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Today, we're diving into a condition that's as fascinating as it is complex: Achalasia—where the esophagus stops playing nice, and swallowing becomes a daily challenge. We're breaking down the latest evidence, comparing POEM, pneumatic dilation, and Heller myotomy, and digging into what actually matters when deciding how to treat each achalasia subtype. Join show hosts Drs. Jake Greenberg, Dana Portenier, Zach Weitzner, and Joey Lew as they discuss the past, present, and future of Achalasia management. Whether you're a medical student or a seasoned attending, this episode will arm you with the tools to think critically about diagnosis, tailor your treatment strategy, and stay ahead of the curve on the future of achalasia care. Hosts: · Jacob Greenberg, MD, EdM, MIS Division Chief and Vice Chair for Education, Duke University · Dana Portenier, MD, MIS Fellowship Director, Duke University · Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD · Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually Learning Goals: By the end of this episode, listeners will be able to: · Describe the pathophysiology and key diagnostic criteria for achalasia, including the role of manometry, EGD, and esophagram. · Differentiate between the three subtypes of achalasia based on the Chicago Classification and understand the clinical significance of each. · Compare treatment options for achalasia—pneumatic dilation, Lap Heller myotomy, and POEM—including indications, efficacy, and long-term outcomes. · Interpret landmark studies (e.g., European Achalasia Trial, JAMA POEM trial) and their impact on treatment decision-making. · Recognize patient-specific factors (age, comorbidities, achalasia subtype) that influence the choice of therapy. · Discuss evolving technologies and future directions in achalasia management, including endoluminal robotics, ARMS, and combined anti-reflux strategies. · Outline a basic treatment algorithm for newly diagnosed achalasia, incorporating diagnostic steps and tailored interventions. · Appreciate the multidisciplinary approach to achalasia care, including the roles of MIS surgeons, gastroenterologists, and emerging procedural skillsets. References: · Boeckxstaens G, Elsen S, Belmans A, Annese V, Bredenoord AJ, Busch OR, Costantini M, Fumagalli U, Smout AJPM, Tack J, Vanuytsel T, Zaninotto G, Salvador R; European Achalasia Trial Investigators. 10‑year follow-up results of the European Achalasia Trial: a multicentre randomised controlled trial comparing pneumatic dilation with laparoscopic Heller myotomy. Gut. 2024 Mar;73(4):582‑589. doi: 10.1136/gutjnl‑2023‑331374. PMID: 38050085 https://pubmed.ncbi.nlm.nih.gov/38050085/ · He J, Yin Y, Tang W, Jiang J, Gu L, Yi J, Yan L, Chen S, Wu Y, Liu X. Objective Outcomes of an Extended Anti‑reflux Mucosectomy in the Treatment of PPI‑Dependent Gastroesophageal Reflux Disease (with Video). J Gastrointest Surg. 2022 Aug;26(8):1566–1574. doi:10.1007/s11605‑022‑05396‑9. PMID: 35776296 https://pubmed.ncbi.nlm.nih.gov/35776296/ · Modayil RJ, Zhang X, Rothberg B, et al. Peroral endoscopic myotomy: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment. Gastrointest Endosc. 2021;94(5):930-942. doi:10.1016/j.gie.2021.05.014. PMID: 33989646. https://pubmed.ncbi.nlm.nih.gov/33989646/ · Ponds FA, Fockens P, Lei A, Neuhaus H, Beyna T, Kandler J, Frieling T, Chiu PWY, Wu JCY, Wong VWY, Costamagna G, Familiari P, Kahrilas PJ, Pandolfino JE, Smout AJPM, Bredenoord AJ. Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and treatment outcomes among treatment-naive patients with achalasia: a randomized clinical trial. JAMA. 2019 Jul 9;322(2):134–144. doi:10.1001/jama.2019.8859. PMID: 31287522. https://pubmed.ncbi.nlm.nih.gov/31287522/ · Vaezi MF, Pandolfino JE, Yadlapati RH, Greer KB, Kavitt RT; ACG Clinical Guidelines Committee. ACG clinical guidelines: Diagnosis and management of achalasia. Am J Gastroenterol. 2020 Sep;115(9):1393–1411. doi:10.14309/ajg.0000000000000731. PMID: 32773454; PMCID: PMC9896940 https://pubmed.ncbi.nlm.nih.gov/32773454/ · West RL, Hirsch DP, Bartelsman JF, de Borst J, Ferwerda G, Tytgat GN, Boeckxstaens GE. Long term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol. 2002;97(6):1346-1351. doi:10.1111/j.1572-0241.2002.05771.x. PMID:12094848. https://pubmed.ncbi.nlm.nih.gov/12094848/ 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
Denise is six days post-abdominal surgery with a midline incision. The incision is well-approximated with slight redness but no drainage or dehiscence. She is concerned about safely participating in physical therapy. Which recommendation is MOST appropriate for this patient?A) Avoid core exercises until 6 weeks post-opB) Continue light activities and monitor for redness, swelling, or drainageC) Apply heat to the incision before exercise to promote healingD) Use high-compression abdominal binders during therapyJoin the FREE Facebook Group: www.nptegroup.com
