Podcasts about ucla medical school

In this episode of Going anti-Viral, Dr Michael Saag speaks with Dr Raphael Landovitz from the UCLA Medical School about the latest information on HIV prevention via Preexposure Prophylaxis, or PrEP. They discuss the history of PrEP and early efficacy and then move into a discussion of the evolution of PrEP from episodic dosing to longer-acting therapies. The episode also highlights recent research and how that may impact the future of PrEP dosing.0:00 - Introduction1:59 - History of Preexposure Prophylaxis, or PrEP 5:39 - Why initial PrEP regimens were not 100% effective12:01 - Discussion of episodic PrEP and 2-1-1 regimens16:22 - How longer-acting therapy has been shown to be superior to episodic dosing20:29 - LEVI syndrome - what is it?25:05 - What the future holds for PrEP 29:18 - Closing Remarks __________________________________________________Produced by IAS-USA, Going anti–Viral is a podcast for clinicians involved in research and care in HIV, its complications, and other viral infections. This podcast is intended as a technical source of information for specialists in this field, but anyone listening will enjoy learning more about the state of modern medicine around viral infections. Going anti-Viral's host is Dr Michael Saag, a physician, prominent HIV researcher at the University of Alabama at Birmingham, and volunteer IAS–USA board member. In most episodes, Dr Saag interviews an expert in infectious diseases or emerging pandemics about their area of specialty and current developments in the field. Other episodes are drawn from the IAS–USA vast catalogue of panel discussions, Dialogues, and other audio from various meetings and conferences. Email podcast@iasusa.org to send feedback, show suggestions, or questions to be answered on a later episode.Follow Going anti-Viral on: Apple Podcasts YouTube InstagramTikTok...

Does UCLA Medical School Prioritize Diversity Over Merit? And Katie Gorka Has A New Book About Marxism And The Next Generation!

Aaron Sibarium, staff writer at the Washington Free Beacon, joins the show to discuss his findings concerning UCLA medical students that seemingly aren't fit to be physicians. Sibarium and Benson are at a loss for how DEI is a suitable reason to pass students through the program. Learn more about your ad choices. Visit megaphone.fm/adchoices

01:00 Racial reckoning after George Floyd's death leads to 50,000 extra deaths, https://www.unz.com/isteve/repeat-after-me/ 03:00 Steve Sailer on Filthy Armenian Adventures, https://podcasts.apple.com/us/podcast/72-sailer-on-the-green/id1591842383?i=1000653626248 12:00 Eucalpytus as an invasive species, https://www.cal-ipc.org/plants/profile/eucalyptus-globulus-profile/ 15:00 Israeli settlers, https://www.nytimes.com/video/magazine/100000009469710/west-bank-settler-violence-israel.html 17:00 NYT: The Unpunished: How Extremists Took Over Israel, https://www.nytimes.com/2024/05/16/magazine/israel-west-bank-settler-violence-impunity.html 25:30 'I Love Peace,' Says Boyle Heights Cafe Owner Of Protest Over Support Of Trump Immigration Policies 30:30 Is Boyle Heights Coffee Shop Vandalism An Anti-Gentrification Message? 32:15 Jesse Lee Peterson: Antifa Attacks Pro-Trump Jewish Cafe (Asher Caffé, Boyle Heights) 50:00 The end of gentrification, https://www.takimag.com/article/the-end-of-gentrification/ 1:03:00 White gentrification of South-Central L.A. , https://isteve.blogspot.com/2014/04/white-gentrification-of-south-central.html 1:07:00 Ethnic conflicts in elite school admissions, https://marginalrevolution.com/marginalrevolution/2023/07/on-white-flight-from-the-comments.html 1:08:00 UCLA Medical School's DEI Admissions Push Is Letting in Incompetents, https://www.unz.com/isteve/ucla-medical-schools-dei-admissions-push-are-letting-in-incompetents/ 1:14:00 This Invasive Species Caused The Most Costly Fire In California History, https://www.youtube.com/watch?v=vh8Vd6JLWc8 1:21:00 Elliott Blatt joins - the nihilism of illness 1:23:00 The craft of effective writing, https://lukeford.net/blog/?p=154774 1:24:00 How Rony Guldmann ran into trouble at Stanford Law School, https://ronyguldmann.com/ 1:25:00 Two Orientations Toward Human Nature by Rony Guldmann, https://www.amazon.com/dp/B01N5C2KQU 1:31:00 Iceplant, https://en.wikipedia.org/wiki/Aizoaceae 1:39:00 The Mysterious Disappearance of JF Gariepy's Wife, https://www.youtube.com/watch?v=Df8SFEOGUmE 2:07:00 Nick Fuentes: The Fake Controlled Right Wing, https://rumble.com/v4x1vd5-the-fake-controlled-right-wing.html 2:34:30 Destiny fans resent my assertion that the average IQ of his audience is about 100 while my audience median is about 130 2:58:00 "It's called love, you eediot"- Destiny Debate Debacles ft. Jean-François Gariépy

My book Reframe Your Brain, available now on Amazon https://tinyurl.com/3bwr9fm8 Find my "extra" content on Locals: https://ScottAdams.Locals.com Content: Politics, ChatGPT, Delphi AI, Climate Change Measurements, Measurement Scams, McDonalds Bad Day, Boeing Astronaut Launch, Special Needs Robot, WhatsApp Data Capture, Identity Persuasion, Mockery Persuasion, Open Border Terrorists, Vivek Ramaswamy, Libertarian Convention, RFK Jr., Alleged X Suppression, J6 Committee Corruption, Chuck Schumer, Open Border Purpose, UCLA Medical School, America First Legal, De Niro's Biden Ad, Laura Loomer, Judge Merchan's Daughter, Scott Adams ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If you would like to enjoy this same content plus bonus content from Scott Adams, including micro-lessons on lots of useful topics to build your talent stack, please see scottadams.locals.com for full access to that secret treasure. --- Support this podcast: https://podcasters.spotify.com/pod/show/scott-adams00/support

* The most serious race controversy of 2024: that lady basketball player* “I mean, I've been a huge fan of Blackpink for years and I've never heard a single one of their songs.:* Snek and the Supreme Court * Everyone's wife is Ginny Thoma* The defense rests* Local news and crappy journalists * In defense of…Marilyn Mosby? * Israel and the ICC* Enter Sibarium: the UCLA Medical School controversy This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit wethefifth.substack.com/subscribe

5/23/24  Hour 3     Vince speaks with Aaron Sibarium, Reporter at the Washington Free Beacon about his findings that 50% of UCLA medical school students fail basic tests of medical competence after the school dramatically lowered admissions standards for minority applicants. Ted Cruz grills a federal judicial nominee for allowing a 6-2 male sexual predator to share a jail cell with women. President Trump is gearing up for a rally in the Bronx tonight. The women on The View beg Charlamagne Tha God to endorse Joe Biden.            For more coverage on the issues that matter to you visit www.WMAL.com, download the WMAL app or tune in live on WMAL-FM 105.9 from 3-6pm.    To join the conversation, check us out on social media: @WMAL @VinceCoglianese.      Executive Producer: Corey Inganamort @TheBirdWords     See omnystudio.com/listener for privacy information.

Jim is back today and fired up to discuss Pennsylvania Sen. John Fetterman's resolute denunciation of Hamas, the utter cluelessness of some student protesters, and UCLA Medical School's insane "health equity" class.First, they applaud Sen. Fetterman for highlighting the 200 days since Hamas slaughtered at least 1,200 Jews, raped many others, and took hundreds hostage, including Americans. As Hamas posts video of one hostage - who now only has one arm - Fetterman explains very clearly how the Israel-Hamas war could be over instantly.Next, they salute the college presidents and political leaders who have done an effective job at shutting down anti-Israel protests that refuse to leave private property. And they point out multiple examples of these college students knowing next to nothing about why they're protesting and what the basic facts are about war in the Middle East.Finally, they just shake their heads as a "health equity" class at UCLA Medical School teaches aspiring doctors that weight loss is a "hopeless endeavor" and that "obesity" is a slur "used to exact violence on fat people."Please visit our great sponsors:4Patriothttps://4Patriots.com/martiniGet the Deluxe 3-Month Survival Food Kit and the peace of mind your family deserves. Freeshipping on orders over $97. Fast Growing Treeshttps://fastgrowingtrees.com/martiniUse code Martini to save an additional 15% off on your first order. ZBioticshttps://zbiotics.com/3MLVisit today and save 15% at checkout with code 3ML.

My book Reframe Your Brain, available now on Amazon https://tinyurl.com/3bwr9fm8 Find my "extra" content on Locals: https://ScottAdams.Locals.com Content: Politics, Bill Barr, Byron York, Tucker Carlson, Anti-White Racism, Fake News Detection Study, TikTok Sale, Scott Galloway, US Budget Cutting, President Trump, UCLA Medical School, Weight Loss Hopelessness, Speaker Johnson Churchill, Thomas Massie, NPR Katherine Maher, Anti-Trump Lawfare, Jack Smith, Presidential Immunity, Anti-Trump WH Coordination, Matthew Colangelo, Hunting Arizona Republicans, Biden Border Crisis, Extinction Budget, Vivek Ramaswamy, Engineered Lifestyle, Loneliness, Scott Adams ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If you would like to enjoy this same content plus bonus content from Scott Adams, including micro-lessons on lots of useful topics to build your talent stack, please see scottadams.locals.com for full access to that secret treasure. --- Support this podcast: https://podcasters.spotify.com/pod/show/scott-adams00/support

Jim is back today and fired up to discuss Pennsylvania Sen. John Fetterman’s resolute denunciation of Hamas, the utter cluelessness of some student protesters, and UCLA Medical School’s insane “health equity” class. First, they applaud Sen. Fetterman for highlighting the 200 days since Hamas slaughtered at least 1,200 Jews, raped many others, and took hundreds […]

Join Julie live Monday, Tuesday, and Wednesday at 1p PT, call in number: 844-861-5537Check out other Julie Hartman videos: https://www.youtube.com/@juliehartman Follow Julie Hartman on social media: Website: https://juliehartmanshow.com/Instagram: https://www.instagram.com/julierhartman/X: https://twitter.com/JulieRHartmanSee omnystudio.com/listener for privacy information.

John McKinney comes on the show to talk about endorsing Nathan Hochman for DA. Biden wants to ruin America with these 11 ideas. A guest lecturer at UCLA Medical School wanted people to pray to "Mama Nature"See omnystudio.com/listener for privacy information.

FDNY forced to remove flag honoring 9/11 heroes, UCLA Medical School loses its mind, & Boston fills former veteran facilities with illegal immigrants. Watch the show on Rumble: https://rumble.com/c/ChrissyClark  Stories:  NYC Councilwoman Asks FDNY To Remove Flag Honor 9/11 Heroes - DailyMail UCLA Medical School Cancels Lecture Blaming “Whiteness” For Opioid Crisis - National Review Boston Fills Former Veteran Housing With Illegal Immigrants - DailyMail Trans Athlete Who Knocked Down Girls During Basketball Game Previously Suspended From Female Rowing Team For Leering At Topless Girl - DailyMail UCLA Medical School Requires Students To Attend Lecture On “Non-Secular Prayer” To “Mama Earth” - Free Beacon Support our sponsors:  patriotmobile.com/chrissy underreportedstories.substack.com

This episode explores the important work of the Brain Exercise Initiative with Essene GumustekinIn this episode of 'Let's Talk Brain Health', Essene Gumustekin, an MDJD candidate at UCLA Medical School and Harvard Law School, founder of the Brain Exercise Initiative discusses her inspiration and commitment to improving brain health. The Brain Exercise Initiative is a non-profit organization that conducts brain exercise sessions for seniors across the US and Canada. The program, based on the work of Japanese neuroscientist Dr. Ruta Kawashima, involves seniors performing simple math and reading aloud for 30 minutes a day, five days a week, to significantly improve cognitive function and memory. Gumustekin further talks about the app they developed to make brain exercises accessible for everyone and her broader goals for the initiative, including potential international expansion and program digitization. The initiative also emphasizes the benefits of intergenerational connections for both students and seniors. 00:00 Introduction to Essene Gumustekin and the Brain Exercise Initiative 01:37 Essene's Personal Connection to Alzheimer's 02:35 The Research Behind the Brain Exercise Initiative 04:15 Mission and Goals of the Brain Exercise Initiative 04:55 The Key Components of the Brain Exercise Initiative 06:54 The Multigenerational Approach of the Program 13:54 The Challenges and Opportunities in Promoting Brain Exercise 17:10 The Future Growth of the Brain Exercise Initiative 19:44 Essene's Personal Brain Care Routine and Advice 22:36 Conclusion and Contact Information *Learn more about the Brain Exercise Initiative on their website or email brainexerciseinitiative@gmail.com **Explore the research behind this initiative here. --- Support this podcast: https://podcasters.spotify.com/pod/show/virtualbrainhealthcenter/support

  Looks like the Hunters weren't the only ones to receive a mysterious letter from Mistress Black last night. But why was Miguel "accepted," and why does she want to meet him at a UCLA Medical School dissection lab later tonight?   And just who is this Jodi Barnett person, anyway?   Featuring: Andrew as Annie Garcia Aliou as Chinedu "Ned" Woodley Nico as Ari Gregorian Patrick as Nick Graves   Thanks to all of our Patreon supporters for keeping us going all these years! http://www.patreon.com/esotericrp Want to chat with us on Discord? Head on over to the EoRP Inner Sanctum: https://discord.gg/suQp4JU3T

If a human uses artificial intelligence to invent something, should the invention be patentable? If a driverless car injures a pedestrian, should the AI driver be held to a negligence standard as humans would? Or should courts apply the strict liability used for product defects? What if AI steals money from a bank account? Should it be held to the same standard as a human under criminal law? All interesting questions and the subject of a book called the Reasonable Robot by this episode's guest Ryan Abbott. In the book, Abbott argues that laws should be AI neutral and that the acts of artificial intelligence should not be judged differently than humans'. He calls this a “reasonable robot” standard. The book posits that inventions created by AI should be entitled to protection under intellectual property laws and, if AI causes harm, maybe it too should be judged under the same standard as a human. Abbott argues further that if AI is treated differently under the law, it may hamper innovation. Ryan is not often idle. He has dual degrees in medicine and law. He has practiced both and also worked in bio-pharmaceuticals. He moved into IP law, and nowadays, even though he still practices, he is a professor. He teaches at the UCLA Medical School. He is also a mediator and arbitrator and Co-Chair of the AI Subcommittee of the American Intellectual Property Law Association (AIPLA).

