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Send us a textWhat happens if you need your third molars removed? Cosmo and I find out, after talking to our friend David Carsten. He's a dentist anesthesiologist who studied at Washington State University and now teaches at Oregon Health and Science University.Find out the real tooth here.Resources you can use:Find out what it's like to be a dentist, a dental hygienist or a dental assistant, thanks to Teeth Talk GirlLearn more about early humans' big jaws with Ted-EdGet the official word on wisdom teeth from the American Dental AssociationSound effects courtesy Zapsplat and Pixabay As always, submit burning questions at askdruniverse.wsu.edu. Who knows where your questions will take us next.
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/gender-studies
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/sociology
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/science-technology-and-society
When Christa Kuljian arrived on the Harvard College campus as a first-year student in the fall of 1980 with copies of Our Bodies, Ourselves and Ms. magazine, she was concerned that the women's movement had peaked in the previous decade. She soon learned, however, that there was a long way to go in terms of achieving equality for women and that social movements would continue to be a critical force in society. She began researching the history of science and gender biases in science, and how they intersect with race, class, and sexuality. In Our Science, Ourselves: How Gender, Race, and Social Movements Shaped the Study of Science (University of Massachusetts Press, 2024), Kuljian tells the origin story of feminist science studies by focusing on the life histories of six key figures--Ruth Hubbard, Rita Arditti, Evelyn Fox Keller, Evelynn Hammonds, Anne Fausto-Sterling, and Banu Subramaniam. These women were part of a trailblazing network of female scientists in the 1970s, 80s, and 90s who were drawn to the Boston area--to Harvard, MIT, and other universities--to study science, to network with other scientists, or to take a job. Inspired by the social and political activism of the women's movement and organizations such as Science for the People, the Genes and Gender Collective, and the Combahee River Collective, they began to write and teach about women in science, gender and science, and sexist and racist bias and exclusion. They would lead the critiques of E. O. Wilson's sociobiology in 1975 and Larry Summers' comments about women in science thirty years later. Drawing on a rich array of sources that combines published journal articles and books with archival materials and interviews with major luminaries of feminist science studies, Kuljian chronicles and celebrates the contributions that these women have made to our collective scientific knowledge and view of the world. Christa Kuljian grew up in the Boston area, and has lived in Johannesburg, South Africa for the past thirty years. She is a science writer and the author of Sanctuary and Darwin's Hunch: Science, Race and the Search for Human Origins, which was short listed for the Sunday Times Alan Paton Award for Non-Fiction. Currently a Research Associate at the Wits Institute for Social and Economic Research (WiSER) at Wits University, she is also a fellow with the Consortium for History of Science, Medicine and Technology (CHSMT) in Philadelphia. Caleb Zakarin is editor of the New Books Network. Learn more about your ad choices. Visit megaphone.fm/adchoices
In the eighth episode of season 4, special host Dr. Cara English, Chief Executive Officer (CEO) and Chief Academic Officer (CAO) of Cummings Graduate Institute for Behavioral Health Studies (CGI), sits down with Dr. David Clarke, President and Co-Founder of the Association for the Treatment of Neuroplastic Symptoms. Together, they look into the emerging science of neuroplastic pain, which are chronic symptoms caused by learned neural pathways in the brain rather than disease or injury. Dr. Clarke shares how these misunderstood conditions are being redefined through the lens of mind-body medicine. Tune in to explore how neuroplasticity is reshaping our understanding of chronic illness.About the Special Host:Dr. Cara English, DBH is the Chief Executive Officer and Chief Academic Officer of Cummings Graduate Institute for Behavioral Health Studies (CGI) and Founder of Terra's Tribe, a maternal mental health advocacy organization in Phoenix, Arizona. Dr. English spearheaded a perinatal behavioral health integration project at Willow Birth Center from 2016 to 2020 that received international acclaim through the publication of outcomes in the International Journal of Integrated Care. Dr. English served as Vice-President of the Postpartum Support International – Arizona Chapter Founding Board of Directors and co-chaired the Education and Legislative Advocacy Committees. She currently serves on the Maternal Mortality Review Program and the Maternal Health Taskforce for the State of Arizona. She served as one of three Arizonan 2020 Mom Nonprofit Policy Fellows in 2021. For her work to establish Cummings Graduate Institute for Behavioral Health Studies, Cara was awarded the Psyche Award from the Nicholas & Dorothy Cummings Foundation in 2018 and is more recently the recipient of the 2022 Sierra Tucson Compassion Recognition for her work to improve perinatal mental health integration in Arizona.About the Guest:David D. Clarke, MD is President of the Association for Treatment of Neuroplastic Symptoms, and Clinical Assistant Professor of Gastroenterology Emeritus at Oregon Health & Science University in Portland, Oregon. He is board-certified in Gastroenterology and Internal Medicine and has treated over 7000 patients whose symptoms were not explained by disease or injury but rather by stress or trauma. His book for patients, They Can't Find Anything Wrong!, was praised by a president of the American Psychosomatic Society as “truly remarkable.” He has also edited two textbooks on stress-based conditions, co-produced three documentary films, lectures across North America and Europe and has done hundreds of interviews for TV, Radio, and podcasts.www.Symptomatic.me
What if your persistent unexplained chronic pain or illness isn't just physical? Neuroplastic symptoms describe chronic pain or illness that defies conventional medical explanations, and Dr. David D. Clarke, a pioneering expert in neuroplastic symptoms and mind-body healing, has dedicated his career to uncovering the profound links between stress, grief, trauma, and physical symptoms. As President of the Association for Treatment of Neuroplastic Symptoms, and Clinical Assistant Professor of Gastroenterology and Americans at Oregon Health and Science University, Dr. Clarke shares invaluable insights on common neuroplastic conditions, personal traits linked to these symptoms, and how they can be effectively diagnosed and treated, offering hope and highlighting the possibility of healing for those struggling with chronic pain or illness who have been told "they can't find anything wrong."WATCH ON YOUTUBE: Can Unexplained Chronic Pain Be Linked to Grief, Trauma, and Stress?IN THIS EPISODE, YOU'LL HEAR ABOUT THINGS LIKE:How unresolved emotional distress can manifest as chronic pain or illness.Common neuroplastic conditions and personal traits linked to these symptoms.The five common types of stress that are emotionally painful experiences.How neuroplastic symptoms can be effectively diagnosed and treated.The concept of stress illness and its evolution into a widespread epidemic.The difference between visible and invisible illnesses and the importance of listening without judgment.The "neuroplastic self-quiz" and its purpose.The importance of finding joy in life and aligning skills with what the world needs.Grab Dr. Clarke's They Can't Find Anything Wrong!: 7 Keys to Understanding, Treating, and Healing Stress IllnessBecome a member of ATNS: https://www.symptomatic.me/membership---✨ Grief & Rebirth: Healing Resources & Tools ✨
At the 2025 Patient Access Collaborative Symposium, Stephanie Schmidt, MS, Senior Director of Ambulatory Operations, and Adam Stone, MS, Director of Clinical Data & Analytics of Oregon Health & Science University led a high-impact workshop on building a culture of data fluency and accountability in access operations. As leaders in both operations and analytics, Stephanie and Adam shared real-world examples of how their teams are aligning key performance indicators (KPIs) with meaningful metrics, using dashboards to bring data to life, and building the infrastructure for consistent governance across departments. Their focus: turning insights into action—and making data not just visible, but transformative.In this episode, they reflect on the collective wisdom shared by access leaders nationwide—from the most common metrics (like fill rate and new patient lag) to the shared barriers (like attribution and cultural resistance). They also unpack the often-overlooked ROI of access initiatives, discuss how to improve organizational fluency, and share their aspirations for the future of access analytics. Whether you're launching a dashboard or leading enterprise-wide transformation, this conversation offers powerful takeaways to guide your next step.
