Podcasts about ucsf

The killing of Alberto Rangel, a 51-year-old social worker at San Francisco General Hospital, has left colleagues grieving and questioning whether his death could have been prevented. Rangel was stabbed by a patient who authorities say had made multiple threats for weeks. Incidents of workplace violence in healthcare facilities have been on the rise for more than a decade nationwide, prompting hospitals and medical offices to adopt stricter safety protocols. But are they working? We'll talk about workplace violence against health care workers and what employers are doing – and failing to do – to protect them. Guests: Annie Vainshtein, reporter, San Francisco Chronicle Dani Golomb, psychiatrist; Golomb was attacked by a patient in 2020 during her medical residency at California Pacific Medical Center in San Francisco Dan Russell, president, University Professional and Technical Employees Al'ai Alvarez, clinical professor of emergency medicine, Stanford University Cammie Chaumont Menendez, research epidemiologist, Centers for Disease Control and Prevention's National Institute for Occupational Safety and Health Learn more about your ad choices. Visit megaphone.fm/adchoices

Host: Ryan Quigley How are patients with breast cancer brain metastases faring in the modern treatment era? In this AudioAbstract, Ryan Quigley shares findings from a 25-year review of 507 patients at UCSF, providing new insights into how survival outcomes have shifted across subtypes and which treatments are driving real-world progress. This research was also presented at the 2025 San Antonio Breast Cancer Symposium.

Host: Ryan Quigley How are patients with breast cancer brain metastases faring in the modern treatment era? In this AudioAbstract, Ryan Quigley shares findings from a 25-year review of 507 patients at UCSF, providing new insights into how survival outcomes have shifted across subtypes and which treatments are driving real-world progress. This research was also presented at the 2025 San Antonio Breast Cancer Symposium.

Overeating isn't about willpower; it's about your brain.In this episode, Dr. Laurel Mellin explains how Emotional Brain Training (EBT) can help you rewire the circuits that drive cravings and emotional eating.You'll learn what's really happening in your brain when you reach for food in moments of stress and simple strategies you can start using today to take control of your circuits, and create lasting freedom from overeating.Dr. Laurel Mellin is a health psychologist and nutritionist who during her more than 40 years as a professor at UCSF developed skills that address the root cause of why we overeat -- emotional brain training. She is a researcher, New York Times bestselling author and trains health professionals in the EBT methods. Her website is EBT.ORG.Tune in each week for practical, relatable advice that helps you feel your best and unlock your full potential. If you're ready to prioritize your health and level up every area of your life, you'll find the tools, insights, and inspiration right here. Check out Esther's website for more about her speaking, coaching, book, and more: http://estheravant.com/Buy Esther's Book: To Your Health: https://a.co/d/iDG68qUEsther's Instagram: https://www.instagram.com/esther.avantEsther's LinkedIn: https://www.linkedin.com/in/estheravant/Learn more about 1:1 health & weight loss coaching: https://madebymecoaching.com/coaching

New research links chronic stress, brain energy, and psychiatric conditions, including PTSD, depression, and bipolar disorder.Stress doesn't just impact your mood; it affects how your brain allocates energy. In this interview, Dr. Bret Scher sits down with Dr. Parker Kelly, a postdoctoral fellow at UCSF and the San Francisco VA, to unpack the Allostatic Triage Model of Psychopathology, a new framework proposing that psychiatric symptoms may emerge when the brain is forced to triage limited metabolic resources under chronic stress. Co-authored with mitochondrial researcher Dr. Martin Picard, this model could shift how we understand and treat mental illness.In this conversation, you'll learn:How stress drives brain energy dysfunctionWhy mitochondria and metabolism may be central to mental illnessWhich brain networks are impacted by energy deficitsThe role of predictability and routine in stress resilienceHow metabolic therapies like nutrition, sleep, and even psychedelics, may support brain energy regulationThis conversation bridges neuroscience, metabolism, and mental health, offering a unique and unifying lens on complex psychiatric conditions.

You probably saw the headlines out of California as they sent a jolt through the sleep world as well as social media: Do common sleep medications increase your risk of dementia? In this episode we will:Review what the UCSF study actually found — and what the headlines got wrongDetermine which medications are most often implicated (benzodiazepines vs Z-drugs vs trazodone)Take a deep dive into the three best studies on sleeping pills and dementia riskFind out why some large studies do show a connection… and others don'tLearn the real risks you should take seriously — even if dementia isn't one of themThink about how doctors should actually practice prescribing sleep meds in older adultsProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

Dr. Ben opens a new chapter for tinnitus care in San Francisco. With Dr. Priscilla Giller, Treble Health now offers in-person support. Hope is possible—even if you've been told otherwise.Get started with Treble Health:Schedule a complimentary telehealth consultation: treble.health/free-telehealth-consultation Take the tinnitus quiz: https://treble.health/tinnitus-quiz-1Download the Ultimate Tinnitus Guide: 2024 Edition: https://treble.health/tinnitus-guide-2024

In this episode of Healthy Mind, Healthy Life, host Avik Chakraborty sits down with scientist, biotech leader and debut novelist Shivani Malik to unpack how grief can quietly reroute a life that looks “perfect” on paper. Shivani shares how losing her mother. the person who championed her move from India to the US for a PhD and a career in cancer research. forced her to ask a hard question. Am I building the life I truly choose. or the one that was handed to me as the immigrant gold standard Her debut novel “The Sky Is Different Here” becomes the container for that inquiry. blending STEM and storytelling to explore grief, ambition, belonging, identity, women in STEM and the emotional cost of chasing the immigrant dream. If you have ever hit your goals and still felt strangely empty. this conversation will land close to home and give you pragmatic language and tools to actually sit with your emotions instead of outrunning them.   About The Guest:   Shivani Malik is a scientist, immigrant, biotech leader and debut novelist. She moved from India to the United States for her PhD. trained at Stanford and UCSF and built a high impact career in cancer research and drug development. After the sudden death of her mother. Shivani began writing as a way to process unresolved grief and question the version of success she had been running toward. That process eventually became her debut novel “The Sky Is Different Here.” a work of fiction rooted in real emotional truths about loss, belonging and the complexity of being a woman, immigrant and dream chaser. Today she continues her work in biotech while using story as a way to build community around shared struggle, invisible expectations and the cost of never slowing down.   Key Takeaways: Grief will not stay in the background forever. Shivani reached a point in her postdoctoral training where the “unopened package of grief” for her mother made it impossible to keep functioning on autopilot. The immigrant dream can silently become an emotional contract. She names how passion for science and external expectations blend. making it hard to tell where genuine desire ends and cultural pressure begins. Fiction gave her psychological safety. By fictionalizing roughly shaped versions of her lived experience. she could tell the emotional truth without exposing specific people, institutions or workplaces. Science and storytelling share the same backbone. In the lab you still “tell a story” about how a cancer drug works and who it can help. That pattern of connecting dots translated directly into shaping a novel. Healing required both solitude and community. Writing helped her sit with grief. but reading other grief stories and later sharing her own created a sense of community that science culture had not given her. Everyone carries loss and dislocation. whether it is a person, a home or a sense of belonging. Shivani urges listeners to find some way to express it. through writing, conversation, walking, meditation or sitting with feelings instead of numbing them. Expression is step one. sharing is step two. Naming your experience with someone who truly “gets it” becomes a powerful way to move forward rather than just cope. How To Connect With Shivani Malik  : Shivani mentioned three primary ways to reach her. Book  Personal Website : You can leave her a direct message and learn more about “The Sky Is Different Here.”   Want to be a guest on Healthy Mind, Healthy Life?DM on PM . Send me a message on PodMatch DM Me Here: https://www.podmatch.com/hostdetailpreview/avik   Disclaimer: This video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik™️. We do not intend to harm, defame or discredit any person, organization, brand, product, country or profession mentioned. All third party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer.   Healthy Mind By Avik™️ is a global platform redefining mental health as a necessity, not a luxury. Born during the pandemic. it has become a sanctuary for healing, growth and mindful living. Hosted by Avik Chakraborty. a storyteller, survivor and wellness advocate. this channel shares powerful podcasts and soul nurturing conversations on • Mental Health and Emotional Well being• Mindfulness and Spiritual Growth• Holistic Healing and Conscious Living• Trauma Recovery and Self Empowerment With over 4,400 plus episodes and 168.4K plus global listeners. we unite voices, break stigma and build a world where every story matters. Subscribe and be part of this healing journey.   Contact   Brand: Healthy Mind By Avik™Email: join@healthymindbyavik.com | podcast@healthymindbyavik.comWebsite: www.healthymindbyavik.comBased in: India and USA Open to collaborations, guest appearances, coaching and strategic partnerships. Let us connect to create a ripple effect of positivity. 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"We bring our patterns with us wherever we go, into every relationship, and we necessarily and inevitably bring them into the therapy relationship or the psychoanalytic relationship, because that's a relationship too. It's not a matter of choice. It simply happens. It happens everywhere. The therapist doesn't do anything to make it happen. This is the human condition. We bring our patterns. The thing that makes psychotherapy, psychotherapy, and not just another relationship, is that we do something different. What we do that's different is, instead of just repeating our same old patterns with a new person, we create the conditions where it becomes possible to notice the patterns, to recognize them, to put words to them, and understand them and discuss them. Out of that experience and that understanding comes the freedom to do things differently, to not have to repeat the same patterns. I always make a point, is that true for everyone? Does everybody need therapy? Well, everybody repeats earlier characteristic patterns. For some people, those patterns allow you to live a satisfying and rewarding life, with pleasure and connection and meaning and intimacy. So if that's the case, you're still repeating early patterns, but that's what it means to be human. However,  some people are living out patterns that cause distress or limitation, that get in the way of living the life they could lead, and that's what we work with in psychotherapy and psychoanalysis." Episode Description: We begin our conversation on the importance of communicating our basic concepts in jargon-free language. Jonathan shares with us the limitations he finds in academic psychology, where analytic ideas are meaningfully misunderstood. We work our way through his paper discussing 'unconscious mental life', the 'mind in conflict', 'disavowal' (instead of 'repression') and 'psychic continuity' (instead of 'psychic determinism') to name but a few of the topics we cover. We recognize the analytic opportunity to discover the ways that we live in the childhood 'then' as opposed to the novel 'now'. Jonathan presents clinical material to demonstrate these concepts, including his own 'disavowal' as he began his analysis. We close with an appreciation of the importance of one's own affective discovery of these otherwise unconscious forces. I also note Jonathan's passion and clarity about our work.   Our Guest: Jonathan Shedler, PhD is an author, consultant, and teacher. His article The Efficacy of Psychodynamic Psychotherapy helped establish psychoanalytic therapy as an evidence-based treatment. He's the author of over 100 scholarly articles, creator of the Shedler-Westen Assessment Procedure (SWAP) for personality diagnosis and case formulation, and co-author of the Psychodynamic Diagnostic Manual. He is Clinical Professor of Psychiatry at UCSF and a Training and Supervising Analyst at the San Francisco Center for Psychoanalysis. Follow Jonathan at: https://jonathanshedler.substack.com/.   Recommended Readings: Schopenhauer's Porcupines by Deborah Luepnitz offers a series of case studies that read like short stories. They will give you a "feel" for what goes on in the clinical consulting room & in the mind of the clinician.   Psychoanalytic Psychotherapy: A Practitioner's Guide by Nancy McWilliams offers a readable introduction to psychodynamic concepts and thinking.    Freud and Man's Soul by Bruno Bettelheim offers real insight into the origins of psychoanalytic theory and how and why it is personally relevant to everyone.    Therapeutic Communication by Paul Wachtel offers answers to the perennial clinician question, "What do I say and how do I say it?"   Long-term Psychodynamic Psychotherapy by Glen Gabbard is the closest thing to a comprehensive course in doing psychodynamic therapy.  Introduction to the Practice of Psychoanalytic Psychotherapy by Alessandra Lema

