Podcasts about ucsf

Treatment stacking is all over social media, but dermatologists have been combining aesthetic treatments in a single visit for decades. In this episode of The Skin Real, Dr. Mary Alice Mina sits down with her friend and fellow Mohs surgeon Dr. Sarah Arron of Premier Aesthetic Dermatology in San Carlos, California, to break down what stacking really means and how it works in practice. Dr. Arron explains how she plans a stack around three domains: structure, texture, and color. She covers why the order of treatments matters, from IPL before a non-ablative laser to building volume with filler before adding a biostimulator. She also explains why heat and superficial skin boosters don't mix, and why an ablative CO2 laser should stand alone. Dr. Arron also shares her acne stack for scarring, and how she helps first-time patients start slowly without feeling overwhelmed. 

My guest today is Tania de Jong, co-founder of Mind Medicine Australia. Tania and her husband, Peter, helped lead the push that, in 2023, made Australia the first country in the world to allow MDMA and psilocybin to be prescribed for psychiatric conditions. I wanted to understand how the hell they helped make that happen and what the rest of the world can learn from it.This episode is brought to you by:ProLon science-backed Fasting Mimicking Diet that helps activate cellular renewal through fasting, while still eating nourishing meals: https://prolonlife.com/TimMomentous high-quality creatine for cognitive and muscular support: https://LiveMomentous.com/TimAG1 all-in-one nutritional supplement: DrinkAG1.com/TimTimestamps[00:00:00] Intro from Tim.[00:02:46] The article that changed Tania's life.[00:04:39] A first psychedelic experience—and the year it took to integrate it.[00:10:17] Rick Doblin's encouragement and the birth of Mind Medicine Australia.[00:13:15] Turning regulatory rejection into a stronger application.[00:20:48] Building a grassroots movement and training clinicians.[00:23:23] Cold emails, scientific allies, and singing your way into the room.[00:31:11] A week with Ram Dass: silence, singing, and an extraordinary LSD story.[00:37:54] Bringing David Nutt—and a family's devastating story—to the regulators.[00:42:42] Dancing in the kitchen: Australia's rescheduling breakthrough.[00:43:40] From changing the rules to treating patients.[00:48:18] Why Tim thinks MDMA is still underestimated.[00:50:23] Integration beyond the session: therapy, nutrition, and exercise.[00:52:29] Scaling access and collecting real-world evidence.[00:58:13] Getting insurers, government agencies, and philanthropists on board.[01:01:39] Syrian rue, psilocybin, and learning to let go of control.[01:10:01] Dosing, expectations, and the pressure to take more.[01:12:02] The promise of group therapy and shared integration.[01:14:22] Hiring mistakes, personal attacks, and the resilience advocacy requires.[01:23:38] Turning a window of change into lasting habits.[01:25:51] Getting through to regulators and pushing for end-of-life access.[01:28:27] The bureaucratic barriers that remain.[01:31:38] What treatment costs—and why therapist time drives the bill.[01:35:07] Could shorter-acting compounds make treatment more affordable?[01:38:46] Ketamine, kratom, and the limits of “all natural.”[01:43:14] The unexpected payoff from Tim's ketamine experiment.[01:47:46] What might come next for psychedelic access worldwide?[01:49:04] Persistence versus pushiness—and knowing when to try another door.[01:54:22] Supporting patients and training the next wave of clinicians.[01:57:51] “Be curious”: exploring your inner world and walking each other home.[02:01:35] The ripple effects of sharing your curiosity—and simply asking for help.Timeline:February 2, 2015: Michael Pollan publishes “The Trip Treatment” in The New Yorker, which is the article Tania credits with setting her journey in motion.March 21, 2015: Tim releases his James Fadiman interview, “The Psychedelic Explorer's Guide” (#66). Its show notes link to “The Trip Treatment.”January 15, 2016: In 5-Bullet Friday, Tim announces support for Johns Hopkins' psilocybin research and a personal commitment of at least $100,000 toward psychedelic research that year.2016: Tania and Peter travel to the Netherlands for their first guided psilocybin experience. (Source)2017–2019: UCSF conducts the psilocybin-assisted group-therapy study involving long-term AIDS survivors that Tim helped support. (Source)May 6, 2018: Michael Pollan joins Tim for “Exploring the New Science of Psychedelics” (#313), discussing his forthcoming book (How to Change Your Mind).May 15, 2018: Pollan's How to Change Your Mind is published.February 13, 2019: Tania and Peter publicly launch Mind Medicine Australia. (Source)2020–2022: MMA applies to reschedule MDMA and psilocybin, faces rejection, and submits new applications in March 2022. (Source)November 21, 2022: David Nutt presents to Australia's medicines regulator, the TGA, supporting the case for therapeutic access. (Source)February 3, 2023: The TGA announces restricted prescribing access to MDMA for PTSD and psilocybin for treatment-resistant depression, effective July 1, 2023. (Source)January 2024: Patients begin receiving treatment under the new prescribing program. (Source)*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

There was a stretch of my life where I could not be alone. Not because I loved being social so much, but because without someone else in the room, I did not know who I was. No plans for the night meant a full blown panic attack. What was I supposed to do with myself? More importantly, who even was I? Turns out that is not just a me thing. It has a name, emotional outsourcing, and it is exactly what I dig into with my guest Beatriz (Béa) Victoria Albina, author of End Emotional Outsourcing: How to Overcome Your Codependent, Perfectionist, and People-Pleasing Habits. She also hosts the Feminist Wellness Podcast, and from the first minute we hit record, it was clear this was going to be one of those conversations we could have kept going all day. We get into emotional outsourcing, the term Béa uses for the codependent, people-pleasing, and perfectionist habits so many of us learned as survival strategies. We also talk about how somatic work actually changes us, instead of just helping us understand our patterns intellectually. And if you are Gen X or a Xennial, this is your bonus round. Somewhere around the Mac LE2 and Saved by the Bell, we take a short detour into nostalgia.  What you'll hear about in this episode: What emotional outsourcing actually is, and why Béa uses it as the catch-all term underneath codependency, people-pleasing, and perfectionism (5:19) Using TV and movies as a mirror for healthy relating, and why even a show as savage as Veep can retrain your brain to recognize what it's missing (10:52) How Béa defines the differences between codependency, people-pleasing, and perfectionism, and why they are survival habits, not character flaws (23:50) Why knowing your patterns intellectually isn't the same as changing them, and how somatic experiencing helps your body believe a new story (20:24) The reticular activating system and the default mode network, the two brain regions that keep us running the same old stories until we interrupt them (25:47) Béa's "kitten steps" approach to rebuilding trust with yourself, starting as small as actually letting yourself pee when you have to pee (30:52) Learn more about Beatriz (Béa) Victoria Albina, NP, MPH, SEP: Beatriz (Béa) Victoria Albina, NP, MPH, SEP (she/her) is a UCSF-trained Family Nurse Practitioner, Somatic Experiencing Practitioner, Master Certified Somatic Life Coach, author of the bestselling "End Emotional Outsourcing: How to Overcoming Your Codependent, Perfectionist and People Pleasing Habits" and Breathwork Meditation Guide with a passion for helping humans socialized as women to reconnect with their bodies, regulate their nervous systems and rewire their minds, so they can break free from codependency, perfectionism and people pleasing and reclaim their joy. 

In this conversation, Dr. Kyra Bobinet and Michael Tetreault sit down to discuss the habenula and its role in motivation and setbacks, why the traditional compliance model works against how the brain actually changes, the Iterative Mindset as an alternative framework for physicians and patients, and how this thinking should shape the physician-patient relationship in concierge and membership-based practices. They also preview Fresh Tri Pro, ahead of Dr. Bobinet's appearance at the Concierge Medicine Forum this October. Dr. Bobinet earned her MD from UCSF and her MPH from Harvard, teaches health behavior change at the Stanford Medicine AIM Lab, and is CEO and founder of Fresh Tri, a clinician-facing behavior-change platform built on the neuroscience of habit formation. She is the author of the bestselling Well-Designed Life and the newly released Unstoppable Brain, and co-developed the Iterative Mindset Inventory with mindset researcher Dr. Jeni Burnette of NC State University. She is an enrolled member of the Leech Lake Band of Ojibwe. The Story Your Patients Keep Telling Themselves (and How to Rewrite It) with Dr. Kyra Bobinet Why do patients who genuinely want to get healthier so often fail to follow through? On this episode of the DocPreneur Leadership Podcast, host Michael Tetreault talks with Kyra Bobinet, MD, MPH, about the "know-do gap" and the neuroscience behind it. This episode is educational and informational. It is not medical, legal, or financial advice. Links: Fresh Tri: https://freshtri.com Iterative Mindset Quiz: https://freshtri.com/iterative-mindset-quiz/ Dr. Kyra Bobinet: https://drkyrabobinet.com Contact Dr. Kyra Bobinet: https://drkyrabobinet.com/contact/ Unstoppable Brain Podcast (YouTube): https://www.youtube.com/@unstoppablebrainpod Fresh Tri on LinkedIn: https://www.linkedin.com/company/freshtri/posts/?feedView=all Fresh Tri on Instagram: https://www.instagram.com/fresh_tri/

Patients are already asking AI the questions they cannot always ask their doctors. That creates enormous opportunity, but also real risk. AI can help people organize complex medical information, prepare for appointments, and better understand their health. It can also sound completely certain when the evidence is weak or the answer is wrong. In this live episode of Bendy Bodies, host Dr. Linda Bluestein speaks with Michael Turken, MD, an internist at UCSF and founder of My Doctor Friend, an AI health companion designed to support patients navigating medical complexity. Dr. Turken explores the growing gap between what patients need from healthcare and what traditional systems can realistically provide, especially between appointments. He explains where AI may help fill that gap, where it can go wrong, and why these tools should support rather than replace the patient-physician relationship. The conversation includes practical strategies for connecting medical records to AI platforms, checking what an AI model actually understands about your health history, keeping that information accurate and current, and recognizing situations where AI may be less reliable, particularly when the science itself is still evolving. Takeaways: AI chatbots are not healthcare providers, and many are not subject to HIPAA protections in the same way healthcare organizations and covered entities are. AI can sound highly confident even when its answer is incomplete, overly reassuring, or wrong. The conversation includes discussion of AI sycophancy, in which a model may reinforce a user's assumptions or provide reassuring responses rather than appropriately challenging them. If you connect your medical records to an AI platform, periodically ask it to summarize what it believes about your diagnoses, medications, major medical events, and current health history. This can help uncover outdated, missing, or incorrect information. AI may be particularly useful in addressing the gap between what patients want from healthcare, such as the ability to ask questions at any hour, organize complex information, and prepare for appointments, and what traditional healthcare systems can currently provide. For medically complex patients, the quality of an AI answer depends heavily on the quality, completeness, and accuracy of the information the model is using. To get 2 months of Premium access to My Doctor Friend, use code "BENDY" Want to learn more about My Doctor Friend? Website: https://about.mydoctorfriend.ai/ Instagram: @mydoctorfriend.ai Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠ X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠ Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/ Shop my Amazon store ⁠⁠⁠ https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: RUVAEDSCenter@uvahealth.org UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at ⁠⁠https://www.bendybodiespodcast.com/⁠⁠. YOUR bendy body is our highest priority!⁠⁠ Learn more about Human Content at ⁠⁠⁠http://www.human-content.com⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠sales@human-content.com⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Chapter: 00:00 AI as Malpractice00:28 Welcome and Guest Intro01:20 Boutique Sponsor Break01:54 Why Build My Doctor Friend05:52 Choosing AI Platforms07:15 Record Linking Pitfalls09:21 Always Ask What It Knows12:35 Three Models for Safety15:50 Privacy Reality Check19:29 Reassurance Trap Lawsuit21:47 Making One Model a Jerk23:27 Urgent Care MRI Story27:18 Fixing Sycophancy Prompts32:12 Doctors React to AI35:26 Avoiding AI Misinformation38:51 Privacy and Medical Records41:46 Finding EDS Savvy Doctors46:24 Talking AI With Your Doctor48:46 My Doctor Friend Demo55:31 AI in Medicine Next 5 Years58:41 Carbon Footprint and Wrap Up Learn more about your ad choices. Visit megaphone.fm/adchoices