There was time during the early 70's when the field of oncology began to take hold where the singular focus was to extend the patient's life. In this ASCO Education podcast, our guest was one of the first to challenge that notion and rethink methods that focused the patient's QUALITY of life. Dr. Patricia Ganz joins us to describe her transition from cardiology to oncology (6:00), the moment she went beyond treating the disease and began thinking about treating the WHOLE patient (10:06) and the joy of the increasing numbers of patients who survive cancer (21:47).  Speaker Disclosures Dr. David Johnson: Consulting or Advisory Role – Merck, Pfizer, Aileron Therapeutics, Boston University Dr. Patrick Loehrer: Research Funding – Novartis, Lilly Foundation, Taiho Pharmaceutical Dr. Patricia Ganz: Leadership - Intrinsic LifeSciences  Stock and Other Ownership Interests - xenon pharma,  Intrinsic LifeSciences, Silarus Therapeutics, Disc Medicine, Teva,  Novartis, Merck. Johnson & Johnson, Pfizer, GlaxoSmithKline, Abbott Laboratories Consulting or Advisory Role - Global Blood Therapeutics, GSK, Ionis, akebia, Rockwell Medical Technologies, Disc Medicine, InformedDNA, Blue Note Therapeutics, Grail Patents, Royalties, Other Intellectual Property - related to iron metabolism and the anemia of chronic disease, Up-to-Date royalties for section editor on survivorship Resources If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. TRANSCRIPT  Disclosures for this podcast are listed on the podcast page.   Pat Loehrer: Welcome to Oncology, Etc., an ASCO Education Podcast. I'm Pat Loehrer, Director of Global Oncology and Health Equity at Indiana University.  Dave Johnson: And I'm Dave Johnson, a Medical Oncologist at the University of Texas Southwestern in Dallas. If you're a regular listener to our podcast, welcome back. If you're new to Oncology, Etc., the purpose of the podcast is to introduce listeners to interesting and inspirational people and topics in and outside the world of oncology. Pat Loehrer: The field of oncology is relatively new. The first person treated with chemotherapy was in the 1940s. Medical oncology was just recognized as a specialty during the 1970s. And while cancer was considered by most people to be a death sentence, a steady growth of researchers sought to find cures. And they did for many cancers. But sometimes these treatments came at a cost. Our next guest challenged the notion that the singular focus of oncology is to extend the patient's duration of life. She asked whether an oncologist should also focus on addressing the patient's quality of life.  Dave Johnson: The doctor asking that question went to UCLA Medical School, initially planning to study cardiology. However, a chance encounter with a young, dynamic oncologist who had started a clinical cancer ward sparked her interest in the nascent field of oncology. She witnessed advances in cancer treatment that seemingly took it from that inevitable death sentence to a potentially curable disease. She also recognized early on that when it came to cancer, a doctor must take care of the whole patient and not just the disease.  From that point forward, our guest has had a storied career and an incredible impact on the world of cancer care. When initially offered a position at the West LA VA Medical Center, she saw it as an opportunity to advance the field of palliative care for patients with cancer. This proved to be one of her first opportunities to develop a program that incorporated a focus on quality of life into the management of cancer. Her work also focused on mental, dietary, physical, and emotional services to the long-term survivors of cancer.  That career path has led to many accomplishments and numerous accolades for our guest. She is a founding member of the National Coalition for Cancer Survivorship, served as the 2004 Co-chair of ASCO's Survivorship Task Force, and currently directs UCLA's Cancer Survivorship Center of Excellence, funded in part from a grant from Livestrong. Our guest is Dr. Patricia Ganz. Dr. Patricia Ganz: It's great to be with both of you today. Dave Johnson: We always like to ask our guests a little about their background, where they grew up, a little about their family. Dr. Patricia Ganz: Yes. I grew up in the city of Beverly Hills where my parents moved when I was about five years old because of the educational system. Unlike parts of the East Coast, we didn't have very many private schools in Los Angeles, and so public education was very good in California at that time. So I had a good launch and had a wonderful opportunity that many people didn't have at that time to grow up in a comfortable setting. Dave Johnson: Tell us about your mom. I understand she was a businesswoman, correct? Dr. Patricia Ganz: Yes, actually, my parents got married when my mom was 19 and my dad was 21. He was in medical school at the University of Michigan. His father and mother weren't too happy with him getting married before he could support a wife. But she worked in a family business in the wholesale produce business in Detroit. One of six children, she was very involved with her family in the business. And they were married, and then World War II started, my father was a physician in the military, so she worked in the family business during the war. After finally having children and growing up and being in Beverly Hills, she sat back and was a homemaker, but she was always a bit restless and was always looking for something to do. So wound up several years later, when I was in my early teens, starting a business with one of my uncles, an automobile parts business. They ultimately sold it out to a big company that bought it out.  Pat Loehrer: Where did your father serve in World War II? Dr. Patricia Ganz: He was actually D-Day Plus 21. He was in Wales during the war. They had to be stationed and moved down into the south before he was deployed. I have my parents' correspondence and letters from the war. He liberated some of the camps. Actually, as I have learned about the trauma of cancer and post-traumatic stress that happens in so many people, our military veterans, most recently, I think he had post-traumatic stress. He didn't talk very much about it, but I think liberating the camps, being overseas during that time, as it was for that silent generation, was very profound in terms of their activities.   He wound up practicing medicine, and Los Angeles had a practice in industrial medicine, and it was a comfortable life. He would work early in the morning till maybe three or four in the afternoon and then go to the gym, there were moonlighting physicians who worked in the practice. But I kind of saw an easy kind of medicine, and he was always very encouraging and wanted me to go into medicine -- that I could be an ophthalmologist or a radiologist, good job for a woman. But I didn't really see the tough life of some of the internists and other people who were really working more 24/7, taking care of patients in the way medicine used to be practiced. Dave Johnson: Yeah. So you were interested in, early in your career, in cardiology. Could you tell us about that, and then a little bit more about the transition to oncology?  Dr. Patricia Ganz: I went away to college, I went to Harvard Radcliffe and I came home during the summers. And was interested in doing something during the summer so I actually in a pediatric cardiology research laboratory as a volunteer at UCLA for a couple of summers between my freshman and sophomore year then my sophomore and junior year. And then I actually got a California Heart Association Fellowship between my junior and senior year in college.  And this pediatric cardiology lab was very interesting. They were starting to give ketamine, it had an identification number, it wasn't called ketamine. But they were giving it to children in the cardiac cath lab and then were very worried about whether it would interfere with measuring the pressures in the heart. So we had intact dogs that had catheters implanted in the heart, and the drug would be given to the animals and we would then measure their pressures in the heart.  That cardiology experience in 1970, the summer between my first and second year of medical school, the Swan-Ganz catheter was being tested. I worked at Cedars that summer and was watching them do the various studies to show the value of the catheter. And so by the time I was kind of finishing up medical school, I'd already invested all this time as an undergraduate. And then a little bit when I was in medical school and I kind of understood the physiology of the heart, very exciting. So that's kind of where I was headed until we started my internship. And I don't know if any of you remembered Marty Cline, but he was the oncologist who moved from UCSF to Los Angeles to start our hem-onc division. And very exciting, a wonderful bedside teacher.   And so all of a sudden, I've never been exposed to oncology and this was very interesting. But at the same time, I was rotating through the CCU, and in came two full-arrest patients, one of whom was a campus cop who was very obese, had arrested at his desk in the police station. And we didn't have emergency vehicles to help people get on campus at that time. This was 1973 or 1974, something like that. And he came in full arrest, vegetable. And then another man had been going out of his apartment to walk his dog and go downstairs, and then all of a sudden his wife saw him out on the street being resuscitated by people. And he came in also in full arrest.   So those two experiences, having to deal with those patients, not being able to kind of comfort the families, to do anything about it. As well as taking care of patients in my old clinic who had very bad vascular disease. One man, extremely depressed with claudication and angina, all of a sudden made me feel, “Well, you know what? I'm not sure I really want to be a cardiologist. I'm not sure I like the acute arrest that I had to deal with and the families. And also, the fact that people were depressed and you couldn't really talk to them about how serious their disease was.” Whereas I had patients with advanced cancer who came in, who had equally difficult prognoses, but because of the way people understood cancer, you could really talk about the problems that they would be facing and the end-of-life concerns that they would have.  So it was all of those things together that made me say, “Hmm.” And then also, Pat, you'll appreciate this, being from Indiana, we were giving phase II platinum to advanced testicular cancer patients, and it was miraculous. And so I thought, “Oh my gosh, in my lifetime, maybe cancer is going to be cured! Heart disease, well, that's not going to happen.” So that was really the turning point.   Pat Loehrer: When many of us started, we were just hoping that we could get patients to live a little bit longer and improve the response rate. But you took a different tack. You really looked at treating the whole patient, not just the disease. That was really a novel approach at the time. What influenced you to take that step forward? Dr. Patricia Ganz: Well, it was actually my starting– it was thought to be in a hospice ward. It would turn out it was a Sepulveda VA, not the West LA VA, but in any case, we have two VAs that are affiliated with UCLA. And it was an intermediate care ward, and there was an idea that we would in fact put our cancer patients there who had to have inpatient chemotherapy so they wouldn't be in the acute setting as well as patients who needed to travel for radiation. Actually, the West LA VA had a hospice demonstration project. This is 1978. It's really the beginning of the hospice movement in England, then in Canada, Balfour Mount at Montreal and McGill was doing this. And so I was very much influenced by, number one, most of our patients didn't live very long. And if you were at a VA Hospital, as I was at that time, you were treating patients with advanced lung cancer, advanced colon cancer, advanced prostate cancer, other GI malignancies, and lung cancer, of course. So it was really the rare patient who you would treat for curative intent.  In fact, small cell lung cancer was so exciting to be treating in a particularly limited small cell. Again, I had a lot of people who survived. We gave them chemo, radiation, whole brain radiation, etc. So that was exciting. This was before cisplatin and others were used in the treatment of lung cancer. But really, as I began to develop this ward, which I kind of thought, “Well, why should we wait just to give all the goodies to somebody in the last few weeks of life here? I'm treating some patients for cure, they're getting radiation. Some of them are getting radiation and chemo for palliation.” But it was a mixed cancer ward. And it was wonderful because I had a team that would make rounds with me every week: a pharmacist, a physiatrist, a psychologist, a social worker, a dietitian. This was in 1978 or ‘79, and the nurses were wonderful. They were really available to the patients. It wasn't a busy acute ward. If they were in pain, they would get their medication as soon as possible. I gave methadone. It was before the days of some of the newer medications, but it was long-acting. I learned how to give that. We gave Dilaudid in between if necessary. And then we had Brompton solution, that was before there was really oral morphine.  And so the idea was all of these kinds of services should really be available to patients from the time of diagnosis until death. We never knew who was going to be leaving us the next few days or who was going to be living longer and receiving curative intent. We had support groups for the patients and their families. It was a wonderful infrastructure, something that I didn't actually have at UCLA, so it was a real luxury. And if you know the VA system, the rehabilitation services are wonderful. They had dental services for patients. We had mostly World War II veterans, some Korean, and for many of these individuals, they had worked and lived a good life, and then they were going to retire and then they got cancer. So this was kind of the sadness. And it was a suburban VA, so we had a lot of patients who were in the San Fernando Valley, had a lot of family support, and it was a wonderful opportunity for me to learn how to do good quality care for patients along the continuum.  Dave Johnson: How did you assemble this team? Or was it in place in part when you arrived, or what? Nobody was thinking about this multidisciplinary approach?  Dr. Patricia Ganz: I just designed it because these were kind of the elements that were in a hospice kind of program. And I actually worked with the visiting nurses and I was part of their boards and so forth. And UCLA didn't have any kind of hospice or palliative care program at that time. But because the VA infrastructure had these staff already, I didn't have to hire them, you didn't have to bill for anything. They just became part of the team. Plus there was a psychiatrist who I ultimately began doing research with. He hired a psychologist for the research project. And so there was kind of this infrastructure of interest in providing good supportive care to cancer patients. A wonderful social worker, a wonderful psychologist, and they all saw this patient population as very needy, deserving, and they were glad to be part of a team.  We didn't call it a hospice, we called it a palliative care unit. These were just regular staff members who, as part of their job, their mission was to serve that patient population and be available. I had never been exposed to a physiatrist before. I trained at UCLA, trained and did my residency and fellowship. We didn't have physiatry. For whatever reason, our former deans never thought it was an important physical medicine, it wasn't, and still isn't, part of our system. Pat Loehrer: Many decisions we make in terms of our careers are based on singular people. Your dad, maybe, suggesting going into medicine, but was there a patient that clicked with you that said, "Listen, I want to take this different direction?" Or was it just a collection of patients that you were seeing at the VA? Is there one that you can reflect back on? Dr. Patricia Ganz: I don't know if you all remember, but there was something called Consultation Liaison Psychiatry where, in that time, the psychiatrist really felt that they had to see medical patients because there were psychological and sometimes psychiatric problems that occurred on the medical ward, such as delirium. That was very common with patients who were very sick and very toxic, which was again due to the medical condition affecting the brain. And so I was exposed to these psychiatrists who were very behaviorally oriented when I was a resident and a fellow, and they often attended our team meetings in oncology on our service, they were on the transplant service, all those kinds of things. So they were kind of like right by our side.  