Andy’s Brave New World: Part 4 Andy and Sarah continue to explore the Presidio settlement. Based on a post by the hospital. Listen to the Podcast at Explicit Novels. "I've no intention of giving up our supplies or the consulate. All of that is ours, fair and square, and we can be choosy about who we share with. Right now, even if people like Rachel are a little envious of our situation, they won't try anything. There's no real competition for resources or territory yet." They paused, watching a volunteer coordinate a cache of water bottles. "Yeah", Sarah mused thoughtfully. "I guess the real question is what happens down the line. What if people like Rachel do get jealous of what we have but we don't want to share." She smiled a little. "Post-apocalyptic wealth inequality." "I mean, yeah it's a legitimate question. And if we assume the Presidio is going to be the government here, it'll come down to how it develops. Will they let people have "private property", Andy said, making air quotes, "whatever that means now, or go more communal?" "What do you think would be better?" Sarah asked. "I believe strongly in balance," Andy said thoughtfully. "Yes, the government, or the community, whatever, needs power to redistribute wealth when inequality gets extreme, and it should do its best to ensure everyone has a fair shot, especially because people will naturally gravitate toward supporting their own; you know, nepotism. There's also lots of things that are public goods that only make sense for the government as a whole to organize and provide." "But there's also got to be some concept of private property, that's what motivates people to build, to create, to work hard. Without private property it's hard to have accountability once your group gets bigger than a couple hundred people, and with no accountability it's hard to get people to do things." He gazed around at the bustling camp. "If I can become a respected voice here early on, maybe I can help push development in that direction. A strong but fair government that works to provide public goods and protect individual rights while ensuring nobody falls too far behind." "This is all theoretical though, and way out into the future. For now I think the hope is that people pitch in, work together, and share on their own, because we're all just trying to survive." Sarah studied his face. "You've really thought this through." Andy chuckled. "Yeah, well, before we left Yosemite, I was reading those prepper manuals Miguel, you remember Daniela's dad, left us. They had some interesting takes on politics and government, alongside all the survival and engineering stuff." He shrugged. "They're written by preppers for preppers, so they've definitely got a libertarian bent. But I think some of their core arguments are pretty sound." Andy slowed his pace, watching a woman in scrubs directing several volunteers near the medical tent. "Before we donate these antibiotics, we should ask around about where they should go. Especially ask anyone who looks like they're in charge." "Why not just give them to the medical tent?" Sarah asked. "Because we want as many people as possible to know we brought them," Andy explained quietly. "Each person we ask is another person who knows we're contributing to the community. Better to establish that goodwill early." Sarah nodded thoughtfully. "Smart. What about the apples?" "Yeah, we should be strategic with those too. When we talk to people, first find out if they're actually living here at the Presidio or nearby in the neighborhood. No point giving them to random visitors or people just passing through." He adjusted his pack. "We don't have an unlimited supply, and temporary goodwill from strangers isn't worth much. Better to save them for people we might actually build relationships with." "Like Rachel," Sarah noted. "Since she lives on our street." "Exactly. The apples are a resource, we should use them to build connections that matter." Sarah shook her head ruefully. "You're already playing 4D chess while most people don't even know they're in a game yet." "Maybe a bit Machiavellian," Andy admitted. "But my intentions are good. I want to help rebuild something worth living in." Day 8, Midmorning After an hour of carefully distributed apples, they asked around for Guillermo Herrera. They found him in a makeshift office in one of the old administrative buildings, bent over a desk covered in inventory lists. He was a stocky man in his forties, wearing partial combat fatigues with a well-maintained fade haircut that spoke of decades of military discipline. A younger woman sat nearby, organizing what looked like personnel rosters. Guillermo looked up as they entered, his expression professionally neutral. "Can I help you?" "Andy Rhee," Andy introduced himself. "We just checked in with registration. They suggested we come see you." "Any military experience?" Guillermo asked squarely, brow furrowing as he studied Andy closely. "I was a park ranger. I'm comfortable with firearms, good shot, but no formal tactical training." Guillermo glanced at Sarah expectantly. "No, nothing. Haven't even held a gun before to be honest." She said with a self-deprecating shrug. "I'm eager to learn though, if there will be classes." "Yes, we're in the process of organizing some." Guillermo turned back to Andy. "Talk to Michelle to sign up for the militia." he said, pointing a thumb at the woman behind him. His expression shifted to polite dismissal. "One other thing," Andy continued, "one of our group members, Daniela Martinez, she's fourteen, but she actually got extensive military training from her father, an ex-Marine, also a ranger. He was;" Andy paused. "Very, very prepared for something like this." That caught Guillermo's attention. "How extensively?" "She's currently setting up our defense perimeter. Planning kill zones, considering sight lines, working out mine placement. Her knowledge is really impressive. I'd happily trust her with anything security related for our group." Guillermo leaned back, reassessing. "Put both their names down on the militia list," he told Michelle. "We're trying to catalog available combat personnel." He turned back to Andy. "Any significant weapons?" "Yeah, a reasonable amount," Andy said carefully. "Rather not detail it all yet, until we see how things develop here. But we might be able to share some if there are specific needs." "Sure, nothing urgent right now," Guillermo replied. "There hasn't been any trouble yet. But we're discussing organizing supply runs to the military installations in the region. Travis Air Force Base, Coast Guard Island, Camp Parks, Moffitt Field." He tapped areas on a map on his desk as he named the locations. "San Jose State is open to joining, and we'll reach out to whatever leadership emerges in Oakland if and when it does." Andy nodded. "Good idea. I'd be happy to help when that happens. Daniela too, she'd be valuable on a mission like that, you could probably have her lead a team, if you could convince people to follow her." "Noted." Guillermo made another mark in his notebook. "I'll want to meet her, evaluate her capabilities myself." "Of course. We're at the Korean consulate in Presidio Heights when you want to arrange that." They exchanged Beacon handles, then Andy added, "By the way, who's coordinating the mass grave? I read about it on Beacon. We have a body we need to deal with, and I'm sure we'll find more once we clear our street." "Alyssa Daniels," Guillermo replied. "She's;" he paused thoughtfully. "Diligent. High-strung, but gets things done. She's coordinating from the west side of the grounds." "Thanks." Andy reached into his pack. "And last thing, would you like an apple? Just got them yesterday." Guillermo accepted with a nod of thanks. Andy handed one to Michelle as well, who smiled gratefully. "Also, we have some antibiotics with us to donate, should we take them to the medical tent or is there another place for them?" "Medical tent. Dr. Wilson's in charge there." "Thanks. We'll head there next. Have a good one." Day 8, Midday They found Diana Wells near the western edge of the parade ground, bent over a topographical map spread across a folding table. Her silver hair was pulled back in a practical braid, and she wore well-worn hiking gear that spoke of years spent in the wilderness. Several compound bows and a collection of hunting rifles were carefully arranged on a nearby table. "Diana Wells?" Andy asked, approaching the table. "I heard you're organizing hunting expeditions." She looked up, her weathered face breaking into a smile as she noticed Andy's holstered glock. "Finally, someone who might actually know what they're doing!" She extended a calloused hand. "I've been trying to put together hunting parties, but haven't found a lot of takers." She smiled ruefully. Andy chuckled, immediately warming to her direct manner. "Andy Rhee. I was a park ranger at Yosemite, before all this." "Ranger? Perfect." Diana's eyes lit up. "We need to start organized hunting soon, can't live on canned food forever. But these city libs, bless their hearts, most of 'em never even held a gun;" She caught herself, glancing at Sarah apologetically. "No offense meant." "None taken," Sarah said with a small smile. "I'll freely admit I'm one of those city libs who needs to learn. Actually hoping to start training soon." Diana's expression softened. "Well, that's different then. Admitting you need to learn is the first step." She turned back to her map. "I'm thinking of starting with some deer hunting in Marin. Less competition from other survivors up there, and the herds should be getting bolder without human pressure." "Smart," Andy nodded. "How many experienced hunters do you have so far?" "Three, including me," Diana sighed. "Got a former Marine who did some hunting growing up, and a Forest Service guy from Oregon. Could really use someone with your background." Andy traced his finger along the map's contour lines, studying the terrain. "What about sustainability? Should we be worried about overhunting?" Diana straightened up, giving him an approving nod. "Good to hear a ranger asking that, shows the right mindset." She pulled out a small notebook, flipping through some rough calculations. "It's something I've been thinking about. We should probably try to establish some quotas for the region at some point, coordinate between different hunting groups." She gestured at the camp around them. "But honestly? That's going to have to come later. Right now;" She shook her head with a wry smile. "Way things are going, I doubt we'll find enough competent hunters to make a real dent in the population. Most folks here can barely tell a rifle from a shotgun, let alone track and shoot a deer." Volunteer Coordination. They found the volunteer coordination center in what had once been a Presidio administrative office. The space buzzed with focused energy as women, and a few men, moved between folding tables covered in papers, calling out updates and cross-referencing lists, while several people either requesting or volunteering various types of services spoke to them. At the center of the organized chaos stood a striking woman in her early thirties, her presence commanding attention without effort. Megan Lunn had the kind of natural relaxed attractiveness that didn't need enhancement, high cheekbones, clear gray eyes, and naturally red hair pulled back in a practical braid that reached halfway down her back. She wore simple, well-worn outdoors clothes that suggested genuine outdoor experience rather than posturing. "Jenny, can you cross-reference these lists with medical?" she was saying as Andy and Sarah approached. "We need to know who has first aid training versus actual medical degrees." Her voice carried naturally, pitched to be heard without shouting. She glanced up as they neared, her sharp eyes taking in every detail of their appearance. "Welcome to the circus," she said with a tired smile. "I'm Megan, or Meg. You must be the new arrivals Alice mentioned, the ranger and the biology student?" Up close, Andy could see the subtle signs of command experience in her bearing, the way she positioned herself to keep the whole room in view, how she tracked multiple conversations while maintaining eye contact. A silver pendant in the shape of a compass rose hung at her throat, and a well-used Leatherman multi-tool was clipped to her belt. "That's right," Andy replied. "Andy Rhee, and this is Sarah Chen-Mitchell. You're coordinating the volunteer efforts?" "Trying to," Meg said with a self-deprecating laugh that didn't quite hide her competence. "I was a wilderness guide before all this, led backcountry expeditions, taught survival skills. Turns out organizing twenty stressed people in the wilderness was good practice for;" she gestured at the controlled chaos around them, "whatever this is becoming." A younger volunteer approached with a stack of papers, and Meg smoothly took them without breaking conversation. "We're trying to match skills to needs, and build some kind of structure. Luckily lots of people want to help out." She studied them both with those penetrating gray eyes. "I hear you've set up at the consulate rather than joining us down here?" There was no judgment in her tone, just neutral statement of fact. Andy found himself wanting to explain his reasoning, to have this attractive, capable woman understand his choices. Before he could respond, she held up a hand with another slight smile. "Don't worry, I get it. You've found somewhere defensible, and secured resources. Smart move, actually." She marked something on one of her many lists. "We'll need multiple strong points around the city eventually, not just one central location. The important thing right now is staying connected." Andy found himself immediately impressed with her diplomacy, and her recall of their group and situation. "Yes," he responded. "We are interested in being a part of the Presidio, we just have our own space right now." "Glad to hear. I was hoping, based on the description of your group, that you weren't one of those ultra-right-wing, prepper, sovereign citizen types. I'm sure they're having a blast right now, the ones that survived anyway." Her eyes held a hint of amusement. "So, what can I do for you Mr. Rhee?" He and Sarah shared a glance. "First we have some apples to offer, and some antibiotics to donate. And we've heard you're taking a lot of lead in organizing here, I was wondering if we could chat, big picture." Meg smiled. "Ah, so you're here to play the game as well. No doubt." She called out, "Fresh apples, everyone, get them from the kind Mr. Andy Rhee over here." Sarah and Andy were briefly mobbed by the people in the office, handing out most of their remaining apples. "Let's step outside. I could use a walk." She announced to the room she'd be out for a few minutes. They stepped into the bright sunlight. "Shall we head toward the medical tent to drop off the antibiotics?" she asked. "Or do you have any more people to mention them to first?" Her smile was wry. Andy felt a little exposed. "Yeah, you got us, we have been announcing them first. What gave it away?" "You checked in with Alice over two hours ago." Andy immediately wondered why he hadn't put that together. "It's what I'd do in your position as well." She studied him. "So, what's your strategy here Andy? Give me your assessment of things." Andy paused to gather his thoughts. "Well, it's clear that the Presidio will be the new center of power here in SF. There's a chance another center emerges but at this point, it's unlikely, with so many people already here the network effect is too strong." He continued, warming to the topic. "I want to help rebuild. I've already offered what basic skills I have, but I'd also like to get involved politically. I believe good, well organized government is the best route to getting our basic needs met, as a collective. Water, agriculture, power, trade, defense, medicine, and eventually engineering and manufacturing." He counted off the different needs with his fingers as he named them. "These ultimately require some centralization and broad geographic control to do them sustainably at scale. Not something you can make happen with just you and your plucky band of survivors. Well, power, maybe with solar, and water if you live close enough to the water table to dig a well. But everything else, we need organization and cooperation. Government." His voice grew more serious. "It's still early days but the norms and political decisions and organizations we form today could have long lasting repercussions for our future, assuming we make it that far. And I have thoughts on the direction things should go. I'd like to start shaping things now. I don't care particularly for political power myself, although I'm open to it. I'm more concerned with making sure whatever power ends up taking place is competent and benevolent." Meg listened intently as they walked, her gray eyes occasionally flicking to study Andy's face. The morning fog had burned off entirely now, leaving the parade ground bathed in clear sunlight. Sarah walked slightly behind them, taking in their conversation while maintaining a respectful distance. "That's; a remarkably clear-eyed assessment," Meg said finally. "Most people here are still just trying to process what happened." They passed a group of women organizing supplies, lowering their voices. "And you're absolutely right about the network effect. Every day more and more survivors arrive. If things continue we'll be a small city soon." She stopped walking, turning to face Andy directly. "Also, I appreciate that you didn't lead with just seizing power and controlling things. You led with meeting basic needs." Her penetrating gaze held his. "You're thinking about infrastructure first, then governance to support that. I agree with that mindset." Andy felt oddly exposed under her careful analysis, but also validated. This was clearly someone who also understood the bigger picture. "So, tell me, Andy," Meg said, resuming their walk toward the medical tent, "what direction do you think things should go? You must have opinions about governance structure." Andy considered his response. "I think the immediate challenge is establishing legitimate authority," he said. "Right now, everyone's cooperating because we have to. But once basic survival is handled, power dynamics will get complicated fast." Meg nodded thoughtfully. "Especially with armed groups involved." "Exactly," Andy agreed. "And that's actually my biggest concern. The military and police need to see themselves as subordinate to civilian leadership from the start. Otherwise;" He gestured at the armed men patrolling the perimeter. "Well, history shows what happens when guys with guns decide they should call the shots." "But how do you establish that civilian authority?" Meg asked, genuinely curious. "Elect a President?" Andy shook his head. "Not yet." He paused, watching a group of volunteers unloading supplies. "For now, I think we just need something simpler. A small council, maybe, anyone who can gather enough supporters to qualify. Just enough structure to build an institution that can capture some of the legitimacy that our decisions and communications will earn from being competent, and in turn lend more legitimacy to whatever decisions and communications the current leaders are already making." "And longer term?" Meg prompted, clearly intrigued. Andy laughed. "Well, do you want to get in the weeds here?" Meg nodded so he pressed on. "I think elections work well in theory, but once they scale up, they become easily corrupted. Politicians make impossible promises, cater to special interests, play on people's fears, and on and on. You know." Meg smiled and simply nodded. "I recently learned about this thing called sortition," Andy said. "Like jury duty, but for legislation. Get people who are interested in specific areas, agriculture, defense, infrastructure, to volunteer for a pool. Then randomly select among them to serve on committees that draft laws related to those areas." He warmed to the topic, encouraged by Meg's engaged expression. "Those proposals would then go to another randomly selected assembly, this time drawn from the entire population, for yay or nay votes. Pay them like jurors, give them a fixed term. Let them elect one of their number as an executive to oversee implementation." Sarah, who had been listening quietly, spoke up. "That's; actually really interesting. We talked about the problems with our current election system a lot in our poli-sci classes. It sounds like this would get rid of career politicians, and make it harder to concentrate power in any individuals." "Right," Andy agreed. "But that's all theoretical right now. The immediate priority is establishing the Presidio's authority through competent organization. Getting systems in place for collecting and distributing supplies, coordinating defense, managing resources." He gestured at the bustling camp. "Build legitimacy through effectiveness first. Then we can worry about formal governance. If there's anything I or my group can help with, we're here." Meg studied him closely. "You've clearly given this a lot of thought." "I've