"It's really hard to justify a test that has any complications if there isn't any reasonable expectation of benefit," says Dr. Rita Redberg, who has spent her career trying to help fellow clinicians consider the actual value of routine screenings and diagnostic testing in asymptomatic patients. Dr. Redberg -- a cardiologist and professor of medicine at the University of California, San Francisco for more than three decades -- is one of the leading voices advocating for a “high-value care” approach, an uphill fight in a healthcare system that tends to reward action over restraint. Her highest profile effort was launching the instructive “Less is More” series in JAMA Internal Medicine when she served as its editor-in-chief for 14 years. On a related track, her research on the assessment of the safety and effectiveness of medical technology, specifically high-risk cardiovascular devices, has yielded a troubling picture. "We found only 1% of devices enter the market through the FDA's most rigorous approval process. The high-quality evidence to support benefit for these devices that I had assumed was present, wasn't actually there.” Join Raise the Line host Lindsey Smith for an eye-opening exploration of what Dr. Redberg considers to be the overlooked risks and false reassurance of common tests and procedures, and her efforts to put the “do no harm” principle of medicine at the forefront of everyday practice.Mentioned in this episode:UCSF School of MedicineJAMA Internal Medicine's Less is More Series If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Anxiety, rage, depression, 3am wake-ups, fear that freezes you in your tracks — psychiatrist Dr. Allie Sharma joins us this week to explain why perimenopause is a real window of mental health risk. We unpack how shifting and declining estrogen and progesterone levels drive mood, sleep, and anxiety changes (and why anxiety is often the first symptom, even before hot flashes), plus how hormone therapy, medication, testosterone, acupuncture, and CBT can help, often in combination. We close with a guided breathing and full body-scan exercise to help calm the nerves during this often emotionally-fraught time.Dr. Allie Sharma (Sonali Sharma, MD) is a Cornell-trained, board-certified adult psychiatrist who ran a private Manhattan practice for over a decade. She's currently Co-Founder and Chief Medical Officer of Being Health, a Women's Health Advisor for menopause care startup Evernow, and an advisor to Kenneth Cole's Mental Health Coalition, following a role as Associate Medical Director at Cityblock Health. Her background spans emergency and student psychiatry at Columbia, mental health work with NYC's homeless population, and global public health leadership, including advising post-conflict countries and the World Health Organization (Libya, Ethiopia, mhGAP guidelines) and directing a ThriveNYC workforce initiative. She earned her MD from Weill Cornell, trained at NewYork-Presbyterian/Weill Cornell and UCSF, and holds a master's from the London School of Economics. She is a mother of two and lives in Brooklyn, NY. You can learn more about her and her work at sonalisharmamd.com and Beinghealth.co.Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Hettas: Shop Hettas at https://alnk.to/h6KsEBr Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr

A DEXA scan can tell you that bone density has changed, but it does not tell you why bone is being lost or what is happening inside the bone remodeling process.Bone is living, metabolically active tissue that is constantly breaking down and rebuilding. If we want to change the trajectory of bone loss, we need to understand the signals and patterns driving that process, not simply wait for the next scan.In this episode, Dr. Ritamarie Loscalzo is joined by Dr. Kim Millman, MD, PhD, an integrative physician who has spent 18 years focused on uncovering the root causes of bone loss. They explore the bone health testing that is often missed, what those results can reveal, and how practitioners can use that information to create more personalized strategies for osteopenia and osteoporosis.You'll discover why a complete bone health assessment requires looking beyond a T-score and understanding the hormonal, nutritional, metabolic, and lifestyle factors that influence bone resilience.What's Inside This Episode?Why a DEXA scan may not tell you the full story behind bone lossThe questions practitioners should ask before deciding how to support a client with osteoporosis or osteopeniaWhat testing can reveal about the process of bone breakdown and rebuildingWhy two people with the same bone density score may need completely different approachesThe hidden factors that influence bone remodeling, including hormones, nutrition, metabolism, and inflammationHow to determine whether a client is losing bone because of increased breakdown, impaired rebuilding, or another underlying patternWhy monitoring the right markers can change the way practitioners evaluate progressThe limitations of relying on standard bone health recommendationsHow to create a more personalized strategy for improving bone resilienceResources and Links:Download the full transcript hereDownload our FREE Beyond Protocols Guide here.Join the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results.Check out other podcast episodes hereGuest Resources and LinksWebsite: https://themillmanclinic.comThe Bone Health Academy® (Practitioner Training): https://thebonehealthacademy.comFree Gift: Essential Lab Testing: Discover the Full Picture of Bone LossDiscover the bone health labs that can help reveal why bone is being lost, beyond what a DEXA scan shows.Follow Dr. Kim Millman:Instagram: @drKimMillmanGuest BioDr. Kim Millman, MD, PhD, began her career as an electrical engineer working on highly classified satellite projects. She eventually went on to earn a medical degree and a PhD in epidemiology and population genetics.She now focuses on one pursuit: your bone health.Dr. Millman is a truly integrative physician who has spent 18 years reversing bone loss at its root. After watching patients lose their confidence due to osteoporosis and being handed a lifetime prescription that did not build quality bone, she set out to find a better way.Trained at UCSF, USC, and Stanford, she created the Integrative Bone Health Method™ and the Restore & Rebuild Healthy Bones program, helping thousands rebuild their bones and get their confidence and lives back.Now, at a pivotal moment for bone health, she co-founded The Bone Health Academy® to train the next generation of practitioners, a ripple effect that carries her method far beyond her own practice. Through her patients, her students, and the practitioners she trains, she is dedicated to redefining bone health care.

All Home Care Matters and our host, Lance A. Slatton were honored to welcome Tian Lan & Peijun Liu the Co-Founders of Care Mojo as guests to the show.   About Tian Lan, Founder & CEO of Care Mojo:   Tian Lan is the Founder and CEO of Care Mojo. Before launching Care Mojo, she worked as an engineer at Uber and later became a venture investor. Tian was raised by her grandfather, and watching dementia change the man who had been her hero left a lasting mark on her. She went on to own senior home care businesses, where she explored how technology could be applied to build solutions that make home care safer and more affordable, and that keep families more connected to the loved ones in their care.   About Peijun Liu, Co-Founder of Care Mojo:   Peijun Liu is the Co-Founder of Care Mojo and a researcher at UCSF. A graduate of UCSF, she has researched the use of language models for early cognitive decline detection in partnership with the Mayo Clinic. Having served as a family caregiver for her grandmother and worked in hospice care, Peijun brings both personal and clinical experience to her work bringing greater dignity and visibility to dementia care through Care Mojo.   About Care Mojo:   Care Mojo is an AI-powered aging-in-place safety platform designed to help older adults remain safer and more independent at home while giving families and care professionals greater visibility and peace of mind. Its always-on system combines wearable technology, in-home sensing, location awareness, and proactive voice check-ins to recognize changes in daily routines, activity, safety, and wellbeing. Care Mojo can identify more than 500 daily events and patterns, including potential falls, wandering, changes in bathroom habits, sleep disruption, low movement, missed meals, and other changes that may warrant attention.   When the system detects a potential concern, Care Mojo's AI Speaker Hub can first check in with the individual by voice and then alert family members, caregivers, care staff, or emergency services when appropriate. Its location technology provides room-level awareness inside the home without relying on cameras and can transition to GPS when someone leaves the home, helping families stay informed while supporting an older adult's privacy and independence.   Designed for both families and professional home care providers, Care Mojo provides real-time insights that can help caregivers better understand how a loved one is doing between visits and recognize meaningful changes earlier. With privacy controls, HIPAA-compliant safeguards, and integration capabilities for care organizations, Care Mojo is working to bring together artificial intelligence, wearable technology, and proactive care to help redefine what safer aging and dementia care at home can look like.  

This Episode is Sponsored by SnugghugDid you know 80% of your immune system lives in your gut - and your baby gets theirs from you? Whether you had a vaginal birth or a C-section, breastfed or formula fed, this episode is going to change the way you think about your baby's health from day one.Trish sits down with Cheryl Hoy, CEO and founder of Tiny Health, the first at-home microbiome testing company for moms and babies. Cheryl's journey started with her own breech C-section birth and a mission to understand what that meant for her daughter's long-term health. What she found led her to build a company backed by scientists from Mayo Clinic, Johns Hopkins, and UCSF - and to become one of the loudest voices reminding moms that their birth mode isn't the end of the story. Trish and Cheryl dig into the science of the vaginal, gut, and skin microbiomes, why laboring (even before a C-section) still matters, and how the first 1,000 days of life set the stage for your child's immune system for years to come. This one is equal parts science lesson and permission slip - you are not powerless, no matter how your baby arrived earthside.What You'll Learn Inside This Episode:Why babies born vaginally have a different gut microbiome than babies born via C-section - and how that connects to the "atopic march" (eczema → food allergies → asthma → hay fever)Why laboring - even if it ends in a C-section - still seeds your baby's microbiome with beneficial bacteriaHow vaginal exams during labor can introduce antibiotic-resistant hospital bacteria to your babyWhy dads contribute up to 20% of a baby's microbiome in the first year (and even more with a C-section birth )What actually happens when you order a Tiny Health test, and how simple the process really isWhy "failure to progress" might have less to do with your body and more to do with how supported you felt in the roomHow feeding mode (breast vs. formula) is the #1 most impactful lever for course-correcting gut health after a C-sectionWhy the first 1,000 days - conception through age 2-3 - is the critical window for immune training, and what you can actually do about itMore from Tiny Health:Go to TinyHealth.com and use code LNM!Follow on Instagram: @tiny.healthhello@tinyhealth.comThanks to our Sponsor Snugghug: Grab the Snugghug Nursing Cover and Nursing Shirt and use code 'LNMAMA10' for 10% off! Mentioned in this episode:The VBAC Lab - Trish's course for vaginal birth after C-sectionHelpful Timestamps:00:00 Meet Cheryl from Tiny Health07:04 What Is The Microbiome12:46 Course Correcting In Early Life19:07 Results, Support, And Dad's Role20:26 Microbiome Roles at Birth23:07 Fighting for Breech Birth33:30 Tiny Health Mission and Testing36:09 Research Results and Future Care37:26 Where to Find Tiny HealthJoin The Calm Labor Birth Bundle - everything you need from bump to baby! Use code POD50 for $50 off!Over 15k mamas have used our classes to prepare for a birth that they love

Send us Fan MailAmerican healthcare still runs on fax machines, paper forms, and reimbursement models built for reactive sick care. Meanwhile, patients are connecting wearables to AI chatbots, ordering their own labs, and triaging themselves without ever seeing a physician.Dr. Daniel Kraft, Founder of Digital.Health and NextMed Health, joins host John Driscoll to discuss why the consumer is pulling healthcare into the future faster than institutions can follow, and what continuous, AI-powered, multimodal health monitoring could mean for the 500 million people who cannot get timely access to a primary care doctor today.

