114497 And she’s an amazing person all around - here’s Dr. Cate. BUY THE MEAT NosetoTail.org Support me on Patreon! http://patreon.com/peakhuman Preorder the film here: http://indiegogo.com/projects/food-lies-post SHOW NOTES Cate Shanahan is a practicing medical doctor and author of Deep Nutrition She was inspired to write Deep Nutrition because we are currently living longer lives but not healthier lives There is a difference between life expectancy and life span Past generations grew up without GMOs, pesticides, so basically eating all organic, free-range, foods and no processed foods Genetic momentum will carry you forward even when diet might fall apart and this is how a lot of people live very long lives Your connective tissue determines your lifespan and your connective tissue is determined in your teens and twenties Cate has genetically poor connective tissues and experienced various repetitive injuries Status of connective tissue is the number one predictor of injury and duration of athletic career The problem that can occur with vegan athletes is that they are deprived of animal-based components that support connective tissue Many traditional diets include bones and products you get when you break down/boil bones Gelatin can help our joints and injuries Bone broth is the youth serum for connective tissue and extending athletic career Cate worked with the LA Lakers and various other professional athletes and has seen the power of nutrition and specifically bone broth in athletic performance, recovery, and career longevity How LDL and HDL cholesterol levels matter Brian’s theory: the only people that don’t benefit either didn’t try it or did it wrong Many high-level athletes adopting low-carb diets Sugar isn’t good, but vegetable oils are the worst thing we could possibly eat Cate believes that if we didn’t have vegetable oils we wouldn’t have all these chronic diseases Mitochondria produce 30% more energy (ATP) using fatty acids and ketones for fuel than glucose Polyunsaturated fatty acids from vegetable oils shut down mitochondrial metabolism and can trigger apoptosis As your cells demand more and more sugar, the brain responds by keeping your fasting blood sugar up in an unhealthy range and this is what is diagnosed as diabetes Vegetable oils play a role in diabetes Short fasts can be a part of a healthy lifestyle but a lot of people aren’t even healthy enough to fast Eating between meals blocks fat burning You shouldn’t need a snack if you have body fat People underestimate how many calories they eat a day, and these hidden calories come from snacking There’s a difference between burning fat and burning body fat There are toxins in the vegetable oils that have accumulated in body fat, so when you fast and start burning body fat, you release them and get a pro-inflammatory effect If you have toxic body fat and you try and push through to fast, it could be harmful The reason some people can’t access their body fat goes beyond lowering insulin Some people aren’t even ready to go low-carb Carbs are not the enemy, if you do it right, you can have your carbs and lose weight and be healthy MCTs can be used directly by the brain for fuel Your body makes most of its antioxidants The antioxidants in food probably have a negligible contribution in your cells If you do carnivore, you should be doing it nose-to-tail Cate’s 4 pillars for a maximally healthy diet The RDAs are almost irrelevant Ancestral diets were based on farming, culinary practices, and traditions Our intuitions were so good for so long and we’ve lost our ways Diet can impact how our children physically look and grow Feed your genetics what they are expecting to receive You have a gene in your bones for growing more bone matrix The raw materials in our food can act as switches for our genes Cate tells people to supplement with vitamins (e.g. vitamin D), minerals (e.g. calcium), and superfoods (e.g. probiotics) if your diet is not rich in what you are supplementing with Vegans who believe “just don’t eat meat and you’ll be fine” can turn into a really unhealthy diet DHA requirements go down when you remove vegetable oils Epidemiology is just like “voting” on what a healthy diet is and shouldn’t be what we make dietary recommendations on When we eat damaging dietary fats for the brain we see mental illness Stress isn’t a new phenomenon, we are just not wired to deal with it with the food we’re eating Humans are being built wrong and if we continue down this path, humans will become extinct Where to find Dr. Cate Shanahan https://drcate.com/ https://twitter.com/drcateshanahan https://www.facebook.com/DoctorCate SHOW NOTES Cate Shanahan is a practicing medical doctor and author of Deep Nutrition She was inspired to write Deep Nutrition because we are currently living longer lives but not healthier lives There is a difference between life expectancy and life span Past generations grew up without GMOs, pesticides, so basically eating all organic, free-range, foods and no processed foods Genetic momentum will carry you forward even when diet might fall apart and this is how a lot of people live very long lives Your connective tissue determines your lifespan and your connective tissue is determined in your teens and twenties Cate has genetically poor connective tissues and experienced various repetitive injuries Status of connective tissue is the number one predictor of injury and duration of athletic career The problem that can occur with vegan athletes is that they are deprived of animal-based components that support connective tissue Many traditional diets include bones and products you get when you break down/boil bones Gelatin can help our joints and injuries Bone broth is the youth serum for connective tissue and extending athletic career Cate worked with the LA Lakers and various other professional athletes and has seen the power of nutrition and specifically bone broth in athletic performance, recovery, and career longevity How LDL and HDL cholesterol levels matter Brian’s theory: the only people that don’t benefit either didn’t try it or did it wrong Many high-level athletes adopting low-carb diets Sugar isn’t good, but vegetable oils are the worst thing we could possibly eat Cate believes that if we didn’t have vegetable oils we wouldn’t have all these chronic diseases Mitochondria produce 30% more energy (ATP) using fatty acids and ketones for fuel than glucose Polyunsaturated fatty acids from vegetable oils shut down mitochondrial metabolism and can trigger apoptosis As your cells demand more and more sugar, the brain responds by keeping your fasting blood sugar up in an unhealthy range and this is what is diagnosed as diabetes Vegetable oils play a role in diabetes Short fasts can be a part of a healthy lifestyle but a lot of people aren’t even healthy enough to fast Eating between meals blocks fat burning You shouldn’t need a snack if you have body fat People underestimate how many calories they eat a day, and these hidden calories come from snacking There’s a difference between burning fat and burning body fat There are toxins in the vegetable oils that have accumulated in body fat, so when you fast and start burning body fat, you release them and get a pro-inflammatory effect If you have toxic body fat and you try and push through to fast, it could be harmful The reason some people can’t access their body fat goes beyond lowering insulin Some people aren’t even ready to go low-carb Carbs are not the enemy, if you do it right, you can have your carbs and lose weight and be healthy MCTs can be used directly by the brain for fuel Your body makes most of its antioxidants The antioxidants in food probably have a negligible contribution in your cells If you do carnivore, you should be doing it nose-to-tail Cate’s 4 pillars for a maximally healthy diet The RDAs are almost irrelevant Ancestral diets were based on farming, culinary practices, and traditions Our intuitions were so good for so long and we’ve lost our ways Diet can impact how our children physically look and grow Feed your genetics what they are expecting to receive You have a gene in your bones for growing more bone matrix The raw materials in our food can act as switches for our genes Cate tells people to supplement with vitamins (e.g. vitamin D), minerals (e.g. calcium), and superfoods (e.g. probiotics) if your diet is not rich in what you are supplementing with Vegans who believe “just don’t eat meat and you’ll be fine” can turn into a really unhealthy diet DHA requirements go down when you remove vegetable oils Epidemiology is just like “voting” on what a healthy diet is and shouldn’t be what we make dietary recommendations on When we eat damaging dietary fats for the brain we see mental illness Stress isn’t a new phenomenon, we are just not wired to deal with it with the food we’re eating Humans are being built wrong and if we continue down this path, humans will become extinct Where to find Dr. Cate Shanahan https://drcate.com/ https://twitter.com/drcateshanahan https://www.facebook.com/DoctorCate BUY THE MEAT NosetoTail.org Support me on Patreon! http://patreon.com/peakhuman Preorder the film here: http://indiegogo.com/projects/food-lies-post Film site: http://FoodLies.org YouTube: https://www.youtube.com/c/FoodLies Sapien Movement: http://SapienMovement.com Follow along: http://twitter.com/FoodLiesOrg http://instagram.com/food.lies http://facebook.com/FoodLiesOrg Theme music by https://kylewardmusic.com/
A native of New Jersey, Dr. Bonni Goldstein received her undergraduate education at Rutgers College. She pursued her medical degree at Robert Wood Johnson Medical School at the University of Medicine and Dentistry of New Jersey. Her post-doctoral education included internship and residency at Childrens Hospital Los Angeles. Dr. Goldstein also served as Chief Resident at Childrens Hospital Los Angeles. She was a Clinical Instructor in Pediatrics at USC School of Medicine in Los Angeles, Emergency Transport Attending Physician at Childrens Hospital Los Angeles and Emergency Medicine Attending Physician in the Pediatric Emergency Department at Los Angeles County-USC Medical Center. In 2008, Dr. Goldstein developed an interest in the science of medical cannabis after witnessing its beneficial effects in an ill friend. Since then she has been evaluating both adult and pediatric patients for use of medical cannabis. Dr. Goldstein has given numerous lectures to many patient support programs, including the Cancer Support Community, Southern California Prosthetics, and Pediatric Epilepsy. She has also lectured at CannaMed 2016 at Harvard University, United in Compassion Medical Cannabis Symposium in Sydney, Australia, Patients Out of Time 2015, and United Patients Group Conference 2016. She is currently the Medical Director of Canna-Centers, a California-based medical practice devoted to educating patients about the use of cannabis for serious and chronic medical conditions. She is a Medical Consultant to WeedMaps.com. She is a Member of the International Association of Cannabis as Medicine, the International Cannabinoid Research Society, and the Society of Cannabis Clinicians. Dr Goldstein’s Website: http://www.bonnigoldsteinmd.com/ Dr Goldstein’s Book: Cannabis Revealed --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/oilycadre/message Support this podcast: https://anchor.fm/oilycadre/support
The July podcast features a discussion with Gary Freed, DO, a clinical professor in the Department of Pediatrics at PCOM Georgia. Dr. Freed is referred to as the state “expert” on Sudden Infant Death Syndrome (SIDS) and Safe Sleep by the Georgia Chapter of the American Academy of Pediatrics. A graduate of the College of Osteopathic Medicine at Des Moines University and a neonatology fellowship at the Robert Wood Johnson Medical School at Rutgers University, Dr. Freed worked as an award-winning professor at Emory University School of Medicine until his retirement. We were fortunate that he joined the PCOM Georgia faculty in 2017.
Why You Should Listen: In this episode, you will learn about Mast Cell Activation Syndrome and steps that may lead to its resolution. About My Guest: My guest for this episode is Dr. Raj Patel. Raj Patel. MD received his Master’s degree in Physiology from Rutgers University and his medical degree from Robert Wood Johnson Medical School in New Jersey. Dr. Patel is trained to work with people of all ages with his education in Family Medicine. He has extensive experience with various natural therapies including nutritional medicine, homeopathy, herbs, and mind-body medicine. Integrating these diverse therapies with allopathic or Western medicine has enabled Dr. Patel to offer a highly refined approach to healthcare that produces lasting results. Over the years, Dr. Patel has specialized in treating patients with Autism Spectrum Disorders (ASD), Lyme and tick-borne diseases, and mold illness (or “Sick Building Syndrome”) from exposure to water-damaged buildings. While these conditions seem separate and unrelated, they share many common underlying characteristics and frequently coexist. Dr. Patel’s interest in Lyme disease started in 2004 when he was diagnosed with it after having suffered from numerous seemingly unrelated symptoms for several years. Having successfully gone through his own journey with chronic Lyme disease utilizing a variety of treatment modalities, Dr. Patel has been able to refine his approach to treating chronic Lyme sufferers with incredible success. Dr. Patel is an active member of the International Lyme and Associated Diseases Society (ILADS). He has also completed advanced training in pediatric Lyme disease and is a frequent speaker at Lyme conferences. Dr. Patel deeply explores the impact of exposure to mold from water-damaged buildings and finds this is key to recovering many of his patients dealing with chronic Lyme disease. Today, Dr. Patel, as the founder of Medical Options for Wellness, sees primarily severe chronically ill patients who have not been able to recover in spite of working with numerous other doctors. Key Takeaways: - What is MCAS? - What are the symptoms of MCAS? - How is treatment of MCAS approached? - What are the key triggers of MCAS? - What are the symptoms of EMF sensitivity? - What role does EMF exposure play in MCAS and in chronic illness in general? - How important is rewiring the limbic system in MCAS? - What role does mold illness play in MCAS? - Why is the microbial support focus later in the overall approach? - How might the immune response to normal flora be a trigger for MCAS? - How can vaccine residues be a contributor to MCAS in some patients? Connect With My Guest: http://MedicalOptionsForWellness.net Related Resources: Treatment of MCAS (including food list) Tips on How to Implement a Low Histamine Diet Generation Zapped BioInitiative.org Earthing: Health Implications of Reconnecting the Human Body to the Earth's Surface Electrons Interview Date: June 11, 2019 Additional Information: To learn more, visit http://BetterHealthGuy.com. Disclaimer: The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority.
Dr. Cate Shanahan MD. teaches us about the problems that exist in healthcare and how it is linked to the modern food system. The key to bettering your health is to eat real food. Listen as we discuss the four pillars of the optimal diet - Fresh food, fermented and sprouted foods, organ meats and our favorite - meat cooked on the bone! BIO: Cate Shanahan, MD is a board-certified family physician on a mission to awaken us all to the idea that culinary arts represent a powerful body of nutrition science (including most cookbooks published up to about 1940), and to encourage mothers to let their children grow up to be cowboys (and farmers) because this can save Nature while improving human health. Dr. Cate trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. Practicing in Hawaii she discovered her older patients who grew up eating traditional foods were healthier than their own children and grandchildren who grew up eating according to government recommendations and realized that what dietitians and doctors learn about nutrition is dangerously wrong. She is author of several books including the underground classic Deep Nutrition: Why Your Genes Need Traditional Food, which argues that our genes are programmed by culinary practices of the past and we now need to eat the four categories of foods people have always eaten. She has served as the Director of the Los Angeles Lakers PRO Nutrition Program, and currently works with professional athletes to optimize their metabolism for energy and performance. She also directs a corporate metabolic health program for one of Florida’s largest family owned companies. She has been featured in several documentary films and major media outlets including Sports Illustrated, Vogue, Prevention, Reader’sDigest, the NY Post, and the LA Times as well as on numerous TV, radio and podcast shows. Links: Dr. Cate's website: https://drcate.com/ Bytable Podcast - "Know Better Live Best" Website: https://knowbetterlivebest.com/episodes/
If I was going to sum up the summaries, I might put it this way, liberally co-opting the words and sentiments of my articulate guests: The intent here is to help doctors care for patients, patients care for themselves, and all of us care for each other (thanks for that concise statement, Jim Barr). If we want to do this well, we want to and need to standardize the way that digital medicine suppliers express their value so that providers and other purchasers can make informed choices not derailed by who has better marketing. And health systems and other large stakeholders are starting to come around to the inevitability of digital medicine and also the need for evidence to separate the winners from the not-so-greats in a field of literally thousands of health tech options. You can learn more at nodehealth.org or by emailing info@nodehealth.org. Megan Coder, PharmD, MBA, is executive director of the Digital Therapeutics Alliance (DTA), whose mission is to broaden the understanding, adoption, and integration of clinically validated digital therapeutic solutions into mainstream health care through education, advocacy, and research. With more than a decade of experience in the health care industry, Megan’s expertise extends from strategic growth and partnership development within the digital health sector to the direct delivery of patient care. James E. Barr, MD, is vice president of clinical intelligence at Atlantic Health System and medical director for the Optimus Healthcare Partners and Atlantic Health System Accountable Care Organizations. He is a board-certified family physician with an active clinical practice. He is an assistant clinical professor at Robert Wood Johnson Medical School and has worked with Aveta Health Solutions (North American Medical Management) as vice president of medical services. Katie D. McMillan, MPH, has dedicated her career to imagining and building technology to improve health care for patients and providers. Her experience spans multinational global health organizations, lean software start-up companies, and large academic medical centers. Katie’s latest venture is the creation of the Mobile App Gateway (MAG) at Duke University Health System. The MAG serves as the hub for digital health at Duke and provides product consulting services to clinicians and researchers, monthly events and workshops, and content exploring the many facets of the health tech industry. Naomi Fried, PhD, is an innovative and digital health thought leader and founder and CEO of the boutique advisory firm, Health Innovation Strategies, which focuses on innovation program design and digital health strategy. Naomi was the first vice president of innovation and external partnerships at Biogen, the first chief innovation officer at Boston Children’s Hospital, and vice president of innovation and advanced technology at Kaiser Permanente. She served on the board of directors of the American Telemedicine Association and the Governor of Massachusetts’ Innovation Council. Louis Morrow is regional director of sales for Intelligent Retinal Imaging Systems (IRIS), the leading comprehensive solution provider of diagnostic telemedicine services committed to ending preventable blindness due to diabetic eye disease. Louis was one of the earliest builders at IRIS and has played a major role in saving the eyesight of over 55,000 patients (so far) through the partnerships built with major health systems and integrated delivery networks across the country. He’s an award-winning consultative sales team leader with more than 20 years of successful experience in the eye care space and has held senior sales leadership positions across multiple companies. Adnan Iqbal is the cofounder and CEO of Luma Health, a digital health company solving the biggest challenge in health care: getting patients in front of the right provider and to the best health care outcome quickly. Adnan previously held leadership roles at Genentech across research and development, finance, operations, and market analysis and strategy. Prior to Genentech, Adnan cofounded a medical device start-up working to develop an inexpensive diagnostic test for tuberculosis and several other infectious diseases. Roylyn Fernandez, RN, has more than 15 years of combined experience in clinical and informatics roles integrating technologies such as electronic health records (EHRs), virtual desktop infrastructure (VDIs), and mobile applications into system processes. Her passion for nursing and health care enable her to leverage her clinical, operational, and informatics knowledge to design and execute technology adoption strategies that support organizational goals related to quality, patient safety, and revenue capture initiatives. In 2016, Roylyn joined DeLappe Consulting after leading enterprise-wide technology implementation and optimization projects for Kaiser Permanente, Sutter Health, and Cottage Health Systems. Jay Fischer, MBA, as an executive, management consultant, and entrepreneur, has earned a reputation for achieving business growth in challenging consumer and business markets in diverse industries. He has broad-based experience in marketing, business and channel development, sales, customer management, and operations. He has created strong brands from start-up through revitalization stages, developed and sold innovative solutions for diverse customer groups/distribution channels, and built team commitment for sustainable growth in organizations. Jay is a visionary and strategic thinker who has demonstrated a consistent record of translating plans into results in the face of difficult market, financial, and organization conditions. Jitendra Barmecha, MD, MPH, is chief information officer and senior vice president of information technology, health care data and analytics, and clinical engineering at SBH Health System in the Bronx, NY. He serves on the health care advisory panel for Salesforce, Health Connect Partners, and the American College of Physicians (physician payment reform). He is a fellow of the American College of Physicians, senior fellow of hospital medicine, and fellow of the New York Academy of Medicine. While continuing his passion for bedside patient care as a hospitalist, he enjoys teaching clinical staff and routinely provides lectures on health care management, technology innovation, and policy. 02:50 Megan explains the Digital Therapeutics Alliance. 03:04 What actually is a digital therapeutic and how do you define it? 03:58 “The goal really is to make sure that there’s cohesion across this industry.”—Megan 04:32 “It’s okay to be targeted.”—Megan 05:42 “We need to find what doctors need and what patients need through data.”—Jim 05:54 What the conference confirmed for Jim. 06:14 Utilizing the abundance of health care data. 07:18 Helping physicians care better for their patients. 08:02 Helping patients care better for themselves. 09:40 How companies are looking to gather enough data. 12:45 The small stuff vs tackling the “medium stuff.” 13:08 “Are we making the same mistakes that the EHRs made?”—Adnan 14:10 “The concept of a PCP [primary care provider] is really dying.”—Adnan 15:47 "The script is being written as we talk."—Jay You can learn more at nodehealth.org or by emailing info@nodehealth.org.
Docs Outside The Box - Ordinary Doctors Doing Extraordinary Things
LISTEN & SUBSCRIBE ON: APPLE PODCASTS | GOOGLE PLAY | STITCHER | SPOTIFY On this episode, my guest is Student Doctor Kamali Thompson who is a 4th year medical student at Robert Wood Johnson Medical School in New Jersey. I got her on the show to talk how she handles the craziness of medical school with being an amazing fencer! She’s got aspirations of making the Olympics in 2020 ya’ll. Kamali got started with fencing pretty late in comparison with other fencers. With hard work, persistence, and people believing in her she’s been able to be successful at all levels. Recently she added US National Champion to her resume and regularly competes for Team USA internationally. Things you’ll learn in this episode: How she got introduced to Fencing as a sport The difference between studying for medical school vs training for the Olympics Importance of role models Why she decided to get a MBA How she answers #imnotjustadoc Resources Mentioned in this Episode: Peter Westbrook Foundation Amanda Seale – Small Doses Podcast Nickii Franke – College coach Follow Student Doctor Kamali Thompson: Kamalithompson.com Twitter: @Kamali_thompson IG: @dr.mali.malz Jswiss Dedicate.LoveSomethin: Check out THE FREEDOM FORMULA FOR HEALTHCARE PROFESSIONALS VIRTUAL SUMMIT: More than half of physicians are burning out the and numbers are increasing...The SOLUTION can CHANGE LIVES forever. Find out more for FREE at THE FREEDOM FORMULA FOR HEALTHCARE PROFESSIONALS: Concrete Steps to Release the Overwhelm and Create the Freedom You Crave October 22-31st Here’s the link: https://rechargecoach.com/o/nii Check out our Sponsors: Physician-CEO: physician-ceo.com/dotb/ Set for Life Insurance: www.setforlifeinsurance.com
The major theme of this interview is how a traditional healthcare insurance company - Aetna - is redefining what it means to be a payer.They are reorganizing healthcare delivery to be much more engaging of consumers, and they’re doing it with numerous collaborators, in non-traditional ways.Our guest this week has an impressive academic and executive background. Dr. Harold Paz is an executive vice president and the chief medical officer for Aetna. He leads clinical strategy and policy at the intersection of all of Aetna’s domestic and global businesses.Before joining Aetna in 2014, Dr. Paz served as chief executive officer of Penn State Hershey Medical Center & Health System, and dean of its college of medicine. Prior to his appointment to Penn State, he spent 11 years as dean of the Robert Wood Johnson Medical School, and chief executive officer of Robert Wood Johnson University Medical Group, the largest multispecialty group practice in New Jersey.What you’ll hear in this interview includes:The "three pillars" of Aetna’s clinical strategy: member engagement, creating a health ecosystem for consumers, and value-based contracting.The novel and non-traditional ways that Aetna is creating outcomes-based healthcare solutions.The innovative, highly collaborative and value-enhancing joint ventures that Aetna has entered into with provider groups, pharma & device manufacturers.Aetna’s Wellness Index - a comprehensive survey that is redefining what health and well-being look like.Examples of how Aetna is designing and deploying the “third curve” of healthcare personalization and consumerism.Aetna's approach to combating the opioid epidemic in our country. This work that Dr. Paz shares with us is a spectacular example of what forward-thinking leaders and leadership teams can do within the traditional legacy system - to redesign and reorganize healthcare delivery. Dr. Paz and his colleagues are clearly breaking the mold of what an insurance company can be, and do.As I listened to example after example of the innovative initiatives and collaborations Aetna is deploying, I was struck by how they are tearing down the constricting walls of the past, and crossing boundaries in ways that are on point to create a better healthcare system.
Dominic D'Agostino, Ph.D., delivers an informative overview of the potential positive impact of ketogenic diets for disease prevention and treatment. He discusses how many cancers such as endometrial cancer and pancreatic cancer are associated with hyperglycemia, which is a hallmark of type II diabetes.D'Agostino is a tenured professor at the University of South Florida. Working with students at the Morsani College of Medicine and the Department of Molecular Pharmacology and Physiology, D'Agostino's primary focus is in the areas of neuroscience and neuropharmacology, medical biochemistry, and physiology. As a research scientist at the Institute for Human and Machine Cognition, D'Agostino aggressively pursues his research in methods to optimize and maximize the health, safety, and resilience of soldiers in combat, as well as astronauts. As a laboratory scientist D'Agostino and his team develop and test various metabolic-based strategies for seizures, epilepsy, cancer, and select neurodegenerative diseases. His primary focus for over a decade has been centered upon the many potential anticonvulsant and neuroprotective mechanisms of a ketogenic diet as well as ketone metabolite supplementation. D'Agostino is an active member of the Undersea and Hyperbaric Medicine Society, Society of Neuroscience, Aerospace Medical Association, American Physiological Society, and the American Association of Cancer Research. He holds a Ph.D. and BS from the esteemed Robert Wood Johnson Medical School and Rutgers University, respectively. D'Agostino discusses his current and primary focus on brain cancer and how the ketogenic diet has historically been used to treat epilepsy, thus brain tumor patients experiencing seizures may see significant benefit from a dietary change to this low-carb, high-fat, protein-adequate diet. He talks about the Warburg effect, the phenomenon in which cancer cells produce extra energy via increased oxygen-dependent glycolysis that is then followed by lactic acid fermentation with a secretion of lactate. D'Agostino provides information on cell metabolism; the ATP molecule, which is the nucleotide specifically known in biochemistry as the ‘molecular currency' of cell to cell energy transfer; as well as mitochondria and the links between diet and some cancers. The nutrition and health Ph.D. outlines other important and relevant studies, such as the work of Valter Longo, the Italian-American biogerontologist and cell biologist who is known primarily for his study of the role fasting and nutrient response genes play in disease and cellular protection. Additionally, he discusses the protective effects of short-term dietary restrictions as well as fasting, and the potential importance of ketones for metabolic health. While weight loss is essentially a good side effect of a ketogenic diet, the metabolic benefits provide even more advantages, in addition to the healthy effect of losing weight. He discusses the beneficial impact of decreasing glucose availability to tumors and implementing dietary restrictions as part of a treatment plan for some cancers. The shift in brain metabolism from glucose to ketones can actually reduce neuronal hyperexcitability and oxidative stress, which can enhance brain energy metabolism. D'Agostino feels this methodology can be used to treat a vast array of pathologies, including cancer. Additionally, D'Agostino presents an important analysis of the microbiome, which is the community of microorganisms such as fungi, bacteria, and viruses that inhabit a specific environment, especially in regard to microorganisms living within or on the human body. He provides his opinion on the variations in microbiomes and how the optimal microbiome can differ based upon food eaten, geographical location, and other factors, and how a ketogenic diet and periodic fasting can help purge the overgrowth of the microbiome, and help return the body to balance. And D'Agostino discusses the glucose-ketone index, and how individuals seeking a healthier dietary balance and increased energy can monitor their index to ensure they are reaching ketosis with regularity for maximum health benefits.
Creating a Family: Talk about Infertility, Adoption & Foster Care
Host Dawn Davenport, Executive Director of Creating a Family, the national infertility & adoption education and support nonprofit, interviews Dr. Marcy Maguire, reproductive endocrinologist at RMA New Jersey and clinical professor of reproductive endocrinology at the Robert Wood Johnson Medical School. Creating a Family has many free resources related to this topic on our website at www.CreatingaFamily.org. Please leave us a review on iTunes. Thanks. Click to Tweet: https://ctt.ec/TyBa3 Share on Facebook: https://www.facebook.com/sharer/sharer.php?u=https%3A//creatingafamily.org/infertility-category/intrauterine-insemination-iui/ Show Highlights: https://creatingafamily.org/infertility-category/intrauterine-insemination-iui/ Support the show (https://creatingafamily.org/donation/)
Deep Nutrition http://learntruehealth.com/deep-nutrition/ Deep Nutrition: Going Back To Traditional Foods Deep nutrition is all about understanding how a change in diet can heal our body. In this day and age, we have so many diets claiming to be the best one. Hence, it can be overwhelming. However, it doesn’t have to be complicated. My guest, Dr. Cate Shanahan will expound in this episode about how deep nutrition produces lasting results. Finding The Root Cause It took quite a while for Dr. Cate Shanahan to find her calling—specializing in deep nutrition. Initially acquiring her degree in Biochemistry and Genetics, she felt a strong urge to get into the underlying causes of disease and come up with a genetically engineered solution to the mounting problem of nutrition. “Doctors do not learn a lot about nutrition. Since I was an athlete, I developed a knee problem that eventually resulted in having to get surgery. I had no choice but to opt to look into deep nutrition to speed up the healing process,” said Dr. Cate Shanahan. Spontaneous Healing During her recovery period, Dr. Cate Shanahan’s husband bought her the book, ‘Spontaneous Healing,’ by Dr. Andrew Weil. In the book, Dr. Andrew Weil explains in detail how the body heals itself, whether it be serious diseases, trauma or chronic pain. The book also shows the correlation between the body and mind when it comes to healing. Consequently, vitamins, herbs, supplements and nutritious foods all contribute to our recovery but having a healthy mindset significantly speeds up the process. And it’s true! I have guested several experts in past episodes of my podcast who have attested to the power of the mind when it comes to healing. Dr. Andrew Weil likewise threw in a plethora of tips on how to achieve optimal health. However, Dr. Cate Shanahan says Dr. Andrew Weil’s book had a topic that changed her world—the concept of essential fatty acids. The book ultimately made Dr. Cate Shanahan realize that a lot of the things we know about nutrition is wrong. Weston Price’s Theories Another person who made an impact on Dr. Cate Shanahan is Dr. Weston Price. Dr. Weston Price is a well-known dentist in the 1930s who formulated theories linking nutrition with dental health as well as physical health. Dr. Cate Shanahan isn’t the only guest of mine who agreed with Dr. Weston Price’s research. A few episodes back, I had Dr. Steven Lin on the show who shared that in the Nutrition and Physical Degeneration book Dr. Weston Price published, flour, sugar and processed vegetable fats causes nutritional deficiencies. The book likewise explored the theories that Western methods of preparing and storing foods can lead to different diseases. Benefits Of Traditional Foods Ever hear the phrase, ‘Home-cooking is better and healthier?’ Well, it is. Eating meals cooked the traditional way at home is deep nutrition. Dr. Cate Shanahan explains that ultimately, the human diet should consist of four elements: fermented foods, meat cooked on the bone, sprouted foods and organ meats. Dr. Cate Shanahan says she initially formulated her theories when she started talking to people about traditional foods or deep nutrition. It is all about understanding how a change in diet can heal our body. According to Dr. Cate Shanahan, people in their 50s and 60s who had parents cooking traditional foods, mostly have their genetic wealth intact. Hence, that genetic wealth is eventually passed on to their children. “However, that healthy genetic expression gets tarnished as you deviate from the traditions. That was where I felt like I saw something pretty profound,” said Dr. Cate Shanahan. Dr. Cate Shanahan furthermore says that while she was practicing in Hawaii, she was able to compare 50 and 60-year-olds to younger people. Because older people made better meal choices, they were significantly healthier compared to younger people who suffered from a variety of illnesses like ADHD, food allergies and repetitive motion injuries. And through her patients, Dr. Cate Shanahan was able to prove that embracing a deep nutrition diet could improve health within a month. She was also proud to share that not one single patient following her diet program has had a heart attack, stroke or blood clot. Most of her patients likewise reported an improvement in weight and cholesterol levels. Eliminating Vegetable Oils Dr. Cate Shanahan says sugar is bad for us. However, she also says to look at it another way—sugar has been part of our diet for so many decades. And ultimately, our body has ways of dealing with sugar. However, it’s not the same with vegetable oils. According to Dr. Cate Shanahan, this is because we have no methods for dealing with compounds that are in vegetable oils. And these are toxic compounds as well. “Some of the toxic compounds are listed in the carcinogen list. They are cytotoxic and genotoxic. They promote free radicals and inflammation,” said Dr. Cate Shanahan. “Vegetable oils are the most inflammatory things that we eat. We probably consume between 25 to 35% of our calories from these vegetable oils. These things are as toxic as mercury. “ Examples of Vegetable Oils Canola Oil Corn Oil Soybean Oil Peanut Oil Sunflower Oil Safflower Oil Cottonseed Oil Grapeseed Oil Signs Of Toxins Dr. Cate Shanahan says that it is tricky to detect toxicity in your diet since it can be symptoms of a lot of illnesses. However, she says the most common signs of toxins in the diet include heartburn, acne, ADD, depression, bipolar and food allergies. “Eating any food cooked with vegetable oil is like eating toxic stuff. Once you change your diet, you’ll start noticing fewer signs of inflammation, and you’ll sleep better,” Dr. Cate Shanahan said. “If you also reduce carbs, you will likewise feel better and more energetic within a week.” Dysfunctional Immune System Dr. Cate Shanahan clarifies that it’s not that food is inherently bad, but rather people with a dysfunctional immune system are developing more allergies because they are exposed to processed forms of dairy proteins. That is why more and more people develop dairy allergies. “A lot of time, kids would eventually outgrow their allergies. However, living in a pro-inflammatory environment and increased consumption of vegetable oils and processed foods, make it harder for kids to get rid of their allergies.” Dr. Cate Shanahan also explains that it is the proteins that we develop allergies to. Consequently, in our messed up food system, these innocent ingredients are being mistaken by an immune system that is not functioning. Hence, we instead should look into the root cause of the immune system malfunctioning, instead of questioning why dairy is bad for us. Deep Nutrition Book Dr. Cate Shanahan’s Deep Nutrition book is a must-read for everyone who wants to understand how traditional foods improve overall health. The book also details how saturated fat triggers dietary changes affecting our gene expression and replication. In the book, Dr. Cate Shanahan likewise shows how modern diet affected our health through the years, the science behind the altered expression of our DNA, our predisposition to disease, and even our physical appearance. She also lays out what traditional diets share in common and some easy-to-follow recipes that can boost your health. “Eating should be a pleasure. It is a pleasure if you understand how beneficial the good ingredients are,” said Dr. Cate Shanahan. “The reward is going to be measured by your taste buds. Because it is inherently so much better to bite a steak from a grass-fed cow that you cook properly.” Dr. Cate Shanahan M.D is a board-certified family physician. She trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. For ten years, Dr. Cate Shanahan practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. She is the author of two best-selling books and currently serves as the Director of the Los Angeles Lakers PRO Nutrition Program and practices in Newtown, CT. Get Connected with Dr. Cate Shanahan: Official Website Deep Nutrition Book Facebook ------------------------------------------------------------------------------- The Links You Are Looking For: Do you have a blood sugar issue? I can help you achieve healthy, normal and balanced blood sugar naturally! Visit BloodSugarCoach.com for your free 30min coaching call with Ashley James! http://www.BloodSugarCoach.com ------------------------------------------------------------------------------- Become A Health Coach Learn More About The Institute for Integrative Nutrition's Health Coaching Certification Program by checking out these four resources: 1) Integrative Nutrition's Curriculum Guide: http://geti.in/2cmUMxb 2) The IIN Curriculum Syllabus: http://geti.in/2miXTej 3) Module One of the IIN curriculum: http://geti.in/2cmWPl8 4) Get three free chapters of Joshua Rosenthal's book: http://geti.in/2cksU87 Watch my little video on how to become a Certified Health Coach! https://www.youtube.com/watch?v=CDDnofnSldI ------------------------------------------------------------------------------- If this episode made a difference in your life, please leave me a tip in the virtual tip jar by giving my podcast a great rating and review in iTunes! http://bit.ly/learntruehealth-itunes Thank you! 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One in four men over the age of 65 has urinary incontinence, according to the Centers for Disease Control and Prevention. In this interview, men's health expert Ronald Morton, MD, FACS, describes how urinary incontinence is diagnosed and treated. He also provides detailed information about the key medical devices that are available to treat this condition. Approximate listening time: 14 minutes About the Interview Although urinary incontinence is not as common in men as it is in women, it is more prevalent than many people think. According to the Centers for Disease Control and Prevention, one in four men over the age of 65 suffers from it. The underlying causes are often similar in both genders: aging and weakening of the pelvic floor muscles. However, pelvic trauma or prostate disease or surgery can also contribute to the problem in men. Urinary incontinence creates significant quality-of-life issues, so finding effective treatments is very important. In this interview with urologist Ronald A. Morton, Jr., MD, FACS, Natural Medicine Journal’s publisher Karolyn A. Gazella discusses the prevailing treatment options for male urinary incontinence. For some men, pelvic floor exercises alone can provide relief. For others, diet and weight modification are necessary. Others may opt for more advanced interventions, including surgery. Surgical options range minimally invasive to extensive. On the simpler end of the spectrum is the basic urinary sling. In this quick procedure, a sling is inserted to replicate the support lost in previous interventions or trauma. On the other end of the spectrum is an artificial urinary sphincter, which regulates urine flow through a pump. Of course, surgical interventions are not without risks and side effects. Morton addresses those and discusses how to determine whether a patient is a good candidate for surgery. Listen to this interview to learn more about the current treatment options for male urinary incontinence, as well as Morton’s predictions for the future of incontinence treatment. Scroll down for the full transcript. About the Expert Ronald A. Morton, JR, MD, FACS, is the vice president of clinical sciences for the Urology and Pelvic Health division of Boston Scientific, a position that he has held since August 2015. Before joining Boston Scientific, via acquisition, Morton worked for Endo International plc as chief surgical officer, American Medical Systems. Previously, he worked for GTx, a biotech company in Memphis, TN, as chief medical officer. Prior to joining GTx, Morton was chief of urology at Robert Wood Johnson Medical School and director of urologic oncology for the Cancer Institute of New Jersey. He also held an endowed chair position as director of the General Clinical Research Center. Morton holds a BA in natural sciences from The Johns Hopkins University and received his medical doctorate from The Johns Hopkins University School of Medicine. He has board certification as a diplomat, American Board of Urology. Transcript Karolyn: Hello, I'm Karolyn Gazella, the publisher of the Natural Medicine Journal. Today our topic is male urinary incontinence and my expert guest is Dr. Ronald Morton. Dr. Morton, thank you for joining me. Dr. Morton: Hi, Karolyn, and thank you for having me today. Karolyn: Well great. Well, let's just start with the basics. How is urinary incontinence diagnosed in men? Dr. Morton: Karolyn, urinary incontinence is not as common in men as it is in women, although it does happen more commonly than people think. The main causes are as it is with women, aging and weakening of the pelvic floor muscles. But more importantly, and the reason for many of the interventions that we have for urinary incontinence in men is it can be due to trauma to the male pelvis and/or surgery for diseases of the prostate. When I say disease of the prostate I mean both benign conditions like BPH, which many men suffer from and are aware of, and then also prostate cancer, which is a very common cause for surgery on the male pelvis. Karolyn: And then what's considered the gold standard of treatment for this particular men's health condition? Dr. Morton: There are many ways to treat male incontinence, as there are many ways to treat female incontinence. The usual approach that will be taken by a urologist is to go from the least invasive to more invasive solutions until the patient is happy. I think that one thing that always has to be kept in mind is that this is really a quality of life issue for most men, especially since urinary incontinence in males is generally a disease of men who are older. The median age of diagnosis of prostate cancer is about 63 years of age or so. Since operations on the prostate are the common cause for this, they're generally older men and it's a quality of life issue. What one male will find satisfactory control of the urinary incontinence might be totally unsatisfactory to another. So the general approach would be to start with exercises, commonly called Kegel exercises. The same exercises that we suggest that women do who have a mild degree of urinary incontinence and see if that won't help. If Kegel exercises won't help and it's not something that can be helped with diet and weight modification, then we go into more invasive treatments for male urinary incontinence. The first level of invasion is a procedure that only takes a few minutes, really, less than a half an hour called a male urinary sling. It's much like the slings that are used in women. It supports the male urethra and holds it up, providing support that has been lost due to the previous surgical intervention or pelvic trauma in hopes that that will correct the incontinence. Fore more severe degrees of incontinence we often times need to move towards what is really considered, as you say in your question, the gold standard for severe incontinence, which is the artificial urinary sphincter [AUS]. In that procedure, a cuff is placed around the urethra and this cuff is connected to a pressure-regulating balloon, which controls pressure in the cuff, keeping the urethra closed and preventing leakage of urine and also a pump, which is placed in the scrotum. When it's time to urinate, the male can just activate the device. The fluid leaves the cuff and goes into the pressure-regulating balloon, opening the urethra. The male can then urinate and then after a period of lock-out time, the cuff will refill, returning him to a state of continence. Karolyn: So let's talk about these two, the sling and the sphincter. What determines whether or not a patient is severe enough for the sphincter versus the sling? What's the difference between those two patients, the one that gets the sling and the one that gets the sphincter? Dr. Morton: Good question because again, it has a lot to do with personal preference. But there are some general guidelines that one can go by. When we measure incontinence and it can be a difficult thing to put a number on, but most men who have incontinence will use urinary pads in their shorts in order to trap urine leaking. A good gauge of to what degree a male leaks is how many times they have to change that pad. Now, some men will as soon as there's a small amount of urine because of the discomfort it will cause will change that pad right away. Some men tend to allow the pad to get very, very soaked before they'll change it. Everyone behaves a little bit differently. A way to get a handle on exactly how much leakage a man has it to do what we call the pad weight test. So we'll give them all the pads that they might need for a day and a bag that can prevent evaporation and they just collect the pads that they use for the day, put it in this bag, and everything is pre weighed, and then we weigh it to see what the volume of urine leakage is. A rule of thumb, if they're leaking around five pads or 300cc of urine a day, that's severe and is more likely to be treated with the artificial urinary sphincter. Degrees of urinary leakage that are less than that can be and generally might be recommended that they be treated with the sling procedure. Karolyn: Now are there are any contraindications associated with each of these options, the sling or the sphincter? So in other words, are there men who would not be a good candidate for either of these options? Dr. Morton: Well, they have to be able to undergo a surgical procedure, and while the sling procedure is relatively short, it does require at least a regional anesthetic. The artificial urinary sphincter procedure is a little bit longer and requires a general anesthetic so they have to be fit for the surgery. The sling is generally not recommended for men if they have been treated for prostate cancer with radiation. The outcomes there haven't been as good as they have been with the artificial urinary sphincter so in that setting we generally would recommend a sphincter as opposed to a sling, even if they were otherwise a good candidate for a sling. Karolyn: What about side effects? Are there any side effects associated with either of these devices? Dr. Morton: I'll take that question separately for each of the two devices. The side effects associated with the sling are that if you don't choose the patient in the best way, two things can happen. One, the patient can not have their incontinence adequately treated. A second issue is if you put a sling in a patient whose major problem is not one of the urethra but is a bladder issue, and that can be sorted out ahead of time with uro dynamics, but if you did you may render that patient obstructed or in urinary retention. The problem doesn't have to do with external sphincter deficiency for that patient. For the artificial urinary sphincter what we're doing is we're placing this cuff around the urethra. It does over time potentially compromise some of the blood supply to the urethra in that area and you can get what's known as atrophy of the urethra in the area of the cuff. When you get atrophy in the area of the cuff there can be a return to urinary incontinence. Of course for both of these procedures, since you're putting a foreign body in, there's a risk of infection, although infectious problems with these devices have been relatively low. Karolyn: Okay, that makes a lot of sense. Now, I'm just curious because you have a certain expertise in this area as chief surgical officer of American Medical Systems. What general advice do you give to physicians who are treating men with urinary incontinence? Dr. Morton: One, most of the advice that I have is for physicians who have men with incontinence but aren't necessarily the experts in treating them. There's a couple of things. One of the things that our research has shown us is that many men who are subjected to surgery for prostate cancer, for example, and who then suffer from incontinence don't recognize, or aren't made aware that there are treatments for it and they suffer in silence we like to say. So, if we can get anything out to the many physicians listening to this podcast it would be don't let this happen to any of your patients. Make sure they understand that if they do get incontinence after, for example, radical prostatectomy, there are options and there are potential solutions for this. The second message is I spend a lot of time working with the engineers and we're constantly looking at ways to come up with a better mouse trap if you will. What can we do to avoid the complications we spoke of earlier? What can we do to help physicians identify the proper patients so we don't use a sling in a patient who should've had an AUS, or an AUS in a patient who should've had a sling? And what can we do to make the functioning of the AUS a little bit easier so that in this elderly population of men they are always candidates for the device? Karolyn: Yeah, that makes a lot of sense and I'm glad that you brought that up about suffering in silence and information. Obviously, a well-informed patient is the best patient to have. So letting that patient know his options is absolutely critical. So one final question for you Dr. Morton. What is on the horizon when it comes to devices for this particular issue with men? Do you see existing devices just being improved? Do you see new devices? Are we kind of where we should be? Look into your crystal ball and tell me what the future holds for this. Dr. Morton: I don't know if I'm the best person to predict the future, but I think that our efforts are to make sure that A, these are the right solutions. We are constantly looking at, are there other options? Are there other ways to manage urinary incontinence? Could we come up with a less invasive way to place the sling or a less invasive device would replicate the great performance of a sling? On the urinary sphincter side of things it's a mechanical device, so can we simplify that mechanism so that it's easier for the patient to implement? Remember there's a patient interface with the AUS. Most devices that we implant, like when a cardiologist implants a pacemaker, there's no patient interface. The patient doesn't have to decide whether or not their pacemakers work. It's in and it just works. For our device, at least for the artificial urinary sphincter, there's that patient interface. So if we can improve that patient interface with the device and make it as reliable as possible, that's what we're looking to do in order to improve the overall performance of the device and have men have a greater satisfaction with their quality of life. Karolyn: Yeah, that makes a lot of sense. Well, this has been very informative. Once again, thank you, Dr. Morton, for joining me today. Dr. Morton: Karolyn, thank you for having me. Karolyn: Have a great day.
Why You Should Listen: In this episode, you will learn about autoimmunity and neurology in the context of Lyme disease and co-infections. About My Guest: My guest for this episode is Dr. Elena Frid, MD. Dr. Elena Frid is a Board Certified Neurologist and Clinical Neurophysiologist, widely regarded as a investigating diagnostician, adviser and treatment strategist specializing in Infection-Induced Autoimmune Disorders. Pioneering the field of Autoimmune Neurology, she often sees patients with complex cases of Lyme disease and co-infections resulting in multiple neurological complaints. Using cutting edge diagnostic tools and clinical expertise she is able to differentiate between idiopathic vs organic causes of various neurological disorders. Dr. Frid attended a coveted BA/MD program at Robert Wood Johnson Medical School and went on to North Shore-LIJ Health Care Systems where she completed residency in Neurology and fellowship in Clinical Neurophysiology (EMG / EEG). Her many areas of expertise are: General Neurology, Headaches & Migraines, Autoimmune Neurology, Neuropsychiatric and Neurodegenerative Disorders. Her knowledge has been sought by patients from all over the United States, as well as England, Germany, Spain, Australia, and Canada. She is one of the most experienced and unique Lyme doctors in the field, due to her background in Autoimmune Neurology, with heavy focus on diagnostic methodology, clinical expertise in neurology and psychiatry, and treatment therapy encompassing western and eastern medicine. Dr. Frid is a member of the American Academy of Neurology (AAN). She is a voting member of the International Lyme and Associated Diseases Society (ILADS), Medical Adviser to the Project Lyme organization, and member of the Independent Physicians of New York (IDNY). Upon request from families, Dr. Frid frequently collaborates on complex pediatric cases of Neuro Lyme disease with Dr. Charles Ray Jones, a world leading pediatric Lyme disease specialist with over 40 years’ experience in dealing with children with Lyme disease and other tick-borne illnesses. Key Takeaways: - How often is chronic Lyme neuro-Lyme? - What triggers autoimmunity? - Can autoimmune lab indicators be reversed? - What drives Hashimoto's? - How do you calm an over-active immune system? - What are the underlying issues in Chronic Fatigue, Fibromyalgia, MS, Parkinson's, ALS, and Alzheimer's? - What is PANDAS and PANS and does it resolve with treatment? - How do we keep our brains working well? - How can we heal the nerves after years of assault from chronic infections? - How can we reduce inflammation? - What causes seizures? Tinnitus? - What can we do about fear and anxiety involved in dealing with Lyme? Connect With My Guest: http://www.elenafridmd.com Interview Date: July 7, 2017 Disclaimer: The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority.
In today’s episode of The Plant Trainers Podcast we talk to Dr. Chiti Parikh about gut microbiome and your health. I first met Dr, Parikh at the NYC Vegetarian Food Festival and she was talking about one of my favorite topics at the moment…poop. I mean microbiome…but poop came up! So, I knew we had to get her on the show to talk about our gut microbiome and bacteria. How to grow the good, shrink the bad and maintain the healthiest body possible. You may have heard of TMAO and Fecal Transplants, so get ready to fully understand what that’s all about. Dr. Parikh is an assistant professor at Weill Cornell Medical College where she plays an active role in medical education, research and patient care. She graduated as an AOA scholar from Robert Wood Johnson Medical School and completed her internal medicine residency at New York Presbyterian – Weill Cornell Medical Center. As a board certified Internist and Diplomate of the American Board of Integrative and Holistic Medicine, she has co-founded Integrative Health at New York Presbyterian Hospital. This program provides services such as acupuncture, meditation, yoga, nutrition, psychotherapy, and biofeedback. As an Integrative Medicine practitioner Dr. Parikh focuses on a holistic approach to care that addresses not only physical, but also psychological, social, spiritual and environmental influences on health. By spending more time with patients she creates a personalized treatment plan that is tailored to the individual’s unique needs and circumstances. By combining cutting edge innovations of modern medicine with the wisdom of eastern medicine, she partners with her patients to attain optimal health and wellness. In this episode we discuss: Parents’ influence The gut microbiome Skin microbiome Good bacteria Antibiotics Knowing if you have good or bad bacteria TMAO Growing positive and negative microbiome What affects our microbiome Probiotics 101 Foods that support a good system Fecal Transplant 3 actionable tips for a healthy microbiome Links to things we mentioned: Dr. Chiti Parikh’s Thank you to this month’s Patrons for supporting us on : “Joe” Millie Pearson Stu Dolnick Mary Lou Fusi Don’t forget to contact us at with your question for our Plant Trainers Facebook Lives! We hope you enjoyed this podcast! Please take a moment and – we would be grateful! This will help get our podcast out to others who may enjoy it. We promise to read your reviews and consider your feedback. This show is for you. Please subscribe to The Plant Trainers Podcast on , , or so you will know when we release a new episode. We’re also available to ! Help us by spreading the news about our totally awesome Podcast! Click for a list of our services
Two years ago, Cate Shanahan came onto the podcast as a guest for the episode "". During that episode, we delved into into how the way your body interprets the food you eat in a manner that can make you either lean or fat – depending on your food choice. We also discussed Cate's book, which is one of the nutrition books that I find myself recommending most often, . This month, Cate published a brand new, updated version of the book, and we take a deep dive into it on this podast. In writing this book, Cate examined diets around the world known to help people live longer, healthier lives―diets like the Mediterranean, Okinawa, and “Blue Zone”. She identified the four common nutritional habits, developed over millennia, that unfailingly produce strong, healthy, intelligent children, and active, vital elders, generation after generation. These four nutritional strategies―fresh food, fermented and sprouted foods, meat cooked on the bone, and organ meats―form the basis of what Dr. Cate calls “The Human Diet.” Cate is a board-certified family physician. She trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. For ten years, she practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. She currently runs a metabolic health clinic in Denver, Colorado and serves as the Director of the Los Angeles Lakers PRO Nutrition Program. Not only do the LA Lakers follower her nutritional protocol (we discuss their snacks in today's show) but I just found out that the Oklahoma City Thunder NBA basketball team has been following a Deep Nutrition style diet for 3 years, Villanova won the college basketball championship in 2016 after adopting this diet the season prior. Do you think this might be good info to add to the show notes? Especially because the Lakers have been sucking, which can make a good diet look bad and sometimes draws ridiculous comments that don’t benefit anyone. Rooted in her experience as an elite athlete who used traditional foods to cure her own debilitating injuries, and combining her research with the latest discoveries in the field of epigenetics, Cate shows in this new book how all calories are not created equal; food is information that directs our cellular growth. Our family history does not determine our destiny: what you eat and how you live can alter your DNA in ways that affect your health and the health of your future children. During our discussion, you'll discover: -The shocking story of what happened when Cate and her husband visited the Culinary Institute of America...[8:50] -Why vegetable oil is your brain's worst enemy...[14:05] -The little-known toxin called 4HNE and the havoc it wreaks on your brain...[18:07] -Why cutting vegetable oil from the diet potentially just as good for the gut as a fecal transplant...[24:20] -What happened at a Filipino buffet in Kuaui that got Cate seriously thinking about dynamic symmetry...[30:55] -What nutrition has to do with beauty and symmetry (and the fascinating reason why should women space their children out if they want to have beautiful women)...[37:30] -Why men should take preparation for pregnancy just as seriously as women...[45:15] -What the world's elite and rich people eat, and why that leads them to higher amounts of beauty and success...[51:10] -Why the total amount of LDL you possess can be practically irrelevant...[53:50] -Why Cate says that calories don't always count...[59:25] -How fat cells really become something other than fat cells...[66:00] -The dietary habits of the LA Lakers that allow them to follow these same principles...[70:50] -Five easy ways to get started with Deep Nutrition concepts...[74:35] -And much more! Resources from this episode: -Cate's book: - - Do you have questions, thoughts or feedback for Cate or me? Leave your comments at and one of us will reply!
Creating a Family: Talk about Infertility, Adoption & Foster Care
Host Dawn Davenport, Executive Director of Creating a Family, the national infertility & adoption education and support nonprofit, interviews Dr. Marcy Maquire, board certified reproductive endocrinologist with RMA of New Jersey, and Clinical Assistant Professor of Reproductive Endocrinology at the Robert Wood Johnson Medical School. Creating a Family has many free resources related to this topic on our website at www.CreatingaFamily.org. Please leave us a review on iTunes. Thanks. Click to Tweet: http://ctt.ec/8IVxS Share on Facebook: https://www.facebook.com/sharer/sharer.php?u=https%3A//creatingafamily.org/infertility-category/treating-infertility-women-40/ Show Highlights: https://creatingafamily.org/infertility-category/treating-infertility-women-40/ Support the show (https://creatingafamily.org/donation/)
The Fat-Burning Man Show by Abel James: The Future of Health & Performance
Have you heard all the rage about bone broth? From Gwyneth Paltrow to Kobe Bryant, big time celebs are hopping on the broth train. Not to mention, our guest this week helped Dwight Howard conquer sugar addiction. You're about to learn how. Dr. Cate Shanahan is a board-certified family physician and bona fide smartypants. She trained in biochemistry and genetics at Cornell before attending Robert Wood Johnson Medical School. For 10 years she practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. She runs a metabolic health clinic in Denver, Colorado, and serves as the director of the Los Angeles Lakers PRO Nutrition Program.
Fat-Burning Man by Abel James (Video Podcast): The Future of Health & Performance
Have you heard all the rage about bone broth? From Gwyneth Paltrow to Kobe Bryant, big time celebs are hopping on the broth train. Not to mention, our guest this week helped Dwight Howard conquer sugar addiction. You're about to learn how. Dr. Cate Shanahan is a board-certified family physician and bona fide smartypants. She trained in biochemistry and genetics at Cornell before attending Robert Wood Johnson Medical School. For 10 years she practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. She runs a metabolic health clinic in Denver, Colorado, and serves as the director of the Los Angeles Lakers PRO Nutrition Program.
Cate Shanahan M.D, author of Deep Nutrition (one of my favorite books), is a board-certified family physician. She trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. For ten years, she practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. Her own health …
Cate Shanahan M.D, author of Deep Nutrition (one of my favorite books), is a board-certified family physician. She trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. For ten years, she practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. Her own health …
Cate Shanahan M.D, author of Deep Nutrition (one of my favorite books), is a board-certified family physician. She trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. For ten years, she practiced medicine in Hawaii, where she studied ethnobotany and the culinary habits of her healthiest patients. Her own health …
Dominic D’Agostino looks like a bodybuilder. But that doesn’t mean that he eats a diet typical for that sport; on the contrary, the research scientist—and amateur athlete—can go an entire day without eating and says his performance—both in the lab and in the gym—improves because of it. D’Agostino is perhaps rare in the world of science in that he practices what he preaches. As associate professor in the department of molecular pharmacology and physiology at the University of South Florida, and a visiting research scientist at IHMC, D’Agostino develops and tests metabolic therapies for a range of diseases and conditions for which the ketogenic diet is the cornerstone. The low-carb, moderate-protein, high-fat ketogenic diet is what he also follows for health and greater mental clarity. The ketogenic diet for decades has been used, albeit perhaps sparingly in the clinic, to treat epileptic seizures. D’Agostino is working on the development of exogenous ketones in the form of ketone esters for cancer and neurological disorders as well. For more information on D'Agostino and his research, visit: http://health.usf.edu/medicine/mpp/faculty/24854/Dominic-DAgostino.aspx or http://www.ketonutrition.org. His IHMC bio is at http://www.ihmc.us/groups/ddagostino/; and his IHMC talk "Metabolic Therapies: Therapeutic Implications and Practical Application": https://www.youtube.com/watch?v=gONeCxtyH18 D’Agostino is a long-time friend and colleague to STEM-Talk Host Dawn Kernagis, and the two engage in a rich, cutting-edge conversation with knowledgeable input from IHMC Director Ken Ford in this episode. 00:37: Dawn introduces D’Agostino, who goes by ‘Dom,’ and Ken Ford as co-host. 2:14: Ford reads an iTunes five-star review of STEM-Talk from “A Sweet 81,” which is entitled BAM: “Amazing podcast. It’s like candy for the brain. That is, if candy was good for your brain. So it’s like ketones for your brain.” 2:48: Dawn describes Dom’s research: He develops and tests metabolic therapies for CNS oxygen toxicity, epilepsy, neurodegenerative diseases, brain and metastatic cancer. Main research focus past five years: understanding why the ketogenic diet and ketone esters are anticonvulsant and protective to the brain. 4:15: Dom says his interest in science started in high school: He was a football player and wanted to improve his athletic performance. His honors biology teacher got on him to study hard. “I saw biology and science as a way to understand my own biology and physiology to maximize my performance.” 5:23: During his Ph.D. program in neuroscience and physiology at the Robert Wood Johnson Medical School, his mentor urged him to be an independent thinker. He describes being “thrown into the fire” when he was asked to apply basic science research to medical situations. He specifically looked at how the brain responded to hypoxia. 7:12: He did a post-doc with Jay Dean and also became a recreational diver. “Dean was the only person studying cellular and molecular mechanisms of extreme environments.” 8:36: Of Dean, he said, “The tools he created are filling gaps in the understanding of dive physiology.” 10:19: Nutritional ketosis is important for the metabolic management of diseases, especially seizures. 10:45: Nutritional ketosis works similarly to fasting: you liberate free fatty acids from the adipose tissue and break down stored glycogen levels in the liver. Once the glycogen levels reach a certain level, you start accelerating the oxidation of fatty acids in liver. 11:11: Dom explains how ketosis works: the heart (and muscles) prefers fatty acids over glucose, but they don’t readily cross the blood-brain barrier. So brain energy metabolism will transition from glucose to a fuel source called ketone bodies, which is a by-product of accelerated fat oxidation in the liver. These represent water soluble fat molecules that readily cross the BBB; they help preserve,
Creating a Family: Talk about Infertility, Adoption & Foster Care
Host Dawn Davenport, Exec. Director of Creating a Family, the national infertility & adoption education and support nonprofit, interviews Dr. Marcy Maguire, a reproductive embryologist at Reproductive Medical Assiociates of New Jersey and professor at the Robert Wood Johnson Medical School. For a discussion of this show, go to our blog tomorrow http://creatingafamily.org/blog/. Creating a Family has many free resources related to this topic on our website at www.CreatingaFamily.org. Please leave us a review on iTunes. Thanks. Click to Tweet: http://ctt.ec/07Zdy Share on Facebook: https://www.facebook.com/sharer/sharer.php?u=https%3A//creatingafamily.org/infertility-category/tips-for-getting-pregnant-with-ivf/ Show Highlights: https://creatingafamily.org/infertility-category/tips-for-getting-pregnant-with-ivf/ Support the show (https://creatingafamily.org/donation/)
Creating a Family: Talk about Infertility, Adoption & Foster Care
Which embryos in IVF are more likely to implant and grow for 9 months and result in a healthy baby? What can patients and doctors do to select the best embryo to give you the best chance of a successful pregnancy? Host Dawn Davenport, Executive Director of Creating a Family, the national infertility & adoption education and support organization, interviews Dr. Marcy Maguire, a reproductive embryologist at Reproductive Medical Assiociates of New Jersey and Clinical Assistant Professor of Reproductive Endocrinology at the Robert Wood Johnson Medical School, about the latest developments in fertility treatment. Blog summary of the show and highlights can be found here: Blog summary of the show Highlights More Creating a Family resources on IVF can be found here. Support the show (https://creatingafamily.org/donation/)
Dr. Herbert Geller is a Senior Investigator in the Developmental Neurobiology Section and Head of the Office of Education at the National Heart, Lung, and Blood Institute of the National Institutes of Health. He received his PhD in Biomedical Engineering from Case Western Reserve University and conducted postdoctoral research afterward at the University of Rochester School of Medicine and Dentistry. Herbert served on the faculty at the Robert Wood Johnson Medical School for over 30 years before joining the NIH. He is a member of the Society for Neuroscience and the American Association for the Advancement of Science, and he is here with us today to tell us all about his journey through life and science.
Creating a Family: Talk about Infertility, Adoption & Foster Care
Fertility declines with age, but what can women do to increase the odds of getting pregnant over the age of 40 with or without using infertility treatment? Host Dawn Davenport, Executive Director of Creating a Family, the national infertility & adoption education organization, interviews Dr. Marcy Maquire, board certified reproductive endocrinologist with RMA of New Jersey, and Clinical Assistant Professor of Reproductive Endocrinology at the Robert Wood Johnson Medical School. Blog summary of the show and highlights can be found here: Blog summary of the show Highlights More Creating a Family resources on becoming an older parent can be found here. Support the show (https://creatingafamily.org/donation/)
Dr. Cate Shanahan is using Bulletproof Diet principles to help pro athletes perform better. On this episode of Bulletproof Radio, physician, author, and LA Lakers Nutrition Director, Dr. Shanahan, talks how she transforms the diets of NBA stars like Dwight Howard and gets them to exchange nachos for charcuterie - one step at a time. Also hear Cate explain gluten on a molecular level and she makes a powerful argument for why consuming vegetable oil is like eating radiation. The show also includes information on: sugar addiction, milk proteins, and the benefits of eating, “meat on the bone”. In addition to her thriving Napa Valley medical practice, Cate Shanahan, MD is Nutrition Director of the Los Angeles Lakers PRO Nutrition program. Before attending Robert Wood Johnson Medical School and specialty training at University of Arizona’s Family and Community Medicine, she studied genetics and biochemistry at Cornell. Her background enabled her to recognize the flaws in mainstream nutrition theories and fill in the gaps in most popular diets. She has worked with patients to achieve lasting weight loss, optimal sports performance, and elimination of medication dependence through a systematic approach. Like Dr. Cate on Facebook!
Dr. Cate Shanahan is using Bulletproof Diet principles to help pro athletes perform better. On this episode of Bulletproof Radio, physician, author, and LA Lakers Nutrition Director, Dr. Shanahan, talks how she transforms the diets of NBA stars like Dwight Howard and gets them to exchange nachos for charcuterie - one step at a time. Also hear Cate explain gluten on a molecular level and she makes a powerful argument for why consuming vegetable oil is like eating radiation. The show also includes information on: sugar addiction, milk proteins, and the benefits of eating, “meat on the bone”. In addition to her thriving Napa Valley medical practice, Cate Shanahan, MD is Nutrition Director of the Los Angeles Lakers PRO Nutrition program. Before attending Robert Wood Johnson Medical School and specialty training at University of Arizona’s Family and Community Medicine, she studied genetics and biochemistry at Cornell. Her background enabled her to recognize the flaws in mainstream nutrition theories and fill in the gaps in most popular diets. She has worked with patients to achieve lasting weight loss, optimal sports performance, and elimination of medication dependence through a systematic approach. Like Dr. Cate on Facebook!
Creating a Family: Talk about Infertility, Adoption & Foster Care
To get pregnant using fertility treatment, such as in vitro fertilization, requires good embryos. Up unitl recently choosing the best embryos was more art than science. New research is changing that equation. Dr. Marcy Maguire, a Reproductive Embryologist at Reproductice Medical Assiociates of New Jersey and Clinical Assistant Professor of Reproductive Endocrinology at the Robert Wood Johnson Medical School will talk about the latest groundbreaking discoveries that is increasing the odds of success in IVF. Blog summary of the show and highlights can be found here: Blog summary of the show Highlights More Creating a Family resources on IVF can be found here. Support the show (https://creatingafamily.org/donation/)
Creating a Family: Talk about Infertility, Adoption & Foster Care
Recurrent pregnancy loss (miscarriage) is a heart break. What causes miscarriage? How can they be prevented. Our guests are Dr. Richard Scott, Founding Partner, Reproductive Medicine Associates of New Jersey and Professor of Reproductive Endocrinology at the Robert Wood Johnson Medical School; and Dr. Mark Perloe, Medical Director at Georgia Reproductive Specialists with extensive experience with recurrent pregnancy loss. Infertility, fertility, infertility treatment, infertility clinic, fertility treatment, fertility clinic, TTC Blog summary of the show and highlights can be found here: Blog summary of the show Highlights More Creating a Family resources on pregnancy loss can be found here. Support the show (https://creatingafamily.org/donation/)
Dr. David Nathan, a psychiatrist in Princeton, NJ and a clinical assistant professor at Robert Wood Johnson Medical School is our expert guest today. This week’s topic is legalization and decriminalization of marijuana from the perspective of a professional in the field of Addiction. Dr. Nathan had written an article in 2010 for the Wall […] The post Addicted to Addicts: Survival 101 – A Doctor’s Case for Legal Pot appeared first on WebTalkRadio.net.
AIR DATE: February 23, 2012 at 7PM ETFEATURED EXPERT: FEATURED TOPIC: "The Long-Term Effects Of The High-Carb SAD Diet" Nutrition-minded physician Dr. Cate Shanahan, MD is the author of two truly fantastic books entitled and and looks at treating patients with quite a different perspective than most traditionally-trained medical doctors. She is a board certified Family Physician who trained in biochemistry and genetics at Cornell University before attending Robert Wood Johnson Medical School. She practiced in Hawaii for ten years where she studied ethnobotany and her healthiest patient’s culinary habits. She's a big believer in and did a fantastic job answering YOUR questions related to the long-term effects of eating a SAD diet on your hormones. Can't make it to PaleoFX or AHS12? Check out the "Paleo Summit":NOTICE OF DISCLOSURE: Here are some of the questions we addressed in this podcast: MIKE ASKS:I have low testosterone for years. I tried androgel with little increase in my testosterone. The next step would have been weekly injections which I would like to avoid. How does diet effect testosterone levels and all of the insidious problems that go along with low testosterone like low energy and abdominal fat? JAMIE ASKS:What creates a greater health risk: sustained high blood sugars or sustained high (total) cholesterol? KIM ASKS:I have found that if I eat before 5pm, I will become very tired for the next 2 hours and have low energy for the rest of the day. If I don't eat until after 5, the food gives me energy and I feel fine for the balance of the day. I have a chronic fatigue problem - some form of hypersomnia - and the after-5 trick has helped me cope for the last half year. I switched to a Paleo diet like you recommend about 2 months ago, but with more grains - mostly fermented whole grains. That has helped, but I still have to stick to the after-5 rule. Why does it help? BRYAN ASKS:I have eaten low carb for around 3 years and lost 80 pounds. For the past 8 months about every 6 weeks I take a weekend where I eat way off program including a lot of junk food. I don't really plan it every six weeks but the way holidays and things have fallen it has seemed to work out in that time frame. I usually gain about 8-10 pounds and it takes about 4 weeks to get rid of it. Will this kind of routine keep low-carb from eventually working for me? Could it do any kind of damage to my metabolism and if so what? I really do plan on stopping this off and on again stuff someday. I hope I have not ruined my metabolism. MARYANN ASKS:I was wondering if Dr. Cate's way of eating is better for everyone no matter what their problems. I know it is better than the SAD diet but is vegetarian or vegan better for hemochromatosis? SCOTT ASKS:I was diagnosed with Type 1 Diabetes at age 15 and was taking insulin injections for 6 years (3 times a day) and eating a high-carbohydrate diet and really did nothing to try to control blood glucose levels with nutrition or exercise. I was able to eventually get off the insulin, drop a lot of weight and as of now, I am very lean and have no signs or symptoms of diabetes. My question is this: Did the diet I ate, and more specifically the excess insulin I pumped into my system, which I now know is a system that is not artificial insulin-dependent, do permanent metabolic damage that I may never reverse? I am now 28 and have been in great shape for 3 years. What possible long-term effects could I still have from the previous 25 years of abuse? JENNY ASKS:Why do my hormone levels come back “normal” if I show symptoms of hormonal dysregulation? I have PCOS with abdominal fat, hirsuitism, and a touch of hair loss. MIKE ASKS:In your book Deep Nutrition you say, paraphrasing, "Trans fat consumption interferes with hormone expression and daily infusions of sugar interferes with hormone receptivity." In considering this, could it be plausible that in the absence of trans fat our bodies would be better able to deal with a higher-carb diet? Could this perhaps help explain the French ‘paradox’? SARABETH ASKS:I am most personally interested in hormonal issues during pregnancy and post-partum. What do you advise for a person who had pre-pregnancy hormonal issues, PMS, etc. that, (despite several years of a nutrient-dense, low-carb diet) did not lead to infertility, but rather to pregnancy/post-partum depression, adrenal/thyroid malfunctioning, etc.? Is it too late for many interventions at this point (especially during pregnancy)? When has a person reached the point at which you might advise hormonal supplementation or medications of any sort? BRIAN ASKS:Do semi elite athletes have the same outcomes when on the SAD as those in the general population? And is there a data set to support that? Typically we don’t look at those outcome markers in the athletes because there is little to no effect from the control group. Is there any data published that these athletes have impaired hormonal function with the continued exercise and the SAD? JILL ASKS:In pregnant women, how can an abnormal hormonal environment from consuming the SAD diet impact the fetus? This concerns me because the SAD diet not only wreaks hormone havoc, but leads doctors to prescribe hormone drugs in pregnancy and before. PATRICK ASKS:Of all the hormones in the body, which do you think are the most important and why? Are there any governing hormones?
The collapse of the World Trade Center buildings on 11 September 2001 created a massive cloud of dust that blanketed lower Manhattan and parts of Brooklyn. That dust comprised a complex mixture of building materials, office equipment, jet fuel, and combustion by-products. In this podcast, Paul Lioy discusses how this dust differs from other particulate matter and how these differences may have affected the health of those who were exposed to the dust. Lioy is the deputy director of the Environmental and Occupational Health Sciences Institute at the Robert Wood Johnson Medical School and Rutgers University. He is also the author of the book Dust: The Inside Story of Its Role in the September 11th Aftermath. Visit the podcast webpage to download a full transcript of this podcast.
Over half of the individuals who experience the symptoms of Parkinson's are depressed and anxious. What non-medication approaches will offer you relief from depression and anxiety? What are the red flags and early warning signs that depression may be an issue? Dr. Roseanne Dobkin, Ph.D. from the Robert Wood Johnson Medical School offers practical and insightful answers to these questions and more. To participate in mental health survey for PD, click HERE
Guest: Matthew A. Menza, MD Host: Larry Kaskel, MD Could tricyclic antidepressants be more effective at treating depression in patients with Parkinson's disease? They have been used since the 1950s for treatment of depression, but in recent years, selective serotonin reuptake inhibitors (SSRIs) have become the predominant form of therapy. New research is suggesting that SSRIs may not be the best antidepressant option for our patients with Parkinson's. The lead author of this research, Dr. Matthew Menza, professor of psychiatry and neurology, and interim chair of psychiatry at the Robert Wood Johnson Medical School, speaks with host Dr. Larry Kaskel about the potential implications of his study on how we care for our Parkinson's patients who are also suffering from depression. Dr. Menza also explores a few other relevant issues: the reticence, among many of those with Parkinson's, to speak with their physician about depression, and the concurrent reluctance, among many in the medical community, to recognize and treat their patients' vulnerability to depression.
Guest: Matthew A. Menza, MD Host: Larry Kaskel, MD Could tricyclic antidepressants be more effective at treating depression in patients with Parkinson's disease? They have been used since the 1950s for treatment of depression, but in recent years, selective serotonin reuptake inhibitors (SSRIs) have become the predominant form of therapy. New research is suggesting that SSRIs may not be the best antidepressant option for our patients with Parkinson's. The lead author of this research, Dr. Matthew Menza, professor of psychiatry and neurology, and interim chair of psychiatry at the Robert Wood Johnson Medical School, speaks with host Dr. Larry Kaskel about the potential implications of his study on how we care for our Parkinson's patients who are also suffering from depression. Dr. Menza also explores a few other relevant issues: the reticence, among many of those with Parkinson's, to speak with their physician about depression, and the concurrent reluctance, among many in the medical community, to recognize and treat their patients' vulnerability to depression.
Guest: Matthew A. Menza, MD Host: Leslie P. Lundt, MD Sleep disturbance is extremely common in Parkinson's disease patients; more than two-thirds of community dwelling patients are affected. Dr. Matthew Menza, professor of psychiatry and neurology at Robert Wood Johnson Medical School in New Jersey, joins host Dr. Leslie Lundt to describe the most common sleep disorders in Parkinson's disease patients and how to treat them.
Guest: Matthew A. Menza, MD Host: Leslie P. Lundt, MD Depression is present in as many as half of the one million people with Parkinson's disease in the United States. What evidence-based treatments should we be using? Host Dr. Leslie Lundt welcomes Dr. Matthew Menza, professor of psychiatry and neurology at Robert Wood Johnson Medical School, to talk about his work on diagnosing and treating depression in Parkinson's disease patients.
Guest: Matthew A. Menza, MD Host: Leslie P. Lundt, MD Impulse control disorders have become increasingly reported in Parkinson's Disease patients. Dr. Matthew Menza, professor of psychiatry and neurology at Robert Wood Johnson Medical School, joins host Dr. Leslie Lundt to explore the etiology of impulse control disorders in the general population and in Parkinson's patients. Are impulse control disorders more common in Parkinson's patients, or are we just identifying them more readily? What can we do to help these patients?
Guest: Matthew A. Menza, MD Host: Leslie P. Lundt, MD Sleep disturbance is extremely common in Parkinson's disease patients; more than two-thirds of community dwelling patients are affected. Dr. Matthew Menza, professor of psychiatry and neurology at Robert Wood Johnson Medical School in New Jersey, joins host Dr. Leslie Lundt to describe the most common sleep disorders in Parkinson's disease patients and how to treat them.
Phillip Dellinger, MD, FCCM, professor of medicine at Robert Wood Johnson Medical School and director of the critical care section at Cooper University Hospital, and Roman Jaeschke, MD, a clinical professor at McMaster University discuss an article published in the Aug issue of Critical Connections. The article, "Revising the Surviving Sepsis Guidelines: A Closer Look," details the guideline revision process. (Crit Conn 2006 Vol.5 No. 4)