had some time to read recently," Andy said with a slight smile. "And seeing everything collapse; well, it makes you think about how to build something better." Meg considered his words thoughtfully. "Well, this is certainly food for thought. I've never heard of this "sortition" before, but it seems quite reasonable." She nodded slowly. "And I definitely agree that we must establish legitimacy through competent governance." "And what are your goals in all this?" Andy asked. "Similar to yours, just less defined in terms of politics," she replied. "I want to help people, make sure we rebuild successfully." Her expression grew more serious. "And in the long run, hope we don't collapse into some kind of anarchy or tyranny. We've suffered enough already." "Agreed," Andy said firmly. He extended his hand. "I'm happy to talk about this more, but for now, I'd hope we can consider ourselves allies." "We can, Mr. Rhee," she said, meeting his gaze and taking his hand with a firm grip. "I'm glad you're with us. I'll mention you to the others who would be on this little council. Maybe we could get a few meetings of us all together at some point." "We'd welcome hosting those meetings at the consulate," Andy offered. A knowing smile crossed Meg's face. "Yes, of course you would. Being the host would give you natural authority." "Hey, just playing the game as you said. And we have a nice formal dining room. And some nice wine stores," Andy replied with a matching smile. "Are you staying here at the parade grounds?" he asked. "Yeah, I have a tent here." "I'd like to offer that you move in with us at the consulate. We have quite a nice setup there right now." Meg shook her head. "I need to stay here, thanks. I can't be a good leader without being among the people, going through their same hardships." A slight smile. "And I honestly prefer camping to living indoors." She considered for a moment. "But, I'd love a hot shower if you have one? And maybe some hot coffee, anything that gets donated gets immediately requested, and we haven't had anything new come in for a while now." "We don't have hot water yet," Andy admitted, "but we do have cold running water. And plenty of coffee." "I start my day at 6AM," Meg said. "If I could come tomorrow morning at 5 to shower and have some coffee, you'd have earned quite a big favor from me." "Anytime," Andy replied. "I'll be up and ready for you. Message me on Beacon if anything changes." "Oh, and who else should I talk to?" he added. "Who would be on this council? I've talked to Guillermo and Diana so far, and I know about Alyssa." "Let's see," Meg said, counting off on her fingers. "Dr. Elena Wilson, she was chief of emergency medicine at UCSF. She's coordinating all our medical operations from the main tent. Brilliant woman, I couldn't believe our luck when she arrived. She's already setting up training programs for basic medical care." She gestured toward the solar array setup. "Then there's Marcus Qin, he was a high-up engineer at Tesla's Fremont plant. He's heading up our power infrastructure projects, working on getting reliable electricity to key facilities, planning longer-term solar installations. He's looking for people with electrical engineering backgrounds, thankfully we have lots of those in this city." "Jennifer Brown is essential, she was regional operations manager for Whole Foods. She understands large-scale food storage and distribution better than anyone here. She's organizing our pantry systems, tracking supplies, planning preservation methods for when scavenging isn't viable anymore." "And probably Rebecca Foster. She was a water resource manager for East Bay M U D. Keeping clean water flowing is going to be crucial once our bottled water supplies run low. She's already mapping out plans for gravity-fed distribution systems and planning wells and filter stations. Desalination, too, if we can get the equipment and power for it." She straightened up. "Those are the key players right now, along with the ones you've met. Each of them has proven themselves competent enough that people naturally started following their lead." On the shore of the Bay. Andy and Sarah stood at the water's edge near Crissy Field, looking out over the bay. The midday sun sparkled off the water, and Alcatraz loomed in the distance, a stark reminder of civilization's remnants. A cool breeze carried the salt smell of the ocean, rustling through Sarah's layered black hair. "Woof, I'm pooped already," Sarah sighed, stretching her arms overhead. Her cropped athletic tank rode up, revealing her toned midriff. "And we still have five more names to talk to." "Yeah, but there's no hurry right now," Andy replied, watching a seabird wheel overhead. "I think today was a good start. Let's take a quick break here, then maybe talk to one or two more people before heading back for lunch." "Ok, I'll message them that we'll be back in about an hour and a half." Sarah pulled out her phone, her manicured fingers tapping quickly. "We're a bit late. Can one of them be Elena? I want to sign up for medical care lessons as soon as I can." She tucked a strand of blonde-highlighted hair behind her ear. "I'm sick of telling people I have no useful skills." "Sure, we can. And yeah, to be honest I didn't expect there to be so much going on here. Beacon said it was 50-ish people two days ago, right?" "Yeah. Exponential growth." Sarah's hazel eyes lit up. "We run into this a lot in biology. It would be interesting to get the exact numbers of new arrivals per day and see if you could fit the growth curve and try to predict where we'd end up." Andy studied her as she gazed out over the water. Her heart-shaped face was animated as she talked, light freckles crinkling around her nose. She had an innate talent for connecting concepts and processing information, backed by determination and resourcefulness. She genuinely cared about helping others (well, except for maybe Crystal). And with her approachable, pretty features, she'd be perfect for politics if there ended up being elections. If they could accept someone so young holding power. His eyes drifted lower, taking in her athletic figure, the perfect curves of her tits under her compression top, the slim waist tapering to curved hips in her matching leggings. Approachable, pretty face, and a fantastic body. She caught him ogling and flashed a self-conscious smile, subtly adjusting her top to emphasize her cleavage. "Hmm, is someone thinking with his dick again?" She stepped closer, looking up at him through long lashes. "Does my, what was it, fearless protector, my *Machiavellian* fearless protector need some special attention?" Andy laughed and reached out to touch her cheek gently. She closed her eyes and smiled, pressing against his hand before looking up at him with those striking hazel eyes. "Alright, what's up Andy?" "I was just thinking, you'd do great in politics." "Huh?" Her full lips curved into a surprised smile. "What do you mean?" "You're smart, you make connections well and pick up new information fast. You're very determined and resourceful. You care about helping people." His eyes traced the delicate lines of her face. "And you're really pretty, in an approachable kind of way. If there were elections, you'd do really well." Sarah shifted her weight, the movement highlighting her athletic figure. "I also totally lack real world skills it turns out, and;" she gestured at her carefully coordinated athleisure outfit, "well; one could say I care too much about how I look." "Like I said, perfect for politics!" She laughed and poked him in the chest, her perky tits bouncing slightly with the movement. "OK, I like this sweet talk. This is like the nicest thing you've said to me since we met." "Well, don't forget I think elections are inherently corrupting." "Hmm, so you want to corrupt me?" she purred, taking his hand. Her skin was soft and warm against his. "Why don't you tell me what you were really thinking." "What I said. And then I stared at you for too long, noticed the rest of your body, and then my brain lost a lot of blood flow." "What, now you notice my body?" She brought his hand up to her tit, letting him squeeze it gently through the compression fabric. Her nipple hardened under his touch. "Four days of wearing the cutest skimpy little matching sets, posing for you, fidgeting with my tops to make you look at my boobs, talking about my body nonstop, and you finally now tell me you notice me while thinking about politics?" She shook her head, making her highlighted layers catch the sun. "You're a real odd duck you know." She suddenly pressed against him in a tight hug, her firm tits pushing against his chest. "Thanks for believing in me." Andy stroked her silky hair, breathing in her light floral shampoo. "Of course." Sarah stepped back, adjusting her top. "Ok. Let's go back." She paused, a mischievous glint in her eye. "Unless; are you sure you don't need any;" She made an exaggerated blowjob gesture, pushing her tongue against her cheek while moving her fist near her mouth. Her full lips curved into a teasing smile. "We could sneak behind those dunes real quick." Andy felt his arousal surge instantly. "Can you do that again?" "What, this?" She repeated the lewd gesture, looking every bit the corrupted coed fitness influencer with her subtle makeup, highlighted hair, and coordinated athleisure set that showed off every curve. "Ok, let's go," Andy said, taking her hand and walking toward the dunes. They exchanged horny smiles and giggles on the way to the dunes, Sarah's athletic figure moving gracefully beside him. Behind the dunes, Andy reclined against the sand and took his pants off while Sarah gathered her layered black hair into a high ponytail, a few honey-highlighted strands falling loose around her face. She knelt between his legs, her compression leggings hugging every curve. Starting with just her hands, she looked up at him through long lashes. "Remind me, what did you say about me just now?" Andy repeated his earlier compliments about her intelligence and determination. "Ah yes, thank you." She gave him a firm squeeze. "I do like a good compliment you know." She leaned forward, her perky tits straining against her top as she took him in her mouth. Her technique was skilled and enthusiastic, starting with gentle kisses and licks along his shaft before taking him deeper, her tongue swirling around his head while her hand worked his base. Her full lips slid up and down his length in perfect rhythm, alternating between quick, teasing strokes and slow, sensual ones. Andy closed his eyes, enjoying the sensations. He switched to praising her body, how toned and tight it was, how perfectly optimized for looking good, how it showed her determination and focus. She hummed appreciatively around him, the vibrations sending shivers through his body. Despite her current activity, a blush crept across her freckled cheeks at his words. She pulled off him, sucking hard as she did so, making her mouth feel deliciously tight before popping off him. "I guess you're wanting me to take my top off?" she asked, sitting back on her heels. Andy nodded. "Ok," she said with a playful smile. "Get ready." She pulled off her compression top and sports bra in one fluid motion, revealing her perfectly perky, symmetric, B-cup tits. They were exactly as impressive bare as they had looked in her carefully chosen sports bras, firm and high, with rosy nipples standing at attention in the cool air. She gave them a little shake, watching his reaction with amusement. "Right, where were we? I believe I was in the middle of, ah, restoring proper blood flow in my patient." She leaned forward again, her tits swaying slightly as she resumed her ministrations. She worked him skillfully, one hand pumping his shaft while the other gently massaged his balls. Her tongue focused on his sensitive spots, especially the underside of his head, occasionally taking him deeper and holding him there. Though she mostly looked down, concentrating on her rhythm, she would glance up periodically through her lashes to make eye contact, her hazel eyes sparkling despite her blush. The contrast between her innocent blush and what she was doing made Andy laugh. "What?" she asked, pulling back. "You're blushing?" "I don't know, it's awkward," she said, self-consciously tucking a loose strand of highlighted hair behind her ear. "It can't possibly be a cute look." "Don't worry, you look beautiful with my cock in your mouth." "Well, if you say so." She gave his head a playful lick, her hazel eyes sparkling. "I am obsessed with looking good after all." She resumed in earnest, using her tongue to continue to rub against his sensitive spots on the underside of his shaft that she'd discovered with her hands yesterday. Within a minute of this rhythm, Andy was ready. He moaned a warning to her. Andy felt the pressure build to an explosive peak. His whole body tensed as waves of pleasure crashed through him. Sarah's hazel eyes locked onto his as she pulled back to his head, her full lips wrapped tight around him. She swallowed eagerly, her small hand squeezing and stroking his shaft with perfect pressure, milking every pulse of his orgasm. The sight of her looking up at him, her pretty face focused on pleasuring him while she swallowed his cum, made him shudder and spurt several more times. When the last aftershocks subsided, she made an exaggerated face, her perfect features scrunching up adorably. "Honestly, we need to find you some canned pineapple or something. Too many rehydrated beef stews." Andy laughed and relaxed, pleasant sensations spreading through his body. "I thought I was getting a sponsored post." "Oh right!" Her eyes lit up as she shifted into her content creator voice. "Hey loves! Quick update from your fave outdoor wellness girlie! Just discovered the most amazing hidden spot in the Presidio for my morning protein boost." She dabbed delicately at her lips with one manicured finger. "You know I'm always on the lookout for sustainable, all-natural sources of nutrients, and let me tell you, this one hits different! Super thick and creamy, with these really;" she gave a subtle eye-roll, "complex umami notes, definitely not your basic store-bought protein shake." She struck an exaggerated influencer pose, bare tits thrust forward. "Loving how it just slides right down, and it's packed with all those essential minerals my body craves." She tossed her ponytail and gave an exaggerated wink. "The best part? My super knowledgeable park ranger friend showed me exactly where to find it. We'll definitely be doing more outdoor taste testing sessions soon! Remember ladies, staying fit during the apocalypse is all about finding those secret spots and knowing exactly how to; work them!" She finished with an innocent smile. "Like and follow for more wellness tips and behind-the-scenes peeks at my outdoor adventures!" She giggled and reached for her top, pulling it back on with practiced grace. "Ok, feel better? Did I overdo it?" "No don't worry, that was quite a great ad." he said, pulling his pants back on. "Let's chill here for a moment before we go." She curled up next to him, her athletic body fitting perfectly against his side. Her layered hair tickled his arm as they watched the waves, the sun warm on their skin. After a few peaceful minutes, she stirred. "Ok, let's go." They stood, Sarah adjusting her ponytail and smoothing her outfit back to Instagram-ready perfection. As they walked back toward the Presidio, she bumped her hip playfully against his. "You know, for someone who claims to be above politics, you sure know how to negotiate for what you want." Day 8, Early Afternoon The medical tent hummed with barely contained chaos. A dozen cots had been crammed into the space, most occupied by patients in various states of distress. Someone moaned from behind a makeshift curtain while a volunteer with shaking hands tried to sort through a box of donated medications, labels facing every direction. The sharp smell of antiseptic couldn't quite mask the underlying odors of sweat and sickness. Dr. Elena Wilson hunched over a patient chart at a wobbly folding table, squinting at her own handwriting. Dark circles shadowed her eyes, and her silver-streaked hair had escaped its bun in several places. Her scrubs were wrinkled and spotted with what might have been coffee or something worse. When she reached for her pen, her movements were quick and economical, like someone who had learned long ago not to waste energy on unnecessary gestures. "Excuse me?" Andy cleared his throat. "Are you Dr. Wilson?" She looked up, blinking as if emerging from deep concentration. "Yeah, that's me." Her eyes flicked between Andy and Sarah, assessing. "You need medical attention?" "No, we're actually here to donate some supplies," Andy said. "I'm Andy, and this is Sarah. We just got to the city yesterday." Sarah nodded. "We brought antibiotics." Dr. Wilson's expression shifted subtly. "Let's see what you've got." Andy unzipped his pack and carefully laid out the bottles on the edge of the table. Dr. Wilson picked each one up, examining the labels. "Oh thank god," she murmured, almost to herself. Then louder: "Riti! Come here a sec!" A harried-looking nurse in faded scrubs hurried over, clipboard in hand. "Log these in," Dr. Wilson said, gesturing to the antibiotics. "And put them in the locked cabinet." She turned back to Andy and Sarah. "Thanks, you might have saved a few lives today." Sarah took the opportunity to speak up. "I heard you might be starting some kind of medical training," she said. "I studied biology at UCLA before; all this. I know it's not the same as medical training, but I really want to help if I can." Dr. Wilson ran a hand through her hair, further disheveling it. "Biology, huh? That's something at least. We're doing basic emergency response training on Tuesday morning. Everyone needs to know how to stop bleeding and recognize infection now." She glanced over at a patient who had started coughing violently. "Michelle will add you to the list. I need to check on Mr. Peterson." As Dr. Wilson hurried away, Michelle gave them a tired smile. "Don't mind her. She's been working pretty much non-stop since everything went down. The class starts at nine on Tuesday." She wrote Sarah's name in a notebook. "And thanks for the antibiotics. We're running low on everything." Day 8, Early Afternoon The afternoon sun beat down on the cracked pavement as Andy and Sarah made their way back through the empty streets of Presidio Heights. The silent houses loomed around them, windows dark and lifeless. Sarah tugged at her ponytail, trying to smooth it down. "God, it's so quiet," she said, her voice sounding unnaturally loud in the stillness. "I keep expecting to see someone walking a dog or mowing their lawn or something." Andy nodded, stepping over a newspaper that had yellowed in the sun. "Yeah, I know what you mean. Still doesn't feel real sometimes." "So;" Sarah kicked at a pebble. "Dr. Wilson was something else, wasn't she? I mean, I get why she's stressed, but jeez." "She's got a lot on her plate right now," Andy said with a sympathetic shrug. "At least that Michelle woman seemed nice. Makes me a little less nervous about the class." "I'm sure you'll do great," Andy said. "Maybe", she paused. "It's weird how some things from before seem useful now and others just; don't matter anymore." They walked in silence for a moment, their footsteps echoing slightly. "Meg seems pretty capable though, "Sarah said, glancing sideways at Andy, "I noticed you were quick to invite her to stay with us." She raised her eyebrows teasingly. Andy laughed. "Can't put anything past you, can I? Yeah, I thought having someone with her connections around might be helpful. But honestly? I respect her more for saying no. It shows she understands she needs to be with the people she's trying to help." "Hmm, very diplomatic of you." Sarah smiled, bumping her shoulder against his. "Well, despite the slightly terrifying doctor, I'd say it was a pretty good morning overall. Made some connections, signed up for medical training;" Her smile turned mischievous. "Found that nice spot overlooking the bay;" "With the excellent protein options," Andy added with a straight face. Sarah burst out laughing, her cheeks flushing slightly. "You know what's funny? After everything that's happened, pretending to be my old influencer self actually helps sometimes." Her voice softened. "Like, it's proof that I can still be that silly, excited person sometimes, even if I'm reviewing very different products these days." "Your authenticity really shines through," Andy said with mock seriousness. "Very engaging content." Sarah rolled her eyes and shoved him lightly. "Just wait until you see what I've got planned for future episodes." She looked at him more seriously. "But honestly? With all your political maneuvering today, what I appreciate most is how you make me feel like it's still okay to be silly sometimes. To still be; me." Without thinking, Sarah reached for his hand. Their fingers intertwined as they walked, finding comfort in the simple connection amid the silent streets. To be continued. Based on a post by the hospital, for Literotica.