In response to a request, we share valuable resources for learning about femoral acetabular impingement (FAI) and labral tears, addressing the knowledge gap many clinicians face with these conditions.• Four essential resource categories: research literature, clinical specialists, surgical resources, and academic educators• Key research documents include the Warwick Agreement and Doha Agreement on diagnostic criteria for FAI• Following clinicians like Dan, Mike Ryman, and Mike Voigt who combine research with extensive clinical experience• Surgical textbooks like "Hip Preservation Surgery" provide valuable insights despite their cost • Observing actual hip surgeries offers unparalleled perspective on the procedure and recovery process• Understanding imaging measurements (alpha angle, lateral center edge angle) improves communication with surgeons• Interdisciplinary conferences and continuing education courses provide opportunities for professional networking• Watching a family member recover from surgery builds empathy for what patients experience beyond clinical visitsYour best approach to mastering hip FAI and labral tear management is to combine evidence, clinical expertise, surgical knowledge, and academic insights while applying this systematized approach to any joint or condition.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
Drs. Safa Rahmani and Sarwar Zahid join to discuss the July 2025 Retinal Physician focusing on surgical cases and pearls. Relevant Financial Disclosures: None
Maura Fay, RTÉ Reporter and Abby Eogan, Harrison's mam
Tears, holes, and mystery micro-leaks—if wrap issues are slowing down your workflows, it might be time to understand what's really going on with your surgical wrap. On this episode of Beyond Clean's Planet Assembly, Sade Brown, PhD, Research & Development Engineer at Owens & Minor, breaks down the science, design, and vulnerabilities that could be putting your sterile barriers at risk. From bacterial filtration efficiency to the delicate balance of porosity, she'll reveal the key factors that keep surgical wrap working—and explain why stacking those heavy trays might be doing more damage than you think. Whether you're chasing down mystery holes or just want to know what's really keeping your trays safe, this conversation could change how you think about every tray you wrap! Season 29 of Beyond Clean releases under the 1 Episode = 1 CE delivery model. After finishing this interview, earn your 1 CE credit immediately by passing the short quiz linked here: https://www.flexiquiz.com/SC/N/episode29-04 Visit our CE Credit Hub at https://www.beyondcleanmedia.com/ce-credit-hub to access this quiz and over 350 other free CE credits. #BeyondClean #SterileProcessing #Podcast #Season29 #PlanetAssembly #SurgicalWrap #SterileBarriers #BlueWrap
Henry and Shireal dive into this interest topic about marital surgery and how you have to undergo things you may not want ignorer to heal from past situations.
Michael Sugrue, Surgeon at Letterkenny University Hospital in Donegal, reacts
In this episode, Jennifer Friend, Chief Executive Officer and Owner at Friend Surgical Solutions, shares insights on key trends in ambulatory surgery centers including shifting procedure sites, AI-driven efficiencies and private equity's evolving role. She also discusses the financial realities facing ASCs and offers strategies for sustainable growth and care access in both urban and rural settings.
In this episode, Jennifer Friend, Chief Executive Officer and Owner at Friend Surgical Solutions, shares insights on key trends in ambulatory surgery centers including shifting procedure sites, AI-driven efficiencies and private equity's evolving role. She also discusses the financial realities facing ASCs and offers strategies for sustainable growth and care access in both urban and rural settings.
In this episode, Jennifer Friend, Chief Executive Officer and Owner at Friend Surgical Solutions, shares insights on key trends in ambulatory surgery centers including shifting procedure sites, AI-driven efficiencies and private equity's evolving role. She also discusses the financial realities facing ASCs and offers strategies for sustainable growth and care access in both urban and rural settings.
In this episode, Michael Gale, Administrative Director at Sentara Obici Ambulatory Surgical Center shares insights on the migration of higher acuity cases to ASCs, obstacles posed by certificate of need laws, and the importance of tailored patient care in today's evolving ambulatory landscape.
In this episode, Michael Gale, Administrative Director at Sentara Obici Ambulatory Surgical Center shares insights on the migration of higher acuity cases to ASCs, obstacles posed by certificate of need laws, and the importance of tailored patient care in today's evolving ambulatory landscape.
In this episode, Michael Gale, Administrative Director at Sentara Obici Ambulatory Surgical Center shares insights on the migration of higher acuity cases to ASCs, obstacles posed by certificate of need laws, and the importance of tailored patient care in today's evolving ambulatory landscape.
Welcome to the Sterile Technique Podcast! It's the podcast about Surgical Technology. Whether you are a CST or CSFA, this podcast helps you earn CE credits and improve your surgery skills in the OR. This episode discusses an article in the July 2016 issue of The Surgical Technologist, the official journal of the Association of Surgical Technologists (AST). The article is titled, "Robot-Assisted Pancreatic Surgery - Optimized Operating Procedures". "Scrub in" at steriletpodcast.com and on Twitter, @SterileTPodcast (twitter.com/SterileTPodcast). This podcast is a Dybas Media production. Sound effects adapted from GarageBand and sindhu.tms at https://freesound.org/people/sindhu.tms/sounds/169065/ and licensed courtesy of https://creativecommons.org/licenses/by-nc/3.0/.
