Podcasts about ut health science center

Episode 17: AI in Medicine: Ready for a Texas-Sized Leap Forward or Not? https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098193   FACULTY: James Barry, MD is a Professor of Pediatrics, Section of Neonatology, and Medical Director, University of Colorado Neonatal Intensive Care OVERVIEW: Join Host Holly Wayment in this enlightening episode as she explores the transformative potential of artificial intelligence in medicine, particularly in pediatrics. This week, Holly presents a thought-provoking discussion from the Neonatology Fellowship Conference in San Antonio, featuring Dr. James Barry from the University of Colorado. With his profound interest in AI, he shares insights on how AI is poised to revolutionize healthcare over the next decade, making significant impacts in medical processes and patient outcomes. Dr. Barry also talks about resources for practitioners. Learn about pioneering programs, like UT Health San Antonio's groundbreaking dual MD and AI master's degree and delve into the conversations with leading AI experts and doctors such as Dr. Kaiser Aziz from Johns Hopkins and Dr. Alvaro Moreira from UT Health Science Center. This episode encourages healthcare practitioners to engage with AI innovations, emphasizing the importance of ethical, effective, and bias-free implementation to enhance care. OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers DISCLOSURE TO LEARNERS: James Barry, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance. Credit may be obtained upon successful completion of the activity's evaluation. RELEASE DATE: 1/17/2025 EXPIRATION DATE: 8/31/2027  

Mental health professionals often provide support, but what happens when they need help themselves? In this episode, Dr. Jessi Gold and Gabe Howard explore burnout, emotional exhaustion, and the unique challenges doctors and therapists face. Using humor and honesty, they discuss the stigmas around mental health care providers seeking treatment themselves and the importance of "practicing what you preach." Dr. Gold reveals how burnout can manifest emotionally and physically, from depersonalization to feeling disconnected from personal accomplishments. She explains why mental health workers, who deal in emotions daily, often avoid addressing their own emotional struggles. The episode explores the delicate balance between maintaining empathy and protecting oneself from burnout, and Dr. Gold shares practical strategies for self-care – for professionals and patients. Whether you're a healthcare worker, a patient, or someone curious about the inner lives of mental health professionals, this episode offers a candid look into the emotional toll of caregiving. Listen Now! “And it did not help my burnout. I think that I do what a lot of people do, which is actually a symptom of burnout, which is depersonalization, which is disconnecting as much as humanly possible. And I think we learn that in training as a way to protect ourselves. But what happens with burnout or what happens when story after story after story is resonating too much is we kind of disconnect completely. And so we're no longer like that person is a person. We're sort of like, that's just another, like it's an object.” ~Jessi Gold, MD, MS This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD and THC gummies in America. Save 30% on your first order using code "Inside30." To learn more -- or read the transcript -- please visit the official episode page. Our guest, Jessi Gold, MD, MS, is the Chief Wellness Officer of the University of Tennessee System and an associate professor in the Department of Psychiatry at the University of Tennessee Health Science Center. This inaugural leadership position encompasses all five University of Tennessee campuses, UT Knoxville, UT Chattanooga, UT Southern, UT Martin, and UT Health Science Center, and includes up about 59,000 students and 19,0000 faculty and staff. In her clinical practice, she sees healthcare workers, trainees, and young adults in college.  Dr. Gold is also a fierce mental health advocate and highly sought-after expert in the media on everything from burnout to celebrity self-disclosure. She has written widely for the popular press, including for The New York Times, The Atlantic, InStyle, Slate, and Self. Her first book, “HOW DO YOU FEEL? One Doctor's Search for Humanity in Medicine” is out available now from Simon Element. A graduate of the University of Pennsylvania with a degree in anthropology), the Yale School of Medicine, and the Stanford University Department of Psychiatry, she spends her free time traveling with her friends, watching live music (especially Taylor Swift) or mindless television, and on walks with her dog, Winnie. Find her on X, Instagram, TikTok, or Threads @DrJessiGold. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textHALF of all healthcare workers are Burned Out.  But most of us typically power through without recognizing the classic signs.  How can you tell when you're going through burnout? And more importantly, what is it about the culture of medicine and healthcare that increases our risk of experiencing burnout? To help us sort through these issues and RECOGNIZE signs of burnout, we talk with Dr. Jessi Gold, Psychiatrist and Chief Wellness Officer of the University of Tennessee Health System.  She is the author of a memoir called How Do You Feel? One Doctor's Search for Humanity in Medicine.  This book highlights her experience taking care of healthcare workers during the pandemic, and  emphasizes the *emotional toll that it is involved when we're taking care of others*. ** What are the signs of burnout?** Why is it so hard to recognize burnout?** How can we start to notice when we are going down the path of burnout?Dr. Jessi Gold is an Associate Professor of Psychiatry at UT Health Science Center. Dr. Gold is not only a psychiatrist, but she is a mental health advocate and fantastic writer whose work has appeared in the New York Times, The Atlantic, InStyle, Slate, and Self. https://www.drjessigold.com/Her new memoir is called How Do You Feel? One Doctor's Search for Humanity in Medicine available on Amazon athttps://www.amazon.com/exec/obidos/ASIN/1982199776?tag=simonsayscomCheck out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds

Child Neglect: Signs, Symptoms and What to Do Link for MOC Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095849 The Center for Miracles In this powerful episode, Pediatrics Now Host Holly Wayment brings us a grand rounds talk by the University of Texas Health Science Center's Dr. Mary Ann Alvarez-Griffis, a child abuse fellow.  She sheds light on the critical issue of child neglect. Providing an in-depth analysis based on National Child Abuse and Neglect Data System (NCANDS) statistics, she challenges common misconceptions and highlights potential outcomes for children exposed to neglect. The talk emphasizes the recurrent nature of neglect, its equal severity as physical abuse, and its long-term consequences on a child's peer relations, academic performance, and problem-solving skills. Special attention is given to children with special needs, who account for a significant percentage of child maltreatment fatalities. Drawing from her rich experience in pediatric care and community education, Dr. Alvarez-Griffis unravels the devastating impact of neglect on children's growth, cognitive development, social skills and emotional wellbeing. Notably, she underscores poverty and insufficient social support as major risk factors, presenting a comprehensive exploration of neglect statistics. The episode underscores the urgency of recognizing signs of physical neglect, fostering open, non-judgmental communication with caregivers, and effectively addressing potential issues. With detailed case studies, the discussion centers on the importance of thorough investigations and interventions. The significance of growth charts in identifying risk factors and possible neglect signs are also discussed. Dr. Alvarez-Griffiths shines a spotlight on the severe consequences of medical neglect and emphasizes the need for a consistent medical regimen for children dealing with chronic conditions. The implications of neglectful behaviors, such as untimely medical care and poor home management of serious injuries, are explored in depth. In conclusion, healthcare providers are urged to proactively leverage detailed examinations, thorough documentation, and persistent patient education to prevent child neglect and support affected families. This episode serves as a comprehensive guide, unpacking the intricate realities of child neglect, and proffering effective strategies for prevention and intervention. Dr. Alvarez Griffis has dual undergraduate degrees of Pre-medical Biology and Political Science from University of Texas-Pan American (now UTRGV). She attended medical school at William Carey College of Osteopathic Medicine prior to completing her Pediatric Residency at UT Health Science Center in San Antonio where she continued to peruse a fellowship in Child Abuse Pediatrics. During fellowship training Dr. Alvarez Griffis has provided community education regarding child maltreatment to various audiences from pediatric residents to SAPD. She recently participated in updating the AAP Point of Care Quick Reference section on Physical Abuse and Neglect. She is a member of the Child Abuse and Neglect Committee of the Texas Pediatric Society and is also a member of the Council on Child Abuse and Neglect. Her fellows research project focuses on the importance of obtaining head circumferences in infants to prevent missed abusive head trauma. Financial Disclosures: Mary Ann Alvarez Griffis, DO has no financial relationships with ineligible companies to disclose. The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for

You need money to run your business. But your patients should always come first! To help you strike the balance of affordability, profitability, and quality care, Kirk Behrendt brings back Dr. Marco Brindis, chairman of the Prosthodontics Department of Louisiana State University, to share his insight into a successful treatment planning process. Don't be a dentist just for the money! To learn the best ways to help patients while still making money, listen to Episode 715 of The Best Practices Show! Learn More About Dr. Brindis:Join Dr. Brindis on Facebook: https://www.facebook.com/marco.brindis.3Follow Dr. Brindis on Instagram: https://www.instagram.com/drmarcobrindisMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaJoin ACT's To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 715: https://www.youtube.com/@actdental/videosMain Takeaways:Never sacrifice the quality of your dentistry for money.All patients deserve the best care, regardless of age.Always plan for the best treatment you can offer.Divide the treatment plan into three sections.Be considerate of your patients' finances.Snippets:0:00 Introduction.2:27 The dilemma between helping patients and making business out of them.10:39 Patients deserve the best, no matter their age.13:40 How to talk to patients about their treatment plan.18:32 Divide your treatment plan into three.22:56 Don't sacrifice quality for money.29:46 Final thoughts. Dr. Marco Brindis Bio:Dr. Marco Brindis is the chairman of the Prosthodontics Department of Louisiana State University, where he also maintains an intramural restorative practice devoted to esthetics and implants with an interdisciplinary approach. He earned his DDS from the Universidad Intercontinental in Mexico City in 1998, completed a Preceptorship in Dental Implants at the Universidad Intercontinental in 1999, a Preceptorship in Dental Implants at the Dental School at the UT Health Science Center in San Antonio in 2002, and a Surgical Implant Fellowship at the Biotechnology Institute in Vitoria, Spain, in 2003. He earned his Certificate in Prosthodontics at LSU School of Dentistry in the Department of Prosthodontics in 2007, then completed the Esthetic and Occlusion...

At the UT Health Science Center at San Antonio, the brain bank is accepting deposits.

