Podcasts about surgeons

“M” is for Moore, Samuel Preston (1813-1889). Surgeon general of the Confederacy.

Audi has been sagging for about 5yrs, mostly because they over-spent on BEV tech while under-spending on internal combustion/hybrid tech. To help turn things around Audi plans to reverse that course, make a new TT, and go into Formula 1. We discuss.Then Steve-0, Adams, and Dr Stephan Moran, our trauma surgeon, each list their three favorite recent Audis.Dr Moran gets into how and why safety standards are different in the US, Europe, and Asia, and he recommends that one set of regulations become the standard globally. Which one? We won't reveal it here but here's a hint: it starts with the letters EU.Finally Adams wife spotted a beautiful 2025 Porsche 911 in Paint to Sample Brewster Green. #carsoncallpodcast #traumasurgeonsafety #audiquattro #audiusa #audiTT

Love the episode? Send us a text!In this episode of Breast Cancer Conversations, host Laura Carfang sits down with Dr. Rebecca Knackstedt, Assistant Professor of Plastic Surgery at Duke University and founder of the popular Instagram community @surgical_recovery. Together, they explore the groundbreaking concept of prehabilitation (“prehab”) before breast cancer surgery—a holistic approach that empowers patients to prepare their body, mind, and spirit for better surgical outcomes.Dr. Knackstedt shares evidence-based strategies for optimizing nutrition, exercise, sleep, and emotional well-being before surgery, while also offering practical advice on supplements, inflammation, and lymphedema prevention. This candid conversation goes beyond the operating room, reminding us that healing starts before surgery day—and that small, intentional steps can make a big difference in recovery and quality of life.

God knows the hearts in all of humanity and is not ignorant of our sinful/selfish ways. Over and over the Bible speaks of God being holy, He's entirely opposed to sin and death. Yet God comes to us in Jesus and claims to have a solution. His solution was not to avoid us, or punish us, but rather to deal with our sin. God shows us His law so that we would clearly know His expectations, and we must agree with Him that we have utterly failed. But the good news in Jesus is that God loves you enough to pay the penalty for your sins on the cross. God's full and final Word is a “sword to pierce your soul”, to bring you healing for your sins with His truth and His love. While sinners need a diagnosis to admit the filth that's in our hearts, God's Word from the cross is our only hope. Will we grow in our trust that only grace can save me, or will we insist on proving that we're good enough by our works? 

God knows the hearts in all of humanity and is not ignorant of our sinful/selfish ways. Over and over the Bible speaks of God being holy, He's entirely opposed to sin and death. Yet God comes to us in Jesus and claims to have a solution. His solution was not to avoid us, or punish us, but rather to deal with our sin. God shows us His law so that we would clearly know His expectations, and we must agree with Him that we have utterly failed. But the good news in Jesus is that God loves you enough to pay the penalty for your sins on the cross. God's full and final Word is a “sword to pierce your soul”, to bring you healing for your sins with His truth and His love. While sinners need a diagnosis to admit the filth that's in our hearts, God's Word from the cross is our only hope. Will we grow in our trust that only grace can save me, or will we insist on proving that we're good enough by our works? 