Northstar Gold Corp CEO Brian Fowler Joined Steve Darling from Proactive to announce the signing of a Letter of Intent with Novamera Inc. to deploy its patented Surgical Mining technology at Northstar's Cam Copper Mine, part of the company's Miller Copper-Gold Property in Ontario. The project will target Zone 2, a high-grade copper-rich zone interpreted to host Besshi-style volcanogenic massive sulphide (VMS) mineralization, primarily chalcopyrite and bornite. The zone extends from surface to about 200 metres depth, over a 125-metre strike length and an average width of 1 metre. It remains open at depth, plunging southeast at -71 degrees along a defined VMS feeder structure. Fowler emphasized that Novamera's Surgical Mining process is ideally suited to extract this narrow, high-grade mineralization while minimizing environmental disturbance and dilution. The technique uses large-diameter surface drilling guided by advanced hardware and software to precisely target ore zones. Broken rock is recovered directly from surface and transported to a nearby mill for processing. Once drilling is completed, the holes can be reclaimed immediately, ensuring structural support and a minimal surface footprint. Under the strategic agreement, the company is working on due diligence and implementation planning. Novamera will earn a 5% revenue share, with Northstar holding a buyout option. The initial capital requirement is modest, approximately $1.5 million, with remaining project costs structured off-balance sheet, reducing financial risk. Northstar is actively pursuing non-dilutive funding options to accelerate the start of operations. Fowler concluded that Novamera's novel approach offers a low-impact, high-recovery solution for Zone 2 and fits well with Northstar's broader goal of sustainable and efficient resource development. #proactiveinvestors #northstargoldcorp #cse #nsg #MiningNews #GoldDiscovery #CopperExploration #MillerProperty #KirklandLake #Investing #Gold #Copper #ProactiveInvestors #novamera
Want to feel more confident reading dental x-rays? Join our FREE training on radiographic interpretation! https://ivdi.org/rad Ready to elevate your veterinary dentistry skills? Request an invite to the Veterinary Dental Practitioner Program: https://ivdi.org/inv --------------------------- Host: Dr. Brett Beckman, DVM, DAVDC, FAVD In this episode, we tackle key aspects of surgical extractions and radiographic interpretation. Learn practical tips to enhance your dental procedures and improve patient outcomes. What You'll Learn: ✅ How to determine the best time to perform an extraction. ✅ Proper patient positioning for comfortable and efficient extractions. ✅ Optimal incision placement for effective flap creation. ✅ Correct instrument handling, from scalpel to diamond bur. ✅ Techniques for successful root tip removal. ✅ How to approach radiographic interpretation. ✅ Treatment options based on owner compliance and bone loss severity. ✅ The importance of curettage and hyaluronic acid in periodontal defect management. Key Takeaways: ✅ Knowing when to extract is crucial for efficient case management. ✅ Patient positioning significantly impacts extraction ease. ✅ Proper debridement of granulation tissue is essential for preventing disease progression. ✅ Owner compliance plays a vital role in determining treatment success. ✅ Hyaluronic acid can be a valuable tool in managing minor bone loss. --------------------------- What are your biggest challenges with surgical extractions? Share your thoughts and questions in the comments below! --------------------------- veterinary dentistry, surgical extractions, radiographic interpretation, vet dental show, Brett Beckman, DVM, DAVDC, FAVD, periodontal disease, dental extractions, veterinary education, veterinary CE, IVDI, dental radiography, root tip removal, hyaluronic acid, curettage, bone grafting, veterinary practice, general practice, veterinary technician
The guys review the long awaited Clipse "Let God Sort Em Out"Weekly catch up (1:23), Clipse album rollout (5:33), Album review (9:19), Verse of the week (1:08:18)Verse Of The WeekClipse - Popular Demand (No Malice)Pusha T - Alone In VegasPusha T - Intro (Darkest Before Dawn)Pusha T - So AppalledPusha T - I Am ForgivenPusha T - Drug Dealer's Anonymous (Feat. Jay Z)https://open.spotify.com/show/3rffzog0ljQd85Ov7Fnw78https://podcasters.spotify.com/pod/show/tandthttps://podcasts.apple.com/us/podcast/t-t-a-podcast-by-timothy-taylorean/id1509351799T&T Podcast IG: https://www.instagram.com/tandtpodcastt/https://www.youtube.com/@TTapodcastbyTimothyTaylorean
What happens when menopause hits overnight? That's surgical menopause — and too many women go through it without warning or support.In this episode, I'm joined by Dr. Cheruba Prabakar to talk about:What surgical menopause is and why it's so intenseHow sudden estrogen loss affects your heart, brain, bones, and moreWhy hormone therapy isn't optional — it's protectiveWhat you can do if this is your storyWhether you've had your ovaries removed or are preparing for surgery, this episode gives you the info you need to advocate for your health.Connect with us:Follow Dr. Cheruba Prabakar → @thefibroiddocMore at skywomenshealth.comFollow Dr. Carolyn Moyers → @drcarolynmoyers
Dr. James Barnes, bariatric surgeon at the Highland Clinic, discusses revisional bariatric surgery—why patients with older procedures like Lap-Band or stomach stapling may benefit from updated options or revisional surgeries to convert to a sleeve gastrectomy or gastric bypass.
NCERT introduces the Delhi Sultanate, Marathas & Mughals in Class 8 Social Science textbook, highlighting differences between Shivaji and Babur or Akbar.