If you're a practitioner, click here for free credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast A Story of Resilience and Rehab: Now She's the Doctor Helping Children Reach their Potential FACULTY: Jeannie Harden , MD is an associate professor of medicine at the UT Health Science Center at San Antonio and board certified physiatrist at University Health. UH Pediatric Rehabilitation Clinic at University Hospital: 210-644-7902.  fax: 210-644-7937 FACULTY: Jeannie Harden, MD is an associate professor of medicine at the UT Health Science Center at San Antonio and board-certified physiatrist at University Health. OVERVIEW: Pediatrics Now Host and Executive Producer Holly Wayment talks to Dr. Harden about how her family was involved in a terrible car accident when she was eight years old, and this inspired her to do one of the things she does as a physiatrist today: help pediatric victims of car crashes reach their full potential.  Wayment and Hardin talk about the latest updates in pediatric rehab and when to send to a pediatric physiatrist.   DISCLOSURES: Jeannie Harden, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.    The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.   CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.   The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (0.50) Non-Physician Participation Credit (0.50)          

 If you're a practitioner, here's the link for free credit:   https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10094992 Using Body Bags to Save People: Extreme Heat and Modern Medicine FACULTY: Steve Moore, MD is an associate professor of medicine at the UT Health Science Center at San Antonio, and emergency room doctor at University Health.  He's the director of the new Wilderness Medicine Fellowship Program.   OVERVIEW: Pediatrics Now Host and Executive Producer Holly Wayment discusses with Dr. Moore extreme heat and what this means for modern medicine and your patients. Link to acclimatization guidelines from the Korey Stringer institute: https://ksi.uconn.edu/heat-acclimatization/ DISCLOSURES: Steve Moore, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.    The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.   CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.   The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.50 AMAPRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (0.50) Non-Physician Participation Credit (0.50)  

Discover the journey of Dr. Peter Cashio, a dedicated emergency medicine physician, and advocate for veterans' health. Born in Louisiana and raised in Houston, Texas, Dr. Cashio's path to medicine was shaped by his early years as a U.S. Marine Corps intelligence analyst, stationed in diverse locations such as Virginia Beach, Virginia, Okinawa, Japan, and Camp Pendleton, California.After his honorable service in the Marine Corps, Dr. Cashio pursued a passion for biology, earning his undergraduate degree from the University of Texas at Austin in 2000. He continued his academic journey, achieving a Master of Science in Developmental Biology at MD Anderson Cancer Center, UT Houston, in 2005. Driven by a desire to make a difference in patient care, he embarked on his medical education at UT Health Science Center, San Antonio, ultimately becoming a licensed physician.Dr. Cashio's commitment to excellence in emergency medicine led him to complete his residency training at the prestigious University of Virginia Hospital in Charlottesville, Virginia, in 2012. He is proud to be recognized as board-certified by the American Board of Emergency Medicine.In his medical practice, Dr. Cashio firmly believes in the importance of listening to his patients. He follows the age-old adage that "listen long enough, and the patient will describe their diagnosis." This patient-centric approach forms the cornerstone of his care philosophy, allowing him to provide personalized and compassionate healthcare.Dr. Cashio's professional interests encompass a wide range of medical fields, including preventative care, men's health, pain management, and critical care. However, he holds a special place in his heart for veterans' healthcare needs and is dedicated to serving those who have served our country.Outside the office, Dr. Cashio balances his life with a passion for powerlifting, a pursuit of aviation knowledge, and a flair for writing. With his family residing in Dripping Springs, he finds inspiration in the beauty of his surroundings.Experience healthcare from a physician who understands the value of time and the importance of each patient's unique story. Dr. Peter Cashio is here to support your health journey, combining expertise, compassion, and a commitment to your well-being.---------------------Check out the My DPC Story RESOURCE PAGE HERE!Find a DPC checklist on how to start your own DPC, DPC conference recordings, and more!---------------------LISTENER'S GUIDE!NEW TO THE POD? Get started by downloading our FREE LISTENER's GUIDE with 10 Episodes that will give you a great introduClick the link below to learn more about the Hint's website builder and Elation Health:Hint's Website Builder link: HEREElation Health: HERE Learn more about Med Mastery: HERESupport the showVisit the DPC SWAG store HERE!Let's get SOCIAL! Follow My DPC Story! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Bill Reichart talks to Roger Matkin, from San Antonio, about the importance and impact of discipleship from his latest book, “Putting It All Together.” Roger was born and spent his early years in Del Rio, Texas on the US/Mexican border. He received his Bachelor of Arts in Mathematics and Physics from Texas A&M University in 1967, earned his Master of Divinity from Southwestern Baptist Theological Seminary in 1970, and his Doctor of Ministry from San Francisco Theological Seminary in 1988 with a focus on nurturing spiritual growth. During his career in campus ministry, Roger served on seven campuses in Weatherford, Fort Worth, and San Antonio. In 1994, Roger was asked to begin a local CMDA ministry in San Antonio and the UT Health Science Center. He embraced the opportunity to impact student lives during these critical years and formed lasting relationships which span four decades. In retirement, the author continues to pursue his life passions: spending time with Melva, his wife of 54 years, and his “kids" and grandkids, fishing, hunting, charcuterie, cooking, carpentry, gardening, and writing. "Putting It All Together" is exactly what the title suggests: a compilation of much that the author has learned on the anvil of experience, taught to students, written about in a variety of formats, and confirmed in the day-to-day rhythms of living the Christian life. Check out our Video Edition Here: https://ccm.cmda.org/discipleship-is-relationship/ PULSE Show Notes: https://cmdastudentlife.org/pulsepodcast CMDA Student Ministries: https://ccm.cmda.org/

No high risk pregnancy is the same. Dr. Summers joins me for a conversation about mitigating the risks, working with your OB/GYN and questions to ask.   In this episode, we chat about: What defines a high-risk pregnancy and what places a woman in that category? If you have some of those risks, what should you look for in an OB/GYN to give you proper care and attention? What are some things women can do to mitigate the risks of a high-risk pregnancy? When should a women consider meds, therapy (or both) during or after a high-risk pregnancy? What are the delivery options for pregnancies that are considered high-risk? How can a woman improve the communication between her regular OB and her maternal fetal medicine (MFM) doctor? What's the best advice for a high-risk mama?   Dr. Jenny Summers is a Texan born and raised, who loves working with women throughout every stage in life in women's health. She is a longhorn and a former child life specialist, who completed her medical school at UT Health Science Center in San Antonio and her residency training at UT Southwestern, serving as chief resident during her fourth year. She has completed a gynecologic advanced pelvic and robotic fellowship.  She currently serves as a clinical assistant professor at The University of Texas Dell Medical School and has been awarded a Rising Star as one of Texas Monthly's Super Doctors for the past 4 years.   Connect with Dr. Summers: Instagram  |  Website   The NICU is hard. We're here to help. Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook  |  Instagram  |  Twitter  | YouTube      The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license   Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license

Historically, a paucity of data has existed in the most appropriate modality of critical care management of brain dead organ donors prior to organ harvest. In this episode, Drs. Bankhead, Dumas, and Park are joined by special guest Dr. Ashley McGinity, a director in the donor management unit the Center for Life at the UT Health Science Center in San Antonio, joins us to discuss modern and current practices in the management of these patients to maximize the gift for patients and families.  References:  https://pubmed.ncbi.nlm.nih.gov/24980425/ https://pubmed.ncbi.nlm.nih.gov/25978154/  https://pubmed.ncbi.nlm.nih.gov/31957104/ https://pubmed.ncbi.nlm.nih.gov/23116641/ https://pubmed.ncbi.nlm.nih.gov/28318674/ https://pubmed.ncbi.nlm.nih.gov/25056510/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145376/  Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other surgical critical care episodes here: https://behindtheknife.org/podcast-category/surgical-critical-care/

Michael Collings (far right) tries on his white coat for size on May 18, an indication that he is ready to start his physician assistant school at the UT Health Science Center at San Antonio. Classes started May 23. Michael, the son of Daen and Sandra Collings of Floresville, is a 2016 graduate of Floresville High School.Article Link

Work can be uncertain. What should you do when the next steps are unclear? Our guest today on Conflict Managed, Dr. Keith Carver, advises when you don't know what to do, do no harm until you know what to do. Keith Carver became the 11th chancellor of the University of Tennessee at Martin in 2017. Prior to his position with the UT System, Keith held various positions on the UT campuses in Knoxville, Martin, and Memphis, including serving as interim vice chancellor for development and alumni affairs at the UT Health Science Center in Memphis and as assistant vice chancellor for development at UT Martin. He holds a bachelor's degree in sociology from the University of Memphis, and a master's degree in college student personnel and educational leadership as well as a doctoral degree from UT Knoxville. Listen in on my conversation with Dr. Carver as he talks about the anatomy of an excellent team, the benefits of listening to those around you, the value of having a mentor and being a good mentee, how to address mistakes and crises at work, and the importance of addressing workplace mental health and wellbeing. You can find Dr. Carver online: Facebook: https://www.facebook.com/kcarver1970 Instagram: https://www.instagram.com/kcarver1970 Email: chancellor@utm.edu Conflict Managed is hosted by Merry Brown and produced by Third Party Workplace Conflict Restoration Services. Contact us at 3PConflictRestoration@gmail.com. Our music is courtesy of Dove Pilot.