And when I went to the VA, the psychiatry service there also had a couple of really excellent psychiatrists who, again, were more behaviorally focused. Again, you have to really remember, bless her heart, Jimmie Holland was wonderful as a psychiatrist. She and Barrie Cassileth were the kind of early people we would see at our meetings who were kind of on the leading edge of psychosocial oncology, but particularly, Jimmie was more in a psychiatric mode, and there was a lot of focus on coping. But the people that I began to work with were more behaviorally focused, and they were kind of interested in the impact of the disease and the treatment on the patient's life and, backwards, how could managing those kinds of problems affect the well-being of the patient. And this one psychiatrist, Richard Heinrich, had gotten money from the VA, had written a grant to do an intervention study with the oncology patients who I was serving to do a group intervention for the patients and their families. But, in order to even get this grant going, he hired a project manager who was a psychologist, a fresh graduate whose name was Anne Coscarelli, and her name was Cindie Schag at that time. But she said, "I don't know much about cancer. I've got to interview patients. I've got to understand what's going on." And they really, really showed me that, by talking to the patient, by understanding what they were experiencing, they could get a better handle on what they were dealing with and then, potentially, do interventions. So we have a wonderful paper if you want to look it up. It's called the “Karnofsky Performance Status Revisited.” It's in the second issue of JCO, which we published; I think it was 1984.  Dave Johnson: In the early 90s, you relocated back to UCLA. Why would you leave what sounds like the perfect situation to go back to a site that didn't have it? Dr. Patricia Ganz: Okay, over that 13 years that I was at the VA, I became Chief of the Division of Hem-Onc. We were actually combined with a county hospital. It was a wonderful training program, it was a wonderful patient population at both places. And we think that there are troubles in financing health care now, well, there were lots of problems then. Medicaid came and went. We had Reagan as our governor, then he became president, and there were a lot of problems with people being cared for. So it was great to be at the VA in the county, and I always felt privileged. I always had a practice at UCLA, which was a half-day practice, so I continued there, and I just felt great that I could practice the same wherever I was, whether it was in a public system, veteran system, or in the private system.   But what happened was, I took a sabbatical in Switzerland, '88 to '89. I worked with the Swiss International Breast Cancer Consortium group there, but it was really a time for me to take off and really learn about quality of life assessment, measurement, and so forth. When I came back, I basically said, "I want to make a difference. I want to do something at a bigger arena." If I just continue working where I am, it's kind of a midlife crisis. I was in my early 40s, and my office was in the San Fernando Valley at the VA, but my home was in West Los Angeles. One day I was in UCLA, one day I was at the VA, one day I was at the county, it was like, "Can I practice like this the next 20 years? I don't know that I can do this. And I really want to have some bigger impact.” So I went to Ellen Gritz who was my predecessor in my current position, and I was doing my NCI-funded research at UCLA still, and I said, “Ellen, I really would like to be able to do research full time. I really want to make a difference. Is there anything available? Do you know of anything?" And she said, "Well, you know, we're actually recruiting for a position that's joint between the School of Public Health and the Cancer Center. And oh my goodness, maybe I can compete for that, so that's what I did. And it was in what was then the department called Health Services, it's now called Health Policy and Management. I applied, I was competing against another person who I won't name, but I got the position and made that move.  But again, it was quite a transition because I had never done anything in public health, even though UCLA had a school of public health that was right adjacent to the medical school. I had had interactions with the former dean, Lester Breslow, who I actually took an elective with when I was a first-year medical student on Community Medicine. So it kind of had some inklings that, of what I was interested in. I had actually attendings in my medical clinic, Bob Brook, a very famous health policy researcher, Sheldon Greenfield. So I'd been exposed to a lot of these people and I kind of had the instinctive fundamentals, if you will, of that kind of research, but hadn't really been trained in it. And so it was a great opportunity for me to take that job and really learn a lot and teach with that.  And then took, part of my time was in the cancer center with funding from the core grant. And then, within a year of my taking this position, Ellen left and went to MD Anderson, so all of a sudden I became director of that whole population science research group. And it was in the early ‘90s, had to scramble to get funding, extramural funding. Everybody said to me, "How could you leave a nearly full-time position at the VA for a soft money position?" But, nevertheless, it worked out. And it was an exciting time to be able to go into a new career and really do things that were not only going to be in front and center beneficial to patients, but to a much larger group of patients and people around the world.  Pat Loehrer: Of all the work that you have done, what one or two things are you most proud of in terms of this field? Dr. Patricia Ganz: Recognizing the large number of people who are surviving cancer. And I think today we even have a more exciting part of that. I mean, clearly, many people are living long-term disease-free with and without sequelae of the disease. But we also have this new group of survivors who are living on chronic therapy. And I think the CML patients are kind of the poster children for this, being on imatinib or other newer, targeted agents over time, living with cancer under control, but not necessarily completely gone. And then melanoma with the immunotherapy, lung cancer, all of these diseases now being converted to ones that were really fatal, that are now enjoying long-term treatment.   But along with that, we all know, is the financial toxicity, the burdens, and even the ongoing symptoms that patients have. So the fact that we all call people survivors and think about people from the time of diagnosis as potentially being survivors, I think was very important. And I would say that, from the clinical side, that's been very important to me. But all of the work that I was able to do with the Institute of Medicine, now the National Academy of Medicine, the 2013 report that we wrote on was a revisit of Joe Simone's quality of care report, and to me was actually a very pivotal report. Because in 2013, it looked like our health care system was in crisis and the delivery of care. We're now actually doing a National Cancer Policy Forum ten-year follow-up of that report, and many of the things that we recommended, surprisingly, have been implemented and are working on. But the healthcare context now is so much more complicated.  Again, with the many diseases now becoming rare diseases, the cost of drugs, the huge disparities, even though we have access through the Affordable Care Act and so forth, there's still huge disparities in who gets care and treatment. And so we have so many challenges. So for me, being able to engage in the policy arena and have some impact, I think has been also very important to me. Dave Johnson: 20 years ago, the topic of survivorship was not that common within ASCO, and you led a 2004 task force to really strengthen that involvement by that organization, and you also were a founding member of the National Coalition for Cancer Survivorship. I wonder if you might reflect on those two activities for us for a moment. Dr. Patricia Ganz: In 1986, Fitzhugh Mullen, who in 1985 had written a really interesting special article for the New England Journal called "Seasons of Survivorship" - he was a young physician when he was found to have a mediastinal germ cell tumor and got very intensive chemotherapy and radiation therapy and survived that, but realized that there was no place in the healthcare system where he could turn to to get his questions answered, nor get the kind of medical care that was needed, and really wrote this very important article. He then, being somebody who was also kind of policy-oriented and wanting to change the world, and I would say this was a group of us who, I think went to college during the Vietnam era - so did Fitz - and we were all kind of restless, trying to see how we could make a difference in the world and where it was going.   And so he had this vision that he was going to almost develop an army of survivors around the country who were going to stand up and have their voices heard about what was going on. Of course, most people didn't even know they were a survivor. They had cancer treatment, but they didn't think about themselves as a survivor. And so he decided to get some people together in Albuquerque, New Mexico, through a support group that he had worked with when he was in the Indian Health Service in New Mexico. And there were various people from the American Cancer Society, from other support organizations, social workers, and a couple of us who are physicians who came to this meeting, some Hodgkin survivors who had been treated at Stanford and were now, including a lawyer, who were starting to do long term late effects work. And we gathered together, and it was a day and a half, really, just kind of trying to figure out how could a movement or anything get oriented to try and help patients move forward.  So that's how this was founded. And they passed the hat. I put in a check for $100, and that was probably a lot of money at that time, but I thought, well, this is a good investment. I'll help this organization get started. And that was the start. And they kind of ran it out of Living Beyond Cancer in Albuquerque for a few years. But then Fitz, who was in the Washington, DC. area decided they weren't going to be able to get organizations all over the country organized to do this, and they were going to have to do some lobbying. So Ellen Stovall, who was a Hodgkins survivor living in the Washington area, beginning to do policy work in this area, then became the executive director and took the organization forward for many years and championed this, got the Office of Cancer Survivors established at the NCI in the 1990s, and really did a lot of other wonderful work, including a lot of the work at the Institute of Medicine. She was very involved with the first Quality of Care report and then ultimately the survivorship report, the Lost and Transition report in 2005, 2006, I was on that committee. So that was really how things were evolving.  And by that time, I was also on the ASCO board, 2003 to 2006. And so all of these things were kind of coming together. We had 10 million survivors. That was kind of an important note and a lot of diseases now - lymphoma, breast cancer, multi-agent therapy had certain benefits, but obviously toxicities. We lived through the horrible time of high-dose chemotherapy and transplant for breast cancer in the ‘90s, which was a problem, but we saw a lot of toxicities after that. And so there were people living after cancer who now had sequelae, and the children obviously had been leading the way in terms of the large number of childhood cancer survivors. So this was this idea that the children were kind of the canary in the coal mine. We saw them living 20, 30 years later after their cancer diagnosis, and we were now beginning to see adults living 10, 15, 20 years later, and we needed to think about these long-term and late effects for them as well. Dave Johnson: I'm glad you mentioned Fitz's article in the New England Journal that still resonates today, and if listeners have not read it, "Seasons of Survivorship" is a worthwhile five-minute read.  What do you think the most pressing issues and challenges in cancer survivorship care today?  Dr. Patricia Ganz: Many people are cured with very little impact. You can think of somebody with T1 breast cancer maybe needing endocrine therapy for five years, and lumpectomy radiation. That person's probably not going to have a lot that they're going to be worried about. But if they're a young breast cancer patient, say they're 35 or 40, you're going to get five years of ovarian suppression therapy. You're going to be put into acute menopause. You're going to lose bone density. You're going to have cardiac risk acceleration. You may have cognitive changes. You may have also problems with cognitive decline later. I mean, all of these things, the more intense treatments are associated, what we're really thinking about is accelerated aging. And so a lot of what I've been studying the last 20-25 years in terms of fatigue and cognitive difficulties are related to neuroinflammation and what happens when somebody has intensive systemic therapy and that accelerated process that's, again, not everyone, but small numbers of patients, could be 10-15-20%. So I worry a lot about the young patients. So I've been very focused on the young adult population who are treated intensively for lymphoma, leukemia, and breast. And that's, I think, something that we need to be looking out for.  The other thing is with the newer therapies, whether it's immunotherapy or some of the targeted therapies, we just don't know what the late effects are going to be. Where we're very schooled now in what the late effects of radiation, chemo, and surgery could be for patients, we just don't know. And another wonderful part of my career has been to be able to do quality-of-life studies within the Clinical Trials Network. I've been affiliated with NSABP, I was SWOG previously, but NSABP is now NRG Oncology doing patient-reported outcomes and looking at long-term outcomes in clinical trials. And I think we're going to need this for all of these new agents because we have no idea what the long-term toxicities are going to be. And even though it's amazing to have people surviving where they wouldn't have been, we don't know what the off-target long-term effects might be. So that's a real challenge right now for survivorship.  And the primary care doctors who we would want to really be there to orchestrate the coordinated care for patients to specialists, they are a vanishing breed. You could read the New England Journal that I just read about the challenges of the primary care physician right now and the overfilled inbox and low level of esteem that they're given in health systems. Where are we going to take care of people who really shouldn't be still seeing the oncologist? The oncologist is going to be overburdened with new patients because of the aging of the population and the many new diagnoses. So this is our new crisis, and that's why I'm very interested in what we're going to be looking at in terms of a ten-year follow-up report to the 2013 IOM report. Dave Johnson: The industry-based trials now are actually looking at longer-term treatment. And the trials in which interest is cancer, we cut it down from two years of therapy down to nine weeks of therapy, looking at minimizing therapy. Those are difficult trials to do in this climate today, whereas the industry would just as soon have patients on for three to five years worth of therapy as opposed to three to five months. Talk a little about those pressures and what we should be doing as a society to investigate those kinds of therapies and minimizing treatments. Dr. Patricia Ganz: Minimizing treatments, this is the place where the government has to be, because we will not be able to do these de-escalation studies. Otherwise, there will be countries like the UK, they will be able to do these studies, or other countries that have national health systems where they have a dual purpose, if you will, in terms of both financing health care and also doing good science. But I think, as I've seen it, we have a couple of de-escalation trials for breast cancer now in NRG Oncology, which is, again, I think, the role that the NCTN needs to be playing. But it's difficult for patients. We all know that patients come in several breeds, ones who want everything, even if there's a 1% difference in benefit, and others who, “Gee, only 1 out of 100 are going to benefit? I don't want that.” I think that's also the challenge. And people don't want to be denied things, but it's terrible to watch people go through very prolonged treatments when we don't know that they really need it for so long.  Dave Johnson: Pat and I both like to read. I'm wondering if there's something you've read recently that you could recommend to us. Dr. Patricia Ganz: It's called A Gentleman in Moscow by Amor Towles. I do like to read historical fiction. This one is about a count at the time of the Bolshevik Revolution who then gets imprisoned in a hotel in Moscow and how constrained his life becomes, but how enriched it is and follows him over really a 50-year period of time and what was happening in the Soviet Union during that time. And of course, with the war in Ukraine going on, very interesting. Of course, I knew the history, but when you see it through the drama of a personal story, which is fictional, obviously it was so interesting.   My husband escaped from Czechoslovakia. He left in '66, so I had exposure to his family and what it was like for them living under communism. So a lot of that was interesting to me as well.  Dave Johnson: Thank you for joining us. It's been a wonderful interview and you're to be congratulated on your accomplishments and the influence you've had on the oncology world.  We also want to thank our listeners of Oncology, Etc., and ASCO Educational Podcast where we will talk about oncology, medicine and beyond. So if you have an idea for a topic or a guest you'd like us to interview, by all means, email us at education@asco.org. To stay up to date with the latest episodes and explore other ASCO educational content, please visit education.asco.org. 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.    