Join us for the next episode of The Oculofacial Podcast as we delve into the etiology, diagnosis, medical management, and surgical interventions for facial palsy. If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: www.asoprs.memberclicks.net/podcast
This week we share the first in an ongoing series of Doc Talk Live! episodes recorded in front of an audience at the Matthews Opera House and Art Center in Spearfish. Andrew VanOsdol, M.D., fellowship-trained Bariatric Surgeon at Spearfish Clinic, North Avenue, discusses obesity and surgical weight loss and answers questions from the crowd. Dr. VanOsdol shares his expertise on GLP-1 medicines like Ozempic and gives general advice on weight management, particularly as you age. Want to attend a recording? Join us for our next Doc Talk Live! at the Matthews Opera House and Art Center July 21, 2025 at 5:30 p.m. Our guest, Loren Jones, M.D., Ear, Nose and Throat Doctor at Spearfish Clinic, North Avenue, will discuss treatments and solutions for people suffering from sleep apnea. Hosted on Acast. See acast.com/privacy for more information.
Join Gerianne DiPiano and Dr. Juliana Hauser as they tackle surgical menopause, a topic Dr. Hauser intimately understands. Learn how to build your ideal support team and advocate for yourself. If you're facing surgical menopause, or supporting someone who is, tune in to gain essential insights to help you prepare, heal, and move forward with confidence.
In this episode, MEDSURG Nursing Journal Editorial Board Member Dr. Katie Chargualaf, the Dean of Nursing at the University of South Carolina Aiken, talks with Briana Aaron, an Instructor in the School of Nursing at the University of South Carolina Aiken. Aaron shares her expertise and insights on the specialty of medical-surgical nursing. She explores ways to effectively promote medical-surgical nursing to new graduate nurses and the value and rewards of starting and extending their careers in the specialty.Briana Aaron, MSN, RN, is an Instructor in the School of Nursing at the University of South Carolina in Aiken, South Carolina. Katie Chargualaf, PhD, RN, CMSRN, CNE, FAAN, is Dean of the School of Nursing at the University of South Carolina in Aiken, South Carolina. She is a member of the MEDSURG Nursing Journal Editorial Board and serves as author of the journal's “Leadership in Nursing” column.Visit our new online journal platform at www.jannettipublications.comChoose what works best for you – purchase individual articles, or subscribe and access all MEDSURG Nursing articles, including archives from past years. Plus, NCPD assessments are FREE for individual subscribers or through the purchase of the NCPD article.For archived episodes of this podcast and to learn more about MEDSURG Nursing, visit the journal's website at www.medsurgnursing.net.© Jannetti Publications, Inc.Music selections by Scott Holmeshttp://www.scottholmesmusic.com
Join us as we dissect the use of robotics in bariatric surgery – where precision meets programming, and the scalpel gets a software upgrade. Hosts: - Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) - Adrian Dan, bariatric and MIS surgeon, program director for the advanced MIS bariatric and foregut fellowship at Summa Health System (Akron, Ohio) - Crystal Johnson Mann, bariatric and foregut surgeon at the University of Florida (Gainesville, Florida) - Katherine Cironi, general surgery resident at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) Learning objectives: Strengths of the robot: Surgical robots are at the forefront of technology and continue to improve with detailed, precision cameras and the ability to remove baseline tremors Allows for smooth movements, fine dissection, and precise tissue handling Ergonomics are more advantageous to the surgeon when compared to laparoscopy Weaknesses of the robot: The loss of haptic feedback can be challenging for surgeons early in their learning curve Emphasis on surgical robots means some trainees may be losing exposure to laparoscopic techniques Longer operative time when working robotically, and more time under anesthesia for the patient Increased cost for robotic surgery Outcomes data: Mixed data from the MBSA QIP database (metabolic and bariatric surgery accreditation and quality improvement program) The most recent study looked at 824,000 patients from 2015-2022 who had a sleeve gastrectomy or RNY gastric bypass, either laparoscopically (lap sleeve 61%, lap RYGB 24%) or robotically (robo sleeve 11%, robo RYGB 4%). Robotic sleeves were reported to have higher complication rates compared to laparoscopy, seen as higher overall morbidity and an increased rate of leaks While the robotic RYGBs have lower overall complications, including decreased morbidity and bleeding. Robotic RYGB can be especially advantageous with revisional surgeries when compared to lap. Setting up for success Train your eyes to determine tension on tissue, since there is no haptic feedback Learn how to assist yourself (manipulating the camera and effectively utilizing the fourth arm) Understand how techniques of the surgery change when doing it robotically, as compared to laparoscopy Experienced operating room team When learning, recommend putting all cases feasible on the robot (including easier cases), to master the straightforward cases before moving to technically challenging revision cases. Don't hesitate to add an additional trocar or assistant port when needed Education in Robotic learning Learning by observation/mirroring – ex: robotic bilateral inguinal hernia (mirroring the attending/instructor) Easy for the attending/instructor in the case to switch instruments seamlessly, then give them back intermittently at the appropriate time Helpful when the attending annotates the screen to depict where to go Data-driven teaching tools on the Davinci system Tips for robotic sleeve gastrectomy: Of the robotic bariatric surgeries, sleeve gastrectomy is most similar to its laparoscopic procedure 30-40 degrees of reverse Trendelenburg Liver hammock stitch instead of a liver retractor (one less trocar), which makes a total of 4 trocars needed for the case Green staple load for the first firing, then the rest are typically blue loads Mixed opinions on reinforced staple loads versus non-reinforced staple loads and oversewing the staple line (discussed cost-benefit) Tips for robotic gastric bypass: Watch videos from colleagues to learn what they do Gastric bypass is a multi-quadrant surgery; thus, you must set yourself up for success so that your arms are not fighting when moving through different quadrants A size 12 trocar on the left can make the formation of the gastric pouch easier GJ and JJ anastomosis formed with a linear fire, then a two-layer closure with absorbable barb suture Don't forget to close the mesenteric defect (non-absorbable braided suture) Tips for robotic DS and SADI: If doing a duodenal anastomosis hand-sewn, then recommend planning the exact number of sutures and locations of each for ease Hand-sewn anastomosis can have less bleeding and fewer strictures for patients, and is completed in a much more seamless fashion with the robot Future of Robotics Haptic feedback Integrated visual overlays to identify anatomical structures/serve as an intraoperative map Artificial intelligence integration Telesurgery – ex, small surgical robot deployed to space 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
C-sections are among the most commonly performed surgeries in the world. But despite interventions aimed at numbing the pain of the procedure, many women can still feel the painful surgical process while it's taking place. In the second season of the New York Times podcast "The Retrievals," Susan Burton tells the stories of some women who have been through this horrific experience, tries to understand why anesthesia sometimes fails, and explores approaches to solving this problem.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Christopher Nanson, MD, Orthopedic Surgeon, Oregon Surgical Institute. Dr. Nanson discusses the rapid growth of outpatient joint replacements, the importance of clinical autonomy amid consolidation, and how creative bundled payment strategies are improving care access, staff satisfaction, and employer partnerships.