This week, join author Tristram Bahnson and Associate Editor Changsheng Ma as they discuss the article "Association Between Age and Outcomes of Catheter Ablation Versus Medical Therapy for Atrial Fibrillation: Results from the CABANA Trial." Dr. Carolyn Lam: Welcome to Circulation On The Run, your weekly podcast summary and backstage pass to the journal and its editors. We're your co-hosts. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center and Duke National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley, Associate Editor, Director of the Poly Heart Center at VCU Health in Richmond, Virginia. Dr. Carolyn Lam: Guess what, Greg? For today's feature paper, we are going to be looking at a very interesting analysis from the CABANA trial, this time, looking at the association between age and outcomes of catheter ablation versus medical therapy for atrial fibrillation. Cool, huh? Okay, but first, let's go through some other important papers in today's issue. Why don't I let you go first? Dr. Greg Hundley: Well, Carolyn, my first paper pertains to the cost effectiveness of coronary artery bypass surgery, and it comes to us from the STICH trial. Dr. Carolyn Lam: Ah, very important question, but please remind us what the STICH trial is again. Dr. Greg Hundley: Right, Carolyn. So the Surgical Treatment for Ischemic Heart Failure trial, or STICH demonstrated that coronary artery bypass grafting reduced all-cause mortality rates out to 10 years compared with medical therapy alone in patients with ischemic cardiomyopathy and reduced left ventricular function, defined as an ejection fraction of less than or equal to 35%. Now in this study, the authors led by Dr. Derek Chew at University of Calgary examined the economic implications of these results using a decision-analytic patient-level simulation model to estimate the lifetime costs and benefits of CABG versus medical therapy alone, using patient-level resource use and clinical data collected from the STICH trial. Dr. Carolyn Lam: Again, really important study. And what did they find? Dr. Greg Hundley: Right, Carolyn. So first, using their patient-level simulation model incorporating resource use and clinical data collected from the STICH trial, they found that coronary artery bypass grafting was estimated to cost $63,989 per quality-adjusted life year gain compared to medical therapy alone. Second, in STICH eligible patients with left ventricular ejection fraction of less than 35% in coronary artery disease amenable to CABG, routine use of CABG increased the quality-adjusted life expectancy compared to medical therapy alone for an increased cost within current benchmarks for good value in healthcare within the United States. Then finally, Carolyn, together with the improved clinical outcomes seen in the 10 year extended follow-up of STICH, the findings in this study provide additional economic support for the use of coronary artery bypass grafting in patients with ischemic cardiomyopathy eligible for STICH. Dr. Carolyn Lam: Wow, thanks Greg. Well, this next study contributes to the understanding of the effect of lifestyle and genetic risk on the lifetime risk of coronary heart disease. Interesting? Well, listen up. This is from Dr. deVries from UT Health Science Center at Houston and colleagues who aimed to quantify remaining lifetime risk and years free of coronary heart disease according to polygenic risk and the AHA's Life's Simple 7 guidelines in the population base cohort of ARIC. As a reminder, the Life's Simple 7 by the AHA consists of smoking status, body weight, total cholesterol, blood glucose, blood pressure, physical activity, and diet. Dr. Greg Hundley: Ah, Carolyn. So genes versus lifestyle. So what did they find? Dr. Carolyn Lam: Participants with high polygenic risk may offset their lifetime risk of coronary heart disease by up to 50% through managing their health according to the Life's Simple 7's recommendations, depending on ancestry. Individuals with high polygenic risk scores and ideal Life's Simple 7 scores had 4.5 to 20 more coronary heart disease free years than individuals with high polygenic risk scores, but low Life's Simple 7 scores and again, depending on ancestry. Appropriate management of lifestyle and clinical risk factors of coronary heart disease play larger roles in the overall lifetime risk of coronary heart disease than presently available genetic information. Thus, communicating the effects of Life's Simple 7 measures and polygenic risk on coronary heart disease in terms of absolute risk may have important implications for education, policy, and environmental changes, which can benefit not only high risk individuals, but the whole population. Dr. Greg Hundley: Wow, Carolyn, really informative study and so nicely summarized. So Carolyn, my next paper comes to us from the world of preclinical science and it's from Professor Yan from Shanghai, Ruijin University School of Medicine. So Carolyn, previous studies have suggested that mitochondrial dysfunction plays critical roles in the progression of heart failure. However, the underlying mechanisms often remain unclear. Now since kinases have been reported to modulate mitochondrial function team investigated the effects of dual specificity tyrosine regulate kinase one B on mitochondrial, bio energetics, cardiac hypertrophy, and heart failure. Dr. Carolyn Lam: Wow. Okay. So what did they find Greg? Dr. Greg Hundley: Right, Carolyn. So this team found that Dual Specificity Tyrosine-Regulated Kinase 1B, our DYRK1B expression was clearly up regulated in failing human myocardium as well as in hypertrophic mirroring hearts and cardiac specific DYRK1B over expression resulted in cardiac dysfunction, accompanied by a decline in the left ventricular ejection fraction, as well as the fraction shortening. And it increased left ventricular myocardial fibrosis. Carolyn in striking contrast to DYRK1B over expression, the deletion of DYRK1B mitigated tack-induced cardiac hypertrophy and heart failure. In addition, the authors found that DYRK1B was positively associated with impaired mitochondrial bio-energetics by directly binding with stat three to increase its phosphorylation and nuclear accumulation. Thereby ultimately contributing toward the down regulation of PG C one alpha. Now, furthermore, the inhibition of DYRK1B or stat three activity using specific inhibitors was able to restore cardiac performance by rejuvenating mitochondrial bio-energetics. Dr. Carolyn Lam: Cool, Greg. So could you give us a take home? Dr. Greg Hundley: Right. So in summary then, Carolyn, taken together, the findings of this study provide new insights into the previously unrecognized role of DYRK1 beta in mitochondrial bio-energetics and the progression of cardiac hypertrophy in heart failure. Dr. Carolyn Lam: Fantastic. Thanks, Greg. Well, other papers in today's issue include an exchange of letters between Doctors Nie and Wollert on the article myeloid derived growth factor protects against pressure overload induced heart failure by preserving sarcoplasmic reticulum calcium, ATPase expression in cardiomyocytes. There's an AHA update [AHA Advocacy Page] paper by Dr. Churchwell on improving heart health through value-based payment. An ECG Challenge by Dr. Murphy on a “Curious ECG Morphology of a Cardiac Device.” An On My Mind paper by Dr. Figtree on “Sublingual Nitrates for Patients as a Default in the Post ACS Discharge Pack. Is the Time for a Rethink?” Dr. Greg Hundley: Right? Carolyn. Boy, this issue is really packed with great articles. There's a Perspective piece from Professor Stewart entitled “Myocardial Edema Provides A Link Between Pulmonary Arterial Hypertension and Pericardial Effusion.” There's a wonderful Frontiers in medicine piece from Professor Kandzari entitled “A Clinical Trial Design Principles and Outcomes Definitions for Device-Based Therapies for Hypertension: A Consensus Document from the Hypertension Academic Research Consortium.” And then finally, Carolyn, there's a Research Letter from Professor Wold entitled “E-Cigarette Aerosol Reduces Left Ventricular Function in Adolescent Mice. Well, Carolyn, how about we get onto those results from the CABANA trial?” Dr. Carolyn Lam: Let's go, Greg. Dr. Greg Hundley: Well, listeners, we are now here for our feature discussion and we have with us today, Dr. Tristram Bahnson from Duke University and one of our own Associate Editors, Dr. Changsheng Ma from Beijing. Welcome gentlemen. Tristram, we will start with you first. Could you describe for us some of the background pertaining to this particular research study and what was the hypothesis that you wanted to address? Dr. Tristram Bahnson: Sure. Being an active electrophysiologist, a challenge we've had over the years is to try to figure out for whom catheter ablation would be a preferred therapy. I've had the privilege of being part of the CABANA study team over the last several years. As listeners might recall, the CABANA trial was a very large trial looking specifically at hard endpoints, including mortality, to try to determine whether or not catheter ablation provides significant benefits to patient. Apart from what we already knew over the years, which is the catheter ablation was more effective than drug therapy to reduce AFib recurrences. That study, the CABANA proper study was published in 2019. Dr. Tristram Bahnson: In the course of that study, pre-specified subgroup analyses were done initially reporting unadjusted outcomes for important clinically relevant subgroups. We found in that initial study that patients with heart failure, minorities, and patients of young age in particular appeared to do better with catheter ablation than with drug therapy. So with that as background, the CABANA study team embarked to focus on each of those subgroups and the heart failure paper was published in 2021, the minorities paper also in 2021 and the subject of our discussion now, the relationship between age and outcome in the CABANA study cohort is a subject of study today. Dr. Greg Hundley: Describe just quickly Tristram the hypothesis you wanted to test here and then in order to test that hypothesis, what was the study population that you included and what was your study design? Dr. Tristram Bahnson: So the focus was on the relationship between age and outcome in CABANA, and this was pre-specified substudy of the CABANA population. So it's probably worthwhile going over who got into the CABANA trial and to remind folks the CABANA trial enrolled 2,204 patients across 126 sites at 10 countries and randomized them one to one to a treatment strategy of either catheter ablation or drug therapy for simple traumatic atrial fibrillation that in the judgment of the treating physicians warranted therapy, patients had to have had at least two episodes of PAF or one episode of persistent AFib documented by ECG or ambulatory recordings within the six months prior to enrollment and they hadn't have failed more than one anuric drug. In other words, they would have to have been reasonable candidates for drug therapy, should they be so randomized. Dr. Tristram Bahnson: In addition, patients that were less than 65 years of age, had to have some additional factors that would increase the likelihood that outcome events would occur. They had to have a CHADSVASC score greater than one. That was not required of the older subjects follow up was 48 and a half months for the population at large, with the interportal range of follow up between 30 and 62 months. The patients had regular follow up every three months for the first year and then six months thereafter. In addition, 1,240 patients received a recording device that allowed them to provide either prescribed episodic recordings or recordings for when they were symptomatic and they also provided 96 hour holters every six months throughout the duration of the trial. Dr. Tristram Bahnson: So that's the population that we were working with. The study design, as I said, focused on trying to tease out the relationship between age and outcomes and the primary outcomes of the CABANA trial included the primary outcome, which was a composite. It included all cause mortality, disabling, stroke, serious bleeding or cardiac arrest, and the key secondary endpoints that were looked at included mortality and cardiovascular hospitalization and AF recurrence. Dr. Greg Hundley: Very nice. Describe for us your results. Dr. Tristram Bahnson: So we actually took a deeper dive into the subgroup of age, and we did a couple things that we thought would be valuable. One was to consider age as a continuous variable because after all, it's pretty arbitrary to bin people into age groups. I think the initial analysis did so with the CABANA proper publication in 2019 to correspond with the break points that we use for CHADSVASC scoring, but we elected to consider age as a continuous variable and we also elected to do adjusted Cox proportional hazard models to account for the various clinical factors that of course varied with age, such as their CHADSVASC score, the occurrence of structural heart disease, like valvular heart disease or coronary disease, the proportion of women, which typically increases with age and did so in this population. The key endpoints that we examined were the CABANA endpoints, including the primary composite endpoint of total mortality, mortality, or CB hospitalization and AF recurrence. Dr. Tristram Bahnson: So at the end of the day, we had 766 patients who were less than 65, 1,130 that were between 65 and 74 and 308 that were greater than 75. Mind you, CABANA admitted patients with any kind of AFib. As a matter of fact, more than half of the study population had persistent or longstanding persistent atrial fibrillation, which is not typical of many studies that have been published, looking at the relative benefits of catheter ablation. We had an unexpected finding that was hinted at, at the initial CABANA study and that was the benefit of catheter ablation was greatest in the younger patients and the benefits of catheter ablation relative to drug therapy seemed to decrease with advancing age at enrollment, which was the age criterion that we based the analysis this on and that this effect was primarily driven by changes in mortality. Dr. Tristram Bahnson: For the composite endpoint in CABANA, which was total mortality, serious stroke, serious bleeding and cardiac arrest, we saw that the adjusted hazard ratio increased average of 27% for every decade in advancing age, where the age was defined as that at enrollment, and for the total mortality endpoint, the adjusted hazard ratio increased an average of 46% for every 10 year increment in age at enrollment. For all age groups, catheter ablation was superior to drug therapy, a relative to a reduction in AFib consistent with many other studies. The benefit was a reduction in the adjusted hazard ratio of about 50%. So catheter ablation was agnostic to age in terms of the benefit of reducing AFib, but was not agnostic to age with result to these mortality inclusive endpoints. We did notice that there was a trend towards a relative benefit of drug therapy for the oldest age group, but we interpreted that result with caution for a variety of reasons. The oldest age group was least well represented and comprised less than 10% of the CABANA population and less than half of the next best well represented age group, which was the less than 65's. Dr. Tristram Bahnson: In looking carefully at the data, we could find no plausible explanation for why the older age group might do better with drug therapy. Again, it was not significant by an intention to treat analysis, but there was a trend towards drug therapy getting better with the oldest age group. We noticed that there was no excess mortality in the old age group within six months of treatment, so it didn't seem like it was related to some adverse procedural effect. We saw no evidence of more advanced forms of AFib in the oldest age group, because they had as good AFib suppression as others, and had the same distribution of paroxysmal versus persistent forms of AFib as the other age groups. There was no difference in crossover after all, if more patients in the old age group crossed over from drug to ablation therapy, who might expect that to be a confounder. Dr. Tristram Bahnson: We did see something that was very unusual and unexpected, which is that the mortality of the oldest age group treated with drugs was actually less than their mortality in catheter ablation, which is the issue at hand, but also less than the other age groups, which was unexpected and even less than all but the youngest age group treated with catheter ablation. So we can't explain this finding. It was not statistically significant. At the end of the day, we don't believe that elderly patients who have drug refractory AFib that is symptomatic should be denied ablation. Dr. Greg Hundley: Well, thank you so much, Tristram, for these very intriguing results. Changsheng, you have many papers that come across your desk. What drew you to this particular paper? Dr. Changsheng Ma: Yes. Dr. Bunch and colleagues should be commanded for the understand and taking important subgroup analysis of CABANA study. There has also been interest in whether the risk and the benefit of ablation may be modulated by patient age. The current analysis suggests that the related benefit of ablation was characterized for those less than 65 years of age are a tiny bit by the increasing age. It is important to emphasize that the current analysis result should not be interpreted to suggest that the cancer ablation has less value in idly patients. As a casual ablation must treated before recurrence across all age groups. Dr. Changsheng Ma: The current analysis is assuming we should know age related increase in safety constant in patients and taking ablation therapy. So we must be cautious not to over incorporate the result of the sub-group analysis, especially in the context of CABANA trial, treating in the permanent effect of ITT analysis. So I think it can be a possible that reach age related gradings in the relatively treatment benefits of the ablation is finding a challenge. Secondly, the CABANA trial was not a oral subgroup analysis. So the variation of treatment effect across the different age group were in the further resource. That's my opinion. Dr. Greg Hundley: Thank you very much. Well, gentlemen, what do you see is the next study that needs to be performed in this sphere of research and Tristram, we'll start with you. Dr. Tristram Bahnson: Well, clearly the clinical task at hand, for those of us who treat patients is to advise patients about relative benefits of therapy when there are choices at hand. And in the case of atrial fibrillation, the fundamental choice obviously is whether or not to pursue catheter ablation or to pursue medical therapy, either for rhythm or rate control. An important part of that decision making is to understand which patients would derive the most benefit from one versus the other therapy. And that need is perhaps the genesis of why we embarked on these subgroup analysis, which admittedly need to be interpreted with caution are not powered to give definitive results, but can certainly help guide future research. So we have noted in the CABANA trial that heart failure patients might do better and that's consistent with other studies looking specifically at heart failure with reduced ejection fraction. So we're contemplating additional studies to help tease that population out since in CABANA, in particular, our heart failure population was mostly those with a preserved ejection fraction and clinical heart failure. Dr. Tristram Bahnson: With regard to age, I think it'll be important to do studies to try to understand what factors resulted in the young patients apparently doing better with ablation. Again, this is hypothesis generating in terms of our result with this paper. So it'd be very interesting to find out whether there are some subsets of patients with younger ages or patients who have the relevant characteristics of the young age patients who would derive particular benefit from catheter ablation. This would obviously require a variety of approaches, including prospective randomized studies and carefully done population studies. So this issue about which patients really derive a significant mortality benefit it from catheter ablation is an important one that has not yet been teased out completely. Dr. Greg Hundley: Thank you. And Changsheng, do you have anything to add? Dr. Changsheng Ma: Yes. I think two streams say it's a very important topic for, you know, who have more and more, the older patients. So we need to answer the question, how about the real influence of age on the outcomes of the atrial fibrillation patients with ablation. So in future, we should consider randomized trial, but I think it's very difficult. So maybe we have to wait more and more, you know, other study to have a trend, how about the outcome for all the patients. It becomes too difficult for a new randomizedtrial. Dr. Greg Hundley: Very nice. Well listeners, we want to thank Dr. Tristram Bahnson from Duke University and Dr. Changsheng Ma from Beijing for bringing us the results from this substudy of the CABANA trial indicating that the mortality related benefits of catheter ablation for atrial fibrillation appeared to decrease for every 10 year increment in age, above the age of 65 years. Well, on behalf of Carolyn and myself, we want to wish you a great week and we will catch you next week on the run. Dr. Greg Hundley: This program is copyright of the American heart association, 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association for please visit ahajournals.org.