Dr. Randy Scharlach joins Ronan to chat about how we can heal on a societal, cultural and political level from one of the longest, deadliest and most expensive wars ever: the war on drugs. Our conversation today is about understanding the war on drugs, when it really started, and the effects of how it's playing out today. Dr. Randy is Field Trip Health's Medical Director, and is a graduate of UCLA Medical School and the Yale University Department of Therapeutic Radiology, where he gained expertise in the most advanced radiotherapeutic technologies available. Randy is also a psychedelic therapist and his approach to healing draws from both Eastern and Western Traditions.

This episode provides a quick clinical update on the evidence-base and recommendations for managing mental health impacts of the COVID-19 pandemic, and includes research and clinical recommendations regarding media exposure, managing misinformation, communication and maintaining mental health during the current pandemic.Associate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards and is a co-author on more than 200 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne.Dr Paul Anthony Maguire, MBBS UNSW,  PhD ANU,  FRANZCP, is a clinical and academic psychiatrist, working in public practice, and Co-Deputy Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Paul has worked both as an inpatient consultant and community psychiatrist for many years. He is a co-author on more than 20 peer-reviewed papers, and on a book chapter. His special interest areas are the physical health of people with a mental illness, pandemic influenza, risk perception, and schizophrenia. Prior to his transition to clinical and academic psychiatry, Paul worked as a general practitioner in the Canberra community for many years. Papers discussed – search for these titles in the specified journals through the RANZCP website journal accessANZJPNeither the internist or the internet: use of and trust in health information sources by persons with schizophrenia – first author: Maguire, PAFire, disease and fear: effects of the media coverage of the 2019-2020 bushfires and novel coronavirus 2019 on population mental health – first author: Looi, JCLVulnerability of people with schizophrenia to COVID-19 – first author: Maguire, PA Australasian PsychiatryNothing to sneeze at – uptake of protective measures against an influenza pandemic by people with schizophrenia: willingness and perceived barriers – first author: Maguire, PAA sense of dread: affect and risk perception in people with schizophrenia during an influenza pandemic – first author: Maguire, PAClinical update on managing media exposure and misinformation during COVID-19: recommendations for governments and healthcare professionals – first author: Looi, JCLReputable information sources for patientshttps://www.australia.gov.au https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-publichttps://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/myth-bustersDisclaimer:This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP's Your Health In Mind Website.

What is the biggest predictor of our happiness? According to a study conducted for over 80 years at Harvard, it is love. Full stop. But our brains can go to fear and other places that interfere with sustainable, loving relationships. While our brains have evolved to ensure we continue to multiply and increase the population of our species, those same brains haven't simply evolved to improve long-term relationships without some assistance. Fortunately, my guest, Dr. Stan Tatkin (https://www.thepactinstitute.com/), has the assistance all of us need! Stan is a couple therapist, a neuroscientist, and a UCLA Medical School clinical professor who has studied how our brains function and malfunction when it comes to love. His latest book, We Do, is easily one of the finest books I have ever read on relationships. Stan brilliantly weaves neuroscience, Attachment Theory, and so many other research-driven findings into a user-friendly and comprehensive model of how we love. His model called PACT, which stands for “Psychobiological Approach to Couple Therapy,” can improve anyone's love life in dramatic and unforeseen ways. So, join Stan and me as we talk about how you can increase your happiness through improving your long-term love relationship.

In this episode, we discuss knee pain, a problem that most men will experience at some point in their lives.  Most of the time, the problem can be solved by simply taking a pain reliever.  But what if the pain keeps coming back?  How can you prevent it from getting worse?  What noninvasive and minimally invasive treatment options are available? And when is it time to start considering surgery? We presented these questions to orthopedic surgeon, Dr Erik Zeegen.  Dr Zeegen attended UCLA and UC Berkeley as an undergraduate.  He then graduated from UCLA Medical School and completed his residency in orthopedic surgery at UCLA.  After residency, Dr Zeegen completed an Orthopedic Surgical Oncology fellowship at Massachusetts General Hospital and an Adult Reconstructive Surgery fellowship at New England Baptist Hospital.  After his training, Dr Zeegen returned to Los Angeles where he served as the Associate Medical Director of the Valley Hip and Knee Institute until recently when he was named the Chief of Joint Replacement Surgery at UCLA.

This Psych Matters podcast discusses the challenges faced by early career psychiatrists as they transition into a consultant psychiatrist role in the public or private sectors. Drawing on the experiences of early-career, early-mid-career and mid-later-career psychiatrists, Associate Professor Jeffrey Looi, Dr Samantha Loi and Dr Daniel Heard discuss issues including: clinical, leadership, supervision, academic, and work-life balance.Associate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards including: a Fulbright Scholarship and Australian-Davos-Connection Future Summit Leadership Award. He is an co-author on more than 200 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne.Dr Samantha Loi, MBBS, BMedSc, MPsych, FRANZCP, GradCertPOA, PhD. is a neuropsychiatrist and old age psychiatrist, involved in clinical research at Neuropsychiatry, Royal Melbourne Hospital and the University of Melbourne.  She is an advocate for early career psychiatrists and women in academia and leads a longitudinal study of people with younger-onset neurocognitive disorders (BeYOND).  She is currently funded by an NHMRC Early Career Fellowship and is a past recipient of the RANZCP early Career Psychiatrist award.  She has over 60 peer reviewed publications and is first author in 30.Dr Daniel Heard, BSc/LLB, MBBS(Hons) ANU, MPsych Melb, FRANZCP, Cert. Old Age Psych, is an early career old age psychiatrist working in the Older Person's Mental Health Community Team, Canberra Health Services. He trained in psychiatry at NorthWestern Mental Health, Melbourne, and has co-authored four peer reviewed publications, including two systematic literature reviews on the topic of repurposing drugs for the treatment of dementia. SAGE JournalsMembers login to RANZCP.org and access journals. Search for this title on the Journals website: Reflections on how to approach early career psychiatrist roles and challengesFeedback:If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we'd love to hear from you.Please contact us by email at: psychmatters.feedback@ranzcp.orgDisclaimer: This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP's Your Health In Mind Website.

We talk with Dr. Randy Scharlach, Medical Director and Advisor at Field Trip Health, about treating his patients with ketamine, and his personal experience with psychedelics.View on youtube: https://youtu.be/_g9WICZsVr4Highlights— The Nugget: NIH director and psychedelics ( 0:35 )— Psychedelic medicine cured Randy's depression ( 2:55 )— The power of psilocybin for healthy individuals ( 3:55 )— Ketamine as psychedelic "training wheels" ( 6:45 )— A transfer a knowledge from the universe ( 8:45 )— Balancing the "woo woo" with the science ( 9:02 )— The rainbow ohm existence (10:50)— Separation from "identity of randy" to instead a consciousness that's experiencing the Randy life (14:20)— The role of psychedelics and meditation in saving humanity (18: 20 )— The right frequency of full dose sessions ( 18:59 )— Should we change the name and rebrand? ( 21:32 )— The Noodle: precision medicine and psychedelic guiding ( 28:44 )Dr. Randy Scharlach He is a graduate of UCLA Medical School and the Yale University Department of Therapeutic Radiology. Dr. Scharlach's approach to healing draws from both Eastern and Western Traditions. Certified as a psychedelic therapist by the California Institute of Integral Studies, Randy's expertise is guiding clients towards emotional wellness by learning the nature of the Self.Find Randy here:https://www.fieldtriphealth.com/locations/los-angeles https://goldenstatecancercenter.com/ 

Parenting With Impact with Elaine Taylor-Klaus and Diane Dempster  Episode 002 Dr. Sarah Cheyette Sarah Cheyette, MD, graduated cum laude in Cognitive Neuroscience from Princeton University, and received her medical degree from the David Geffen School of Medicine at UCLA Medical School. Following specialty training in Pediatrics at Cedars-Sinai Medical Center in Los Angeles and Pediatric Neurology at Seattle Children's Hospital and Regional Medical Center, she has established a pediatric neurology practice at the Palo Alto Medical Foundation. Dr. Cheyette treats people with ADHD with medication and non-medication strategies such as those outlined in her books, ADHD and the Focused Mind, Winning with ADHD, and ADHD & Me. She brings a powerful professional perspective on the benefits and limitations of ADHD medication, and the many behavioral adaptations people with ADHD must embrace to thrive with their condition. She and her husband Benjamin have four kids and live in the San Francisco Bay Area. Listen to this inspiring Parenting With Impact episode with Dr. Sarah Cheyette about what is most important for parents to understand when raising teens and young adults with ADHD. Here is what to expect on this week's show: ·      Addressing anxiety and stress often leads to an underlying ADHD diagnosis ·      A foundation of trust is instrumental in navigating ADHD with your child ·      Focusing on pride and personal satisfaction establishes self-motivation Connect with Sarah: Website https://sarahcheyette.com/ 1-2-3 ADHD Blog  https://www.psychologytoday.com/us/blog/1-2-3-adhd Find her book, ADHD & Me on Amazon Facebook  https://www.facebook.com/SarahCheyetteMD @sarahcheyettemd Twitter https://twitter.com/ADHDFocusedMind @adhdfocusedmind So -- your child has ADHD. Want to get past the confusion and the stigma really fast? This FREE Guide explains, in the simplest terms possible: 1) what is recommended treatment for children and teens 2)ten things to consider when trying to make a decision about medication 3) exactly what to look for in a behavior therapy training program. Short, sweet, and to the point -- don't spend hours on the internet scouring. ImpactParents gives you exactly what you need to know without wasting any time or effort. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode of Psych Matters discusses the Australian psychiatric healthcare implications of the advent of Managed Care in Private Health Insurance with the recent emergence of a private company that can selectively contract with healthcare providers on behalf of insurers. The basic characteristics of managed care: selective contracting, financial incentives for performance and utilisation management present significant challenges for psychiatric care in Australia, especially in the context of the failures of managed care in the United States where it originated. Professor Jeffrey Looi and Dr William Pring present the healthcare policy background and discuss the clinical implications of managed care.Associate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards including: a Fulbright Scholarship and Australian-Davos-Connection Future Summit Leadership Award. He is an co-author on more than 195 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne.Dr Bill Pring  is a general psychiatrist who works predominantly in private practice, but was also been involved in consultation–liaison (Psychosomatics) psychiatry in the public sector for twenty–four years.  Bill served on the Victorian Branch of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) including as Branch General Councillor. Within the Australian Medical Association (AMA), Bill has served as Psychiatry Craft Group Representative on the AMA Federal Council and was the Chair of the Federal AMA Public Health and Aged Care Committee, and an AMA Observer on Private Mental Health Alliance (PMHA).SAGE JournalsMembers login to RANZCP.org and access journals. Search for this title on the Journals website: A clinical update on managed care implications for Australian psychiatric practiceFeedback:If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we'd love to hear from you.Please contact us by email at: psychmatters.feedback@ranzcp.orgDisclaimer: This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP's Your Health In Mind Website.