Judy Guzman-Cottrill, DO, Professor of Pediatrics at Oregon Health & Science University, and John Brooks, MD, former CDC medical officer, rejoin Mati Hlatshwayo Davis, MD, MPH, FIDSA, to discuss the impact of federal funding cuts, including the return of preventable diseases, the loss of mental health resources, and what can be done to protect the progress made toward health equity.The IDSA Leadership Institute empowers infectious diseases and HIV practitioners to be future leaders. Crafted specifically by and for specialists in infectious diseases and HIV, the Leadership Institute offers two tailored leadership development pathways.Learn More
Welcome back to our series on AI for the clinician! Large language models, like ChatGPT, have been taking the world by storm, and healthcare is no exception to that rule – your institution may already be using them! In this episode we'll tackle the fundamentals of how they work and their applications and limitations to keep you up to date on this fast-moving, exciting technology. Hosts: Ayman Ali, MD Ayman Ali is a Behind the Knife fellow and general surgery PGY-3 at Duke Hospital in his academic development time where he focuses on data science, artificial intelligence, and surgery. Ruchi Thanawala, MD: @Ruchi_TJ Ruchi Thanawala is an Assistant Professor of Informatics and Thoracic Surgery at Oregon Health and Science University (OHSU) and founder of Firefly, an AI-driven platform that is built for competency-based medical education. In addition, she directs the Surgical Data and Decision Sciences Lab for the Department of Surgery at OHSU. Phillip Jenkins, MD: @PhilJenkinsMD Phil Jenkins is a general surgery PGY-3 at Oregon Health and Science University and a National Library of Medicine Post-Doctoral fellow pursuing a master's in clinical informatics. Steven Bedrick, PhD: @stevenbedrick Steven Bedrick is a machine learning researcher and an Associate Professor in Oregon Health and Science University's Department of Medical Informatics and Clinical Epidemiology. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
In this two-part series, Judy Guzman-Cottrill, DO, Professor of Pediatrics, Division of Infectious Diseases at Oregon Health and Science University, and John Brooks, MD, former CDC medical officer and epidemiologist, join Mati Hlatshwayo Davis, MD, MPH, FIDSA, to discuss the real-time consequences of federal funding cuts on public health. From dismantled community partnerships to stalled clinical trials, the three examine how these decisions are reshaping pandemic preparedness, and what we risk losing next.The IDSA Leadership Institute empowers infectious diseases and HIV practitioners to be future leaders. Crafted specifically by and for specialists in infectious diseases and HIV, the Leadership Institute offers two tailored leadership development pathways.Learn More
You're doing everything right. You're on hormones, you've cut the caffeine, maybe you've even bought one of those expensive sleep trackers. So why are you still waking up at 3am, wired and restless?In this episode, I sit down with Dr. Andrea Matsumura—board-certified sleep physician and women's health specialist—to finally unpack why sleep is such a persistent struggle for women, especially during perimenopause and menopause. Andrea breaks down the biological, psychological, and cultural reasons why women are conditioned to expect poor sleep—and why it doesn't have to be that way.We talk melatonin myths (the dose matters), the silent epidemic of undiagnosed sleep apnea in women, and why most wearables are only telling part of the story. Andrea also explains why cannabis, supplements, and even hormone therapy may help—but won't fix the root cause for many women.Plus, we get into the real reason cognitive behavioral therapy for insomnia (CBT-I) actually works—if you're willing to do the work—and how the entire medical system is failing women by ignoring gender-specific data in sleep studies and diagnostics.If you're tired of being tired and want real, practical answers—not just another supplement or influencer sleep hack—this conversation is for you.HighlightsWhy hormone therapy helps some women sleep—but not all.How sleep apnea presents differently in women and often goes undiagnosed.The truth about melatonin: why most people take the wrong dose at the wrong time.Cannabis and sleep: what the research really shows.Why CBT-I is the gold standard for insomnia (and why apps alone aren't enough).Do you like what you heard? Don't forget to subscribe, like, and leave a comment on Apple Podcasts your support helps us reach more listeners who deserve better answers.Guest Bio:Dr. Andrea Matsumura MD MS FACP FAASM is a board certified sleep specialist and menopause expert, event and corporate speaker, group facilitator, co-founder of the Portland Menopause Collective, and creator of the Sleep Goddess MD D.R.E.A.M. Sleep Method™ and Sleep Goddess Archetype™.Dr. Matsumura attended medical school at The University of Texas Health Science Center in San Antonio. She moved to Portland, Oregon for her residency in Internal Medicine and was an Internal Medicine Physician with Northwest Permanente for 13 years before entering her fellowship in Sleep Medicine. She attended Oregon Health and Science University as a fellow in Sleep Medicine. She became a partner at The Oregon Clinic in Pulmonary, Critical Care, and Sleep Medicine after completing her fellowship. During her tenure there she focused on women's health and became a sought-after expert on women and sleep. She is currently the Medical Director of primary care services and medical home development for Cascadia Health in Portland, Oregon and has plans to develop sleep services.Get in Touch with Dr. MatsumuraWebsiteInstagramGet in Touch with Dr. Rahman:WebsiteInstagramYoutube
Welcome to our new series – the AI Journal Club! In this series, we'll cover some interesting studies and evidence-based applications of artificial intelligence in surgery in a case-based format. Surely AI can find a DVT by now … or can it? Stay tuned and find out! Hosts: - Ayman Ali, MD Ayman Ali is a Behind the Knife fellow and general surgery PGY-3 at Duke Hospital in his academic development time where he focuses on data science, artificial intelligence, and surgery. - Ruchi Thanawala, MD: @Ruchi_TJ Ruchi Thanawala is an Assistant Professor of Informatics and Thoracic Surgery at Oregon Health and Science University (OHSU) and founder of Firefly, an AI-driven platform that is built for competency-based medical education. In addition, she directs the Surgical Data and Decision Sciences Lab for the Department of Surgery at OHSU. - Marisa Sewell, MD: @MarisaSewell Marisa Sewell is a general surgery PGY-4 at Oregon Health and Science University. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
S. R. Schulz lives in Portland, Oregon with his wife, three sons, and two dogs. He's been traveling to visit family in Croatia since 2010. He currently works as a family physician just outside Portland, Oregon, and is a faculty member at Oregon Health & Science University. His writing has been published online and in print, including McSweeney's, HAD, Rejection Letters, Maudlin House, Autofocus, and others. Supersymmetry is his first novel. Find him at srschulzwriting.com or at @authorseanschulz on instagram
On Monday, Oregon Health and Science University and Legacy Health announced they are mutually walking away from an effort to combine the two healthcare organizations. The merger was first announced last August, when OHSU agreed to acquire 8 hospitals, $3 billion in assets and promised a whopping $1 billion in upgrades to Legacy facilities. The merger garnered scrutiny from a citizen review committee and public comments have reflected opposition to the deal. Amelia Templeton is OPB’s Healthcare reporter and has been following this story. She joins with the latest.
Non-cystic fibrosis (CF) bronchiectasis, which affects approximately a half million people in the US, is a chronic lung condition that involves permanent bronchial dilation and inflammation; it is characterized by a productive cough and recurrent exacerbations. Author Alan F. Barker, MD, of Oregon Health and Science University joins JAMA Deputy Editor Kristin Walter, MD, MS, to discuss non-CF bronchiectasis. Related Content: Non–Cystic Fibrosis Bronchiectasis in Adults
S. R. Schulz lives in Portland, Oregon with his wife, three sons, and two dogs. He's been traveling to visit family in Croatia since 2010. He currently works as a family physician just outside Portland, Oregon, and is a faculty member at Oregon Health & Science University. His writing has been published online and in print, including McSweeney's, HAD, Rejection Letters, Maudlin House, Autofocus, and others. Supersymmetry is his first novel. Find him at srschulzwriting.com or at @authorseanschulz on instagram
On this month's installment of our Longevity Series, WHOOP Global Head of Human Performance, Principal Scientist, Dr. Kristen Holmes, sits down with Dr. Adrian Cois. Dr. Cois is an Australian-born Emergency Physician and Assistant Professor of Emergency Medicine, currently practicing in Portland, Oregon. Dr. Cois has an extensive background as a strength and conditioning coach, working with 5 professional Australian sports teams before completing his medical residency at Oregon Health and Science University. Dr. Cois joins the WHOOP podcast to discuss his TedX presentation on the cultural comparison of healthcare in Australia versus the United States and how this impacts longevity. Dr. Holmes and Dr. Cois discuss:(00:25) Dr. Cois's background in Medicine(01:47) Reframing Trauma in Emergency Care(05:26) Frontline Healthcare Workers' Challenges with Personal Health and Wellness (07:46) Cultural Differences between the US and Australia(10:28) Importance of Implementing Preventative Medicine (18:27) Areas for Improvement in the US Healthcare System(21:17) Best Methods to Motivate Individuals to Take Control of Their Health(25:29) The Existing Health Culture in Australia (30:04) Light Behavior and The Benefits of Time Spent Outside. (31:30) Lessons Americans Can Learn From Australians(33:58) Implementing Health Culture(35:12) The Relationship Between Sleep Quality and Shift Work (41:27) How Americans Can Improve Their Health (41:54) Habit Changes For Your Health Follow Dr. Adrian Cois:InstagramLinkedInSupport the showFollow WHOOP: www.whoop.com Trial WHOOP for Free Instagram TikTok X Facebook LinkedIn Follow Will Ahmed:Instagram X LinkedIn Follow Kristen Holmes: Instagram LinkedIn Follow Emily Capodilupo: LinkedIn
On the debut episode of the AMSSM Sports Medicine Primer Series (X: @TheAMSSM), host Dr. Stephen Luebbert, MD, MS, is joined by Dr. Jacqueline Brady, MD, to discuss how to manage a case of patellar dislocation in a basketball player. The goal of this new series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Brady is an orthopedic sports medicine surgeon at Oregon Health & Science University in Portland, OR, where he is also the Associate Residency Program Director and Director of Orthopedic Simulation. Dr. Brady serves as Head Team Physician for Portland State University and performs research in the field of patellofemoral instability, multi-ligamentous knee injuries and arthroscopic skill-building in learners. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (2nd Edition): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies-second-edition
Join us for an insightful conversation with Dr. Christine Tsai, a doctor, educator, and mentor whose career exemplifies excellence in medicine. Dr. Tsai is an associate professor of medicine and attending physician of hospital medicine at RUSH medical center. She completed her B.A. in biochemical sciences at Harvard, her M.D. at Columbia, and her residency in internal medicine at Oregon Health and Science University.Over her 12 years as a practicing physician, Dr. Tsai has demonstrated a devotion to medical education and clinical practice. She has served as the Director of Clinical Skills, Practitioner Role Leader, and the Internal Medicine Sub-Internship Co-Director, shaping both the preclinical and clinical curriculum at Rush Medical College. Dr. Tsai also embodies a passion for mentorship of numerous medical students, residents, and junior faculty members.Come along as the conversation merges from the technical to the philosophical.Host: Samantha ShihGuest: Christine (Steen) TsaiProduced By: Samantha ShihAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on X:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.
Helané Wahbeh, ND, MCR, is the Director of Research at the Institute of Noetic Sciences and an adjunct assistant professor at Oregon Health & Science University. Dr. Wahbeh is the author of some 90+ peer-reviewed publications and the book The Science of Channeling: Why You Should Trust Your Intuition. Her VET-MIND study was funded by the National Institutes of Health and examined the mechanisms of meditation for combat veterans with PTSD. Her current research interests include healing stress and trauma and extended human capacities. She is a Board Member and Past President of the Parapsychological Association and has been meditating for two decades. Here she and Dawson discuss: Noetic Signature: experience of our inner wisdom How to differentiate from your ego and your higher self? Exercise: To what question would you like intuitive information? Noetic knowing shows up in one of 12 different ways Meditation: An introduction to the inner world The ability all humans have to access energy and information Types of channelings Why studies correlate childhood trauma with psychic experiences and mediumship How two studies in UK found that psychic abilities run in families Study comparing the full genome of a psychic to controls Study discovery: a unique noncoding gene on chromosome 7 in the psychic group To learn more about the Institute of Noetic Sciences: https://noetic.org/ Find Dawson's work at: http://dawsongift.com/ And to order Dawson's newest book, Spiritual Intelligence: https://www.amazon.com/Spiritual-Intelligence-Activating-Circuits-Awakened/dp/160415294X/ #mindtomatter #blissbrain #spiritualintelligence #eft #meditation #highenergyhealth #channeling #intuition #noetic #ions
Oregon Health & Science University began its Long COVID-19 clinic in 2021, a year into the pandemic as the first vaccines were just becoming widely available. We talked with doctors in the clinic in 2022, and we wanted to check back in to see what clinicians have learned after treating thousands of long COVID patients. Aluko Hope is a pulmonologist, critical care doctor and the medical director of OHSU’s Long COVID-19 program. Jen Arnold is a lead nurse with the program. They both join us to tell us what they’ve learned about caring for patients with long COVID in the last four years and what they hope to learn more about from the research that’s currently underway.