TranscriptRickey: Hello, and welcome back to The Research Park Chronicles. I'm your host, Rickey McCallum, and throughout this podcast, I'm going to lead you on a journey through the gateway to collaboration. We talked about what a research park does in the last episode, and today, we're going to dive into how one came to be here in Knoxville, Tennessee, and what it's already accomplished. This modern research park at the University of Tennessee would have never been possible without the vision of one influential scholar. But more on that in just a minute.To fully appreciate and understand UT's Research Park, it's important to start by looking back in time to understand the land's Native American roots. At one corner of the University of Tennessee Research Park lies a serene bank of the Tennessee River. As researchers, we're always focused on developing new and exciting projects, but every now and again, it's worth taking a moment to pause and reflect.As we look over the waterway, Sequoia Hill stands in the distance. And with the familiar sounds of running a creek and birds chirping, it's easy to forget that behind us is a collection of modern buildings that make up UT's Research Park. What was this campus like before these buildings were built, before it was a dairy farm, and before the city had ownership of the property, back hundreds and even thousands of years ago, at a time when the land was inhabited by Native Americans? For that answer, I asked Tom Rogers, the current President and CEO of the University of Tennessee Research Park, who knows quite a bit about the site's ancient history.Tom: The site itself is 200 acres, but as they did the environmental scans required to get the development underway, only 75 acres of that 200 acres is really developable. The rest of it is down near the river and has been preserved in perpetuity because of its archeological significance. As they did that original archeological investigation, they actually found artifacts that date back to 6000 BC.Rickey: The university works with Dr. Candace Hollenbeck, a professor of archeology at UT, to help preserve that history and culture, and so we decided to visit her in her element on site at the Research Park to learn a little bit more. And to help us put this area into its historical context, Dr. Hollenbeck starts at the beginning.Candace: Here in East Tennessee, pretty much anything flat next to a river is going to have several thousand years—five to ten thousand years—of occupation on it. That's the case here, too.Rickey: Dr. Hollenbeck says that this land has changed a lot over the past 10,000 years, with river movement and flooding, creating ‘build up' as she calls it.Candace: So, if we were to take a big backhoe and dig straight down right here, we could probably go down about four meters or so and maybe hit the bottom, maybe hit 10,000 years ago, or maybe not. Even going down four meters—12 feet or so—we may hit around 6000 years ago and could probably keep going. And then, river stabilized, probably around 5000 years ago or such, and that's when we start seeing people, even to 3000 years ago, and people could become more sedentary.Rickey: There have even been some interesting archeological finds from these digs, says Dr. Hollenbeck.Candace: There are these Mississippian time period villages down here houses, house structures, that are dotted along that area. And so those are really neat. They date to around 800 years ago or so. And so, those are probably some of the most exciting parts of it. You know, there's a little hamlet and then some individual farmsteads, homesteads in between. So, kind of imagining those communities I think is fun.Rickey: Once people started to settle at the site, we can see their history in the archeological record. Dr. Hollenbeck breaks that down for us as the riverbanks transition over into farmland over the years.Candace: Tennessee in the mid-south is one of eight to ten independent centers of domestication around the world. So, native peoples here, around 4000 years ago, domesticated a set of crops, including sunflower seeds, which we know today, squashes—a little bit earlier than 4000 years ago, even—another one called sumpweed, which is very similar to sunflower, and then [quinapod 00:04:23], which is similar to quinoa. Quinoa is the South American cousin, but people up here domesticated a similar relative of it, too. And so they settled down and became farmers around that time.Rickey: These early cultures were just one part of the history of the site. Later tribes would come to the region as well.Candace: We see some similarities and some continuities from those Mississippian cultures to the Cherokee, historical Cherokee cultures, and such, but they are also changes and things, too. It gets really complicated. But yes, a lot of shifting and a lot of movement of people, a lot of trade, even back 5000, 10,000 years ago. A lot of people moving. And we're so used to our cars and such, we forget how—we have no concept, we have no concept of how they could have relatively quickly gotten across the landscape. These rivers and creeks and such are a huge avenue as well.Rickey: Artifacts are still being discovered on site and Dr. Hollenback and her team are taking measures to help further protect them.Candace: Whether we entice students to become archeologists or not, I think just to give them that appreciation of the history and kind of have pride in it so that we can protect archeological sites like this one here. We're really lucky because we do have this overlay and UT Research Park that is committed to preserving that area.Rickey: The university is working on ways to formally recognize indigenous people and their native connection to the land upon which UT now stands, such as through a committee tasked with drafting a land acknowledgement statement. Though this is still being created, several members of the committee have begun to use this statement that, reads, “The land upon which the University of Tennessee-Knoxville is built is part of the traditional territory of the Tsalagi [Sal a ghee] peoples, now Eastern Band of Cherokee Indians, Cherokee Nation of Oklahoma, and the United Keetoowah Band of Cherokee Indians in Oklahoma. The Tsoyahá [Soy Ah Hey] peoples of Yuchi, Muscogee (Creek) Nation, and Shawnee peoples (Absentee Shawnee Tribe of Oklahoma and the Eastern Shawnee Tribe of Oklahoma, and the Shawnee Tribe).”As Dr. Hollenback has illustrated, farming is nothing new to the landscape of the park. Farming came to dominate the site for thousands of years. So, here's Tom again to tell us a little bit more about that.Tom: Back in the 1890s, this property was actually sold by the city of Knoxville to a private developer who laid out a plan for a residential development that he called Cherokee. And we think that's where the name originally came from. He actually built a bridge from what is now Sequoia Hills over into the park, and had a layout that looked very much like Sequoia Hills. This city eventually took the property back for non-payment of taxes, but the bridge stayed for nearly 40 years until it became so dilapidated that it was torn down. You can still see the abutments of the bridge on both sides of the park. So, that was an interesting beginning. The city then sold the land to the university and it became a dairy farm. That's what I remember it as when I came to this town many years ago.Rickey: The 200 acre stretch of flatland remained a dairy farm for many years. Rogers says many of the University of Tennessee alumnus first and foremost remember the land as a dairy farm.Tom: They talked about having milk delivered to their dormitories every morning from the dairy farm.Rickey: Though this old dairy farm is currently home to a burgeoning Research Park, about 75 acres of the property is being preserved and recognized due to its Native American history. The Park may also soon serve the university's mission and the public's interest by utilizing the Cherokee Landing site for educational and recreational purposes.Tom: Over a several year period of time to develop the park-like portion of the Research Park into something we hope to call Cherokee Landing to have a synergy with Volunteer Landing, and Suttree Landing, and the other areas here and in town. That would be open for recreation, as there's a greenway now, and lots of people come here and walk and ride bikes and bring their dogs on the weekends. But we'd love to have access to the water so that people can use kayaks and canoes and paddle boards. And build some structures and some ways of celebrating the Native American heritage that's here. So, on the longer range horizon, that's definitely in our plans.Rickey: This project is a collaboration between the university's Research Park and the Legacy Parks Foundation, which is helping to coordinate the development of the concept and the plan of the design for the sprawling Cherokee Landing site. At this point in our story, it might seem as though the plan for the Research Park at the University of Tennessee sprang into life overnight, but that couldn't be further from the truth. It took a lot to bring this idea to where it is today, and none of it would have been possible without the efforts of one man: Dr. David Millhorn. So, who was Dr. Millhorn?Stacey: Dr. Millhorn was my mentor. He became my friend and even kind of a father figure for me in many ways.Rickey: That's Dr. Stacey Patterson, current president of the UT Research Foundation. Dr. Millhorn passed away in 2017 and had previously served as president of the UT Research Foundation.Stacey: Many people described him as stoic and to himself, but that was only if you didn't really get to know him. Dr. Millhorn had a small circle, but once you were in that circle, you her family to him. He was the type of person that took care of the people that he worked with. He really believed that this University had the potential of any place in the world. And he had been at many different places, but Tennessee was his home, and he really believed that this was his opportunity to realize a big vision. And that's what he spent his whole time, his whole 11 years here doing.Rickey: While Tennessee may have been home. Dr. Millhorn didn't start his career at the University of Tennessee.Stacey: Dr. Millhorn had spent a number of years at the University of North Carolina at Chapel Hill, where he had been a department head of physiology, and then he had moved to the University of Cincinnati, where he developed the inaugural Genome Research Center with a pharmaceutical company. So, he had a vision already coming in as to what it meant for a university to work with the private sector and what that could mean for the faculty, staff, and students of the university, but more importantly, even the region in which that opportunity was taking place.Rickey: Dr. Millhorn joined the University in 2005, where he oversaw the management of science and technology programs at Oak Ridge National Laboratory, and for much of his time, he served as Vice President of Research and Economic Development. Along the way, his responsibilities grew, becoming the Executive Vice President at the University in 2007, and later becoming the president of the UT Research Foundation in 2014. His work during this time was significant to the development of the university's research enterprise, which included, amongst other accomplishments, a contract with the US Department of Energy to manage Oak Ridge National Laboratory, a $65 million NSF grant, which is the largest of its kind during the time, to build the world's fastest supercomputer, and of course, the establishment of UT's Research Park. Throughout his career at the University, Dr. Millhorn had a vision in mind for what would ultimately become the Research Park as we know it today. Dr. Patterson describes his vision in this way.Stacey: He had a vision that we would bring in large companies that faculty could collaborate with, we could build big research programs, and we could provide opportunities for students. One of the challenges we have in this region is we educate some really top notch students, and in the graduate programs, oftentimes those students have to go to other parts of the country to get gainful employment. And so Dr. Millhorn's vision was, if we could bring those companies here, then we could offer high pay, high technology jobs right here and we could keep those best and brightest students in this region, and it would lift the whole community up.Rickey: As I'd mentioned in episode one of this podcast, university research parks are the physical locations developed and designed to foster an environment of collaboration between universities, the public and private sector, and federal research labs. In addition to the way research parks benefit local economies, research parks can also benefit their respective university systems. Let me explain.The University of Tennessee is a Tier One research university, which means it is a university that's known for world-class research, academic excellence, and exceptional student body—as Dr. Patterson noted—as well as high levels of innovation, creativity, and scholarship. Like all universities, UT looks for ways to draw in that top tier talent to the university, and in turn this benefits not only our students and faculty, but our current Park tenants, and the local community. Dr. Millhorn knew that we would need a dedicated research park with the likes of MIT, Cal Berkeley, and other universities in close proximity to major national labs to increase the recognition and prestige.But for many at the University of Tennessee, this combination of academic, community, and economic drivers was a challenge to understand at first. It took a lot of trust building to convince them that this effort was worth pursuing. Naturally, Dr. Millhorn got to work. He leveraged his many contacts and developed a very clear vision for what a collaborative space could look like.Over the early years of his time at UT, Dr. Millhorn developed a plan that would convey the case for a research park to the university and how having a dedicated research park would help the faculty at the University further develop the University, and also have a positive economic impact on the region as a result of this park. So, in addition to the development of the Research Park, a small business incubator was constructed on the Ag campus. Here, students and faculty could go to further develop their entrepreneurial endeavors, giving the university, and the public a glimpse into the future of what a collaboration could look like with a full-fledged research park. In 2009, when Dr. Patterson joined the UT system as a director of research partnerships, the case for the Research Park had already been submitted in the mind of the university and plans were already underway for the development of the Research Park property.Stacey: The concept of the UT Research Park at Cherokee Farm was actually developed by Dr. Millhorn prior to me joining his office. But I joined in 2009 right when the infrastructure project was underway and we were finishing up the master plan and development guidelines so that we could move things forward.Rickey: Development quickly became the next challenge. With the university on board for this project, they had secured a grant for more than $30 million to purchase Cherokee Farm from the state for use as the University of Tennessee Research Park. Now, the main obstacle was to get the residents of Sequoia Hills on board with the concept of trading in a cow farm for a massive research complex.Stacey: The residents were really concerned about what the differences were going to be, going from a few cows on that property to what Dr. Millhorn was envisioning as an active, thriving public-private partnership type research park. So, there was a lot of outreach, a lot of community meetings, we went to neighborhood meetings, I even did a couple of Sunday school classes at the churches that were across the neighborhood and talked about the vision of the Research Park and what it would mean to the region. And one of the things if you knew Dr. Millhorn and what he was interested in doing, he always looked out for the institution first, so it was always clear to the constituents that that this wasn't about him; this was about making the university and Knoxville, the Knoxville region, a better place for its citizens.Rickey: Dr. Millhorn stressed the value of the Research Park and its intersection with Oak Ridge National Laboratory to the residents of Sequoia Hills. To Dr. Millhorn, those who called Sequoia Hills home needed to know that the park would bring skilled workers to the town and keep Tennessee's best and brightest in their home state.Stacey: When companies come in, they think about this region. They're impressed that we have the University of Tennessee, the state's flagship research public institution here in Knoxville; we have what I consider a national treasure, the Oak Ridge National Laboratory. And it's really the combination of those two institutions and the brain power that they represent that really make this region special. It makes it a special opportunity for companies to come and engage with those kinds of people and the technologies that are developed here, the opportunities.I think that Dr. Millhorn was—I'll say he was an early adopter. He saw that. He was able to see what that potential could be, and he was bought in completely and wholly. And I think the Research Park is part of that, of his vision of how those two institutions could work together to just make this region a really spectacular and special place.Rickey: Eventually the land was secured and approved by surrounding stakeholders. The university began constructing its first research park facility in 2014. Tom Rogers recalls his first time looking at the plot of land where they were planning to build.Tom: First time I drove over to see what Dr. Millhorn's vision really looked at, I was pretty much overwhelmed, wondering where people were going to park. There were beautifully laid out one-acre parcels, about 16 of them, but it wasn't logical to me where people were going to park. As we've discovered since then, the original master plan called for parking garages, about 4000 parking spaces in two parking garages.Rickey: Dr. Patterson says parking may not have been the top concern for Dr. Millhorn. For all he brought to the Research Park and the university, this was a guy that wanted to discuss big ideas rather than minutiae.Stacey: So, Dr. Millhorn is one of the biggest thinkers I've ever had the privilege of working with. He would often say, “Oh, I can't be bothered by these small things.” He wanted to be part of a big transformational things like the relationship with Oak Ridge National Laboratory, like the UT Research Park. He would thrive on it, and there aren't as many people in the world that can have that big vision like he does.Rickey: Oh, and the parking situation did get worked out, of course.Tom: For better or worse, we now have a PhD in parking lot and parking garage construction and finance, and they're just not feasible at this time. And so actually later on this afternoon, we're going to begin a process to update our master plan that focuses more on reality. I think there aren't 16 developable lots out here; there are probably eight or nine as you include the surface parking that goes around them. And as you also know, we're hopeful that we'll soon have three projects under construction at the same time. And so that the park is going to look a little bit different than I think it was originally envisioned.Rickey: Dr. Millhorn didn't shy away from taking a leap of faith. Dr. Patterson says that her mentor taught her the value of taking risks.Stacey: I was very privileged to be able to work side-by-side with him, hand-in-hand, really getting to understand that sometimes you have to lean forward, you have to take a little bit of risk for a big reward. And he would do that time and time again. And by taking a little risk, pushing the envelope, frankly, making people a little bit uncomfortable, doing things differently than what they've ever been done at the University before, he was able to transform this institution.Rickey: As far as risk goes, building the first building of the Research Park was one of the first challenges Dr. Millhorn and his team ran into.Between 2014 to 2015, the first building was developed at the UT Research Park. It was built as a collaboration between Oak Ridge National Laboratory and the UT Research Park. It was very aptly named the Joint Institute for Advanced Materials, or JIAM for short. The first building on site was a direct result of the collaboration between the University and ORNL, an outside organization. As Dr. Patterson points out, it was a challenge to determine where to break ground on the new building at first.Stacey: That project actually has a very interesting history. There were a lot of different people that had a lot of different ideas of where that building should be located. Some people thought it should be located at Oak Ridge, some people thought it should be located on the Knoxville campus; there's not a whole lot of room for a building that size on the Knoxville campus. But Dr. Millhorn was a real advocate for putting that Joint Institute for Advanced Material Science at the UT Research Park, to act as a catalyst to get things going, get researchers and students out at the park, get some buzz going, make sure that it was in a space that made sense.So, it was in advanced materials, which is an area that is a special area for the University of Tennessee as well as at Oak Ridge National Laboratory. We have lots of joint faculty who are world-renowned experts in this space. So, he really saw that as making sense as being a catalyst and hopefully launching the Research Park in a direction where we could potentially attract private sector partners. I think that's worked, right? So, JIAM opened several years ago, and since that time, many of the companies that we've been able to attract to the park and who are interested in being at the park have some affiliation with JIAM or want to do some collaboration with the researchers that are represented by the JIAM faculty. And so I think that's really exciting.Rickey: Clearly no challenge was too big back in 2014. Dr. Millhorn left his role with the university in 2016. After Dr. Millhorn's departure in 2016, Dr. Patterson was confirmed by the UT board of trustees to assume Dr. Millhorn's former roles as Vice President for Research, and Outreach, and Economic Development, as well as President and CEO of the UT Research Foundation. The university also looked to Tom Rogers, a veteran of ORNL, to become President and CEO of the Research Park. As a result of overcoming these challenges, Tom shares with us that—Tom: The University of Tennessee is one of a half-dozen universities in the country that manage national laboratories, along with the University of California, the University of Chicago, State University of New York, and a few others. And so it's a real feather in our cap. We've seen it as we visited with prospects interested in the park to explain to them that we're a gateway for collaboration with the University, but to also be able to say, “We're able to help you leverage the resources and talents of the Oak Ridge National Laboratory as well,” will really raise some eyebrows. So, I think the relationship that UT has with the laboratory is a real asset. We're sitting today in the Joint Institute for Advanced Materials.The ‘Joint Institute' means Oak Ridge and UT. With your background at UT and mine at the laboratory, we know a lot of people and are able to help prospects that we have—companies, students, entrepreneurs—find the right people to work with at both institutions, and that's a great value proposition for this research park.Rickey: And even though Dr. Millhorn is no longer part of the institution, his legacy remains. Tom's vision for what the Research Park should be today and in the coming years is not wavering from the original vision.Tom: Another key tenet of successful university research parks around the country is embracing entrepreneurship and innovation. It's fine to work with professors and work with companies that want to collaborate with professors on research, to work with students, but it's really important to embrace young people and their ideas about the future. So, everywhere I've been, dating back to my early career days at TVA, I've been involved with small business startups, mostly on the technology side. I was involved with a great program at Oak Ridge called Innovation Crossroads.Rickey: As a result of his experience and the original vision for the Research Park, Tom has helped the Research Park launch the Spark Innovation Center, which assists early-stage tech companies with the right kind of support to become successful companies, right here in East Tennessee. Here's Tom with more about the Spark Innovation Center.Tom: We early on decided that entrepreneurship needed to be a focus out here. We've started something called the Spark Innovation Center and have six really talented young entrepreneurs growing companies here. The University is excited about that initiative. As we look to build our next building, they're going to incorporate more space for Spark in that building. I think you'll see that entrepreneurship really becomes an important part of the fabric that we're weaving here at the park.Rickey: As the park grows in size, and new buildings and partnerships get added to the park, there is a lot to be optimistic about. It's not just about the new buildings and businesses. The park is truly becoming a gateway to collaboration.Tom: My four decades plus of work has brought great relationships with the state and with TVA and others, and being involved with all of that gets the park in the middle, in the mix, for some really interesting prospects. We're in the homestretch of working with one now that would never have even thought about looking at the park, but on my first week of the job, got random call and said, “We hadn't thought about this, would you be interested in a prospect like this?” And they are a great fit for the Research Park.Rickey: Dr. Millhorn had a vision for what the park should become, but he also didn't stress too much about the details. Under Tom's leadership, the details are coming into focus and we're beginning to see where this path will take us in the next five to ten years. Tom and I reminisced about this during our conversation.Tom: Now, I think we're beginning to see some themes naturally emerge. One, of course, is advanced materials and manufacturing, with the work here at JIAM and the industry collaborations. Second is medical research because the University of Tennessee Medical Center and OrthoTennessee are building an ambulatory surgery center here and have committed to include research on the top floor of that facility. And there's a lot of interest at UT, both at UT Knoxville and at the UT Health Science Center in Memphis, about capitalizing on that opportunity.And the third, I probably can't coin as quickly as the other two. But it has to do with information technology, business analytics, supply chains, cybersecurity, that whole realm. There's just a lot of interest in the private sector, and it's some of the stronger programs at the university. So, we're seeing more and more companies saying that it really makes sense to be at the park, to be right across the river from the campus and those incredible students that they're producing. I'd say those three themes are going to emerge.There could be others as time goes on, but materials, medical research, and whatever we're going to call the analytics portion of it seemed to be the three themes that are most likely to lead us forward.[SPEAKER5: 00:28:06] I think the development of this new vision of being the gateway to collaboration with the University and ORNL has really driven the interest in what we're doing over here, far beyond what I remember it being when I was over on campus. So, I think the involvement, and the communication, and the buy-in from leadership on campus has really driven home that we have a unique opportunity to be able to develop something very special here that is going to help get our students get jobs, it's going to help build the economic development for the community of Knoxville and be able to help build this bigger ecosystem as we, kind of, move forward in the future development.Tom: I think the relationships that we are building on campus are really going to be mutually beneficial. It's pretty remarkable to see what we've been able to do in the last year with COVID. Originally, when we [headed for house 00:28:54], I was concerned that we might be dead in the water for a while. Now, I'm really looking forward to three to six months from now when we can start being face-to-face with people because we got an infrastructure built that can really, I think, accelerate the development of this park.Rickey: With Tom at the helm, the future of the UT Research Park is in good hands.When it comes to evaluating the Research Park's rich past, there is no doubt that Dr. Millhorn left a lasting impact. As Dr. Patterson puts it.Stacey: Dr. Millhorn's legacy is his vision. He was a big thinker. There was no project that was too big. There was no hurdle that you couldn't overcome.Rickey: Dr. Patterson says she knew he was the right person for the job since the beginning, as he strengthened UT's relationship with Oak Ridge National Laboratory. Now, Dr. Patterson has taken over much of the role that Dr. Millhorn had, and she is carrying on his legacy, visions, and readiness to take risks with her.Stacey: Dr. Millhorn had made the decision with his family that it was time for him to take a little bit of a step back and to transition to more of an advisor role between the University and Oak Ridge National Laboratory as the National Laboratory advisor. He actually set up an office at Oak Ridge. He was having a lot of fun thinking about the [science 00:30:13] and having some time. He used to say a lot that, “I'm going to go home for the afternoon so I can think.”Because that was really a big deal for him, to be able to have some quiet time where he could just think and make sure that all those puzzle pieces were coming together. And I think this gave him an opportunity to do that and to think about how the relationship was working, and what wasn't working, and for him to really contribute further. I have truly appreciated the opportunity to serve as the Vice President for Research, Outreach, and Economic Development for the University of Tennessee, and I certainly could not have done it without the experience that I had with my mentor and friend, David Millhorn.Rickey: Dr. Patterson says she'll remember Dr. Millhorn as the caring man that he was: A father, an army veteran, an academic, an entrepreneur, and mentor.Stacey: He was a tough nut to crack. People didn't really know that. I can't tell you how many times in the last three years that I have asked myself, “I wonder what Dr. Millhorn would do in this situation?” It may sound weird, but I kind of feel like he gives me some guidance in those moments.Rickey: For me personally, while I did not have much time with him, I do recall the first time I ever met him. The reason I can remember this so vividly is that I can remember looking at him and thinking, “He is a spitting image of my grandfather,” a man that I hadn't seen since I was ten years old. And from that moment, he and I shared a very special connection, and one that I cherish today. In remembrance of Dr. Millhorn, Dr. Patterson's goal is to make him proud of the work that we're continuing to do.Stacey: One of the things that I want to make sure that we do is I want to make sure that we make him proud, that we do push on his vision, that we are always focused on what's in the best interest of the university, and what's in the best interest of this region, and the people of this region because that was really where his heart was, was around doing what's best for others. And I want to take just a little bit of that and make sure that we're following through with that, and in some way making him proud and making sure that his family is proud of the legacy that he's left here.Rickey: He would definitely be proud. Since breaking ground on the JIAM building, the Research Park has experienced several accomplishments over the past five years, like the development of our first public-private partnership, the announcement that Volkswagen is moving their North American Innovation Hub to the Research Park, the ribbon cutting ceremony of the Spark Innovation Center, and most notably, the collaborative partnership between UT Medical Center and OrthoTennessee to develop their 93,000 square-foot ambulatory surgical center that's scheduled to open in the spring of 2022. And we're well on our way to a bright future as a research park, an economic driver, and a park for the community.On the next episode of The Research Park Chronicles we're going to be speaking with the University of Tennessee Medical Center and OrthoTennessee about the orthopedic surgical center that's coming to the Research Park, and the medical research that will be happening in this facility.Rickey: Thank you for listening to The Research Park Chronicles with Rickey McCallum. Keep up with the latest episodes by subscribing on Apple or Google podcasts, Spotify, or wherever find podcasts are found.

In this episode, we speak with Dr. Philip Pippin who is the associate program director at UT  Health Science Center at Tyler for the family medicine residency! Tune in if you want to hear some tips and tricks on applying to a family med program! We discuss research, LOR, and zoom interviews!RESOURCES:American Academy of Family Physicians (https://www.aafp.org/home.html)American Board of Family Medicine (https://www.theabfm.org/)EMAIL:Dr. Pippin: philip.pippin@uthct.eduMe: atmeffor@utmb.edu

In the New Science of Physical Health, the goal is simple - how do we bring two groups together. Those people that are completely disengages with their personal physical health status, and those that are already in love with improving their personal physical health status? The first group is the overwhelming majority. It's up to the second group to help inspire all of those who have not yet lowered their risk of disease so they can feel amazing.To access our brand new book and a special offer for to access The Experts Health Blueprint : click this link.https://expert62e801.clickfunnels.com/new-home-page1632958755227To access the six courses please click this link.https://newscience.podia.com/the-experts-health-blueprint-full-courseToday's episode is all about my private conversation with Dr Eduardo Sanchez. Eduardo Sanchez serves as Chief Medical Officer (CMO) for Prevention is the AHA lead on Target:BP (a joint initiative with the American Medical Association), KnowDiabetesbyHeartTM (a joint initiative with the American Diabetes Association) and COVID-19-related activities. Prior to joining AHA, he served as Vice President and CMO for Blue Cross and Blue Shield of Texas (BCBSTX) where he focused on clinical prevention, and chronic disease management, particularly diabetes and cardiovascular diseases, health disparities, and worker and worksite wellness. Dr. Sanchez led the Institute for Health Policy at the University of Texas (UT) School of Public Health as Director from 2006 to 2008. From 2001 to 2006, he served as Texas Commissioner of Health, Texas' state health officer, leading the Texas Department of State Health Services from 2004 to 2006 and the Texas Department of Health from 2001 to 2004. He served as the local public health officer for Austin-Travis County from 1994 to 1998.Dr. Sanchez currently serves on the Board of Directors of Trust for America's Health. He is a member of the National Quality Forum (NQF) Disparities Standing Committee. He has served on numerous federal, state, and local committees and advisory bodies. From 2008 to 2012, he served as chair of the Advisory Committee to the Director of the Centers for Disease Control and Prevention (CDC).He is the recipient of the 2011 Association of State and Territorial Health Officials (ASTHO) Alumni Award and the 2011 Texas Public Health Association (TPHA) James E. Peavy Memorial Award. In 2005, he was awarded the Texas School Health Association (TSHA) John P. McGovern Award and the 2005 American Academy of Family Physicians (AAFP) Public Health Award. In 2004, he received the AHA Louis B. Russell Memorial Award, for outstanding service in addressing healthcare disparities.Dr. Sanchez received an M.D. from the University of Texas (UT) Southwestern Medical School in Dallas in 1988, an M.P.H. from the UT Health Science Center at Houston School of Public Health in 1993. Prior to attending medical school, he attained an M.S. in biomedical engineering from Duke University in 1983 and a B.S. in biomedical engineering and a B.A. in chemistry from Boston University in 1981. Dr. Sanchez is board certified in family medicine.

In the New Science of Physical Health, the goal is simple - how do we bring two groups together. Those people that are completely disengages with their personal physical health status, and those that are already in love with improving their personal physical health status? The first group is the overwhelming majority. It's up to the second group to help inspire all of those who have not yet lowered their risk of disease so they can feel amazing.To access our brand new book and a special offer for to access The Experts Health Blueprint : click this link.https://expert62e801.clickfunnels.com/new-home-page1632958755227To access the six courses please click this link.https://newscience.podia.com/the-experts-health-blueprint-full-courseToday's episode is all about my private conversation with Dr Eduardo Sanchez. Eduardo Sanchez serves as Chief Medical Officer (CMO) for Prevention is the AHA lead on Target:BP (a joint initiative with the American Medical Association), KnowDiabetesbyHeartTM (a joint initiative with the American Diabetes Association) and COVID-19-related activities. Prior to joining AHA, he served as Vice President and CMO for Blue Cross and Blue Shield of Texas (BCBSTX) where he focused on clinical prevention, and chronic disease management, particularly diabetes and cardiovascular diseases, health disparities, and worker and worksite wellness. Dr. Sanchez led the Institute for Health Policy at the University of Texas (UT) School of Public Health as Director from 2006 to 2008. From 2001 to 2006, he served as Texas Commissioner of Health, Texas' state health officer, leading the Texas Department of State Health Services from 2004 to 2006 and the Texas Department of Health from 2001 to 2004. He served as the local public health officer for Austin-Travis County from 1994 to 1998.Dr. Sanchez currently serves on the Board of Directors of Trust for America's Health. He is a member of the National Quality Forum (NQF) Disparities Standing Committee. He has served on numerous federal, state, and local committees and advisory bodies. From 2008 to 2012, he served as chair of the Advisory Committee to the Director of the Centers for Disease Control and Prevention (CDC).He is the recipient of the 2011 Association of State and Territorial Health Officials (ASTHO) Alumni Award and the 2011 Texas Public Health Association (TPHA) James E. Peavy Memorial Award. In 2005, he was awarded the Texas School Health Association (TSHA) John P. McGovern Award and the 2005 American Academy of Family Physicians (AAFP) Public Health Award. In 2004, he received the AHA Louis B. Russell Memorial Award, for outstanding service in addressing healthcare disparities.Dr. Sanchez received an M.D. from the University of Texas (UT) Southwestern Medical School in Dallas in 1988, an M.P.H. from the UT Health Science Center at Houston School of Public Health in 1993. Prior to attending medical school, he attained an M.S. in biomedical engineering from Duke University in 1983 and a B.S. in biomedical engineering and a B.A. in chemistry from Boston University in 1981. Dr. Sanchez is board certified in family medicine.

Today's episode of the podcast marks the installation of our new miniseries, Athlete Anatomy, hosted by PSA Connor O'Neill. This series breaks down the fundamental characteristics of athletes and demonstrates how they can be successfully applied with any career. The first featured PSA of Athlete Anatomy is Kirema Macharia. Kirema was a hurdler at the University of Texas and is now a third year medical student at the UT Health Science Center in Houston. Tune in to hear about his path from student-athlete to medical school and the skills that he acquired and applied along the way! Connect with Kirema on Instagram @kayrims Follow us on Instagram: @PSAforPSAs https://instagram.com/psaforpsas?igshid=g32jr11j13kg Advertising/Business Inquiries: email us at psa4psas@gmail.com or DM us on Instagram! Talk to y'all soon! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/psa--for-psas/support --- Support this podcast: https://anchor.fm/psa--for-psas/support

Today we had Dr. Pieter DeWet who is the author of Heal Thyself as well as Bringing Sexy Back: Transform the Body You Have into the Body You Want on the show to talk about recall healing and how emotions, spirituality and even our ancestors play a role in our health. There's a lot of talk in the biohacking community that light, water and magnetism are the root cause of disease and on a physical level that is true. But how electrons, neutrons and protons work in the body is the result of an invisible process that is much deeper than that which dances between the physical and the spiritual. I believe that all of our health challenges are deeply rooted in our family's ancestry and invisible control mechanisms that lie in the highest sides of ourselves. Some call this our life force, our soul or spirit or our subconscious. Something beyond the physical is at play here controling the master switches of things that deep our corporeal bodies. This is where emotional and spiritual connection play the deepest role in finding real healing in our somatic bodies. Sure our genetic expression is controlled by mitochondria which are in turn controlled by photons, frequency and electricity but what controls how these electrons interact with each other inside our body? If we want to get to the deepest levels of health and healing we must move beyond the physical and quantum levels. We must tap into that which controls the entire show. This is where recall healing plays a tremendous role in tapping into the invisible processes that make our body healthy or sick. Dr. Pieter DeWet and I discuss some fascinating topics on this page. If you enjoy our show and what we're doing, please consider clicking the button below and supporting out work. Thank you for listening and sharing! On Last Thing! As always your support via your donations and bookmarking our Amazon link to use each time you purchase is how we keep our show going. Thank you for bookmarking our Amazon link even if you're not buying anything right now! :) Sponsor For This Episode: Join The Extreme Health Academy Use code EHR14 for a free 14 day trial Stockton Aloe One Omica 12 Stage RO Water System Iris Blue Blocking Software Cymbiotica DHA Joovv Red Light Therapy Products Related To This Episode: The Relax Far Infrared Sauna BluBlox Glasses Magnetico Sleep Pad Relax FAR Infrared Sauna Qigong Energy Course Rapid Release Technology Pro 2 Organifi green juice powder Berkey Water Filters Squatty Potty stools Surthrival products Chemical Free Organic Skincare! Activation Products - Ocean's Alive & Magnesium Please Subscribe: Subscribe To Our Radio Show For Updates! Listen to other shows with this guest. Guest Info: Dr. De Wet graduated medical school in 1985 at the University of Pretoria in South Africa and has been a family physician since 1991 after obtaining his Board Certification in Family Medicine through the American Board of Family Medicine. Dr. De Wet completed his residency in family medicine at the University of Texas Health Science Center at Tyler in 1991. He pursued a career in academic medicine at UT Health Science Center starting immediately after his residency until he left there in 1997 to go into private practice. Dr. De Wet was associate professor of family medicine and associate program director of the family practice residency program at UT Health Center. He was also the founder and director of the Center for Nutrition Preventive Medicine there from 1995-1997. He has been a fellow of the American Academy of Family Practice since 1994 and completed a fellowship in Faculty Development in 1994. He is also a Diplomat of the American Board of Holistic and Integrative Medicine and has been licensed in Arizona in Homeopathic and Integrative medicine since 2007. Dr. De Wet was in private practice, practicing Integrative /Holistic / Wellness Medicine from 1997 through 2016 as the owner a...

COVID stats continue rising - local health officials are modifying Stage 5 recommendations in advance of rolling them out, Travis County has again suspended live jury trials, and Williamson County's Justice Center is now requiring masks. Save Austin Now succeeds in forcing a fall public vote on Austin police staffing minimums. Local prosecutors accuse APD officers of neglecting to make arrests for crimes under false pretenses regarding recent police reforms. Eight food trucks at the Thicket Food Park in south Austin are targeted by thieves. Rapper DaBaby is dropped from the ACL Fest lineup following controversial comments on LGTBQ people and women. UT Health Science Center grad student Gabby Thomas wins a bronze medal at the Tokyo Olympics. As home prices in Austin continue rising, profit margins on sales have begun to drop - wonder why? And more normal (hot) weather is on the way this weekend.