This episode of Psych Matters discusses research conducted by the Consortium of Australian-Academic Psychiatrists for Independent Policy Research and Analysis (CAPIPRA), focused on improve mental healthcare delivery for patients and the community. The research addresses responses to various commissions and inquiries related to mental healthcare, as well as analysis of population datasets on mental healthcare. Professors Jeffrey Looi and Tarun Bastiampillai present their collaborative research.Associate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards including: a Fulbright Scholarship and Australian-Davos-Connection Future Summit Leadership Award. He is an co-author on more than 195 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne.Professor Tarun Bastiampillai, MBBS Adl, BMEDSc Adl, FRANZCP is a consultant psychiatrist and Clinical Professor at both Monash and Flinders University. Tarun is also a member of the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has served in several senior leadership roles, having been appointed SA Department of Health, Executive Director of Mental Health Strategy between 2015 to 2018. He is the recipient of the RANZCP 2020 Margaret Tobin Award for outstanding achievement in administrative psychiatry. He has published his research extensively including within, high-impact journals - JAMA, Lancet and Molecular Psychiatry.SAGE JournalsMembers login to RANZCP.org and access journals. Search for these titles on the Journals website: The productivity commission report on mental health: Recommendations with negative consequences for clinical care in public and private sectorsTertiary eating disorder services: is it time to integrate specialty care across the life span?National mental health policy and Australia's ‘Deaths of despair'Other papers:Headspace, an Australian Youth Mental Health Network:Lessons for Canadian Mental HealthcareThe COVID-19 pandemic and epidemiologic insights from recession-related suicide mortalityWhen should governments increase the supply of psychiatric beds?Disclaimer: This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP's Your Health In Mind Website.

In this episode of Psych Matters, Associate Professor Jeffrey Looi and Dr Rebecca Reay discuss Contemporary Research on Private Psychiatry and Psychological Services.Speakers:Associate Professor Jeffrey LooiAssociate Professor Jeffrey Looi, MBBS Syd, MD ANU, DMedSc Melb, FRANZCP, AFRACMA, is a clinical academic neuropsychiatrist, in private and public practice, and Head of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School. Jeffrey leads the Australian, United States, Scandinavian-Spanish Imaging Exchange (AUSSIE) and the Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA). He has received multiple research and leadership awards including: a Fulbright Scholarship and Australian-Davos-Connection Future Summit Leadership Award. He is an co-author on more than 180 peer-reviewed papers, including research at the UCLA Medical School, Karolinska Institute and University of Melbourne. Dr Rebecca ReayDr Rebecca Reay is a senior research coordinator and lecturer with the Academic Unit of Psychiatry and Addiction Medicine at the ANU Medical School. She also works as an Occupational Therapist in private practice in the ACT. Her research interests include trauma and posttraumatic stress symptoms in children, adolescents, and perinatal women. Other interests include the prevention and treatment of mental health problems in parents using Interpersonal Psychotherapy, couple therapy, mother-infant attachment work and group therapy.Links:A list of linked papers from Australasian Psychiatry for reference.https://journals.sagepub.com/doi/full/10.1177/1039856221992634https://journals.sagepub.com/doi/full/10.1177/1039856220975294https://journals.sagepub.com/doi/full/10.1177/1039856220960381https://journals.sagepub.com/doi/full/10.1177/1039856220961906Disclaimer: This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australian or New Zealand is available on the RANZCP's Your Health In Mind Website.

In this episode, David speaks with writer and educator Dan Siegel. Dan is Professor of Psychiatry at the UCLA Medical School, founding co-director of the Mindful Awareness Research Center at UCLA, and author of a number of books including The Developing Mind and The Mindful Brain. They discuss mindfulness practices for COVID-19, the relationship between “monitoring” and “modifying” in meditation (including how this relates to trauma), and the three empirical pillars of mindfulness practice.

Dr. Mike Frazier | Founder of Strong Men Strong MarriagesMike graduated Magna Cum Laude in Neuroscience and Brigham Young University, attended UCLA Medical School and went through psychiatry residency training at UC Irvine. In 2016, Mike founded Strong Men Strong Marriages to help couples achieve the relationship they deserve by working through issues such as infidelity, falling out of love, broken trust, poor communication and many other conflicts. Mike has been married to his wife Elizabeth since 2005. Having experienced many of these issues first hand, he spent years learning what it takes to build a great marriage. In studies and application, he found that a great marriage boils down to three steps: get strong, get attractive, get a strong, joyful and intimate marriage. Listen as Joseph and Mike talk all things "Strong Men, Strong Marriages"!

Professor Suzanne Shu specializes in the areas of behavioral economics and decision research. She focuses primarily on consumer self-control problems, consumption timing issues, and financial decision making during retirement. Professor Shu and host Paul Witko discuss foundational concepts in behavioral economics, looking at choice architecture and the idea of “nudges”. She also shares research around personal health decisions and sticking to a fitness goal. Lastly, Professor Shu goes into detail about how to think about decumulation of assets in retirement and why it’s so important. Suzanne Shu is the John S. Dyson Professor of Marketing at Cornell University’s Dyson School of Applied Economics and Management. Professor Shu received a B.S. and Master’s degree in Electrical Engineering from Cornell University, and then went on to receive both her MBA and Ph.D. in Behavioral Science from the University of Chicago. She is an NBER Faculty Research Fellow, holds a joint faculty appointment at the UCLA Medical School, and has been a visiting scholar for several years at the Consumer Financial Protection Bureau. Links from the Episode at presentvaluepodcast.com Faculty Page: Suzanne Shu "Beyond Nudges" Paper: Beyond Nudges: Tools of Choice Architecture Psychological Ownership Paper: Psychological ownership and affective reaction: Emotional attachment process variables and the endowment effect CRC Screening Paper: Application of Behavioral Economics Principles ImprovesParticipation in Mailed Outreach for Colorectal Decumulation Paper: The Psychology of Decumulation DecisionsDuring Retirement

Isolation and loneliness pose significant challenges to both caregivers and their loved ones, especially during a pandemic. Jane Mathias shares what it's been like to take care of her neighbor who is separated from family and friends. Then Laura Carstensen from the Stanford Center on Longevity and Steve Cole from UCLA Medical School talk about the very real physical and psychological costs of isolation that many of us are facing right now. 

We all know that there’s more to maturity than simply growing older. So what characteristics do you need to become a mature person? And why will that help you lead a better life? UCLA Medical School psychiatrist Dr. Stephen Marmer explains.

On this episode of #WhatsUpWithPastorChuck, Pastor Chuck sits down with Dr. Aimee French to talk about the #Coronavirus, its surge in our county, and how we can continue to care for ourselves and our loved ones during this pandemic season. Dr. Aimee French, a graduate of UCLA Medical School, is a board certified physician who opened her medical practice in Riverside and Corona in 2013. She currently oversees the Intensive Care Unit at Corona Regional Hospital. Be sure to tune in and share this with a friend!

Dr. Candice Williams is a anesthesiologist, pain medicine specialist and a Premedical and Medical Student Coach. She earned her undergraduate degree from UC Berkeley then went on to UCLA Medical School. She completed her anesthesiology residency at UCLA as well as a pain medicine fellowship. In this episode, we talk about callings outside of medicine which include her love for music. 

In 2016, I published an interview with the person who taught me Transcendental Meditation (TM) And since , I wanted to share the interview with you again. Meditation is a powerful tool for improving your mental, emotional, and even physical health. Its widely studied benefits include stress reduction, better sleep, enhanced focus, elevated mood, improved regulation of emotions, and so much more. When practiced consistently and with intention, meditation has the unique ability to positively transform the way you think, behave, and interact with the world around you. It can literally rewire your brain! But unfortunately, in the words of Tim Ferris, “meditation has a branding problem.” Many of us view meditation as some woo-woo practice that’s exclusively used by ultra-spiritual gurus and self-important business executives. We tend to imagine it as sitting cross-legged on a pristine mountain top, eyes closed, thinking about nothing, totally blissed out: A mental image that’s equal parts alienating and unrealistic. What’s worse, the standard advice for beginners to “sit still and stop thinking” simply does not work. It’s vague, it’s confusing, and it leaves people feeling frustrated and ready to quit before their practice starts paying off. So what exactly is transcendental meditation? More than on the TM technique have been published in over 160 scientific journals. These studies were conducted at many US and international universities and research centers, including Harvard Medical School, Stanford Medical School, Yale Medical School, and UCLA Medical School...and they have shown irrefutable evidence that TM reduces insomnia, stress, anxiety, depression, blood pressure, cholesterol, congestive heart failure, atherosclerosis/stroke, free radicals, blood sugar, diabetes, pain, along with higher levels of brain functioning, longevity, sleep quality and much more. The guy who taught me everything I know about TM is named Philip Land. Philip has been practicing TM for the past 40 years. But he's no woo-woo, robe-clad, Eastern mysticist.  He's an unassuming, straight-talking, God-fearing, gun-totin' redneck living in northern Idaho. (When he's not teaching TM, you can find him walking his dog or .) Philip has taught TM all over the globe, working with celebrities and high profile politicians. He's also worked in medicine, computed tomography, radiation technology, craniosacral therapy, hunting instruction, shooting, wilderness survival, and much more. In this fascinating interview, you'll learn.. -How "bad ass, redneck, hunting, hippy, family man" Philip initially got involved with TM..8:50 Was born and raised in Memphis, TN Heard of TM while attending Memphis State Univ. In retrospect, Philip believes he was "searching for something" Internal happiness was missing - Celebrity TM practitioners.. 11:25 Clint Eastwood (42+ years) Jerry Seinfeld Ellen DeGeneres Katy Perry Oprah Winfrey Ray Dalio (Author of ) -How Philip describes TM...15:30 "A simple, effortless mental technique that can be done anywhere" Creating white noise inside your head TM does not have a monopoly on the ability to "transcend" where the mind settles to a quieter and quieter level of awareness You transcend where you are physically, and take yourself to another place mentally -Religious elements of TM and why a guarded secrecy exists among its teachers..19:45 No religious belief is required; it's a mental technique You don't need to believe it will even work TM was argued before German Supreme Court; they ruled it is not a religion Teachers are sworn to secrecy to protect the integrity of TM; you can't learn certain parts of it in a weekend then teach it to others These techniques are 5000-6000 years old Traditional way of teaching: Teacher performs a brief ceremony which reminds him or her to maintain the integrity of the knowledge Performed in Sanskrit -The "place" where a person transcends that produces a biological effect..28:45 The field of pure consciousness is our core, our essence Many mantras that are used for each individual 3 things that make TM work: Mantra Sound (life supporting, no meaning assigned) The nature of the mind and life is to go to greater fields of happiness, joy and intelligence Within each of us is a field of perfect order, joy, intelligence, etc. Color fasting cloth analogy Conscious mind becomes saturated in the perfect field of order Mind settles, body settles and vice versa The vagus nerve plays an integral role in the mind/body relationship -Formal studies on the effects of TM on the brain..38:30  (Dr. Fred Travis) Practitioners of TM with minimal sleep (4-5 hrs) performed similarly to non-practicers with 8-9 hrs. (TM is not a suitable replacement for sleep) TM has been shown to stimulate dreams -Why TM is still necessary, even with all the biohacks available today..45:30 TM is natural, whereas some biohacks are "forced" on us TM is portable; you don't need to carry any devices anywhere A large number of prisoners practice TM -The importance of a proper mantra when performing TM..50:20 A proper mantra puts up no boundaries on the mind, thus enabling it to transcend its normal environment They are time-tested for thousands of years There is no "one size fits all" The importance of one's individual mantra cannot be overstated The mantra is just a small part of the totality of TM -The connection between TM and longevity..59:10 Biological age can be younger than the chronological age Decreases the rate by which telomeres shorten "Breath suspension" is a state of deep rest for the body -The financial cost of learning TM and why it costs money in the first place..1:03:45 $960, one time, lifetime fee for the course (discounts for college and high school students) Financial assistance is available if necessary No one will be turned away, although you'll need to pay something What is "free" anyways? -And much more.. Resources from this episode: - -Book: -Book: - (Dr. Fred Travis) Episode sponsors: -: Satisfying, nutrient-dense, real-food energy bars with a delicious chocolate coconut flavor! Ben Greenfield Fitness listeners, receive a 10% discount off your entire Kion order when you use discount code: BGF10. -: Now you can get all your healthy superfoods in one glass...with No Shopping, No Blending, No Juicing, and No Cleanup. Get a 20% discount on your entire order when you use discount code: BENG20 -: Whether you’re an insurance expert or a newbie, Policygenius created a website that makes it easy for you to compare quotes, get advice, and get covered. -: As your qualified candidates roll in, we make it easy to screen & rate them, allowing you to make the best hiring decisions for your business. Try it for free when you use . Got a question about anything that Philip and I talked about in this episode? Leave a comment below and we'll reply!