Jess here! A while back, Sarina and KJ talked about how much they enjoyed Tess Gerritsen's novel, The Spy Coast, and Sarina reassured KJ she'd enjoy book two of the series even more. I had never read a Tess Gerritsen novel, and while I'd heard her name before and vaguely understood she wrote thrillers, I was starting from square one when I downloaded the audio version of The Spy Coast. Now, I'm not an international spy thriller kind of gal. In the abstract, I understand the allure of books like Tinker Tailor Soldier Spy or Six Days of the Condor. Spies! Intrigue! International [almost exclusively men] of mystery! But they have never really floated my proverbial boat. That said, I loved Tess Gerritsen's spies and the world they inhabit. There's a sense of place - nay, a downright LOVE of place - and a retiring, rural New England domesticity that spoke to this retiring, rural New England reader. Book two, The Summer Guests, is even more rooted in Maine, on its history and the social dynamics of its natives and its summer people. Once I tore through those first two books, I went back to Gerritsen's first book, The Surgeon, one of Time Magazine's top 100 thriller/mystery books of all time and the first in the Rizzoli & Isles series, consequently made into a long-running television series. Gerritsen has a fascinating career trajectory, lots to talk about regarding pantsing and plotting, where the ideas come from, and lots of other geeky details about the writing life. I hope you enjoy it as much as we did. Find Tess at Tessgerritsen.com, or on Bluesky, @TessGerritsen Transcript below!EPISODE 462 - TRANSCRIPTJennie NashHey everyone, it's Jennie Nash, founder and CEO of Author Accelerator, the company I started more than 10 years ago to lead the emerging book coaching industry. In October, we'll be enrolling a new cohort of certification students who will be going through programs in either fiction, nonfiction, or memoir, and learning the editorial, emotional, and entrepreneurial skills that you need to be a successful book coach. If you've been curious about book coaching and thinking that it might be something you want to do for your next career move, I'd love to teach you more about it, you can go to bookcoaches.com/waitlist to check out the free training I have—that's bookcoaches.com/waitlist. The training is all about how to make money, meaning, and joy out of serving writers. Fall is always a great time to start something new. So if you're feeling called to do this, go check out our training and see if this might be right for you. We'd love to have you join us.Multiple SpeakersIs it recording? Now it's recording, yay. Go ahead. This is the part where I stare blankly at the microphone. I don't remember what I'm supposed to be doing. All right, let's start over. Awkward pause. I'm going to rustle some papers. Okay, now—one, two, three.Jess LaheyHey, this is Jess Lahey, and this is the Hashtag AmWriting Podcast. This is the podcast about writing all the things—short things, long things, poetry, prose, narrative nonfiction, fiction, creative nonfiction, queries, proposals. This is the podcast about writing all the things. More than anything else, this is the podcast about the writing life and about getting the work done. I am Jess Lahey. I'm the author of The Gift of Failure and The Addiction Inoculation. And you can find my journalism at The Atlantic and The Washington Post, and my bi-weekly (formerly bi-weekly) column at The New York Times, The Parent-Teacher Conference, ran for about three years I am joined today by Sarina Bowen, who has written 50-odd books. She has written lots and lots of romance, and her most recent addition to the world of publishing has been her thrillers, Dying to Meet You and The Five Year Lie. And she has a book coming out this fall called Thrown for a Loop. The reason I am recording this intro on my own—which, as you may know if you've been listening, is highly unusual for us—is because I know myself. And I know when I'm really excited to talk to someone on the podcast; I'm going to flub the intro. I'm going to forget something. I'm going to forget to introduce them altogether. So today, I'm doing that first, so I don't mess it up. A while ago on the podcast, you may have heard Sarina and KJ read some books by an author named Tess Gerritsen. I had heard of Tess Gerritsen, but I had never read any of her books. I just hadn't yet. I haven't read Nora Roberts yet. I haven't read—there are lots of authors I haven't read yet. And sometimes you don't even know where to start. So when Sarina and KJ recommended Tess Gerritsen's new series set in Maine—the first one being The Spy Coast and the second one being The Summer Guests—I figured I had a good place to start. And you know, as a New Englander, I love a good book about New England, and that was the start of my interest in Tess Gerritsen's work. I have gone back to the beginning and started with her book The Surgeon, which was her first book in the series that became the Rizzoli and Isles Series, as well as a television show. Tess Gerritsen has a—she's written through 33 books at this point. And as I now know, she has also directed a documentary called Magnificent Beast about pigs, which I listened to this morning while I was vacuuming the house. I loved it. She also—she has a lot to say about genre, about publishing, about second careers, about a writing place, and about process. So let's just jump right into it. I am so excited to introduce to you today, Tess Gerritsen. So from the perspective of what our listeners love—this podcast, the Hashtag AmWriting Podcast —is super geek. People who love the nuts and bolts and the dorky details of the writing life. Sarina has a past life in finance, and so she tends to be, like, our “no, but let's talk about the numbers” kind of person. I'm just the research super dork, which is why I spent my morning watching your documentary about pigs.Tess GerritsenOh my god! (Laughing)Jess LaheyMagnificent Beast. I—I've joked in the past that if I could, I would probably just research things in—in, you know, maybe there'll be a book out there, maybe there won't, but I would research things and—and just learn as much as I could. And so I loved—loved—your Magnificent Beast documentary. I thought it was fantastic. But one of the reasons that we wanted to talk to you, just from the very beginning, is that we feel like you do some pretty incredible world-building and relationship-building with your places and your characters. And so I just—I would love to start there, mainly with the idea of starting with the real nuts and bolts stuff, which is, like, what does an average writing day look like for you? And how do you, sort of—how do you set that up? What does it look like, if you have an average writing day? Maybe you don't.Tess GerritsenWell, it's hard to describe an average writing day, because every day is—there are days when you sit at your desk and you just, you know, pull your hair. And there are days when you get distracted by the news. And there are many days when I just do not want to write. But when I'm writing, the good days are when my characters are alive and talking to me. And it's—it's—you talked about world-building and character-building. That is really key to me. What are they saying to me? Can I hear their voices? And it sounds a little—a little crazy, because I am hearing voices. But it's those voices that really make characters come alive.Jess LaheyI—You have said in other interviews that you are very much—sorry to those of you who hate the terms—that you are very much a pantser. And you are sitting on this interview with a consummate plotter. Sarina is our consummate plotter. So could you talk a little bit about how those character—how those voices—influence, you know, the pantsing of the—of the book, and—and how that works for you?Tess GerritsenWell, I mean, it is weird that I am a pantser. And it's funny—I think that people who are plotters tend to be people who are in finance or in law, because they're used to having their ducks lined up, you know. They—they want everything set up ahead of time, and it makes them feel comfortable. And I think a large part of becoming a pantser is learning to be comfortable with unpredictability. Learning to just let things happen, and know you're going to take wrong turns, know you're going to end up in blind alleys—and yet just keep on forging ahead and change direction. So I suppose that what helps me become a pantser, as I said, is hearing a character's voice. If, for instance, when I wrote The Spy Coast, the first thing I heard about that book was Maggie Bird's voice. And she just said, “I'm not the woman I used to be.” And that's an opening there, right? Because you want to find out, Maggie, who did you used to be? And why do you sound so sad? So a lot of it was just—just getting into her head and letting her talk about what a day-to-day life is, which is, you know, raising chickens and collecting eggs and becoming—and being—a farmer. And then she does something surprising in that very first chapter. There's a fox that's killing her chickens, so she grabs her rifle and kills it with one shot. And that opens up another thing, like—how are you, a 62-year-old woman, able to take out a rifle and kill a fox with one shot? So it's—it's those things. It's those revelations of character. When they come out and they tell you something, or they show you they—they have a skill that you weren't aware of, you want to dig deeper and find out, you know, where did they get that skill?Sarina BowenAnd that is a really fun way to show it. I mean, you're talking today with two people who have also kept chickens.Multiple Speakers(All laughing)Jess LaheyAnd had foxes take their chickens, actually.Sarina BowenOh yes, because the two go together.Tess GerritsenYes.Sarina BowenBut yes, I admit I have never shot a fox, and maybe wouldn't.Jess LaheyI have yelled very loudly at a fox, and he actually—I have to say—really mad respect for the fox, because he took one look at me—he did drop the chicken that I was yelling at him for grabbing—and then he went across the street, around the neighbor's house, around the back of the other neighbor's house, and came at the exact same chicken from the other side of the house, where I couldn't see him out the window.Tess GerritsenOh, they are so smart. They are so smart.Jess LaheySo smart. Sarina, it sounded like you had something— you had something you wanted to add, and I interrupted you when we were talking about pantsing and we were talking about world-building and characters speaking to you.Sarina BowenWell, I just had thought that it was a lovely moment to explain why I was so excited to read this book after I heard Tess speak at Thriller Fest 2024, in a packed room where there was nowhere to sit except on the floor. You told the audience a little bit of a story from your real life that—that made you want to write that book. And I wonder if you could tell us what that was, because for me—I mean, we were only five minutes into your talk, and I'm like, oh, I'm—I'm going to download that tonight.Tess GerritsenWell, yes, it was. A lot of my books come from ideas that I've been stewing over for years. I have a folder called the ideas folder. It's an actual physical manila folder. And if I see something in an article or a newspaper or a magazine, I'll just rip it out and stick it in there, and it sometimes takes a long time before I know how to turn this into a book. So the idea for The Spy Coast is a little bit of obscure knowledge that I learned 35 years ago, when I first moved to Maine. My husband is a medical doctor. He opened up a practice, and when he would bring in new patients, he would always get an occupational history. And he used to get this answer—this very strange answer—from his new patients. They would say, “I used to work for the government, but I can't talk about it.” And after he heard that three times, he thought, what town did we land in? And who are these people? And we later found out that on our very short street, on one side of us was a retired OSS person, and on the other side was retired CIA. A realtor told us that our town was full of CIA retirees. So, I mean, of course you want to ask, why did they get here? What are they doing here? What are their lives like? I knew there was a book in there, but I didn't know what that book was. I needed 35 years to come up with the idea. And what I really needed to do was become old and—and realize that as you get older, especially women, we become invisible. People don't pay attention to us. We are over the hill. You know, everybody looks at the young, pretty chicks, but once you start getting gray hair, you fade into the background. And with that experience myself; I began to think more and more about what it's like to be retired. What is it like to be retired from a job that was maybe dangerous, or exciting, or something that you really risked your life to—to achieve? So that was—that was the beginning of The Spy Coast. What happens to CIA retirees—especially women—who are now invisible? But that makes them the best spies of all.Jess LaheyYeah, and we have—we did this really cool thing, this really fun thing for us on the Hashtag AmWriting Podcast. It's like a supporter-only thing, where we call First Pages, where very brave authors—very brave writers—submit their first page to us, and we talk about it and decide whether or not we'd want to turn the page. And you have an incredible skill on your first pages. You're very, very good at first pages. And I was thinking about The Summer Guests, that you had this wonderful line that I'm going to read now:Purity, Maine, 1972. On the last day of his life, Purity police officer Randy Pelletier ordered a blueberry muffin and a cup of coffee at the Marigold Café,Which immediately reminded me of my very, very favorite line from all of literature—my very favorite first line—which is Irving's first line from A Prayer for Owen Meany, in which he ruins the story for you right there in the first line:I am doomed to remember a boy with a wrecked voice—not because of his voice, or because he was the smallest person I ever knew, or even because he was the instrument of my mother's death, but because he is the reason I believe in God.There is this incredible power to first lines. And I'm sort of wondering where—how first lines happen for you. Do they happen first? Do they happen last? Do they happen along the way?Tess GerritsenFirst lines usually happen last. I—it's—I will write the whole book, and I'll think, something's missing in that first chapter. How do I open this up? And, you know, there are things that make lines immediately hypnotic, and one of those things is an inherent contradiction—something that makes you think, wait, okay, you start off this way, but then all of a sudden, the meaning of that line switches. So, yeah, it starts off with, you know, this guy's going to die. But on that last day of his life, he does something very ordinary. He just orders coffee at the local café. So I think it's that contradiction that makes us want to read more. It's also a way to end chapters. I think that—that if you leave your reader with a sense of unease—something is about to go wrong, but they don't know what it is yet—or leave them with an unanswered question, or leave them with, as I said, a contradiction—that is what's page-turning. I think that a lot of thriller writers in particular mistake action for—for being—for being interesting. A car chase on the page is really very boring. But what's interesting is something that—you could feel that tension building, but you don't know why.Sarina BowenI have joked sometimes that when I get stuck on a plot, sometimes I will talk at my husband and—and say, “you know, I'm stuck here.” And he always says, “And then a giant squid attacked.” And it—of course I don't write books that take place where this is possible, so—but it never fails to remind me that, like, external action can sometimes be just, you know, totally pointless. And that if you're stuck, it's because one of your dominoes isn't leaning, you know, in the right spot. So...Tess GerritsenYeah, it's—it's not as much fun seeing that domino fall as seeing it go slowly tilting over. You know, I really learned this when I was watching a James Bond movie. And it starts off—you know, the usual James Bonds have their cold open to those action and chasing and death-defying acts. I found that—I find that really, in that movie anyway—I was like, Ho hum. Can we get to the story? And I found the time when I was leaning forward in my theater seat, watching every moment, was really a very quiet conversation aboard a train between him and this woman who was going to become his lover. That was fascinating to me. So I think that that transfers to book writing as well. Action is boring.Jess LaheyYou and Sarina do something that I feel, as a writer; I would probably not be very good at, which is creating that unease. I—Sarina in particular does this thing... I've read every one of Sarina's books, as a good friend is supposed to do. And I text her, and I say, Why don't they just talk about it and just deal? Get it out in the open! And she's like, you know, we just got to make these people uncomfortable. And you both have this incredible talent for helping—keeping the reader, uh, along with you, simply because there is this sense of unease. We're slightly off-kilter the whole time. And yet in me, as a people pleaser, that makes me very uncomfortable. I want people to be happy with each other. So how do you—if you get to a place where you feel like maybe things aren't off-kilter enough, or things aren't off-balance enough—how do you introduce a little bit of unease into your—into your story?Tess GerritsenWell, I think it comes down to very small points of conflict—little bits of tension. Like, we call it micro-tension. And I think those occur in everyday life all the time. For instance, you know, things that happen that really don't have any big consequence, but are still irritating. We will stew about those for—for a while. And, you know, I used to write romance as well, so I understand entirely what Sarina is doing, because romance is really about courtship and conflict. And it's the conflict that makes us keep reading. We just—we know this is the courtship. So there's always that sense of it's not quite there, because once the characters are happy, the story is over, right?Sarina BowenYeah.Multiple Speakers(All laughing)Sarina BowenAlso, writing the ends of romance novels is the least interesting part. Like, what...? Once the conflict is resolved, like, I cannot wait to get out of there.Tess GerritsenRight, exactly. You know, I—I pay attention to my feelings when I'm reading a book, and I've noticed that the books that I remember are not the books with happy endings, because happiness is so fleeting. You know, you can be happy one second, and then something terrible will happen. You'll be unhappy. What lasts for us is sadness, or the sense of bittersweet. So when I read a book that ends with a bittersweet ending—such as, you know, Larry McMurtry Lonesome Dove—I ended up crying at the end of that book, and I have never forgotten that ending. Now, if everybody had been happy and there had been nobody to drag all those miles at the end, I would have forgotten that book very quickly. So I think—I try—I always try to leave the end of the book either bittersweet—I mean, you want to resolve all the major plot points—but also leave that sense of unease, because people remember that. And it also helps you, if you have a sequel.Sarina BowenThat's so interesting you've just brought up a couple of really interesting points, because there is a thriller—I actually write suspense now—and one of the books that so captured my attention about five years ago was killing it on the charts. And I thought it was actually a terrible book, but it nailed the bittersweet ending. Like, the premise was solid, and then the bittersweet ending was perfect, and the everything between the first chapter and the last chapter was a hot mess, but—but—um, that ending really stuck with me. And I remember carrying it around with me, like, Wow, they really nailed that ending. You know, and—and maybe that has, like, legs in terms of, like, talking about it. And, you know, if it—if—if it's irritating enough, like, the tension is still there—enough to, like, make people talk about it—it could actually affect the performance of that book. But also, um, one thing that I really love about this series—you have—what is the series title for the...?Tess GerritsenMartini—The Martini Club.Sarina BowenThe Martini Club, right? So The Martini Club is two books now. I inhaled the first one last summer, and I inhaled the second one this summer. And The Martini Club refers to this group of friends—these retired spies. And of course, there are two completely different mysteries in book one and book two. And I noticed a couple of things about the difference between those mysteries that was really fun. So in the first case—or in one of the two cases, let's see—in one of them, the thing that happens in their town is actually, like, related to them. And in the other one, it's kind of not. So to me, that felt like a boundary expansion of your world and your system. But also, I just love the way you leaned into the relationship of these people and their town in such a way. And how did you know to do that? Like, how—what does your toolbox say about how to get that expansiveness in your character set? Like, you know, to—to find all the limits of it?Tess GerritsenThat—you know, so much is like—it's like asking a pole-vaulter how they do it. They just—they have just—I guess its muscle memory. You don't really know how you're doing it, but what I did know was—with age, and because I love these characters so much—it really became about them and about what is going to deepen their friendship? What kind of a challenge is going to make them lean into each other—lean on each other? That's really what I was writing about, I think, was this circle of friends, and—and what you will do, how much you will sacrifice, to make sure your friends are safe. No, you're right—the second book is much more of a classic mystery. Yeah—a girl disappears. I mean, there was—there were—there were CIA undertones in that, because that becomes an important part of the book. But I think that what people are—when people say they love this book—they really talk about the characters and that friendship. And we all want friends like this, where we can go and—and—and have martinis together, and then if we—one of us needs to—we'll go help them bury a body.Multiple Speakers(All laughing)Tess GerritsenThat's—they all have shovels, and they're willing to do it. That's the kind of friendship—friends—we want.Jess LaheyWell, and that's funny you mention that—I had an entire question—it wasn't even a question, it was a statement—in here about friendships and being grateful to you for the reminder about the importance of relationships. And this entire podcast was born out of the fact that we were talking writing all the time, and we just wanted an official way to sit down once a week and actually talk about the work. And your work is suffused with just these incredible relationships—whether that's the Rizzoli and Isles—you know, in your first—in the one of your other series—and I'm just—I'm very grateful for that, because we—especially—I think I re—I really crave books about female relationships, especially about older female relationships. And I have been loving your books, and I've—like, as I may have mentioned to you in my initial email—I had—I'm so sorry—never read your books before. And I admitted in the introduction that there are lots of very, very famous authors whose books I have never read. And it's always so exciting to me to dive into someone's series and realize, oh, this person really touches on themes that mean a lot to me, and I can already tell that I'm going to be enjoying a lot of their books to come forward. So thank you for all of the great descriptions of relationships and how we do rely on each other for various aspects of just how we get through all of this stuff.Tess GerritsenYeah—get through life. But you know what's funny about it is that it didn't start that way. For instance, let's go back to Rizzoli and Isles. The very first time they both appear in a book is in The Apprentice. And they don't start off being friends. They start off being—they're so different. As the TV producer once said, “you've really written about Captain Kirk and Mr. Spock.” That's okay—they are—in the books. They are not natural friends. But like real-life friendships, sometimes—just kind of develop slowly, and—and they have their ups and downs. So there are times when—when Jane and Maura are barely speaking to each other because of conflicts they have. But by the time book twelve comes around—or maybe book seven comes around—you know that they would risk their lives for each other. So I think that if you're writing a series like Rizzoli and Isles, or like The Martini Club, it really helps to develop the friendship on the fly and see how they react to certain stresses. The next book, which I just turned in, called The Shadow Friends—it even put—pushes them even further, and it really—it really strains a marriage, because it's—it's more about Ingrid, and an old lover comes back into her life. She used to—they were both spies—and he is, like, hot, hot, hot—Antonio Banderas kind of guy. And here's Ingrid, married to Lloyd, you know, who's just a sweet analyst who cooks dinner for her every night. And I—when I was coming up with that story, I thought, I want to write a book about their marriage. So it wasn't—the plot wasn't about, oh, you know, international assassinations, even though that does occur in the book. It's really about the story of a marriage.Jess LaheyAnd it gives you, it gives you added unease. You know, if you have your two characters not speaking to each other, and you know your readers love those characters and crave those characters to be getting along at some point, then that's just another reason that we're following along. I was just thinking about, uh, Michael Connelly, uh, book the other day, because I really, really like the series he did with Renée Ballard and her relationship with the Bosch character, and how that series is totally about crime, but yet it's also very much about the relationship. And I think I follow—I continue to read those because of the relationship between those two human beings, and less so because of the murder mystery sort of stuff.Tess GerritsenI think it really becomes important if you're dealing also with Hollywood television series. I still remember what the producer first said when he called me up about Rizzoli and Isles. He said, "I love your girls, and I think they belong on TV.” He didn't say, I love your plots. He didn't say, I love your mysteries, you know, all your intricate ups and downs. It was really about the girls. So if you hope to sell to a television series, really, it's about characters again.Jess LaheyAbsolutely.Sarina BowenI was going to ask about longevity, because you have so many books, and you're so obviously still invigorated by the process, or there wouldn't be a book three that you just turned in. So how have you been able to avoid just being sick to death of—of writing suspense novel after suspense novel?Tess GerritsenI refused. That's what it is. You know, I—I don't—I guess I could say that I have a little bit of ADHD when it comes to—to the books I write. I cannot—after 13 books of Rizzoli and Isles, I just had a different idea. And it takes—it takes a certain amount of backbone to say no to your publisher, to your editor, to people who are going, well, when's the next one in this series coming out? And to be able to say, I need a break. I need to do something completely different. So over—how many years I've been a writer—almost 40 now—I've written science fiction and historicals and a ghost story and romantic suspense and spy novels and medical thrillers and crime novels. I've been all over the place, but each one of those books that took me out of what I was expected to do was so invigorating. It was a book that I needed to write. As an example, I wrote a book called Playing with Fire. Nobody wanted that book. Nobody expected that book. It was a historical about World War II, and about music—about the power of music—and having to do with the death camps. I remember my publisher going, "What are you doing?" And, you know, it's—it's true—they're—they—they are marketers, and they understood that that book would not sell as well, and it didn't. But it still remains one of my favorite books. And when you want to write a book, you need to write that book. That's all—even—even if nobody wants it.Jess LaheyI actually was—I'm so pleased that this came up, because that was actually going to be my question, because both you and Sarina have done this—done, you know, 90 degrees—whether it's out of, you know, one genre into another—and that, to me, requires an enormous amount of courage. Because you know you have people expecting things from you. And you in particular, Tess, have people saying, "No, I want the next one. I love this relationship. I want the next one." And—and dealing—you're not just dealing with the disappointment of whether it's an agent or an editor, but the disappointment of fans. And that's a pressure as well. So when I used to do journalism, I remember a question I asked of another journalist was, "How do you continue to write without fear of the comment section?" And essentially, for us, that's our—you know, those are our readers. So how do you find that thing within yourself to say, no, this really is the thing that I need to be writing now?Tess GerritsenWell, that is a really—it's a really tough decision to buck the trend or buck what everybody's expecting, because there's a thing in publishing called the death spiral. And if your book does not sell well, they will print fewer copies for the next one. And then that won't sell well. So you start—your career starts to go down the drain. And that is a danger every time you step out of your tried and true series and do something out of—you know, completely out of the ordinary. I think the reason I did it was that I really didn't give a damn. It was—it was like, Okay, maybe this will kill my career, but I've got to write this book. And it was always with the idea that if my publisher did not want that, I would just self-publish. I would just, you know, find another way to get it out there. And I—I was warned, rightly so, that your sales will not be good for this book, and that will—it will hurt the next contract. And I understood that. But it was the only way I could keep my career going. Once you get bored, and you're—you're trapped in a drawer, I think it shows up in your writing.Jess LaheyI had this very conversation with my agent. The—my first book did well. And so then, you know, the expectation is, I'll write like part two of that, or I'll write something for that exact same audience again. And when I told my agent—I said, "You know, this book on substance use prevention and kids—I—it's—I have to write it. And I'm going to write it even, you know, if I have to go out there and sell it out of the trunk of my car." And she said, "Okay, then I guess we're doing this." And yes...Tess Gerritsen(Laughing) They had their best wishes at heart.Jess LaheyAnd honestly, I love—I loved my book that did well. But The Addiction Inoculation is the book I'm most proud of. And, you know, that's—yeah, that's been very important to me.Tess GerritsenI often hear from writers that the book that sold the fewest copies was one that was—were their favorites. Those are the ones that they took a risk on, that they—I mean, they put their heart and soul into it. And maybe those hurt their careers, but those are the ones that we end up being proud of.Jess LaheyI like to remind Sarina of that, because I do remember we text each other constantly. We have a little group, the three of us, a little group text all day long. And there was—I remember when she first wrote a male-male romance, she was scared. She was really scared that this was going to be too different for her readers. And it ended up being, I think, my favorite book that she's ever written, and also a very important book for her in terms of her career development and growth, and what she loves about the work that she does. And so I like to remind her every once in a while, remember when you said that really scared you and you weren't sure how your readers were going to handle it?Sarina BowenRight? Well, I also did that in the middle of a series, and I went looking for confirmation that that is a thing that people did sometimes, and it was not findable. You know, that was...Jess LaheyWhat? Change things up in terms of—change things up in the middle of a series?Sarina BowenIn the middle of a series. And anyway, that book still sells.Tess GerritsenThat is a great act of courage, but it's also an act of confidence in yourself as a writer. There are ways to do it. I think some writers will just adopt a different pen name for something that's way out there.Jess LaheyIt's funny you should say... it's funny you should say that.Sarina BowenWell, no, and I never have done that, but, um—but anyway, yeah, that's hard. I, uh...Jess LaheyYeah.Sarina BowenIt's hard to know. Sometimes...Jess LaheyWe entertain it all the time. We do talk about that as an option all the time. Shouldn't we just pick up and do something completely different? One of the things that I also—I mentioned at the top of the podcast about, you know, you went off—not only have you done lots of different things in terms of your writing—but you went off and you did an entire documentary about pigs. I have—I have to ask you where on earth that came from and why. And it is a total delight, as I mentioned, and I have already recommended it to two people that I know also love the topic. But, you know, to go off—and especially when you usually, as some of us have experienced—our agents saying, so when am I going to see more pages? or when am I going to see the next book? And you say, I'm really sorry, but I have to go off and film this documentary about pigs.Tess GerritsenYes. Well, you know, I was an anthropology major in college, and I've always been interested in the pig taboo. You know, back then, everybody just assumed it was because, yeah, it was disease or they're dirty animals—that's why they're forbidden food. It never quite convinced me, because I'm Chinese-American. Asia—you know, Asia loves pork. Why aren't they worried about all that? So I was in Istanbul for a book tour once, and I remember I really wanted bacon, and, you know, I couldn't get bacon. And then I thought, okay, I really need to find out why pork is forbidden. This is a—this is a cultural and historical mystery that never made sense to me. The explanations just never made sense to me. It cannot be trichinosis. So I told my son that—my son is—he does—he's a filmmaker as well. And he just said, "Well, let's do it. Let's—we will pose it as a mystery," because it is a mystery. So it took us probably two years to go and—you know, we interviewed anthropologists and pet pig owners and archaeologists, actually, just to find out, what do they say? What is the answer to this? And to us, the answer really just came down to this cultural desire for every—every tribe—to define us versus them. You know, they eat pigs. They're not us, so therefore they're the enemy. And it was fascinating because we—we ended up finding out more about pigs than I was expecting, and also finding out that people who have pet pigs can sometimes be a little unusual.Jess LaheyAnd the people who purchase the clothes for the pigs are also crazy.Tess GerritsenYes. Sew outfits for their pigs and sleep with their pigs. And there was—there was one woman who had—she slept on the second floor of her house, so she had an elevator for her pig who couldn't make it up the stairs, and, you know, ramps to get up onto the bed because they've gotten so fat—they've been overfed. But it was—for me, at the heart of it was a mystery.Jess LaheyAs a nonfiction author whose whole entire reason for being is, "I don't know—let's find out," I think that's just the most delightful thing. And I loved your framing as, "I don't know, we have this question, let's go out there and just ask people about it and find the experts." And that's—oh, I could just live on that stuff. So...Tess GerritsenSo could I. You know, research is so enticing. It's enticing. It is—it can get you into trouble because you never write your book. Some of us just love to do the research.Jess LaheySarina actually has taken skating lessons, done glass blowing—what else have you done? Yoga classes and all—all kinds of things in the pursuit of knowledge for her characters. And I think that's a delight.Sarina BowenYes. If you can sign up for a class as part of your research, like, that is just the best day. Like, you know, oh, I must take these ice skating lessons twice a day for five months, because—yeah—or twice a week, but still.Tess GerritsenYou must be a good ice skater then.Sarina BowenI'm getting better.Tess GerritsenSo you never gave them up, I see.Jess LaheyWell, it's fun because she usually writes about hockey, but she has a figure skater coming up in this book that's coming out this fall. And she's like, "Well, I guess I'm just going to have to learn how to figure skate."Tess GerritsenYeah.Sarina BowenI also—one time I went to see Rebecca Skloot speak about her big nonfiction The Immortal Life of Henrietta Lacks.Tess GerritsenOh, okay.Sarina BowenAnd she said that all her best ideas had come from moments in her life when she went, "Wait, what?!"Tess GerritsenYes. Yep.Sarina BowenIncluding for The Immortal Life of Henrietta Lacks. Like, she learned about the cells in high school—she was in high school biology class—and the teacher said, like, "This woman died in the '60s, but we're still using her cells," and she said, "Wait, what?!" And that's—that's what you made me think of with the pigs. Like, I think...Jess LaheyWell, and also your folder of ideas. I mean, I immediately texted Sarina after listening to a podcast where I heard an ad, and the ad made me go, "Oh that could be creepy." And then I'm like, "Okay, this is—this is a plot. This is going in the folder somewhere." And so you have to just think about how those things could unfold over time. And I love the idea of—and even in journalism—there are articles that I've written where I said, this just isn't their time. And then, like, five years later, I'll hear something out there, and I'm like, okay, finally, it's the time for this thing. And there's a reason you put that article in your idea—in your paper—manila folder of ideas.Tess GerritsenWell, I think writers are—we have to be curious. We have to be engaged in what's going on around us, because the ideas are everywhere. And I have this—I like to say I have a formula. It's called "two plus two equals five." And what that means is, sometimes you'll have a—you'll have a piece of information that, you know, there's a book here, but you haven't figured out what to do with it. And you wait for another piece of information from some completely different source, and you put them together, and they end up being like nuclear fusion—bigger than the…Sarina BowenYes!Jess LaheyYes!Tess GerritsenSome of the parts.Sarina BowenMost every book I've ever written works like that. Like, I have one idea that I drag around for, like, five years, and then I have this other idea, and one day I'm like, oh, those two things go together.Tess GerritsenYep.Jess LaheyYeah, absolutely. I think Stephen King mentioned that about Carrie. I think it was like, telekinesis, and that usually starts about the time of menstruation, and it was like, boom, there was Carrie. You know, those two things came together. I love that so much. So you mentioned that you have just handed in your next book, and we don't—we do not, as a rule, ask about what's next for an author, because I find that to be an incredibly intimidating and horrifying question to be asked. But I would love to hear; you know, is this—is this series one that you hope to continue working on? The main series, mainly because we have quite fallen in love with your little town in Maine—in Purity, Maine. Fantastic name for your town, by the way. It's really lovely. It creates such a nice dichotomy for these people who have seen and heard things during their careers that maybe are quite dark, and then they retire to a place called Purity. Is this a place where we can hopefully spend a little bit of time?Tess GerritsenWell, I am thinking about book number four now. I have an idea. You know, it always starts with—it starts with an idea and doodling around and trying to figure out what—you know, you start with this horrible situation, and then you have to explain it. So that's where I am now. I have this horrible situation, I have to explain it. So, yeah, I'm thinking about book four. I don't know how—you never know how long a series is going to go. It's a little tough because I have my characters who are internationally based—I mean, they've been around the world—but then I can't leave behind my local cop who is also a part of this group as well. So I have to keep an eye out on Maine being the center of most of the action.Sarina BowenRight, because how many international plots can you give Purity, Maine?Tess GerritsenThat's right, exactly. Well, luckily…Jess LaheyLook, Murder, She Wrote—how many things happened to that woman in that small town?Tess GerritsenExactly, exactly. Well, luckily, because I have so many CIA retirees up here, the international world comes to us. Like the next book, The Shadow Friends, is about a global security conference where one of the speakers gets murdered. And it turns out we have a global security conference right here in our town that was started by CIA 40 years ago. So I'm just—I'm just piggybacking on reality here. And—not that the spies up here think that's very amusing.Sarina BowenThat is fantastic, because, you know, the essential problem of writing a suspense novel is that you have to ground it in a reality that everyone is super familiar with, and you have to bring in this explosive bit of action that is unlikely to happen near any of us. And those two things have to fit together correctly. So by, um, by putting your retired spies in this tiny town, you have sort of, like, gifted yourself with that, you know, precise problem solver.Tess GerritsenYeah, reminding us.Sarina BowenYeah.Tess GerritsenBut there's only so far I can take that. I'm not sure what the limits... I think book four is going to take them all overseas, because my local cop, Jo, she's never been out of the country—except for Canada—and it's time for her dad to drag her over to Italy and say, "Your dead mom wanted to come to Italy, so I'm taking you." And, of course, things go wrong in Italy for Jo.Jess LaheyOf course, of course. Well, we're going to keep just banging on about how much we love these books. I think we've already mentioned it in three podcast episodes so far in our “What have you been reading lately that you've really loved?” So we're—we're big fans. And thank you so much for sitting down to talk with us and to—you know, one of the whole points of our podcast is to flatten the learning curve for other authors, so we hope that that's done a little bit of that for our listeners. And again, thank you so much. Where can people find you and your work if they want to learn a little bit more about Tess Gerritsen—her work?Tess GerritsenYou can go to TessGerritsen.com, and I try to post as much information there as I can. But I'm also at Bluesky, @TessGerritsen, and what is now called “X”—a legacy person on X—@TessGerritsen, yes.Jess LaheyThank you so, so much again. And for everyone out there listening, keep your butt in the chair and your head in the game.The Hashtag AmWriting Podcast is produced by Andrew Perella. Our intro music—aptly titled Unemployed Monday—was written and played by Max Cohen. Andrew and Max were paid for their time and their creative output, because everyone deserves to be paid for their work. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit amwriting.substack.com/subscribe

Join Dr. Philip Ovadia and Practice Manager Cherish Thompson for a compelling conversation on cardiovascular disease (CVD) and the path to restoring health and quality of life. They'll explore the importance of early diagnostics, working with a cardiothoracic surgeon, and addressing key factors like metabolic health, LDL cholesterol, and lifestyle changes. Gain valuable insights into tackling heart disease and making impactful changes to achieve long-term wellness.Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Dr. Jaclyn Tomsic completed her oral and maxillofacial surgery training at Detroit Medical Center, rotating through Level I trauma centers including Detroit Receiving and Henry Ford Hospitals. She earned her medical degree from Wayne State University and completed a general surgery internship and chief year in OMF surgery. She then completed a fellowship at Georgetown University Hospital and the Posnick Center for Facial Plastic Surgery, focusing on jaw reconstruction, orthognathic, and facial plastic surgery. After another year as a surgery resident at Washington Hospital Center, she completed a fellowship in facial cosmetic and TMJ surgery at Mercy Hospital in St. Louis, earning Fellowship in the American College of Surgeons. Now based in her hometown of Cleveland, Dr. Tomsic focuses on facial cosmetic surgery, trauma, and implant surgery. Outside of work, she enjoys sports, fitness, travel, and time with family and friends.

In this episode, Dr. Nigel Cameron – theologian, bioethicist, and author of Dr. Koop: The Many Lives of the Surgeon General – joins Faith in Healthcare host Dr. Mike Chupp to share the remarkable story of C. Everett Koop. From revolutionizing pediatric surgery and pioneering the NICU to serving as Surgeon General during the AIDS crisis, Koop united medical innovation with moral conviction, championing the value of every life. Drawing on years of research and interviews, Cameron highlights Koop's bold leadership, deep faith, and lasting impact on American medicine, public health, and the pro-life movement.

