Podcasts about ucsf

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

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

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]

As part of the 2026 Developmental Disabilities Conference, Corinne Melon, Managing Director, Phamaly Theatre Company, talks about accessible theater for people with disabilities. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41468]

As part of the 2026 Developmental Disabilities Conference, Corinne Melon, Managing Director, Phamaly Theatre Company, talks about accessible theater for people with disabilities. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41468]

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]

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]

As part of the 2026 Developmental Disabilities Conference, Corinne Melon, Managing Director, Phamaly Theatre Company, talks about accessible theater for people with disabilities. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41468]

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

Join Dr. Sylvie Charles Royston, Founder and CEO of Just Date, for an inspiring conversation on leaving clinical medicine to fix the root cause of chronic illness. As a practicing physician at UCSF treating patients suffering from preventable, sugar-driven conditions like type 2 diabetes and fatty liver disease, Sylvie realized that treating symptoms in a hospital clinic wasn't enough—the systemic solution belonged in the grocery aisle. In this episode, we explore how she translated her clinical medical training and culinary roots into an organic, date-based sweetener empire, expanding from her home kitchen into over 6,000 retail doors nationwide.

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.

Climate and environmental change affect reproductive health and pregnancy in important ways. Dr. Marya Zlatnik explains how petrochemicals, climate change, and everyday chemical exposures can shape reproductive resilience and pregnancy outcomes. Zlatnik helps clarify how people can protect reproductive well-being in a changing climate with informed, resilience-building choices. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41547]

Climate and environmental change affect reproductive health and pregnancy in important ways. Dr. Marya Zlatnik explains how petrochemicals, climate change, and everyday chemical exposures can shape reproductive resilience and pregnancy outcomes. Zlatnik helps clarify how people can protect reproductive well-being in a changing climate with informed, resilience-building choices. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41547]

Climate and environmental change affect reproductive health and pregnancy in important ways. Dr. Marya Zlatnik explains how petrochemicals, climate change, and everyday chemical exposures can shape reproductive resilience and pregnancy outcomes. Zlatnik helps clarify how people can protect reproductive well-being in a changing climate with informed, resilience-building choices. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41547]

Climate and environmental change affect reproductive health and pregnancy in important ways. Dr. Marya Zlatnik explains how petrochemicals, climate change, and everyday chemical exposures can shape reproductive resilience and pregnancy outcomes. Zlatnik helps clarify how people can protect reproductive well-being in a changing climate with informed, resilience-building choices. Series: "Osher WISE: Well-being and Integrative Science for Everyone" [Health and Medicine] [Show ID: 41547]

127. Psilocybin for Anorexia: Inside UCSF's TrialDr. Amanda Downey on UCSF's psilocybin trial for anorexia, why caregivers enroll, and what the medicine can and can't reach in eating disorders.Episode SummaryEating disorders are the deadliest psychiatric illness we have. Someone in the United States dies of one every 52 seconds, and two of every three people who get conventional treatment never fully recover. Anorexia nervosa has had no new FDA-approved treatment since the 1990s. That is the ground this conversation stands on, and it is why I sat down with Dr. Amanda Downey at Town Hall Seattle. Dr. Downey is a pediatrician and psychiatrist at UCSF and a lead investigator on an active Phase 2 trial studying psilocybin for anorexia in young adults. We talk about why her trial enrolls caregivers as participants, what psilocybin might reach that decades of treatment have not, and where the science is still honestly uncertain. This one is close to me. I recovered from anorexia myself, and I know how little the map has changed.

As part of the 2026 Developmental Disabilities Conference, moderator Judy Mark and panelists Elizabeth Barrios Gomez, Mulugeta Tadele, Kyungshil Choi discuss the challenges and solutions for serving immigrant clients. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41467]

As part of the 2026 Developmental Disabilities Conference, Dr. Althea Robinson Shelton, Associate Professor of Neurology and Pediatrics, Vanderbilt University Medical Center, discusses sleep in children with neurodevelopmental differences. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41466]

As part of the 2026 Developmental Disabilities Conference, Dr. Althea Robinson Shelton, Associate Professor of Neurology and Pediatrics, Vanderbilt University Medical Center, discusses sleep in children with neurodevelopmental differences. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41466]

As part of the 2026 Developmental Disabilities Conference, moderator Judy Mark and panelists Elizabeth Barrios Gomez, Mulugeta Tadele, Kyungshil Choi discuss the challenges and solutions for serving immigrant clients. Series: "Developmental Disabilities Update" [Health and Medicine] [Show ID: 41467]

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

This week, Dr. Brian Feeley, Chief of Sports Medicine and Shoulder Surgery at UCSF and team physician for the San Francisco Giants, joins the shoe to share what decades of treating athletes and everyday patients have taught him about movement, strength training, and injury prevention. The discussion covers everything from running, skiing, cycling, and youth sports to shoulder impingement, ACL tears, and the realities of exercising in middle age. Feeley explains why many common beliefs about joint health and injury risk don't hold up to the evidence, how to think about strength training without getting sidelined, and why variety may be one of the most overlooked components of a sustainable fitness routine. They also discuss the hype surrounding peptides, the science of recovery, and the emerging research on muscle regeneration and healthy aging. It's a jam-packed episode and Dr. Feeley is a wonderful guest, hope you enjoy.

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

Hour 1 of The Marc Cox Morning Show comes out swinging on a Wednesday morning. It opens with the latest on Irans escalating conflict and the ICE body camera controversy, exposing how Democrats stalled funding while blaming agents in the media. From there, Chris Rufos bombshell reporting reveals woke activists hijacking the Smithsonians American history museum ahead of Americas 250th birthday, twisting the founding into a tale of shame instead of pride. Kim on a Whim digs into a jaw-dropping House hearing where a UCSF medical school chancellor cant say whether a non-biological woman can have a baby, exposing just how far DEI ideology has infiltrated medical education. And the hour wraps with a Chilis server fired for refusing to call a coworker by a made-up name, a story that has conservative America saying enough is enough. Family, faith, freedom, and common sense — thats the hour on The Marc Cox Morning Show. Hashtags: #MarcCoxMorningShow #StLouis #ConservativeTalk #AmericaFirst #IranStrikes #ICE #Smithsonian #ChrisRufo #America250 #MaryMiller #WokeMedicine #KimOnAWhim #CancelCulture #FaithFamilyFreedom

On this Wednesday, July 15th edition of The Marc Cox Morning Show, the crew tackles it all — from the escalating standoff with Iran and the Strait of Hormuz blockade, to a jaw-dropping House hearing where a UCSF medical school chancellor couldn't confirm whether a non-biological woman can have a baby. Congresswoman Mary Miller joins twice to demand accountability from woke medical schools and push the Senate to pass the SAVE Act, while Heritage Foundations Andrew Harding breaks down the military and diplomatic chess match with Tehran. Locally, St. Charles County elections candidate Jen Olson fires back at a politically motivated smear campaign, Governor Kehoe signs the Born Alive Abortion Survivors Protection Act into law, and Megan Green cashes in a controversial taxpayer settlement. Business coverage brings the best inflation report in six years courtesy of Fox Business's Taylor Riggs, plus a tragic boat sinking near Alcatraz, a Chilis employee fired over a name dispute, and Joe Bidens rambling memoir announcement rounding out the laughs. Faith, family, freedom, and common sense — that's another full show in the books on The Marc Cox Morning Show. Hashtags: #MarcCoxMorningShow #StLouis #ConservativeTalk #AmericaFirst #IranStrikes #MaryMiller #DefineWoman #JenOlson #StCharlesCounty #BornAliveAct #TaylorRiggs #Inflation #KimOnAWhim #StLouisMorningBrief #InOtherNews #FaithFamilyFreedom Full Guest List: Nicole Murray (Business News Correspondent) Andrew Harding (Senior Associate, National Security, Heritage Foundation) Jen Olson (Candidate, St. Charles County Director of Elections) Congresswoman Mary Miller (IL-15) Taylor Riggs (Fox Business, Big Money Show)

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 

Alice Wong was born in Indianapolis in 1974. She was diagnosed with muscular dystrophy and was told she wouldn't live to be older than 18. But in 1997, at 23, she moved to San Francisco to pursue a masters in medical sociology at UCSF, but had trouble completing it because of accessibility issues on campus. Eventually she did finish her degree, and ended up working at the University to help make it more accessible for other disabled students.Next, a conversation with two of Alice's colleagues and friends as they remember and honor her work and legacy. Sandy Ho is the Executive Director of the Disability & Philanthropy Forum and Steven Thrasher is a journalist, professor and writer who was suspended from teaching classes after speaking out on Palestine - as Wong also did.They talked about Alice on the Laura Flanders and Friends podcast.

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.

At the University of California, San Francisco (UCSF), the team treating patients with bladder cancer and other genitourinary malignancies utilizes a multidisciplinary team approach to ensure care is coordinated, personalized, and patient-centered. This is particularly important when administering antibody-drug conjugates, a promising tool for some patients with muscle-invasive bladder cancer that comes with a high risk of adverse events (AEs). In this episode, CANCER BUZZ speaks with Terence Friedlander, MD, and Iva Petrovchich Colón, NP, both part of the team treating bladder cancer at UCSF, about how their cancer program manages the toxicity profile of ADCs in order to prioritize patient outcomes and quality of life. Guests: Terence Friedlander, MD Robert and Virginia O'Reilly Family Professor of Medicine Chief of Hematology-Oncology, Zuckerberg San Francisco General Hospital UCSF Helen Diller Family Comprehensive Cancer Center  San Francisco, CA Iva Colón, NP Nurse Practitioner, Genitourinary Medical Oncology UCSF Health Genitourinary Medical Oncology Mission Bay San Francisco, CA "The median onset is in the mid 60s, and folks who are in their 60s are more mature, they may have more comorbidities, more medical problems, and we have to be really sensitive to that." —Terence Friedlander, MD "It takes a village and having that having open and direct communication is key." —Iva Colón, NP Resources: ACCC Bladder Cancer Resources ACCC Antibody-Drug Conjugate Resources  

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