Silver Alkhafaji's journey through chronic back pain began when she was a teenager and intensified during her PhD studies at UCSF. Misdiagnoses, escalating symptoms, and delayed imaging prolonged her suffering until an MRI finally revealed L5–S1 spondylolisthesis caused by a bilateral pars defect. After conservative care failed, Silver underwent a spinal fusion with laminectomy in December 2023. Recovery was far from linear—marked by setbacks, medication trials, physical therapy challenges, and emotional hurdles—but through perseverance, self-advocacy, and creative expression, she reclaimed her life. Today, Silver embraces healing through writing, community, and continued strength-building. Her story exemplifies the power of persistence, proper diagnosis, and listening to one's body.Support the show

On today's episode we're focusing on the thrower's shoulder with Dr. Sara Edwards, an orthopedic sports medicine and shoulder surgeon at UCSF. We have some great articles for you that contribute well to our conversation on different shoulder pathology in the overhead throwing athlete.  We start off our discussion today with a review article from the April 2023 issue of the yellow journal titled “Surgical Treatment of Superior Labral / Biceps Pathology in the Overhead Thrower.” The authors concluded that type II SLAP tears are the most common and are often difficult to diagnose due to frequent false positives on MRI. Therefore, history and physical exam correlation are critical. Nonop management – including rest, physical therapy targeting internal rotation deficits, and correction of scapular dyskinesis – can help, but return-to-play rates among pitchers remain low, around ~22%.When surgery is indicated, options include labral repair, biceps tenodesis, and rarely tenotomy. SLAP repair yields variable outcomes, with elite throwers showing the poorest return to prior performance – often less than 40%. Biceps tenodesis was once a salvage procedure but is now increasingly favored for selected athletes due to higher satisfaction, improved function, and return-to-sport rates of 70–80%. However, its impact on elite throwing mechanics remains uncertain. Then, from the June 2022 issue of JSES, we discuss a systematic review article titled “Return to play following nonsurgical management of SLAP tears.” This study evaluated outcomes of conservative treatment in 244 athletes (162 of which were elite). Across five studies, the overall return-to-play rate was 54%, rising to 78% among those who completed rehab. Return to prior performance was 43% overall and 72% for rehab completers. Successful programs emphasized restoring internal rotation, correcting scapular dyskinesis, and strengthening the rotator cuff and kinetic chain, with most athletes returning within six months. Risk factors for failure of conservative treatment were: older age, overhead sports participation (particularly baseball pitchers), traumatic injury, positive compression-rotation tests, rotator cuff pathology, longer careers or symptom duration, and Bennett spurs. Patient-reported outcomes improved significantly with nonoperative care. The authors conclude that nonsurgical management can be effective – especially for athletes who adhere to structured rehabilitation – but success is less predictable in older or high-demand overhead throwers.We are joined today by Dr. Sara Edwards, an orthopedic sports medicine and shoulder specialist at the University of California in San Francisco, and an Associate Professor at UCSF School of Medicine. She received her medical degree from Northwestern University and remained at Northwestern to complete her orthopedic surgery residency.  Thereafter, she completed a fellowship in sports medicine and shoulder surgery at Columbia University.  Dr. Edwards is currently the team physician for the City College of San Francisco, the University of San Francisco and the Oakland Ballet. 

Alice Wong, a disability rights activist, writer, and MacArthur Genius award winner based in San Francisco, died last Friday at UCSF at the age of 51. Wong was best known as the founder of the Disability Visibility Project (DVP), a group that highlights disabled people and disability culture through storytelling projects, social media and other channels. Alice's friend and fellow activist, Sandy Ho, wrote, “Alice Wong was a hysterical friend, writer, activist and disability justice luminary whose influence was outsized.” Today, we remember Wong by sharing a radio essay she recorded for The California Report Magazine in December 2022. Alice's GoFundMe Disability Rights Activist and Author Alice Wong Dies at 51 | KQED Bay Area Legends: Activist Alice Wong and The Power of Bringing Visibility to Disability Learn more about your ad choices. Visit megaphone.fm/adchoices

In this week's episode, we delve into the powerful documentary The Chaplain and The Doctor with two extraordinary guests: Betty Clark, the chaplain at the heart of the film, and Dr. Jessica Zitter, the physician and filmmaker who brought this story to the screen.  The film provides a deeply moving look into the ways personal stories and biases shape our interactions in healthcare. Through our conversation with Betty and Jessica, I gained a valuable insight: the narratives we carry within ourselves—whether conscious or unconscious—act as invisible forces that influence how we engage with patients and colleagues. I also learned that recognizing these stories and the biases they may produce, rather than avoiding them, can foster more genuine and empathetic care. They also may lead to deep friendships, as is clearly shown between Betty and Jessica. I love both this podcast episode and the film itself, as they shine a light on the deeply human—and oftentimes flawed—experience of working in healthcare. They remind us of the vital role of storytelling in shaping how we care for patients, and the often-overlooked yet essential contributions of chaplains in healthcare settings. Betty and Jessica's reflections underscore how chaplains bring compassion and humanity to the medical team, offering emotional and spiritual support to patients and providers alike.  If you're interested in watching The Chaplain and The Doctor during its festival tour, or would like to host a screening at your own institution, I encourage you to visit the film's website at TheChaplainandTheDoctor.com.    This episode of the GeriPal Podcast is sponsored by UCSF's Division of Palliative Medicine, an amazing group doing world class palliative care.  They are looking for physician faculty to join them in the inpatient and outpatient setting.  To learn more about job opportunities, please click here: https://aprecruit.ucsf.edu/apply/JPF05811   ** NOTE: To claim CME credit for this episode, click here **

Weight loss and diabetes drugs in the class called GLP-1s have exploded onto the market, starting to put a real dent in the obesity epidemic. And as doctors are gathering more data, it looks like the medications may also provide real benefits for cardiac health, liver disease, kidney function and possibly even addiction and sleep disorders. In this episode, a panel of experts explains how the drugs work, why they've been so effective, and how hopeful we might be about other uses. Cedars Sinai cardiologist Martha Gulati joins Nora Volkow, the director of the National Institute on Drug Abuse and Diana Thiara, an obesity expert at UCSF, for a forward-looking conversation about this potentially game-changing medical advancement. Time Magazine health reporter Alice Park moderates the conversation.

On this episode of Integrative Cancer Solutions Dr. Michael Karlfeldt is joined by Jeannine Walston who recounts her decades-long journey with a brain tumor, beginning with a shocking diagnosis in 1998 that led to three awake brain surgeries and a sequence of evolving treatments. She situates her story within a broader philosophy of integrative cancer care, emphasizing that true healing addresses mind, body, and spirit. Her narrative blends medical detail with lived experience, framing resilience and self-care as essential companions to clinical interventions.The conversation traces her early treatment arc: initial surgery after an MRI revealed an oligo astrocytoma, followed by cognitive rehabilitation and regular MRIs. As her tumor recurred, she navigated complex decisions and medical systems, seeking perspectives from neuro-oncologists at UCSF and Stanford while also exploring complementary approaches. This period included time in Washington, DC, work on Capitol Hill, and a deepening curiosity about nontraditional therapies that could augment standard care.Walston's treatment path advanced further in California, culminating in a third awake surgery in 2013 at UCLA and participation in innovative protocols. She describes combining radiation, oral chemotherapy, and a dendritic cell-based vaccine—personalized immunotherapy designed to marshal the immune system against the tumor. The discussion highlights promising outcomes associated with dendritic cell vaccines for aggressive brain cancers and underscores the value of multidisciplinary teams aligning evidence-based medicine with supportive practices.Parallel to the medical story runs a thread of personal growth. Walston speaks candidly about a dark period unrelated to cancer and the difficult inner work of cultivating self-love, gratitude, and resilience. She argues that sustainable well-being requires more than disease avoidance: it depends on quality sleep, nourishing diet, movement, stress reduction, and the courage to practice these habits consistently. In her view, neuroplasticity offers the scientific backbone—repeated, intentional behaviors can rewire thought patterns and support better emotional and physical health.Today, as a cancer coach, Jeannine Walston helps patients and caregivers build informed, holistic plans. She outlines practical steps: assemble a care team, evaluate options rigorously, and integrate supportive modalities like breathwork, meditation, music, and community connections. By sharing client stories and concrete tactics, she translates her experience into guidance that empowers others. The episode closes on a hopeful note—advances in treatments continue, and with integrative care, social support, and daily intentional practices, people can cultivate a life oriented toward healing and purpose alongside medical care.Jeannine Walston shares her 27-year journey with a brain tumor, including three awake surgeries and evolving treatments that shaped her philosophy of integrative care.She details moving from initial diagnosis and cognitive rehab to exploring both academic neuro-oncology (UCSF, Stanford, UCLA) and complementary therapies to support healing.A major milestone was her 2013 UCLA treatment combining radiation, oral chemotherapy, and a personalized dendritic cell vaccine aimed at amplifying immune response to the tumor.Beyond medicine, she emphasizes daily practices—sleep, nutrition, movement, stress reduction, gratitude, and self-love—as foundations for resilience and well-being.Now a cancer coach, she helps patients and caregivers build informed, holistic plans that blend evidence-based treatments with practical, compassionate support systems._____________________Grab my book A Better Way to Treat Cancer: A Comprehensive Guide to Understanding, Preventing and Most Effectively Treating Our Biggest Health Threat - https://www.amazon.com/dp/B0CM1KKD9X?ref_=pe_3052080_397514860 Unleashing 10X Power: A Revolutionary Approach to Conquering Cancerhttps://store.thekarlfeldtcenter.com/products/unleashing-10x-power-Price: $24.99-100% Off Discount Code: CANCERPODCAST1Healing Within: Unraveling the Emotional Roots of Cancerhttps://store.thekarlfeldtcenter.com/products/healing-within-Price: $24.99-100% Off Discount Code: CANCERPODCAST2----Integrative Cancer Solutions was created to instill hope and empowerment. Other people have been where you are right now and have already done the research for you. Listen to their stories and journeys and apply what they learned to achieve similar outcomes as they have, cancer remission and an even more fullness of life than before the diagnosis. Guests will discuss what therapies, supplements, and practitioners they relied on to beat cancer. Once diagnosed, time is of the essence. This podcast will dramatically reduce your learning curve as you search for your own solution to cancer. To learn more about the cutting-edge integrative cancer therapies Dr. Karlfeldt offer at his center, please visit www.TheKarlfeldtCenter.com

What are some of the top myths about nutrition? Listen to Lindsay Orbeta, UCSF nutritionist, as we break down the top myths around nutrition.

Today's conversation takes us upstream—to the source—of one of the most pressing and emotionally charged topics in modern pediatrics: the rise in autism spectrum disorders. Autism rates have continued to climb in 2025, but what if much of what we call “the epidemic” isn't simply genetics or better diagnosis, but a reflection of deeper biological, environmental, and developmental changes affecting the human organism before birth? To explore this critical question, I'm joined by three extraordinary clinicians who have dedicated their lives to understanding the roots of children's health and disease. Dr. Sandy Newmark, Clinical Professor of Pediatrics at the Osher Center for Integrative Medicine at UCSF, has spent the past two decades at the intersection of conventional and integrative medicine—focusing specifically on children with autism and ADHD. His approach blends deep compassion with scientific rigor, examining how nutrition, toxins, inflammation, and the microbiome shape the developing brain. Dr. Elisa Song, Stanford-, NYU-, and UCSF-trained integrative pediatrician and author of Healthy Kids, Happy Kids, is one of the leading global voices in pediatric functional medicine. As founder and Chief Medical Officer of Healthy Kids Happy Kids and Tiny Health, she's pioneering microbiome-centered strategies to reverse chronic disease in children and reshape how we think about wellness from the inside out. Dr. Leslie Stone, family physician, obstetrician, and co-founder of GrowBabyHealth.com, brings a lifetime of experience delivering and caring for over 5,000 babies. Her groundbreaking work in the science of Developmental Origins of Health and Disease—the DOHaD model—shows how what happens before and during pregnancy programs a child's long-term health, resilience, and risk for conditions like autism. Together, we'll discuss the emerging evidence that the autism epidemic is not a mystery of genetics alone, but a story written in inflammation, metabolic disruption, environmental exposures, and the developmental stressors of modern life. We'll explore how integrative and functional medicine are reframing prevention—not just treatment—and what it will take to truly turn the tide for the next generation. This is a conversation about hope, science, and the possibility of rewriting the future—one mother, one child, and one generation at a time.

if you have any feedback, please send us a text! Thank you!Dr. J.W. Beard, a UCSF-trained anesthesiologist and Chief Medical Officer of GE Healthcare's Patient Care Solutions division, joins the Vital Times podcast to discuss his remarkable career journey. As a member of the Board of the Anesthesia Patient Safety Foundation, Dr. Beard shares how his background in anesthesiology uniquely prepared him for leadership in the medical technology industry, and offers insights into bridging clinical practice and innovation. 

Today we're talking about something that doesn't always get enough attention in orthopaedic recovery — nutrition. What should patients eat before and after surgery to heal faster, recover better, and maybe even prevent complications? We spend so much time on rehab protocols and surgical technique, but what about fueling the body for healing? We've got Lindsay Orbeta, our UCSF clinical nutrition expert, here to help provide guidance

Episode 472 features Dr. Sheila Gujrathi, a biotech entrepreneur, executive, and champion for under represented leaders. Her new book, "The Mirror Effect: A Transformative Approach To Growth For The Next Generation Of Female Leaders" is out now.Chapters:00:00 Introduction and Book Announcement02:15 The Unmet Need: Writing for My Younger Self05:30 Overcoming Challenges: A Personal Journey09:45 The Power of Mentorship and Sponsorship14:00 Spiritual Growth and Finding Purpose18:20 Building a Personal Board of Directors23:10 The Inner Critic and Self-Compassion28:45 The Importance of Storytelling in Leadership33:00 Navigating Negative Work Environments37:15 Conclusion: Embracing Vulnerability and ConnectionFind Sheila Online:Website: ​​https://sheilagujrathimd.com/ TEDxTalk: https://www.youtube.com/watch?v=2DpDx6T3-X4 LinkedIn: https://www.linkedin.com/in/sheila-gujrathi-md/ Instagram: https://www.instagram.com/sheilagujrathimd/ Book: https://sheilagujrathimd.com/book/ About Sheila:Sheila is a biotech entrepreneur, executive, and champion for under represented leaders. Over the past 25 years, she's had the privilege of developing life-changing medicines for patients with serious diseases while building and running private and public biotech companies—including some exciting exits. Today she's a founder, chairwoman, board director, strategic advisor, and consultant to start-up companies and investment funds. Dr. Gujrathi was the co-founder and former CEO of Gossamer Bio and former Chief Medical Officer of Receptos. Her journey started at Northwestern University, where she earned both her M.D. and biomedical engineering degree, and took her from the halls of Harvard, UCSF, and Stanford to the corporate offices of Fortune 500 companies like McKinsey, Genentech, and Bristol-Myers Squibb.Dr. Gujrathi has earned multiple leadership awards, including AIMBE Fellow, BLOC100 Luminary, Healthcare Technology Report Top 25 Women Leaders in Biotechnology, Corporate Directors Forum Director of the Year, and Fiercest Women in Life Sciences. But what really lights her up is creating the inclusive environments she wished she'd had throughout her career. That's why she co-founded the Biotech CEO Sisterhood, a group of trailblazing female CEOs—because we're all better when we support each other.

A patient presents to the ER with hemoptysis. When is bronchial artery embolization (BAE) the right call, and what can you do to tip the odds of procedural success in your favor? In this episode of the BackTable Podcast, interventional radiologist Dr. Alexander Lam of UCSF shares his approach to bronchial artery embolization with host Dr. Ally Baheti.---This podcast is supported by:RADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISThe conversation covers why patients are referred for this procedure, the typical causes of bronchial artery hypertrophy, and Dr. Lam's preferred techniques for embolization, including the use of glue over traditional particles. Dr. Lam emphasizes the importance of multidisciplinary collaboration, detailed pre-procedure preparations, and recognizing potential complications.---TIMESTAMPS00:00 - Introduction01:45 - Patient Evaluation04:22 - Causes of Bronchial Hypertrophy09:03 - Procedure Setup10:35 - Catheter Selection and Techniques13:35 - Embolic Choices and Techniques19:39 - Understanding Different Types of Glue22:48 - Continuous Push Technique24:38 - Managing Complications and Success Rates28:14 - Postoperative Instructions and Follow-Up29:00 - Handling Difficult Bronchial Artery Selections34:02 - Final Thoughts

In an era where technology has the potential to transform healthcare, many digital health tools remain underutilized. Join us for a conversation with Dr. Kalie Dove-Maguire, an emergency medicine physician at UCSF and a pioneering health-tech innovator. Together, we will explore the challenges of integrating AI into clinical workflows, particularly in high-stakes environments like emergency medicine. Discover how emerging technologies, from genomics to wearables, are set to revolutionize clinical decision support and learn practical strategies for fostering a culture of innovation while ensuring patient privacy and data security. Dr. Dove-Maguire will share invaluable lessons on building digital health tools that clinicians can trust and effectively use, paving the way for a more efficient and equitable healthcare future. Read Transcript: https://mcdn.podbean.com/mf/web/k6uxja8xwqpqsrk2/medcast_episode112.pdf CME Information: https://stanford.cloud-cme.com/medcastepisode112 Claim CE and MOC: https://stanford.cloud-cme.com/Form.aspx?FormID=3651

Another NFL weekend and more injuries on turf! Listen to our latest podcast as we break down the science of injuries on turf versus grass and review our paper on the topic.

Focused ultrasound (FUS), also called high-intensity focused ultrasound (HIFU), is a noninvasive treatment using sound waves to address essential tremor and tremor-dominant Parkinson's disease. Drs. Doris Wang and Leo Sugrue of UCSF explain how FUS and deep brain stimulation work to reduce tremor, outline which patients may benefit, and describe how the UCSF team individualizes treatment. Series: "UC San Francisco News" [Health and Medicine] [Show ID: 41035]

Focused ultrasound (FUS), also called high-intensity focused ultrasound (HIFU), is a noninvasive treatment using sound waves to address essential tremor and tremor-dominant Parkinson's disease. Drs. Doris Wang and Leo Sugrue of UCSF explain how FUS and deep brain stimulation work to reduce tremor, outline which patients may benefit, and describe how the UCSF team individualizes treatment. Series: "UC San Francisco News" [Health and Medicine] [Show ID: 41035]

Focused ultrasound (FUS), also called high-intensity focused ultrasound (HIFU), is a noninvasive treatment using sound waves to address essential tremor and tremor-dominant Parkinson's disease. Drs. Doris Wang and Leo Sugrue of UCSF explain how FUS and deep brain stimulation work to reduce tremor, outline which patients may benefit, and describe how the UCSF team individualizes treatment. Series: "UC San Francisco News" [Health and Medicine] [Show ID: 41035]

In this episode, Amber Borucki, MD from Stanford Medicine, joins Host Sudheer Potru, DO, FASA, FASAM, and Co-Host Zafeer Baber, MD, to discuss acetaminophen use during pregnancy and childhood. They focus on a significant Swedish study that dispels myths about acetaminophen's links to autism, reinforcing its safety and effectiveness. Dr. Borucki highlights its role in pain management for expectant mothers and children, while the hosts discuss alternatives to opioids, like acetaminophen and ibuprofen, and stress the importance of consulting healthcare providers for proper dosing and guidance.About the GuestDr. Amber Borucki is an anesthesiologist and pain medicine specialist focused on chronic pain management in children and young adults, particularly after surgery or due to chronic conditions. She earned her medical degree from Rush Medical College and completed her residency at the University of Chicago. Dr. Borucki also underwent fellowships in pediatric anesthesiology and adult/pediatric pain medicine at Boston Children's Hospital, Brigham Women's Hospital, and Beth Israel Deaconess Medical Center. After a year of private practice in Reno, Nevada, she spent five years at UCSF as a pediatric anesthesiologist and the Director of the Pediatric Anesthesia Service at UCSF Benioff Children's Hospital.   

It's the that time of year when medical students begin the application and interview process for orthopedic residency. Listen to our podcast as we break down with a flashback to the past.

Founded in 1975, UCSF Fresno commemorates 50 remarkable years of training local doctors and improving healthcare in California's Central Valley in 2025. UCSF Fresno is a regional campus of UCSF's School of Medicine, located in the heart of California's San Joaquin Valley. By both serving and drawing strength from extraordinarily deep community roots, UCSF Fresno brings critical health care to families while to growing the next generation of health care providers and researchers. [Health and Medicine] [Show ID: 40987]

Founded in 1975, UCSF Fresno commemorates 50 remarkable years of training local doctors and improving healthcare in California's Central Valley in 2025. UCSF Fresno is a regional campus of UCSF's School of Medicine, located in the heart of California's San Joaquin Valley. By both serving and drawing strength from extraordinarily deep community roots, UCSF Fresno brings critical health care to families while to growing the next generation of health care providers and researchers. [Health and Medicine] [Show ID: 40987]

Founded in 1975, UCSF Fresno commemorates 50 remarkable years of training local doctors and improving healthcare in California's Central Valley in 2025. UCSF Fresno is a regional campus of UCSF's School of Medicine, located in the heart of California's San Joaquin Valley. By both serving and drawing strength from extraordinarily deep community roots, UCSF Fresno brings critical health care to families while to growing the next generation of health care providers and researchers. [Health and Medicine] [Show ID: 40987]

Harmony and Russell talk with researcher and author Matt Zemon about psychedelics as catalysts for change, not cures. They explore what current studies suggest about anxiety, PTSD, repetitive thinking, and addiction, then ground the conversation in practical guidance: source, set, and setting, medical intake, and the role of preparation and integration. The trio also contrasts medical and ceremonial lanes, the spiritual significance of entheogens, and how community transforms the healing arc—especially for veterans and for people navigating midlife transitions. What You'll Learn Catalyst vs. cure: why altered states create openness for change, and why integration is the practice that makes it stick Repetitive thinking patterns: how psychedelics may interrupt ruts that manifest as anxiety, depression, OCD, compulsions, or workaholism Source, set, and setting: a clear safety-first framework echoed by research institutions Preparation: clarifying intentions, tending physical space, and naming post-ceremony supports Integration: bringing insights into dishes, deadlines, and relationships, plus finding community that fits your path Medicine personalities: distinctions between ketamine, MDMA and MDA, psilocybin, LSD, ayahuasca, iboga/ibogaine, wachuma and peyote Risk basics: why independent medical consults matter, medications that conflict, and when supervised care is non-negotiable Spiritual context: clinical findings alongside living spiritual traditions, and why collaboration between science and spirit is needed now The information provided in this episode is for educational and informational purposes only. It does not constitute medical, psychological, or legal advice, and should not be relied upon as such. Psychedelic substances remain illegal in many jurisdictions, and their use carries physical, psychological, and legal risks.  If you are struggling with your mental health or substance use, please seek support from a licensed professional or contact your local mental health helpline. About Our Guest — Matt Zemon Matt holds a Master's in Psychology and Neuroscience from King's College London and is completing a Doctorate of Ministry at the Pacific School of Religion. He's the author of Psychedelics for Everyone, Beyond the Trip, and The Veteran's Guide to Psychedelics created with the Heroic Hearts Project. Matt works at the intersection of spirituality and mental health, helping communities and providers reduce risk and support meaningful, safe experiences. Resources Mentioned (pulled from the convo) Guest site: mattzemon.com Books: Psychedelics for Everyone, Beyond the Trip, The Veteran's Guide to Psychedelics Organizations and references mentioned: King's College London Pacific School of Religion Heroic Hearts Project Johns Hopkins, NYU, UCSF psychedelic research programs spiritpharmacist.com (Dr. Ben Malcolm), Dr. Emily Kopa On safety frameworks: source, set, and setting On community and faith-based contexts: Christian, Jewish, and Islamic psychedelic groups were referenced generally Call to Action Join Harmony's 21-Day Money Magic and Manifestation Challenge starting November 3 with a bonus live activation on Sunday, November 2. Check the show notes link to register, get the Manifestation Activation right away, and meet the community. Subscribe, rate, and review the show. Turn on automatic downloads. Say hello on Instagram: @findingharmonypodcast and @harmonyslaterofficial. Upcoming events: https://harmonyslater.com/events 21 Day Money Magic Manifestation Challenge: https://community-harmonyslater.com/landing/plans/1542444Use PROMO CODE for additional $20 Savings: MANIFESTATIONMAGIC  FREE Manifestation Activation: https://harmonyslater.kit.com/manifestation-activation FIND Harmony: https://harmonyslater.com/ JOIN the Finding Harmony Community: https://community-harmonyslater.com/ Harmony on IG: https://www.instagram.com/harmonyslaterofficial/ Finding Harmony Podcast on IG: https://www.instagram.com/findingharmonypodcast/ FREE 2 min breathwork practice: https://harmonyslater.com/morning-breathwork-optin Find your Spiritual Entrepreneur Archetype! Take the Quiz! https://harmonyslater.com/spiritual-entrepreneur-archetype-quiz BOOK Your Spinal Energetics Session: https://harmonyslater.as.me/

In this episode of the Glowing Older podcast, host Nancy Griffin interviews Dr. Kenneth Pelletier, a clinical professor of medicine and psychiatry at UCSF, about the science of longevity and the role of epigenetics. Dr. Pelletier shares insights into the importance of healthspan over lifespan, and the impact of diet, stress, exercise, and social support on longevity. He also discusses the potential and limitations of biohacking and the growing field of integrative medicine. About Dr. Pelletier Kenneth R. Pelletier, PhD, MD is a Clinical Professor of Medicine, Department of Medicine; Department of Family and Community Medicine; and Department of Psychiatry at the University of California School of Medicine (UCSF) in San Francisco; and a Clinical Professor of Medicine in the Department of Medicine and Department Family and Community Medicine at the University of Arizona School of Medicine in Tucson. At the present time, Dr. Pelletier is a medical and business consultant to the US Department of Health and Human Services, the World Health Organization (WHO), the National Business Group on Health, the Federation of State Medical Boards, the Wild Dolphin Project, and major corporations including Cisco, IBM, American Airlines, Prudential, Dow, Disney, Ford, Mercer, Merck, Pepsico, Ford, Pfizer, Walgreens, NASA, Microsoft ENCARTA, Blue Cross/Blue Shield, United Healthcare, Health Net, the Pasteur Institute of Lille, France, the Alpha Group of Mexico, and the Singapore Ministry of Health. He also serves on the boards of the Rancho la Puerta (Mexico), Nova Institute, Fries Foundation, American Institute of Stress (AIS), American Journal of Health Promotion (AJHP), as a Founding Board Member of the American Board of Integrative Medicine (ABOIM), and as a peer reviewer for the Journal of the American Medical Association (JAMA), the Journal of Occupational and Environmental Medicine (JOEM), Annals of Internal Medicine, Health Affairs, and webMD.  Dr. Pelletier is listed in Who's Who in America and in Who's Who in the World. He has been featured on ABC World News, the Today program, Good Morning America, Dr Oz, the CBS Evening News, 48 Hours, the McNeil-Lehrer Newshour, CNN, FOX News, and CBS Sunday Morning.Dr. Pelletier is the author of 15 major books including the international bestseller Mind as Healer, Mind as Slayer; Holistic Medicine: From Stress to Optimum Health; Longevity: Fulfilling Our Biological Potential; Healthy People in Unhealthy Places; Stress and Fitness at Work; Sound Mind – Sound Body: A New Model for Lifelong Health; The Best Alternative Medicine: What Works? What Does Not?; Stress Free for Good: Ten Scientifically Proven Life Skills for Health and Happiness; New Medicine: How to Integrate Conventional and Alternative Medicine for the Safest and Most Effective Treatment and Change Your Genes – Change Your Life: Creating Optimal Health with the New Science ofEpigenetics.Key TakeawaysEpigenetics is a relatively new science, developed in the last 15 years. Epigenetics are all of the influences that determine our health, wellbeing, and life expectancy after the sperm and ovum unite. Epigenetics plays a crucial role in determining health and life expectancy – 95 % of health, illness, and life expectancy are due to factors other than our genes. The role of diet, stress, physical activity and social support significantly influence genetic expression.There are no longitudinal studies for biohacking. Don'tgo into the periphery and engage in questionable practices. Sort hope from hype.Equal criteria for evaluating the outcomes of alternative and conventional medicine must be applied; both should be held to the same rigorous scientific standards to ensure their acceptability and effectiveness.

How do orthopedic surgeons utilize social media? What platforms are the best for patients and physicians? Listen to our latest podcast as we break it all down.

Today, we're exploring the science behind why we haven't been able to think our way out of perfectionist and people pleasing tendencies. To help us with this, our guest is Beatriz (Béa) Victoria Albina,  a UCSF-trained Family Nurse Practitioner, Somatic Experiencing Practitioner, Master Certified Somatic Life Coach. She is the author of  "End Emotional Outsourcing: a Guide to Overcoming Codependent, Perfectionist and People Pleasing Habits", which you can pick up now: https://beatrizalbina.com/book/Beatriz is passionate about 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.You're going to walk away with some great information on how to reconnect with your body and regulate your nervous system, something we all can benefit from right now.Links mentioned:Whitexicans restaurant: https://www.forbes.com/sites/dougmelville/2025/10/21/as-whitexicans-restaurant-opens-locals-protest-the-name-is-it-racist-or-satire/James by Percival Everett:https://www.panmacmillan.com/authors/percival-everett/james/9781035031269Tamarindo is a lighthearted show hosted by Brenda Gonzalez and Delsy Sandoval talking about politics, culture, and self-development. We're here to uplift our community through powerful conversations with changemakers, creatives, and healers. Join us as we delve into discussions on race, gender, representation, and life! You can get in touch with us at www.tamarindopodcast.comBrenda Gonzalez and Delsy Sandoval are executive producers of Tamarindo podcast with production support by Karina Riveroll of Sonoro Media. Jeff Ricards produced our theme song. If you want to support our work, please rate and review our show here.SUPPORT OUR SHOWContribute to the show: https://www.paypal.com/paypalme/tamarindopodcast1Follow Tamarindo on instagram @tamarindopodcast and on YouTube: https://www.youtube.com/@TamarindoPodcast-143 Tamarindo's mission is to use laughter and conversation to inform, inspire and positively impact our community. Learn more at tamarindopodcast.com

Synopsis: Host Rahul Chaturvedi sits down with Geoffrey Duyk, Chief Executive Officer of Grove Biopharma, for a wide-ranging conversation on navigating today's biotech macro headwinds and building companies that can translate breakthrough science into real patient impact. Dr. Duyk traces his journey from Harvard/Millennium/Exelixis operator to TPG investor and back to company creation, explaining how board dynamics, capital cycles, and policy shifts shape execution. They dig into why this cycle feels uniquely tough—patent cliffs, reimbursement uncertainty, NIH pressures—and who funds innovation in the meantime. Duyk outlines root causes of R&D inefficiency (misaligned capital vs. 20-year timelines, shaky preclinical predictability, costly trials, underused real-world data) and makes the case for rebuilding public trust and STEM education. Then, a deep dive on Grove Biopharma: precision polymer science that creates antibody-like, fully synthetic, cell-permeable protein mimetics to tackle historically “intractable” intracellular protein–protein interactions. Duyk shares design principles, why modular/orthogonal chemistry matters, predictable pharmacology, and lessons from fundraising and board management—plus why he's helping grow a Chicago-centered biotech ecosystem. Biography: Geoffrey M. Duyk, M.D., Ph.D. is the Chief Executive Officer of Grove Biopharma. Dr. Duyk has spent 30 years in the biotechnology industry as an entrepreneur, executive, and investor. Most recently, he was the Managing Partner at Circularis Partners, an investment firm he co-founded, focused on advancing the circular economy and promoting sustainability. Prior to that, Dr. Duyk was Managing Director and Partner at TPG Alternative & Renewable Technologies (ART)/TPG Biotechnology. Before joining TPG, Dr. Duyk served as a board member and President of R&D at Exelixis and was one of the founding scientific staff members at Millennium Pharmaceuticals, where he served as Vice President of Genomics. Earlier in his career, Dr. Duyk was an Assistant Professor in the Department of Genetics at Harvard Medical School (HMS) and an Assistant Investigator at the Howard Hughes Medical Institute (HHMI). While at HMS, he served as a co–principal investigator in the Cooperative Human Linkage Center, which was funded by the National Institutes of Health (NIH). Dr. Duyk is a trustee of Case Western Reserve University, where he serves on the executive committee. He previously served on the Board of Trustees of Wesleyan University and the Board of Directors of the Moffitt Cancer Center. He currently serves on the IR&E (Institutional Research and Evaluation) Committee at Moffitt, a key component of its External Advisory Committee (EAC). He was also a member of the Board of Directors of the American Society of Human Genetics (ASHG), and served as its treasurer. He is a member of the Life Sciences Advisory Board at Innovatus Capital Partners and the Scientific Advisory Board (SAB) for Lawrence Berkeley National Laboratory (DOE). Dr. Duyk previously served on the board of the Jackson Laboratory and on numerous NIH advisory committees. He is currently a Senior Advisor at Qiming Venture Partners (USA) and serves on the boards of Enno DC, Oobli, and Melanyze Dr. Duyk earned both his M.D. and Ph.D. from Case Western Reserve University and completed his medical and fellowship training at the University of California, San Francisco (UCSF). While at UCSF, he was a Lucille P. Markey Fellow and an HHMI postdoctoral fellow. He is a fellow of the American Association for the Advancement of Science.

Welcome back PATHPod listeners! In this soul-nourishing episode, we reconnect with the joy of guest interviews and spotlight a lifelong friend of Toni's and powerhouse healer: Amy Long, CMT. Amy brings decades of wisdom, compassion, and curiosity to her work as a certified medical massage therapist. Amy is a graduate of McKinnon Massage School and UCSF's prestigious hospital-based medical massage fellowship. Her work spans the full human spectrum—from infants to seniors, including hospice care. She specializes in medically complex conditions, using gentle, nervous-system-focused techniques to support pain management, anxiety, and healing.After a brief hiatus to host our second PathPod retreat in Boise, we're thrilled to dive back into conversations that illuminate, educate, and inspire. And this one? It's a masterclass in healing through touch.What You'll Learn: The difference between traditional massage and medical massage—and why it matters How therapeutic touch can activate the parasympathetic nervous system and reduce reliance on medication The power of craniosacral therapy and acupressure in hospital settings Why “less is more” when it comes to healing touch How Amy's background in education and her lifelong love of learning shaped her unique approach Amy's Takeaways: Massage is healthcare. Period. Gentle touch can be profoundly therapeutic—even in the most medically fragile situations. Respect, autonomy, and presence are key when working with pediatric and adult patients alike. Integrative health modalities like massage, acupuncture, and music therapy are gaining traction in hospital settings—and changing lives. Hear how Amy's work brought peace and sleep to a friend in crisis at NYU Langone, and how her techniques offer comfort beyond the physical—especially for patients navigating grief, uncertainty, and isolation.Tune in for a heartfelt, eye-opening journey into the world of medical massage. Whether you're a healthcare professional, caregiver, or simply curious about holistic healing, this episode will leave you informed, inspired, and ready to explore new paths to wellness.Listen now and get ready to feel the love—one therapeutic touch at a time.Resources mentioned during the episode:1.      Society for Oncology Massage (S4OM)S4OM is a leading organization dedicated to advancing oncology massage through education, standards, and practitioner support. Official Website.2.       HealwellHealwell is a nonprofit organization that integrates massage therapy into clinical settings and offers education for healthcare professionals. Official Website.    Playlist:Inspired by Amy's love of funk, soul, and R&B, this episode's playlist features Curtis Mayfield's “People Get Ready”—a call to action and a soulful anthem that sets the tone for this transformative conversation. 

This week we review an episode from 3 years back and delve into the world of adult congenital heart disease when we review a recent work from the ACHD team at UCSF that assesses the impact of BMI on clinical outcomes in the single ventricle adult Fontan patient. What is the cause of elevation in BMI in some Fontan patients? Is obesity the only explanation? Is BMI a modifiable risk factor for our Fontan patients and should exercise be 'prescribed' for these patients? If so prescribed, what type of exercise is best for the Fontan patient? This week's work's senior author, Dr. Anushree Agarwal, Assistant Professor of Medicine at UCSF, shares her insights into this important topic. DOI: 10.1161/JAHA.122.026732Also mentioned in today's episode is episode #222 with Dr. Dan Halpern of NYU medical center (https://www.stitcher.com/show/pediheartpediatric-cardiology-today/episode/pediheart-podcast-222-impact-of-cardiac-rehab-on-exercise-tolerance-in-the-achd-patient-206781483)

When a patient is diagnosed with non-muscle invasive bladder cancer (NMIBC), how do you tailor the conversation and treatment plan to their individual needs (and fears)? In part two of the 2025 NMIBC Creator Weekend™ series, host Dr. Vignesh Packiam is joined by Dr. Sima Porten from UCSF and Dr. Patrick Hensley from the University of Kentucky to discuss patient-centered diagnostic and therapeutic approaches for non-muscle invasive bladder cancer.---This podcast is supported by:Ferring Pharmaceuticalshttps://www.ferring.com/home-classic/people-and-families/uro-uro-oncology/bladder-cancer/---SYNPOSISThe conversation covers initial patient consultations, discussing diagnoses, personalized treatment options such as BCG, gemcitabine, clinical trials, and managing side effects. The experts emphasize the importance of clear communication, understanding patient preferences, and tailoring approaches to enhance the patient's quality of life. They also explore insights from recent studies like the CISTO trial and highlight novel research directions.---TIMESTAMPS00:00 - Introduction04:28 - Counseling Patients on Diagnostic Findings12:03 - Symptom Management and Patient Care19:30 - Post-Procedure Care and Counseling28:50 - Recovery After TURBT: Medications and Patient Care44:16 - The Impact of Radical Cystectomy on Quality of Life49:15 - Final Thoughts and Future Directions in Bladder Cancer Care---RESOURCESNIMBUS Studyhttps://pubmed.ncbi.nlm.nih.gov/32446864/

Lekshmi Santhosh, MD, MAEd, an innovative leader in medicine, joins our Faculty Factory Podcast this week to discuss building an array of mentors, each playing a different role in your life and career journey in academic medicine. She also encourages us to challenge conventional definitions of mentoring throughout this conversation. The concept of matrix mentorship invites us to explore the metaphor of a “bouquet of mentors,” which is a central theme of the interview. At the University of California, San Francisco (UCSF), Dr. Santhosh is an Associate Professor of Pulmonary/Critical Care Medicine and Hospital Medicine. She serves as the Department of Medicine's Associate Chair for Mentorship and People Development and is the Associate Program Director for the internal medicine residency program at UCSF. She also holds the title of Gold-headed Cane Endowed Education Chair in Internal Medicine. Her passion for mentoring trainees, early-career faculty, and peers shines throughout this discussion. “Just knowing that one mentor is not going to be able to meet all your needs is really important,” Dr. Santhosh emphasizes. Thank you to a dear friend of the Faculty Factory, Joshua Hartzell, MD, MS-HPEd, FACP, FIDSA, for recommending Dr. Santhosh as a guest on our show. It was a very memorable and special debut on the Faculty Factory Podcast for her. You can revisit our leadership conversation with Dr. Hartzell: https://facultyfactory.org/joshua-hartzell/ And of course, if you have a guest you'd like us to invite for a conversation on our podcast, please send us a message: https://facultyfactory.org/contact-us/