In this episode of the Brain & Life Podcast, co-host Dr. Katy Peters is joined by journalist Kat McGowan. In 2022, Kat was awarded a fellowship from the Alicia Patterson Foundation to cover caregiving and has been featured in Wired, Popular Science, Scientific American, Boston Globe, Audubon, and NPR. Kat discusses her experience with caregiving for her parents and how technology like robots helped in the caregiving relationship. Dr. Peters is then joined by Dr. Jeffrey Kaye, professor of neurology and biomedical engineering at Oregon Health and Science University, director of Layton Aging and Alzheimer's Disease Center, and director of the Oregon Center for Aging and Technology. Dr. Kaye explains what Alzheimer's disease is and how different types of technology are used in treatment and caregiving scenarios. Additional Resources My Parents' Dementia Felt Like the End of Joy. Then Came the Robots A Robotic Pet Brings Joy to a Patient Who Has Dementia Promising Advances in Robotics-assisted Rehabilitation Therapies Lynda Carter Advocates for Those with Alzheimer's Disease Other Brain & Life Podcast Episodes Finding Community in Caregiving with Kitty Norton Navigating Complicated Caregiving Journeys with Jacquelyn Revere Journalist, Producer Kitty Eisele's Honest Recount of Her Time as Caregiver We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? · Record a voicemail at 612-928-6206 · Email us at BLpodcast@brainandlife.org Social Media: Kat McGowan @mcgowankat; Dr. Jeffrey Kaye @oshunews Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD
Graduating from residency or fellowship to attending is a pivotal moment for surgeons in training. Jyoti D. Chouhan, DO, PharmD, MBA, FACS, from Oregon Health and Science University in Portland, talks with three of her colleagues about mentorship, tips to prepare for surgery, managing complications, work-life integration, and other advice to make the transition as smooth as possible. Presented by the ACS Women in Surgery Committee, guests include: Tiffany Sinclair, MD, FACS Cheyenne Sonntag, MD, MS Irlna Trantchou, MD, FACS, FASCRS Talk about the podcast on social media using the hashtag #HouseofSurgery.
Scientists at Oregon State University and Oregon Health and Science University have teamed up to find new ways to treat endometriosis, ovarian cancer and other health conditions using nanoparticles and magnetic fields. Joining us to tell us more about this fascinating research are OPB science reporter Jes Burns, who is also the host and producer behind the “All Science. No Fiction.” video series, and OPB cinematographer and editor Brooke Herbert. This episode was recorded with a live audience at the Tomorrow Theater in Portland. You can see the video about the medical applications of magnetic nanoparticles here. For more Evergreen episodes and to share your voice with us, visit our showpage. Follow OPB on Instagram, host Jenn Chávez and Oregon Field Guide. You can sign up for OPB’s newsletters to get what you need in your inbox regularly. Don’t forget to check out our many podcasts, which can be found on any of your favorite podcast apps: Hush Timber Wars Season 2: Salmon Wars Politics Now Think Out Loud And many more! Check out our full show list here.
Cancer is not a singular disease but a category of hundreds, even thousands, of rare diseases with different molecular signatures and genetic roots. Cancer scientists are looking for a thousand perfect keys to pick a thousand stubborn locks. Today's episode is about the hardest lock of them all: pancreatic cancer. Cancer's power lives in its camouflage. The immune system is often compared to a military search and destroy operation, with our T cells serving as the expert snipers, hunting down antigens and taking them out. But cancer kills so many of us because it looks so much like us. Pancreatic cancer is so deadly in part because it's expert at hiding itself from the immune system. Now, here's the good news. This might be the brightest moment for progress in pancreatic cancer research in decades—and possibly ever. In the past few years, scientists have developed new drugs that target the key gene mutation responsible for out of control cell growth. Recently, a team of scientists at Oregon Health and Science University claimed to have developed a blood test that is 85 percent accurate at early-stage detection of pancreatic cancer, which is absolutely critical given how advanced the cancer is by the time it's typically caught. And last month, a research center at Memorial Sloan Kettering published a truly extraordinary paper. Using mRNA technology similar to the COVID vaccines, a team of scientists designed a personalized therapy to buff up the immune systems of people with pancreatic cancer. Patients who responded to the treatment saw results that boggle the mind: 75 percent were cancer-free three years after their initial treatment. Not just alive, which would be its own minor miracle. But cancer-free. The mRNA vaccine, administered within a regimen of standard drugs, stood up to the deadliest cancer of them all and won. Today's guest is the head of that research center, the surgical oncologist Vinod Balachandran. The concept of a personalized cancer vaccine is still unproven at scale. But if it works, the potential is enormous. But again: Cancer does not exist, as a singular disease. Cancer is a category of rare diseases, many of which are exquisitely specific to the molecular mosaic of the patient. Cancers are personal. Perhaps in a few years, our cures for cancers will be equally personalized. If you have questions, observations, or ideas for future episodes, email us at PlainEnglish@Spotify.com. Host: Derek Thompson Guest: Vinod Balachandran Producer: Devon Baroldi Links: Cancer Vaccine paper: https://www.nature.com/articles/s41586-024-08508-4 P.S. Derek wrote a new book! It's called 'Abundance,' and it's about an optimistic vision for politics, science, and technology that gets America building again. Buy it here: https://www.simonandschuster.com/books/Abundance/Ezra-Klein/9781668023488 Plus: If you live in Seattle, Atlanta, or the Raleigh-Durham-Chapel Hill area, Derek is coming your way in March! See him live at book events in your city. Tickets here: The Abundance Book Tour Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Jamie Lo, an Associate Professor at Oregon Health & Science University, and Dr. Adam Crosland, an Assistant Professor at Oregon Health & Science University, discuss the risks of substance use, particularly cannabis, in pregnancy.
An estimated 650,000 adults in Bangladesh suffer from blindness, according to researchers. At the end of November, Oregon Health & Science University ophthalmologist Beth Edmunds traveled to the country to teach local doctors a minimally-invasive operation for adults and children with glaucoma. She joins us to share what she took away from her time volunteering and what it was like operating in the world’s only flying teaching hospital.
Twenty five years ago, the idea that our mental state and emotions influence our physical health was taboo. Today, it's common knowledge, and it's being studied extensively all over the world. In this episode, Dr. Helané Wahbeh, a clinically trained naturopathic physician and researcher, and the Director of Research at the Institute of Noetic Sciences, shares how our consciousness is a powerful tool that has an impact on the physical body.We talk about “little c” and “big C” consciousness, our understanding of how the soul and body are connected, mind-body awakening, surrendering your attachment to the outcome of having a baby, and more. When you apply her research to the fertility journey and learn to surrender, amazing things can happen for you. Key Topics/Takeaways:The difference between “little c” and “big C” consciousness. [5:04]Creating positive change through positive intentions. [8:14]The paradox of surrendering the outcome to manifest your desires. [13:11]The theories behind channeling, awakening, and mediumship. [14:09]Honoring your body through acknowledging its inherent consciousness. [28:37]How to tap into your inner wisdom. [30:30]Knowing your underlying motivations for your desires. [36:05]How to connect with Dr. Helané WahbehThe Science of Channeling Book: https://buff.ly/38DmeS1Profile: https://noetic.org/profile/helane-wahbeh/Helané Wahbeh's Bio:Helané Wahbeh, ND, MCR, is the Director of Research at the Institute of Noetic Sciences and an adjunct assistant professor in the Department of Neurology at Oregon Health & Science University. She completed her undergraduate degree at University of California Berkeley in Anthropology and Pre-Medicine. She obtained her clinical doctorate at the National University of Natural Medicine. She obtained her Master of Clinical Research from Oregon Health & Science University where she has been on faculty in the department of neurology since 2006. She also completed two post-doctoral research fellowships.Her VET-MIND study funded by the National Institutes of Health examined the mechanisms of meditation for combat veterans with PTSD. Her current research interests include healing stress and trauma, examining mechanisms of mind-body medicine, and rigorously studying extended human capacitiesDr. Wahbeh is the author of some 90+ peer-reviewed publications and the book The Science of Channeling: Why You Should Trust Your Intuition and the Force That Connects Us All. How to connect to Lorne Brown online and in person (Vancouver, BC)Acubalance.ca book virtual or in person conscious work sessions with Dr. Lorne Brown Lornebrown.comConscious hacks and tools to optimize your fertility by Dr. Lorne Brown:
Avec plus de 8 000 terminaisons nerveuses, une taille pouvant aller jusqu'à 12 centimètres, et une localisation encore parfois trop étrangère à certain.es, le clitoris est le seul organe du corps 100% dédié au plaisir. Si on entend de plus en plus parler de lui, les recherches à son sujet sont encore récentes si bien que le clitoris referme encore quelques secrets. Une récente étude du docteur Blair Peters de la faculté de médecine de l'Oregon Health and Science University, présentée lors d'un congrès scientifique le 27 octobre 2022, bouleverse nos croyances sur ce grand sensible entre nos jambes. Qu'est-ce qu'il faut savoir sur le clitoris ? On dit parfois que le clitoris ressemble au pénis, est-ce que c'est vrai ? Où peut-on se rendre pour plus d'informations ? Écoutez la suite de cet épisode de "Maintenant Vous Savez"! Un podcast Bababam Originals, écrit et réalisé par Olivia Villamy. À écouter aussi : Qu'est-ce que le syndrome du grand coquelicot, qui discrimine les femmes au travail ? Pourquoi l'administration française est-elle si compliquée ? Qu'est-ce que la tendance beauté du brocoli ? Retrouvez tous les épisodes de "Maintenant vous savez". Suivez Bababam sur Instagram. Première diffusion : 28 décembre 2022 Learn more about your ad choices. Visit megaphone.fm/adchoices
Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid fire questions/Picks of the Week Case History and Physical Laboratory Findings Management of Iron Deficiency Anemia Diet Oral Supplementation Unexplained Iron Deficiency Case 2 IV Iron Supplementation IV iron reactions Case 3 Laboratory Follow Up Post Supplementation When to Refer to a Hematology/Oncology specialist? Outro Credits Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi MD MBA FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Tom DeLoughery MD, MACP, FAWM Sponsor: Mint Mobile Shop plans at mintmobile.com/curb. Sponsor: Freed Visit freed.ai and use code CURB50 to get $50 off your first month when you subscribe! Sponsor: Quince Give yourself the luxury you deserve with Quince! Go to Quince.com/curb for free shipping on your order and 365-day returns.
Oregon Health & Science University has been facing a series of mounting challenges in recent months, including its proposed merger with Legacy Health, which is being reviewed by the Oregon Health Authority. If approved, OHSU would control five of the six hospitals in Multnomah County, according to a report issued by OHA last November. OHSU has also had to contend with the departure of prominent executives such as the interim head of its health unit last month, and Dr. Brian Druker, a world renowned cancer researcher, who resigned in December as CEO of the Knight Cancer Institute. Among the reasons Druker shared with OPB for his decision included low staff morale, a lack of trust in OHSU’s leaders and the organization’s cost-cutting measures, such as its decision to lay off more than 500 employees. Leading OHSU during this turbulent time is Steve Stadum. The board of directors appointed him as interim president in November, marking his return to the organization which he first worked at more than 25 years ago. Stadum joins us to share his vision for OHSU and how he aims to navigate its internal and external challenges, including threats to federally funded research from the new Trump administration.