Dr. Sumanta (Monty) Pal and Dr. Arielle Elkrief discuss the clinical relevance of the gut microbiome in cancer immunotherapy and the importance of antibiotic stewardship, as well as interventions currently being explored to treat gut dysbiosis and optimize immunotherapy response. TRANSCRIPT Dr. Sumanta (Monty) Pal: Hi everyone, I'm Dr. Monty Pal, welcoming you to the ASCO Daily News Podcast. I'm a medical oncologist. I'm a professor and vice chair of academic affairs at the City of Hope Comprehensive Cancer Center in Los Angeles.  Today we're here to discuss one of my favorite topics, which is the gut microbiome. It's almost hard to avoid the gut microbiome nowadays if you look at medical literature within oncology. It's an emerging phenomenon, but there are a couple of individuals that I would really define as pioneers in the field. And one of them is actually with me today, Dr. Arielle Elkrief, to discuss the clinical relevance of the gut microbiome, particularly amongst patients receiving immunotherapy, although I imagine our conversation today will take many twists and turns. Arielle is an assistant professor and clinician scientist in the Department of Oncology at the University of Montreal, and she is co-director of the CHUM Microbiome Center there.  FYI for the listeners, we have our full disclosures in the transcript of this episode.  Arielle, thank you so much for joining us today. Dr. Arielle Elkrief: Thanks so much, Monty. This is going to be amazing. Dr. Sumanta (Monty) Pal: Well, I have to tell you what sort of inspired me to bring you on as a guest. It was one of many things, but it was this really terrific ASCO Educational [Book] article that you wrote. Now, I have to tell you, I've read all the articles sort of cover to cover in the book, and they're always a wonderful primer, so if our audience is studying for board research or something of that sort, it's a terrific resource to go through. I have to tell you, this piece on the gut microbiome that you wrote is nothing short of a masterpiece. If you read this cover to cover, it's actually going to give you, I think, a sense of the current state and future state of the field. I wanted to start by just sort of beginning with sort of the origin story for a lot of this, which is this association between the gut microbiome and immunotherapy response. This takes us back several years to this pivotal series of papers in Science. Maybe you could walk our audience through that. Dr. Arielle Elkrief: Absolutely. Well, thank you so much for your kind words about the ASCO [Educational] Book. It was a team effort with a lot of key opinion leaders in the field, so I'm really glad to learn that you've liked it.  Moving backwards in terms of how we came to understand that the gut microbiome is essential to priming a response to cancer immunotherapy actually goes back to 2015 and seminal papers that looked at what happens when we take mice that are germ-free mice that have never been exposed to a microbiome. These are mice that are born by cesarean section and essentially live in a bubble. And when we give those mice tumors and treat them, in the first papers with anti-CTLA-4 treatment, we realized that these antibodies don't work at all. And that was the first observation that the presence of a gut microbiome was essential to mounting an anti-cancer immune response. When we supplemented those same mice with beneficial bacteria or feces from responder patients, we were able to restore the response to immunotherapy. And so those were really the first preclinical observations that made us understand the critical role of the microbiome in immunotherapy response. Moving a little bit in the future, we examined the fecal microbiome composition using shotgun metagenomic sequencing in different cohorts of patients with solid tumors, namely lung cancers, kidney cancers, and also skin tumors like melanoma, and found that patients who responded to immunotherapy had a distinct microbiome that was characterized by beneficial bacteria compared to patients who experienced resistance to immunotherapy that had a dysbiotic or diseased microbiome. Dr. Sumanta (Monty) Pal: So, you know, it's interesting, these techniques that we're using to sequence the gut, they're a little bit different. So I wonder if you can give the audience a quick primer on these techniques that you're so well versed in, shotgun metagenomic sequencing, 16S rRNA sequencing. If you had to describe this in 30 seconds, which is a tall task, how would you do that? Dr. Arielle Elkrief: That's a tall task. Much of what we know about the microbiome initially came from a technique called 16S rRNA sequencing. This is a technique that amplifies the 16S region and basically tells you at the genus level what's going on at the level of bacterial composition. This technique is fast, relatively cheap, and can be performed on a laptop computer, which is excellent. The problem is that it's prone to a lot of technical variations. Different primers might give you different results, and you're really limited at the genus resolution. You can't get a good resolution in terms of species, and we're learning that different species from the same genus might have different physiological properties, and the same thing goes at the strain level. So when we really zone in and look at inter-species changes, we're seeing that these actually have specific functions in the host. So that brings us to metagenomic sequencing, which is a whole genome sequencing, next-generation sequencing based method that looks at the whole composition and gives you information not only on bacteria, but you might also get fungal and viral properties. You can zoom in on the strain level. You can also get functional output, so we can examine what the metabolic properties of specific species or strains might look like. The negative aspects of shotgun metagenomic sequencing is that it takes a lot of computational power in order to analyze the results and it might take a little bit longer. And certainly, within the clinical setting, not something that's feasible yet.  And that brings us to more novel point-of-care biomarker tools that we've collaborated in developing along with Dr. Laurence Zitvogel and Dr. Lisa Derosa at Gustave Roussy, that learning from the shotgun metagenomics results designed a probe using quantitative PCR which looks for this specific bacteria we know to be important and developed a ratio of harmful bacteria to beneficial bacteria. This is called the TOPOSCORE, and it actually is able to predict quite nicely the response to immunotherapy using a stool sample and a really good turnaround time of almost 72 hours. Dr. Sumanta (Monty) Pal: That was a perfect overview and a lot of information in a short amount of time. It also makes you take out your high school biology textbooks, doesn't it, to understand that the bacterial ribosome, right, is a different size and shape, and that's what we're sequencing here. But these techniques I think are incredibly important, and I'm glad you actually discussed this, this RT-PCR based strategy of calculating the TOPOSCORE. It lends itself to this phenomenon of dysbiosis, and I think for our audience, that's going to be an important term to understand as time goes on. There's the normal healthy gut and then there's this phenomenon of dysbiosis, which is, I guess, simply put, an unhealthy gut. But tell us about, you know, how often you see dysbiosis in a cancer patient, maybe versus a normal healthy adult. Dr. Arielle Elkrief: So, I think we can split up your question into two parts. One is we know from cohort studies and population level-based studies that the microbiome of patients with cancer is distinct from healthy patients or healthy people. And we know that because of the global composition. We also think that there are diversity metrics that lend themselves to being described as dysbiotic. But we do know that the microbiome of people with cancer is distinct from healthy volunteers. That's the first point.  In terms of how frequently dysbiosis occurs in patients with cancer, it's not very well defined. We know that even among healthy people, there is a certain level of dysbiosis. Laurence in her talk mentioned that to be about 10% to 20%. And the other fascinating component is that when we're thinking about dysbiosis and the cancer associated microbiome, in terms of the species that are enriched, it's quite striking that a lot of these dysbiotic or negative bacteria are also found to be enriched in patients with metabolic disease, like cardiovascular disease, for example. And so it's unclear if dysbiosis is the cause or consequence, but there definitely seems to be a general pattern of disease when looking at the microbiome compared to healthy people. Dr. Sumanta (Monty) Pal: That's interesting. So, I'll tell you, my second favorite portion of your article, and I'll tell you my favorite portion as well in the context of this podcast, but my second favorite part was the section around antibiotic stewardship. You know, the utilization of antibiotics in a very pragmatic fashion amongst our patients. Can you describe why that's so critical in the context of the microbiome? Dr. Arielle Elkrief: Antibiotics can disrupt the gut microbiome composition. We know this from mouse studies, but also cohort studies of patients that are exposed to antibiotics. And most importantly, we know that patients who are exposed to antibiotics, either before or during the immunotherapy period, have significantly worse progression-free survival and overall survival to immunotherapy. And this is true for immunotherapy in the monotherapy setting, but also when combined with chemotherapy. What's striking is that when we look at patients who are just treated with chemotherapy, we don't see the negative outcome of antibiotics on outcome and progression-free survival and overall survival, suggesting that the negative impact of antibiotics on outcomes is really specific to immunotherapy backbones. The other important point is that this negative signal is maintained even after adjusting for standard prognostic variables in the specific malignancies that we're looking at. And then most importantly, at the mechanistic level, we were able to actually pinpoint the mechanism behind this antibiotic related dysbiosis. And we see this with a bloom of negative bacteria which induces a loss of MAd-CAM, which is an endothelial gut checkpoint immune marker, and that causes an efflux of immunosuppressive T cells, which are usually in the gut, to go straight into the tumor where they make the tumor unamenable to an immunotherapy response. And so now we finally have the mechanism as to why antibiotics are harmful and why we need to practice antibiotic stewardship. Dr. Sumanta (Monty) Pal: And just to be clear for the audience, I mean, if a patient needs antibiotics, they need antibiotics. But perhaps it just suggests that, and we have, I suppose, this predilection as oncologists, just for the minor cold or cough or what have you, we maybe should be a little bit more cognizant of whether or not antibiotics are truly necessary. Is that fair? Dr. Arielle Elkrief: Absolutely. So what we're advocating for is antibiotic stewardship, and this is the clear recommendation that we can make. So that means confirming a bacterial infection. If it's there and antibiotics are indicated, to choose the most narrow spectrum for the shortest course and constantly re-evaluate the indication of antibiotics. And of course, we need to work with our colleagues in infectious diseases who've done incredible work in antibiotic stewardship. And all along this process we also need to be mindful of other medications and polypharmacy, such as proton pump inhibitors or narcotics, for example, we think that these other medications which are frequently prescribed in our cancer population can also potentially have negative impacts on the microbiome and immunotherapy response. Dr. Sumanta (Monty) Pal: I think that's a terrific summary and big guidance for the audience.  I promised you I'd tell you my favorite part of your article, and this is this huge table. I think the table is two and a half pages long, if I remember correctly, but it's an awesome table, and I highly recommend our audience to check this out. It lists literally every therapeutic trial for the microbiome under the sun. And so it begins with the approach of fecal microbiota transplant, which I'm going to ask you to tell us about in a second, but it also hinges on a lot of really cool sort of novel therapies, live bacterial products, mixes of different microbial products. Maybe take us through this whole approach of FMT (fecal microbiota transplantation). I actually wasn't aware of the dozens of trials that you listed there in this space. It seems like it's a very active area of research. Dr. Arielle Elkrief: Definitely. So, as you alluded to, FMT or fecal microbiota transplantation is the most well studied and direct way to modify the patient's microbiome. This technique aims to replace the patient's dysbiotic microbiome with that of a healthy microbiome, either from a healthy donor volunteer that's been heavily screened, or from a patient who experienced response to immunotherapy. And, as three landmark studies so far that have been published demonstrated the potential of FMT to reduce primary resistance or secondary resistance to immunotherapy, and this has been in melanoma.  We also recently reported on the results of our FMT-LUMINate trial, which looked at patients with lung cancer and melanoma. Once again, FMT, when combined with immunotherapy was safe and led to a higher proportion of responses than we would normally expect.  We're now also looking at randomized trials that have come out. So the first being the TACITO trial in kidney cancer, which compared FMT plus pembrolizumab and axitinib to placebo in patients with RCC, and again, FMT was safe and feasible and also led to an increased progression-free survival at one year, meeting the study's primary endpoint.  And so, so far, there's a wealth of data really showing the promise of FMT when combined with immunotherapy, and we're now in the process of conducting larger randomized trials, including in melanoma with the CCTG (Canada Cancer Trials Group) in our ME17 or Canbiome2 trial, where we're going to be enrolling 128 patients with metastatic melanoma to receive FMT and standard of care immunotherapy compared to standard of care immunotherapy alone. Dr. Sumanta (Monty) Pal: You're very humble, so I've got to highlight for our audience. This was a mega grant that Arielle received to fund really the largest prospective exploration of FMT that will exist to date. So I'm really excited about that. I wish this was something we could participate in stateside.  Before we jump into the other approach, which is live bacterial products and mixes thereof, where do you see FMT going? I think that one of the perceived challenges with FMT is that it's hard to implement, right? You need to have a really robust framework when it comes to gastroenterology, the preparation's challenging. Is there a way to envision FMT use being more generalized? Dr. Arielle Elkrief: Those are great questions. So we're lucky in Canada to work with pioneers in FMT, Michael Silverman, Saman Maleki, and John Lenehan in London, Ontario, who had this really robust FMT healthy donor screening program, which literally screens for every pathogen under the sun, and we haven't had any problems with feasibility or implementing FMT in Canada. But I think that once we're going to hopefully start doing larger scale, randomized phase three studies, that we might run into problems with scalability. And I think also with regards to reproducibility, and that's the feedback that we're getting from some regulatory authorities, especially at the level of the FDA, where there are some concerns around inter- and intra-donor variability because, of course, we can't guarantee that every fecal sample is going to be the same. So that has really pushed the field to think about other strategies, such as live biotherapeutic products which take modified FMT or bacteria from stools from either healthy donors or from responder patients and basically turn them into drugs that are regulated as drugs and can then be studied in the context of investigational new drugs or products. Dr. Sumanta (Monty) Pal: I like this and, you know, I do think that there's a future for it. We just have to kind of put our heads together and figure out how to get over all of these logistical hurdles, but, you know, I agree, I think your group and others have demonstrated, especially with this trial that you're fanning out all throughout Canada, that it can potentially be done.  This is a topic that could probably go on for another couple of hours, right, especially based on the size of the table that you put together in this brilliant article, but tell us about live bacterial products or LBPs, as we call them these days. What's the current status, what's the future there? And maybe I'll give you less than two minutes here, although again, I realize it's a two-hour topic. Dr. Arielle Elkrief: You're probably better suited to speak about that because you've been one of the pioneers in terms of this. So we can think about LBPs in terms of single strain organisms, like CBM588 for an example, which your group did some amazing work in showing that, in a randomized setting, that this led to better responses than we would expect compared to just work with controls. We also know that LBPs can have multiple strains, up to 30. We're collaborating with a company called Cannabis Bioscience that is actually working on much larger communities of consortia. And so we're really excited about the direction that that's taking in terms of taking these LBPs and developing them from the drug perspective. In addition to LBPs, we know that there are other ways that we can change the microbiome, notably prebiotics, which are compounds which can have a beneficial impact on the microbiome. And one of these is camu camu, which I know your group is leading a clinical trial looking at camu camu and kidney cancer, and we're excited to see how that compares to FMT or LBPs, because that might be a potentially scalable alternative. Dr. Sumanta (Monty) Pal: That's awesome. What a terrific overview, and that was less than two minutes. I don't know how you did it. That's terrific.  Arielle, this has been such an insightful conversation. I just want to thank you for, again, a terrific article in the ASCO Educational Book. I highly recommend all of our listeners to go there and check it out, and also for sharing all these terrific insights on the podcast today. Dr. Arielle Elkrief: Thank you so much, Monty. Dr. Sumanta (Monty) Pal: And thanks to our listeners, too. If you value the insights that you heard today on the ASCO Daily News Podcast, please rate, review, and subscribe wherever you get your podcasts. Thanks, everyone. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Find out more about today's speakers:    Dr. Sumanta (Monty) Pal  @montypal Dr. Arielle Elkrief Follow ASCO on social media:     @ASCO on Twitter    ASCO on Bluesky   ASCO on Facebook     ASCO on LinkedIn     Disclosures:    Dr. Sumanta (Monty) Pal:   Speakers' Bureau: MJH Life Sciences, IntrisiQ, Peerview  Research Funding (Inst.): Exelixis, Merck, Osel, Genentech, Crispr Therapeutics, Adicet Bio, ArsenalBio, Xencor, Miyarsian Pharmaceutical  Travel, Accommodations, Expenses: Crispr Therapeutics, Ipsen, Exelixis  Dr. Arielle Elkrief: Honoraria: AstraZenica, Bristol-Myers Squibb, Merck, EMD Serono Consulting or Advisory Role: Bristol-Myers Squibb Research Funding (Inst.): Kanvas Bioscience, AstraZeneca, Merck Other Relationship: Royal College of Surgeons and Physicians of Canada, Cedar's Cancer Center (Henry R. Shibata Fellowship), Canadian Institutes of Health Research (CIHR)

In this episode, Tom Varghese, MD, FACS, is joined by Timothy Pawlik, MD, FACS, from The Ohio State University. They discuss Dr Pawlik's recent article, “Association of Discharge Against Medical Advice with Surgical Outcomes and Healthcare Cost,” in which the authors found that discharge against medical advice (DAMA) among surgical patients is associated with increased 30-day readmission, complication, fragmented care, and higher healthcare cost. DAMA patients were younger, socioeconomically vulnerable, and often had substance use or psychiatric disorders.     Disclosure Information: Drs Varghese and Pawlik have nothing to disclose.    To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.    #JACSOperativeWord 

Over 50 million Americans suffer from a range of frustrating allergy symptoms from hay fever to asthma, hives to sinusitis. Many have tried medications, visited allergists, and used various treatments, desperate to find a reliable way to alleviate their pain, but just can't seem to get the dependable relief they need. Now, one of New York's top allergists, Dr. Dean Mitchell, lifts the cloud of mystery surrounding allergies and offers a breakthrough new treatment program that will dramatically lessen their severity, if not cure them for good. In Dr. Dean Mitchell's Allergy and Asthma Solution, Mitchell clearly and comprehensively explains what allergies are, why they are so prevalent, and all of the standard treatments. He then presents a cutting edge 5-step program for reversing allergies called sublingual immunotherapy, or "allergy drops." This new treatment, widely accepted in Europe but still relatively unknown in the United States, is painless, convenient, incredibly effective, and completely safe since it works naturally through the body's immune system. Even better, it can be customized to meet specific needs, is shot-free, and can be self-administered. Dr. Dean Mitchell's Allergy and Asthma Solution is the best guide to understanding allergies and overcoming their symptoms.Dean Mitchell, MD, is the leading expert in sublingual allergy immunotherapy in the United States. He had been in practice for seven years following the conventional methods of allergy cures when he first learned of sublingual allergy immunotherapy (allergy drops) and has been one of its strongest proponents. He now runs a private practice, Ocean Allergy & Nutrition, in Manhattan. Dr. Mitchell's patients come from all over the US to receive his treatments. He is a fellow of the American College of Allergy, Asthma, and Immunology and is a member of the Joint Council of Allergy and Immunology.For ten years he was a clinical instructor of medicine at Columbia College of Physicians and Surgeons. He graduated from Brown University in 1982 and received his MD from the Sackler School of Medicine at Tel Aviv University in 1986. He lives in Long Island with his wife and two sons. When he's not busy with his patients, he enjoys playing baseball with his kids.https://www.mitchellmedicalgroup.com/about/dr-dean-mitchell/?utm_source=google&utm_medium=referral&utm_campaign=gmb_dean?utm_source=GMB&utm_medium=DeanBecome a supporter of this podcast: https://www.spreaker.com/podcast/earth-ancients--2790919/support.