In the latest episode of Surgical Readings from SRGS, host Rick Greene, MD, FACS, is joined by Associate Editors Carmelle Romain, MD, FACS, and Manish Raiji, MD, FACS, from the University of Chicago's Department of Surgery. Together, they explore key topics in pediatric surgical care, including necrotizing enterocolitis, intestinal obstruction, pediatric trauma resuscitation, and more. Learn more about Selected Readings in General Surgery, an American College of Surgeons publication that highlights highly relevant and practice-changing information from the world's most prominent medical journals. #SurgicalReadings #SRGS
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Christopher Nanson, MD, Orthopedic Surgeon, Oregon Surgical Institute. Dr. Nanson discusses the rapid growth of outpatient joint replacements, the importance of clinical autonomy amid consolidation, and how creative bundled payment strategies are improving care access, staff satisfaction, and employer partnerships.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Christopher Nanson, MD, Orthopedic Surgeon, Oregon Surgical Institute. Dr. Nanson discusses the rapid growth of outpatient joint replacements, the importance of clinical autonomy amid consolidation, and how creative bundled payment strategies are improving care access, staff satisfaction, and employer partnerships.
In this episode of SurgOnc Today, Dr. Katherine Poruk from Mayo Clinic Florida and Dr. Erika Rangel of Massachusetts General Hospital discuss fertility and family planning for surgeons. Together, they explore how surgical culture impacts childbearing decisions, the risks of infertility and pregnancy complications, and the systemic changes needed to support surgeons with or without children.
The Hidden Hazards of Surgical Prior Auth Prior authorization for surgical procedures continues to be one of the most frustrating and costly hurdles in the revenue cycle. In this episode, Bo Bowman and Stuart Newsome unpack the hidden hazards that routinely derail authorizations—before a procedure is even scheduled. Drawing on firsthand experience and fresh examples from real-world surgical workflows, they explore the most common pitfalls, including failure to prove medical necessity, inaccurate procedural coding, insufficient documentation, and timing missteps. They also touch on the role automation and AI can play in supporting human teams—helping to surface missing requirements, flag coding mismatches, and push authorizations forward before deadlines hit. Whether you're on the clinical side, in operations, or supporting from RCM or technology, this session will give you a clearer path forward and arm you with the awareness needed to avoid denials, delays, and administrative fatigue.
Dr. Łukasz Kowalczyk, founder and CEO of Soothien HealthTech Advisory, joins hosts Michael Roberts, Scott Zeitzer, and Justin Bantuelle to discuss surgical robotic automation in the age of AI. They discuss how we can harness data in a way that is useful to physicians in a clinical setting and how AI tools can help in that regard. Hosted on Acast. See acast.com/privacy for more information.
How does a surgical instrument become magnetized, and why is that a problem? In this episode, Healthmark Educators Michael Matthews and Malinda Elammari unpack the mystery of magnetized instruments. Sterile processing professionals will gain valuable insights into how magnetization happens, the challenges it can create in the OR, and practical solutions to address this often-overlooked issue in the SPD.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Aman Magoon, Co-founder and Chief of Product at Adonis. Aman shares how AI and automation are transforming revenue cycle workflows for ASCs, reducing administrative burden, and helping teams proactively resolve payer and compliance challenges.This episode is sponsored by Adonis.
This episode recorded live at the Becker's 22nd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Aman Magoon, Co-founder and Chief of Product at Adonis. Aman shares how AI and automation are transforming revenue cycle workflows for ASCs, reducing administrative burden, and helping teams proactively resolve payer and compliance challengesThis episode is sponsored by Adonis.