Guest: Elisa K. Boden, MD For patients with Crohn's disease who require surgery, a variety of risk factors are involved in postoperative recovery and disease control. Learn how prehabilitation programs and lifestyle modifications can reduce complications during and after surgery with Dr. Elisa Boden, an Associate Professor of Medicine in the Division of Gastroenterology and Hepatology at Oregon Health and Science University.
Guest: Elisa K. Boden, MD For many patients with Crohn's disease, surgery is necessary due to complications like strictures and fistulas. Dr. Elisa Boden explores risk factors and potential complications, which she spoke about at the 2025 Crohn's and Colitis Congress. Dr. Boden is an Associate Professor of Medicine in the Division of Gastroenterology and Hepatology at Oregon Health and Science University.
Austin Perlmutter, M.D., is a board-certified internal medicine physician and New York Times bestselling author. He is an expert in brain health, neuroinflammation, immunometabolism, and neuroplasticity. He received his medical degree from the University of Miami and completed his internal medicine residency at Oregon Health and Science University in Portland, Oregon. His focus is in helping others to improve decision-making and quality of life. He is also interested in methods of understanding and reducing burnout in the medical field. He is the co-author of Brain Wash. He is the host of the podcast Get The STUCK Out, where he examines things that keep us stuck through open minded questions and conversations. In our conversation, Dr. Perlmutter and I examine various reasons that a person's decision making can be biased by their biology in unhealthy ways, and what can be done about it. Practitioners who are facing clients who are noncompliant will benefit from listening to his explanation of the mechanisms of the connection between brain and systemic inflammation and the pathways that are involved in the blood-brain barrier, systemic immunity and the brain. We also explore common triggers and solutions of neuroinflammation, especially sleep deprivation, the effects of polyphenols in the context of immunometabolism, and the effects of smoke and air pollution, sedentary behavior, alcohol and sugar consumption on brain health. Dr. Perlmutter's insights clearly highlight his passion for educating people about the reasons that lifestyle medicine not only matters, but is critical to brain health and longevity. I'm your host, Evelyne Lambrecht, thank you for designing a well world with us. Episode Resources: Dr. Austin Perlmutter - https://www.austinperlmutter.com/ Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education The Designs for Health Podcast is produced in partnership with Podfly Productions Chapters: 00:00 Intro. 01:50 Dr. Perlmutter is passionate about the substantial preventions and improvements breakthroughs in preventive health. 4:34 Austin's father Dr. David Perlmutter's career influenced, but didn't entirely dictate his writing and medical career path. 10:01 Is decision making based on psychology or biology? Dr. Perlmutter explains. 14:30 Sleep is the number one action that can positively or negatively impact brain function. 17:40 The mechanisms of the connection between brain and systemic inflammation. 23:02 Pathways that are involved in the blood-brain barrier, systemic immunity and the brain. 29:51 Common triggers and solutions of neuroinflammation, especially sleep deprivation. 36:06 Dedicated stress relief practices including meditation, movement, decreased screen time seeking professional health, and dietary changes. 42:20 The benefits of utilizing a continuous glucose monitor. 43:20 The effects of polyphenols in the context of immunometabolism. 51:30 Overt signals that alcohol consumption is creating a risk for brain health. 54:24 Sedentary behavior dramatically increases the risk for brain issues, these tactics will counter its effects. 58:10 Smoke and air pollutants as a driver of microglial activation and needed action steps. 1:10:45 Tactics for improving air quality in the home. 1:12:40 Top personal supplements, top health practices, and the muscle health priority that Dr. Perlmutter has changed his mind about.
Dr. Davin Ashraf is an Assistant Professor of Ophthalmology at the Casey Eye Institute (Oregon Health and Science University) in the division of Oculofacial Plastic Surgery. He acts as host in this episode of the Oculofacial Podcast. Dr. Robert Kersten is a Professor and ASOPRS Fellowship Program Director at the Moran Eye Center (University of Utah) within the division of Oculoplastic and Facial Plastic Surgery. Dr. Shravani Mikkilineni is an oculofacial surgeon in private practice at Consultants in Ophthalmic and Facial Plastic Surgery in the metro Detroit area. Dr. Emily Li is an Assistant Professor at the Wilmer Eye Institute (Johns Hopkins University). Episode Summary: Dive into the November-December 2024 issue of Oculofacial Plastic and Reconstructive Surgery (OPRS) as Dr. Davin Ashraf leads engaging discussions with expert colleagues Dr. Robert Kersten, Dr. Shravani Mikkilineni, and Dr. Emily Li. The episode covers cutting-edge topics and insightful research findings in oculoplastic surgery, providing listeners with an in-depth understanding of the latest surgical techniques and postoperative outcomes in the specialty. Dr. Robert Kersten initiates the podcast with an exploration of the phenylephrine test's influence on the outcomes of external levator advancement surgery. Key discussions revolve around the phenylephrine's role in selecting the appropriate approach to ptosis surgery and its implication for eyelid compliance. Following this, Dr. Shravani Mikkilineni highlights significant corneal astigmatism changes post-levator surgery, sparking considerations for toric intraocular lens surgery timing. Dr. Emily Li concludes the episode by presenting an innovative surgical technique to address punctal stenosis, prompting dialogue on traditional methods' efficacy. Together, these discussions offer a comprehensive look into evolving methodologies and patient management strategies in oculoplastic surgery. Key Takeaways: Phenylephrine Test Utilization: Dr. Kersten discusses how phenylephrine positive patients had better outcomes in external levator resection and challenges common practices involving phenylephrine tests. Corneal Astigmatism Considerations: Changes in corneal astigmatism post-levator surgery could impact future toric IOL procedures, emphasizing the need for careful preoperative evaluation. Novel Approach to Punctoplasty: The podcast explores traditional versus novel techniques in handling punctal stenosis, weighing practicality against surgical outcomes. Resources: Casey Eye Institute, Oregon Health and Science University Moran Eye Center, University of Utah Wilmer Eye Institute, Johns Hopkins University Consultants in Ophthalmic and Facial Plastic Surgery Explore this enlightening episode to gain valuable insights and stay informed about critical topics in the field of oculoplastic surgery. Be sure to tune in for future episodes filled with expert discussions and cutting-edge discoveries in ophthalmology.
Animals such as grizzly bears and Arctic ground squirrels have evolved the ability to hibernate as a way to survive winter months of extreme cold. During hibernation, their core body temperatures drop and their heart rates and metabolic activities slow to conserve energy. They also consume less oxygen during this inactivity. But what if you could make non-hibernating species – including humans - hibernate? How could you control hibernation as a therapy to help people recover from strokes or heart attacks, or administer it to astronauts to help them endure a yearslong trip to Mars? Scientists at Oregon Health & Science University have embarked on a first step to exploring these questions by inducing a state of hibernation in rats, which don’t normally hibernate. Joining us to discuss this research is Domenico Tupone, a research assistant professor of neurology at OHSU.
In this episode of All-Access Pass, we explore the intersection of health equity and patient access with Dr. Ryzell McKinney and Joel Hudnall from Vanderbilt University Medical Center, alongside Stephanie Schmidt from Oregon Health & Science University. The discussion centers on the role of preferred-language appointment reminders in improving care access for patients with limited English proficiency. Despite high hopes, research revealed that these reminders did not significantly increase attendance rates, highlighting the complexity of addressing access disparities. The guests share insights into broader social determinants of health, such as income, education, and language, and discuss innovative strategies like clinician recruitment from marginalized communities and addressing dismissals from care. Together, they underscore that achieving equity in patient access is a multifaceted challenge requiring systemic solutions rather than isolated interventions. This episode serves as a thought-provoking exploration of the ongoing journey toward equitable access to care for all. Focus: The complexities of health equity in patient access, highlighting research on preferred-language appointment reminders and the need for multifaceted strategies to address disparities. Podcast Guests Stephanie Schmidt, MS Senior Director, Ambulatory Care and Access Services Oregon Health & Science University Joel Hudnall Epic Configuration Analyst Change Management, Strategic Access Support Vanderbilt University Medical Center Ryzell McKinney, EdD Director, Access Technology Vanderbilt University Medical Center
From catching passes from Peyton Manning to changing how US Ski & Snowboard trains athletes to building an elite athlete management system in FYTT, Ernie Rimer has some crazy stories. Tune in to hear about how the +20 years are all connected in leading him from one opportunity to the next and the biggest things he learned along the way. 2:59 Coolest/craziest story: a variety from the Indianapolis Colts, Northern Arizona, and the "Hodge Podge Kids" from US Ski & Snowboard 23:20 Deciding to "rock the boat" and train all athletes at the A, B, C, and D levels instead of only the top athletes 33:04 Utah Football playing Michigan and remoting advising the coach's on how to manage a weather delay 39:25 The journey of how FYTT came to be Episode on YouTube: https://youtu.be/XsrreOvyqHY Ernie on Instagram and Twitter: @ErnieRimer A thank you to this show's sponsors: FYTT | 1080 Motion | Samson Equipment | Isophit
According to the CDC, more than 2 million people in the U.S. are infected with hepatitis C. The bloodborne illness attacks the liver and can lead to cancer or death if left untreated. Injection drug use is the leading risk factor for hepatitis C, which is also more prevalent in rural counties where diagnosis and treatment can be hard to come by, especially for people experiencing homelessness. Scientists at Oregon Health and Science University demonstrated a new strategy that could significantly boost the diagnosis and successful treatment of hepatitis C in rural communities. In a recently published study, they showed that peers with lived experience in drug use were able to successfully enroll and facilitate treatment for people who tested positive for hepatitis C in six rural Oregon counties using telemedicine, which was seven times more effective than referrals to clinics for in-person treatment. Joining us to talk about the results and the role peer specialists can play to combat the spread of hepatitis C is Dr. Andrew Seaman, an associate professor of medicine at OHSU, the medical director of HIV and hepatitis C services at Central City Concern and head of substance use disorder programs at Better Life Partners in New England.