In this episode, hosts Brad and Michael share the story of a seasoned orthopedic surgeon running a family-owned practice. Eager to expand, he brought on a young surgeon with a generous compensation package and the promise of future partnership. But when it came time to formalize the partnership, a shift to a more complex “eat what you kill” compensation model created unexpected friction. Tune in to learn how misaligned financial expectations can derail even the best-intentioned partnerships. Understand how to create a compensation model that aligns with your practice's goals, document terms clearly, and navigate disputes before they escalate.Watch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadattoStay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn

BMW is apparently planning to make a Mercedes G-wagen competitor. We enthusiastically wish they would and hope Lincoln, Audi, and other manufacturers do so as well.Canada has many laws and other features of their automotive lives that make their roads significantly safer than ours. Our trauma surgeon Dr Stephan Moran discusses the differences and how adopting many of them would keep us safer.Steve-0 spots a Scion iQ, a rare car. Scion was an unusual failure for Toyota, and we get into it.Stephan then talks about upcoming manufacturing changes being planned by Ford. If Ford CEO Jim Farley can make these changes happen it will make the company competitive with any other manufacturer, even those from China.#carsoncallpodcast #scion #traumasurgeonsafety #bmw #bmwgwagen #mercedesgwagen#bmw #scion #carsoncallpodcast

In this episode of the PFC Podcast, the speaker discusses the Ridge Healer exercise, a tactical training program designed for small surgical and resuscitation teams operating in unconventional warfare environments. The conversation covers various aspects of the exercise, including operational challenges, team dynamics, communication strategies, patient care during transport, and the importance of adapting to non-battle injuries. The speaker emphasizes the need for effective decision-making, cross-training, and cultural awareness in high-stress medical situations.TakeawaysRidge Healer is a tactical training program for small teams.Decision-making is crucial in the IW environment.Surgeons should not be team leaders during operations.Communication should be clear and concise to reduce cognitive load.Medivac should focus on improving patient condition, not just transport.Hypothermia management is critical in cold environments.Non-battle injuries are common and require attention.Post-operative care is essential for patient recovery.Cultural awareness is important in military operations.Rehearsing procedures is vital for effective execution.Chapters00:00 Introduction to Ridge Healer Exercise00:52 Understanding the Ridge Healer Program02:16 Operational Challenges in IW Environment04:08 Team Dynamics and Roles06:29 Communication and Decision-Making10:17 Patient Care During Transport12:48 Managing Hypothermia and Patient Comfort15:26 Adapting to Non-Battle Injuries16:52 Post-Operative Care and Monitoring19:12 Basic Soldiering Skills and Cultural AwarenessFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

In this expanded episode of SoundPractice, host Mike Sacopulos sits down with Jerome Adams, MD, MPH, the 20th Surgeon General of the United States, to discuss his remarkable journey from a rural community in Maryland to becoming the nation's top doctor. Adams shares personal anecdotes, professional insights, and the challenges he faced while serving as Surgeon General. This episode covers the nuances of the role of the Surgeon General and is a must-listen for anyone interested in public health, physician leadership, and the evolving role of physicians in society. Tune in to this insightful conversation that sheds light on the critical issues facing our healthcare system today. Episode Highlights - Path to Leadership: Explore Adams' unexpected journey into medicine, including parental influence, personal health challenges, role models, and the impact of professional organizations. - Role and Responsibilities of the Surgeon General: Understand the historical and modern roles of the Surgeon General and key initiatives during Adams' tenure, such as promoting Naloxone to combat the opioid crisis. - Trust in Physicians and Institutions: Learn strategies to rebuild trust in healthcare through personalized care and patient concern. - Balancing Individual Freedom and Public Health: Examine the balance between individual freedom and public health, emphasizing empathy and communication in addressing issues like vaccine hesitancy and chronic diseases. - The Importance of Public Service: Recognize the value of public service in enhancing the skills and character of physicians. Resource: Book by Jerome Adams, MD, MPH: Crisis and Chaos Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Chris Hughen sat down with Howard Luks to discuss his perspective as an orthopedic surgeon. We dive into the importance of rehabilitation, understanding joint pain and metabolic health, navigating conversations with patients, collaborating with surgeons and rehab providers, the state of orthopedic surgery, and much more. Watch the full episode: https://youtu.be/Qv7a7mCJEaw  Episode Resources: Howard's Twitter / X Howard's Instagram Howard's Website --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Mentoring: https://e3rehab.com/mentorship-intake-form/  Articles: https://e3rehab.com/articles/  --- Podcast Sponsors: The Science PT: Get 5% off all online courses using “E3podcast” at checkout! - https://thesciencept.com/courses/online-courses/ Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Kody Hughes

In this compelling discussion, vascular surgeon Dr. Lily Johnston joins Dr. Philip Ovadia to share her journey from traditional surgical practice to metabolic health advocacy. After years of amputating limbs for diabetic patients who received poor nutritional guidance, Dr. Johnston couldn't unsee the devastating consequences of our healthcare system's approach to metabolic disease. She explains how surgeons fix anatomical problems without addressing the underlying metabolic dysfunction that causes blood vessel disease throughout the body.Dr. Johnston discusses how therapeutic carbohydrate reduction, hormone optimization, sleep quality, and stress management create better outcomes than surgery alone. She shares personal insights about her own health transformation through low-carb nutrition and her decision to create a practice balancing surgery with preventive care. The conversation reveals how traditional heart and vascular surgeries are temporary fixes that don't address root causes, leaving patients vulnerable to recurring problems.This interview bridges the gap between conventional medicine and functional approaches to metabolic health, offering hope for those looking to avoid major surgical interventions through targeted lifestyle modifications.BIG IDEASurgeons like Dr. Johnston and Dr. Ovadia have recognized that vascular and cardiac surgeries are temporary fixes—like placing buckets under a leaky roof rather than repairing the roof itself—and are now focusing on metabolic health interventions that address the root causes of disease.Lily Johnston MD contact infoWebsites: www.vascularhealthinstitute.orgnexushealthspan.comLinkedIn: https://www.linkedin.com/in/ljohnstonmdSend Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Most people think healthcare is about getting well. But step inside the system and you discover that it's built to keep you alive, not to make you healthy. Dr. Darshan Shah learned that the hard way. For 25 years, he was the picture of medical success — a high-earning surgeon, respected by his peers.  Yet behind the operating room doors, he was battling burnout, autoimmune disease, and metabolic dysfunction. The same system he had dedicated his life to wasn't built to help him heal either. In this episode of Medical Disruptors, we talk about what happens when a physician refuses to follow the script — the same script that tells patients “your labs are fine” while their symptoms get worse.  Dr. Shah walked away from the traditional model, traded scalpels for data, and built a system designed to optimize health before disease takes over. He explains how the right biomarkers can reveal illness years before symptoms appear, why pharma is pushing back against powerful tools like peptides, and how plasma exchange is emerging as a breakthrough for prevention and longevity. We also explore the Alzheimer's blood test that could change the future of brain health. This is about dismantling the systems that profit from disease and proving what is possible when medicine stops chasing symptoms and starts creating health. If you've ever felt like you “must be imagining it,” this conversation proves you weren't — and shows you how to use the skills you already rely on everywhere else. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Marcia A Harris MD trained at the prestigious Weill- Cornell Medical Center, The New York Hospital, after completing medical school at Columbia University College of Physicians and Surgeons. Dr. Harris brings a wealth of clinical experience to the table. Having practiced allopathic medicine for more than 20 years, the subsequent 17-plus years have been focused on modalities such as Wellness and Preventative medicine and Bioidentical Hormone Replacement Therapy (BHRT) for males and females. Dr. Harris primarily uses BHRT pellets which she introduced to the New York area more than 20 years ago. Another area of focus for Dr. Harris is the treatment of Sexual Dysfunction with cutting-edge technology: “O” Shot and nonsurgical Vaginal Rejuvenation for females with anorgasmia, atrophic vaginitis, vaginal laxity, and stress and urge incontinence for females. “P” Shot and Acoustic pressure wave technology are used for males suffering from erectile dysfunction and performance issues. While hormones can play a large part in the above for both males and females, they might not be the entire picture. Anatomical contributing factors at times have to be addressed. She also offers fat reduction through various techniques and penile enhancement with PRP, PRFM, Exosomes, and Fat transfer. Weight management/weight loss and Nutrition Counseling as well as thyroid and Adrenal issues round out her current offerings. She is a certified and experienced Physician and prides herself on being able to take care of the “whole” patient and getting to the “root cause” of whatever the problem is. Dr. Harris is renowned for providing thorough medical care for the treatment of a host of conditions. She brings her wealth of experience as a renowned surgeon and clinician to the table and customizes her care to each individual patient.   Time Stamps:   (0:30) 7 Million Women (3:52) Mother Passing Away At 7 (11:30) The 70's and The Medical Field (16:45) Integrative Medicine (25:07) Bio-Identical Hormones (31:45) Lifespan and Menopause (51:50) Lifestyle Changes (54:54) The Male Side -------------------- Website: https://www.drmarciaharris.com/ Free Menopause Toolkit: https://www.drmarciaharris.com/contact (enter “toolkit” in the message to receive the Menopause Toolkit) -------------------- Instagram: https://www.instagram.com/carolcovinofitness/ -------------------- My YouTube Channel: http://youtube.com/@carolcovinofitness -------------------- My Book:  FINDING PURPOSE IN THE PAUSE

With the recent shootings at the CDC and hundreds of millions in vital vaccine research cuts, the past week has been unusually unprecedented—even in these entirely abnormal times. To help make sense of it all, the 20th U.S. Surgeon General, Dr. Jerome Adams (who served in that capacity under Trump 1.0), joins host Dr. Vin Gupta along with inaugural guest commentator Anjalee Khelmani, Senior Health Reporter for Yahoo News. Learn more about your ad choices. Visit megaphone.fm/adchoices

Is listening a hidden superpower we've overlooked?  You've heard of Active Listening, but what is Radical Listening and why does it matter?Episode SummaryOn this episode, I'm joined by Professor Christian van Nieuwerburgh, an academic who also describes himself as 'Coach on a Motorcycle'. He's on the show to help me explore what he calls 'Radical Listening'.Christian is Professor of Coaching and Positive Psychology at the University of East London and the co-author, with Dr Robert Biswas-Diener, of 'Radical Listening: The Art of True Connection'.The book offers a research-backed but deeply human exploration of what it means to really hear someone — and how that act alone can change lives. In the book and in his work, Christian blends academic rigour with road-tested coaching insights, drawing from both the lecture hall and long rides through open landscapes. He invites us to look at listening not just as a skill, but as a way of being.With a background in positive psychology and a passion for connection, Christian brings a perspective that's as practical as it is profound. We talk about how listening — when done with presence and intention — becomes far more than a communication technique. It becomes a way of affirming identity, offering empathy, and shaping culture. Christian shares why well-meaning advice often misses the mark, the difference between social and cognitive listening, and what it takes to be with someone, rather than just hearing them.This isn't just for leaders or coaches;  it's for anyone who wants to have better conversations, create stronger relationships, and be more human in how they engage with others. Listening, as we discuss, isn't neutral. It's powerful, personal, and radically transformative.Guest BiographyProfessor Christian van Nieuwerburgh is a globally recognised executive coach, academic, and author, holding the title of Professor of Coaching and Positive Psychology at the University of East London.As Managing Director of the International Centre for Coaching Psychology and Executive Director at Growth Coaching International, he bridges rigorous research with practice.He co-authored Radical Listening: The Art of True Connection (with Dr Robert Biswas‑Diener), which reorients listening from a background skill to a central act of human connection.Famously known as the “Coach on a Motorcycle,” Christian combines his love for the open road with his dedication to how we hear and are heard. Learn more at: LinksRadical Listening - https://www.bkconnection.com/books/title/Radical-ListeningRadical Listening Audiobook - https://www.audible.co.uk/pd/Radical-Listening-Audiobook/B0F2B3TKXVChristian's faculty page at Royal College of Surgeons in Ireland (RCSI) - https://people.rcsi.com/chrisvnChristian's faculty page at Henley Business School - https://www.henley.ac.uk/people/christian-j-van-nieuwerburghCoach on a Motorcycle - coachonamotorcycle.comAI-Generated Timestamped Summary[00:01:45] — The roots of Radical Listening[00:06:30] — How coaching principles intersect with everyday conversations[00:11:55] — When advice becomes unhelpful[00:17:40] — Listening as identity-affirming behaviour[00:22:00] — When a good question stops you in your tracks[00:27:30] — Social vs cognitive listening[00:33:10] — Why you don't need to understand the topic to be a great listener[00:38:45] — The unspoken costs of poor listening in organisations[00:44:50] — How Radical Listening links to psychological safety[00:49:20] — Motorcycles, mindfulness, and being in flow[00:56:00] — The AI comparison: why listening is a human art[01:01:00] — Practical takeaways for everyday listeners

For more than a decade of dazzling media coverage, Dr Munjed Al Muderis was lauded as a miracle worker to some of the most vulnerable people in our community, helping people to walk again, against all odds, after losing their limbs in accidents and warzones. This all came crashing down, after a months-long investigation by reporter Charlotte Grieve, who exposed allegations of treatment gone horribly wrong with patients left disfigured, depressed and in excruciating pain, with horrific medical complications. Today, investigative reporter Charlotte Grieve, on a recent - and landmark - court case that backfired on the surgeon, and why, even after the damning Federal Court judgment, Dr Al Muderis is still practicing.Subscribe to The Age & SMH: https://subscribe.smh.com.au/See omnystudio.com/listener for privacy information.