Dr. Cynthia Li joins us to talk about her new book, The Medicine of Flow. Trained as an internist, Cynthia developed an autoimmune condition and then chronic fatigue and dysautonomia, illnesses largely dismissed at the time as being in her head. Her own body pushed her out of the paradigm she was trained in and into functional medicine, qigong, and intuitive healing. A decade later, a second crisis took her back to housebound and taught her what all her effort hadn't: coherence, and what she calls embodied flow. We talk about surrender that isn't passivity, why nervous system regulation is only part of the picture, and how coherence moves between bodies. Guest Cynthia Li, MD, is a physician who moved from public health to integrative medicine and intuitive healing, with earlier work at Kaiser Permanente's HIV/AIDS group, San Francisco General Hospital, St. Anthony Clinic, and Doctors Without Borders in rural China. A certified qigong teacher and healer since 2014, she has served as faculty for Rachel Remen's Healer's Art program at UCSF, and her story appeared in Dr. Kelly Turner's Radical Remission documentary. She is the author of Brave New Medicine and The Medicine of Flow (May 2026). Timestamps 00:00 Introduction 00:01 From internist to patient: the first illness 00:05 Intuitive medicine, and learning to rule things in 00:07 The second health crisis and the turn to surrender 00:09 What coherence is, and why it isn't just relaxation 00:14 Too many apps: the body in incoherence 00:23 Breath, spiritus, and the nondual 00:27 Physics 101: why we are electromagnetic beings 00:31 Coherence in a time of polycrisis 00:34 Overlapping fields, and the living mandala 00:40 Why the collective comes sixth 00:47 Bamboo in the wind, and whether the future of medicine is ancient Books and practices The Medicine of Flow: Harmonizing Your Inner State for Effortless Healing (Reveal Press, May 2026) Brave New Medicine: A Doctor's Unconventional Path to Healing Her Autoimmune Illness (New Harbinger, 2019) Embodied Flow Methods, free guided audio and video for the practices in the book, including coherent breathing and a downloadable 30-day worksheet Find Cynthia cynthialimd.com Instagram LinkedIn Facebook Psychology Today Her New York Times piece on the pandemic, poverty, and homelessness Going deeper Awakin Call with Michael Lerner, July 2026, on The Medicine of Flow Her first Awakin Call, 2020, on healing from the first crisis HeartMath Institute, the heart coherence and HRV research referenced in the conversation Contact SAND podcast@scienceandnonduality.com Support the mission of SAND and the production of this podcast by becoming a SAND Member

Trieu became a dentist because he liked working with his hands and helping people - he got into UCSF's dental school as the very last student accepted, number 81 in a class of 81. Then the job started breaking his body. Aching neck, aching back, and mentors around him retiring early from surgeries. So he tinkered with some prisms until he could sit up straight and see like he was looking through a microscope, filed a patent, and built Hero Loops - ergonomic loupes that do the job of a $20,000 wall-mounted unit. He launched it one month before the pandemic hit. He still practises dentistry full time while running the whole thing. In this episode, Trieu gets honest about the brutal timing of launching right before Covid, the years it took to crack marketing after nailing the product, and how he thinks about building - including a psychology framework he borrowed straight from dentistry. What you'll learn in this interview: The origin story: how his own neck and back pain, plus watching colleagues retire early from surgery, drove him to prototype an alternative to the bulky $20K microscopes on the market Why he left dentistry income on the table for product income - and the scaling logic behind it: a product has quality control and consistency, while a dental chair only makes money when you're in it The painful timing lesson: launching one month before the pandemic, doing $20K in the first month, then watching competitors use the downtime to copy his product - and why he still says launch before it's perfect The plateau most founders hit: stuck at $5-6K a month with a great product because "you can be the best dentist, but if nobody knows about you, they won't come" The single change that broke the plateau: a new website and platform that did $50K in its first month How defining what "success" actually looks like - and watching that target keep moving from $50K to $100K to $200K - helped him appreciate the milestones instead of always chasing the next one The core ads skill that drove the growth: learning when to turn ads off, when to turn them on, and when to increase budget - and building the confidence to do it The "five Ps" framework he uses to judge whether a product will sell - pain, profit, prestige, preservation, and pleasure - and how Hero Loops hits several at once Why static ads outperform video for his analytical, detail-oriented audience - and how live customer-reaction reels hook attention at the top of the funnel What's next: bringing manufacturing in-house for faster delivery and expanding worldwide beyond the US - and the licensing and distribution hurdles that come with it If you're a professional with deep expertise in a field, sitting on a product idea but unsure whether you can build something outside your day job - this episode is for you. Trieu's story is a grounded reminder that the product is only half the battle: learning to market it is the skill that actually compounds, and you don't have to quit everything to start. SAVE 50% ON OMNISEND FOR 3 MONTHS Get 50% off your first 3 months of email and SMS marketing with Omnisend using the code FOUNDR50. Start here → ⁠⁠https://your.omnisend.com/foundr⁠⁠ SAVE 95% ON XERO FOR 6 MONTHS Simplify your business finances with 95% off Xero for your first 6 months. Start here →⁠⁠ https://foundr.com/xero⁠⁠ WANT TO GROW YOUR BRAND WITH META ADS? Join the Foundr Operators Waitlist → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://foundr.com/operators⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ HOW WE CAN HELP YOU SCALE YOUR BUSINESS FASTER Learn directly from 7, 8 & 9-figure founders inside Foundr+ Start your $1 trial → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.foundr.com/startdollartrial⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ PREFER A CUSTOM ROADMAP AND 1-ON-1 COACHING? → Starting from scratch? Apply here → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://foundr.com/pages/coaching-start-application⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → Already have a store? Apply here → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://foundr.com/pages/coaching-growth-application⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ CONNECT WITH BY TRIEU TON LinkedIn → ⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/trieu-ton-3b7055122/ Website →⁠ https://heroloupes.com/ FOLLOW FOUNDR FOR MORE BUSINESS GROWTH STRATEGIES YouTube → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/2uyvzdt⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Website → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.foundr.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/foundr/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/foundr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Twitter → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.twitter.com/foundr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/company/foundr/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Podcast → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.foundr.com/podcast⁠

In this TopMedTalk perioperative profile, host Andy Cumpstey interviews Professor Dan Sessler, Vice President for Clinical and Outcomes Research and Professor of Anesthesiology and Biostatistics at UTHealth Houston (McGovern Medical School), about his career as a perioperative trialist with over 1,000 publications. Sessler describes his scientific family background, early inspiration from clinical trials through Henry Kaplan's Hodgkin's work, and a shift from planned pediatric oncology to anesthesiology. He recounts building a research career starting with perioperative thermoregulation at UCLA and UCSF, then expanding into broad outcomes research, ultimately founding a large Department of Outcomes Research at the Cleveland Clinic and advocating for large multicenter trials. He emphasizes mentorship, philanthropy, and his current focus on reducing postoperative mortality through better ward monitoring and prevention beyond "failure to rescue." - The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

Tonight on America At Night with McGraw Milhaven, Augustus Doricko, environmental entrepreneur and founder and CEO of Rainmaker, discusses the company's groundbreaking cloud-seeding technology, including a recent Alaska test that reportedly generated millions of gallons of water in just hours, and what this technology could mean for drought and water security. Dr. Kevan Shokat, Professor of Cellular and Molecular Pharmacology at UCSF and Howard Hughes Medical Institute Investigator, discusses the FDA's approval of a promising new drug for pancreatic cancer and why the treatment could represent an important development for patients facing one of the deadliest forms of cancer. Hollywood legend John Goodman joins McGraw to talk about his new film Digger, starring alongside Tom Cruise, and his experience working on the highly anticipated movie. Plus, Bill Clevlen, founder of BillOnTheRoad.com, returns with another edition of the weekly Bill on the Road travel segment. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Welcome to the Oncology Brothers podcast! In this episode of our Partners in Practice series, we dived into the world of multiple myeloma treatment. We had the opportunity to engage with the dedicated team from UCSF, including Dr. Ajai Chari, a myeloma specialist, nurse practitioner Samantha Shenoy, NP, and clinical nurse Jenny Truong, RN.   In this insightful discussion, we covered: The current standard of care for newly diagnosed multiple myeloma patients, focusing on quadruple therapy The role of anti-CD38 therapies like daratumumab and isatuximab in treatment regimens Patient expectations regarding side effects and the importance of supportive care The dynamics of teamwork in oncology, emphasizing communication and collaboration among healthcare professionals   Whether you're a healthcare professional, a patient, or simply interested in the latest advancements in cancer care, this episode offers valuable insights into the complexities of treating multiple myeloma.     Listen us on: Spotify: https://open.spotify.com/show/31BXhY9FM4gPWG10WgE11o  Follow us on social media: X/Twitter: https://x.com/oncbrothers  ⁠Instagram: https://www.instagram.com/oncbrothers  Website: https://oncbrothers.com/  Don't forget to like, subscribe, and hit the notification bell for more episodes from the Oncology Brothers! #MultipleMyeloma, #QuadTherapy, #Daratumumab, #Isatuximab, #OncologyBrothers

On this episode of the IPhO Podcast, we're featuring the winner of our 2025-2026 VIP Case Competition, the University of California, San Francisco (UCSF)! We're joined by Kat Gallison, third-year PharmD student; Maggie Khoury, third-year PharmD student; and Demi Anastasiadis, Lead, US Public Affairs & Patient Advocacy at Sanofi. Kat, Maggie, and Demi discuss the role of patient advocacy in the pharmaceutical industry, including how collaboration with patients and key stakeholders can help address barriers to care and improve patient outcomes. Kat and Maggie also share their experiences in the VIP Case Competition, how it expanded their understanding of the pharmaceutical industry, and their perspectives on patient advocacy as a new functional area in the competition. This episode pulls back the curtain on the VIP Case Competition, sharing insider information about Sanofi's sponsorship, the UCSF team's in-person presentation and visit to Sanofi's offices, and their approach to identifying and addressing unmet patient needs. Listen now!