This is the second GeriPal podcast we've recorded live using this format, see this link to our prior podcast at the Center to Advance Palliative Care (CAPC) meeting in Philadelphia.  Also look for our upcoming podcast recorded live from the São Paulo Geriatrics & Gerontology Congress, click here to register. Today we join you from beautiful Banff, Alberta, Canada at the National Palliative Care Research Center (NPCRC) annual Kathleen Foley retreat.  This meeting was bittersweet.  I've been fortunate to attend every meeting in one capacity or another since 2006.  The NPCRC made an enormous impact  on the growth and capacity for palliative care research nationally.  Personally, NPCRC funding was essential support as I was a new faculty member and had not yet secured longer term career development funding. More than anything, though, I will miss the NPCRC community.  I treasure those meals, hikes, sing-alongs with others dedicated to improving care of people with serious illness through research. On today's podcast, we invited Dio Kavalieratos, Prasanna Ananth, and Alexi Wright to join us to talk about three articles that spoke to them.  For each I leave you with a teaser of a hard question that was raised that we couldn't really answer. Prasanna chose an article by Abby Rosenberg about being fired in palliative care. We talked about why palliative care clinicians get fired, with Prasanna, a pediatric oncologist, raising the issue that it's more problematic when you're the oncologist providing primary palliative care and you get fired than if the consultant specialty palliative care provider is fired. Dio chose an article about the economic benefits of palliative care internationally, a call to action.  We talked about the needs of palliative care internationally, and Alexi raised the question: should the highest standard of palliative care (e.g. in the US) apply to palliative care in every country, a la the Partners in Health model pioneered by the late Paul Farmer? Or should we “settle” for access to affordable opioids? Alexi chose an article about cancer care in prison. Alexi used it as a springboard to talk about other populations at compounded risk for poorer care in the current political environment. We hope you enjoy this one as much as we did, dear listeners.  We're always trying to improve, and welcome your suggestions for how to improve upon this new “live” format.  So far we've heard we need to be better at summarizing the articles for the audience/listeners, and finding ways to involve our live audience to a greater extent than the occasional question. Please let us know if you have other suggestions! Final note - check out the wonderful video NPCRC created about their impact on the field of palliative care (Eric and I were filmed recording GeriPal). -Alex Smith   This episode of the GeriPal Podcast is sponsored by UCSF's Division of Palliative Medicine, an amazing group doing world class palliative care.  They are looking for physician faculty to join them in the inpatient and outpatient setting.  To learn more about job opportunities, please click here: https://aprecruit.ucsf.edu/apply/JPF05811

Jeff H. Greenwald, M.F.T., is an internationally recognized sports psychology consultant/elite mental coach and licensed therapist. He has vast experience with athletes across all sports. As a recent Northern California Hall of Fame inductee in 2019, Jeff has been helping athletes, performing artists and executives find the keys to fearless performance. Jeff's personal coaching, seminars, best-selling books, audio programs, and online courses have been popular resources utilized by thousands of players and athletes worldwide.Frustrated with his performance as a modestly ranked professional tennis player in his twenties, Jeff went on to earn Master's Degrees in clinical and sports psychology. During this process, he discovered the fundamental principles of athletic performance that propelled him from a moderately successful tennis player to No. 1 in the world in his age group and two ITF world titles. In Jeff's best-selling book, The Best Tennis of Your Life, and through his best-selling mental training program, Fearless Tennis Platinum Course numerous podcast appearances, blog articles, and through his direct one-on-one and workshops, he has helped thousands of athletes and professionals experience similar breakthroughs.Jeff has been trained in cognitive behavioral psychology as well as what is now called the “new wave” in psychology--Acceptance Commitment Therapy (ACT). He worked closely with Dr. Jim Loehr, author of The Power of Full Engagement and CEO of the Human Performance Institute. Jeff has been on the speaking bureau for Wilson Sporting Goods and a consultant for the United States Tennis Association over the past fifteen years. He also has consulted with or been engaged as a speaker/Mental Coach at Stanford Men's Tennis, UC Berkeley Men's Tennis, UCSF, Claremont McKenna, College Park, Missouri Athletic Club, Nelson Staffing, UCLA Medical Center, Merrill Lynch, the Young Presidents Organization, the Lawn Tennis Association, and the Czech Federation.Jeff has appeared in the New York Times, USA Today, Tennis Magazine, and other online publications, including in the U.K. and Czech Republic. He lives in Northern California and has two teenage children, both of whom are highly competitive athletes in soccer and tennis. Jeff consults with numerous ranked juniors, pros, and college athletes in all sports.To View This Episode- https://youtu.be/cUehjRUbFK4#philfriedrich #whoknewinthemoment #sportspsychology #tennis #author

It's been a brutal season for the 49ers from an injury perspective. Listen to our latest podcast as we break down the general treatment and recovery timelines for ankle fracture / dislocations with the Fred Warner injury yesterday.

We got the doctor on the line, our UCSF medial insider Dr. Pandya joins The Roast to breakdown the injuries to Fred Warner and Jauan Jennings.

In this episode of The Birth Trauma Mama Podcast, Kayleigh sits down with Dr. Arianna Cassidy, maternal-fetal medicine physician at UCSF, to unpack one of the most complex and high-risk conditions in pregnancy: placenta accreta.Placenta accreta spectrum disorders have been rising alongside C-section rates, yet remain widely misunderstood. Dr. Cassidy shares her personal journey into medicine, her role in building UCSF's multidisciplinary accreta center, and why the care for these patients must go beyond surgery and survival.Together, they explore:

What do you really want the second half of your life to look like?  Being a doormat for others, then resenting it? Saying yes, when you really mean no? Doing more tasks or more work, taking responsibility for everything, and feeling overwhelmed in your life?  This can be how so many of us in midlife feel, but I'm here to tell you there IS another way.  In this episode, I sit down with expert Beatriz Albina to talk about a challenge so many women face but can't always name—patterns of overgiving, perfectionism, and the ultimate people-pleasing trap.  Beatriz introduces the concept of emotional outsourcing and how it quietly drives these behaviors, leaving us feeling stuck and drained.  Together, we discuss how reframing your mindset is a powerful tool for reclaiming your emotional well-being. Plus, Beatriz gives us a sneak peek into her brand-new book, End Emotional Outsourcing—a guide to finding freedom, balance, and true self-connection. Tune in here to reignite joy in your life, and find the inner peace you've been craving for years!  Beatriz Albina Beatriz (Béa) Albina, NP, MPH, SEP (she/her) is a UCSF-trained Family Nurse Practitioner, Somatic Experiencing Practitioner, Master Certified Somatic Life Coach, and author of the book "End Emotional Outsourcing: a Guide to Overcoming Codependent, Perfectionist and People Pleasing Habits". She's dedicated to helping people socialized as women reconnect with their bodies, regulate their nervous systems, and rewire their minds to break free from codependency, perfectionism, and people-pleasing. Béa hosts the Feminist Wellness Podcast, and holds a Master's degree in Public Health from Boston University School of Public Health and a BA in Latin American Studies from Oberlin College. IN THIS EPISODE What is emotional outsourcing, and how can it impact women?  Getting back to the basics for our emotional needs  How our emotions lie in our nervous system– not just our minds   Calming techniques you can do in 5 seconds, anytime, anywhere Detaching from labels like ‘co-dependent' and ‘perfectionist'  How to stay regulated while also setting boundaries  Why reframing your mindset is so important for healing  All about Beatriz's book: End Emotional Outsourcing  QUOTES “This is what happens when we get activated or triggered in our nervous system. When we start being mean to ourselves, when we ignore our impulses, when we project, when we take things personally, when we get offended, all these things– our nervous system is in a different time and place.”  “That's the self-worth work. Saying, ‘I trust myself, I believe in myself, and so I know that this isn't a problem.' And that's that. Not allowing any other thoughts to enter your beautiful mind space, your world, your body. It's really vital work.”  “What our children and our partners, and our friends and our communities and ourselves want and need from us the most, most, most, is presence. Intunement and presence.”  RESOURCES MENTIONED Use code ENERGIZED and get $100 off on your CAROL Bike purchase https://carolbike.pxf.io/GK3LaE Preorder the Perimenopause Revolution and get your VIP ticket to the Perimenopause Solution event  http://hayh.site/pr_bl_ap-snyder_a_opt Order Béa's book: End Emotional Outsourcing HERE http://beatrizalbina.com/book Béa's Website Béa's Instagram RELATED EPISODES  #629: Unlocking Emotional Resilience with Awareness, Lifestyle and Tools to Regulate Your Stress Triggers with Dr. Drew Ramsey #553: Simple Ways to Start Feeling Calm and Safe and How to Align Your Nervous System for More Abundance with Kate Northrup #565: How to Live in a State of Ease and Flow vs. Overwhelm and Resentment + Reclaiming Your Aliveness with Alexi Panos #569: How to Build a Strong Emotional Connection with Your Partner and How to Transform Your Love Life with Vanessa and Xander Marin

I'm so excited to welcome back Beatriz (Béa) Victoria Albina to talk about something so many of us quietly wrestle with: emotional outsourcing. Béa is a master certified somatic life coach, UCSF-trained family nurse practitioner, and breath work meditation guide who helps humans socialized as women break free from codependency, perfectionism, and people-pleasing so they can reclaim their joy. A lot of what we cover in today's episode shows up in her brand new book End Emotional Outsourcing. We dig into what emotional outsourcing really is, how we hand over our sense of safety, belonging and worth to everyone and everything outside of ourselves, and the ripple effect that has on boundaries, relationships and your nervous system. Béa explains why talk therapy alone can leave you stuck, what is actually happening when you freeze in the moment, and how perfectionism can sneak into healing and personal growth. And because you know I love practical takeaways, Béa shares simple somatic tools you can use right now to come back home to yourself. These small but powerful shifts help you rebuild self trust and stop outsourcing your emotional wellness. What you will hear in this episode: What emotional outsourcing really is and how codependency, perfectionism, and people-pleasing all fit under it (3:58) Béa explains what she means when she says, “you do this healing in relationship…” (25:36)  Practical somatic practices to rebuild self-trust and move away from outsourcing (32:32) How to begin to rebuild trust with yourself and hear what your body wants (38:30) Resources from this episode: Andrea's email list:andreaowen.com/free Andrea on Instagram Andrea's coaching and application page Beatriz's book Beatriz's website Episode 531: Navigating Triggers and Calming the Nervous System with Beatriz Victoria Albina Book recommendations: I love a good personal development book, and you do too, right? I've compiled a list of book recommendations, as mentioned in past episodes. Check out these amazing book recommendations here. Happy reading!   MSN is supported by: We love the sponsors that make our show possible! You can always find all the special deals and codes for all our current sponsors on our website: andreaowen.com/sponsors/ https://andreaowen.com/podcast/696 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Learn why uncertainty fuels anxiety and how noticing our body's stress signals can help us find calm.Summary: One in five adults in the U.S. report living with anxiety, and many of us struggle to control or avoid the feelings that come with it. Science shows that tuning into the body, rather than resisting discomfort, can actually reduce anxiety and strengthen resilience. Join us on The Science of Happiness as we explore what anxiety teaches us about control, uncertainty, and how to care for ourselves with more compassion.How To Do This Practice: Create a quiet moment for yourself: Find a space where you won't be interrupted—even just for 30 seconds. Close the door, silence your phone, and step away from distractions. Take a deep breath in: Begin with one slow, steady inhale. On the exhale, let your body soften. Keep your breathing gentle, not forced. Do a quick scan: Where are you holding stress? Maybe in your chest, shoulders, or jaw. Simply notice the tightness or pressure without trying to change it. Breathe into those sensations: With each inhale, imagine sending your breath to the place where stress lives in your body. With each exhale, release a little of that tension—like letting it flow out. Name what's on your mind: Ask yourself: What am I feeling? Am I anxious about the past, worried about the future, or caught up in uncertainty? You don't need to solve or fix anything—just acknowledge it. Let it go, even briefly: Tell yourself, I don't have to fix this right now. Allow the stress to soften as you exhale. Even 20–30 seconds can bring a sense of calm and clarity. Scroll down for a transcription of this episode.Today's Guests: JENNY LITTLE is a Health and Fitness Director at the Albany YMCA.DR. ELISSA EPEL is a psychologist and professor at UCSF. Her research shows how chronic stress and anxiety affect our bodies at the cellular level.Learn more about Dr. Elissa Epel here: https://www.elissaepel.com/Related The Science of Happiness episodes:  How Holding Yourself Can Reduce Stress: https://tinyurl.com/2hvhkwe6Hot to Tap Your Way to Calm and Clarity: https://tinyurl.com/psmskjypHow To Tune Out The Noise: https://tinyurl.com/4hhekjuhRelated Happiness Breaks:Make Uncertainty Part of the Process: https://tinyurl.com/234u5ds7A Meditation for When You Feel Uneasy: https://tinyurl.com/4x27ut3pA Meditation For When You Have Too Much To Do: https://tinyurl.com/5dvk3d7mTell us about your experience with this practice. Email us at happinesspod@berkeley.edu or follow on Instagram @HappinessPod.Help us share The Science of Happiness! Leave us a 5-star review on Apple Podcasts and share this link with someone who might like the show: https://tinyurl.com/2p9h5aapTranscription: https://tinyurl.com/mskvfmv4