Ralph devotes the entire program to challenging the “official” count of 60 thousand fatalities reported so far in the genocide Israel, aided and abetted by the United States, has perpetrated on the Palestinians in Gaza. First, Dr. Feroze Sidhwa, who volunteered twice in Gaza hospitals, presents the various studies that revise estimates into the hundreds of thousands. Then weapons expert, Professor Theodore Postol, backs that up with his knowledge of the destructive power of the weapons being used and the photographic evidence of the rubble.Dr. Feroze Sidhwa is a trauma, general, and critical care surgeon. He has volunteered twice in Gaza since 2024 and three times in Ukraine since 2022. He has published on humanitarian surgical work in the New York Times, Politico, and the Journal of the American College of Surgeons.I've made my point clear month after month that I believe the death toll is now well over 500,000. And it's important to have an accurate death toll to respect the Palestinian dead and to intensify diplomatic, political, and civic pressures from around the world (and particularly from the White House and Congress) to cease fire, to let the humanitarian trucks that are already at the border in (with food, medicine, water, hospital supplies), and to make sure that this conflict is resolved safely.Ralph NaderIt certainly seems that every single international expert on the topic does think that this is a genocidal attack, so I don't see any reason to disbelieve what they're saying. But that doesn't have to do with how many people are killed. So what I'm just trying to point out is that even if the numbers of people that we talk about here today are (like Ralph said) half a million, or whatever number of people have been killed, nobody disputes that huge numbers of mass killings have taken place. And it doesn't seem that anybody who knows what they're talking about disputes that it's genocidal at this point.Dr. Feroze SidhwaIt's been very widely understood by lots and lots of people, of a huge variety of political leanings, a huge variety of life experiences, of professions, et cetera, that this is the image that springs to mind when they go to the Gaza Strip—it's something like a gigantic concentration camp.Dr. Feroze SidhwaIf the U.S. or Israel cared at all about how many people (including, remember, this is a territory that is half children) —if we cared how many people, including children, we have starved to death, have shot dead, have blown up, et cetera, we could figure it out in two weeks and with 10 grand. The Israelis wouldn't even have to stop their assault. They could keep doing it. They could just agree to de-conflict this group of a few people. But they won't do it for obvious reasons. And I shouldn't say “they” —we won't do it for obvious reasons.Dr. Feroze SidhwaTheodore Postol is Professor of Science, Technology and National Security Policy Emeritus in the Program in Science, Technology, and Society at MIT. His expertise is in nuclear weapon systems, including submarine warfare, applications of nuclear weapons, ballistic missile defense, and ballistic missiles more generally.When you have a large building collapse, everyone is going to be dead unless they're out of the building. It's just that simple. And even when you have large buildings collapse and you have people coming in to search for people, you typically only find a few people who happen to have been lucky enough to be trapped in a cavity that's near a surface area of the rubble heap. If you're deep in the rubble heap, your chances of surviving are near zero.Professor Theodore PostolNews 8/15/25* New Bureau of Labor Statistics Consumer Price Index data shows Trump's new tariff regime has resulted in significant increases in tariff-sensitive staple consumer goods. Some startling price spikes include a 38.9% rise in the price of vegetables, 14.5% increase in the price of coffee and an 11.3% increase in the price of beef and veal. Beyond food, electricity is up 5.5%, rent and shelter is up 3.6%, and health insurance is up 4.4%. These increases are sure to be politically unpopular, as Trump campaigned on bringing down inflation and the price of groceries. The reporting of this data also raises questions about Trump's response, given his response to the recent negative BLS data reporting on new job creation.* Speaking of job creation data, while the U.S. only reported the creation of 73,000 new jobs in July, Mexico, under left-wing economic nationalist president and AMLO successor Claudia Scheinbaum, created over 1.26 million new jobs in the same month, according to Mexico News Daily. Furious about the jobs report, Trump forced out the head of the Bureau of Labor Statistics and is now seeking to install right-wing economist EJ Antoni. According to the BBC, economists have said his “economic commentary [is] rife with basic mistakes.” Antoni, kowtowing to Trump, ​​has proposed ending the monthly jobs report. Antoni would need to be confirmed by Senate Republicans, who have expressed some trepidation about his appointment, but whether that will be enough for them to stand up to Trump on this appointment seems unlikely.* In more domestic economic news, Jacobin reports corporations are experimenting with a new method of worker exploitation – so-called “stay-or-pay” contracts. According to this article, millions of employees – from nurses to pilots to fast food workers – are, often unwittingly, being “inserted into…restrictive labor covenants [which] turn employer-sponsored job training and education programs into conditional loans that must be paid back — sometimes at a premium — if employees leave before a set date.” These contracts, known as Training Repayment Agreement Provisions, or their acronym TRAPs, have become a major new battleground between corporate interests and groups fighting for labor rights, including unions and regulators. However, with Trump administration efforts to rollback even the modest labor protections promulgated under the Biden administration, the possibility of any federal intervention on behalf of workers seems remote.* In more Trump-related news, the occupation of Washington, D.C. has commenced. Trump has deployed federal agents, including officers with the Department of Homeland Security and Drug Enforcement Administration, as well as National Guard troops, to patrol the streets of the capital. Some of these deployments seem to be mostly for media spectacle; feds have been seen patrolling tourist areas like the National Mall, Union Station and Georgetown, but others have been going into District neighborhoods and harassing District residents for smoking on their own property. Moreover, while Trump has said "Our capital city has been overtaken by violent gangs and bloodthirsty criminals, roving mobs of wild youth, drugged-out maniacs and homeless people," the Justice Department has in fact announced that this year violent crime in Washington has hit a 30-year low, per NPR. Trump is restricted to a 30 day takeover of the District by law, but is seeking to extend this window through Congress.* As usual, even as Trump claims to be cracking down on crime, his administration treats corporate crime with kid gloves. Despite major news of corporate misconduct this week – including the reopening of a Boar's Head facility shut down earlier this year due to a listeria outbreak despite ongoing sanitation issues and an explosion at the Clairton Coke Works in Pittsburgh that left at least two dead and ten injured – a new Public Citizen report shows the extent of the administration's soft-on-corporate-crime approach. According to this report, “the Trump administration has already withdrawn or halted enforcement actions against 165 corporations of all types – and one in four of the corporations benefiting from halted or dropped enforcement is from the technology sector, which has spent $1.2 billion on political influence during and since the 2024 elections.”* Turning to Gaza, the Financial Times reports, “Israel has killed…prominent Al Jazeera correspondent [Anas Al-Sharif] in Gaza and four of his colleagues…in an air strike targeting them in a media tent.” This report notes the Israeli military “took credit” for the strike after “months of threats and unproven allegations that [the journalist] was the head of a Hamas cell.” The Committee to Protect Journalists called these claims an attempt to “manufacture consent for his killing.” The network called this move a “desperate attempt to silence voices in anticipation of the occupation of Gaza.” Anas Al-Sharif was a prominent journalist in the Arab world and was part of a Reuters photo team who won a Pulitzer Prize in 2024. Israel has already killed six Al Jazeera reporters in Gaza prior to this strike.* Meanwhile, in Egypt, President Abdel Fattah El-Sisi last Tuesday issued his harshest criticism of Israel thus far, accusing the nation of prosecuting “a war for starvation, genocide, and the liquidation of the Palestinian cause.” Yet, according to Drop Site News, Sisi's comments came just days before an announcement that an Israeli company will begin supplying Egypt with vast amounts of gas. This $35 billion deal between Egypt, neighbor to Israel and Palestine and the largest Arab nation, and Israeli energy company NewMed is the largest export agreement in Israel's history. This deal adds a new dimension to other comments Sisi made in those same remarks, wherein he defended Egypt against criticism for “not opening the Egyptian side of the Rafah border crossing to allow in aid.” It remains to be seen whether the genocide comments represent a new chapter of Egypt-Israel relations, or whether they are just a smokescreen to cover Egypt and Israel's increasing economic interdependence.* In Palestine news from the homefront, Semafor reports the Democratic National Committee will consider two dueling resolutions on Gaza at their meeting this month. According to Dave Weigel, one, introduced by DNC Chair Ken Martin would “[urge] a ceasefire and a return of hostages held by Hamas,” along with a reaffirmation of the increasingly far-fetched two-state solution. The other, introduced by a DNC member on the progressive flank of the party, calls for “suspension of military aid to Israel” and recognition of a Palestinian state. The latter resolution has drawn the ire of Democratic Majority for Israel, a political organization that aims to keep the Democratic Party firmly in the pro-Israel camp. DMFI's president, Brian Romick, is quoted saying that resolution would be a “gift to Republicans” and would “embolden Israel's adversaries.”* In more positive foreign affairs news, Jeremy Corbyn's new party in the United Kingdom appears to be gaining steam. A string of polls indicate the party could win the seats currently held by several high-profile Labour Party MPs, including Health Secretary Wes Streeting and now-resigned Homelessness Secretary Rushanara Ali. Most shockingly, it seems they could even win Holborn and St. Pancras, the seat currently held by Labour Party Prime Minister Keir Starmer. If this Corbynite wave does ultimately crest, it would be a stunning reversal of fortune after the Starmerite Labour Party expelled the former Labour leader in 2023.* Finally, AOL announced this week that they will end their Dial-up internet service in September, Ars Technica reports. AOL launched their Dial-up service in 1991, helping to usher in the era of widespread internet adoption. While this may seem like a natural step in terms of technological advancement, US Census data from 2022 shows that approximately 175,000 American households still connect to the Internet through dial-up services. As this article notes, “These users typically live in rural areas where broadband infrastructure doesn't exist or remains prohibitively expensive to install.” In effect, this move could leave these rural communities completely without internet, a problem compounded by the Trump administration's decision earlier this year to “abandon key elements of a $42.45bn Biden-era plan to connect rural communities to high-speed internet,” per the Guardian. It should be considered a national disgrace if both the private sector and the government leave these rural communities behind.This has been Francesco DeSantis, with In Case You Haven't Heard. Get full access to Ralph Nader Radio Hour at www.ralphnaderradiohour.com/subscribe

This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Omkar Baxi, Orthopedic Hand Surgeon at Mid Atlantic Permanente Medical Group. Dr. Baxi discusses the evolving role of ASCs, the promise of AI in clinical workflows, and how financial transparency and patient engagement are reshaping orthopedic care delivery.

We all want to live healthy for as long as possible. Join Dr. Philip Ovadia for a tour through what he does himself to maximize his health span, and what he tells patients to do so they can be healthy and happy for as many years as possible.Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Omkar Baxi, Orthopedic Hand Surgeon at Mid Atlantic Permanente Medical Group. Dr. Baxi discusses the evolving role of ASCs, the promise of AI in clinical workflows, and how financial transparency and patient engagement are reshaping orthopedic care delivery.

This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Omkar Baxi, Orthopedic Hand Surgeon at Mid Atlantic Permanente Medical Group. Dr. Baxi discusses the evolving role of ASCs, the promise of AI in clinical workflows, and how financial transparency and patient engagement are reshaping orthopedic care delivery.

Breaking Barriers, Making Healthy Choices, and Embracing Survivorship Breaking Barriers, Making Healthy Choices, and Embracing Survivorship. In this episode Yonni and Heather sit down with Dr. Laurie Kirstein from Memorial Sloan Kettering Cancer Center, who made history as the first female chair of the American College of Surgeons' Commission on Cancer. We will talk about breaking glass ceilings, access to quality healthcare, pain management and the impact of smoking on women's health outcomes. Dr. Laurie Kirstein is an Attending Breast Surgeon at memorial string Cancer Center. She attended downstate medical school, Montefiore Medical Center/Albert Einstein University for residency and Massachusetts General Hospital for Breast Surgery fellowship. Prior to arriving at Memorial Sloan Kettering she was attending surgeon and Breast Fellowship Director at the Rutgers Cancer Center Institute of New Jersey. At Memorial SloanKettering she is the Surgical Site Director for their Monmouth, NJ location. She is the current Chair for the American College of Surgeon's Commission on Cancer. She is the lead for the national quality improvement project Breaking Barriers: overcoming barriers to cancer care across America. Her research interests include surgical decision for breast cancer, postoperative pain management and tobacco cessation for cancer patients. Find Yonni & Heather here https://www.herhealthcompass.com/

Tertius was living the dream as a wealthy plastic surgeon until God called him to serve the world's poorest on a mobile hospital boat with Mercy Ships. That surrender has taken him on a wild adventure impacting thousands of lives across many nations. Check out www.mercyships.org | www.tertius26.org---

summaryIn this conversation, Dr. Tali Lando shares her journey as a pediatric ENT and a mother of three daughters. She discusses the challenges of balancing a demanding medical career with motherhood, the importance of support systems, and the evolution of parenting dynamics as children grow. Dr. Lando reflects on her experiences with burnout, the role of passion projects in rejuvenating her career, and the lessons learned from her journey through cancer treatment. She emphasizes the significance of honesty in parenting and the power of anecdotes in medicine, providing valuable insights for working parents in the medical field. In this conversation, Tali Lando shares her deeply personal journey through medical challenges, including her experience as a mother in the NICU and her battle with breast cancer. She discusses the emotional toll of these experiences, the impact on her family, and how writing became a therapeutic outlet. Tali also reflects on her return to work after treatment and the process of writing her upcoming book, 'Breathless,' which aims to provide insights from her medical career and personal experiences.takeawaysDr. Tali Lando is a pediatric ENT with a busy practice.She had her first child during her chief year of residency.Balancing motherhood and a demanding career is challenging but rewarding.Support systems play a crucial role in managing work and family life.Quality time with children is more important than quantity.The dynamics of parenting evolve as children grow older.Burnout is a common issue among medical professionals.Passion projects can rejuvenate a career and provide fulfillment.Experiences during cancer treatment inspired her writing.Honesty with children about career sacrifices fosters understanding. Tali's experience in the NICU highlighted the emotional toll on parents.The transition from being a doctor to a patient is profound and challenging.Writing became a therapeutic outlet for Tali during her cancer journey.The importance of family support during health crises cannot be overstated.Tali's father's glioblastoma diagnosis added another layer of complexity to her journey.Navigating treatment options for cancer can be overwhelming and confusing.The impact of cancer on family dynamics is significant and often heartbreaking.Tali's writing process was influenced by her personal experiences and desire to help others.Returning to work after treatment requires careful consideration of one's health.The upcoming book 'Breathless' aims to share valuable insights from Tali's medical career.keywordspediatric ENT, work-life balance, motherhood, residency, surgical training, parenting, career fulfillment, burnout, passion projects, breast cancer, medical challenges, NICU experience, cancer diagnosis, family dynamics, writing, coping mechanism, health, career, book release, personal journeyENT Connect with Moms of Medicine:- Instagram @moms_of_medicine- Momsofmedicine@gmail.comConnect with Dr. Tali Lando:- Instagram @drtalilando- Preorder her upcoming book Breathless- Drtalilando.comSupport the show

Some conversations change lives. Others change the way we think about how we have them.In this episode, I share the lesson I took from Dr. Rahul Jandial, world-renowned brain surgeon, neuroscientist, and author, about the quiet power of the pause.Rahul has delivered some of the hardest news anyone can hear. And what he's learned is that it's not just the words that matter, it's what happens after them. In those seconds of silence, people begin to process, to find their footing, to summon the courage for what comes next.It's a habit we can all use. At work when we're giving feedback. At home in tough conversations. In moments with friends when they trust us enough to share what's really going on.In this episode, we explore:How silence builds trust faster than reassuranceThe neuroscience behind giving people space to thinkWhy the pause can change the way we lead, comfort, and connectHow to practice it in your everyday lifeIf you've ever wanted to show up better in the conversations that matter most, this one's for you.Here is more information on the studies referenced: Physician–Patient Communication: The Relationship With Malpractice Claims (Wendy Levinson et al., JAMA 1997)How to Stop Saying “Um,” “Ah,” and “You Know” Harvard Business ReviewListen to the full episode with Dr. Rahul Jandial: https://pod.fo/e/251425

Send us a textToday's interview is one that I truly enjoy because it focuses on the patient's experience.  Meet Dan Drydock Shockley, a Navy veteran who served in Operation Desert Storm, Operation Enduring Freedom, and Operation Iraqi Freedom. At the age of 51, after a routine colonoscopy, Dan was diagnosed with Attenuated Familial Adenomatous Polyposis—quite a mouthful, indeed.  I will let Dan share the rest of his incredible story, as he is a gifted speaker. He serves as a live case presentation speaker for the Stanford School of Medicine's Molecular Foundations of Medicine course and the Stanford MS Program in Human Genetics and Genetic Counseling. Dan's story has undoubtedly impacted many individuals.  Patient experiences are crucial for healthcare professionals; they are at the heart of why we do what we do. You will hear about the many connections that Dan forged throughout his journey. As I have told him, there are no coincidences in life, only divine interventions, which you will witness today. Dan is also a master of acronyms and created one based on his experience: Always Forge Ahead with a Purpose. Brilliant. In the five-minute snippet: Army, Navy, Air Force or Marines? For Dan's bio, visit my website (link below).California FAP Awareness WeekContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

In this episode, Dr Siobhan McCormack is in conversation with Professor John Alverdy from the University of Chicago, a Professor of Surgery and a pioneer in microbiome research. They explore the crucial link between gut health and surgical outcomes, particularly in addressing post-operative infections and complications.The conversation highlights the significance of the gut microbiome in healing, revealing that many infections may stem from the patient's own flora. The episode also tackles the implications of widespread antibiotic use and the need for prudent stewardship to protect beneficial gut microbes.This podcast is brought to you in collaboration with the British Society of Lifestyle Medicine.Disclaimer:The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on this podcast.

Could fixing your oral health be the fastest way to extend your lifespan and boost your health? Josh Trent welcomes Dr. Kenny Brown, Oral Surgeon and Founder of FENO, to the Wellness + Wisdom Podcast, episode 766, to reveal why most dental problems are preventable, how bacteria in your mouth can poison your body, trigger disease, and age you faster, and how to take care of your oral microbiome properly. $50 Off FENO FENO is redefining the toothbrush without wires, batteries, or gimmicks. Designed for people who demand beauty, performance, and sustainability in one sleek package, FENO offers the precision of high-end electric brushes and the simplicity of manual control. It's not just a toothbrush, it's a ritual upgrade. Compared to electric toothbrushes, FENO delivers sonic-level effectiveness without the bulk, wires, or dependency on power. With the FENO app, you get guided brushing sessions, real-time feedback, and habit tracking. Pairing the physical brilliance of the toothbrush with smart technology, this app helps users build better brushing routines and track their progress over time. Get $50 off with code JOSH In This Episode, Dr. Kenny Brown Uncovers: [00:50] The Importance of Tongue Hygiene Why the tongue can tell us a lot about our health and mineral deficiencies. How bacteria accumulates on the tongue. Why dentists often don't promote tongue scraping. Resources: Dr. Kenny Brown FENO $50 off with code JOSH [05:00] The Key to Good Oral Health Why many people don't know how to brush their teeth. How they used AI to design the FENO mouthpiece. The mouth is the gateway to the entire body. Resources: Ultrahuman Ring - 10% off with code JOSH 760 Biological Dentistry: The Truth About Your Teeth Traditional Dentists Won't Tell You | Dr. Dominik Nischwitz [08:00] Most Dental Issues Are Preventable Where the name "FENO" came from. Why they're planning to start testing micronutrients through the brush. How their goal is to scale oral health care. Why people lose their teeth over something that's easily preventable. How the mouth connects to the brain and the gut. Why pregnant women can get gum issues, which can poison their body and the fetus. [14:10] How to Choose The Right Toothbrush Why our gums bleed when we start cleaning the bacteria out. How we can strengthen the gums. Why FENO makes our teeth feel as clean as when we get a professional cleaning. How to choose the right toothbrush. Why many people avoid investing in their health. [19:35] Make Oral Care Easier How the FENO brush does a lot of the work for us. Why technology can help us stay accountable for our well-being and track our data. Resources: 048 Nir Eyal: Breaking Bad Habits, Technology Addiction, & Emotional Triggers 758 Dr. Jud Brewer | Why You Fail Quitting Bad Habits (and How to Finally Break Free) [23:20] Healthy Mouth = Healthy Body Why milk teeth affect the health of adult teeth. The connection between Alzheimer's and oral health. Why inflammation is the root of many diseases. How bad oral health impacts the quality of our lives. Why certain medications can reduce or change the saliva. How our systemic health also impacts our oral health. [29:05] Mouth-Body Connection How our saliva impacts digestion. Why bacteria from the mouth can cause pneumonia. How the oral microbiome can cause bloating and indigestion. Why the world is finally understanding that everything in the body is connected. [31:55] The Impact of Sugar on Teeth How kissing can transfer bacteria. Why babies can get cavities from their mothers. How sugar causes more damage when it's sticky. Why rinsing out our mouth after eating sugar is better than not doing anything. How oil pulling requires consistency in order to work efficiently. [34:05] What You Don't Know About Oral Health Why brushing our teeth is the most important part of oral health. How oral care doesn't have to be hard. Why some people don't need to floss and brush as often. How fluoride works, but has side effects. [38:35] The Negative Impacts of Modern Dental Solutions Why brushing our teeth every day can prevent most oral health issues. How there's finally more awareness around dental health. The negative impact of veneers. How we can't clean veneers as well as our own teeth. Why slow teeth whitening is less damaging. How to whiten our teeth without damaging them. [44:05] Understanding The Root Cause of Dental Issues Why dentistry is both an art and a science. How good dental care doesn't have a shortcut. Why Dr. Kenny didn't learn in dental school that there's a proper brushing technique and that we should brush the gums too. How stress causes teeth grinding. Why cracked teeth can be an airway issue. How snoring and TMJ are symptoms of an airway problem. Why 50% of people are clenching their jaw. [51:05] The Benefits of Xylitol How brushing our teeth twice a day gives us a better chance to be healthy. Why xylitol rinse helps with sinus infections. What led Dr. Kenny to use xylitol in his products. Why we need to focus on remineralizing our teeth. The benefits of hydroxyapatite. [56:20] The Power of a Smile Why we need to pay attention to what's happening in our mouth. How we can still have oral health problems even if we brush our teeth daily. Why our smile creates a connection with others. How oral issues make us smile less. [01:01:05] God's Design How nicotine pouches irritate gum tissues and cause loose teeth. Why faith fuels Dr. Kenny's mission. How he always felt the calling to be of service. Leave Wellness + Wisdom a Review on Apple Podcasts All Resources From This Episode Dr. Kenny Brown FENO $50 off with code JOSH Ultrahuman Ring - 10% off with code JOSH 760 Biological Dentistry: The Truth About Your Teeth Traditional Dentists Won't Tell You | Dr. Dominik Nischwitz 048 Nir Eyal: Breaking Bad Habits, Technology Addiction, & Emotional Triggers 758 Dr. Jud Brewer | Why You Fail Quitting Bad Habits (and How to Finally Break Free) Power Quotes From Dr. Kenny Brown "People don't realize that the mouth is the gateway to the overall body. Our health journey actually starts with brushing our teeth because the bacteria and the toxins from the mouth can spread to the rest of the body." — Dr. Kenny Brown "The tongue is a shag carpet. It is not a smooth table. It has crevices where all the food that we eat, the snot, the drainage, and the bacteria can tuck in, which creates the white layer on top of the tongue, and can become the source of bad breath. So cleaning the tongue on a routine basis is absolutely necessary." — Dr. Kenny Brown "Veneers alter the microbiome of the mouth. It's more man made material that's going in your mouth. And it will never get clean the same way that you can clean your natural teeth. The edges of veneers is where cavities start to creep in so you actually need to take better care of them." — Dr. Kenny Brown Josh's Trusted Products | Up To 40% Off Shop All Products Biohacking⁠ Korrect Life - 15% OFF WITH CODE "JOSH15" MANNA Vitality - Save 20% with code JOSH20 HigherDOSE - 15% off with the code WELLNESSANDWISDOM PLUNGE - $150 off with discount code WELLNESSFORCE SaunaSpace - 10% off with discount code JOSH10 Ultrahuman Ring Air - 10% off with code JOSH Wellness Test Kits Tiny Health Gut Tests - $20 off with discount code JOSH20 VIVOO Health Tests - Save 30% off with code JOSH SiPhox Health Blood Test - Save 15% off with code JOSH Nutrition + Gut Health Organifi - 20% off with discount code WELLNESSFORCE Paleovalley - 15% off with the link only EQUIP Foods - 20% off with the code WELLNESS20 DRY FARM WINES - Get an extra bottle of Pure Natural Wine with your order for just 1¢ Just Thrive - 20% off with the code JOSH Kreatures of Habit - Save 20% with WISDOM20 Supplements MANNA GOLD - $20 off with the code JOSHGOLD Adapt Naturals - 20% off with discount code WELLNESSFORCE MitoZen - 10% off with the code WELLNESSFORCE Activation Products - 20% off with the code JOSH20 BiOptimizers - 10% off with discount code JOSH10 Fatty15 Essential Fatty Acids Supplement - Get 15% off with code JOSH15 Sleep BiOptimizers Sleep Breakthrough - 10% off with JOSH10 Zyppah Anti-Snoring Mouthpiece - 20% off with the code JOSH MitoZen Super SandMan Ultra™ (Melatonin Liposomal)+ | 10% off with WELLNESSFORCE Luminette Light Therapy Glasses - 15% off with JOSH Cured Nutrition CBN Night Oil - 20% off with JOSH Natural Energy MTE - Save 20% with JOSH TruKava - Save 20% with code JOSH20 Drink Update - Save 25% with discount code JOSH25 EONS Mushroom Coffee - 20% off with the discount code JOSH20 EnergyBITS - 20% off with the code WELLNESSFORCE BUBS Naturals - Save 20% with JOSH20 Fitness + Physical Health Detox Dudes Online Courses - Up to $500 off with discount code JOSH Kineon - 10% off with discount code JOSH10 Create Wellness Creatine Gummies - 20% off with discount code JOSH BioPro+ by BioProtein Technology - Save $30 OFF WITH CODE JOSH Drink LMNT - Zero Sugar Hydration: Get your free LMNT Sample Pack, with any purchase Healthy Home SunHome Saunas - Save $200 with JOSH200 JASPR Air Purifier - Save 10% with code WELLNESS Zyppah Anti-Snoring Mouthpiece - 20% off with the code JOSH Holy Hydrogen - $100 off with discount code JOSH SimplyO3 - 10% off with discount code JOSH10 LEELA Quantum Upgrade + Frequency Bundles - Get 15 days free with code JOSH15 TrulyFree Toxic- Free Cleaning Products - Get 40% off + Freebies with code WELLNESSFORCE Mental Health + Stress Release Mendi.io - 20% off with the code JOSH20 NOOTOPIA - 10% off with the discount code JOSH10 CalmiGo - $30 off the device with discount code JOSH30 QUALIA - 15% off with WELLNESSFORCE Personal Care⁠ The Wellness Company's Emergency Health Kits + More - Save 10% with code JOSH Farrow Life - Save 20% with JOSH Timeline Nutrition - 10% off with JOSH ⁠⁠Intelligence of Nature - 15% off Skin Support with the code JOSH15⁠⁠ Young Goose - Save 10% with code JOSH10 Mindfulness + Meditation BREATHE - 33% off with the code PODCAST33 Neuvana - 15% off with the code WELLNESSFORCE Essential Oil Wizardry - 10% off with the code WELLNESSFORCE Four Visions - Save 15% with code JOSH15 Lotuswei - 10% off with JOSH Clothing Rhizal Grounded Barefoot Shoes - Save 10% with code WELLNESS Earth Runners Shoes - 10% off with the code JOSHT10 Free Resources M21 Wellness Guide - Free 3-Week Breathwork Program with Josh Trent Join The Liberated Life Tribe About Dr. Kenny Brown Dr. Kenny Brown is an Oral and Maxillofacial Surgeon who has operated on everything from a loose baby tooth to a skull reconstruction following a bear attack. He is now bridging the gap between oral health and overall health as the co-founder and CEO of Feno. In addition to his clinical background, Dr. Brown has strived to create impact beyond the operating room with his work in business development for two medical devices (sold) and opening multiple sustainable community clinics in South Los Angeles. Prior to this, Dr. Brown completed his undergraduate education at Stanford University, where he also played basketball and published research in regenerative medicine. During his dental education, he also served on the technology transfer committee, bringing innovation from the lab to the commercial market for Texas A&M. Website Instagram Facebook YouTube  

Dr. Philip (@ifixhearts) was a respected heart surgeon—but behind the scenes, he was morbidly obese, pre-diabetic, and headed toward a major health crisis. One day, he realized he was on track to become his own patient. The traditional medical advice he gave others wasn't working for him—or his patients—so he decided to find a better way. In this powerful episode of The Level Up Podcast w/ Paul Alex, Dr. Philip reveals how he transformed his health, regained his energy, and built a thriving, 7-figure medical practice dedicated to helping others avoid the same fate.

This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Daniel Choi, Orthopedic Spine Surgeon and Owner, Spine Medicine and Surgery of Long Island. Dr. Choi shares how his independent practice is thriving amid industry consolidation, the critical role ASCs play in spine care, and how AI and independent dispute resolution are transforming operational and financial efficiency.

Don't miss this new episode of The Naked Patient with Kevin Borland! Kevin is a successful entrepreneur but his story is so much more. From an injury while serving in the military to working as an anti human trafficking operative and recovering from PTSD. This one has it all. Enjoy!

When the gallbladder turns hostile, sometimes you must do more than just pause—you have to call in a senior partner for help. Join the Behind the Knife EGS team at Mizzou as we dive into the art and grit of open cholecystectomy. From fundus-first dissection to navigating the “barrier to happiness,” this episode is packed with surgical pearls, tough love, and the kind of wisdom only scars can teach. Participants: Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve  Dr. Jeffery Coughenour FACS (Surgical Attending) – Professor of Surgery and Emergency Medicine, Trauma Medical Director at the University of Missouri SOM Dr. Christopher Nelson FACS (Surgical Attending) – Associate Professor of Surgery, Medical Director of Emergency General Surgery at the University of Missouri SOM Dr. Micah Ancheta (ACS Fellow) – Major, United States Airforce  Dr. Desra Fletcher (3rd year general surgery resident) Learning Objectives:  ·      Recognize Indications for Conversion Identify clinical and intraoperative factors that necessitate conversion from laparoscopic to open cholecystectomy. ·      Apply Risk Stratification Tools Utilize grading systems (e.g., Parkland, Tokyo, AAST) to assess cholecystitis severity and predict surgical difficulty. ·      Implement Safe Cholecystectomy Techniques Describe the six steps of the SAGES Safe Cholecystectomy Program to minimize bile duct injury. ·      Understand Bailout Strategies Differentiate between fenestrating and reconstituting subtotal cholecystectomy techniques and their respective risks. ·      Master Key Operative Steps Outline the essential components of open cholecystectomy: positioning, incision, exposure, and dissection. ·      Navigate High-Risk Anatomy Recognize “zones of danger” and use the B-SAFE mnemonic to reorient and ensure safe progression. ·      Develop Intraoperative Judgment Demonstrate when to proceed with subtotal techniques, convert to open, or call for assistance. ·      Perform Technical Nuances Safely Identify proper dissection planes, manage gallbladder bed inflammation, and secure cystic structures with confidence. ·      Prevent and Manage Complications Understand the risks of bile leaks, bilomas, and subcostal hernias—and how to mitigate them through technique and closure. ·      Foster Surgical Maturity Emphasize humility, collaboration, and mentorship in difficult operations—knowing when to ask for help is a skill. References: 1.     Dhanasekara, C. S., Shrestha, K., Grossman, H., Garcia, L. M., Maqbool, B., Luppens, C., ... & Dissanaike, S. (2024). A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study. Surgery, 176(5), 605–613. https://doi.org/10.1016/j.surg.2024.03.057 2.     Motter, S. B., de Figueiredo, S. M. P., Marcolin, P., Trindade, B. O., Brandao, G. R., & Moffett, J. M. (2024). Fenestrating vs reconstituting laparoscopic subtotal cholecystectomy: A systematic review and meta-analysis. Surgical Endoscopy, 38, 7475–7485. https://doi.org/10.1007/s00464-024-11225-8 3.     Brunt, L. M., Deziel, D. J., Telem, D. A., Strasberg, S. M., Aggarwal, R., Asbun, H., ... & Stefanidis, D. (2020). Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Surgical Endoscopy.https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/ 4.     Elshaer, M., Gravante, G., Thomas, K., Sorge, R., Al-Hamali, S., & Ebdewi, H. (2015). Subtotal cholecystectomy for “difficult gallbladders”: Systematic review and meta-analysis. JAMA Surgery, 150(2), 159–168. https://doi.org/10.1001/jamasurg.2014.1219 5.     Koo, S. S. J., Krishnan, R. J., Ishikawa, K., Matsunaga, M., Ahn, H. J., Murayama, K. M., & Kitamura, R. K. (2024). Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis. The American Journal of Surgery, 229(1), 145–150. https://doi.org/10.1016/j.amjsurg.2023.12.022 6.     Strasberg, S. M., Pucci, M. J., Brunt, L. M., & Deziel, D. J. (2016). Subtotal cholecystectomy—“Fenestrating” vs “reconstituting” subtypes and the prevention of bile duct injury: Definition of the optimal procedure in difficult operative conditions. Journal of the American College of Surgeons, 222(1), 89–96. https://doi.org/10.1016/j.jamcollsurg.2015.09.019 7.     Ahmed, O., & Walsh, T. N. (2020). Surgical trainee experience with open cholecystectomy and the Dunning-Kruger effect. Journal of Surgical Education.https://doi.org/10.1016/j.jsurg.2020.03.025 8.     Seshadri, A., & Peitzman, A. B. (2024). The difficult cholecystectomy: What you need to know. The Journal of Trauma and Acute Care Surgery, 97(3), 325–336. https://doi.org/10.1097/TA.0000000000004156 9.     Invited commentary on “A comparison of outcomes including bile duct injury of subtotal cholecystectomy versus open total cholecystectomy as bailout procedures for severe cholecystitis: A multicenter real-world study”. (2024). Surgery, 176(5), 614–615. https://doi.org/10.1016/j.surg.2024.05.003 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

This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Daniel Choi, Orthopedic Spine Surgeon and Owner, Spine Medicine and Surgery of Long Island. Dr. Choi shares how his independent practice is thriving amid industry consolidation, the critical role ASCs play in spine care, and how AI and independent dispute resolution are transforming operational and financial efficiency.

This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Daniel Choi, Orthopedic Spine Surgeon and Owner, Spine Medicine and Surgery of Long Island. Dr. Choi shares how his independent practice is thriving amid industry consolidation, the critical role ASCs play in spine care, and how AI and independent dispute resolution are transforming operational and financial efficiency.

Martin Dr. Gregory Rogers, a former NASA Chief Flight Surgeon and retired U.S. Air Force major, who has recently spoken out about a classified UFO encounter he witnessed over 30 years ago. In this in-depth discussion, Dr. Rogers revisits the moment in 1992 when he was shown a security video inside a locked room at Cape Canaveral—footage revealing a 20-foot flying saucer levitating inside a military hangar. The craft, marked “U.S. Air Force,” appeared seamless, silent, and capable of flight maneuvers beyond conventional aerospace technology. Dr. Rogers describes its sudden lift, smooth hovering, and unusual tilt—all without visible propulsion. When he asked where the craft came from, the answer was chilling: “FROM THEM.”SHOW NOTESSupport the Show & Stay Connected!  

Use our code for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/WHATMYSISSAID2025 Sponsored by SeatGeek. *Restrictions apply. Max $20 discount What's up Kavari Krew!! Welcome to What My Sis Said Podcast hosted by sister's Nazanin and Yasmin Kavari ♡This week we're sitting down with the one and only Dr. Ghavami! World-renowned plastic surgeon, beauty expert, and the man behind *some* of your favorite celeb looks!We're talking all things confidence, body image, trends in beauty, and what *really* happens behind the scenes of cosmetic procedures. Whether you're curious, considering a tweak, or just love a good glow-up story — this episode is not one to miss!“What My Sis Said” is a podcast where sisters- Nazanin and Yasmin Kavari, dive deep into the many aspects of womanhood. We share personal stories, discuss relatable topics, and create a sense of sisterhood for the listeners. From navigating career aspirations in social media to embracing self-care rituals, they explore it all! Tune in every Tuesday for laughs, insights, and the comforting feeling of knowing you're never alone on this journey called life. You'll always have your good sis!

Dr. Feroze Sidhwa is an American trauma surgeon who has served in multiple volunteer medical delegations to war zones around the world, including delegations to Ukraine and Gaza. In this urgent episode of The Marc Steiner Show, Marc speaks with Dr. Sidwha about the unfathomable carnage of Israel's genocidal destruction of Gaza and ethnic cleansing of Palestinians. “70% of structures in the Gaza Strip, human-built things, have been destroyed. That didn't happen with the atomic bombing of Hiroshima. This is insane. We're just leveling a whole society for the sake of doing it.”Guest:Dr. Feroze Sidhwa is a general, trauma, and critical care surgeon in California. He is also a humanitarian surgeon, having worked most extensively in Palestine, but also in Ukraine, Haiti, Zimbabwe, and Burkina Faso. Dr. Sidhwa most recently volunteered at the European Hospital in Khan Younis, Gaza, from March 25-April 8, 2024 with the World Health Organization, and again from March 3-April 1, 2025 with American NGO MedGlobal.Additional resources:Mark Perlmutter & Feroze Sidhwa, Politico, “We volunteered at a Gaza hospital. What we saw was unspeakable”Credits:Producer: Rosette SewaliStudio Production: David HebdenAudio Post-Production: Stephen FrankFollow The Marc Steiner Show on Spotify Follow The Marc Steiner Show on Apple PodcastsHelp us continue producing The Marc Steiner Show by following us and becoming a monthly sustainer.Sign up for our newsletterFollow us on:Bluesky: @therealnews.comFacebook: The Real News NetworkTwitter: @TheRealNewsYouTube: @therealnewsInstagram: @therealnewsnetwork

Have you ever faced an upcoming surgery—not just anxious about the procedure itself, but also wondering how you'll cover the cost?Imagine if someone stepped in to guide you through the process, coordinating the details and helping you navigate the expenses. Good news: that kind of support is available, and Lauren Gajdek is here to tell us all about it.Lauren Gajdek is the Senior Director of External Affairs at Christian Healthcare Ministries (CHM), an underwriter of Faith & Finance. A New Offering: The Complete Surgical Care SolutionAs the nation's longest-serving faith-based health cost-sharing ministry, CHM has helped Christian families with over $12 billion in medical bills over the past 40 years. CHM operates as a biblically based nonprofit organization, offering believers a unique way to meet healthcare needs—through the power of community, compassion, and cost-sharing.At no additional cost to members, CHM has launched a groundbreaking program called the Complete Surgical Care Solution (CSCS). This service guides members through the entire process of having surgery or a medical procedure—from finding the right surgeon to managing paperwork and bills.It's a “curated experience” designed to walk alongside members during a challenging time. It's personalized, turnkey, and stress-free—requiring nothing more than active CHM membership.A Real-Life Story: Chloe's Journey to HealingChloe is a teenage softball player who struggled with recurring hip and leg pain. When surgery was recommended, her family turned to CHM and its surgical solution program.Through CHM's help, Chloe was connected with a top-quality surgeon for a hip replacement. The ministry even covered some of the family's travel expenses. Ultimately, CHM covered more than $145,000 in eligible medical bills. Plus, Chloe's family received a $1,250 credit toward their out-of-pocket costs.The family described the entire experience as feeling like they were “surrounded by family.” That's the kind of ministry CHM strives to be.How to QualifyThe process is simple. Members need:A diagnosis from a healthcare providerA recommendation for surgeryIf the procedure qualifies, members can reach out directly to CHM—and from there, the ministry handles the rest.Whether you're facing a surgery or seeking a faith-based alternative to traditional insurance, CHM offers compassionate, biblically grounded support every step of the way.Visit CHMinistries.org/FaithFi to explore CHM's offerings and see how this ministry can walk with you through life's medical challenges.On Today's Program, Rob Answers Listener Questions:I'm in danger of losing my home. The mortgage company offered me a forbearance and a loan modification, but I still can't afford the payments. Now they're telling me to wait for a denial and reapply, but I'm concerned they might be pushing toward foreclosure since there's a lot of equity in the home. What are my options?I'm the executor of my parents' estate, which was settled about three years ago. How long do I need to keep the estate's tax returns and supporting documents?My daughter and her husband want to buy a house, but their credit has been affected due to some late car payments. They've asked me to cosign the mortgage. I love them and want to support them, but I'm not sure if cosigning is the right move. What should I consider?Resources Mentioned:Faithful Steward: FaithFi's New Quarterly Magazine (Become a FaithFi Partner)Christian Healthcare Ministries (CHM)CHM's Complete Surgical Care Solution (CSCS)HUD.gov (U.S. Department of Housing and Urban Development)Wisdom Over Wealth: 12 Lessons from Ecclesiastes on MoneyLook At The Sparrows: A 21-Day Devotional on Financial Fear and AnxietyRich Toward God: A Study on the Parable of the Rich FoolFind a Certified Kingdom Advisor (CKA) or Certified Christian Financial Counselor (CertCFC)FaithFi App Remember, you can call in to ask your questions most days at (800) 525-7000. Faith & Finance is also available on the Moody Radio Network and American Family Radio. Visit our website at FaithFi.com where you can join the FaithFi Community and give as we expand our outreach.

Dr. Feroze Sidhwa is an American trauma surgeon who has served in multiple volunteer medical delegations to war zones around the world, including delegations to Ukraine and Gaza. In this urgent episode of The Marc Steiner Show, Marc speaks with Dr. Sidwha about the unfathomable carnage of Israel's genocidal destruction of Gaza and ethnic cleansing of Palestinians. “70% of structures in the Gaza Strip, human-built things, have been destroyed. That didn't happen with the atomic bombing of Hiroshima. This is insane. We're just leveling a whole society for the sake of doing it.”Guest:Dr. Feroze Sidhwa is a general, trauma, and critical care surgeon in California. He is also a humanitarian surgeon, having worked most extensively in Palestine, but also in Ukraine, Haiti, Zimbabwe, and Burkina Faso. Dr. Sidhwa most recently volunteered at the European Hospital in Khan Younis, Gaza, from March 25-April 8, 2024 with the World Health Organization, and again from March 3-April 1, 2025 with American NGO MedGlobal.Additional resources:Mark Perlmutter & Feroze Sidhwa, Politico, “We volunteered at a Gaza hospital. What we saw was unspeakable”Credits:Producer: Rosette SewaliStudio Production: David HebdenAudio Post-Production: Stephen FrankFollow The Marc Steiner Show on Spotify Follow The Marc Steiner Show on Apple PodcastsHelp us continue producing The Marc Steiner Show by following us and becoming a monthly sustainer.Sign up for our newsletterFollow us on:Bluesky: @therealnews.comFacebook: The Real News NetworkTwitter: @TheRealNewsYouTube: @therealnewsInstagram: @therealnewsnetwork

Our trio head into medical drama terriotry for epsode 7.The Surgeon. Directed by Arnold Laven. Written by Barry Oringer. Guest starring Jacqueline Scott, Michael Strong. 

Join us, as we examine the tragic and controversial death of Katie McClean, a mother of three and wellness practitioner. How to support: For extra perks including exclusive content, early release, and ad-free episodes - Go to - Patreon How to connect: Website Instagram Facebook Twitter Please check out our sponsors and help support the podcast: Nutrafol - Start your hair growth journey with Nutrafol. For a limited time, Nutrafol is offering our listeners ten dollars off your first month's subscription and free shipping when you go to Nutrafol.com and enter the promo code MADNESS Mint Mobile - For premium wireless plans starting at $15 a month go to mintmobile.com/madness Rula - Thousands of people are already using Rula to get affordable, high-quality therapy that's actually covered by insurance. Visit Rula.com/madness to get started. After you sign up, you'll be asked how you heard about them —please support our show and let them know we sent you. Smalls - For a limited time only, get 60% off your first order PLUS free shipping when you head to Smalls.com/MADNESS Masterclass - See MasterClass's latest deal–at least 15% off–at MasterClass.com/MADNESS Cremo - Head to Target or Target.com to find Cremo's new line of antiperspirants and deodorants in the Italian Bergamont and Palo Santo scents. Shopify - Sign up for a one-dollar-per-month trial period at shopify.com/madness Quince - Upgrade your wardrobe with pieces made to last with Quince. Go to Quince.com/madness for free shipping on your order and 365-day returns. Research & Writing: Ryan Deininger Editing: Aiden Wolf Sources: LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day One LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Two LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Three LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Four LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Five LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Six LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Seven LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Eight LIVE: Doctor's Wife Murdered — MA v. Dr. Ingolf Tuerk — Day Nine Dover doctor accused of killing wife asks for investigators' phones Star surgeon, 58, 'confessed to strangling his wife to death in drunken row Surgeon arrested for murdering missing wife Boston Doctor Admitted to Strangling Wife to Death, Dumping Body in Pond: Prosecutors Mass. doctor accused of killing his wife strangled her and hid her body in a pond A well-known surgeon allegedly confessed to killing his wife Former Star Surgeon Charged With Killing Wife A Slaying in the Suburbs - Boston Magazine ‘I snapped': In emotional testimony, Dover doctor says he killed wife during argument Dover doctor found guilty of voluntary manslaughter in wife's 2020 death MA v. Ingolf Tuerk: Surgeon Strangles Wife Trial Kathleen Obituary NBC 10 Boston

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Headlines for July 25, 2025; Ben Crump on Breonna Taylor, William McNeil, Saniyah Cheatham & Demand to Release Malcolm X Files; “Why Is the World Letting It Happen?”: U.K. Surgeon, Back from Gaza, on Starving Children; Freedom Flotilla Sails to Gaza to Break Israel’s “Engineered Famine”: Activist Huwaida Arraf; Rep. Rashida Tlaib on Gaza Siege, American Killed by Israeli Settlers & Epstein’s Financial Network