Overview: A tribute episode responding to news that Tommy John passed away, using his life and eponymous surgery as a jumping-off point to discuss the history and evolution of UCL reconstruction ("Tommy John surgery"). Topics covered: Tommy John's career recap — pitched in MLB from roughly age 18 to his mid-40s, playing for multiple teams multiple All-Star selections and a long career, especially notable for the number of wins after his surgery The original UCL injury mechanism — repetitive valgus stress on the elbow from the pitching motion, and how the ligament breaks down over time Dr. Frank Jobe's original 1974 surgery — described as highly experimental at the time, using a tendon graft (palmaris longus) to reconstruct the ligament, with tunnels drilled through bone Tommy John's original recovery — described as a lengthy immobilization period (cast for several weeks) followed by roughly a year off before returning, contrasted with much more aggressive early-motion protocols used today Evolution of surgical technique — from the original figure-eight graft technique to modern approaches (docking technique mentioned), plus newer options like internal brace augmentation and repair-vs-reconstruction decision-making Role of MRI in modern diagnosis — better visualization of partial vs. full UCL tears, which changes surgical decision-making Return-to-play and re-injury discussion — primary vs. revision surgery outcomes, and how performance/velocity can change post-surgery A comparison drawn to the early history of hip replacement surgery as another example of a once-experimental procedure that took decades of iteration to become standard Reflection on how faster information-sharing and higher surgical volume today make refining new techniques faster than it was in the 1970s Closing thoughts and sign-off Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Are You the One? We have one spot left in both cohorts Designing Your New Life in Retirement small group program, beginning in September. Is now the time to start working on what you’ll be retiring to? Learn more here | Sign up here Prepare for Takeoff: Is your money better prepared for retirement than you are to live it? Take this free 5-minute assessment to highlight may need you attention to build the retirement you’ve earned. __________________________ We spend a great deal of time thinking about how much we exercise. Esther Gokhale asks another question: How are we using our bodies during all the hours when we aren’t exercising? Esther Gokhale, creator of the Gokhale Method, became interested in posture after experiencing a severe L5-S1 disc herniation while pregnant with her first child. Surgery was followed by another herniation, and she began searching more broadly for ways to change how she moved in everyday life. In this conversation, Esther explains why she considers posture a missing pillar of wellness and why she believes ordinary activities (walking, sitting, standing, bending and even lying down) can become what she calls “life exercises.” We explore why sitting itself may not (completely) deserve its terrible reputation, what she means by a “J-spine,” how walking mechanics affect the entire body, and what modern adults can learn from young children and populations whose traditional movement patterns have been preserved. Most encouragingly for people in the second half of life, Esther argues that we should distinguish between what becomes common with age and what is necessarily natural. Her message is clear that our capacity for improvement often lasts much longer than we assume. _____________________ Bio Esther Gokhale (GO-clay) has been involved in integrative therapies all her life. As a young girl growing up in India, she helped her mother, a nurse, treat abandoned babies waiting to be adopted. This early interest in healing led her to study biochemistry at Harvard and Princeton and, later, acupuncture at the San Francisco School of Oriental Medicine. After experiencing crippling back pain during her first pregnancy and unsuccessful back surgery, Esther Gokhale began her lifelong crusade to vanquish back pain. Her studies at the Aplomb® Institute in Paris and years of research in Brazil, India, Portugal and elsewhere led her to develop the Gokhale Method, a unique, systematic approach to help people find their bodies' way back to pain-free living. Gokhale’s book, 8 Steps to a Pain-Free Back, has been translated into ten languages. Esther Gokhale has taught at corporations such as Google & IDEO, presented at conferences including TEDx(Stanford), consulted for the trainers of the SF 49ers and several Stanford sports teams, and conducted workshops for physician groups at Stanford, Kaiser Permanente, Sutter Health, UCSF. The New York Times gave Esther the title “The Posture Guru of Silicon Valley. A Stanford clinical trial is currently studying the Gokhale Method. _____________________ For More on Esther Gokhale Website – Gokhale Method 2-minute Video Overview of the Gokhale Method  8 Steps to a Pain-Free Back by Esther Gokhale ____________________ Other Retirement Podcasts You May Like The Joy of Movement – Kelly McGonigal Eat Your Ice Cream – Ezekiel Emanuel, MD, PhD Make Your Next Years Your Best Years – Harry Agress, MD _____________________ About The Retirement Wisdom Podcast There are many podcasts on retirement, often hosted by financial advisors with their own financial motives, that cover the money side of the street. This podcast is different. You'll get smarter about the investment decisions you'll make about the most important asset you'll have in retirement: your time. About Retirement Wisdom I help people who are retiring, but aren't quite done yet, discover what's next and build their custom version of their next life. A meaningful retirement doesn't just happen by accident. Schedule a call today to discuss how the Designing Your Life process created by Bill Burnett & Dave Evans can help you make your life in retirement a great one — on your own terms. About Your Podcast Host Joe Casey is an executive coach who helps people design their next life after their primary career and create their version of The Multipurpose Retirement.™ He created his own next chapter after a 26-year career at Merrill Lynch, where he was Senior Vice President and Head of HR for Global Markets & Investment Banking. Joe has earned Master's degrees from the University of Southern California in Gerontology (at age 60), the University of Pennsylvania, and Middlesex University (UK), a BA in Psychology from the University of Massachusetts at Amherst, and his coaching certification from Columbia University. In addition to his work with clients, Joe hosts The Retirement Wisdom Podcast, ranked in the top 1% globally in popularity by Listen Notes, with over 2 million downloads. Business Insider recognized Joe as one of 23 innovative coaches who are making a difference. He's the author of Win the Retirement Game: How to Outsmart the 9 Forces Trying to Steal Your Joy. __________________________ Wise Quotes On Posture “Posture is very underrated as a pillar of wellness…Change the way you are living in your body….It’s sort of indispensable that we do life more skillfully because that’s where the big opportunities are.” On Misconceptions on Aging “Don’t…lower our standards and call things that are common natural.” On Why Now? “It’s never too late.” __________________________ The views and opinions expressed by guests on The Retirement Wisdom Podcast are those of the guests and do not necessarily reflect the policy or position of the host or Retirement Wisdom, LLC. The Retirement Wisdom Podcast covers the non-financial aspects of retirement. From time to time we may invite guests who discuss other aspects of retirement planning, solely for educational purposes. Listeners are advised to consult qualified financial and/or medical professionals on those matters.

6 to 8 Weeks: Perspectives in Sports Medicine Episode: Getting Into Med School — GPA, MCAT, Shadowing, Gap Years & Research Episode Overview In this episode, the hosts step away from injury talk to answer one of their most common inbox questions: how do you actually get into medical school? They break down what really moves the needle in an application — GPA and MCAT, choice of major and undergrad school, how to approach shadowing, whether a gap year helps, and what admissions committees are actually looking for in research experience. Disclaimer As always, this discussion is for informational purposes only and isn't professional medical (or admissions) advice — please consult your own advisor for guidance specific to your situation. Key Topics GPA & MCAT — the two numbers that still matter most Despite everything else on an application, GPA and MCAT remain the primary screening tools admissions committees use. Grade inflation is real and varies significantly by school — a 3.6–3.8 GPA range is roughly where competitive applicants land, but the same GPA means different things depending on the school and major. A tougher major at a rigorous school isn't automatically valued over an "easier" major elsewhere — committees weigh context, but it's not a simple apples-to-apples comparison. Does your major or college choice matter? There's no official "pre-med major" — the actual requirement is a specific run of prerequisite coursework (calculus, bio, chemistry, etc.), and the rest of your major is up to you. Study what you're genuinely interested in; passion for the subject matters more than picking a major purely for strategy. MCAT prep: courses vs. self-study, and when to take it Prep courses can help people who need external structure and a set schedule, but self-motivated students often do just as well studying independently. Timing matters — many students benefit from a dedicated, uninterrupted block of study time (e.g., over a school break) rather than squeezing prep into a busy semester. Retaking the test once is reasonable if there's a clear explanation for an underperforming score; diminishing returns set in after that unless there's a specific circumstance (e.g., testing in a non-native language). MCAT scoring context Competitive applicants generally cluster in a fairly narrow score band, with average matriculant scores in the low 510s and top-tier scores in the high teens (out of the 472–528 scale). Small point differences can matter less than people assume — the scale rewards consistency more than chasing a marginal few extra points once you're already in a strong range. Shadowing: what it's actually for The hosts are candid that shadowing's educational value is debatable, but it remains an expected, near-universal part of applications (most students log somewhere in the 60–100 hour range). Its real purpose may be less about clinical knowledge and more about exposure — understanding what a doctor's day actually looks like, including the less glamorous parts (documentation, charting) that TV medical dramas skip over. How to find a shadowing opportunity Cold-emailing physicians is common — and volume is high on the receiving end, so personalized, well-written outreach stands out. Small details matter: get the doctor's name right, be specific about why you're reaching out, and keep it concise. A personal connection (a family doctor, a referral) significantly increases response rates compared to a cold email. Gap years Increasingly common and not a red flag — the key is what you do with the time. Strong gap years tend to involve meaningful international work, high-level athletics, or substantive clinical/research experience — not just "time off." What matters is being able to articulate what you learned and how it shaped your decision to pursue medicine. Research: it's not about the publication count Admissions committees care less about how many papers you've published and more about whether you can demonstrate scientific thinking — forming a hypothesis and working through ways to prove or disprove it. This is explicitly contrasted with clinical reasoning, which tends to follow a more structured, rule-based diagnostic process. Research quantity matters more later on, at the residency/fellowship stage — for med school applications, quality of experience and what you took from it matters more. Does the prestige of your undergrad school matter? Less than people think. What matters more is how well you did there and whether you took advantage of the opportunities available to you. A student at a smaller or less "name brand" school who fully used the resources available (research, clinical opportunities, leadership) can stand out just as much as someone at an elite feeder school who coasted. The personal statement Life context matters — family obligations, financial circumstances, or nontraditional paths (e.g., pursuing elite athletics before switching focus to medicine) can meaningfully shape and strengthen an applicant's story when explained well. Where to Listen Available on Apple Podcasts, Spotify, and YouTube — search "6 to 8 Weeks: Perspectives in Sports Medicine." Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

The Story Your Patients Keep Telling Themselves (and How to Rewrite It) with Dr. Kyra Bobinet Why do patients who genuinely want to get healthier so often fail to follow through? On this episode of the DocPreneur Leadership Podcast, host Michael Tetreault talks with Kyra Bobinet, MD, MPH, about the "know-do gap" and the neuroscience behind it. Dr. Bobinet earned her MD from UCSF and her MPH from Harvard, teaches health behavior change at the Stanford Medicine AIM Lab, and is CEO and founder of Fresh Tri, a clinician-facing behavior-change platform built on the neuroscience of habit formation. She is the author of the bestselling Well-Designed Life and the newly released Unstoppable Brain, and co-developed the Iterative Mindset Inventory with mindset researcher Dr. Jeni Burnette of NC State University. She is an enrolled member of the Leech Lake Band of Ojibwe. In this conversation, Dr. Bobinet and Michael discuss the habenula and its role in motivation and setbacks, why the traditional compliance model works against how the brain actually changes, the Iterative Mindset as an alternative framework for physicians and patients, and how this thinking should shape the physician-patient relationship in concierge and membership-based practices. They also preview Fresh Tri Pro, ahead of Dr. Bobinet's appearance at the Concierge Medicine Forum this October. This episode is educational and informational. It is not medical, legal, or financial advice. Links: Fresh Tri: https://freshtri.com Iterative Mindset Quiz: https://freshtri.com/iterative-mindset-quiz/ Dr. Kyra Bobinet: https://drkyrabobinet.com Contact Dr. Kyra Bobinet: https://drkyrabobinet.com/contact/ Unstoppable Brain Podcast (YouTube): https://www.youtube.com/@unstoppablebrainpod Fresh Tri on LinkedIn: https://www.linkedin.com/company/freshtri/posts/?feedView=all Fresh Tri on Instagram: https://www.instagram.com/fresh_tri/

Rebekah discusses the contraction of San Francisco museums and how that has effected her, and Nicole shares an early sabbatical discovery related to UCSF, Florence Nightingale, and...Country Joe MacDonald? Plus, we're teleporting back in time to read articles from the news 25, 50, 75 and 100 years ago the day this episode airs.