Vascular cognitive impairment is a common and often underrecognized contributor to cognitive impairment in older individuals, with heterogeneous etiologies requiring individualized treatment strategies. In this episode, Katie Grouse, MD, FAAN speaks with Lisa C. Silbert, MD, MCR, FAAN, an author of the article “Vascular Cognitive Impairment,” in the Continuum December 2024 Dementia issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Silbert is is co-director at Oregon Alzheimer's Disease Research Center, a Gibbs Family Endowed professor of neurology, a professor of neurology at Oregon Health & Science University, a staff neurologist, director of Cognitive Care Clinic, and director of the Geriatric Neurology Fellowship Program at Portland Veterans Affairs Health Care System in Portland, Oregon. Additional Resources Read the article: Vascular Cognitive Impairment Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Lisa Silbert about her article on vascular cognitive impairment, which is part of the December 2024 Continuum issue on dementia. Welcome to the podcast and please introduce yourself to our audience. Dr Silbert: Hi Katie. Thanks for having me here today. Like you mentioned, my name is Lisa Silbert. I am a behavioral neurologist at Oregon Health and Science University and my research focus is in the area of vascular contributions to cognitive impairment and dementia. Dr Grouse: It's such a pleasure to have you and I really enjoyed reading your article. Just incredibly relevant, I think, to most practicing general neurologists, and really to any subspecialty. I'd like to start by asking, what do you think is the main takeaway point of your article for our listeners? Dr Silbert: Yeah. I think, you know, the field of vascular cognitive impairment has changed and evolved over the last several decades. And I would say the main take-home message is that vascular cognitive impairment or vascular dementia is no longer a diagnosis that is only considered in someone who's had acute decline following a clinical stroke. That we have to expand our awareness of vascular contributions to cognitive impairment and consider other forms of the disease that can cause a more subacute or slowly progressive form of cognitive impairment. And there are many, many forms of vascular cognitive impairment that present in a more slowly progressive manner. The other thing I would say as a major take-home message is that we know that cerebrovascular disease is a very common copathology with other forms of dementia and that it lowers one 's threshold for manifesting cognitive impairment in the context of multiple pathologies. And so, in this way, vascular cognitive impairment should be considered as a contributing and potentially modifiable factor in any dementia. Dr Grouse: I found that last point just really, really fascinating. And also, you know, the reminder that a combination of pathologies are more common than any one. To your initial point, I'm actually curious, could you kind of outline for us how you approach diagnosing vascular cognitive impairment? Dr Silbert: Yeah. So with everything in neurology, a lot of it comes down to the initial history taking. And so part of the work up always includes a very detailed history of the presentation of cognitive impairment. Any time there is an acute change in cognition, vascular contribution should be considered, particularly if it's in the context of a clinical stroke or some kind of event that might have lowered cerebral blood flow to the brain. And then having said that, I already mentioned there are many forms of vascular cognitive impairment that can mimic neurodegenerative disease in terms of its course. So being more slowly progressive. And so because of that neuroimaging, and in particular MRI, has become an extremely valuable tool in the workup of anyone who presents with cognitive impairment in order to evaluate contributions from cerebral vascular disease. And so, MRI is a really helpful tool when it comes to teasing out what may be contributing to a patient's clinical syndrome, as well as their other comorbid medical issues, including stroke risk factors and other kind of medical conditions that might contribute to reduce cerebral blood flow. Dr Grouse: I'd love to talk a little bit more about that. You know, as is often the case with neurologic disease associated with vascular pathology, the importance of prevention, you know, focusing on prevention of vascular diseases is so important. What are some things that we can make sure to focus on with our patients and, you know, particularly anything new to be aware of in counseling them? Dr Silbert: Yeah, I'm really glad you asked me that question because like I mentioned, you know, cerebral vascular disease is so common, it lowers one's threshold for cognitive impairment in the face of other age-related brain pathologies. And so, it's really important for all of us to focus on preserving our cognitive health, even starting in midlife. And so, there are a number of areas that I counsel my patients on when it comes to preserving cerebral health and maximizing cerebrovascular health. And so, these stem from the American Heart Association's Life's Essential 8 because we know that preserving cardiovascular health is likely going to also preserve cerebral vascular health. And so, some of the things that I'm very commonly discussing with my patients are controlling stroke risk factors such as blood pressure, blood sugars and cholesterol, maintaining a healthy weight, and then also working towards a lifestyle that includes a healthy diet, no smoking, regular exercise. And then new within the last couple years is also the recommendation that people get adequate sleep, which is something that hasn't been focused on previously. Dr Grouse: I was really interested in reading your article to learn about enlarged perivascular spaces and the role as a mediating factor in the interaction between through a vascular dysfunction and development and progression of neurodegenerative pathology. Can you elaborate on this further? Dr Silbert: So, this is an area that's still largely unknown in the field, and it's an area where there's a lot of emerging work being done. The short answer is, we really don't know with great certainty how it directly connects with accumulating Alzheimer's pathology. But there is some evidence to suggest that the perivascular space is involved in the clearance of toxic solutes from the brain, including Alzheimer's disease pathology. And so there's a lot of work looking at how potentially cerebrovascular risk factors might affect the clearance of those toxic solutes through the perivascular space, including pulse pressure changes that might occur with accumulating cerebrovascular disease and other potential contributors. But one thing I can say with more certainty is that the, you know, location of perivascular spaces is thought to help distinguish those who might have cognitive symptoms due to cerebrovascular disease versus due to cerebral amyloid angiopathy. Or I guess I should say location is helpful in terms of recognizing vascular contributions to cognitive impairment that's due to arteriolosclerosis versus that due to cerebral amyloid angiopathy. In so much that… when we see a lot of perivascular spaces in the basal ganglia in the subcortical structures, that is thought to be more associated with arteriolosclerosis and hypertension type related vascular cognitive impairment. Whereas when we see multiple perivascular spaces within the centrum semiovale, that tends to be more associated with cerebral amyloid angiopathy. Dr Grouse: That's so interesting. And on the topic ofcerebral amyloid angiopathy, you did go into this a good deal. And you know, I think I encourage everybody to revisit the article to remind themselves about, you know, the findings that can increase the suspicion of tribal amyloid angiopathy. However, you also talked about transient focal neurologic episodes, which I think is just a great reminder that, you know, these can occur in this setting and definitely not to miss. Tell us more about what to look for with these types of episodes. Dr Silbert: Transit focal neurologic episodes can be very difficult to tease apart from a transient ischemic attack. And these transient focal neurologic episodes due to CAA can present in a number of different ways. And I think the important take home message for that is that in people who have neuroimaging evidence of CAA to inform them that they are at increased risk for having these focal neurologic episodes and that if they do present to a hospital or an emergency department with any kind of neurologic event, that those treating them are aware that they have evidence of CAA on their neuroimaging because the treatment of course is quite different. So, it's someone presenting with ATIA who has transient neurologic symptoms might be considered urgently to get a thrombolytic or, you know, TPA, whereas someone who has known cerebral amyloid angiopathy or suspected CAA, they likely already have microbleeds on their neuroimaging and in those cases thrombolytics and TPA would be contraindicated and not helpful in terms of the etiology of their neurologic symptoms. Dr Grouse: That's a really good point to make. And I think also in your article you mentioned the use of aspirin if you're suspecting ATIA versus a, you know, a transient amyloid related focal neurologic episode. You know, one you would treat with aspirin and the other one you wouldn't. Dr Silbert: That's right. Dr Grouse: Another sort of interesting topic you delved into was cerebral microinfarct and how this can also contribute to vascular impairment. Could you elaborate a little more on that? Dr Silbert: Yeah. So cerebral microinfarcts are kind of the hidden cause of or a hidden cause of vascular cognitive impairment. And it's extremely challenging because by definition they are not visible on routine clinical neuroimaging. It's something that we are more aware of based on pathological studies and neuroimaging studies that have been done at ultra-high field strength like 7T MRI. And so, we are just learning more about how prevalent they are in certain conditions and how we can only look at these after death when we're looking at brain tissue and then go back and realize that these play a significant role in cognitive decline when someone is alive. It's important to understand that we're probably only appreciating kind of the tip of the iceberg when we're evaluating a patient and looking at their neuroimaging. That what we're actually seeing on MRI are only the things that are actually quite relatively big and obvious. And that a lot of these neuroimaging features of vascular cognitive impairment are actually associated with pathologic features that we're missing such as microinfarcts. But the hope is that by treating all individuals, particularly those who already have signs of vascular cognitive impairment, by modulating their stroke risk factors and focusing on maintaining brain health, that those will, interventions will also reduce the incidence of microinfarcts. Dr Grouse: What do you think is the greatest inequity or disparity you see in treating patients with vascular cognitive impairment? Dr Silbert: I think the greatest disparity is- really starts way before I treat a patient. That relates to really focusing on healthy lifestyle factors early in life and being able to, you know, afford fruits and vegetables, and having the advantages of being able to exercise regularly, and just being aware that all of these things are extremely important before older age. So, these are things that, you know, I think more education and awareness and greater access to healthcare will definitely improve access to. Even preventative healthcare is a disparity and not available across all of the population and geographic locations. So, I think of the- all the dementias, vascular cognitive impairment probably has the greatest association with health and social disparities in terms of primary prevention and access to care. Dr Grouse: All really important things to consider. I have to say when, you know, reading your article, dare I say I came away with a little bit of hope thinking, you know, even with, you know, how little we still, you know, or how much we still need to do to really learn how to fight Alzheimer's and, you know, prevent it and, and, you know, help with its progression. The idea that in so many cases, even just doing what we can to prevent the vascular or cognitive impairment can really help any type of dementia. That was really a strong message for me. Do you mind elaborating on that a little more? Dr Silbert: No, not at all. I agree. I really am hopeful about the prevention and treatment of dementias and through the treatment and prevention of cerebrovascular disease. I think that is a true reality, just like, you know, as we were discussing before, the treatment and prevention of cerebrovascular disease really should be a part of the treatment of any type of cognitive impairment and recommendations for prevention of cognitive impairment. This is the, you know, one thing we know is largely modifiable and preventable in most cases. I think the, really the key thing is just education and making sure that people understand that these are things that really need to be, they need to be engaged in in midlife and that it's much harder to reverse these- the damages once you have them in later life. Having said that, I do think that there's greater awareness of maintaining healthy lifestyle and maintaining awareness of stroke risk factors. And I think we're already starting to see a reduction in dementia worldwide in several large population-based studies, and probably that is due to more attention to the modifying stroke risk factors. So, I agree with you, it's very encouraging. Dr Grouse: Is there anything exciting on the horizon that you can tell us about that we should all be keeping our eyes out for? Dr Silbert: Yeah. So, you know, I'm really interested in this connection between vascular cognitive impairment and Alzheimer's disease. And it's a real area of exciting new research. And so I think we're going to have more answers as to how, whether and how, cerebrovascular disease is directly linked to accumulating neurodegenerative disease or neurodegenerative pathologies. The other area that's, I think, really exciting, that's moving forward, is the in the area of blood-based biomarkers for vascular cognitive impairment. As these emerge, we'll be able to really identify those at greatest risk for vascular cognitive impairment, but also identify novel mechanisms that lead to VCI that can be targeted for therapeutic intervention. Dr Grouse: Well, I'm really excited to see what's coming down the pipeline and what more we'll learn in this area. So, thank you so much for everything you've done to contribute to this field. Dr Silbert: Yeah. Dr Grouse: I wanted to ask a little bit more about you. What drew you to this work? Dr Silbert: Well, actually, so my very first published manuscript in medical school was a case report and review on MELAS, which is mitochondrial encephalopathy with lactic acidosis and strokelike syndrome. And so, I was really fortunate to have Dr Jose Biller, who is a renowned expert in stroke and cerebrovascular disorders, as my mentor for that paper. And so, that got me really interested in neuroimaging findings of cerebral vascular disease. And so when I was a fellow at Oregon Health and Science University, I was then really fortunate to be able to work with Jeffrey Kaye's oldest old population. And in working with that population, I really became interested in their neuroimaging findings of these white matter lesions and just realizing how prevalent they were in that population, you know, it just led me to start investigating their clinical significance and etiology, which kind of led me along this path. Dr Grouse: You know, Lisa, thank you so much. I really learned a lot from your article, and I think our listeners will definitely find that it was very helpful for their practice. Thank you so much for joining us. Dr Silbert: Thank you so much, Katie. It's been really fun. Dr Grouse: Again, today I've been interviewing Dr Lisa Silbert, whose article on vascular cognitive impairment appears in the most recent issue of Continuum on dementia. Be sure to check out Continuum audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.