Day 1,224.Today, after enduring weeks of drone and missile strikes, Kyiv hits back in a long-range attack on a factory deep inside Russia and on a site in occupied Crimea. Plus, we examine Moscow's latest attempt to shift Donald Trump's focus away from ceasefire demands and, later, Francis talks to an investigator for the Eyes on Russia project which works to expose human rights violations and threats to democracy through open source investigations and research.Contributors:Dominic Nicholls (Associate Editor of Defence). @DomNicholls on X.Adélie Pojzman-Pontay (Journalist and Producer). @adeliepjz on X.Francis Dearnley (Executive Editor for Audio). @FrancisDearnley on X.With thanks to Joshua Scriven, an investigator for the Eyes on Russia project at the Centre for Information Resilience (@Cen4infoRes on X).Content Referenced:Learn more about the Centre for Information Resilience:Website - https://www.info-res.org/X - https://x.com/Cen4infoResLinkedIn - https://www.linkedin.com/company/centre-for-information-resilience/posts/?feedView=allLearn more about BRAVE1:https://brave1.gov.ua/en/SIGN UP TO THE NEW ‘UKRAINE: THE LATEST' WEEKLY NEWSLETTER:https://secure.telegraph.co.uk/customer/secure/newsletter/ukraine/ Each week, Dom Nicholls and Francis Dearnley answer your questions, provide recommended reading, and give exclusive analysis and behind-the-scenes insights – plus maps of the frontlines and diagrams of weapons to complement our daily reporting. It's free for everyone, including non-subscribers.Subscribe: telegraph.co.uk/ukrainethelatestEmail: ukrainepod@telegraph.co.uk Hosted on Acast. See acast.com/privacy for more information.
Sam Davis, Associate VP at Rush University Medical Center, shares how his team built a more agile and sustainable surgical model by embracing AI-powered operations. He discusses key turning points in shifting culture around data, choosing the right technology partner, and achieving a 12x ROI. Beyond metrics, Davis reflects on the broader impact of aligning surgical capacity with institutional goals.This episode is sponsored by LeanTaas.
The world of orthodontics is rapidly evolving, with new technologies emerging all the time. While many doctors claim to have "digital practices," simply having the latest equipment doesn't automatically translate to a digital practice.A truly digital orthodontic practice requires a fundamental shift in mindset and approach. It's about embracing a new way of thinking and leveraging technology to improve efficiency, customize treatment, and enhance the patient experience.It's crucial to understand that digital workflows are a means to an end, not the end itself. The true power lies in transforming how you practice and the care you deliver.In this episode, I am joined by Dr. Alexander Waldman, an esteemed clinician and educator in orthodontics, recognized for his expertise and contributions to integrating digital solutions into orthodontic practices.Dr. Waldman shares his journey to becoming an advocate for digital orthodontics and his thoughts on how technology can enhance patient outcomes, improve practice efficiency, and redefine what's possible in orthodontic care.Dr. Waldman and I also talk about:- Virtual assistants and the outsourcing of certain practice tasks- Financial aspects of integrating new technologies- Remote monitoring and virtual assistants- Surgical orthodonticsDon't miss this episode for Dr. Waldman's insights on how a truly digital mindset can revolutionize the way we approach orthodontics.Key TakeawaysIntro (00:00)Dr. Waldman's background and journey into ortho (00:44)The role of digital technology in orthodontics (04:52)Improving treatment efficiency and outcomes with digital ortho (08:59)Virtual assistants and the outsourcing of certain practice tasks (21:35)Why you need to raise your fees (29:22)Surgical orthodontics as a differentiator (31:03)Additional ResourcesBooks mentioned- The Nightingale: https://www.amazon.com/Nightingale-Novel-Kristin-Hannah/dp/1250080401- A Woman of No Importance: https://www.amazon.com/Woman-No-Importance-Untold-American/dp/0735225311------- Elevate Your Orthodontic Practice with Remote Staffing: https://www.myorthova.com/- Overcome Remote Monitoring Hurdles: https://remoteresponse.com/–--- Register for the Orthopreneurs Summit 2025: https://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs
Medsider Radio: Learn from Medical Device and Medtech Thought Leaders
In this episode of Medsider Radio, we sat down with Anthony Fernando, President and CEO of Asensus Surgical.Asensus is expanding the role of robotics in the OR with its performance-guided surgery platform — a digital-first, AI-enabled system designed to enhance precision and real-time decision-making. A mechanical engineer by training, Anthony has more than two decades of experience spanning medtech, robotics, and global operations. He joined Asensus in 2015 and previously served as Chief Operating Officer and Chief Technology Officer. Earlier in his career, Anthony held leadership roles at Stryker, Becton Dickinson, PerkinElmer, and Varian, where he focused on advancing automation and medical device innovation across international markets.In this interview, Anthony shares how the Durham, NC–based Asensus navigated uncharted regulatory territory for a first-of-its-kind technology and proactively made the case for acquisition — well before KARL STORZ came to the table.Before we dive into the discussion, I wanted to mention a few things:First, if you're into learning from medical device and health technology founders and CEOs, and want to know when new interviews are live, head over to Medsider.com and sign up for our free newsletter.Second, if you want to peek behind the curtain of the world's most successful startups, you should consider a Medsider premium membership. You'll learn the strategies and tactics that founders and CEOs use to build and grow companies like Silk Road Medical, AliveCor, Shockwave Medical, and hundreds more!We recently introduced some fantastic additions exclusively for Medsider premium members, including playbooks, which are curated collections of our top Medsider interviews on key topics like capital fundraising and risk mitigation, and 3 packages that will help you make use of our database of 750+ life science investors more efficiently for your fundraise and help you discover your next medical device or health technology investor!In addition to the entire back catalog of Medsider interviews over the past decade, premium members also get a copy of every volume of Medsider Mentors at no additional cost, including the latest Medsider Mentors Volume VII. If you're interested, go to medsider.com/subscribe to learn more.Lastly, if you'd rather read than listen, here's a link to the full interview with Anthony Fernando.