What an inspiring conversation with an entrepreneurial icon in our industry, Dr. Stephen Gunther!From an assistant professor at UCSF to founder of Shoulder Innovations, a company that rang the bell on the NYSE in 2025, a 20-year build of a most inspiring story!!Dr. Gunther saw a gap in shoulder arthroplasty that nobody else was solving (implant loosening, one of the leading causes of failure in the space) and instead of writing a paper about it, he patented the fix.The inset glenoid. 15 patents. A company that went from one Surgeon's idea to $47M+ in revenue and a public offering.Device Nation finds no holes in ANY tray as we "Open the Room" with Independent Distributor Mike Nelligan!We talk LinkedIn, "where have the sales reps gone", 4-pillars consulting, even the therapeutic benefits gained from setting things on fire!What stuck with me about both of these conversations was the Dartmouth-old-school mindset running through the whole thread — foundational things that work, not chasing change for the sake of change, just execute what we all know works.....and do it every single day.That's a lesson for Surgeons, Reps and budding entrepreneurs alike!Dartmouth 3D Scholars: https://www.3d-scholars.org/Shoulder Innovations: https://shoulderinnovations.com/ Dr. Stephen Gunther: https://www.sentara.com/find-a-doctor-or-provider/Gunther-Stephen-73361 Mike Nelligan: https://www.linkedin.com/in/mikenelligan/ 4 Pillars Consulting: https://www.fourpillarsconsultinggroup.com/ Energy Bus: https://a.co/d/09VzMyTe Can't Autom(AI)te Trust: https://a.co/d/0dRgFKEG Surgeon/Rep Townhall Meeting: https://devicenation.comJohn Cleese Sales Videos: https://www.youtube.com/playlist?list=PL2tiAkWsqz-IkeZHmA_UQ72YEgAG93v8zThank you for your Support!  https://account.venmo.com/u/DeviceNation

Metastatic osteosarcoma remains a major clinical challenge, highlighting the need to better understand the molecular mechanisms that drive disease progression. In this talk, Moreno will present the use of an in vivo CRISPR interference (CRISPRi) screen to identify genes that promote osteosarcoma progression. She will focus on KLF5, a transcription factor that emerged as a key regulator in our studies, and discuss its potential as a therapeutic target for osteosarcoma.Marta Roman Moreno, PhD, is a postdoc fellow in the Sweet-Cordero Lab at UCSF. She has a BSc in Biochemistry from the University of Granada in Spain, and an MSc and PhD in Biomedical Research from the University of Navarra (Spain). The key focus of her work is to define key regulators of metastasis in osteosarcoma and determine the vulnerabilities that can diminish the survival of metastatic cells. Using mouse models, cell lines derived from patient samples (PDXs) and pooled in vivo CRISPR screens, she has been able to identify several potential genetic vulnerabilities in the context of metastatic osteosarcoma.

Dr. Diane Sliwka is a hospitalist physician, professor, and Chief Physician Experience Officer at UCSF Health. Her work focuses on improving the healthcare experience by helping clinicians communicate more effectively, find greater professional fulfillment, and deliver better care without sacrificing their own well-being. She believes healthcare leaders must do more than measure burnout. They must listen to the people on the front lines and act on what they hear. That philosophy helped UCSF earn the American Medical Association's highest Joy in Medicine recognition. In this episode of DGTL Voices, Diane tells Ed how her parents' immigrant story shaped her resilience, why her guiding mantra is “Don't rush anywhere ever,” and how aligning our professional lives with our true selves can transform the way we lead, work, and live. https://bio.marxadvisory.com/

Send us Fan MailThe best hearing technology in the world still fails when we ignore the person wearing it. Host, Dr. Dave Fabry, kicks off a Legacy Series conversation with Robert Sweetow, former chief of audiology at UCSF, to look back on how hearing care evolved from screwdrivers and body aids to digital, apps, and AI hearing aids, and to ask a sharper question: did the profession grow more human along the way, or more device-driven?Dr. Sweetow shares his origin story, training at Northwestern under Ray Carhart, and the real-world moments that pushed him beyond “matching target” into tinnitus management and aural rehabilitation. We get honest about why tinnitus is so emotionally loaded, why cognitive behavioral therapy for tinnitus became a turning point, and why many “miracle” sound solutions never delivered a cure. We also talk about what still frustrates clinicians and patients alike: uneven adoption of speech-in-noise testing and real ear measures, counseling that sounds scripted, and the lack of consistent follow-up that could prevent many problems before they snowball.From bimodal stimulation to brain-wave driven algorithms, we explore what might be next and what should never be outsourced. AI can streamline fitting and tracking, but it cannot replace empathy, clinical judgment, and the skill of engaging patients so they actually practice, participate, and improve at home. If you care about patient-centered audiology, tinnitus counseling, and better long-term hearing aid outcomes, this conversation will leave you with practical ideas and a clearer view of what “fitting the brain” really means.If this resonates, subscribe, share the episode with someone who cares about better hearing, and leave a review so more listeners can find the show.

Achilles tendon ruptures have historically been an injury of 40-50 year olds. The recent uptick in Achilles ruptures in younger athletes has been a point of concern in the Sports Medicine community, particularly when some of the NBA's brightest stars have sustained this devastating injury in their 20-30s. Dr. Nirav Pandya, MD, Pediatric Sports Medicine Specialist from UCSF joins us to discuss his group's findings as well as the viral response to his study.

Colorectal cancer is now the leading cause of cancer-related death for Americans under 50. And, for people in their 20s and 30s, the rate of incidences is expected to increase 90% by 2030. We explore what's causing this alarming trend, the warning symptoms everyone should know, and what's being done to improve treatment, advance research, and advocate for patients nationwide. Guests: Dr. Chloe Atreya, medical oncologist, UCSF; co-director, UCSF Young Onset Colorectal Cancer Center Molly Roberts, vice president of advocacy, Fight Colorectal Cancer! Amanda Webb, colorectal cancer survivor and advocate Learn more about your ad choices. Visit megaphone.fm/adchoices

Natural and human-made extreme weather events are disrupting food systems worldwide, threatening the long-term economic stability and health of already vulnerable populations. Across the globe, 80 percent of the poorest live in rural communities and rely on smallholder farming for their household food and income. And smallholder farmers produce around one-third of the total share of the world's food, yet are disproportionately affected by climate risks, uncertainty, and poverty, often having limited resources to adapt to these changes. Then how are these communities building resilience and developing better strategies to cope with a changing climate? This panel brings in two perspectives within the climate field: financial need in scaling climate solutions, and research on how climate change impacts agricultural systems and human health. Mercedes de la Vega is an associate director of climate partnerships at Acumen, leading strategic partnerships at the intersection of climate solutions and poverty. She helps mobilize capital to serve businesses, driving change for the climate-vulnerable communities, strengthening their ecosystems. Tammy Nicastro is a researcher affiliate at UCSF who focuses on studies of climate-sensitive agricultural livelihood interventions and their impacts on improving agricultural productivity and income, and household nutrition and health for smallholder farmers to support individuals' health and nutritional needs. As climate pressures intensify, research, innovations, and investments in improving healthier food systems, improving health outcomes, and building resilience will shape the lives of future generations living in areas most vulnerable to climate disasters. An International Relations Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. Organizer: Frank Price  Learn more about your ad choices. Visit megaphone.fm/adchoices

From the 58th annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP) in Montreal, Mike Grocott and new co-host Joe Larvin speak with SOAP president Ron George about SOAP's growth to over 1,000 attendees and its international, collaborative community. George outlines his career from Dalhousie to UCSF and back to Canada as director of obstetric anesthesia at Mount Sinai Hospital in Toronto, highlighting its high-risk referral practice and large, internationally diverse fellowship program. He reflects on his presidency's focus on mission alignment and partnerships, including work with the New York State Society of Anesthesia, discussions with the California Society of Anesthesia, and a planned memorandum of understanding with the World Federation of Societies of Anaesthesiologists (WFSA) to support evidence-based global education. He also discusses formative work in low- and middle-income settings, advocacy, peripartum anesthesiologist roles, and meeting highlights such as trainees, pain during cesarean delivery panels, and the Gerard W. Ostheimer Lecture. -- The 2026 International Practicum on Cardiopulmonary Exercise Testing will be held at the Balmer Lawn Hotel in Brockenhurst, UK, from September 16th to 18th this year. It is organised by iPOETTS , the international perioperative testing and training society. Come and join us at this premier educational event designed for clinicians, scientists, and healthcare professionals interested in sport, exercise, and perioperative medicine. This is an International Perioperative Testing and Training Society accredited event so when you attend you can get your iPOETTS accreditation, showing that you are a practitioner who has reached a high, standardized level of competence in performing and interpreting Cardiopulmonary Exercise Testing (CPET) for patients preparing for major surgery. Go now to http://www.ebpom.org

Dr. Tom "The Scientist" Haberstroh, Pulitzer Prize Winner Amin Elhassan... and producer Anthony Mayes wonder if the latest development in the Terry Rozier investigation should end the case. We unpack KD's superteam comments comparing LeBron's new 76ers with his death lineup Warriors, and reveal our picks for First Team All Wedding. Truth Teller Dr. Nirav Pandya from UCSF unpacks the findings from his study on short-term workload patterns before Achilles tendon ruptures in the NBA, a response to the rebuttal statement from the NBA and what more information he wishes he had to understand the injury better. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Subscribe to the Illuminati YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Channel⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Basketball Illuminati is now part of the Count The Dings Network. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join the Count The Dings Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to support the show, get ad free episodes and exclusive content at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/countthedings⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ILLUMINATI MERCH HAS RETURNED⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - Check it out here:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/CTDMERCH⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Basketball Illuminati! On⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Email us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠basketballilluminati@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@bballilluminati⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@basketballilluminati⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

What does depression look like? It's not always… sadness. It can be anger. Irritability. Picking fights. Checking out. Taking risks that don't make sense. It can look, to everyone around you — including you — like a character problem, not a medical condition. Christopher Choukalas is an ICU physician at UCSF. Six months after his twin daughters were born, he had every symptom on the paternal postpartum depression list. He had no idea. In this episode, Dr. Becky and Dr. Choukalas go through the symptom list live — and talk about why this form of depression is so easy to miss, what it costs the whole family when it goes unnamed, and what getting help actually looked like for one father who needed it badly. Christopher G. Choukalas, MD, MS is the author of Even the Darkest Night: A Father's Journey of Hope and Healing from Paternal Depression. * Thank you to our partners for making this episode possible: SmartyPants: Shop SmartyPants Vitamins at Target, Walmart, or Amazon today LMNT: Get a free gift with your purchase at drinkLMNT.com/goodinside Girl Scouts: If you have a daughter in kindergarten through 12th grade, visit girlscouts.org to learn more Little Spoon: Get 50% off your first order at littlespoon.com/rattled with code RATTLED Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