Send us a textIn this episode, Ben and Daphna sit down with Dr. Cindy McEvoy, professor of pediatrics and director of neonatal research at Oregon Health & Science University, to discuss optimizing lung development in preterm infants. Dr. McEvoy shares insights from her research on the benefits of prolonged CPAP use in preterm infants, showing how it supports lung growth, improves alveolar volume, and enhances pulmonary function. She emphasizes the importance of education and proper CPAP application to maximize benefits while debunking myths about weaning protocols. This conversation highlights the potential of targeted respiratory strategies to improve long-term outcomes.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Welcome to the first episode in a special three-part series of the Diabetes Core Update podcast, focused on heart screening in people with diabetes. Sponsored by Roche, this series explores "heart failure with preserved ejection fraction" (HFpEF), providing primary care clinicians and healthcare professionals with essential insights into screening, diagnosis, and management of this increasingly recognized condition. Episode Summary In this episode, host Dr. Neil Skolnik introduces the growing importance of HFpEF in diabetes care and is joined by two esteemed experts: Rodica Busui, MD, PhD, professor and chief of the division of endocrinology at the Oregon Health and Science University and past president of the American Diabetes Association for Medicine and Science. James Jannuzzi, MD, professor of medicine at Harvard Medical School, staff cardiologist at Massachusetts General Hospital, and senior cardiometabolic faculty at Baim Institute for Clinical Research. The discussion explores: HFpEF Basics: Definition, prevalence, and how it differs from heart failure with reduced ejection fraction (HFrEF). Pathophysiology: The multifactorial causes of HFpEF, including aging, obesity, diabetes, and more. Diabetes and HFpEF: Why HFpEF should be considered a major complication of diabetes alongside atherosclerotic and microvascular diseases. Screening Recommendations: Insights from the 2022 ADA/ACC Consensus Report, emphasizing early detection through biomarkers like NT-proBNP and annual testing for at-risk patients. Key Takeaways Epidemiology: HFpEF affects at least half of heart failure patients and is increasingly prevalent due to aging, obesity, and diabetes. Screening Guidelines: Every person with diabetes, especially those with chronic kidney disease, hypertension, or obesity, should be considered for HFpEF screening. Biomarkers: NT-proBNP thresholds are key tools for early diagnosis, with tailored considerations for obesity and other conditions. Prevention and Collaboration: Effective risk factor management and team-based care can prevent HFpEF progression and improve outcomes. Thank you for joining us on this first of a multipart series on early detection and treatment of heart failure with preserved ejection fraction. In the first part of this series, we focused on basics—epidemiology, pathophysiology, and staging—as well as the critically important new recommendations around screening people with diabetes for heart failure. In the second part of the series, we'll explore treatment strategies for HFpEF. This special edition of Diabetes Core Update is sponsored by Roche.
* List of Discoveries Squeezing Evolution: Did you know that dinosaurs ate rice before rice evolved? That turtle shells existed forty million years before turtle shells began evolving? That insects evolved tongues for eating from flowers 70 million years before flowers evolved? And that birds appeared before birds evolved? The fossil record is a wonderful thing. And more recently, only a 40,000-year squeeze, Neanderthal had blood types A, B, and O, shocking evolutionists but expected to us here at Real Science Radio! Sit back and get ready to enjoy another instant classic, today's RSR "list show" on Evolution's Big Squeeze! Our other popular list shows include: - scientists doubting Darwin - evidence against whale evolution - problems with 'the river carved the canyon' - carbon 14 everywhere it shouldn't be - dinosaur still-soft biological tissue - solar system formation problems - evidence against the big bang - evidence for the global flood - genomes that just don't fit - and our list of not so old things! (See also rsr.org/sq2 and rsr.org/sq3!) * Evolution's Big Squeeze: Many discoveries squeeze the Darwinian theory's timeframe and of course without a workable timeframe there is no workable theory. Examples, with their alleged (and falsified) old-earth timeframes, include: - Complex skeletons existed 9 million years before they were thought to have evolved, before even the "Cambrian explosion".- Butterflies existed 10 million years before they were thought to have evolved. - Parrots existed "much earlier than had been thought", in fact, 25 million years before they were thought to have evolved. - Cephalopod fossils (squids, cuttlefish, etc.) appear 35 million years before they were able to propagate. - Turtle shells 40 million years before turtle shells began evolving - Trees began evolving 45 million years before they were thought to evolve - Spores appearing 50 million years before the plants that made them (not unlike footprints systematically appearing "millions of years before" the creatures that made them, as affirmed by Dr. Marcus Ross, associate professor of geology). - Sponges existed 60 million years before they were believed to have evolved. - Dinosaurs ate rice before it evolved Example - Insect proboscis (tongue) in moths and butterflies 70 million years before previously believed has them evolving before flowers. - Arthropod brains fully developed with central nervous system running to eyes and appendages just like modern arthropods 90 million years earlier than previously known (prior to 2021, now, allegedly 310mya) - 100 million years ago and already a bird - Fossil pollen pushes back plant evolution 100 million years. - Mammalian hair allegedly 100-million-years-old show that, "the morphology of hair cuticula may have remained unchanged throughout most of mammalian evolution", regarding the overlapping cells that lock the hair shaft into its follicle. - Piranha-like flesh-eating teeth (and bitten prey) found pushing back such fish 125 million years earlier than previously claimed - Shocking organic molecules in "200 million-years-old leaves" from ginkgoes and conifers show unexpected stasis. - Plant genetic sophistication pushed back 200 million years. - Jellyfish fossils (Medusoid Problematica :) 200 million years earlier than expected; here from 500My ago. - Green seaweed 200 million years earlier than expected, pushed back now to a billion years ago! - The acanthodii fish had color vision 300 million years ago, but then, and wait, Cheiracanthus fish allegedly 388 million years ago already had color vision. - Color vision (for which there is no Darwinian evolutionary small-step to be had, from monochromatic), existed "300 million years ago" in fish, and these allegedly "120-million-year-old" bird's rod and cone fossils stun researchers :) - 400-million-year-old Murrindalaspis placoderm fish "eye muscle attachment, the eyestalk attachment and openings for the optic nerve, and arteries and veins supplying the eyeball" The paper's author writes, "Of course, we would not expect the preservation of ancient structures made entirely of soft tissues (e.g. rods and cone cells in the retina...)." So, check this next item... :) - And... no vertebrates in the Cambrian? Well, from the journal Nature in 2014, a "Lower-Middle Cambrian... primitive fish displays unambiguous vertebrate features: a notochord, a pair of prominent camera-type eyes, paired nasal sacs, possible cranium and arcualia, W-shaped myomeres, and a post-anal tail" Primitive? - Fast-growing juvenile bone tissue, thought to appear in the Cretaceous, has been pushed back 100 million years: "This pushes the origin of fibrolamellar bone in Sauropterygia back from the Cretaceous to the early Middle Triassic..."- Trilobites "advanced" (not the predicted primitive) digestion "525 million" years ago - And there's this, a "530 million year old" fish, "50 million years before the current estimate of when fish evolved" - Mycobacterium tuberculosis 100,000 yr-old MRCA (most recent common ancestor) now 245 million- Fungus long claimed to originate 500M years ago, now found at allegedly 950 Mya (and still biological "the distant past... may have been much more 'modern' than we thought." :) - A rock contained pollen a billion years before plants evolved, according to a 2007 paper describing "remarkably preserved" fossil spores in the French Alps that had undergone high-grade metamorphism - 2.5 billion year old cyanobacteria fossils (made of organic material found in a stromatolite) appear about "200 million years before the [supposed] Great Oxidation Event". - 2.7 billion year old eukaryotes (cells with a nucleus) existed (allegedly) 1 billion years before expected - 3.5 billion year "cell division evidently identical to that of living filamentous prokaryotes." - And even older cyanobacteria! At 220 million years earlier than thought, per Nature's 3.7 billion year old dating of stromatolites! - The universe and life itself (in 2019 with the universe dated a billion, now, no, wait, two billion!, years younger than previously thought, that's not only squeezing biological but also astronomical evolution, with the overall story getting really tight) - Mantis shrimp, with its rudimentary color but advanced UV vision, is allegedly ancient. - Hadrosaur teeth, all 1400 of them, were "more complex than those of cows, horses, and other well-known modern grazers." Professor stunned by the find! (RSR predicts that, by 2030 just to put an end date on it, more fossils will be found from the geologic column that will be more "advanced" as compared to living organisms, just like this hadrosaur and like the allegedly 100M year old hagfish fossil having more slime glands than living specimens.) - Trace fossils "exquisitely preserved" of mobile organisms (motility) dated at 2.1 billion years ago, a full 1.5 billion earlier than previously believed - Various multicellular organisms allegedly 2.1 billion years old, show multicellularity 1.5 billion years sooner than long believed - Pre-sauropod 26,000-pound dinosaur "shows us that even as far back as 200 million years ago, these animals had already become the largest vertebrates to ever walk the Earth." - The Evo-devo squeeze, i.e., evolutionary developmental biology, as with rsr.org/evo-devo-undermining-darwinism. - Extinct Siberian one-horned rhinos coexisted with mankind. - Whale "evolution" is being crushed in the industry-wide "big squeeze". First, geneticist claims whales evolved from hippos but paleontologists say hippos evolved tens of millions of years too late! And what's worse than that is that fossil finds continue to compress the time available for whale evolution. To not violate its own plot, the Darwinist story doesn't start animals evolving back into the sea until the cast includes land animals suitable to undertake the legendary journey. The recent excavation of whale fossils on an island of the Antarctic Peninsula further compresses the already absurdly fast 10 million years to allegedly evolve from the land back to the sea, down to as little as one million years. BioOne in 2016 reported a fossil that is "among the oldest occurrences of basilosaurids worldwide, indicating a rapid radiation and dispersal of this group since at least the early middle Eocene." By this assessment, various techniques produced various published dates. (See the