In this episode of The Doctor Youn Show, Dr. Anthony Youn sits down with board-certified dermatologist Dr. Emily Levin to break down what's hot—and what's hype—in the world of cosmetic treatments. From the buzz around “La Tebo,” a new Botox alternative, to the procedures your favorite celebrities might be getting, they dive into the latest trends shaping aesthetic medicine. You'll hear honest insights on how different neuromodulators stack up, the importance of safety and ethics in cosmetic care, and how to make informed choices in a world increasingly influenced by celebrity beauty standards. Whether you're considering your first treatment or just curious about what's new, this episode gives you real talk from trusted experts. Links and Resources: Learn More About Dermatologist Dr. Emily Levin: Dr. Emily Levin's Office Website: https://nw-derm.com/ Dr. Emily Levin on Instagram: https://www.instagram.com/northwestderm_covetmedspa Where can you find more information about how to autojuvenate your skin to a younger you? Check out my new book, Younger For Life! It's available at https://autojuvenation.com, and if you buy it now, you will receive over $100 in FREE gifts, including a $30 gift certificate for my online store younbeauty.com! Check out Dr. Youn's skincare products and nutritional supplements - younbeauty.com Download his FREE eGuide: "What to Eat to Look Younger" - dryoun.com/eat-look-younger Follow Dr. Youn on Instagram - @tonyyounmd Follow Dr. Youn on YouTube - youtube.com/tonyyounmd Follow Dr. Youn on TikTok - @doctoryoun Follow Dr. Youn on Facebook - @dryoun Learn more about your ad choices. Visit megaphone.fm/adchoices
Watch every episode ad-free & uncensored on Patreon: https://patreon.com/dannyjones Dale Comstock is a Special Forces Operator, CIA paramilitary commando, Black Ops Expert, and Mercenary. He has served in Delta Force, the Green Berets & CIA Ground Branch Unit. Currently he is a mercenary-for-hire around the world. SPONSORS https://hellotushy.com/danny - Use code DANNY for 10% off TUSHY. https://capl.onelink.me/vFut/zralgyl0 - Download Cash App today. https://whiterabbitenergy.com/?ref=DJP - Use code DJP for 20% off EPISODE LINKS https://www.instagram.com/officialamericanbadass https://www.dalecomstock.com FOLLOW DANNY JONES https://www.instagram.com/dannyjones https://twitter.com/jonesdanny OUTLINE 00:00 - Why Dale joined the military 06:19 - Applying for Delta Force 18:03 - Inside the mind of a delta operator 22:55 - Securing America's nuclear reactors 37:30 - Ambushed by the taliban 48:39 - Working security at oil rigs 52:19 - Homemade weapons that terrorists use 57:42 - DEI in the war in Afghanistan 01:01:16 - New interrogation rules 01:09:34 - Surgical military ops vs. all-out war 01:12:01 - Letting enemy soldiers live 01:14:12 - Raid on Carcel Modelo prison 01:29:07 - 1 combat principle that will save your life 01:43:35 - Training security dogs 01:47:55 - Surprise, kill, vanish operations 01:56:44 - Who's behind human trafficking in America 02:02:00 - Comstock is Al-Qaeda's most-wanted enemy 02:08:33 - Fighting the Muslim brotherhood in Yemen 02:18:52 - Eliminating 42 targets in 3 different countries 02:33:58 - Why men fight wars 02:42:18 - Exposing BBC's "American Mercenaries" documentary 02:51:29 - What REALLY causes PTSD 03:04:53 - Dale's belief in God 03:11:12 - Training dogs to smell explosives 03:18:00 - Why hobby drones will become illegal 03:23:26 - What happens when we die 03:37:26 - Should humans live forever? 03:48:11 - Alternative & complimentary medicine 03:58:19 - Diets of top performing soldiers Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, Stephanie Boyles-Griffin, Jessica Tegt, Steve Demarais, and Bronson Strickland discuss the complexities of urban deer management, exploring the challenges posed by growing deer populations in urban areas. While recreational hunting remains the most effective and practical tool for population control in most settings, an increasing number of circumstances—especially in urban and suburban areas—render it unfeasible. Stephanie and Jessica, both from the Botstiber Institute, outline non-lethal and alternative methods commonly used to manage deer in these environments and walk through the series of decisions required to evaluate which techniques are appropriate and how likely they are to succeed. Below, Stephanie and Jessica have provided resources if you are interested in learning more. Check out the MSU Deer Lab's online seminar series (here) and choose the Natural Resources option from the Categories drop down menu. You will have to create an account to view the seminars. The seminars are free unless you are seeking professional educational credits. Also, be sure to visit our YouTube channel (here) Stephanie Boyles-Griffin: boylesgriffinadvisor@botstiber.org Jessica Tegt: jtegt@botstiber.org Urban Deer Conflict Management Planning Resources