My guest is Dr. Matthew (Max) Krummel, PhD, professor at UCSF and one of the world's leading immunologists. We discuss how your immune system works and how sleep, emotions, and even memories shape immune function. We also explore thymus function, its role in autoimmunity, and its potential role in combating cancer. And we discuss how the type and timing of immunization can impact health. This episode provides an actionable framework for understanding how your immune system works, which ought to benefit people of all ages and health statuses. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Eight Sleep: https://eightsleep.com/huberman Function: https://functionhealth.com/huberman Joovv: https://joovv.com/huberman Timestamps (00:00:00) Max Krummel (00:02:18) Immune System, Immunotherapy (00:08:36) Illness, Childhood & Immune System (00:13:02) Aging & Immunity, DNA Mutations (00:18:36) Sponsors: Joovv & Eight Sleep (00:21:14) Self vs Non-Self Recognition, Aging, Cancer; Immune Surveillance (00:30:11) Cancer, Immune System, Age & Measuring Change (00:35:57) Thymus, T Cells; Aging & Cancer (00:42:13) Reproduction, Aging & Immune System; Basic Research (00:47:28) Sleep & Illness Susceptibility (00:52:55) Sponsor: AG1 (00:54:08) Umbilical Cord Banking; Organoids, CAR T Cells, Thymus (01:02:57) Scientific Curiosity, Failures, & Discovery (01:13:14) Spatial Biology & Immune Cells; Memory & Immune State; Stress, Meditation (01:25:00) Sponsor: Function (01:26:37) Mindset; Tissue Engineering, Peptides, Systems Biology (01:34:25) Immunizations in Childhood and Beyond (01:39:37) Pharmaceutical Companies, Public Distrust (01:49:22) Disease Risk, Immunity; Autism, Flu, (01:58:56) Biological Resilience, Cancer; Computational Research (02:08:02) Autoimmune Conditions, Asthma, IBD (02:13:34) Autoimmunity & Genetic Diversity Benefits (02:17:11) Science Communication, Max's Substack (02:24:07) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Learn more about your ad choices. Visit megaphone.fm/adchoices

Is private practice making a comeback? More importantly, should it?After five years at UCSF, Dr. Thalia Segal left academic medicine to launch Collab Fertility in one of the most competitive fertility markets in the country. And she did it with no private equity and no venture capital. Just a vision for building the kind of practice she believes both physicians and patients deserve.We dive into:Why some fertility physicians are reconsidering private equity-backed practicesWhy Dr. Segal believes REIs should have greater oversight of the IVF labThe financial realities of running a 300-cycle practice (without outside investors)How she's growing Collab Fertility and recruiting the next generation of REIsHer 21 headcount payroll and the operational challenges she's encountered along the way

[00:00] Introduction — what's new in rotator cuff research [00:39] Breaking down the new JAMA Internal Medicine paper: a Finnish population-based study of 600+ patients (ages 40–75) who received bilateral shoulder MRIs [01:00] Key finding: imaging findings were nearly identical between asymptomatic (96%) and symptomatic (98%) patients; full-thickness tears were the only finding more common in symptomatic patients (14% vs. 6%), and even that difference lost statistical significance after adjustment [01:32] What it means: most rotator cuff MRI findings are normal, age-related changes — and MRI may be overused when the clinical diagnosis is already clear [02:22] The "hair loss" analogy: a tear is often a normal part of aging, not automatically something that needs fixing [02:55] The "50-to-60-year-old house inspection" analogy for interpreting an MRI report [03:41] Can you just watch a rotator cuff tear? Reviewing natural history data out of Washington University (Yamaguchi, Keener) [04:02] Partial-thickness tears: roughly one-third progress over 5–7 years. Full-thickness tears: roughly half progress over 5 years [04:50] Bottom line: if a patient is asymptomatic and fully functional, there is no indication to intervene — annual reassessment is reasonable [05:27] Physical therapy as first-line treatment — does it actually work, and how? [05:47] The mechanism: rotator cuff strengthening counterbalances the deltoid, maintaining subacromial space during overhead motion [07:21] PT success rates by diagnosis: ~70% for full-thickness tears, ~95% for impingement/tendinopathy and partial-thickness tears [07:55] When is surgery the right answer? Distinguishing acute traumatic tears from degenerative tears [08:10] Acute traumatic tears (e.g., a fall) are generally treated surgically [08:26] Degenerative tears that fail 6–12 weeks of non-operative management are reasonable surgical candidates [08:53] Tear location matters — tears involving the "rotator cuff cable" carry more biomechanical load and may be more likely to fail non-operative treatment [09:07] Timing is rarely urgent — most degenerative tears can be addressed within 6 months to a year without changing outcomes [10:22] Acute traumatic tears in younger, active patients: counsel surgery within 2–3 months; short delays (including during COVID) didn't appear to change outcomes [10:59] Injections: is a steroid shot still a good first option? [11:15] How corticosteroid injections work — and why they're different from narcotics (reducing inflammation vs. masking the pain signal) [13:05] General guidance: one or two injections is reasonable; by the third without improvement, it's time to discuss surgery [14:00] The data linking 5+ injections to higher retear rates — and why confounding by sicker, more chronic patient populations makes this hard to interpret cleanly [15:15] PRP (platelet-rich plasma): does it actually work for the rotator cuff? [16:11] Referencing this month's American Journal of Sports Medicine review — PRP shows mixed, short-term pain relief for impingement and partial-thickness tears, roughly comparable to physical therapy [16:52] The cost consideration: PRP is cash-pay, often $3,000–$4,000, for benefits similar to physical therapy alone [17:48] Deciding on surgery: introducing the Rotator Cuff Healing Index (age, tear size, muscle quality, bone quality, and shoulder demand) as a clinical decision tool [19:22] Why not just jump straight to a reverse total shoulder replacement for everyone with a good repair success rate? [19:57] Repair vs. reverse: repair typically preserves better strength and function for younger, active patients; reverse offers excellent pain relief but carries bigger stakes if complications (dislocation, infection) occur [21:37] The mystery of imaging that shows a tendon hasn't fully healed — yet the patient feels great and the shoulder functions well [23:23] Tendon transfers as an option for irreparable tears in younger, active patients without arthritis [23:50] The lower trapezius transfer explained — how it works and its ~80% success rate [24:53] Wrap-up and where to subscribe Key Takeaways • A positive MRI finding does not automatically mean a rotator cuff tear needs to be fixed — most changes seen on imaging are normal, age-related findings, and imaging findings are similar in symptomatic and asymptomatic patients. • Natural history data suggests roughly one-third of partial-thickness tears and about half of full-thickness tears will progress over 5–7 years — most do not need urgent intervention. • Physical therapy — specifically targeted rotator cuff strengthening — is genuinely effective, not just a placeholder step, with especially strong success rates for impingement and partial-thickness tears. • Surgical timing is rarely an emergency for degenerative tears; acute traumatic tears in younger patients warrant a shorter window (2–3 months). • Corticosteroid injections are safe and effective for short-term relief when used judiciously (generally one to two); repeated injections (5+) are associated with higher retear rates, though this is confounded by patient population. • PRP is safe but not regenerative for the rotator cuff — its benefit is comparable to physical therapy, at a meaningfully higher out-of-pocket cost. • The Rotator Cuff Healing Index can help predict repair success and guide the choice between repair and reverse total shoulder replacement, particularly in older patients. • Lower trapezius tendon transfer is a strong option for younger, active patients with irreparable tears and no arthritis, with roughly 80% success in appropriately selected patients. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Dr. Joy sits down with neuropsychologist Dr. Tanisha Hill-Jarrett, assistant professor at UCSF's Memory and Aging Center, to talk through what brain health means, why it's broader than mental health alone, and the daily habits that support it: cardiovascular exercise, a heart-healthy diet, stress management, social connection, and quality sleep. They dig into what our phones are doing to us. Dr. Hill-Jarrett breaks down how short-form video triggers a bigger dopamine response than a typical reward, why the unpredictability of a feed keeps us scrolling, and what that means for sleep, attention span, and memory. She shares her own strategies, including separate personal and professional Instagram accounts and the Pomodoro method for resetting focus without reaching for a screen. The conversation turns to her research on Black women and Alzheimer's disease. Black Americans face 1.5 to 2 times the risk of white Americans, and Black women carry the highest projected prevalence of any group, a gap that shows up even among women who are upwardly mobile, largely tied to the neighborhoods they live in. Dr. Hill-Jarrett also unpacks weathering, the term coined by Arlene Geronimus for the accelerated biological aging that Black women experience, and points to research showing Black women's telomeres suggest they are roughly seven and a half years biologically older than white women at the same age. She closes with her current work on Afrofuturism and hopefulness, including a 10-week workshop where participants imagined a future free of time scarcity and reported feeling more hopeful about shaping what comes next. Her advice for anyone worried it's too late to protect their brain: it never is. About the Podcast The Therapy for Black Girls Podcast is a weekly conversation with Dr. Joy Harden Bradford, a licensed Psychologist in Atlanta, Georgia, about all things mental health, personal development, and all the small decisions we can make to become the best possible versions of ourselves. Resources & Announcements Want to reflect on this conversation in community? Join us inside our Patreon community where we’re unpacking this episode together. You can now catch episodes of the Therapy for Black Girls podcast on YouTube. Be sure to subscribe to get new episodes every week. Did you know you can leave us a voice note with your questions for the podcast? If you have a question you'd like some feedback on, topics you'd like to hear covered, or want to suggest movies or books for us to review, drop us a message at memo.fm/therapyforblackgirls and let us know what’s on your mind. We just might share it on the podcast. Grab your copy of Sisterhood Heals. Where to Find Our Guest Website Instagram LinkedIn Stay Connected​ Is there a topic you'd like covered on the podcast? Submit it at therapyforblackgirls.com/mailbox. If you're looking for a therapist in your area, check out the directory at https://www.therapyforblackgirls.com/directory. Grab your copy of our guided affirmation and other TBG Merch at therapyforblackgirls.com/shop. The hashtag for the podcast is #TBGinSession. Make sure to follow us on social media: Instagram: @therapyforblackgirls Facebook: @therapyforblackgirls Our Production Team Executive Producers: Dennison Bradford & Gabrielle Collins Director of Podcast & Digital Content: Ellice Ellis Producer: Ndeye Thioubou Production Assistant: Bria MosleySee omnystudio.com/listener for privacy information.

Cheryl Sew Hoy, CEO of Tiny Health, built a gut microbiome testing platform from her living room with a newborn, a toddler, and a co-founding spouse. In this episode, she shares the real mechanics of scaling a science-driven health company while designing a support system that actually works.- Validated market demand by testing search keywords around baby eczema and allergies, then used those insights to shape paid and organic channel strategy across Google and Meta- Built scientific credibility by recruiting advisors from Mayo Clinic, Johns Hopkins, and UCSF to fill expertise gaps and establish trust in a category where consumers and doctors alike lacked awareness- Negotiated explicit division of labor at home and hired family members into operational roles, creating a sustainable structure that protected founder bandwidth through three children and a four-times revenue growth yearListen on Apple Podcasts, Spotify, or Amazon Music. Follow Sales Talk for CEOs so you never miss an episode.

Dr. Robert Lustig is a neuroendocrinologist, professor emeritus of pediatrics at UCSF, and bestselling author of Fat Chance, The Hacking of the American Mind, and Metabolical who has spent 40+ years studying metabolism and the role of sugar in chronic disease. In this conversation, he breaks down the real root of modern burnout, why fructose acts as a poison without its fiber "antidote," and the science of how sugar hijacks the same reward circuitry as any other addiction.In this episode, we discuss:(0:00) Trailer(1:45) The Real Root Of Burnout: Cortisol And Neuronal ATP Depletion(8:02) The Amygdala's Four Brakes And Why They're All Failing At Once(15:57) How Sugar Damages Every System In Your Brain(17:55) Fructose vs. Fruit: Why Fiber Is The Antidote To The Poison(21:27) The Orange Juice Scam That Reshaped How We Eat(25:51) Why Ultra-Processed Food Makes You Eat 500 More Calories A Day(31:09) Why Sugar Is Addictive (And The Economics That Prove It)(38:46) Why You Don't Need Dietary Sugar To Live(42:12) What Vietnam Vets Taught Us About Addiction And Environment(43:57) Pleasure vs. Happiness: Dopamine, Serotonin, And Why It Matters(51:46) Why Calorie Counting Is Dangerous(52:35) The Truth About GLP-1s Like Ozempic: Benefits And Risks(1:03:30) The Right Order To Eat Your Food To Blunt Blood Sugar(1:11:07) The Highest-ROI Steps To Build Stress Resilience(1:13:05) Breaking Belief Systems With Psychedelics And Wim HofLearn more about Dr. Lustig here:Website: https://robertlustig.comInstagram: https://www.instagram.com/robertlustigmdMetabolical: https://metabolical.comWatch this episode on Youtube:https://youtu.be/7BY4dtNj1SA

As part of the 2026 Developmental Disabilities Conference, Chantel Burkitt, Senior Clinical Scientist, and Todd Dalberg, Pediatrician and Palliative Medicine Physician, Gilette Children's Hospital, discuss how to assess and manage pain for people with developmental disabilities. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41471]

Episode Summary With sub-internship (away rotation) season approaching, the hosts pull back the curtain on what orthopaedic faculty and residents are actually evaluating when a visiting medical student rotates through their program — and how to make the most of a high-stakes, high-anxiety few weeks that can shape where a student matches. Timestamps 00:00 — Intro Welcome and standard disclaimer: discussion is for informational purposes only, not professional medical advice. Setup for the episode topic — sub-internships and the residency match process. 00:30 — What sub-internships are and why they're stressful Framing the away rotation as an audition: students are trying to show programs who they are in a compressed, high-pressure window, often while living out of a temporary apartment in an unfamiliar city. 03:00 — What "being a good fit" actually means Programs are evaluating who they'll want to work closely with for 5 years — not just intelligence, but genuine likability and motivation. Surgical skill and knowledge can be taught; character is harder to change. 06:00 — Knowing your patients cold Being over-prepared on rounds — knowing the patient's history as well as or better than the intern — is one of the clearest signals of a strong sub-intern. Also covers outpatient/clinic prep and being a true team player, not just to faculty but to residents and staff alike. 09:00 — It's not about what you know — it's how you think Faculty don't expect med students to have read every paper. What stands out is how a student approaches an unfamiliar problem, reasons through it, and engages honestly rather than performing. Also: don't fake being busy or "look like you're learning" for show — it's noticeable. 12:00 — Phones, timing, and letters of recommendation Being visibly on your phone reads badly, even if you're doing legitimate reading between cases. Advice to request letters of recommendation about a week in advance so faculty can ask a few thoughtful questions about motivation and goals, rather than being asked last-minute. 15:00 — Flip the script: evaluating the program Sub-internships are a two-way evaluation. What to watch for: whether junior residents are progressing appropriately (a junior who already "knows everything" like a senior isn't actually a good sign — it may mean the program lacks structured teaching), how happy residents seem, and practical factors like hospital type (county vs. academic vs. hybrid) and commute/travel time. 18:00 — Talking about research in interviews Advice on discussing research authentically rather than treating it as a checklist. How to "spin" even offbeat research topics into a genuine, engaging conversation — with personal examples from silk moth cocoon biology to heart transplant genetics. 21:00 — Electives worth adding: psychiatry and emergency medicine A case for adding a real psychiatry rotation to build empathy and understanding of how depression, anxiety, and chronic pain intersect with orthopaedic care — plus a recommendation for an emergency medicine rotation to build consult and acute-care skills. 24:00 — Recommended resources and final advice A recommended online video resource for students transitioning from med student to resident, covering surgical basics and interview prep. Reflection on how important — and exciting — the sub-internship and match process is. 26:00 — Closing story and outro The hosts trade "craziest sub-I moment" stories, including a memorable case involving a corrective surgical procedure and a valet-parking mishap with a very expensive sports car. Standard sign-off and where to find the show on social media. Key Takeaways -Sub-internships are as much a character evaluation as a skills evaluation — programs are choosing a colleague for the next 5 years, not just a technically skilled trainee. -Being over-prepared on your patients and being genuinely kind to residents, faculty, and staff are among the strongest signals a program looks for. -Avoid "performing" for evaluators — faking productivity (phone use, fake studying) is more noticeable than students think. -Request letters of recommendation early — about a week ahead — to give faculty time for a thoughtful conversation. -Students should also be evaluating the program: resident happiness, teaching structure, and practical logistics all matter. -Consider adding psychiatry and emergency medicine electives for skills directly relevant to orthopaedic practice. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

LeBron at 41: The Sports Medicine Case for (and Against) Signing Him 6 to 8 Weeks: Perspectives in Sports Medicine Episode Summary: With LeBron James's free agency dominating headlines, the hosts break down what it actually means, medically, for a team to sign a 41-year-old former MVP — covering his historic longevity, his known injury history, and what a "physical" and medical clearance process looks like for a star with a well-documented body of wear and tear. They close with lighter East/West playoff predictions. Timestamps: 00:00 — Intro & disclaimer, plus setup: LeBron's free agency and reports he's drawing interest from multiple teams 02:30 — Career longevity in context: LeBron as the oldest active NBA player; discussion of how sports science, year-round body maintenance, and "load management" have extended elite athletes' careers over the last 10-15 years 05:00 — The record book: LeBron's all-time scoring record, games played, minutes — and a comparison to other players (Chris Paul, Kyle Lowry) who extended careers by reducing role/minutes 05:00–07:30 — His back issue: Discussion of LeBron's sciatica/low back pain, put in context — low back pain is the #1 reason people see a doctor in primary care, and in the vast majority of cases (including elite athletes) it's manageable with rest, load modification, and injections rather than surgery. Comparison to Larry Bird's back problems, and how differently that might be managed with today's medicine. 07:30–10:00 — Why feet, not backs, usually end careers: The hosts note that for aging elite players, foot and lower-extremity issues are often more career-limiting than back problems, since there's less that can be done to fully resolve them compared to back-focused treatments. 10:00–12:30 — Load management strategy: How a team would realistically manage LeBron's playing time — resting for back-to-backs, strategic game selection — as a template similar to how other aging stars have been managed. 12:30–15:00 — The medical clearance process: A behind-the-scenes look at what happens medically when a team considers signing or trading for a star with an extensive injury history — physicals, history review, and how teams weigh "red flags" against known, well-documented issues for a player as publicly tracked as LeBron. 15:00–17:30 — Playoff predictions: Lighter closing segment on who they like coming out of the East (Knicks, Heat, 76ers roster discussion) and a nod to the West being “loaded.” Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Dr. Sam Hawgood, chancellor of UCSF, testified before Congress about DEI in healthcare. His statement about pregnancies caused a major backlash. Glenn Stanton, director of Global Family Formation Studies at FOTF, joins us to discuss the ideology behind the ridiculous statement, and we also address a high-profile commentator at Fox News who just brought another baby into his gay relationship and why this isn't a story to celebrate.

Youth Soccer, the World Cup, and America's Pay-to-Play Problem 6 to 8 Weeks: Perspectives in Sports Medicine Runtime:~23 minutes Episode Summary With the World Cup underway, the hosts ask a controversial question: why isn't the US better at men's soccer, given a talent pool that dwarfs countries like Belgium and Norway? The conversation pivots from there into the real subject of the episode — how America's pay-to-play youth sports system is driving both a talent gap and a youth injury epidemic, especially ACL and overuse injuries in young athletes. Timestamps 00:00 — Intro Welcome and standard disclaimer: discussion is for informational purposes only, not professional medical advice. 00:30 — Why isn't the US better at men's soccer? Framing question for the episode: the US has far more people than countries that regularly outperform it (Belgium, population 11.8M; Norway, population 5.6M), yet can't compete at the same level on the men's side — a contrast with the sustained success of the US women's national team. 02:30 — Setting up the real topic: youth injuries Transition into ACL and overuse injuries in young athletes, particularly young females, and how that connects to the US youth development model. 03:00 — The pay-to-play system How youth sports shifted over the past ~10–25 years from school and community leagues to private club/travel teams. Families now spend as much as $20,000/year on travel soccer and baseball. 05:00 — The numbers behind the industry Youth sports is cited as a ~$40 billion industry. Comparison of costs: a recreational league (e.g., AYSO) runs roughly $140–150/year, while an entry-level travel team runs about $1,700 and an academy-level club team about $3,500 — before uniforms, extra practices, or private coaching. 07:00 — Is this just a soccer problem? Discussion of whether this trend is soccer-specific or affects baseball, basketball, and volleyball too (it's across the board). The disappearance of casual pickup games and rec leagues in favor of organized, paid leagues. 09:00 — US vs. European development models European countries emphasize multi-sport participation and general athleticism (coordination, core strength) over early performance and specialization. Cited participation gap: roughly 90% multi-sport participation in some European countries vs. a steep drop-off in the US. 11:00 — The scholarship reality check The odds of a young athlete earning a college scholarship or going pro are extremely low. Recommendation: decisions about youth sports should center on the child's enjoyment and development, not a scholarship or pro chase. 13:00 — Why specialization raises injury risk Explanation of how single-sport specialization leads to repetitive stress on the same body parts, and how kids aren't developing the balanced strength, coordination, and movement patterns that protect against injury. European academy model contrasted as more balance- and skill-focused. 15:00 — Specialization and injuries at the pro level Early specialization linked to earlier injuries in professional athletes — for example, NBA players who specialized young tearing Achilles tendons earlier in their careers, and a rise in Tommy John (elbow) surgeries among teenage baseball players. Also: level of soccer access is often a financial decision, not a quality/skill decision — elite club access can cost $30,000+/year. 17:00 — Socioeconomic and geographic inequity Access to elite club teams correlates with socioeconomic status and geography. Talented kids in lower-income areas may never be discovered because showcases and elite coaching are gated by cost. 19:00 — The one big change If they could change one thing about the system: delay specialization and actively encourage multi-sport participation, especially early on, to reduce overuse injury risk. Advice for parents on how to guide kids toward a broader athletic foundation. 21:00 — Wrap-up and World Cup predictions Lighter closing segment with picks for the World Cup winner Key Takeaways The US pay-to-play youth sports model filters talent by financial access rather than ability — a likely contributor to underperformance in men's soccer relative to population size. Early single-sport specialization is linked to higher rates of ACL tears and overuse injuries in youth athletes, and earlier injuries in those who go on to play professionally. European development models emphasize multi-sport participation and general athleticism over early specialization and performance metrics. The likelihood of a scholarship or professional career is very low — a useful reframe for parents weighing time and financial investment in club sports. Socioeconomic and geographic barriers likely mean talented young athletes go undiscovered simply due to lack of access. Show notes generated from an automated transcription pass; timestamps are approximate. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Nish Khandwala is the Co-Founder and CEO of Bunkerhill Health, an AI agent platform for health systems backed by Sequoia and deployed at Cleveland Clinic, Stanford, UCSF, and more than 25 other institutions. A Stanford CS grad with a Master's in AI and a Forbes 30 Under 30 honoree, Nish built Bunkerhill after a Nature-published research algorithm he helped build at Stanford sat unused on his laptop for two years, then found its real-world moment when his own father had a heart attack. In this episode of DGTL Voices, Nish talks with Ed about the calcium-scoring model that inspired the company, why healthcare has to stop imposing drug-development timelines on modern software, and the governance shift he thinks hospital CEOs need to make: drive the cost of failure toward zero, iterate fast, and stop treating AI like a five-year plan. Plus his origin story from India to Saudi Arabia to Stanford, the difficult-conversations lesson he's learned about leadership, and why he doesn't buy the false dichotomy between clinical and administrative AI. https://marxadvisory.com

In this roundtable — part two of the show's airway and sleep series recorded around an ASBA gathering — Howard Farran sits down with three leaders working at the intersection of dentistry, sleep, and medicine: Dr. Luann Hall, a UCSF-trained "recovering pediatric dentist," minimally invasive advocate, and regent of the American College of Dentists; Dr. Manisha Witmans, a board-certified sleep physician, pediatrician, and pediatric pulmonologist who built the pediatric sleep program at Stollery Children's Hospital and recently learned she's been an OSA patient herself since childhood; and Dr. Janelle Crichton, an orthodontist and airway specialist whose practice ranks #1 in Canada for Invisalign volume and who is entering Stanford's Orthodontic Dental Sleep Medicine program as one of only six orthodontists in North America accepted. The conversation opens on a philosophy of preservation — the idea that a tooth can outlive us but rarely survives the drill — and Dr. Hall's case for minimally invasive care, arresting decay and remineralizing rather than cutting. She also introduces two ventures she advises: Auris DX, an FDA-approved salivary test for oral cancer often described as a "pap smear for the mouth," and InHand Dental, a teledentistry tool built during the pandemic. That leads into a recurring theme of the episode: the artificial divide between medicine and dentistry, why oral cancer screening isn't reimbursed like its medical equivalent, and the panel's shared vision of collaborative care built around a single shared medical record and integrated practices where orthodontists, myofunctional therapists, and physicians work under one roof. Much of the discussion centers on airway and sleep. The doctors walk through how mouth breathing shows up in the chair — lips apart, dry inflamed gums, high narrow palates, dark under-eye circles, brain fog, grinding, bite changes, crowding, delayed eruption, and white-spot lesions driven by reduced salivary buffering — and Dr. Witmans drives home the loop between poor sleep and systemic inflammation. She also highlights a striking inequity: women weren't included in obstructive sleep apnea research until 1993, decades after REM sleep was discovered, leaving today's screening tools heavily weighted toward men and countless anxious, exhausted, chronically-in-pain women underdiagnosed. Howard adds his own near-fatal kidney stone story as a vivid example of how men delay seeking care. The panel debates when children should first see an orthodontist — landing firmly on early, growth-modification-focused intervention rather than the traditional "wait until twelve" — and closes with practical, fear-reducing exam tips for new dentists, like asking a child whether their teeth feel "happy or sad" and letting patients tell you what they think is going on. Episode #1715 : Dentistry Uncensored with Howard Farran, Howard hosts a powerhouse airway roundtable with Dr. Luann Hall, Dr. Manisha Witmans, and Dr. Janelle Crichton — a "recovering" pediatric dentist, a sleep physician, and one of North America's top airway orthodontists. From why "you can survive without a tooth but not the drill," to the decay patterns that secretly signal an airway problem, to how women went unstudied in sleep medicine until 1993 — this conversation connects dots most dental schools never do.

Almost everything your doctor knows about you comes from a snapshot: a blood pressure reading, an annual lab, a handful of numbers meant to represent a constantly changing human body.That's beginning to change. New sensors promise far more continuous health data, and AI may finally give us the ability to interpret it. But medicine has been through a data revolution before, and almost none of what people initially promised actually happened.In the first episode of NextLevel, Mike Haney sits down with Dr. Robert Wachter, Chair of the Department of Medicine at UCSF and one of medicine's leading thinkers on technological change, to ask what healthcare's messy transition from paper to electronic records can teach us about the AI era.Wachter explains why digitizing medicine didn't transform care on its own, why your doctor is already overwhelmed by data, and why simply sending them continuous feeds from your watch, ring, or future sensors would make the problem worse.The missing piece is an intelligence layer: a system capable of deciding what matters, helping patients act when they can, and pulling clinicians in when they're actually needed.They also explore how AI is changing the balance of knowledge between doctors and patients, the danger of trusting systems that are usually right, what healthcare can learn from airplane cockpits, and why collecting more health data may be much easier than figuring out what any of it means.Free course: Improve your metabolic healthGet our free email course on how glucose, nutrition, exercise, sleep, and measurement can help you build habits that support better energy and long-term health: ⁠⁠⁠⁠⁠⁠https://levels.link/wnl⁠

Send us Fan MailWe trace a straight line from a 1697 blasphemy execution to modern cancel culture by focusing on one variable: the cost of turning speech into coordinated punishment. We break down how social media creates common knowledge at near-zero cost, making outrage faster, bigger, and harder to control. • Thomas Aikenhead's case as a story about information and enforcement costs • Transaction costs as the hidden limiter on persecution and social punishment • The First Amendment limiting state coercion while leaving private sanctions intact • Social media as a collapse in the cost of broadcasting accusations • Common knowledge as the trigger for coordinated action by strangers • Justine Sacco as the early template for modern cancellation dynamics • Brendan Eich, Emmanuel Cafferty, James Damore, and PyCon “donglegate” as repeating patterns • John Cleese on offense and the urge to control others' behavior • Listener letters on healthcare markets, consolidation, and transaction costs • Certificate of need laws and price systems that shape competitionAmy Poehler's super bowl ad (Dongle!):John Cleese on cancel cultureLetters:Dr. Anthony Digiorgio, UCSF, Graphic Novel Claim Denied, Off Label IdeasSurgery Center of OklahomaBook-o-da-week:Steven Pinker's When Everyone Knows That Everyone Knows . . .: Common Knowledge and the Mysteries of Money, Power, and Everyday Life  Scribner, 2025. If you have questions or comments, or want to suggest a future topic, email the show at taitc.email@gmail.com !You can follow Mike Munger on Twitter at @mungowitz 

You might think microplastics are just an environmental nuisance that passes through your body, but the latest tissue studies tell a very different story. As a physician, Dr. Gabrielle Lyon breaks down where the science lands, past both the fear-mongering and the dismissiveness.In this solo episode, Dr. Gabrielle Lyon discusses:Why over 58% of patients in a landmark NEJM study had plastic embedded in their arterial plaque and the 4.5x higher risk of heart attack, stroke, and death that came with itHow microplastics act as a "Trojan horse," carrying endocrine-disrupting chemicals into your blood, testes, brain, and reproductive tissueWhy perimenopause and menopause are an especially vulnerable window for plastic-driven hormone disruptionThe five low-cost "Lyon Protocol" rules to cut your exposure, starting with never microwaving plastic and letting food cool before you store itThis matters because you don't need to overhaul your life or wait twenty years for perfect data to protect your cellular health; you just need the handful of small, automated decisions that move the needle on your metabolic and hormonal baseline.Thank you to our sponsors:Our Place - Upgrade your kitchen with Our Place today. Visit https://bit.ly/3RnCYH0 and use code DRYLON for 10% off sitewide. That's F-R-O-M-O-U-R-P-L-A-C-E DOT COM / D-R-L-Y-O-N and use code DRLYON for 10% off sitewide. With a 100-day trial, you can try it completely risk-free.Timeline - Get 20% off your Mitopure order at https://bit.ly/4wJpFzZ Bon Charge - Save 15% at https://bit.ly/44bIoYx with code DRLYON Explore More from Dr. Gabrielle LyonWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon's clinical team https://drgabriellelyon.com/new-patient-inquiry/Connect with Dr. Gabrielle Lyon:Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyon X (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Chapters00:00 - Introduction01:30 - What microplastics and nanoplastics are03:00 - Where plastics show up inside us04:30 - The UCSF systematic review06:10 - Inflammation, cytokines, and thyroid07:40 - Plastic in arterial plaque and the 4.5x risk10:10 - The strongest skeptic arguments13:00 - Lead, asbestos, and trans fats14:40 - The Trojan horse for hormone disruptors16:10 - Reproductive aging and menopause17:50 - Where Dr. Lyon lands19:40 - The Lyon protocol: five rulesIf you found this episode valuable, share it with someone who would benefit from it.Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

Women now enter medicine and many other scientific fields in numbers equal to men, yet they remain underrepresented in leadership and often face unequal pay, limited mentorship and fewer research opportunities. UCSF physician-scientist Jennifer Grandis says that's harmful not just to women but to science and patient care. We learn why and what can be done. Guests: Jennifer Grandis, physician-scientist at the University of California, San Francisco and author of "Harsh Medicine: Why Women Can't Get Ahead in Science and Health Care" Learn more about your ad choices. Visit megaphone.fm/adchoices

“Anatomy and physiology always matter when it comes to pain. They're just not the whole story,” says Rachel Zoffness, Ph.D. Zoffness is a pain scientist, pain psychologist, and thought-leader revolutionizing the way we understand and treat pain. She's an assistant clinical professor at UCSF, lectures at Stanford, and consults on the development of pain management programs around the world. Dr. Zoffness's new book, Tell Me Where It Hurts, is out now, and in the process of being translated into over 25 languages. 00:00 - Everything we know about pain is wrong 05:48 - Pain is biopsychosocial 09:45 - Building your personal pain recipe 15:00 - Emotions can turn pain volume up & down 18:14 - Your thoughts affect your physiology 25:29 - How cancer cured a kidney stone 31:51 - Optimism & letting go of outcomes 37:47 - What the placebo effect really is 39:45 - A daily protocol for pain resilience 44:35 - Why friends are medicine 48:05 - When words make pain worse 51:00 - Rachel's own pain story Referenced in the episode:  For more about Zoffness, visit her website: https://www.zoffness.com/  Buy her book here: https://a.co/03dKuChz  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices