Podcasts about upstate medical university

The Standardized Patient program, part of Upstate Medical University’s Simulation Center, is seeking applicants for the part-time job of helping to educate a variety of students at Upstate. The Standardized Patient program, part of Upstate Medical University’s Simulation Center, is seeking applicants for the part-time job of helping to educate a variety of students at Upstate. Hesham Masoud, MD, Hesham Masoud, MD, is the director of the is the director of the Sim Center Sim Center, and, and Matt Capogreco Matt Capogreco is the program director for the standardized patient program. Together they explain how valuable standardized patients are to teaching future doctors, nurses and other medical professionals. is the program director for the standardized patient program. Together they explain how valuable standardized patients are to teaching future doctors, nurses and other medical professionals.

More men are stepping into the aesthetic space—and Dr. Mina and Dr. Bradley Glodny are breaking down why. From shifting cultural norms to the impact of social media, they unpack what's driving this change—and what men are looking for when it comes to cosmetic care. They dive into the most popular treatments for male patients, including skin tightening and hair restoration, and share practical tips for building effective skincare routines. It's a fresh look at men's aesthetics, focused on confidence, prevention, and long-term skin health. Whether it's prevention, maintenance, or a subtle refresh, this episode offers insights into what's next for men in aesthetics.   Key Takeaways: - Men are increasingly seeking cosmetic procedures for skincare. - Social media has significantly influenced men's perceptions of beauty. - Good cosmetic work should look natural and subtle. - Men often have less specific aesthetic requests compared to women. - A strong jawline is a common request among male patients. - Men are becoming more aware of the importance of skincare. - Sun damage is a significant concern for many male patients. - Skin tightening procedures are gaining popularity among men. - Education about sunscreen is crucial for male patients. - Natural results are prioritized in male aesthetic treatments. Counseling patients on realistic expectations is crucial. - Surgery is not always the preferred option for men. - Blepharoplasty is a popular procedure among male patients. - Men are sensitive about hair loss and seek preventive measures. - Combining medical and cosmetic treatments yields the best results. - Red light therapy is gaining traction for hair restoration. - Consistency in treatment is key for effective results. - Vitamin D plays a significant role in overall health, including hair. - A basic skincare routine can be simple yet effective. - Investing in skincare is essential for long-term benefits.   In This Episode: 03:04 Changing Perceptions of Cosmetic Procedures 05:53 Aesthetic Goals: Men vs. Women 08:59 Popular Procedures for Men 12:07 Addressing Sun Damage and Skin Health 15:02 Skin Tightening Trends in Male Aesthetics 19:23 Understanding Surgical vs. Non-Surgical Aesthetics 21:57 The Importance of Hair Restoration for Men 25:28 Exploring Hair Loss Treatments and Their Efficacy 29:40 The Role of Supplements in Men's Aesthetics 31:49 Future Trends in Men's Aesthetic Treatments 34:00 Basic Skincare Routine for Men 35:35 Key Takeaways for Men Considering Aesthetic Procedures   Dr. Glodny is owner and board certified dermatologist at Park Avenue Dermatology on the U.E.S. A native New Yorker, Dr. Glodny received his M.D. from S.U.N.Y. Upstate Medical University in Syracuse, New York, where he graduated within the top 5% of his class earning entry to the prestigious Alpha Omega Alpha Society. After medical school, Dr. Glodny completed his medical and dermatologic residency training at the Icahn School of Medicine at Mount Sinai, where he served as chief resident. Dr. Glodny specializes in cosmetic dermatology and has treated thousands of cosmetic patients over his 10+ year career.   Follow Dr. Glodny here:   www.parkderm.com   https://www.instagram.com/dr_bradley_glodny   Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Strategies to manage vertigo In this episode, we dive into the complex world of vertigo, an unexpected feeling of self-motion or environmental motion. If you've ever experienced this, then you're in for a treat! Tune in as Dr. Mike and Dr. Crystal discuss the causes, symptoms, and treatments with Dr. Abbie Ross and Dr. Danielle Tolman, expert physical therapists specializing in vestibular and balance disorders. #LELEARN Abbie Ross, PT, DPT, NCS Dr. Abbie Ross is a board-certified neurologic clinical specialist with expertise in vestibular and balance disorders. She earned her Doctor of Physical Therapy degree from Upstate Medical University and has advanced training in vestibular rehabilitation, including the Vestibular Competency Course from Duke University. In 2018, she launched one of the first virtual vestibular therapy practices, making expert care more accessible. Dr. Ross is actively involved in the vestibular community, serving on the board of the Vestibular Disorders Association (VeDA) and continuously working to educate and support those on their vestibular journey. Danielle Tolman, PT, DPT Dr. Danielle Tolman is a physical therapist specializing in vestibular and balance disorders. She earned her Doctor of Physical Therapy degree from Misericordia University and completed the Vestibular Competency Course at Duke University. A self-proclaimed "vestibuloholic," she is passionate about understanding the vestibular system, its dysfunction, and effective treatments. Dr. Tolman combines clinical expertise with innovation, developing a 3D-printed vestibular model to enhance education for both patients and clinicians. Dr. Tolman is certified in LSVT BIG for Parkinson's disease treatment and previously served on the board of the Vestibular Disorders Association (VeDA). Together they host “Talk Dizzy to Me” where they explore vestibular topics through expert and patient interviews. They also create self-help courses designed to empower individuals with dizziness and vestibular dysfunction.

Strategies to manage vertigo In this episode, we dive into the complex world of vertigo, an unexpected feeling of self-motion or environmental motion. If you've ever experienced this, then you're in for a treat! Tune in as Dr. Mike and Dr. Crystal discuss the causes, symptoms, and treatments with Dr. Abbie Ross and Dr. Danielle Tolman, expert physical therapists specializing in vestibular and balance disorders. #LELEARN Abbie Ross, PT, DPT, NCS Dr. Abbie Ross is a board-certified neurologic clinical specialist with expertise in vestibular and balance disorders. She earned her Doctor of Physical Therapy degree from Upstate Medical University and has advanced training in vestibular rehabilitation, including the Vestibular Competency Course from Duke University. In 2018, she launched one of the first virtual vestibular therapy practices, making expert care more accessible. Dr. Ross is actively involved in the vestibular community, serving on the board of the Vestibular Disorders Association (VeDA) and continuously working to educate and support those on their vestibular journey. Danielle Tolman, PT, DPT Dr. Danielle Tolman is a physical therapist specializing in vestibular and balance disorders. She earned her Doctor of Physical Therapy degree from Misericordia University and completed the Vestibular Competency Course at Duke University. A self-proclaimed "vestibuloholic," she is passionate about understanding the vestibular system, its dysfunction, and effective treatments. Dr. Tolman combines clinical expertise with innovation, developing a 3D-printed vestibular model to enhance education for both patients and clinicians. Dr. Tolman is certified in LSVT BIG for Parkinson's disease treatment and previously served on the board of the Vestibular Disorders Association (VeDA). Together they host “Talk Dizzy to Me” where they explore vestibular topics through expert and patient interviews. They also create self-help courses designed to empower individuals with dizziness and vestibular dysfunction.

Send us a text,Amanda is originally from Argentina, born and raised. She is a classically trained musician & neuroanatomist. In 2021 she resigned from an assistant professor position at Upstate Medical University in Syracuse, NY, where she taught Gross Anatomy and Neuroanatomy to first year med students, physicians assistants and physical therapists, and went back to school for training in Traditional Naturopathy.Along the way, she started a Health Coaching and Wellness Education business, Horaios Wellness, LLC, where her mission is to provide accessible health and wellness information for anyone ready to take charge of their own health. She also became a consultant for BRMT USA (they use rhythmic movement training to integrate active primitive reflexes), and completed a certification in Applied Quantum Biology, through the Institute for Applied Quantum Biology.She believes that INSPIRATION plus EDUCATION is the best medication. Our overarching vision is to bring the principles of Natural Law back into the health and wellness setting in order to transform the current, fear-based sick care paradigm into an awe-filled model that nourishes and sustains healthy living.She works one-on-one and in groups, both in person and via zoom, offering health coaching & educational opportunities where she discusses and investigates practical ways to implement habits that nourish your body clocks, your body water and your autonomic nervous system. She also hosts monthly community conversations at a local yoga studio, and has an online community where they talk about assorted health and wellness issues and how to approach them through a quantum lens.Website - https://horaioswellness.comInstagram - https://www.instagram.com/horaioswellness/Vanessa is trained by Amanda and provides a movement service as well Linked below Nurture Your Central Nervous System with Primitive Movements  https://brightlightwellnesscoach.com/nurture-nervous-systemSupport the showFind Heather:https://www.instagram.com/heathercrimson/www.enlightenedmood.comDiscount codes:Viva Rays ➡️ Code: enlightenedmood.com for 10% offMidwest Red Light Therapy ➡️ Code: enlightenedmood for 10% offEMR-TEK ➡️ Code: HEATHER37030 for 20% offFind Vanessa:https://instagram.com/bright_light_wellness/vanessabaldwin/https://www.instagram.com/healingfamilieswithhomeopathy/Website: https://brightlightwellnesscoach.com/Discount codes:https://midwestredlighttherapy.com/ ➡️ Code: Brightlightwellnesshttps://vivarays.com/ ➡️ Code: BrightlightwellnessFree Product Guide http://gem.godaddy.com/signups/3cdbe47a101a4d2d9b991e9b5c9a981e/join Free Homeopathy Guide ...

Sharon A. Brangman, MD, Syracuse NY, is a geriatrician who has been a leader in the field of geriatrics for over two decades.  Her focus is directly on the phenomenon of normal cognitive aging, concentrating on prevention. Dr. Brangman serves as Chair of the Department of Geriatrics, Director of the Center for Excellence for Alzheimer's Disease and is a Distinguished Service Professor at Upstate Medical University in Syracuse.  She has held leadership roles at the national level and was elected to the board of the Association of Directors of Geriatric Academic Programs in 2013 and served as President from 2015-2017." My goal is to help people maintain the highest quality of life throughout their lifespan. "Dr. Brangman is a widely published researcher by the National Institute of Aging. In 2024, Dr. Brangman was elected to serve as a Trustee of the McKnight Brain Research Foundation in 2023.This episode is full of information to guide you in proactively caring for your brain health. Connect with Sharon:Website:  https://mcknightbrain.org/brainworks/

For many, entering the world of trading is driven by the dream of freedom—specifically, the desire for financial independence and the ability to dictate one's own time and life choices. But have you considered the true cost of this dream? Are the rewards that come with pursuing this path worth the sacrifices required?This is a special Independence Day edition and I'm hosting a very special guest, an icon in trading psychology world – Dr. Brett Steenbarger – and together we are delving into a topic close to the hearts of many traders—freedom. Get FREE Trading Mindset Tips email series with easy and immediately actionable tips to help you break free from the failing cycle and build the mindset required for successful trading. Click HERE. About Dr. Brett SteenbargerDr. Brett Steenbarger, Ph.D., a Teaching Professor of Psychiatry and Behavioral Sciences at SUNY [sunie] Upstate Medical University in [syrakius] NY Syracuse, NY. Dr. Steenbarger is known for his expertise in brief therapies and multicultural counseling, teaching these subjects to doctoral interns in psychology and residents in psychiatry. With a background in clinical psychology from Duke University and the University of Kansas, he has published extensively, including over 50 peer-reviewed journal articles and book chapters on brief therapies in psychiatry. In 2003, Dr. Steenbarger shifted to a part-time faculty role to focus on finance, where he coaches traders and portfolio managers using short-term psychological methods. He has collaborated with numerous financial firms, authored five books, such as “Enhancing Trader Performance”, “The Daily Trading Coach", and “The Psychology of Trading” .Contact Dr. Brett Steenbarger:Twitter: @steenbab About Agnieszka WoodFounder and CEO of Ahead Coach, Trading Mindset CoachAgnieszka Wood, is a passionate and accomplished day trader with over a decade of hands-on experience in the financial markets. Coming originally from Poland but having spent most of her life abroad, notably in the Netherlands and the United States, Agnieszka brings a diverse perspective to her work. Her journey is marked by conquering challenges, a deep passion for self-development, a commitment to unlocking her full potential, and a relentless pursuit of excellence.Since 2019, Agnieszka has taken on the role of Founder and CEO of Ahead Coach, a coaching platform where she conducts her transformative work as a Trading Mindset Coach. Through Ahead Coach, she offers coaching programs for traders that draw on her extensive 20+ year background in Neuro Linguistic Programming (NLP), life coaching and her own experience in trading. Her holistic approach is designed to empower individuals not only in their trading endeavors but also in all aspects of life.Agnieszka's influence extends beyond her coaching practice. She is a respected speaker at various trading events, where she shares her insights and knowledge with fellow traders and enthusiasts. In the trading education industry, she is known for her expertise in mindset coaching, helping traders overcome psychological barriers and build consistency.Passionate about guiding individuals towards tangible results, Agnieszka thrives on taking on new initiatives and projects that promote personal growth. Her multifaceted expertise, unwavering dedication, and holistic approach make her a trusted coach for those seeking transformation and success. ____________________________________✉ Contact me: launchyourlife@aheadcoach.com____________________________________▶️ My website: https://www.aheadcoach.com/▶️ Twitter: https://twitter.com/Ahead_Coach▶️ Facebook: https://www.facebook.com/agnieszkawoodpage/

Listen as Karli Burridge, PA, FOMA, interviews Dr. Eldad Einav to share his expertise in cardiometabolic health and preventative cardiology!  Dr. Einav is the Founder and Medical Director for Myw8, a medical weight management program that puts heart health first.  Dr. Einav shares how recent research and pharmacotherapy options have impacted the practice of obesity medicine and patients' cardiovascular outcomes, as well as how obesity medicine is influencing cardiology.Bio:  Dr. Eldad Einav graduated with excellence from Hebrew University/Hadassah Medical School in Jerusalem. He completed his postgraduate training in Cardiovascular Disease at New York University School of Medicine and Internal Medicine at the Albert Einstein College of Medicine. Over the past years, Dr. Einav has been an active participant at Obesity related events, conferences, and forums, contributing articles and answering questions pertaining to cardiovascular-related disease in obesity.  In addition to his clinical work, Dr. Einav has authored peer-reviewed publications and won multiple awards for excellence in research. He serves as a Clinical Assistant Professor at Upstate Medical University. Throughout his years in practice, he has given CME presentations on preventive cardiology and obesity, including lectures on the Cardiovascular Safety of Anti-Obesity Pharmacotherapy.  Contact information for Dr. Einav: website:  myw8.comSocial media :https://www.linkedin.com/in/eldad-einav-facc-a0654820/https://www.instagram.com/dreldadeinav/https://www.facebook.com/Dr.EldadEinav/Support the Show.The Gaining Health Podcast will release a new episode monthly, every second Wednesday of the month. Episodes including interviews with obesity experts as well as scientific updates and new guidelines for the management of obesity.If you're a clinician or organization looking to start or optimize an obesity management program, and you want additional support and resources, check out the Gaining Health website! We offer monthly and annual Memberships, which include live group coaching, a community forum to ask questions and post resources, pre-recorded Master Classes, digital resources inlcuding patient education materials and office forms, and much more! We also sell our popular Gaining Health products, including a book on developing an obesity management program, editable forms and templates, and patient education materials in our Gaining Health Shop! If you are loving this podcast, please consider supporting us on Patreon

In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. James Johnson to discuss Physical Therapy and Rehab considerations for Bodybuilders, including common injury sites, treatment approaches, and more. Coach James is a board certified Orthopedic Specialist Physical Therapist with special interests in preventative rehabilitation for the strength and physique athlete, athletic performance, and optimizing the aging process. James has previously worked as a strength and athletic performance coach with individuals ranging from the youth to the aging population and recreational to collegiate skill levels. His dream is to combine his passion for sports and fitness with ongoing education in the Biological, Physiological, and Rehabilitative sciences to become a leader in the field of human and athletic performance, with the ability and knowledge to assist in all areas of the athletic experience – off season strengthening and nutrition, preventative training, on-field coverage, and post-injury rehabilitation and return to play. Coach James received a Bachelor's of Science in Biology in 2016 from Juniata College in Huntingdon, PA where he was a multi-year starter for the Men's Soccer team. He continued his education by attaining his doctorate of Physical Therapy from Upstate Medical University in Syracuse, NY in 2019, before completing an Orthopedic residency in 2020. Outside of his professional life, James is active in the strength and fitness communities as a competitive natural bodybuilder, in addition to working as a personal trainer and coach to bridge the gap between rehabilitation and community-based fitness. For more on James, be sure to check out @j.johnson.dpt on Instagram! *SEASON 5 of the Brawn Body Podcast is brought to you by Isophit. For more on Isophit, please check out isophit.com and @isophit - BE SURE to use coupon code brawnbody10 at checkout to save 10% on your Isophit order! Episode Sponsors: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! GOT ROM: https://www.gotrom.com/a/3083/5X9xTi8k Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platfor --- Send in a voice message: https://podcasters.spotify.com/pod/show/daniel-braun/message Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support

Headache medicine relies heavily on the patient's history, perhaps more than any other field in neurology. A systematic approach to history taking is critical in evaluating patients with headache. In this episode, Katie Grouse, MD, FAAN, speaks with Deborah Friedman, MD, MPH, FAAN author of the article “Approach to the Patient With Headache,” in the Continuum April 2024 Headache issue. Dr. Grouse is Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Friedman is a neuro-Ophthalmologist and headache specialist in Dallas, Texas. Additional Resources Read the article: Approach to the Patient with Headache Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Transcript Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the Show Notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the Show Notes. AAN members: Stay tuned after the episode to hear how you can get CME for listening. Dr Grouse: This is Dr. Katie Grouse. Today, I'm interviewing Dr Deborah Friedman on approach to the clinic patient with headache, which is part of an issue on headache. Dr. Friedman is a neuro-ophthalmologist and headache specialist in Dallas, Texas. Deborah, I'd love if we could just start by you telling us more about you. How did you become interested in the diagnosis and treatment of headache? Dr Friedman: I guess one of the lessons in life that I have learned regarding this question is, “never say never.” I started as a neuro-ophthalmologist - that's what I did my fellowship in. My very first job was in Syracuse, New York, at Upstate Medical University, and there was no headache specialist in Syracuse at the time. And I started seeing neuro-ophthalmology patients and specifically told the person who did my scheduling for me, “Do not schedule headache patients. I am not a headache doctor; I'm a neuro-ophthalmologist.” Well, these people just snuck in the door. They got referred in for their visual disturbances, right - we know what that was - or for their, you know, transient loss of vision or some type of visual manifestation of migraine or eye pain, right? So, I started seeing the patients and I figure, “Well, I did a neurology residency; I can treat headache as well as anybody else.” And so I started treating their headaches. and they would come back to see me in follow-up and say, “You gave me my life back,” and I was pretty blown away by that. This was a few decades ago, and we didn't give very many people “their lives back” at the time in neurology, so I decided I should go learn more about headache medicine. And I started attending national meetings of what is now the American Headache Society. I found that I really, really loved treating headache, and it has a natural marriage with neuro-ophthalmology. As my career progressed, I ended up doing more headache medicine and less neuro-ophthalmology, but I still love both. Dr Grouse: Yeah, absolutely. I think the treatment of headache can be so satisfying and I'm so happy to hear that you were able to discover that love of treating headache in your own career. Why do you think it's important for neurology clinicians to read your article? Dr Friedman: Well, headache is the most common disorder seen in general neurology. It is actually the most common neurological disorder overall, by a factor of ten. And it is one of the most common causes of neurologic disability worldwide - like it's in (routinely in) the top five. So, it's an important problem, and patients are going to come see us, and we need to know how to effectively interview them so we can effectively manage them. I think, in a nutshell, that's why. Dr Grouse: You mentioned in your article the importance of making time to discuss the headache - so much so that, actually, you said that if they mentioned it offhand at the end of the visit that they have a headache, you really should be scheduling time for them to come back, to prepare and organize the information, and to have the time to really talk with them. I find this is such an important point and, in my mind, really gets to the heart of what you're trying to tell us in your article - that the way you take the history can make or break your ability to diagnose and treat the problem. Can you talk more about that? Dr Friedman: Sure. The history is absolutely the most important part of the office visit with headache medicine. I mean, they always say, “In medicine and in neurology, ninety percent of the diagnosis is made by history.” And that is more than true in headache medicine. So, you have to really get a good history. And it's a skill, but there's also kind of an art to it. So, there are certain questions you want to have answers to, but there's also this art of how to relate to the patient and how to really get them to tell you what you need to know, right? When I wrote the article, I really tried to convey that, because I think a lot of it can be learned. But there are a lot of nuances to taking a headache history, and I think that, for many people, it's helpful to have a guide to do that. Dr Grouse: Following up on what you just said - you mentioned, of course, the art of taking the good history for headache, which I completely agree is absolutely true. However, in your article, you also mentioned that things like various questionnaire tools, AI, can also be really helpful for diagnosis, which seems to be the opposite of the art of medicine. Tell me more about how you can incorporate that into taking your history. Dr Friedman: I find that questionnaires are incredibly helpful. I devised my own - it is one of the questionnaires that's available in the article (there's a link for it). It's not that I just read the questionnaire and I walk in the room knowing exactly what's going on - sometimes that's true - but at least I have a good idea of what I'm going to be facing when I walk into the room and start talking to the patient. The other reason (perhaps more importantly) that I think it's so helpful is because it gets the patient thinking about the details of their headaches and the details of their life and, you know, like, what medications they've taken in the past. And it really prepares the patient for the interview. In a lot of ways, I think that's more important than the information it gives me. But I do look at all the questionnaires, and I'll say, “Well, you know, you checked off this, and what did you mean by that? And you said this or that on your questionnaire.” And I kind of refer to it so they at least know that I looked at it - there's nothing more irritating than filling out a long questionnaire and then nobody ever looks at it - so, I do look at it and I do acknowledge in front of them that I have looked at it and am looking at it. But I think that they help in many ways. There are programs in AI that the patient will just enter information into online and the program will just spit out a narrative, as well as a diagnosis or a differential diagnosis. For clinicians that are really under a lot of time constraints, I think these can help considerably as well. Dr Grouse: That's really interesting, and that actually brings me to the next question I wanted to ask, which was - do you have any tips for the many busy neurologists out there (many listening to this podcast right now) who really want to do a good job gathering information and taking a careful history but are really limited on time to be able to do this? What other tools out there would you recommend for them, or tips? Dr Friedman: Yeah, I think that probably the questionnaires and the AI-based programs are very helpful. There is - I have no financial relationship with this company; I just happen to know about it and I know the people that developed it - but it's called BonTriage (as opposed to bon voyage), and it was developed by headache specialists. And I've seen the product and I've seen the output that can be used, and I think that one is incredibly helpful. It was really made for primary care, so that people could do this thing online and then just walk in with a piece of paper, hand it to their primary care doctor, and they'd have the whole history and the differential diagnosis. But it's equally as useful for neurologists. Dr Grouse: How about in history taking - any tricks to get the history you need and let the patient feel heard without necessarily taking lots of time going down the wrong pathway? Dr Friedman: Yeah, that can be really hard, and sometimes patients just want to bring you down what you would consider the wrong pathway (obviously, they consider it the right pathway). People have different styles of interviewing and people have different styles of answering the question. I find that it's often very obvious early on whether the patient is going to do better by asking closed-ended questions or asking open-ended questions. I always start with open-ended questions because the research says that that's more helpful, and that getting the patient to describe their headache disability is one of the most important things that you can do, so you should ask it right up front. But some people - when you ask them the questions (as you probably know), they just go on and on and on, and it's really not the way that you might process information. So sometimes I just have to take it back and ask them very specific questions – “Do you have this symptom? Do you have that symptom? How long does this last? What triggers your headache?” - that kind of stuff. It's very, I think, specific to an individual patient. Dr Grouse: Yeah, that absolutely makes sense. Your article highlights some important and frequently missed causes of headache, including hemicrania continua and intracranial hypotension, and specifically, you have some example cases that you talk about. I have to say, reading those certainly triggers my own latent fear of misdiagnosis of these important causes of secondary headache. Can you highlight some of the important questions to ask or situations to keep in mind in order not to miss these? Dr Friedman: Sure. You know, those examples in the article came from my practice. I had to alter them a little bit because they're not supposed to sound like real people, but the patient with hemicrania continua was a real - I wouldn't say necessarily “eye opener” - but it really hit home with me. I spent all this time taking the history from the patient. She'd seen numerous doctors beforehand; they all thought she had chronic migraine. I take her history and I think she's got chronic migraine too, but she's trialed several medications; they haven't really worked, so, you know, we kind of ended it. I said, “Well, I think you have chronic migraine.” She came back for her follow-up visit and looked at me and said, “Could I have hemicrania continua?” At which point, I panicked. It's like, “Oh my god - I think I take a pretty good history, but what did I miss?” I'm like, looking through the note from the last visit and trying to figure out where I went wrong. And where I went wrong was, I never asked her, “Are you ever completely headache free?” And that is such an important question to ask because most often, when people come in and they start talking about their headaches, they talk about their worst headaches, right? Those are the ones that are really interfering with their lives. They often will just totally neglect to tell you that they have a headache almost every single day, but it's just mild and they don't pay attention to it. That was like a big lesson for me, and I try - it's even on my questionnaire – “Are you ever headache free?,” because it's just so important to know that. Intracranial hypotension is also one that you really have to be a detective for. A lot of times, the imaging will help us, but about ten, fifteen, twenty percent of people with intracranial hypotension have normal imaging. Then it becomes like this whole quest of making a diagnosis based on your clinical impression, right? So, there are just a lot of different things that you can ask and there are a lot of different symptoms people can have. One of the important lessons I learned in there was asking about orthostatic headache; the common way to ask that is, “Does it get better when you lie down?” Well, with few exceptions, most people with headache prefer to lie down, right? People with migraine prefer to lie down. But their headache doesn't get better just because they were lying down. It gets better because they took medicine and maybe they went to sleep. So, it's not just, “Is it better when you're lying down?” Is not going to sleep is part of it? And conversely, we want to know like what they feel like when they first wake up in the morning before they get out of bed, right? So just asking about, “Well, what's your headache like in the morning?” - that's not going to necessarily get the answer you want. So there are, again, kind of fine points about asking some of these questions to really find out what you need to know. Dr Grouse: Absolutely - that makes sense, that the intracranial hypotension case was another one that really, you know, makes me go back and think, “Gosh, how many of these might I have missed in my own career?” You know, such an easy-to-miss case based on what was described. Dr Friedman: I go through the same thing. I think that, early in my career, I could think back to patients that I probably missed that diagnosis. One of them I even sent to (may he rest in peace) Dr Mokri, who described it, and I sent him the imaging. He said, “No, this patient doesn't have it.” But knowing what we know now, I think she probably did. Dr Grouse: Wow. Transition to some other types of questions - what's the most common misconception you've encountered in treating patients with migraine? Dr Friedman: I would say that a lot of people think that migraine has to be (as the name implies) hemicranial. A substantial proportion of adults and even a higher proportion of children have migraine headaches that affect both sides of the head. I think that's really the most common misconception. Dr Grouse: What's the easiest mistake to make (and potentially avoid) when treating patients with migraine, or headache in general? Dr Friedman: Studies have been done looking at this question in migraine. The first mistake is not giving the patient a correct diagnosis. And it is surprising in real life how many people walk out of the doctor's office and nobody's ever told them, “You have migraine with aura,” or “You have chronic migraine,” right, and giving them a very specific diagnosis. Second most common mistake in treatment is not offering them an acute treatment. So, many people are using over-the-counter medications that are not very effective, or even prescription medications that are not very effective. We have a lot of good treatments out now, and basically every patient with migraine should be offered an acute treatment. We also know that preventive treatment is massively underutilized. Again, studies (mostly by Richard Lipton and his group) have interviewed patients and done population studies, and people who clearly meet contemporary guidelines for offering preventive treatment are never offered it. So, I guess those would be my top three. Dr Grouse: Going on the theme of patients maybe not being offered the optimal treatments, what's the greatest inequity or disparity you see in treating patients with headache disorders? Dr Friedman: The first thing that contributes to that is - there is a shortage of headache specialists. There's also a shortage of neurologists, so that's a problem. There are certain groups that are less likely to seek care for headache. If people don't seek care, it makes it harder for us to treat them. African American males, in particular; Hispanics. I think that some of this might be stigma; some of this just might be cultural - I'm not sure. Women are more likely to seek care for migraine than men are. But there are what they refer to as, like, “islands of health-care disparity” throughout our country, where there are just not enough physicians, or even advanced practice providers working with physicians, to be able to take care of all these people. So, it's estimated that there are well over forty million people with migraine alone in the United States (not to mention all the other kinds of headaches), and there are really not enough of us to go around, and there are very long waiting times to get in to see us. So, some people will end up using the emergency room to treat their headaches, which is totally suboptimal and not a good experience for the patient, either. So, I think there are a lot of aspects to disparities in migraine care, and there is a group in the American Headache Society that actively focuses on this issue and has written papers about it. But I think it's multifaceted and it's going to take a lot of effort on both the part of us, as clinicians, as well as patients, recognizing that there is good treatment out there and people shouldn't have to live with these kinds of disorders. Dr. Grouse: Absolutely. This has been such an interesting article. I just wanted to end with one last question, which is, what do you think is the most important clinical message of your article that you hope our listeners take away from this podcast? Dr Friedman: I was really happy to be asked to write this article for Continuum. And I'm glad it is the lead article in Continuum because I think that taking the headache history is by far and away the most important part of the headache medicine evaluation. When I was asked to write it, I was specifically requested to write it from the perspective of a clinician seeing adult patients. And I just want to let the audience know that I did not neglect the pediatric patients - that there is a different chapter in Continuum that addresses the specifics of taking a history and what's important to ask from pediatric patients. It was really a joy to write the article. I hope that people read it and learn from it and enjoy it. Dr Grouse: I really thoroughly enjoyed this article - it was so interesting. Even as someone who does a lot of headache diagnosis and treatment myself, I learned a lot. I think it's such a rich source of information and I hope everyone takes advantage of the opportunity to read it and learn a little bit more about headache treatment and diagnosis. Thanks so much for coming to talk with us today. Dr Friedman: Thank you so much for inviting me. It was a pleasure. Dr Grouse: Again, today I've been interviewing Dr. Deborah Friedman whose article on Approach to the Patient with Headache appears in the most recent issue of Continuum on Headache. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr. Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. Right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024, or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.

Are our healthcare heroes silently burning out while we rely on them to save lives? This conversation is for you if you know someone or work in healthcare. LouAnne Giangreco, M.D. is a consultant and executive coach through her company, June Rose Consulting. Dr. Giangreco has practiced emergency medicine, urgent care medicine, and occupational medicine throughout Upstate New York. In addition, she served in leadership roles within a number of settings in the provider, payer, and start-up spaces.  She served as Chief Medical Officer for Five Star Urgent Care, VP and Chief Medical Officer of Health Care Improvement for Excellus BlueCross Blue Shield, and System Chief Medical Officer of Cayuga Health System in Upstate New York. Most recently, she served as a Senior Medical Director of Medical Affairs at BlueCross BlueShield of Rhode Island. She is board certified in Emergency Medicine and a fellow of the American College of Emergency Physicians. Dr. Giangreco completed a residency program in Emergency Medicine at Upstate Medical University. She earned her medical degree from Albany Medical College. Contact Dr. LouAnne www.linkedin.com/in/louanne-giangreco-md-facep Instagram-@louannemd --- Send in a voice message: https://podcasters.spotify.com/pod/show/urcaringdocs/message

Belly buttons are little, but they are a big deal, especially in tummy tucks. How can you get a great belly button appearance after your surgery?Today we talk to special guest Dr. Bradley Hubbard @bradleyhubbardmd, board certified plastic surgeon in Dallas Texas, who has studied the belly button exhaustively. He shares his tips and tricks with Dr. Salvatore Pacella @sandiegoplasticsurgeon,  Dr. Sam Jejurikar @samjejurikar, and Dr. Sam Rhee @bergencosmetic on how to feel comfortable wearing that two piece after that mommy makeover.Dr. Hubbard graduated from Upstate Medical University, where he was chosen for the Alpha Omega Alpha Medical Honor Society and graduated cum laude. He completed his plastic surgery residency at the University of Missouri, receiving the Most Outstanding Resident of the Year Award, and the Excellence in Resident Teaching Award. He completed an additional year of training at The University of Texas Southwestern Medical Center in Dallas, specializing in aesthetic surgery. As a member of the renowned Dallas Plastic Surgery Institute, Dr. Hubbard focuses on adult aesthetic and reconstructive surgery.#podcast #plasticsurgery #cosmeticsurgery #plasticsurgeon #beauty #boardcertified #aesthetic #3plasticsurgeonsandamicrophone ⁠#bergencosmetic ⁠#bestplasticsurgeon #beforeafter #aesthetics #realpatientrealresult #boardcertifiedplasticsurgeon #njplasticsurgeon #njplasticsurgery #nyplasticsurgeon #nyplasticsurgery  

Dr. Henry “Hank” Roane, Ph.D. is the Vice President of Clinical Services at Elemy. Elemy is a behavioral health company that provides care for children with autism spectrum disorders, ADHD, and other issues that develop in childhood. Dr. Roane received his Ph.D. in Psychology with an emphasis in Applied Behavior Analysis from Louisiana State University. His training and experiences have included the Johns Hopkins University School of Medicine, and the Marcus Institute/Emory University School of Medicine. He is currently the Gregory S. Liptak MD Professor of Child Development in the Department of Pediatrics at Upstate Medical University in Syracuse NY. In this encore episode of the Psychology Talk Podcast, Dr. Roane and Dr. Hoye chat about his insights from years of clinical work as an ABA therapist and working with neurodivergent population. Topics include:•Dr. Roane's experience as an Applied Behavioral Analysis therapist and pediatric psychologist •The changing definition of autism and how to treat it across the lifespan•Building out a nation-wide Elemy platform to better provide families with services for their children in their homes •The services provided by Elemy for children and their families.•Working towards a culture of acceptance of autism and neurodiversityThe Elemy website: https://www.elemy.comThe Psychology Talk Podcast is a unique conversation about psychology around the globe. Your host Dr. Scott Hoye discusses psychology with mental health practitioners and experts to keep you informed about issues and trends in the industry.https://psych-talk.com https://www.instagram.com/psychtalkpodcast/

Cynthia Donovan is joined by Dr. Ashley Moody. She shares her journey through childhood and teen years dealing with a body she was not comfortable with. Once Ashley learned to accept and love her body, she found freedom. Learning what low-intense intentional training looks like, gave Ashley a new lease on life.Listen in to learn more:  {03:23} What made Ashley go into chiropractic work {07:36} Struggles growing up {14:29} Learning to be ok with your body{27:04} When Ashley's intestine flipped. {30:32} Training for quality of life{37:49} Feeling lost when you give up your old lifestyle{41:49} Benefits of low intense exercise{48:08} An announcement{54:12} Life today for AshleyAbout Dr. Ashley Moody Dr. Moody received her Bachelor's degree in Medical Technology from Upstate Medical University and continued to graduate as a member of the Phi Chi Omega Honor Society from the New York Chiropractic College, with her Doctorate in Chiropractic. During her clinical rotations, Dr. Moody was hand selected from a group of her peers to serve as the Student Remote Chiropractic Clerk at the Rochester, NY Veterans Affairs (VA) Hospital. She went on to finish her clinical rotations as the first ever selected Chiropractic extern at the Pittsburgh, PA VA. During that time, she had the opportunity to work within a clinically based multidisciplinary setting involving orthopedists, physical therapists, and pain management specialists. Following graduation, Dr. Moody accepted a position with a sports-based clinic in Lincoln, Rhode Island. Here she worked as a provider helping those with chronic pain as well as athletes that participated in youth track, personal training, yoga, and CrossFit. This diverse patient population has helped her develop a treatment style that is evidence-based and patient-centered. Originally from the Mohawk Valley, returning home to open Climb Chiropractic Sports Health is working towards her dream of providing the best possible conservative musculoskeletal health care in Central New York. Dr. Moody is trained in Active Release Technique (ART), ConnecTX instrument-assisted soft tissue mobilization, Functional and Kinetic Treatment with Rehabilitation (FAKTR) as well as Functional Movement Taping (levels I and II) through Rocktape. In 2019, she became a BirthFit Leader and is passionate about helping women to reconnect with their cores postpartum. She has participated in Why Mobility, Clinical Audit Process, and Motion Palpation Technique seminars. In her spare time, Dr. Moody enjoys being outdoors with friends and family. She enjoys various types of exercise including yoga, hiking, strength training, CrossFit, and runningLinksApply for Period Recovery Coaching w/Cynthia: https://p.bttr.to/3dJneV8https://www.periodnutritionist.comConnect with Dr. Ashley Moody https://www.climbchirosportshealth.com/ amoody@climbchirosportshealth.comhttps://www.instagram.com/climbchiroutica