https://www.humaneworld.org/sites/default/files/docs/HSUS%20Deer%20Conflict%20Mgt%20Plan_FINAL.pdf https://ecommons.cornell.edu/server/api/core/bitstreams/b297ac45-d908-4fd9-b06f-95cd5376907d/content https://www.fishwildlife.org/application/files/8816/1297/6730/Methods_for_Managing_Human-Deer_Conflicts_in_Urban_Suburban_and_Exurban_Areas.pdf BIWFC https://wildlifefertilitycontrol.org/ https://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1871&context=hwi https://wildlifefertilitycontrol.org/webinars/webinar-surgical-solutions-innovations-in-nonlethal-deer-management/ https://wildlifefertilitycontrol.org/webinar-11-blacktail-deer/ https://wildlifefertilitycontrol.org/webinar-denicola/ Surgical https://www.whitebuffaloinc.org/ DeNicola, A. J., and V. L. DeNicola. 2021. Ovariectomy as a management technique for suburban deer populations. Wildlife Society Bulletin 45:445–455 Staten Island Story Map https://storymaps.arcgis.com/stories/e3a5f6d544594690a313693d1e88d9ef DeNicola, V., Mezzini, S., Bursać, P. et al. Effects of vasectomy on breeding-related movement and activity in free-ranging white-tailed deer. Mov Ecol 13, 34 (2025) Nonsurgical Naugle, R. E., A. T. Rutberg, H. B. Underwood, J. W. Turner, Jr., and I. K. M. Liu. 2002. Field testing of immunocontraception on white-tailed deer (Odocoileus virginianus) at Fire Island National Seashore, New York, USA. Reproduction Supplement 60:143–153. Rutberg, A. T., R. E. Naugle, L. A. Thiele, and I. K. M. Liu. 2004. Effects of immunocontraception on a suburban population of white-tailed deer Odocoileus virginianus. Biological Conservation 116:243–250. Gionfriddo. J. P., A. J. DeNicola, L. Miller, and K. A. Fagerstone. 2011. Efficacy of GnRH immunocontraception of wild white-tailed deer in New Jersey. Wildlife Society Bulletin 35(3):149–160. Rutberg, A. T., R. E. Naugle, J. W. Turner, Jr., M. Fraker, D. Flanagan, and I. K. M. Liu. 2013. Tests of one-treatment immunocontraceptive vaccines on white-tailed deer (Odocoileus virginianus) on Fripp Island, SC. Wildlife Research 40:281–288. Walker, M.J., Shank, G.C., Stoskopf, M.K., Minter, L.J. and DePerno, C.S. (2021), Efficacy and Cost of GonaCon™ for Population Control in a Free-ranging White-tailed Deer Population. Wildl. Soc. Bull., 45: 589-596
218: In this episode, I'm covering one of the most requested and controversial topics in women's health—whether breast cancer survivors can safely use hormone replacement therapy (HRT). To help answer this complex question, I'm joined by Dr. Corinne Menn, a board-certified OB-GYN, Menopause Society certified practitioner, and Fellow of the American College of Obstetrics and Gynecology. Dr. Menn brings a powerful blend of clinical expertise and lived experience. She's a 23-year breast cancer survivor, BRCA gene carrier, and went through premature menopause herself. We cover what the research really says about HRT after breast cancer, risks versus benefits, the reality of estrogen deprivation, and why “it depends” is the only honest answer. Topics Discussed: → Can breast cancer survivors safely use HRT? → Is hormone therapy after breast cancer risky? → What are the benefits of estrogen for cancer survivors? → Does HRT increase breast cancer recurrence? → Are there safe hormone options for BRCA carriers? Sponsored By: → Timeline | Head to timeline.com/DRTYNA and get 20% off with code DRTYNA → Nutrisense | Head over to nutrisense.io/drtyna to get 30% off your Nutrisense plan. Code TYNA at checkout → LVLUP | Head over to LVLUPHealth.com and use code DRTYNA at checkout to get 20% off your order sitewide. → Manukora | Head to manukora.com/DRTYNA to save up to 31% & $25 worth of free gifts in Starter Kit, which comes with an MGO 850+ Manuka Honey jar. → BIOptimizers | Go to bioptimizers.com/tyna and use promo code TYNA10 to order Masszymes now and get 10% off any order → Dr Tyna's Brain spark | Go to store.drtyna.com/products/brainspark and use code BRAINSPARK10 for 10% On This Episode We Cover: → 00:00:00 - Introduction → 00:04:51 - Dr. Menn's cancer story → 00:07:09 - Estrogen loss effects → 00:11:45 - Surgical menopause → 00:15:05 - Estrogen and cancer risk → 00:25:32 - Pregnancy after cancer → 00:31:40 - Estrogen in midlife → 00:34:45 - HRT after breast cancer → 00:37:56 - Recurrence risk → 00:44:06 - Dangers of low estrogen → 00:50:34 - New HRT options → 00:58:05 - Sexual health & dryness → 01:04:02 - You don't need to suffer → 01:08:16 - Estrogen and surgery → 01:13:04 - Estrogen for tissue health Show Links: → Estrogen Matters (book) Further Listening: → EP. 199 | Hot Flashes Are a Warning Sign: The Truth About Metabolic Dysfunction | Quick + Dirty → Hormones Playlist Check Out Dr. Menn: → Instagram → Website → More Dr. Menn Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Dr. Yolanda Ragland. A leading podiatric surgeon specializing in bunion and hammer toe correction. Here are some key highlights and themes from the conversation: