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Knowing which MS changes are significant enough to warrant speaking up can be hard. Relapses can occur every 1-2 years without treatment, but much less frequently on disease-modifying treatment. Distinguishing between an actual relapse, a pseudorelapse or just brief worsening of symptoms (Uhthoff's phenomenon) explained. Options for relapses such as steroids, plasmapheresis and ACTH are reviewed. Importance of MRI monitoring addressed since most new MS lesions pop up on MRI scans without actual symptoms. Slow progression of disability can be challenging to detect. Physical changes can include slower walking, worsening balance and more hand coordination problems. Cognitive worsening may be noticeable due to short-term memory loss, word-finding issues and multitasking challenges. Tools to improve monitoring for disease progression highlighted such as in-office testing, remote electronic monitoring and biomarker blood testing. Why multiple sclerosis disability can worsen without MRI change explained. Ways to better advocate for prompt care of worsening MS shared. Barry Singer MD, Director of The MS Center for Innovations in Care, interviews Jacqueline Nicholas MD, System Chief of Neuroimmunology & Multiple Sclerosis at the OhioHealth Multiple Sclerosis Center and James Bowen MD, Medical Director of the Multiple Sclerosis Center at Swedish Neuroscience Institute in Seattle.
David Elaimy specializes in training the minds of high level performers in athletics, business and surgery. He is the Sports Performance Consultant for the University of Washington Athletic Department, working with various coaches, athletes and teams. He is also a surgical coach, working with the neurosurgeons engaged in the Swedish Neuroscience Institute's Cerebrovascular and Complex Spine Fellowship. David works with individuals and teams to create a powerful vision and trains them to establish the mental skills required to elevate performance while deepening joy. His simple approach helps clients identify and eliminate the interferences that cause suffering and block progress.
How can we ensure our own bodies are receiving the “right” amount of sleep? In this episode, Dr. Lina Fine reveals the common misconceptions about sleep and gives her guidance on how we can return to our own natural rhythms. Lina Fine is a Neuropsychiatrist at the Swedish Neuroscience Institute and a Sleep Specialist with the Sleep Medicine Program. As a trained Neurologist, Psychiatrist, and Sleep Specialist, she applies a highly integrative approach to finding the perfect treatment for each of her patients. She applies her unique training to treating patients with complex insomnias linked to other medical conditions including cardiovascular disease and the broad range of immune conditions. Dr. Fine’s work improves the quality of her patients' daily functioning, helping to make their lives more energetic, more purposeful, and more enjoyable.
In this episode, Dr. David Hanscom continues his discussion with performance coach David Elaimy. In 2016, he worked as a performance consultant with the University of Washington Women’s Golf Team. He discusses how he worked with the team members to apply his performance principles to achieve their goal of winning a national championship. He shares the team’s ups and downs on their journey to winning the national championship against far more experienced competitors. He talks about how the principles that worked for them can work for anyone trying to improve their life. David Elaimy specializes in training the minds of high level performers in athletics, business and surgery. He is the Sports Performance Consultant for the University of Washington Athletic Department, working with various coaches, athletes and teams. He is also a surgical coach, working with the the neurosurgeons engaged in the Swedish Neuroscience Institute’s Cerebrovascular and Complex Spine Fellowship. David works with individuals and teams to create a powerful vision and trains them to establish the mental skills required to elevate performance while deepening joy. His simple approach helps clients identify and eliminate the interferences that cause suffering and block progress.Pain, Chronic Pain, Healing,
In this episode, Dr. David Hanscom continues his discussion with performance coach David Elaimy. In 2016, he worked as a performance consultant with the University of Washington Women's Golf Team. He discusses how he worked with the team members to apply his performance principles to achieve their goal of winning a national championship. He shares the team's ups and downs on their journey to winning the national championship against far more experienced competitors. He talks about how the principles that worked for them can work for anyone trying to improve their life.David Elaimy specializes in training the minds of high level performers in athletics, business and surgery. He is the Sports Performance Consultant for the University of Washington Athletic Department, working with various coaches, athletes and teams. He is also a surgical coach, working with the the neurosurgeons engaged in the Swedish Neuroscience Institute's Cerebrovascular and Complex Spine Fellowship. David works with individuals and teams to create a powerful vision and trains them to establish the mental skills required to elevate performance while deepening joy. His simple approach helps clients identify and eliminate the interferences that cause suffering and block progress.Pain, Chronic Pain, Healing,
TIn this episode, Dr. David Hanscom talks with David Elaimy, a performance consultant who specializes in training the minds of high level performers in athletics, business and surgery. He explains the three key principles he uses with his clients to help them achieve maximum performance, and discusses how you can use them to improve your life. David Elaimy specializes in training the minds of high level performers in athletics, business and surgery. He is the Sports Performance Consultant for the University of Washington Athletic Department, working with various coaches, athletes and teams. He is also a surgical coach, working with the the neurosurgeons engaged in the Swedish Neuroscience Institute’s Cerebrovascular and Complex Spine Fellowship. David works with individuals and teams to create a powerful vision and trains them to establish the mental skills required to elevate performance while deepening joy. His simple approach helps clients identify and eliminate the interferences that cause suffering and block progress.Pain, Chronic Pain, Healing,
TIn this episode, Dr. David Hanscom talks with David Elaimy, a performance consultant who specializes in training the minds of high level performers in athletics, business and surgery. He explains the three key principles he uses with his clients to help them achieve maximum performance, and discusses how you can use them to improve your life.David Elaimy specializes in training the minds of high level performers in athletics, business and surgery. He is the Sports Performance Consultant for the University of Washington Athletic Department, working with various coaches, athletes and teams. He is also a surgical coach, working with the the neurosurgeons engaged in the Swedish Neuroscience Institute's Cerebrovascular and Complex Spine Fellowship. David works with individuals and teams to create a powerful vision and trains them to establish the mental skills required to elevate performance while deepening joy. His simple approach helps clients identify and eliminate the interferences that cause suffering and block progress.Pain, Chronic Pain, Healing,
My first day in the hospital was filled with MRIs and CT Scans. Okay that a little exaggeration, there was only one MRI and 2 CT scans. Still, they were unpleasant. Plus, they're expensive, and you have to go elsewhere in the hospital. It turns out there's another option, that many neurologists don't even know about. It's called Transcranial Doppler Ultrasound, and it gives the medical team information the other scans don't. Plus, it involves no radiation or special rooms. It doesn't replace the other scans altogether, but give the doctors another tool for treating stroke patients. This week, I talk with Dr, Aaron Stayman from Swedish Medical Center. Dr. Stayman is an advocate for and expert in Transcranial Doppler Ultrasound. This week, we learn about his background, talk about aphasia, and spent the bulk of our time talking about Transcranial Doppler Ultrasound. We explore what it is, how it works, and how it benefits patients. Aaron cites 5 benefits of Transcranial Doppler Ultrasound It's cheaper There's no radiation It's portable It's repeatable There are no issues related to magnets Here's a short look at what the doctor sees in a scan: [embed]https://youtu.be/Z7L3f2hGGjQ[/embed] Bio Dr. Aaron Stayman attended medical school at Tufts University in Boston, MA. He completed an internship in internal medicine and a neurology residency at Vanderbilt Medical Center in Nashville, TN. During his vascular neurology fellowship at Emory University in Atlanta, GA, he received specific training in the performance and interpretation of carotid and transcranial ultrasound. He is currently a neurohospitalist at Swedish Medical Center and Medical Director of the Swedish Cerebrovascular Ultrasound Laboratory. Continuing Medical education in Transcranial Doppler Ultrasound Are you a medical professional who wants to learn more? Swedish and Pacific Vascular have a course coming up in September of 2019. [embed]https://youtu.be/ubQ1zE5cnjY[/embed] Jointly provided by Pacific Vascular and Swedish CME, in collaboration with Swedish Neuroscience Institute, this program has a nationally recognized faculty with diverse areas of specialization, a comprehensive and in-depth curriculum and hands-on sessions with patient models utilizing a variety of TCD and TCD Imaging systems. The three-day course is held at a state-of-the-art educational facility conveniently located at the acclaimed Swedish/Cherry Hill Hospital campus in Seattle WA. You can learn more here: http://www.pvicme.com/transDoppler.htm Hack of the Week Today's Tip comes from Twitter User @Nursery1994, AKA Abigail Johnson Earlier this week, I was thinking about making pasta. My GF rightly pointed out that I will need to figure out how to drain the hot water from the pasta with one hand without spilling it and the water all over myself and the kitchen floor. Before we completed this problem solving, she went ahead and made it because she's awesome like that. Later on, I stumbled across a strategy on Twitter. Put a colander or wire strainer that you can lift with one hand. Fill the pot with water, and add the pasta to the strainer before cooking it. Then boil or whatever, and when it's done, just lift out the strainer with the pasta and leave the water behind. You know, basically the way the make French fries at McDonalds. I have different sized ones for different pans. And a less open one for peas!!! X #disabilityhacks pic.twitter.com/kAPevwboKM — Abigail Johnson (@Nursey1994) May 26, 2018 Facebook and Strokecast Strokecast also has a presence on Facebook. Just search for Strokecast the next time you're on Facebook for more videos where I share stroke related things that just happen to be on my mind. Sometimes they are well thought out; sometimes they are still thoughts in progress, but it's fun stuff regardless. Click here to head over to Facebook and check it out. Links Role of transcranial Doppler ultrasonography in stroke https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2659960/ American Society of Neuroimaging https://www.asnweb.org/i4a/pages/index.cfm?pageid=1 American Society of Neuroimaging on Twitter https://twitter.com/asneuroimaging Transcranial Doppler Ultrasound at Swedish Medical Center https://www.swedish.org/services/neuroscience-institute/our-services/cerebrovascular-center/our-services/swedish-vascular-ultrasound/transcranial-doppler-tcd-imaging Pacific Vascular and Swedish Course http://www.pvicme.com/transDoppler.htm Dr. Nirav H Shah on Strokecast http://strokecast.com/nirav Abigail Johnson on Twitter http://twitter.com/Nursery19994 Strokecast on Facebook http://facebook.com/strokecast Star Trek Chief Engineers https://memory-alpha.fandom.com/wiki/Chief_engineering_officer Where do we Go From Here? I'd love to hear about your experience with stroke imaging. Which scans did you get? Did you get a Transcranial Doppler Ultrasound? Let us know in the comments below. Ask your medical team if they use Transcranial Doppler Ultrasound in their stroke treatment. Give them the link strokecast.com/ultrasound if they want to learn more. Don't get best…get better.
On this episode Noor has a special guest, Jennifer Parada - a researcher who works at the Swedish Neuroscience Institute in Seattle. Jennifer joins Noor to analyze and discuss some studies that take a look at how diet can impact mood. Tune in to find out what the science has to say about how your food choices can change your risk of depression. Resources: 1. Dietary pattern and depressive symptoms in middle age: https://www.ncbi.nlm.nih.gov/pubmed/19880930 2. Fast-food and commercial baked goods consumption and the risk of depression: https://www.ncbi.nlm.nih.gov/pubmed/21835082 3. Diet quality and depression risk: A systematic review and dose-response meta-analysis of prospective studies: https://www.ncbi.nlm.nih.gov/pubmed/?term=diet+quality+and+depression+risk+a+meta-analysis
Balamuthia mandrillarisis a free-living ameba that can cause a serious encephalitis infection of the brain. It is thought to enter the body when soil containing Balamuthia comes in contact with skin wounds and cuts, or when dust containing Balamuthia is breathed in or gets in the mouth. More than 200 cases of Balamuthia infection have been diagnosed worldwide and according to a recent Centers for Disease Control and Prevention (CDC) study, there has been 109 case reports of Balamuthia disease between 1974 and 2016 in the US. A unique Balamuthia case reported in a manuscript to be published in the journal, International Journal of Infectious Diseases documents a case of the parasitic infection linked to nasal irrigation. Joining me of the show is senior author of the report, Charles Cobbs, MD. Dr Cobbs is the director of the Ivy Center for Advanced Brain Tumor Treatment at the Swedish Neuroscience Institute in Seattle.
Dr. David Hanscom is a leading orthopedic spine surgeon at the Swedish Neuroscience Institute in Seattle, WA. Though he believes that surgery and medication have a role, he knows that these standard courses of treatment aren’t what’s needed to treat chronic pain. Instead he provides the framework so the patient can find his or her solution allowing them to live free of pain, forever. His method, which transforms all kinds of pain, including back, neck, arthritis, fibromyalgia, and migraines, is explained in BACK IN CONTROL A Surgeon’s Roadmap Out of Chronic Pain.
Dr. David Hanscom is a leading orthopedic spine surgeon at the Swedish Neuroscience Institute in Seattle, WA. Though he believes that surgery and medication have a role, he knows that these standard courses of treatment aren't what's needed to treat chronic pain. Instead he provides the framework so the patient can find his or her solution allowing them to live free of pain, forever. His method, which transforms all kinds of pain, including back, neck, arthritis, fibromyalgia, and migraines, is explained in his bookBACK IN CONTROL: A Surgeon's Roadmap Out of Chronic Pain. Visit www.backincontrol.com Donate to the America Meditating Radio Show at goo.gl/0Biu7S Get the Inclusion Revolution CD by Sister Jenna. Like America Meditating. Visit our website at www.meditationmuseum.org. Download our free Pause for Peace App for Apple or Android
Dr. David Hanscom is a leading orthopedic spine surgeon at the Swedish Neuroscience Institute in Seattle, WA. Though he believes that surgery and medication have a role, he knows that these standard courses of treatment aren't what's needed to treat chronic pain. Instead he provides the framework so the patient can find his or her solution allowing them to live free of pain, forever. His method, which transforms all kinds of pain, including back, neck, arthritis, fibromyalgia, and migraines, is explained in his bookBACK IN CONTROL A Surgeon's Roadmap Out of Chronic Pain. Visit www.backincontrol.com Donate to the America Meditating Radio Show at goo.gl/0Biu7S Get the Off the Grid Into the Heart CD by Sister Jenna. Like America Meditating. Visit our website at www.meditationmuseum.org. Download our free Pause for Peace App for Apple or Android
In this episode of Epilepsy.com's Hallway Conversations, Dr. Joseph Sirven, Professor of Neurology at Mayo Clinic Arizona and Editor-in-Chief of Epilepsy.com/Professionals, interviews Marcio A. Sotero de Menezes, MD, Director, Pediatric Epilepsy/Neurology, Genetic Epilepsy Clinic, Swedish Neuroscience Institute, Clinical Associate Professor in Neurology, University of Washington, about Genetic Epilepsies due to SCN1A mutations