Soni and Wen discuss the new SVS Women's Section with the steering committee co-chairs, Drs. Audra Duncan and Palma Shaw. In 2021, the society of vascular surgery approved a new membership section for women in vascular surgery. The SVS Women's Section serves as a centralized home for women in vascular surgery to discuss gender-based issues, support each other in practice, academic research, and leadership roles, and engage the participation of women in the SVS. The section had its inaugural events at VAM 2022 in Boston with fantastic feedback. Dr. Audra Duncan and Dr. Palma Shaw are co-chairs of the SVS Women's Section steering committee. Dr. Duncan is a professor of surgery and chair of the division of vascular surgery at Western University in London, Ontario. Dr. Shaw is a professor of surgery and program director of the vascular fellowship at Upstate Medical University in Syracuse, NY.  You will get an insider's look at how the Women's section was created, what inspired its creation, what kind of activities and support it provides, and lastly, how you can be involved.  For more information, please visit the SVS Women's Section website below: https://vascular.org/vascular-specialists/networking/svs-womens-section   Authors: Wen Kawaji and Soni Nag. Editors: Yasong Yu and Amanda Fobare Reviewer: Matt Chia and Adam Johnson   What other topics would you like to hear about? Let us know more about you and your thoughts about our podcast through our Listener Survey or email us at AudibleBleeding@vascularsociety.org. Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Baby boomers are competitive, self-actualizing, and results-oriented, while Gen Xers are pragmatic, independent, and adaptable. Millennials are known for being team-oriented, creative and resilient, and Gen Zers are entrepreneurial, compassionate, and open to change. But how do the perspectives of different generations play out inside the medical laboratory? On this episode of Inside the Lab, our hosts, Dr. Lotte Mulder and Ms. Kelly Swails are joined by Dr. James Crawford, MD, PhD, Chair of Pathology and Laboratory Medicine at the Zucker School of Medicine at Hofstra and Senior Vice President of Laboratory Services at Northwell Health, Ms. Rosie Garris, MLS(ASCP)CM, recent graduate of Upstate Medical University and Medical Technician at Upstate University Hospital in Syracuse, New York, and Ms. Dana Powell Baker, MBA, MS, MLS(ASCP)CM, Manager of Academic Partnerships with the Association of Public Health Laboratories and Chair for the ASCP Council of Laboratory Professionals, to share their experiences working with different generations in the lab. Our panelists discuss the characteristics of the generation they identify with and describe the strengths they bring to the workplace based on their age. They offer examples of the collision of generational perspectives at work, exploring the downside of being a baby boomer, Gen Xer, millennial, or Gen Zer in the lab. Listen in for Dr. Crawford, Ms. Garris, and Ms. Powell Baker's insight on adapting to meet the needs of others and learn how to best collaborate with colleagues of different generations in the medical lab. Topics Covered ·  The benefits of working with different generations in the laboratory·  What strengths Dr. Crawford, Ms. Powell Baker, and Ms. Garris bring to the workplace based on their age·  Examples of collisions of generational perspectives in the lab·  The disadvantages of being a baby boomer, Gen Xer, millennial, or Gen Zer working in the lab·  How our panelists have changed their behavior toward others in relation to the demographics of the workplace·  What advice our panelists would give their younger selves as it relates to working with different generations in the medical laboratory Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. CrawfordDr. Crawford at Northwell HealthDr. Crawford on LinkedIn Connect with Ms. GarrisMs. Garris on LinkedIn Ms. Garris on Instagram Connect with Ms. Powell BakerMs. Powell Baker on TwitterMs. Powell Baker on LinkedIn Connect with Dr. Mulder & Ms. SwailsDr. Mulder on TwitterMs. Swails on TwitterResources Inside the Lab in the ASCP Store 

Alvin and German conduct a great conversation with SUNY Professor Emeritus of Pathology, Gregory A Threatte, '69. After Colgate, he received his medical degree from the SUNY, Upstate MedicalUniversity in 1973. He served an internship in Medicine at Upstate, and a residency in Anatomic Pathology at the Western Pennsylvania Hospital in Pittsburgh. He was a Resident and Chief Resident inClinical Pathology at the University of California, San Francisco and then a Hematology research fellow at the Lawrence Berkeley National Laboratory. He was appointed to the faculty as an Assistant Professor of Pathology at Georgetown University in 1981 In 1986 he returned to Upstate Medical University as the Deputy to the President for Minority Affairs and Associate Professor, later rising to the rank of Professor and then Chair. He established the Diversity programming that led to Upstate being cited by Black Issues in Higher Education for being the 10th leading producer of African American Physicians in 1994. He has received the SUNY President's Award for the Advancement of Affirmative Action, the SUNY President's Award for Excellence in Teaching, and numerous other teaching awards. He served for 9 years on the Board of Trustees of Colgate University.

If a tick bites you in the woods, and it's free of disease-causing pathogens, does it matter? We wanted to know how many of our Catskills ticks are pathogenetic, so we sent 6 of them to the Thangamani Lab at Upstate Medical University, in Syracuse, NY. You, too, can send any New York tick, and Dr. Thangamani and his team will test it (for free!) for Lyme disease-causing bacteria, and 16 additional pathogens. It's all part of a massive citizen science research initiative tracking distribution of species and pathogens statewide. You can explore those trends using Dr. Thangamani's tick maps, updated daily by county. NYticks.org is also where forms can be found to submit your own tick(s) for testing. Let us know how it goes! Thanks to our sponsors: Hanford Mills Museum, the Catskill Mountains Scenic Byway, and The Mountain Eagle. --- Support this podcast: https://anchor.fm/kaatscast/support

Dr. Henry “Hank” Roane, Ph.D. is the Vice President of Clinical Services at Elemy. Elemy is a behavioral health company that provides care for children with autism spectrum disorders, ADHD, and other issues that develop in childhood. Dr. Roane received his Ph.D. in Psychology with an emphasis in Applied Behavior Analysis from Louisiana State University. His training and experiences have included the Johns Hopkins University School of Medicine, and the Marcus Institute/Emory University School of Medicine. He is currently the Gregory S. Liptak MD Professor of Child Development in the Department of Pediatrics at Upstate Medical University in Syracuse NY. In this episode of the Psychology Talk Podcast, Dr. Roane and Dr. Hoye chat about his insights from years of clinical work as an ABA therapist and working with neurodivergent population. Topics include:•Dr. Roane's experience as an Applied Behavioral Analysis therapist and pediatric psychologist •The changing definition of autism and how to treat it across the lifespan•Building out a nation-wide Elemy platform to better provide families with services for their children in their homes •The services provided by Elemy for children and their families.•Working towards a culture of acceptance of autism and neurodiversityThe Elemy website: https://www.elemy.comThe Psychology Talk Podcast is a unique conversation about psychology around the globe. Your hosts Dr. Scott Hoye and licensed clinical professional counselor Kyle Miller talk about psychology with mental health practitioners and experts to keep you informed about issues and trends in the industry.https://psych-talk.com https://www.instagram.com/psychtalkpodcast/

Interviews with Vincent Calleo, MD, medical director of the Upstate New York Poison Center; and Jeanette Zoeckler, PhD, director of preventive services for Upstate's Occupational Health Clinical Center

Interview with pediatric surgeon Michaela "Mikki" Kollisch, MD, and the interim chief of the Upstate Cancer Center, pancreatic surgeon Thomas Vandermeer, MD

Interviews with chief of pediatrics Gregory Conners, MD, and child psychologist Jennifer Rapke, PsyD; and with fertility expert Kazim Chohan, PhD

Interviews with gynecologic oncologist Rinki Agarwal, MD, chemistry professor Robert Doyle, PhD, and researcher Mobin Karimi, MD, PhD

Interviews with bariatric surgery chief Lauren Rabach, MD, cardiology chief Debanik Chaudhuri, MD, and medical librarian Olivia Tsistinas

Interviews with Upstate neurosurgeon Harish Babu, MD, PhD, and Upstate genetic counselor Jason Shandler

Interviews with geriatrician Andrea Berg, MD, pharmacist Timothy Chiang and Upstate Assistant Dean of Wellness Kaushal Nanavati, MD

Interviews with pediatric infectious disease expert Joseph Domachowske, MD, and radiologist Michele Lisi, MD

Interviews with neurologist Corey McGraw, MD, gynecologist Renee Mestad, MD, and urologist Scott Wiener, MD

Dr. Andrew Tisser specializes in emergency medicine and is the host of the Talk2MeDoc Podcast. The podcast and Dr. Tisser's work as a career strategist focus on the unique issues pertaining to the early career physician.  Andrew earned his medical degree at the New York Institute of Technology College of Osteopathic Medicine. He then completed his residency at Upstate Medical University in Syracuse, NY. He is currently the Associate Chair of Emergency Medicine at Sisters of Charity Hospital in Buffalo, New York. Andrew has been featured on NBC, NPR, and MTV News as well as multiple podcasts. He was most recently named one of the "50 Best Doctors to Follow on Instagram in 2021" and "Top 21 Medical Podcasts." Andrew's approach to his career and to helping others with theirs is direct and practical. We had a great time talking about several topics: His experiences with burnout during med school, residency, and early practice years; What he did to overcome burnout; The part-time nonclinical jobs he tried; How he now balances clinical and nonclinical work; His podcast and how it can help early-career physicians learn about strategies to advance their careers and overcome burnout; And three common limiting beliefs that hold us back and how to address them. You can get the show notes with all of the links for today's episode at nonclinicalphysicians.com/physician-career-strategist/ If you'd like to join my Nonclinical Mastermind Group, you can learn about it at nonclinicalphysicians.com/mastermind. Get an updated edition of the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. Check out a FREE WEBINAR called Best Options for an Interesting and Secure Nonclinical Job at nonclinicalphysicians.com/freewebinar1

Andrew Tisser, DO specializes in emergency medicine and is the host of the Talk2MeDoc Podcast. The podcast and Dr. Tisser's work as a career strategist focus on the unique issues pertaining to the early-mid career physician. He works tirelessly with his clients to accelerate their goals to completion. Andrew earned his medical degree at the New York Institute of Technology, College of Osteopathic Medicine. He then completed his residency at Upstate Medical University in Syracuse, NY. Andrew has been featured in NBC, NPR, and MTV News as well as multiple podcasts. He was most recently named as one of the "50 Best Doctors to Follow on Instagram in 2020" and Top 21 Medical Podcasts. Dr. Tisser lives in Western NY with his wife Alysia, daughter Marlowe, and dog Lillie.   Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/74 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com

Interviews with rehabilitation psychologist Debbie Spinks, PhD, physician scientist Hani Aiash, MD, PhD, and Assistant Dean of Wellness Kaushal Nanavati, MD

Interviews with Claudine Ward, MD, physical medicine and rehabilitation specialist; and with nurse practitioner Davia Moss and breast care and breastfeeding specialist Jayne Charlamb, MD

Interviews with Upstate's chief of pulmonary and critical care, Dana Savici, MD, infectious disease specialist Kris Paolino, MD, and stroke neurologist Hesham Masoud, MD

Today's episode salutes those communities that have taken the reins of their broadband or digital inclusion efforts! When leading local pols are disinterested or the state or federal governments are too restrictive, that's when unofficial leaders rise up and lead successful projects. Here's how you do it. And you don't have to be Dr. “Bones” McCoy to launch winning telehealth in support of public effort either, but you do have to be good at developing partnerships that include competent healthcare talent. Libraries, barbershops, churches or other community organizations can lay the ground work for teams. Telehealth means more than just video chats with doctors. Today's digital equity warriors are: Peter Caplan is Managing Consultant at the eHealth Systems & Solutions firm where he designs and manages telemedicine projects as well as conduct health IT and sustainable business planning for hospitals and physician group practices. Created a comprehensive telemedicine master plan for the Department of Internal Medicine at Upstate Medical University, Syracuse, NY A quarter of Detroit residents has no Internet through home computers, laptops or mobile devices. Joshua Edmonds is the City's Director of Digital Inclusion and creator of Connect 313 – the city's sustainable digital inclusion strategy to bridge the digital divide. Forbes, the FCC, Next Century Cities, and Government Technology have recognized Edmonds for his contributions. -------------------- Get info about telehealth deployservices that help save lives, reduce cost, and improve efficiency of public health.  

Interviews with neurologist Karen Albright, DO, PhD, and pharmacist Danielle DelVecchio, PharmD; and with physical therapists Rina Flatau and Maria Podbelski

Interviews with philosopher and bioethicist L. Syd M. Johnson, PhD, pediatricians Alicia Pekarsky, MD, and Erin Hanley, MD, and neuroscientist Stephen Faraone, PhD

Interviews with Upstate neuroscientists Stephen Glatt, PhD, and Jonathan Hess, PhD, and Upstate epidemiologist and physician Katie Anderson, MD, PhD

Interviews with surgeon Joseph Valentino, MD, education specialist Nicky Ruszkowski and neurologist Shahram Izadyar, MD

Mr. Noah Greenspan is a Pulmonary Rehab Specialist who is driven to save lives through his profession. He shares his story from attending Upstate Medical University to establishing his own foundation. Watch the entire interview to feel as inspired as we do! DISCLAIMER: All opinions expressed in this video are those of the individual and the STEM·E Youth Career Development Program and do not represent opinions or viewpoints of any other entities, organizations, or companies outside of these individuals. STEM·E is a non-profit organization that provides virtual STEM education to kids & teens, cultivating young entrepreneurs and enhancing their potential for future career success. See our upcoming events: https://www.steme.org/events Visit our website to learn all about us: https://www.steme.org OUR SOCIAL MEDIA : STEM·E on Instagram STEM·E on TikTok STEM·E on YouTube STEM·E on Twitter STEM·E on Facebook STEM·E Linked-In STEM·E Flickr STEM·E Snapchat STEM·E Youth Career Development Program Copyright ©2018-2021 STEM·E Youth Career Development Program --- Send in a voice message: https://anchor.fm/steme/message Support this podcast: https://anchor.fm/steme/support --- Send in a voice message: https://anchor.fm/steme/message Support this podcast: https://anchor.fm/steme/support

Joe Medicis worked his way up from the ground floor pharmacy stock room of Upstate Medical University as he embarked on a path that would continue to take him ever upward.  That's just one part of the story of this Class of ‘91 ACPHS grad on his journey to becoming vice president of medical affairs at Baudax Bio.  In this episode of Occupation Station, Joe talks about his early plans of becoming a pharmacist and how his education at ACPHS helped prepare him for the many new directions his career would take.   Now Joe works with some of the top scientists around the world.  It's exciting work that comes with the responsibility of helping to provide factual information on medicines that go on to improve thousands of lives.  Joe has great advice for current students on how to shape their best careers.  He explains how being open minded is good for students and good for the profession of pharmacy. About Baudax Bio:  Baudax Bio is a pharmaceutical company focused on developing and commercializing innovative products for patients in acute care settings. We are committed to bringing clinically meaningful therapeutic options to patients, health care providers, and payers, such as ANJESO® (meloxicam) injection, which was approved by the U.S. Food and Drug Administration (FDA) in February 2020. ANJESO is indicated for use in adults for the management of moderate to severe pain, alone or in combination with non-NSAID analgesics.  See omnystudio.com/listener for privacy information. Learn more about your ad choices. Visit megaphone.fm/adchoices

Interviews with infectious disease specialist Kristopher Paolino, MD, public health expert Christopher Morley, PhD, and Rabbi Irvin Beigel

Joe Medicis worked his way up from the ground floor pharmacy stock room of Upstate Medical University as he embarked on a path that would continue to take him ever upward.  That's just one part of the story of this Class of ‘91 ACPHS grad on his journey to becoming vice president of medical affairs at Baudax Bio.  In this episode of Occupation Station, Joe talks about his early plans of becoming a pharmacist and how his education at ACPHS helped prepare him for the many new directions his career would take.   Now Joe works with some of the top scientists around the world.  It's exciting work that comes with the responsibility of helping to provide factual information on medicines that go on to improve thousands of lives.  Joe has great advice for current students on how to shape their best careers.  He explains how being open minded is good for students and good for the profession of pharmacy. About Baudax Bio:  Baudax Bio is a pharmaceutical company focused on developing and commercializing innovative products for patients in acute care settings. We are committed to bringing clinically meaningful therapeutic options to patients, health care providers, and payers, such as ANJESO® (meloxicam) injection, which was approved by the U.S. Food and Drug Administration (FDA) in February 2020. ANJESO is indicated for use in adults for the management of moderate to severe pain, alone or in combination with non-NSAID analgesics.  See omnystudio.com/listener for privacy information.

Interviews with Upstate psychiatrist Robert Gregory, MD, Upstate neurologist Shahram Izadyar, MD, and Syracuse University epidemiologist Brittany Kmush, PhD

Interviews with Upstate infectious disease specialist Stephen Thomas, MD, and Syracuse University epidemiologist David Larsen, PhD

Interviews with public health experts Telisa Stewart, DrPH, and Christopher Morley, PhD; pediatric infectious disease specialist Jana Shaw, MD; and endocrinologist Ruth Weinstock, MD, PhD

Joe Medicis worked his way up from the ground floor pharmacy stock room of Upstate Medical University as he embarked on a path that would continue to take him ever upward. That's just one part of the story of this Class of ‘91 ACPHS grad on his journey to becoming vice president of medical affairs at Baudax Bio. In this episode of Occupation Station, Joe talks about his early plans of becoming a pharmacist and how his education at ACPHS helped prepare him for the many new directions his career would take. Now Joe works with some of the top scientists around the world. It's exciting work that comes with the responsibility of helping to provide factual information on medicines that go on to improve thousands of lives. Joe has great advice for current students on how to shape their best careers. He explains how being open minded is good for students and good for the profession of pharmacy.

Interviews with nephrologist Stephen Knohl, MD, geriatrician Andrea Berg, MD, and pulmonologist Birendra Sah, MD

Interviews with infectious disease chief Elizabeth Asiago-Reddy, MD, gynecologist Renee Mestad, MD, and thoracic surgery chief Jason Wallen, MD

Interviews with researchers Jessica Henty-Ridilla, PhD, and David Auerbach, PhD, and with psychiatrist Ronald Pies, MD

Interview with Sharon Brangman, MD, chief of geriatrics at Upstate Medical University

Dr. Tang is a Hospitalist at Boston Children's Hospital specializing in pediatric hematology-oncology. She attended Upstate Medical University for medical school and the University of Connecticut for residency.  As a physician-scientist, she has been actively involved in research, presented findings at scientific meetings, and prepared manuscripts for scientific publication. In addition to her medical training, she obtained a Master's degree in Biotechnology at Columbia University and a Master's Degree in Clinical and Translational Investigation at New York University. She is dedicated to being a part of an innovative research community focused on developing groundbreaking discoveries for pediatric hematology/oncology patients. She also is devoted to helping students pursue their passion in medicine Take the quiz here

In this installment of the Detroit Worldwide Podcast, Marquis connects with OBGYN physician and surgeon, Dr. Kasandra Scales about her journey into the medicine as well as the inspiration behind her company, Be Bougie, which is an online store that  supports Detroit-based non-profit foundations.Kasandra also discusses her advocacy work and why she is committed to amplifying Black excellence in the field of medicine. About Kasandra:Dr. Kasandra Scales is a Detroit native and a graduate of Michigan State University where she pledged Delta Sigma Theta Sorority, Inc. and was elected National Second Vice President in her junior year.Following the completion of her degree from Michigan State University,  she moved to the East Coast to pursue her Masters in Public Health at Columbia University in NYC and was awared the Arnold P. Gold Humanism Award for her work with displaced Hurricane Katrina Survivors in NYC.She received her medical degree and completed residency at Upstate Medical University in Syracuse, NY in Obstetrics and Gynecology. Dr. Scales now practices as a full-time OBGYN physician in the DMV area. She is also the  co-founder of  an e-commerce brand called Be Bougie with her business partner Allyson (also an OBGYN) to encourage and empower women to embrace higher standards in all aspect of their lives via statement tees & apparel. 10% of the sales is earmarked to support the Detroit-based non-profit The Pretty Brown Girls Foundation.Connect with Kasandra: Website: Be Bougie Instagram: @shopbebougieTwitter: @shopbebougieFacebook: Be BougiePinterest:  Be Bougie Enter Promo Code: WhatUpDoe  to save 15 % on your next order

Dr. Heidelbaugh received his medical degree from Upstate Medical University at Syracuse in 1996, and completed his Family Practice residency at St. Joseph's Hospital Health Center, also in Syracuse, New York, in 1999. He is board-certified by the American Board of Family Medicine. He currently serves as the Director of Medical Student Education and Clerkship Director. A veteran medical educator and mentor to medical students at the University of Michigan Medical School, Dr. Heidelbaugh serves as an authority in family medicine, men's health, and a variety of interdisciplinary clinical interests.

This episode features Nancy Daoust, Chief Ambulatory Officer at State University of New York Upstate Medical University. Here, she discusses challenges in the ambulatory setting throughout covid-19 and ensuring her organization is ready to continue handling the pandemic and vaccine distribution. She also shares her advice for emerging leaders which includes assessing what leadership style feels authentic to you.

Welcome back to another episode of On the GOnain! Stories this Week: Photo Brief: COVID-19 Test Verification New Ban On Mattress Toppers Announced SUNY

This episode features Dr. Sriram Narsipur, Chairman of the Department of Medicine at State University of New York Upstate Medical University. Here, he discusses his experience running the department, his best advice for other healthcare leaders, and more.

On this week’s episode of “Yep, That Happened,” Shirley explains why poc solidarity amongst Asian Americans and Black Americans doesn’t exist.   Yep, That Happened is a weekly podcast where writer and host, Shirley, talks about what everyone else is talking about, what needs to be discussed more, and what no longer deserves our time. Check out her website at shirleyldeleon.com. Send any questions and comments to yepthathappenedpodcast@gmail.com or fill out the form on her homepage. Follow her on Instagram at @shiloudeleon. Like, share and subscribe to the podcast. If you love the show, please give it a 5-star review. Thank you for listening!   Links mentioned: “Jackson, Mississippi has a water crisis because our state legislature has a race problem” article from nbcnew.com: https://www.nbcnews.com/think/opinion/jackson-mississippi-has-water-crisis-because-our-state-legislature-has-ncna1259819   “The Water Crisis in Mississippi America Can’t Afford to Ignore” article from Gizmodo: https://earther.gizmodo.com/the-water-crisis-in-mississippi-america-can-t-afford-to-1846393247   “The Asian American Response to Black Lives Matter Is Part of a Long, Complicated History” article from time.com: https://time.com/5851792/asian-americans-black-solidarity-history/   “Affirmative action opponents ask U.S. Supreme Court to take up Harvard case” article from Reuters: https://www.reuters.com/article/us-usa-court-harvard-idUSKBN2AP2FY   “White women benefit most from affirmative action — and are among its fiercest opponents” article from Vox: https://www.vox.com/2016/5/25/11682950/fisher-supreme-court-white-women-affirmative-action   “Affirmative Action: Myth versus Reality” article from Upstate Medical University: https://www.upstate.edu/diversityinclusion/policies-and-procedures/aa/myth_reality.php   “White women and affirmative action in employment in six southern cities” academic paper from the Social Science Journal: https://spia.uga.edu/faculty_pages/rbakker/pdfs/affirmativeAction.pdf   “Affirmative Action Has Helped White Women More Than Anyone” article from time.com: https://ideas.time.com/2013/06/17/affirmative-action-has-helped-white-women-more-than-anyone/   “'Ginny & Georgia' star Antonia Gentry speaks out after Taylor Swift slams the show” article from today.com: https://www.today.com/tmrw/ginny-georgia-star-speaks-out-after-taylor-swift-slams-show-t210944   MUSIC CREDIT: Mango by Smith The Mister https://smiththemister.bandcamp.com Smith The Mister https://bit.ly/Smith-The-Mister-YT Free Download / Stream: https://bit.ly/mango-smith-the-mister Music promoted by Audio Library https://youtu.be/Zn4SeyT3oME   Track Info: Title: Mango by Smith The Mister Genre and Mood: Alternative & Punk + Bright   Available on: Spotify: https://spoti.fi/2FIeX4V iTunes: https://apple.co/305EA9t Deezer: https://deezer.com/us/album/64408662 Bandcamp: https://smiththemister.bandcamp.com/t... Google Play: http://bit.ly/2GgLjEq   Contact the Artist: smiththemister@gmail.com https://smiththemister.bandcamp.com https://soundcloud.com/smiththemister https://open.spotify.com/artist/3lklK... https://music.apple.com/us/artist/smi... https://youtube.com/channel/UCQ5zugE_... https://deezer.com/us/artist/14163883 https://instagram.com/smiththemister

Andrew Tisser DO is a board-certified emergency physician and a physician career strategist. He is the Medical Director of Rochester Regional Health Urgent Care-Batavia and also works at the United Memorial Medical Center. Dr. Tisser earned his osteopathic medicine degree from the New York Institute of Technology College of Osteopathic Medicine. He then completed a residency in Emergency Medicine from Upstate Medical University. Dr. Tisser hosts his own podcast show called Talk2MeDoc - which focuses on issues relating to the early career physician. While medical training is a very linear path, building a medical career can be more challenging. How can residents find their right career path? Today, Dr. Andrew Tisser shares his three-step process. First, figure out who you are and what your values are. Think back to who you were before medical school. The things you liked don't go away when you bury them in medical training. Next, figure out what you'd like to be doing for eight to 12 hours a day. Sometimes it's easier to start with what you don't like doing. Then, third is the strategy: career experiments, talk to people in the industry, see what's out there, what is possible, and work towards those goals.  Pearls of Wisdom: 1. Learning which path to choose is a three-step process: First, who are you as a person (before medical school)? Second, what do you love doing? Third, strategize and plan a path based on who you are and what you love. 2. Talk to people like a person. Acknowledge people, say hello, sit with patients, make an effort to learn people's names. 3. Great mentors don't sugarcoat things. They help you see what you can't and help you figure out solutions. Find someone you trust enough to be vulnerable with. 4. At any point in your career, you have options. It's never too late to go after what you love doing.

Host William Rogers here with another episode of On the GOnian!Stories this Week: Students Warned To Stay Off Ice On Lake COVID-19 pandemic hits

This episode features Dr. Sriram Narsipur, Chairman of the Department of Medicine at State University of New York Upstate Medical University. Here, he discusses his experience running the department, his best advice for other healthcare leaders, and more.

This episode features Nancy Daoust, Chief Ambulatory Officer at State University of New York Upstate Medical University. Here, she discusses challenges in the ambulatory setting throughout covid-19 and ensuring her organization is ready to continue handling the pandemic and vaccine distribution. She also shares her advice for emerging leaders which includes assessing what leadership style feels authentic to you.

This episode features Nancy Daoust, Chief Ambulatory Officer, State University of New York Upstate Medical University. Here, she discusses challenges in the ambulatory setting throughout covid-19 and ensuring her organization is ready to continue handling the pandemic and vaccine distribution. She also shares her advice for emerging leaders which includes assessing what leadership style feels authentic to you.

Sriram Narsipur, MD, FASN, FACP, MRCP is the Edward C. Reifenstein professor and chairman of the department of medicine at Upstate Medical University. In addition to serving as the chief and medical director of the division of nephrology, he's also a professor of pediatrics and surgery at the institution. Dr. Narsipur earned his medical degree from University of Michigan Medical School. He then pursued a residency in internal medicine and pediatrics from Baystate Medical Center, Tufts University School of Medicine, where he served as the chief resident in pediatrics. He then did a fellowship in nephrology from University of California at San Diego. His clinical interests include clinical transplantation, dialysis and research interests include cardiovascular disease in patients with end stage renal and chronic kidney disease. Most people say a successful leader is someone with big ideas that shares them with others to reach an end goal. Dr. Sriram Narsipur agrees that those traits are important, but points out that the best leaders are effective listeners. Listening is the most important skill for leaders so they understand their environment and the people they deal with. Listening is also important in patient interactions. Dr. Narsipur connects this undervalued skill with everything from building trust with patients, to getting advice from others when making a big decision. And without listening, the mentor/mentee relationship would fall apart. Join us as Dr. Narsipur shares the strengths of listening. Pearls of Wisdom: 1. Listening is the most important skill for a potential leader, and a good leader is always a good follower first. 2. After contact with a patient, follow up. Call them. This will go a long way in their immediate care, as well as build a better long-term relationship. 3. When making a big decision, look to collective experience and well-rounded advice. Even if things go wrong, at least you made the best decision you could. 4. Take advantage of understanding your patient's perspective and see the world through your patient's lens in order to become a more compassionate physician.

Tanya Peterson, MS, OTR, has been an occupational therapist for over a decade. She began her career in acute care at Upstate Medical University, eventually transitioned into pediatrics, and then became a full time faculty member in an Occupational Therapy Assistant Program. Eventually she branched out on her own to open The Tot Spot Play Center in Upstate NY. And her most recent project aligns her passion for helping other OT Entrepreneurs do the same - Tanya and her business partner are launching Tactical Shift Healthcare Consulting in fall 2020.On this episode, Tanya talks about her innovation and how she became an entrepreneur in the field of occupational therapy and shares tips and resources for other who are interested in pursuing a similar path. To find out more about her work, to access free content, and to request support, check out Tactical Shift Healthcare Consulting at https://mailchi.mp/74317e68f845/tactical-shift-healthcare-consulting-beta-launch. Learn more about Tanya's clinic, The Tot Spot Play Center, via the website at www.thetotspotplaycenter.com or on Facebook or Instagram @totspotplaycenter

James A. DellaValle, MD, is a graduate of the Drexel University School of Medicine. He is a board-certified in emergency and family medicine, focusing on those in rural areas and under-served populations. Dr. DellaValle served as medical advisor and member of the Board of Trustees of Hands Together, a non-governmental organization (NGO) working with the poorest of the poor in Haiti, for 15 years. He has been awarded a fellowship by the American Academy of Medical Acupuncture and the American College of Emergency Physicians. He is also certified by ARDMS in abdominal, cardiac, and vascular ultrasound. Dr. DellaValle continues to be involved in undergraduate and graduate medical education. Presently, he serves as an Associate Professor of Emergency Medicine at The Upstate Medical University in Syracuse, New York, and as the Chair of the APCA POCUS Certification Assessment Committee.

The latest issue of JABA starts off with an editorial by the Society for the Experimental Analysis of Behavior's (SEAB) board in which it issued a statement of concern for the controversial paper titled, Behavioral treatment of deviant sex-role behaviors in a male child. This paper described a case study conducted by George Rekers and Ivar Lovaas, and was published in the pages of JABA in 1974. To get right to the point, let me read you the editorial's abstract: In an early study in the Journal of Applied Behavior Analysis, Rekers and Lovaas (1974) evaluated the Behavioral Treatment of Deviant Sex-role Behaviors in a Male Child. They investigated the use of reinforcement and punishment to target non-gender conforming behaviors of a 5-year-old male child. This study was considered by some to be controversial and concerning, even near the time of publication (Nordyke et al. 1977; Winkler, 1977). The concerns focused on the ethicality of selecting non-gender conforming behavior as a target response and the use of punishment for this type of response, particularly at the behest of parents when the young child was not seemingly distressed. The study has subsequently been used as empirical support for conversion therapy creating concerns about misinterpretation of the original article and harm to the LGBTQ+ community. This editorial reviews the concerns originally presented by Nordyke et al. and Winkler and issues an official Expression of Concern about the various harms that have been associated with this paper. I first heard about this paper many years ago, but it was to my attention again at the 2019 NH ABA conference. At that event, Dr. Sarah Campeau did a great job reviewing this paper, along with cataloging the devastating effects the study had on the participant later on in his life. So in this episode of the podcast, Drs. Linda Leblanc and Henry Roane discuss the rationale behind the statement of concern. In doing so, they talk about why the statement was written now versus earlier in the history of JABA, and what exactly a Statement of Concern is, and why issuing the statement was the specific action taken instead of other options, such as retracting the paper altogether. We also get into the actual shortcomings of the study, particularly in light of the ethical and moral standards of modern times. Linda and Hank close the podcast by giving some advice for practitioners on how to respond to concerns of stakeholders if or when they bring up this or other studies that are not consistent with more modern ethics and values. I should also note that our Zoom connection was spotty here and there, and I apologize if it interferes with the audio quality that you've come to expect from the show. That said, I don't think it poor connection detracted from the substance of the conversation. Dr. Roane is a new voice in the Inside JABA Series, so by way of introduction, Hank is the Gregory S. Liptak MD Professor of Child Development in the Department of Pediatrics at Upstate Medical University in Syracuse NY. In this capacity, he serves as the Chief of the Division of Development, Behavior and Genetics where he directs medical and behavior analysis clinics that provide treatment services for children affected by autism and related disorders. Hank is also the Chair of the Behavior Analysis Studies program in the College of Health Professions at Upstate. As we mention during the conversation, Hank is also the Treasurer of SEAB. In keeping with the previous Inside JABA Series podcasts, there are no ads or sponsors on this episode. However, this episode is eligible for BACB Continuing Education. We also felt that the conversation touched on many code elements in the Professional and Ethical Compliance Code, and as such, it can be counted as an Ethics CEU. Lastly, 50% of the proceeds from sales of the Inside JABA Series CEUs are donated to SEAB. So for more information on the Inside JABA Series CEUs, or any other CEUs that are available through Behavioral Observations, click here. I've also set up a Link Tree across all my social media platforms where you can access all the different podcast offerings, including episode shownotes. For example, if you follow the show on Instagram (@behavioralobservations), just go to the link in the bio, and you'll have many podcast-related links at your fingertips. Here are the links to the resources that were discussed in this episode: Editor's Note: Societal changes and expression of concern about Rekers and Lovaas' (1974) Behavioral Treatment of Deviant Sex‐Role Behaviors in a Male Child. The Rekers and Lovaas (1974) study. Nordyke, Baer, Etzel, and LeBlanc (1977), response to Rekers and Lovaas. Winkler (1977), response to Rekers and Lovaas. Rekers' response to Nordyke et al. and Winkler (1977). The Anderson Cooper four-part expose on the long term effects on the participant in Rekers and Lovaas. Committee on Publication Ethics (COPE) website. Retraction Watch. CEU opportunities from Behavioral Observations. BOP linktr.ee (clearinghouse of podcast-related links).

In this episode of ACOG District II's On the Front Line: Managing OUD in Pregnancy, we sat down with Dr. Neil Seligman to discuss addiction and pain management for pregnant patients with opioid use disorder. Our guest, Dr. Seligman, is an Associate Professor at the University of Rochester working in the Division of Maternal-Fetal Medicine. He completed his medical degree at Upstate Medical University in Syracuse, New York, and residency and fellowship training at Thomas Jefferson University Hospital in Philadelphia, Pennsylvania. He has been employed at the University of Rochester since graduating from the fellowship. To learn more about managing OUD in pregnancy, visit www.acogny.org. Be sure to follow us on Twitter and Instagram at @ACOGD2 for updates on OUD and other cutting edge medical education resources.

Jon Kennedy is on a hunt for the very best food in Upstate New York over at @UpstateHungry on Instagram. Jon is studying for his M.D. at Upstate Medical University.

May is Borderline Personality Disorder Awareness Month! Join us in this fascinating interview with Dr. Robert Gregory. Dr. Robert Gregory is Professor of Psychiatry and Behavioral Sciences at Upstate Medical University where he serves as Director of the Psychiatry High Risk Program, a treatment program for youth and young adults struggling with suicidal thoughts or behaviors.  Areas of interest and special expertise include borderline personality disorder, addictions, and suicide prevention.  He is the developer of one of the evidence-based treatments for borderline personality disorder, called Dynamic Deconstructive Psychotherapy.

Interventional neurologist and stroke expert Interventional neurologist and stroke expert Hesham Masoud, MD, and stroke outreach program coordinator and nurse Josh Onyan discuss stroke symptoms and the treatments available at a comprehensive stroke center. Hesham Masoud, MD, and stroke outreach program coordinator and nurse Josh Onyan discuss stroke symptoms and the treatments available at a comprehensive stroke center. Neurologist Neurologist Antonio Culebras, MD, tells how sleep apnea increases the risk for stroke. Antonio Culebras, MD, tells how sleep apnea increases the risk for stroke.

We recently traveled to Syracuse, New York, for a State of the Science Summit on Advanced Non–Small Cell Lung Cancer. At the meeting, we spoke with the faculty of Upstate Medical University on practice-change clinical trials in the space, as well as novel approaches to treatment with checkpoint inhibitors, targeted therapies, radiation, and minimally invasive surgery. They also discussed the importance of screening for disease and highlighted the latest diagnostic and staging techniques.

Join James A DellaValle, MD, MBA, Chairman of the POCUS Assessment Committee, talk about the Promise of POCUS, how it renewed his interest in his work, and his experience volunteering in Haiti. Dr. DellaValle graduated from Drexel University School of Medicine. Board-certified in Emergency and Family Medicine, focusing on those in rural areas and under-served populations. Served as medical advisor and member of the Board of Trustees of Hands Together. Involved in undergraduate and graduate medical education and is an Associate Professor of Emergency Medicine at The Upstate Medical University in Syracuse, NY. Dr. DellaValle is Chair of the APCA POCUS Certification Assessment Committee

DETAILED SHOW NOTES COMING SOON https://www.dremilyparke.com/interview Functional Medicine  http://learntruehealth.com/functional-medicine So many people are gravitating now to functional medicine. This is because they know the implications of becoming too dependent on drugs. Functional medicine can even help heal the gut naturally to support the immune system.  To talk more about functional medicine, Dr. Emily Parke explains it in detail in this episode. Finding Her Passion When Dr. Emily Parke was little, she remembers wanting to try everything. Getting her first toy medical kit as a toddler ignited her curiosity about the medical world. During her teenage years was when she found a passion for medicine. At 16 years old, Dr. Emily Parke worked at CVS pharmacy part-time. That time, you didn’t need any extra training or certification to learn about medication and medical conditions.  So, Dr. Emily Parke was able to learn the ins and outs of the pharmacy business. Dr. Emily Parke also had a friend who was a volunteer for the local ambulance. She loved the experience and invited Dr. Emily Parke to try as well. So, at 17 years old, Dr. Emily Parke became a volunteer after undergoing actual training for the certified first responder. College Years During her college years, Dr. Emily Parke took up pre-med biology. Despite her college class schedule, she still found a way to continue her volunteer work with the local ambulance. Dr. Emily Parke loved all her science courses in college. She eventually switched schools and got an associate degree in respiratory therapy. Then she stayed on and got her Bachelors’ degree from the same college in cardiorespiratory science. But it wasn’t until Dr. Emily Parke got into respiratory therapy school when one of her instructors would put them on rounds as respiratory therapy students with the medical students at the university. Eventually, Dr. Emily Parke ended up choosing anesthesiology because there was a lot of hands-on stuff. The Cleveland Clinic Dr. Emily Parke did her anesthesiology residency at the Cleveland Clinic. For her, it was her first diverse experience. Working at the Cleveland Clinic was an achievement for Dr. Emily Parke. The Cleveland Clinic was the top three tertiary training facility and always in the top three hospital systems in the country. The Cleveland Clinic was also the number one cardiac center in the world. It was indeed a great place to train. Burned Out Dr. Emily Parke ended up doing a fellowship in pediatric and pediatric cardiac anesthesiology in Philadelphia. After her training, she decided to move to Phoenix, Arizona in 2009. The first year was great. For Dr. Emily Parke, it was a huge learning curve. But after a few years, Dr. Emily Parke started to burn out. She started not sleeping and had stomach issues.  Discovering Acupuncture Going to a doctor for consultation wasn’t successful. This was because Dr. Emily Parke didn’t want, but instead, she wanted to know why she was feeling the way she did. Dr. Emily Parke happened to have a friend going to acupuncture sessions and convinced Dr. Emily Parke to try. It turned out that acupuncture and Chinese herbs helped Dr. Emily Parke sleep well and address her stomach symptoms. Helping Patients After her personal experience with acupuncture, Dr. Emily Parke though about how to learn it also to help her patients. This was because as part of her anesthesiology job, Dr. Emily Parke was also vice chair of the pain department at Phoenix Children’s hospital for a couple of years. She was seeing kids with terrible pain issues just like adults. And that drove her to get training in medical acupuncture. “I took the complete training course for acupuncture for physicians and myself. Another doctor got the acupuncture program up and going at Phoenix Children’s hospital in-patient, and we were only doing out-patient acupuncture for adults,” said Dr. Emily Parke. Functional Medicine One of Dr. Emily Parke’s classmates mentioned the term functional medicine. Dr. Emily Parke ended up getting curious about it and started learning about functional medicine. Shortly after, Dr. Emily Parke found the Institute for Functional Medicine. What Dr. Emily Parke loved about the Institute for Functional Medicine was the fact that they had a complete certification process and was clear on what the curriculum was. “I started training in 2013. In 2014, The Cleveland Clinic paired with the Institute of Functional Medicine. And it kept growing,” said Dr. Emily Parke. “The acupuncture we’re doing for in-patients is pretty much pro bono because it’s complimentary. This because for alternative medicine, insurance does not reimburse for it as an in-patient since it is considered non-essential care.”  Arizona Wellness Medicine Dr. Emily Parke went all around the country taking their modules. There are seven modules to get certified in functional medicine. The first one is called applying for functional medicine in clinical practice. It teaches the vision and other practitioners how to think about patient care differently and apply the principles of functional medicine. “The other six modules are advanced practice modules and gets specific. Going to all of those training is great. There is a pre-course work and post-course work,” Dr. Emily Parke said. “Then in 2015, I opened my practice for functional medicine and acupuncture called the Arizona Wellness Medicine in Paradise Valley, Arizona.” Getting patients was a lot of hard worth but it was worth it.  From opening only on certain hours, the Arizona Wellness Medicine gradually increased their operating hours to full days. Nowadays, their schedule is always fully-booked, and it takes months to book an appointment with Dr. Emily Parke. The Arizona Wellness Medicine also has other practitioners to meet the demand for this type of medicine. To extend her healing network, Dr. Emily Parke built a relationship with people through writing blogs, diving into social media marketing and increasing video content in her social media channels. Food Issues According to Dr. Emily Parke, there are three main health issues with food. These are the food allergy, food sensitivity, and food intolerances. “Food allergies are IgE. If you eat food and you have a strong IgE to it, you’re going to get symptoms pretty much right away. IGE’s don’t tend to change a lot over time,” explains Dr. Emily Parke.  She adds, “Food sensitivity is not IGE. There’s a place called the Cyrex Company which does IGG and IGA food sensitivity testing. There’s not one test that looks at every part of the immune system’s response. It’s your body that tells us the true answer.” Food Elimination Plan Dr. Emily Parke walks patients through a 30-day food elimination plan. The plan has a specific reintroduction process that helps them figure out what their food sensitivities are. Because at the end of the day, no matter what the blood test shows, if you eat something and you don’t feel right, it’s best to stop eating it. “It takes your body’s immune system approximately 23 days to calm down by half. So 30 days gives you half that halfway point to where on the backend, you can tell if it creates a symptom for you or not,” said Dr. Emily Parke. Recommended Diet Dr. Emily Parke says that half your plate should be non-starchy veggies of some kind. Your diet should also include some fruit and some healthy fat like avocados, nuts, seeds, olive oil, and coconut oil.  For proteins, good sources include grass-fed beef, wild caught salmon and organic free range chicken. “The paleo diet is just really getting you back to eating real food. It takes away processed food items. And it also lowers sugar as well as takes away a lot of the common food triggers,” said Dr. Emily Parke. On her website, Dr. Emily Parke has two free downloads available and ten yummy recipes which are anti-inflammatory, nutrient dense and paleo style. You can also get some information on her jumpstart plan which is a 30-day paleo reset. There’s not one food plan that’s perfect for everybody, so it’s best to consult with a good health practitioner. Autoimmune Diseases The treatment for people with the autoimmune disease also takes a different approach. And functional medicine is slowly getting popular as a treatment for people with autoimmune disease. “Autoimmune is on the rise. But I think in doing functional medicine, it attracts more autoimmune disease patients. I love autoimmune disease patients because there is a good degree of reversibility in treating them,” said Dr. Emily Parke.  Success Stories There have been many success stories of people healing because of functional medicine. Dr. Emily Parke loves to see people early on and as young as possible. “Because of many times with autoimmune disease, you’ll see the markers for autoimmunity in the bloodwork before someone has significant symptoms and organ damage,” said Dr. Emily Parke. “That’s a golden opportunity right there to reverse the autoimmune disease process.” Other Remedies Dr. Emily Parke can assist patients with a paleo autoimmune protocol to address their health issues. She also recommends Sarah Ballantyne’s book, the Paleo Principles to educate us on how to get good sleep and stress management. Doing a protocol generally reduces toxins. Eating organic foods and taking magnesium also helps one to sleep better and lowers blood pressure. Acne, on the other hand, indicates a significant skin and gut connection as well as toxins. One way to remedy skin issues is doing an anti-inflammatory, nutrient-dense food plan to determine food sensitivity issues with the skin and also grow good healthy gut bacteria. “The top thing you can do to create health for yourself is to think about how you can lower your stresses and make your life simpler. Anything we can do to reduce stress and simplify our life is going to go a long way,” said Dr. Emily Parke.  Bio Dr. Emily Parke, DO, is board certified in anesthesiology and pediatric anesthesiology, trained in medical acupuncture, and specializes in Functional Medicine.  Dr. Emily Parke earned her bachelor’s degree in Cardiorespiratory Science at Upstate Medical University in Syracuse, New York, near her hometown, and attended medical school at Rowan University in New Jersey. Upon graduation from medical school, Dr. Emily Parke completed her anesthesia residency at the world famous, top-ranked Cleveland Clinic, where she served as Chief Resident.  Her desire to tackle complex medical challenges led Dr. Emily Parke to pursue a pediatric anesthesia fellowship at the Children’s Hospital of Philadelphia, consistently one of the top three children’s hospitals in the country, where she served as Chief Fellow. After completion of her anesthesia training in 2009, Dr. Emily Parke took a job practicing pediatric anesthesia in Phoenix, Arizona, doing complex pediatric anesthesia cases, as well as serving as vice chair of the Pediatric Pain Medicine Department at Phoenix Children’s Hospital from 2010-2012.  In 2012, Dr. Emily Parke completed training in Medical Acupuncture, which then led her to the cutting-edge field of Functional Medicine. She then began training with the Institute for Functional Medicine (IFM) shortly after.  She is an IFM Certified Functional Medicine Practitioner and has completed the Kresser Institute for Functional and Evolutionary Medicine ADAPT clinician training program as well.  IFM, in collaboration with The Cleveland Clinic, opened the Cleveland Clinic Center for Functional Medicine in October 2014. Also, Dr. Emily Parke has presented and lectured nationally on a variety of topics, which began early in her residency career and continues presently. Get Connected With Dr. Emily Parke! Official Website Facebook Twitter Instagram Recipes Video and Audio Blog Recommended Readings by Dr. Emily Parke Food, What The Heck Should I Eat? – Dr. Mark Hyman   The Paleo Principles – Sarah Ballentyne   ************************************ Need Help Ordering The Right Supplements For You? 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Dd you know that 70 to 80 percent of people will experience at least one episode of back pain in their lifetimes? Find out what you can do about your aching back and sore neck. Sandeep Johar, D.O., M.S., Neurosurgery, Orthopaedics & Spine Specialists (NOSS) joins host Robin Sills, RN, Physician Liaison, on “Medically Speaking” to talk about back and neck pain, the difference between acute and chronic pain, plus interventional management, including how it works, when it’s appropriate and the latest techniques. Dr. Johar has a master’s degree in physiology from Roswell Park Cancer Institute and received his medical degree from New York College of Osteopathic Medicine. He completed an internship and residency in emergency medicine at Upstate Medical University in Syracuse, a fellowship in sports medicine at the University of Rochester School of Medicine, and a fellowship in spine, sports and musculoskeletal medicine at the University of Florida.

Full Transcript: [intro music] Host – Dan Keller Hello, and welcome to Episode Seventy-three of Multiple Sclerosis Discovery, the podcast of the MS Discovery Forum. I’m Dan Keller. Today's interview features Donna Osterhout, a cell biologist at Upstate Medical University in Syracuse, New York, USA. Dr. Osterhout talks about a new way of looking at myelin-making cells, which move and change shape in dramatic ways. Current MS drugs take aim at preventing new immune damage. In the future, researchers hope to figure out how to repair myelin and restore function. But first, let’s look at new content on MS Discovery Forum. Spring brings rain, flowers, and a bouquet of scientific meetings related to multiple sclerosis. See the list at msdiscovery.org under the tab “professional resources.” MSDF sent the only journalist to cover the recent meeting of the American Society of Neurochemistry in Denver, but you can count on a blitz of news from the media pack at the next meeting on the calendar – the American Academy of Neurology in April, happening this year in Vancouver, BC, Canada. The number of research papers about multiple sclerosis has doubled in the last 10 years, and many findings are first reported at meetings before publication. Moving on, let’s sample a few of the new papers we found in our weekly PubMed search of the world’s largest medical library, the National Library of Medicine. You can link to each week’s list of curated papers at msdiscovery.org. Related to this week’s podcast, a new paper reviews the latest research about the molecular cues that allow precursor cells to mature and go through the stages of making myelin. These cues come from axons and from other surrounding tissue. Clinical drug development efforts focus on overcoming inhibitory cues, such as with the experimental agent anti-LINGO-1, now completing phase 2 clinical trials for MS and acute optic neuritis by Biogen. The review authors suggest future drugs to repair myelin could boost permissive and promotional cues, which may go wrong in disease. The paper is published by researchers at the Virginia Commonwealth School of Medicine in the journal Experimental Neurology. Another report updates the Cochrane systematic review on teriflunomide, a daily oral medication for relapsing remitting MS marketed under the brand name Aubagio by Sanofi Genzyme. Cochrane’s systematic reviews are ranked among the highest level of medical evidence, because of the rigorous independent analysis of multiple studies, including randomized controlled trials. The authors write that, as a single drug, the high dose of teriflunomide was as effective as interferon beta 1-a, while the low dose was less effective. They recommended longer follow-up analyses and noted that the available evidence was low-quality, as well as subject to bias, in part because all studies were sponsored by pharmaceutical companies. In general, side effects were mild to moderate and do not usually lead to treatment being stopped, but the higher dose is more prone to cause these side effects. The study is available in the Cochrane Library. The final editor’s pick this week takes a fresh look at how medical images transform a patient’s view of her own body. The paper describes an artistic collaboration between Devan Stahl, a bioethicist at Michigan State University with multiple sclerosis, and her sister Darian Goldin Stahl, a printmaker. The resulting art – some of it life sized – superimposes Devan’s narrative and MRI images with body photos. Devan wrote in the paper that the art collaboration has made it easier to talk about her MS. The paper is published in the journal Medical Humanities. If you're in town for the big Neurology meeting, you can catch Darian’s artist talk on April 17 at 2 pm at Malaspina Printmakers in Vancouver, Canada. [transition music] And now to our interview. We caught up with Donna Osterhout in Denver, Colorado at the March meeting of the American Society for Neurochemistry. She organized a symposium that told a new story about myelin-making cells. In different labs, researchers started looking for clues in the radical shape changes that occur in the cells in their normal process of making myelin. These oligodendrocyte precursor cells sprout “arms” to reach out and touch neighboring axons. Then they push out slabs of fatty membrane and wrap them around and anchor them to the axons. In multiple sclerosis and other demyelinating diseases, the immune system attacks this myelin wrap, and the cells cannot keep up with repair. The unprotected axons may be damaged or destroyed, causing the worsening disability of MS. Learning how the cells make myelin may pave the way toward new therapeutic agents to repair demyelinated axons and restore function. Dr. Osterhout spoke with our executive editor, Carol Cruzan Morton. Interviewer – Carol Cruzan Morton So we are here, in Denver, at the annual meeting of the American Society for Neurochemistry, and you've put together a very interesting panel on a new way of looking at myelin. So can you sort of set the scene for us when you're talking about the myelin research that you're working on? Interviewee – Donna Osterhout Well, myelin is a specialized membrane that is wrapped around axons; it occurs in the last step of development. And oligodendrocyte progenitor cells are the cells that form myelin. They are going to migrate out through the developing brain and they're going to extend processes that come in contact with axons that need to be myelinated. And when they get the appropriate signals, they are going to start a process by which they synthesize and extend a large membrane, which wraps around this axon many times and compacts and forms myelin. The way that this happens has been a mystery thus far, but recent research suggests that there has to be a lot of rearrangements of the internal cytoskeleton for this to happen. And so the symposium was organized to talk about how the cytoskeleton might be changing to allow for this membrane wrapping and myelin formation. MSDF Can you tell me more about the cytoskeleton? Dr. Osterhout The cytoskeleton is comprised of specialized proteins within cells, and every cell has a cytoskeleton; it gives it shape, but it also allows it to migrate, differentiate, and extend processes, so cells wouldn't be able to do much without a cytoskeleton. And in the case of oligodendrocytes, there are a lot of cytoskeletal rearrangements that occur to allow for myelination. MSDF Can you tell me more about the emerging view about how myelination may be working based on this new way of looking at it? Dr. Osterhout Initially, we know that there are early signals that trigger extensive process outgrowth from these cells. Once the axon sends a signal to the oligodendrocyte progenitor cell, they start to put out many, many processes, synthesize myelin proteins, and make this big membrane that will wrap around the axon. What winds up happening is that in the past everybody thinks that we've needed a driving force so that something pushes this forward, and it had been thought that perhaps the actin cytoskeleton was the driving force behind this. The newer research indicates that initially you have to have signals that trigger the process outgrowth, but this is followed by an actual disassembly of the actin cytoskeleton. So it's somewhat opposite of what we had thought previously. MSDF Can you tell me more about the steps that are involved in the process of myelinating that you and your colleagues have been discovering? Dr. Osterhout Well, the initial step is the activation of a cellular kinase called Fyn tyrosine kinase; this is the earliest step in the differentiation of these progenitor cells. Fyn will be activated by any number of signals from the axon including, for example, glutamate that's released. And once Fyn is active, it initiates a rearrangement of cytoskeletal proteins called microtubules in order to facilitate process outgrowth so we can extend processes to form this membrane. In later stages, then we have Fyn helping to trigger the synthesis of myelin proteins, and then you start to get other proteins active that will disassemble the actin cytoskeleton. There is even some evidence that perhaps myelin basic protein can do this. So Fyn signaling will turn on early and promote the synthesis of myelin basic protein, and then myelin basic protein will proceed down these processes and help to disassemble the actin cytoskeleton so the membrane can wrap around the axon. MSDF Can you describe what the cells look like when they're going through this process? Dr. Osterhout Well, this is really interesting to study, especially in vitro. You can set up myelinating cultures of oligodendrocyte progenitor cells. They're very simple cells, they're like bipolar, two to three processes, and that's the earliest progenitor that we might look at. But once you trigger differentiation, they start to put out processes in a somewhat predictable manner. They will first extend five processes, and then these five processes start branching And they produce these intricate branches. At some point these mature cells will actually look like a lace doily; they are spectacular with the cell body in the center and all these highly branched processes surrounding it. And then you see a transformation of these processes into this huge membrane sheet, and in the absence of an axon it's just going to cover the tissue culture dish; it's amazing how large this can get. But if you had an axon in the culture, this membrane sheet would just form myelin. They would form a myelin segment wrapping around the axon. MSDF That’s so interesting. And then can you say, adding to that picture, the steps that are happening in those process that you and your colleagues have been discovering? Dr. Osterhout So when you have the initial process outgrowth, you have Fyn tyrosine kinase active, and that facilitates the initiation and that extensive process outgrowth. But the transition between the process outgrowth and the formation of membrane sheets is going to be the disassembly of the actin cytoskeleton. MSDF And that's the big news is that the actin cytoskeleton is breaking down instead of pushing the myelin forward as it's making its multiple wraps around? Dr. Osterhout Yes, this seems to be the way that this is happening mechanistically. The formation of that myelin membrane requires the actin disassembly, and two of the speakers that we had in our symposium gave evidence to this, using several different experimental systems. And then ultimately when you're going to anchor this myelin sheath, and you can get some specializations in the axonal membrane, and this is what one of the speakers talked about, anchoring the perinodal loops, kind of the ends of the myelin segment. And so we have a process by which we have extensive process outgrowth triggered by Fyn. Then once you get the process outgrowth, you have actin disassembly and you form these membrane sheets, and then they would wrap around the axon, forming myelin, and then you would stabilize it with special proteins in the axon that stabilize the ends at the perinodal loops. MSDF So what does this have to do with diseases like multiple sclerosis? Dr. Osterhout That's a very good question. If we understand what goes on in development, then we might be able to predict how we could facilitate this process in a demyelinating disease like multiple sclerosis. We do have oligodendrocyte progenitor cells in our brain and spinal cord. They persist as a population throughout adulthood. And any time you have a lesion or a trauma to the brain, and especially if you get demyelination, then you'll have these cells migrate to the area of demyelination. And if we can encourage them to remyelinate, they would undergo the same steps. We have shown evidence that the inflammation and other conditions in a demyelinating disease upregulates chondroitin sulfate proteoglycans, and these can actually inhibit the process outgrowth and remyelination by oligodendrocytes, because they ultimately inhibit the activation of Fyn kinase. So if you're considering a disease process, you want to stimulate these steps. And you want to look for agents that might trigger and make sure that these steps proceed, or neutralize things that would be present in the lesion that would inhibit this. MSDF One interesting aspect of your work, and perhaps of science more generally, is that some of these discoveries with relevance to multiple sclerosis come from your work on spinal cord injury. Can you talk about how that works in science? Dr. Osterhout Well, spinal cord injury is another type of lesion, it's a specialized lesion; you have damage to axons as well as demyelination due to trauma. But in diseases in general in the brain and the spinal cord, whenever you have an injury process or inflammation or some kind of destruction of tissue, you get an inflammation and immune influx, and you will get a process called reactive gliosis. And this is common to many diseases that you see in the brain. For example, you can see it easily in spinal cord injury, it's been well documented. You can see these proteoglycans' reactive gliosis in multiple sclerosis, you can see it in Alzheimer's disease, Parkinson's disease, and other conditions, because they all have a common element that you've got some kind of inflammation occurring and tissue destruction occurring at a specific place. MSDF Getting back to multiple sclerosis and the work on how cells myelinate axons, what are the next big questions that you and your colleagues are asking? Dr. Osterhout Well, there still are a lot of questions about exactly how this myelination process is accomplished even during development; we don't fully understand all of the triggers that would activate this process. And, likewise, we don't always understand things that might inhibit this process. So we need to more fully characterize what's going on in development so that we can take a look at it in the remyelinating situations, either in spinal cord injury, or multiple sclerosis, or any other demyelinating condition. MSDF Well, that's really interesting. Well, thank you for taking the time to explain the research. Dr. Osterhout And thank you for your interest; it's been my pleasure. [transition music] MSDF Thank you for listening to Episode Seventy-three of Multiple Sclerosis Discovery. This podcast was produced by the MS Discovery Forum, MSDF, the premier source of independent news and information on MS research. MSDF’s executive editor is Carol Cruzan Morton. Msdiscovery.org is part of the nonprofit Accelerated Cure Project for Multiple Sclerosis. Robert McBurney is our President and CEO, and Hollie Schmidt is Vice President of Scientific Operations. Msdiscovery.org aims to focus attention on what is known and not yet known about the causes of MS and related conditions, their pathological mechanisms, and potential ways to intervene. By communicating this information in a way that builds bridges among different disciplines, we hope to open new routes toward significant clinical advances. [outro music]