evidence that falsifies the canonical whale evolution story at rsr.org/whales.) * Ancient Hierarchical Insect Society: "Thanks to some well-preserved remains, researchers now believe arthropod social structures have been around longer than anyone ever imagined. The encased specimens of ants and termites recently studied date back [allegedly] 100 million years." Also from the video about "the bubonic plague", the "disease is well known as a Middle Ages mass killer... Traces of very similar bacteria were found on [an allegedly] 20-million-year-old flea trapped in amber." And regarding "Caribbean lizards... Even though they are [allegedly] 20 million years old, the reptiles inside the golden stones were not found to differ from their contemporary counterparts in any significant way. Scientists attribute the rarity [Ha! A rarity or the rule? Check out rsr.org/stasis.] to stable ecological surroundings." * Squeezing and Rewriting Human History: Some squeezing simply makes aspects of the Darwinian story harder to maintain while other squeezing contradicts fundamental claims. So consider the following discoveries, most of which came from about a 12-month period beginning in 2017 which squeeze (and some even falsify) the Out-of-Africa model: - find two teeth and rewrite human history with allegedly 9.7 million-year-old teeth found in northern Europe (and they're like Lucy, but "three times older") - date blue eyes, when humans first sported them, to as recently as 6,000 years ago - get mummy DNA and rewrite human history with a thousand years of ancient Egyptian mummy DNA contradicting Out-of-Africa and demonstrating Out-of-Babel - find a few footprints and rewrite human history with allegedly 5.7 million-year-old human footprints in Crete - re-date an old skull and rewrite human history with a very human skull dated at 325,000 years old and redated in the Journal of Physical Anthropology at about 260,000 years old and described in the UK's Independent, "A skull found in China [40 years ago] could re-write our entire understanding of human evolution." - date the oldest language in India, Dravidian, with 80 derivatives spoken by 214 million people, which appeared on the subcontinent only about 4,500 years ago, which means that there is no evidence for human language for nearly 99% of the time that humans were living in Asia. (Ha! See rsr.org/origin-of-language for the correct explanation.) - sequence a baby's genome and rewrite human history with a 6-week old girl buried in Alaska allegedly 11,500 years ago challenging the established history of the New World. (The family buried this baby girl just beneath their home like the practice in ancient Mesopotamia, the Hebrews who sojourned in Egypt, and in Çatalhöyük in southern Turkey, one of the world's most ancient settlements.) - or was that 130,000? years ago as the journal Nature rewrites human history with a wild date for New World site - and find a jawbone and rewrite human history with a modern looking yet allegedly 180,000-year-old jawbone from Israel which "may rewrite the early migration story of our species" by about 100,000 years, per the journal Science - re-date a primate and lose yet another "missing link" between "Lucy" and humans, as Homo naledi sheds a couple million years off its age and drops from supposedly two million years old to (still allegedly) about 250,000 years old, far too "young" to be the allegedly missing link - re-analysis of the "best candidate" for the most recent ancestor to human beings, Australopithecus sediba, turns out to be a juvenile Lucy-like ape, as Science magazine reports work presented at the American Association of Physical Anthropologists 2017 annual meeting - find skulls in Morocco and "rewrite human history" admits the journal Nature, falsifying also the "East Africa" part of the canonical story - and from the You Can't Make This Stuff Up file, NPR reports in April 2019, Ancient Bones And Teeth Found In A Philippine Cave May Rewrite Human History. :) - Meanwhile, whereas every new discovery requires the materialists to rewrite human history, no one has had to rewrite Genesis, not even once. Yet, "We're not claiming that the Bible is a science textbook. Not at all. For the textbooks have to be rewritten all the time!" - And even this from Science: "humans mastered the art of training and controlling dogs thousands of years earlier than previously thought."- RSR's Enyart commented on the Smithsonian's 2019 article on ancient DNA possibly deconstructing old myths... This Smithsonian article about an ancient DNA paper in Science Advances, or actually, about the misuse of such papers, was itself a misuse. The published research, Ancient DNA sheds light on the genetic origins of early Iron Age Philistines, confirmed Amos 9:7 by documenting the European origin of the biblical Philistines who came from the island of Caphtor/Crete. The mainstream media completely obscured this astounding aspect of the study but the Smithsonian actually stood the paper on its head. [See also rsr.org/archaeology.]* Also Squeezing Darwin's Theory: - Evolution happens so slowly that we can't see it, yet - it happens so fast that millions of mutations get fixed in a blink of geologic time AND: - Observing a million species annually should show us a million years of evolution, but it doesn't, yet - evolution happens so fast that the billions of "intermediary" fossils are missing AND: - Waiting for helpful random mutations to show up explains the slowness of evolution, yet - adaption to changing environments is often immediate, as with Darwin's finches Finches Adapt in 17 Years, Not 2.3 Million: Charles Darwin's finches are claimed to have taken 2,300,000 years to diversify from an initial species blown onto the Galapagos Islands. Yet individuals from a single finch species on a U.S. Bird Reservation in the Pacific were introduced to a group of small islands 300 miles away and in at most 17 years, like Darwin's finches, they had diversified their beaks, related muscles, and behavior to fill various ecological niches. So Darwin's finches could diversify in just 17 years, and after 2.3 million more years, what had they evolved into? Finches! Hear this also at rsr.org/lee-spetner and see Jean Lightner's review of the Grants' 40 Years. AND: - Fossils of modern organisms are found "earlier" and "earlier" in the geologic column, and - the "oldest" organisms are increasingly found to have anatomical, proteinaceous, prokaryotic, and eukaryotic sophistication and similarity to "modern" organisms AND: - Small populations are in danger of extinction (yet they're needed to fix mutations), whereas - large populations make it impossible for a mutation to become standard AND: - Mutations that express changes too late in an organism's development can't effect its fundamental body plan, and - mutations expressed too early in an organism's development are fatal (hence among the Enyart sayings, "Like evolving a vital organ, most major hurdles for evolutionary theory are extinction-level events.") AND: - To evolve flight, you'd get bad legs - long before you'd get good wings AND: - Most major evolutionary hurdles appear to be extinction-level events- yet somehow even *vital* organs evolve (for many species, that includes reproductive organs, skin, brain, heart, circulatory system, kidney, liver, pancreas, stomach, small intestines, large intestines, lungs -- which are only a part of the complex respiration system) AND: - Natural selection of randomly taller, swifter, etc., fish, mammals, etc. explains evolution yet - development of microscopic molecular machines, feedback mechanisms, etc., which power biology would be oblivous to what's happening in Darwin's macro environment of the entire organism AND: - Neo-Darwinism suggests genetic mutation as the engine of evolution yet - the there is not even a hypothesis for modifying the vast non-genetic information in every living cell including the sugar code, electrical code, the spatial (geometric) code, and the epigenetic code AND: - Constant appeals to "convergent" evolution (repeatedly arising vision, echolocation, warm-bloodedness, etc.) - undermine most Darwinian anatomical classification especially those based on trivialities like odd or even-toed ungulates, etc. AND: - Claims that given a single species arising by abiogenesis, then - Darwinism can explain the diversification of life, ignores the science of ecology and the (often redundant) biological services that species rely upon AND: - humans' vastly superior intelligence indicates, as bragged about for decades by Darwinists, that ape hominids should have the greatest animal intelligence, except that - many so-called "primitive" creatures and those far distant on Darwin's tee of life, exhibit extraordinary rsr.org/animal-intelligence even to processing stimuli that some groups of apes cannot AND: - Claims that the tree of life emerges from a single (or a few) common ancestors - conflict with the discoveries of multiple genetic codes and of thousands of orphan genes that have no similarity (homology) to any other known genes AND (as in the New Scientist cover story, "Darwin Was Wrong about the tree of life", etc.): - DNA sequences have contradicted anatomy-based ancestry claims - Fossil-based ancestry claims have been contradicted by RNA claims - DNA-based ancestry claims have been contradicted by anatomy claims - Protein-based ancestry claims have been contradicted by fossil claims. - And the reverse problem compared to a squeeze. Like finding the largest mall in America built to house just a kid's lemonade stand, see rsr.org/200 for the astounding lack of genetic diversity in humans, plants, and animals, so much so that it could all be accounted for in just about 200 generations! - The multiplied things that evolved multiple times - Etc. * List of Ways Darwinists Invent their Tree of Life, aka Pop Goes the Weasle – Head and Shoulders, Knees and Toes: Evolutionists change their selection of what evidence they use to show 'lineage', from DNA to fossils to genes to body plans to teeth to many specific anatomical features to proteins to behavior to developmental similarities to habitat to RNA, etc. and to a combination of such. Darwinism is an entire endeavor based on selection bias, a kind of logical fallacy. By anti-science they arbitrarily select evidence that best matches whichever evolutionary story is currently preferred." -Bob E. The methodology used to create the family tree edifice to show evolutionary relationships classifies the descent of organisms based on such attributes as odd-toed and even-toed ungulates. Really? If something as wildly sophisticated as vision allegedly evolved multiple times (a dozen or more), then for cryin' out loud, why couldn't something as relatively simple as odd or even toes repeatedly evolve? How about dinosaur's evolving eggs with hard shells? Turns out that "hard-shelled eggs evolved at least three times independently in dinosaurs" (Nature, 2020). However, whether a genus has an odd or even number of toes, and similar distinctions, form the basis for the 150-year-old Darwinist methodology. Yet its leading proponents still haven't acknowledged that their tree building is arbitrary and invalid. Darwin's tree recently fell anyway, and regardless, it has been known to be even theoretically invalid all these many decades. Consider also bipedalism? In their false paradigm, couldn't that evolve twice? How about vertebrate and non-vertebrates, for that matter, evolving multiple times? Etc., etc., etc. Darwinists determine evolutionary family-tree taxonomic relationships based on numbers of toes, when desired, or on hips (distinguishing, for example, dinosaur orders, until they didn't) or limb bones, or feathers, or genes, or fossil sequence, or neck bone, or..., or..., or... Etc. So the platypus, for example, can be described as evolving from pretty much whatever story would be in vogue at the moment... * "Ancient" Protein as Advanced as Modern Protein: A book review in the journal Science states, "the major conclusion is reached that 'analyses made of the oldest fossils thus far studied do not suggest that their [allegedly 145-million year-old] proteins were chemically any simpler than those now being produced.'" 