In Episode 2 of The Sports Medicine Podcast, Dr. Dold sits down with Dallas-based sports orthopedic surgeon and orthobiologics guru, Dr. Don Buford. Discussion focuses on the topic of “orthobiologics,” the concept of manipulating our body's own cells to improve healing and recovery from musculoskeletal injuries and surgery, while offering the potential to regenerate tissues of interest. Discussion points include platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and stem cell therapy, as well as the compliance issues clouding this area of sports medicine. Orthobiologics have gained considerable attention recently in the sports medicine world and offer promising results and alternatives to surgery. However, much debate and controversy surrounds these “stem cell” therapies including various compliance and regulatory issues unbeknown to the patient. Dr. Buford grew up in Los Angeles and attended Stanford University. While at Stanford, he was a member of the baseball team and completed a double major in economics and pre-med. He then transferred to USC where he continued his athletic and academic pursuits. In 1988, he received the Woody Hayes NCAA Division I Academic All-American Award, which recognized the single most outstanding NCAA Division I male student-athlete. After graduating from USC, he signed a Major League Baseball contract with the Baltimore Orioles and also enrolled at UCLA Medical School. Dr. Buford is the son of Don Buford Sr., former Major League Baseball infielder and outfielder for the Chicago White Sox and the Baltimore Orioles from 1963 to 1972. Dr. Buford's younger brother, Damon, had an 8 year major league career which included 2 years as the starting center fielder for the Texas Rangers as well as time with the Boston Red Sox, Baltimore Orioles, NY Mets, and Chicago Cubs. After graduating from the UCLA School of Medicine, Dr. Buford completed a 5 year orthopedic surgery residency at the University of Texas, Southwestern in Dallas. Following residency, Dr. Buford completed a one-year sports medicine fellowship at the prestigious Southern California Orthopaedic Institute (SCOI) in 1999 where he learned advanced arthroscopy techniques and started to focus on arthroscopic shoulder surgery. Dr. Buford's name is synonymous with the shoulder, owing to a 1994 paper describing a cord-like anatomic variant of the middle glenohumeral ligament, thereafter known as “The Buford Complex.” He has become a leader in the world of orthobiologics and stem cells, and continues to confront the compliance and regulatory issues around the use of stem cells in the United States. Dr. Buford founded the Dallas PRP and Stem Cell Institute to provide patients with cutting edge PRP and stem cell options for arthritis, back pain, sports injuries, and other musculoskeletal conditions. For more information on Dr. Buford, please visit: https://smcnt.com/don-buford-md/ https://www.linkedin.com/in/donbufordmd/ This episode is sponsored by: TerumoBCT (previously Harvest Technologies): https://www.harvesttech.com/clinician?utm_source=Buford&utm_medium=podcast Links: Dr. Death Podcast: https://itunes.apple.com/us/podcast/dr-death/id1421573955?mt=2 Gladiator Podcast: https://itunes.apple.com/us/podcast/gladiator-aaron-hernandez-and-football-inc/id1437935588?mt=2 The Buford Complex: https://www.ncbi.nlm.nih.gov/pubmed/8086014 The Sports Medicine Podcast Instagram: https://www.instagram.com/thesportsmedicinepodcast/ Feedback/Inquires: thesportsmedicinepodcast@gmail.com Web: www.thesportsmedicinepodcast.com Host: Dr. Andrew Dold, MD FACS FRCSC www.DoldMD.com Instagram: https://www.instagram.com/dr.dold.md/ https://www.instagram.com/thesportsmedicinepodcast/

The U.S.'s unique history of slavery and race relations have played no small part in how we approach drug abuse and addiction differently from other developed countries—from the supposed “Negro cocaine fiends” of the early Jim Crow era… to the “law-and-order” politics that emerged, partly, in response to the race riots of the Civil Rights years… to “crack babies” in the '80s. But our history may, finally, be changing. Guests: Ekow Yankah, Professor of Law and Criminal Theory at Yeshiva University's Cardozo Law School; Philippe Bourgois, Professor of Anthropology and the Director of the Center for Social Medicine and Humanities in the Psychiatry Department at the UCLA Medical School; and David Courtwright, Professor of History at the University of North Florida. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH

What is the secret to changing our habits? Too often, we are led to believe that we need to study successful people and then use our willpower to act like they do. But UCLA Medical School Professor, Sean Young, reveals that this approach mainly leads to failure. Instead, Young and his colleagues point us to seven forces that succeed in creating lasting change. Sean is the author of the book, Stick with It: A Scientifically Proven Process for Changing Your Life - for Good. He is a Professor at UCLA Medical School, and Founder and Executive Director of the UCLA Center for Digital Behavior and the UC Institute for Prediction Technology. His work has been featured in the New York Times, the Washington Post, Science, and CNN. In this interview we discuss: Why we need to shift from self-blame to a thoughtful process for change How education alone is not enough to change behavior The ABCs of behavior -- automatic, burning, and common The seven tools Sean discusses to support behavior change - stepladders, community, important, easy, neurohacks, captivating, ingrained Just how powerful stepladders or very small steps can be in changing unwanted behaviors or habits The importance of creating the right-size steps to stay on track in reaching our goals How success with small steps increases our self-confidence to help us stick with it The fact that community -- the influence key others have on us -- can help us change behavior How purposefully structured online, peer-driven communities can help drive behavior change Why quick mental shortcuts or neurohacks can change our brains to help us change our behavior How taking action helps us see ourselves as someone who engages in the behavior we want to have Why it is important to pair the type of behavior with the right tool, like stepladders with common behaviors Why one of the most game-changing tools is making it easy to engage in behavior changes Links to Topics Mentioned in the Podcast seanyoungphd.com @seanyoungphd Michelle Segar, author of No Sweat Richard E. Petty Yo app If you enjoy the podcast, please rate and review it on iTunes - your ratings make all the difference. For automatic delivery of new episodes, be sure to subscribe. As always, thanks for listening! Thank you to Emmy-award-winning Creative Director Vanida Vae for designing the Curious Minds logo, and thank you to Rob Mancabelli for all of his production expertise! www.gayleallen.net LinkedIn @GAllenTC

Why You Should Listen: In this episode, you will learn about the impact of mental emotional health on healing and how our belief systems impact our recovery path. About My Guest: My guest for this episode is Dr. Dawn DeSylvia, MD. Dr. Dawn DeSylvia is a nationally recognized board-certified doctor in Family Medicine, with over 15 years experience in Functional and Integrative Medicine. In 2000, Dr. DeSylvia’s honest approach and ability to speak to all areas of Functional and Integrative medicine lead her to help co-create and manage an Integrative Medical Program for the Los Angeles Free Clinic. Dr. DeSylvia soon learned she had an innate ability to create programs and connect people and organizations in a meaningful and lasting fashion leading her right into medical school. In 2003, Dr. DeSylvia entered into UCLA Medical School, where she continued her passion and commitment for integrating and evolving healthcare. After completing her UCLA residency in 2007, she accepted a faculty position as an associate clinical physician at UCLA Santa Monica Hospital and the UCLA Malibu Family Practice Office. While on staff with UCLA, she studied extensively with The Institute of Functional Medicine, The Academy for the Advancement of Medicine, The American Academy of Ozone Therapy, as well as with many of the leaders in Biologic, Environmental, and Mind Body Medicine. Through this self-directed secondary medical residency she was able to cultivate an understanding of the two underlying questions about health, healing and longevity. Specifically, they are, “What is really making us sick, and causing inflammation which we know fosters disease to grow and develop?” and “What does science, confirmed by direct and reproducible experience, tell us, and show us, can be done on a root (not merely symptomatic) level to facilitate and foster health, healing and longevity?” In 2013, Dr. DeSylvia left her position at UCLA as an Associate Clinical Faculty member to form an Integrative Medical Center of her own on the Westside of Los Angeles, Ca. Whole Life Health MD. It is her firm belief that by improving the quality of the questions we ask as doctors that we will obtain more informed and effective interventions, thus decreasing disease risks, improving outcomes, and decreasing health care costs for all parties involved. Key Takeaways: - How do we align our field for healing? - How do we shift our perception about our illness? - What happens when we lose our story and remember who we really are? - How does the state of the world contribute to our disease states? - What tools can be used to turn off the cell-danger response? - How does DNRS help move us towards healing? - How do we calm the nervous system and move towards a more parasympathetic state? - How might ketone powder support detoxification of mold toxins? - How is the BioModulator used in optimizing health? - Why are our genes not our destiny? Connect With My Guest: http://www.wholelifehealthmd.com Interview Date: June 28, 2017 Related Resources: The butyrate product discussed in the show is available at: https://www.tessmed.com/product/probutyrate/ Disclaimer: The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority.

Session 24 Today's guest is Dr. Judy Melinek, a New York Times bestselling author and a Forensic Pathologist based in California. She documented her journey through her fellowship training in her book, Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner. One important thing to note is that Pathology isn't actually a required rotation in medical school, one reason that it's not commonly under the radar of most medical students. Listen to our discussion about the field of Forensic Pathology and how you can explore if this is something you're interested in. [01:20] Working as a Forensic Pathologist Dr. Melinek does some academic work. She is currently affiliated with UC Davis as a Research Associate. Forensic Science students from their Master's and undergraduate programs shadow her but she isn't presently on staff at any academic institution. Most forensic pathology jobs tend to be for government agencies, either a coroner/medical examiner's office. Any academic affiliation usually tends to be in the clinical instructor's status teaching residents and medical students. Dr. Melinek did her fellowship in Forensic Pathology from 2001 to 2002 and then she did another fellowship in Neuropathology from 2002 to 2003. In 2001, she started working as a Forensic Pathologist because even during fellowship, she got paid doing autopsies being part of the coroner/medical examiner's office, specifically working for the New York City Medical Examiner. [02:49] The Road to Forensic Pathology Dr. Melinek only figured out she wanted to become a forensic pathologist until later since she wasn't exposed to it as a specialty in medical school. She stresses this is something we need to further discuss and explore because it's a real failing in our medical education that pathology is relegated to second year academic discourse but there is no required pathology rotation in medical school like there is for internal medicine or general surgery. It's only something people have to discover on their own. Dr. Melinek got exposed to Pathology in second year medical school just like all medical students and then they offered this post-sophomore fellowship in pathology, which is an extra year you take in medical school between second and third year and work in the pathology department. You're just like a resident and you get paid but you're not just a resident or MD yet. But it's an opportunity for them to expose people to pathology in a more hands-on level. She basically did this post-sophomore fellowship in Pathology having wanted to take a gap year between college and med school. But she got in off the waiting list and she was afraid she would lose her spot if she decided to defer. So she found this as an opportunity to take a break but still be doing medicine and working at the same hospital she was training at. Dr. Melinek describes it as a great experience having been exposed to multiple different rotations in pathology including the blood bank, autopsy, and surgical pathology. Also during that time, she was allowed to do research and she actually decided to do research with the liver transplant team. That's when she fell in love with surgery and decided she wanted to be a surgeon. But everybody in Pathology convinced her to be a pathologist. Upon finishing medical school, Dr. Melinek matched in Surgery and went to a General Surgery residency and lasted for only six months until she collapsed from exhaustion and decided she wanted to be a Pathologist realizing it was a better fit for her personally and professionally. Because of her impressive work, the pathology department at the UCLA Medical School had saved her a spot outside the match so when she quit surgery, they gave her a spot to start in July. Dr. Melinek claims it was the best decision she ever made. [05:40] Post-Sophomore Pathology Fellowship and Demand This type of fellowship is sponsored through ACGME and the American Board of Pathology. The organizations that accredit pathology residency programs allow a year of pathology while you're still in medical school and it accounts towards your residency. This existed when Dr. Melinek was still in medical school. (Upon checking on the internet, some institutions that offer this program today include UCLA, Stanford, Duke, and West Virginia University. Check with the institution you’re interested in getting into if they offer such program.) Of the six post-sophomore fellows they had during her time, three ended up in Pathology. Dr. Melinek says this program helps people who are interested in the field to pre-select and also it cements their interest. It's an easy way to get people interested in it. She adds that Pathology is easy to recruit for once you're exposed to it. It's such a wonderful field. It's so intellectually stimulating. People are really nice. It has pretty decent work hours and not as physically or emotionally grueling as some of the other specialties can be, especially surgery. Dr. Melinek thinks it's easy to recruit but the problem is it's not a required rotation in medical school so it's not in the radar of a lot of students. It's not something they think about. As a result, there are only about 700 or so board-certified forensic pathologists practicing in the United States, which is half of what they need for the demand. She sees job openings that are open for months and even years because there is just not enough forensic pathologists to fill. Dr. Melinek therefore highly recommends the field for medical students to consider in terms of job security and opportunities. [07:51] Surgery versus Forensic Pathology Dr. Melinek got drawn to surgery because of it's hands-on nature and you get to fix things, as a practical person that she is. However, she wasn't attracted to the field's lifestyle and found it to be too exhausting. She was on call every other night and she had to watch her attending physicians cycle through multiple marriages and being there late at night for long hours, sacrificing their family times and their own mental health in exchange for the career, which she thought as unnecessary. She believes it's a financial burden and a cultural problem in the field and that you really don't need to train surgeons this way as there are more reasonable programs in general surgery. What Dr. Melinek likes about pathology is the reasonable hours. She basically was drawn to it primarily because of that exposure she had in medical school though at that time she didn't have the passion for it that she had for surgery. She felt disconnected from patients and that she wasn't being a real doctor. People do criticize that which of course Dr. Melinek thinks is such a crap. Anyway, she felt disconnected from patient care and from the action and excitement that surgery had until she did her forensic pathology rotation at the New York City Medical Examiner's Office. [09:22] The Work of a Forensic Pathologist When she was a resident in Pathology, they did rotations in different fields and she went to the New York ME's office for a one-month rotation. There she fell in love with the field, being able to go to crime scenes, testify in court, and interact with police officers and with family members of those who had died. She finally got that variety and excitement she was missing. Dr. Melinek wants people to understand that this is the pathology work. You're not just in a lab doing autopsies and looking at microscopic slides all day. You do a lot of field work, going out to scenes as well as a lot of work interacting with a lot of families on the phone. You testify in court at least once a month on average for her. You also interact with lawyers as you try to explain the science to them. Basically, you're built in as an academic and a teacher even though you're not officially in an academic environment. Dr. Melinek finds herself educating family members about the disease process that killed their loved ones over the phone. She finds herself teaching juries about science so that they can make a good decision about guilt or innocence about civil liability. She considers herself a teacher, just not in formal academic setting. [10:55] Traits of a Good Forensic Pathologist You have to be curious and to be the kind of person who digs more into something when it doesn't make sense or it sets off your BS meter. A lot of medical specialties are not going to have all the answers and you have to take the best pass forward given the limitations of your time and financial resources. But in forensics, you have time. They have an expression in forensics that is kind of tongue in cheek, "They're still be dead tomorrow." On the plus side, it means you can work on a case the next day and not have to rush it. The other aspect of that is you can put this off 24 hours and think about it. You can look up another article or contact your colleagues and wait. There's no rush in those cases for you to come up with conclusion. What's more important is for it to be rigorous, accurate, and defensible. [12:12] A Day in the Life of a Forensic Pathologist Dr. Melinek currently works three days a week at the Alameda County Sheriff/Coroner's Office and sometimes fill in on Mondays or Tuesdays if other people are sick or on vacation. Her typical day at work is waking up at 6:00 to 6:30 am and gets a text from her boss informing her of the number of cases she has. She gets her kids off to school and then driver to the office which is a 40-minute commute for her. She gets in at around 8:40 am. She reviews the cases and paperwork generated by death investigators from the office who are deputy coroners and they're the ones who went out to the scene and collected the dead body. They have a clinical summary about what happened to the deceased, whether they were ill or drug abusing, or when they were last seen alive, when and how they were found, the condition of the body. All of these are in the report. They review the reports and then split it up among themselves. In her current office, there is one chief forensic pathologist and four assistants who stagger their schedule so there's usually two or three of them on a given time. From 9am to noon, they go in the morgue doing the autopsies. A typical autopsy takes about an hour or an hour and a half at the most if it's a homicide case. Some cases can take multiple days where she would do two hours one day and two or three hours another day or splitting them up over several days. But majority of the cases can be done in an hour to an hour and a half. In the afternoon, she does paperwork, field phone calls, talk to lawyers, and also does her consult work. In addition to working for the coroner's office, she is also an independent forensic consultant so she can get hired usually by attorneys and sometimes family members to do a second autopsy or give an opinion in a case of wrongful death, whether civil or criminal cases. She looks at paperwork and reports and gives them her opinion. Sometimes, she gets called to testify for court. [15:00] Percentage of Cases For the bodies that she's doing an autopsy for, their causes of death are a mix. About 10-20% of her cases are homicides, which is disproportionate compared to what you see on television. The remaining 80% is a mixture of natural deaths, people who are elderly or young people with natural disease but haven't seen a doctor. They either died at home or en route to the hospital or in the street and they don't know why they died. Then when she does the autopsy, she finds natural diseases, heart disease being the most common as well as lung disease from smoking and complications of obesity on the natural death spectrum. Another equal percentage of cases comprise accidents which are predominantly motor vehicle fatalities and overdoses. They can make it to the hospital and survive for a period of time but they'll still come to their office because any case that is sudden, unnatural, or violent gets evaluated by the medical examiner. A smaller percentage would be suicides. Dr. Melinek reckons it's 20% homicides, 80% split up between natural, accidents, and suicide. [16:35] Call Schedule and Crime Scenes In her current position as a contract pathologist, she doesn't take calls. The only person on call is the chief forensic pathologist and she estimates that he gets called out to scenes maybe once or twice a month at the most. In the previous job she held at the San Francisco Medical Examiner's Office, there were four of them who would split up calls. So they'd be on call for one week at a time, which means you just get called out at night to crime scenes and she gets called out about once a month. It would be unusual for her to called out twice in the same week, and it's usually once a week. Most people may think that when you're being called out in a crime scene, they'd imagine CSI, Bones, or Dr. House. In reality, Dr. Melinek says it depends on the case. When she was In San Francisco, they get called out just for homicide, which are clear cut cases or those where they suspected a homicide. If she went out to a scene, it would have already been cordoned off by the police with a lot of police activity and the medical examiner would be the one would come in underneath the line. First, you have to sign in so they have a log of who comes in and out of the scene. You have to have your personal protective gear, gloves, booties, depending on the condition of the scene. The first thing they do when they get there is get basic information from the police officers at the scene about what happened, how was the body found, were shots fired, what did people hear or see, what are witnesses telling you. Then they go over to the body. They don't move it until after it's been photographed. A lot of time on the scene is typically spent waiting for the crime scene unit photographers to do their work and document everything with photography and video. And only then can they move the body, take a look, and assess the injuries so they can give the homicide detectives at the scene an idea of what they're seeing on the body and some leads about things they can question witnesses about. When asked about how she gets used to seeing these crime scenes, Dr. Melinek explains that all of medicine is a desensitization process. She remembers the first time she came in and got introduced to a cadaver on her first year of medical school and she freaked out. She knew she would be dissecting a cadaver because that was part of medical school and she's always been fascinated in human anatomy and how the body works. She says there's always a gross out factor but you still find yourself getting drawn to it. You actually get desensitized over the course of medical school, the first time you see a delivery or an autopsy or you do surgery and you see somebody's chest wide open with a heart beating. It's shocking yet you're trained sufficiently to do your  job and follow the lead of the people with you in terms of learning how to cope with the stresses of the job. Dr. Melinek finds that forensic pathology is actually less stressful than taking care of living patients for which she has done both. When taking care of patients, there are demands of the patients and families which can be unreasonable. They're in pain and suffering. They're not happy. So she found it more stressful given that and it was harder for her to separate from that and forget about it once she gets home than it is for her dealing with the horrible things she sees on the daily basis because she knows they're no longer suffering and out of their misery. She deals with this by thinking it's her job to make sense of this chaos and give some closure to the family and answers to the legal system that can help repair the mess that a few seconds of impulsivity created. [21:05] Postgraduate Training for Subspecs After finishing medical school, the minimum is three years of anatomic pathology residency and one year of forensic pathology fellowships. That's a total of four years of postgraduate training before you can go and work at a medical examiner/coroner's office. Dr. Melinek did surgery first and then when she went to pathology, she didn't know she wanted to do forensic so she did both four years of anatomic and clinical pathology. Anatomic and clinical pathology combined make you more marketable for working in a hospital setting. Clinical pathology involves laboratory medicine so it involves managing the laboratories at the hospital, the blood bank, the hematology lab, the toxicology lab, the microbiology lab. It involves learning how the test work, the assays work, and how to supervise and manage the equipment and the technologists who work there. So instead of the minimum three, Dr. Melinek did four years of residency and then two years of fellowship, one in forensic pathology and the other one is forensic neuropathology, which was a program that her fellowship placed at the New York City Office. A typical neuropathology involves working in a hospital setting where you're diagnosing tumors and doing surgical pathology. It's a two-year program where one year is spent examining brains and doing surgical pathology while the other year is spent doing research in order to be board-certified. Instead, Dr. Melinek just did one year of examining brains in a forensic setting. It's both brains and spinal cord taken out of the autopsy in cases where the death is sudden or violent, sometimes they have gunshot wounds, sometimes history of seizure disorder, sometimes without any history and the pathologist out of prudence, saves the brain and spinal cord for a more thorough analysis by a neuropathologist. They would slice the brain and spinal cords and then look them under the microscope to make a diagnosis of things like Alzheimer's disease or chronic traumatic encephalopathy (CTE) which is injury caused by repeated concussions. [23:41] Competitiveness and Testing the Waters Dr. Melinek says it's not competitive to become a forensic pathologist, in fact, it's easier compared to other specialties and subspecialties. She adds that a lot of pathology programs don't fill. This is actually surprising to her because it's a great, fun job, especially now that she's hitting middle age and a lot of her friends and colleagues that have gone into other specialties are hitting burnout but she's not tired at all. She actually has colleagues in their early 80's and are still practicing because they love what they do. Everyday is something new. Everyday is challenging. If this is something you're interested in or you just want to test the waters, Dr. Melinek recommends that you do well in your histology and pathology coursework in first and second year of medical school. Then start talking to your teachers, most of them are in the pathology department at your hospital. Find out about doing rotations with them and see if you can shadow them. Go down to the surgical pathology division and find out when they have their rounds or when they have their teaching cases. Sometimes they have resident conferences where they sit around the microscope and they look at slides. They always have extra room for medical students. She further says there really are not enough medical students who are interested in this field so they get so excited when someone shows up. You can just set up the microscope, listen in and look at the pretty pictures. If you get dizzy looking at the microscope, just look away when they're moving the slide and look back when they got it fixed. Lastly, start reading about the subject. She recommends doing rotation in your third and fourth year. It's going to have to be an elective. And if your medical school is affiliated with a coroner/medical examiner's office, she recommends taking an elective at least one week there to see what they do. Even if you don't end up going into forensic pathology, say you're interested in internal medicine or surgery, you will still benefit from it because it will give you a perspective that nobody else has and it will help you understand how to prevent death in your patients. [26:47] Osteopaths, Subspecialty Opportunities, and Interaction with Other Specialties Dr. Melinek explains there are plenty of opportunities for osteopathic students in forensic pathology. Having a DO is not an impediment in getting either a residency or fellowship in general pathology or forensic pathology. She has several DO friends who have gone through the program. The only frustrating thing for them sometimes is keeping abreast of the osteopathic manipulation requirements necessary for licensure and continued certification, which can be annoying since it's not something they use everyday but they just take the courses and do it. Other subspec opportunities after forensic pathology include neuropathology, anthropology, pediatric pathology, and cardiac pathology. Dr. Melinek doesn't work directly with other specialties but she interacts with them through medical records like when she gets charts from people who have died and she calls the primary care doctor of the deceased to get more information. More of them are psychiatrists such as issues pertaining to substance abuse and suicidality and cohort population. She also interacts with geriatricians especially when they don't write death certificates properly and she'd have to educate them about how to properly code or write a death certificate that would be accepted by the Department of Public Health. She also interacts with other pathologists and consults with them on their cases and getting additional information about things like unusual tumors or those less common in their cohort. She sometimes get unusual disease process she doesn't see frequently enough to be able to diagnose right way that's why she sees the importance of being affiliated with or have relationships with hospital pathologists to help guide you. Her advice to those getting into geriatrics to schedule an elective rotation during medical school in the pathology department or at the medical examiner/coroner's officer to give them a better appreciation of who it is doing the job and why they do it and how they're trained. It would also teach them to write proper death certificates so they don't run into trouble as they mature as practitioners. [30:45] Other Special Opportunities Outside Practice Dr. Melinek considers doing extra witness consult work as the most lucrative and rewarding where you get hired by either family members to do a second autopsy when they don't trust the first autopsy or if the coroner/medical examiner has declined to do the autopsy saying it's not within their jurisdiction but the family members will sometimes want an autopsy anyway so you can do private autopsies in that setting. As for legal cases, Dr. Melinek finds that her consult work is a lot more challenging than her work for the coroner/medical examiner with regards to the complexity of the cases. If something's going to court, it's because of a dispute, which is something people don't agree with. It can be challenging to review all the materials and come to some sort of consensus or opinion that can bring the sides together which she finds very rewarding. [31:45] What She Wished She Knew Before Starting Forensic Pathology She wished she had known how political it could be. Although it wouldn't have changed her opinion since she still would have chosen the same path, she thinks she would have been a little bit more prepared for it emotionally and mentally for some of the challenges that the field has, especially for issues that officer-involved shootings or in-custody deaths, high-profile cases such as when a celebrity dies. She finds it stressful to be the one that everybody is search answers for and having the pressure of the family and media and supervisors are trying to get you to come up with an answer quickly. And as she reiterates, forensic is best done over time meticulously and slowly so you can come up with a thorough answer that's defensible. Granted there are some circumstances like in surgery when someone is bleeding out where you have to work quickly, but in majority of cases in medicine, you do have some time. And if anybody is trying to rush you or do a stat on something that doesn't need that level of urgency, you should immediately put the brakes on and slow down because that's when you're going to screw up. Dr. Melinek insists this is an important lesson to pass on to anyone that it's important to take your time and do a thorough job otherwise you're going to miss something if you're stressed and under outside pressure. [33:40] Media Training Dr. Melinek says most of the training comes on the job itself. Having a good fellowship program and having good mentors who are willing to teach you about it especially if you go to a good urban area as opposed to a suburban area, you will get exposure as there will be high profile cases and stuff in the press. You have to learn from your colleagues and the staff you work with on how to manage it. She adds it's worthwhile later in your training once you've already become a forensic pathologist to take some time to do media training and learn how to work with media professionals to answer questions in an interview setting. Give sound bites to the press and interact with them so you're able to get your message across. Media training is something you're not going to get in medical school. You're not going to get it on the job and it's something you essentially have to seek out and pay for yourself. She did it a few years ago when the her book, Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner came out, which she co-authored with her husband, T.J. Mitchell. It's a book about her forensic training. She had to learn how to interview and how to talk to the press and the training she did for the book publicity has reaped rewards as a forensic pathologist as well because it has taught her how to interact with the press in high-profile cases. [35:20] The Most and Least Liked Things about Forensic Pathology What Dr. Melinek likes the most is the excitement and unpredictability of it and the fact that she is here to serve anyone. When she walks into the morgue every morning and gets the list of cases, it could be someone wealthy or poor, a really famous person or someone unknown. She compares it to a box of chocolates, you never know what you're going to get. Death is like that as well as life, you don't know what you're getting in the morning and you just have to learn how to roll with the punches and deal with it the best way you can. She adds how rewarding it is to be able to help family members. She loves having patient contact in terms of relating with the family members of the deceased who are her patients too, helping them with grieving, closure, and understanding the process. What she likes the least is true with any job and it's dealing with nasty people. Sometimes you have to interact with people under stress or micromanaging supervisors. Working at a sheriff/coroner's office, some of her immediate supervisors are not physicians so they don't understand medicine. She finds it frustrating sometimes to explain to them what she does and why it's important in terms of getting the financial or time support she needs. [37:53] Changes in Forensic Pathology Over the Years Dr. Melinek has seen changes in her career in the past fifteen years such as the advent of CT scans with 3D imaging coming into the forefront which is becoming more common not only in the hospital setting but also in the medical examiner's setting. Genetic testing has also advanced tremendously so now they have access to genetic tests for sudden cardiac death genes, things that can predispose someone to channelopathies or risk factors for sudden cardiac death that they can communicate to families. There now changes in histopathology in terms of the quality of slides they're getting, the scanning capacity, digital forensics, being able to share information. The basic techniques are the same since you're still have to cut a dead body and you're still going to need your scalpel and scissors. There is virtual autopsy where people use CT scans or MRI to diagnose certain diseases but ultimately, autopsy is the gold standard and you can't use a virtual autopsy to diagnose an infectious disease and you still need to take a sample from the body and grow it in a laboratory. Or you still need the microscopic sections of the heart to diagnose cardiac defect. Radiology is good to a certain degree but autopsy is the gold standard and still relied upon on most court settings. Lastly, if Dr. Melinek had to do it all over again, she would still have chosen the same specialty. In fact, she would have skipped surgery and went straight into this field. She also wishes to leave a message to medical students. In medical school, she got the impression that once you choose your specialty, that's it. And if you fail out of your residency or hate it, you're stuck and you're not going to be able to find another residency. It's going to be difficult for you to switch. About 1/3 of doctors switch their specialties at some point in their career, whether during residency or after it and then they do a separate residency. Some do it halfway through a career even in their 50's. Dr. Melinek wants students to be aware that switching is possible. You're not a loser if you hate your residency or you're miserable. There are other options. Sometimes places will take you outside of the match, other times you can go through the match again and you will find a position that fits. Sometimes it's also not the career but the job. It may be the right career for you, which is the right specialty but you just happen to be in a bad residency program or a bad job environment with a bad supervisor and sometimes switching jobs is the solutions. But there are options out there so don't feel like you're not going to be able to find a position in medicine because you're not happy where you are currently. [41:15] Working Stiff Dr. Melinek explains the impetus for writing her book, Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner. While she was in medical school, she had a professor who encouraged them to keep a journal to document their transition from lay people to medical people, how they learned the terminology and how they became doctors. When she decided to do forensic pathology and was starting the fellowship, she thought how inaccurate all of these televisions shows are and nobody knows about the forensic process she's going to be going through in the next year so she decided to start writing her journal. Everyday, in her one-hour commute to work and another hour going back, she had two hours a day for writing, using a handheld device where she kept a journal. At the end of her fellowships for two years, she had a baby and restructure the journal by cases. She had to take it out of chronological order to get a case-based narrative. She was working so she had to hand it to her husband, T.J.Mitchell who was an English major at college and had been working as a writer for other people. The couple basically sat on it for about ten years. It was the tenth year anniversary of 9/11 that changed things for them and it was no longer personal history but what she had experienced was history since Dr. Melinek was one of the thirty forensic pathologists in New York City at that time of the World Trade Center attack. She was the rookie in the team, arriving in July and had two months to training before that attack happened. This then became a big part of her diary as well and tackling those chapters were the most difficult for her. She didn't want to write a book specifically about 9/11 but something that would encourage students and experts in different fields to understand what it is they do and what the training process is like. Now, the couple are transitioning to a detective fiction novel they're working on. If you're curious, there some shows working with consultants. In fact, Dr. Melinek has consulted on some shows in the past such as ER. The problem is they have to do change certain scenes in order to move the plot along. They do have consultants but they don't always listen to them. [45:30] Final Words of Wisdom If you're interested in pursuing this field, Dr. Melinek recommends you check out her website www.PathologyExpert.com and linked to that is her blog. Specifically check out Dr. Melinek’s  blog post about the steps to becoming a forensic pathologist, addressed to students at different levels of their training, what to do if you're in high school, college, medical school, or in residency, as well as a paragraph each about the next steps and what you should look for. Links: Dr. Melinek’s  blog post about the steps to becoming a forensic pathologist Dr. Melinek’s website: www.PathologyExpert.com Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner Post-Sophomore Pathology Fellowship Programs: UCLA School of Medicine WVU School of Medicine Stanford University School of Medicine Duke University School of Medicine A Not Entirely Benign Procedure by Perri Klass

Aired Wednesday, 14 September 2016, 2:00 PM ETToday’s Star is Paul K Stoller, M.D.A maverick physician brings transparency to some of medicine’s dark secrets, and explains how to treat some of the most worrisome diseases and conditions afflicting humans today – including Lyme disease, brain trauma, dementia, and autism.About the Guest Paul K Stoller, M.D.Dr. Kenneth Stoller completed his training at UCLA Medical School in 1986 and was a practicing board certified pediatrician for over two decades, focusing on brain injured children and adults. His area of expertise is functional medicine, also known as integrative medicine, and he has been working with patients with brain injuries ranging from traumatic brain injury, stroke, autism, cerebral palsy, MS, chemo-brain, and Lyme brain since the late 1990s.Dr. Stoller is one of the few physicians that has been made a lifetime Fellow of the American College of Hyperbaric Medicine, and he has published numerous articles on using hyperbaric oxygen to treat brain injuries. He pioneered the use of hyperbaric oxygen for treating fetal alcohol syndrome and the journal, Pediatrics published his work in 2005. Dr. Stoller is at the leading edge of physicians who use natural supplements and bio-identical hormones to help patients heal their brains. He wrote the book, Oxytocin: The Hormone of Healing and Hope, and set up the website www.GriefSOS.com in 2008.His new book is Incurable Me: Why the Best Medical Research Does Not Make It into Clinical Practice.More on: http://www.incurable-me.com

After being introduced to it by music mogul , I've been practicing for the past year. Why? More than on the TM technique have been published in over 160 scientific journals. These studies were conducted at many US and international universities and research centers, including Harvard Medical School, Stanford Medical School, Yale Medical School, and UCLA Medical School...and they have shown irrefutable evidence that TM reduces insomnia, stress, anxiety, depression, blood pressure, cholesterol, congestive heart failure, atherosclerosis/stroke, free radicals, blood sugar, diabetes, pain, along with higher levels of brain functioning, longevity, sleep quality and much more. The guy who taught me everything I know about TM is named Philip Land. Philip has been practicing TM for the past 40 years. But he's no woo-woo, robe-clad, Eastern mysticist. I'd instead describe Philip as a bad-ass, hunting, redneck hippie family man. But he's taught TM all over the globe, worked with celebrities and high profile politicians, and also worked in medicine, computed tomography, radiation technology, craniosacral therapy, hunting instruction, shooting, wilderness survival, and much more. So he is one very interesting man. And during our discussion, you'll discover: -How Philip, a "redneck hunting instructor" got involved in TM... -A very easy-to-understand explanation of what TM is... -Why folks like Oprah Winfrey, Jerry Seinfeld, Katy Perry, and Russell Brand practice transcendental meditation (TM) daily... -Whether you need to be religious to practice TM... -What a TM mantra is... -How I used TM during the Spartan Agoge... -The surprising changes that occur in blood or bio markers in response to TM... -The brain wave pattern and EEG response to TM... -How TM can change sleep patterns and sleep cycles, and even allow you to get by on less sleep... -The difference between TM and "biohacks" like PEMF, transcutaneous stimulation, meditation apps, etc... -Whether you really have to do TM every day... -The best way to learn TM... -And much more! Resources from this episode: - - Do you have questions, comments or feedback for Phil or I about transcendental meditation or anything else we discuss in this episode? Leave your thoughts at and one of us will reply!

Wounds heal up overnight. Arthritis, bone abnormalities, and bone spurs dissipate. Chronic back pain evaporates. Professional athletes see instant recovery from injuries. Not soap opera miracles, but actual healings from the hands of Dr. Gloria Kaye, a highly regarded psychotherapist, yoga therapy pioneer, hands-on healer and UCLA Medical School lecturer on Healing Touch.She shares in-depth insights, practical techniques and inspiring stories of success with non-traditional healing...and she believes that everyone has the power to heal, and will start you on the path to opening your own healing channel! Learn more about Gloria Kaye: www.drgloriakaye.com

Beyond Speech: Limitless Communication with Lauren Polly  Radio Show  Wounds heal up overnight. Arthritis bone abnormalities and bone spurs dissipate. Physical structure imbalances correct with the lightest fingertip touch. Chronic back pain evaporates. If this sounds like soap opera miracles, you are mistaken. These are actual healings from the hands of Dr. Gloria Kaye, a highly regarded psychotherapist, yoga therapy pioneer, hands-on healer and UCLA Medical School lecturer on Healing Touch. She relates these and many more case histories in her eye-opening new book Healer's Hands, Healer's Heart: In-Depth Insights, Practical Techniques and Inspiring Stories of Success with Non-Traditional Healing. And moreover, in her book, she will start you on the path to doing this work yourself! Dr. Gloria, who often works on clients at the recommendation of medical doctors, has become sought after nationwide for her logic-defying healings. A quiet woman with a big heart, she very gently touches various areas of the body and many problems resolve if not in minutes, over the course of a few treatments. Based on her 40 years of experiences, she surmises that the cells are dispersing, reorganizing or regenerating as a result of the energy infused into the body at key points that impact tissue, bone and muscle. Come Join Beyond Speech: Limitless Communication with host Lauren Polly as she speaks with guest Dr. Gloria Kaye on the success and possibilities of non-traditional hearings. www.drgloriakaye.com Lauren Polly has been working with folks with “communication disorders” since 2004 as a speech-language pathologist and it never ceases to amaze her how much people judge and beat themselves up for supposed mishaps in communication. “I never meant to say that.” “It came out wrong.” “I just don’t sound like myself.” Are some of the things she hears every day. What follows are stories of how the communication breakdown led to undesirable results – loss of friendship, loss of a business deal, an argument with a loved one, or just the sense that you didn’t deliver what was possible. What if there was a different possibility?  http://laurenpolly.com/

Speaker Topic - Integrative Well-Being Dr. David Allen, a graduate of UCLA Medical School, has been in practice for over 30 years. Dr. Allen wrote the foreword to actress, health activist and author Suzanne Somers'  bestselling book “Slim and Sexy Forever”. While a medical student, he became interested in alternative medicine, and began a lifelong investigation into meditation, diet and nutrition, Oriental health practices (including tai chi chuan and acupuncture), and the relationship between the mind, the body, and our emotional states. A pioneering figure in alternative/integrative medicine, Dr. Allen founded the La Jolla Clinic of Preventative Medicine, and was the Medical Director of the Center for Holistic Health in Solana Beach, California, one of the first alternative medical facilities in the United States. Currently he is in private practice in Los Angeles, and is a frequent lecturer throughout California, including at the prestigious Esalen Institute in Big Sur, and as a guest faculty member in Loyola Marymount University's pioneering program Yoga Therapy Rx, directed by leading yoga expert Larry Payne, Ph.D.  For more information visit David Allen