1972, Biochemistry of Animal Fossils, p. 125 * "Ancient" Lampreys Just Modern Lampreys with Decomposed Brain and Mouth Parts: Ha! Researches spent half-a-year documenting how fish decay. RSR is so glad they did! One of the lessons learned? "[C]ertain parts of the brain and the mouth that distinguish the animals from earlier relatives begin a rapid decay within 24 hours..." :) * 140-million Year Old Spider Web: The BBC and National Geographic report on a 140-million year old spider web in amber which, as young-earth creationists expect, shows threads that resemble silk spun by modern spiders. Evolutionary scientists on the otherhand express surprise "that spider webs have stayed the same for 140 million years." And see the BBC. * Highly-Credentialed Though Non-Paleontologist on Flowers: Dr. Harry Levin who spent the last 15 years of a brilliant career researching paleontology presents much evidence that flowering plants had to originate not 150 million years ago but more than 300 million years ago. (To convert that to an actual historical timeframe, the evidence indicates flowers must have existed prior to the time that the strata, which is popularly dated to 300 mya, actually formed.) * Rampant Convergence: Ubiquitous appeals to "convergent" evolution (vision, echolocation, warm-bloodedness, icthyosaur/dolphin anatomy, etc.), all allegedly evolving multiple times, undermines anatomical classification based on trivialities like odd or even-toed ungulates, etc. * Astronomy's Big Evolution Squeeze: - Universe a billion, wait, two billion, years younger than thought (so now it has to evolve even more impossibly rapidly) - Sun's evolution squeezes biological evolution - Galaxies evolving too quickly - Dust evolving too quickly - Black holes evolving too quickly - Clusters of galaxies evolving too quickly. * The Sun's Evolution Squeezes Life's Evolution: The earlier evolutionists claim that life began on Earth, the more trouble they have with astrophysicists. Why? They claim that a few billion years ago the Sun would have been far more unstable and cooler. The journal Nature reports that the Faint young Sun paradox remains for the "Sun was fainter when the Earth was young, but the climate was generally at least as warm as today". Further, our star would shoot out radioactive waves many of which being violent enough to blow out Earth's atmosphere into space, leaving Earth dead and dry like Mars without an atmosphere. And ignoring the fact that powerful computer simulators cannot validate the nebula theory of star formation, if the Sun had formed from a condensing gas cloud, a billion years later it still would have been emitting far less energy, even 30% less, than it does today. Forget about the claimed one-degree increase in the planet's temperature from man-made global warming, back when Darwinists imagine life arose, by this just-so story of life spontaneously generating in a warm pond somewhere (which itself is impossible), the Earth would have been an ice ball, with an average temperature of four degrees Fahrenheit below freezing! See also CMI's video download The Young Sun. * Zircons Freeze in Molten Eon Squeezing Earth's Evolution? Zircons "dated" 4 to 4.4 billion years old would have had to freeze (form) when the Earth allegedly was in its Hadean (Hades) Eon and still molten. Geophysicist Frank Stacey (Cambridge fellow, etc.) has suggested they may have formed above ocean trenches where it would be coolest. One problem is that even further squeezes the theory of plate tectonics requiring it to operate two billion years before otherwise claimed. A second problem (for these zircons and the plate tectonics theory itself) is that ancient trenches (now filled with sediments; others raised up above sea level; etc.) have never been found. A third problem is that these zircons contain low isotope ratios of carbon-13 to carbon-12 which evolutionists may try to explain as evidence for life existing even a half-billion years before they otherwise claim. For more about this (and to understand how these zircons actually did form) just click and then search (ctrl-f) for: zircon character. * Evolution Squeezes Life to Evolve with Super Radioactivity: Radioactivity today breaks chromosomes and produces neutral, harmful, and fatal birth defects. Dr. Walt Brown reports that, "A 160-pound person experiences 2,500 carbon-14 disintegrations each second", with about 10 disintergrations per second in our DNA. Worse for evolutionists is that, "Potassium-40 is the most abundant radioactive substance in... every living thing." Yet the percentage of Potassium that was radioactive in the past would have been far in excess of its percent today. (All this is somewhat akin to screws in complex machines changing into nails.) So life would have had to arise from inanimate matter (an impossibility of course) when it would have been far more radioactive than today. * Evolution of Uranium Squeezed by Contrasting Constraints: Uranium's two most abundant isotopes have a highly predictable ratio with 235U/238U equaling 0.007257 with a standard deviation of only 0.000017. Big bang advocates claim that these isotopes formed in distant stellar cataclysms. Yet that these isotopes somehow collected in innumerable small ore bodies in a fixed ratio is absurd. The impossibility of the "big bang" explanation of the uniformity of the uranium ratio (rsr.org/bb#ratio) simultaneously contrasts in the most shocking way with its opposite impossibility of the missing uniform distribution of radioactivity (see rsr.org/bb#distribution) with 90% of Earth's radioactivity in the Earth's crust, actually, the continental crust, and even at that, preferentially near granite! A stellar-cataclysmic explanation within the big bang paradigm for the origin of uranium is severely squeezed into being falsified by these contrasting constraints. * Remarkable Sponges? Yes, But For What Reason? Study co-author Dr. Kenneth S. Kosik, the Harriman Professor of Neuroscience at UC Santa Barbara said, "Remarkably, the sponge genome now reveals that, along the way toward the emergence of animals, genes for an entire network of many specialized cells evolved and laid the basis for the core gene logic of organisms that no longer functioned as single cells." And then there's this: these simplest of creatures have manufacturing capabilities that far exceed our own, as Degnan says, "Sponges produce an amazing array of chemicals of direct interest to the pharmaceutical industry. They also biofabricate silica fibers directly from seawater in an environmentally benign manner, which is of great interest in communications [i.e., fiber optics]. With the genome in hand, we can decipher the methods used by these simple animals to produce materials that far exceed our current engineering and chemistry capabilities." Kangaroo Flashback: From our RSR Darwin's Other Shoe program: The director of Australia's Kangaroo Genomics Centre, Jenny Graves, that "There [are] great chunks of the human genome… sitting right there in the kangaroo genome." And the 20,000 genes in the kangaroo (roughly the same number as in humans) are "largely the same" as in people, and Graves adds, "a lot of them are in the same order!" CMI's Creation editors add that "unlike chimps, kangaroos are not supposed to be our 'close relatives.'" And "Organisms as diverse as leeches and lawyers are 'built' using the same developmental genes." So Darwinists were wrong to use that kind of genetic similarity as evidence of a developmental pathway from apes to humans. Hibernating Turtles: Question to the evolutionist: What happened to the first turtles that fell asleep hibernating underwater? SHOW UPDATE Of Mice and Men: Whereas evolutionists used a very superficial claim of chimpanzee and human genetic similarity as evidence of a close relationship, mice and men are pretty close also. From the Human Genome Project, How closely related are mice and humans?, "Mice and humans (indeed, most or all mammals including dogs, cats, rabbits, monkeys, and apes) have roughly the same number of nucleotides in their genomes -- about 3 billion base pairs. This comparable DNA content implies that all mammals [RSR: like roundworms :)] contain more or less the same number of genes, and indeed our work and the work of many others have provided evidence to confirm that notion. I know of only a few cases in which no mouse counterpart can be found for a particular human gene, and for the most part we see essentially a one-to-one correspondence between genes in the two species." * Related RSR Reports: See our reports on the fascinating DNA sequencing results from roundworms and the chimpanzee's Y chromosome! * Genetic Bottleneck, etc: Here's an excerpt from rsr.org/why-was-canaan-cursed... A prediction about the worldwide distribution of human genetic sequencing (see below) is an outgrowth of the Bible study at that same link (aka rsr.org/canaan), in that scientists will discover a genetic pattern resulting from not three but four sons of Noah's wife. Relevant information comes also from mitochondrial DNA (mtDNA) which is not part of any of our 46 chromosomes but resides outside of the nucleus. Consider first some genetic information about Jews and Arabs, Jewish priests, Eve, and Noah. Jews and Arabs Biblical Ancestry: Dr. Jonathan Sarfati quotes the director of the Human Genetics Program at New York University School of Medicine, Dr. Harry Ostrer, who in 2000 said: Jews and Arabs are all really children of Abraham … And all have preserved their Middle Eastern genetic roots over 4,000 years. This familiar pattern, of the latest science corroborating biblical history, continues in Dr. Sarfati's article, Genesis correctly predicts Y-Chromosome pattern: Jews and Arabs shown to be descendants of one man. Jewish Priests Share Genetic Marker: The journal Nature in its scientific correspondence published, Y Chromosomes of Jewish Priests, by scie
Menopause can present a wide range of symptoms, from hot flashes and sleep disturbances to brain fog and loss of bone density. Though several safe and effective therapies are available, many patients still aren’t receiving the help they need. A new study from Oregon Health & Science University found that more than 60% of respondents with moderate to severe menopause symptoms weren’t receiving any treatment. The primary reason they reported not engaging in treatment was that their clinician hadn’t recommended it to them. Maria Rodriguez is a professor of obstetrics and gynecology at OHSU and the director of the university’s Center for Reproductive Health Equity. Sara Cichowski is the university’s vice chair of gynecology and an assistant professor of obstetrics and gynecology. They both join us to talk more about the barriers to accessing menopause care in Oregon.
1/2: #HOTEL MARS: What explains The Great Dying of 250 mya? Alexander Farnsworth, Science, University of Bristol. David Livingston, SpaceShow.com 1921 PALEONTOLOGY NATIONAL MUSEUM
2/2: #HOTEL MARS: What explains The Great Dying of 250 mya? Alexander Farnsworth, Science, University of Bristol. David Livingston, SpaceShow.com 1909 DARWIN'S STUDY