Dr. Lane Freeman joined us today for a wonderful show. This was another show that was 100% commercial free! We want to thank our Patrons and supporters who have visited this link for helping make the show commercial free. You know who you are and we love you! :) Dr. Freeman is from Healthy Smiles For Life in Marble Falls Texas which we have been to twice now to get mercury fillings removed along with 3 root canals. We also had infected cavitations (where my wisdom teeth were extracted incorrectly) cleaned up and had a wonderful experience. We are not affiliated with them in any way we just want to share with you our personal experience and want to say we HIGHLY recommend their practice. We discussed in this show why mercury (people call them silver or amalgam) filings can be so toxic and harmful for our health. We talked about all the preventative protocols for making sure mercury fillings are extracted properly. We talked about bio identical substances to make sure your body doesn't have an immune system reaction to materials used instead. We also discussed how to prevent cavities naturally, and why root canals can be such an immense burden on the immune system. It was interesting talking about the experiments Weston A. Price did with rabbits and root canal teeth. You'll want to hear what happened with that! We hope you enjoy this show. If you are having any health conditions whatsoever we highly recommend one of the first places you look is your teeth. Personally I believe that there are 3 main "causes" to our health challenges. Two of them are physical and the third is more spiritual or emotional. They are colon health, oral health and past traumas (spiritual emotional health). If you enjoy this show, please click the share button so others may benefit from Dr. Freeman's expertise and knowledge! Thanks in advance!! :) Show Notes For This Episode: Click here to download the show notes for THIS EPISODE. Commercials During This Episode: We are now commercial free but only if you visit this link! :) Find Extreme Health Radio On: [include file=showpage-itunes-soundcloud-stitcher.html] Please Subscribe: Subscribe To Our Radio Show For Updates! Other Shows: [include file=show-links.html] Listen to other shows with this guest. Show Date: Friday 6/5/2015 Show Guest: Dr. Lane Freeman Guest Info: Dr. Lane Freeman returned to join her childhood dental practice in 2002, after completing her undergraduate work at the University of Texas in Austin and receiving her Doctor of Dental Surgery degree from the UT Health Science Center's top rated dental school in San Antonio. Dr. Freeman has completed numerous hours of continuing education in the fields of biological dentistry and is also certified in IV conscious sedation. She is a member of the IAOMT (International Academy of Oral Medicine and Toxicology), the American Dental Association, and the Heart of Texas Dental Association. Dr. Freeman has a passion for educating her patients on the relationship between their oral health and overall systemic health. In addition to her practice in Marble Falls, Dr. Freeman enjoys participating in mission experiences both locally and abroad. Her vision, and that of the entire staff, is to exceed each patient's expectations every time. Dr. Freeman and her husband, Rusty, have two children (and 3 dogs), and enjoy snow skiing, sporting events, traveling, and spending time with family. She feels blessed by the Lord to be able to practice with such an amazing staff. Show Topic: mercury fillings, root canals, cavities, oral health Guest Website(s): http://www.healthysmilesforlife.com Social Websites: Facebook N/A Twitter N/A Others Guest Product(s): N/A Please Support Us If You Are Able: (Opens in a new window - Every bit helps us to keep delivering even better shows that help you heal & thriv...

Welcome to Roses & Weeds! A City of Tyler podcast to keep you up to date with current events and news related to our beautiful city. Roses & Weeds hosts, Bob Mauldin and Adriana Rodriguez meet once again with Dr. Paul McGaha and Dr. Michelle Crum to discuss the current status of COVID-19 in East Texas as we foresee the end of the coronavirus pandemic.Dr. Paul McGaha is an Associate Professor and Chair of the Department of Community Health at The University of Texas Health Science Center and the Smith County Health Authority and Dr. Michelle Crum is an Assistant Professor in the Department of Community Health and School of Community and Rural Health at UT Health Science Center. Roses & Weeds is recorded at the Downtown Visitors Center and is hosted by the City of Tyler's Communication Department. If you have any questions, comments, or ideas for future show topics, please reach out to us at PublicRelations@TylerTexas.com and be sure to use #rosesandweeds on all your questions to the City of Tyler on social media. 

COVID hospitalizations are falling, immunity is rising, and a revolutionary vaccine is free and accessible to every American. So why does the fear, the call for lockdowns, and the “wear a mask at all times” doctrine – whether you’re vaccinated or not – still persist among the left and mainstream media? Dr. Reynolds Delgado returns to examine the collectivist ideology and slippery slope of social engineering which is driving much of the pandemic response, and the untold damage it’s causing our society. We also discuss how viruses evolve, the new tech behind vaccine production, and protecting the ecosystem of medical innovation which enables that tech to thrive in America. Dr. Reynolds Delgado, III, is a cardiologist specializing in heart failure and heart transplantation at Baylor St. Luke's Medical Center/Texas Heart Institute. Dr. Delgado has been a Basic Science Researcher in Heart Failure at the Texas Heart Institute, Baylor College of Medicine, and The University of Texas Houston Medical School since 1997, and has held the position of Medical Director of Mechanical Support Devices in Heart Failure at the Texas Heart Institute since 2003. His academic appointments include clinical assistant professor of medicine at Baylor College of Medicine and UT Health Science Center, Houston. He participates on numerous advisory boards, Including Thoratec Corporation, Medtronic Corporation, and Boston Scientific Corporation, and has been on the Medical Education Committee at Texas Heart Institute since 2004. He is also a long-standing research collaborator with NASA Johnson Space Center Human Space Flight Physiology Laboratory.

ANNOUNCEMENT! Dissolve-It-All - breaking down scar tissue, inflammation and calcification PUFA Protect - Eliminating a lifetime of a high PUFA diet Use discount code EHR15! Today we talked about oral health with Dr. Stuart Nunnally, Dr. Lane Freeman and Dr. Candace Owens from Healthy Smiles For Life. We primarily talked about how cavitations, root canals, mercury silver fillings, cavities and gum disease plays a direct role to our overall health. Many people don't realize that through TCM (traditional Chinese Medicine) and the meridian systems of the body, each tooth reflexes to an organ and visa versa. So that means your liver pain or digestive discomfort could be caused by a tooth with a mercury filling. And your tooth could be weakened because of an organ that's not working properly. Did you know that we have the same amount of teeth as we do vertebrae in our spines? Actually we have 32 teeth and 33 vertebrae. But depending on wisdom teeth this could change. The human body is truly incredible. We also discussed how to clean our teeth, how to prevent cavities, if we can remineralize or avoid getting a filling if we do have a cavity. We also talked about implants, bridges, braces, teeth whitening, orthodontists and so much more. I hope you enjoy this show! If you visit Dr. Nunnally and his staff tell them we said hello! On Last Thing! As always your support via your donations and bookmarking our Amazon link to use each time you purchase is how we keep our show going. Thank you for bookmarking our Amazon link even if you're not buying anything right now! :) Thank you all! Sponsors For This Episode: Extreme Health Academy Use code EHR14 for a free 2 week trial! AquaCure Hydrogen Machine Aloe Vera Relax FAR Infrared Sauna Joovv Red Light Therapy Featured Products For This Episode: Greenwave Dirty Electricity Filters Bellicon Rebounders Colostrum Blue Blockers Rapid Release Technology Pro 2 Barf World Raw Dog Food The Biomat Chemical Free Organic Skincare! Activation Products - Ocean's Alive & Magnesium Show Guest: Dr. Stuart Nunnally, Dr. Lane Freeman, Dr. Candace Owens Guest Info: Dr. Stuartn Nunnally Dr. Stuart Nunnally is a graduate of the University of Texas Health Science Center Dental School in San Antonio (1980). He maintains an integrative biological dental practice in Marble Falls, Texas where he and his partners have treated patients from all fifty states and forty-seven countries. Dr. Nunnally is chairman of the jawbone osteonecrosis committee of the International Academy of Oral Medicine and Toxicology. He holds fellowships in the Academy of General Dentistry and in the International Academy of Oral Medicine and Toxicology. Dr. Nunnally is board certified in naturopathic medicine and is board certified in integrative biologic dental medicine. He is licensed in intravenous conscious sedation and is a member of the American Dental Society of Anesthesiologists. He serves on the teaching faculty of the Academy of Comprehensive Integrative Medicine and The American College of Integrative Medicine and Dentistry, and he frequently teaches on all aspects of biological dentistry. He is married to his high school sweetheart, Rebecca, and they have three grown children. Dr. Lane Freeman Dr. Lane Freeman returned to join her childhood dental practice in 2002, after completing her undergraduate work at the University of Texas in Austin and receiving her Doctor of Dental Surgery degree from the UT Health Science Center's top rated dental school in San Antonio. Dr. Freeman has completed numerous hours of continuing education in the fields of biological dentistry and is also certified in IV conscious sedation. She is an accredited member of the IAOMT (International Academy of Oral Medicine and Toxicology), member of the American Institute of Implant Dentistry, the American Dental Association,

Welcome to Roses & Weeds! A City of Tyler podcast to keep you up to date with current events and news related to our beautiful city. In this episode of Roses & Weeds, hosts Bob Mauldin and Julie Goodgame speak with Dr. Paul McGaha and Dr. Michelle Crum about the current status of COVID-19 in East Texas and an update on the COVID-19 vaccines and distribution. Dr. Paul McGaha is an Associate Professor and Chair of the Department of Community Health at The University of Texas Health Science Center and the Smith County Health Authority and Dr. Michelle Crum is an Assistant Professor in the Department of Community Health and School of Community and Rural Health at UT Health Science Center. Roses & Weeds is recorded at the Downtown Visitors Center and is hosted by the City of Tyler's Communication Department. If you have any questions, comments, or ideas for future show topics, please reach out to us at PublicRelations@TylerTexas.com and be sure to use #rosesandweeds on all your questions to the City of Tyler on social media. 

Dr. Reynolds Delgado, III, is a cardiologist specializing in heart failure and heart transplantation at Baylor St. Luke's Medical Center/Texas Heart Institute. He joins us for a conversation about what doctors like himself are learning as they treat patients on the front lines of the COVID-19 pandemic. Dr. Delgado has been a Basic Science Researcher in Heart Failure at the Texas Heart Institute, Baylor College of Medicine, and The University of Texas Houston Medical School since 1997, and has held the position of Medical Director of Mechanical Support Devices in Heart Failure at the Texas Heart Institute since 2003. His academic appointments include clinical assistant professor of medicine at Baylor College of Medicine and UT Health Science Center, Houston. He participates on numerous advisory boards, Including Thoratec Corporation, Medtronic Corporation, and Boston Scientific Corporation, and has been on the Medical Education Committee at Texas Heart Institute since 2004. He is also a long-standing research collaborator with NASA Johnson Space Center Human Space Flight Physiology Laboratory.

Dr. Andrea Wadley has lived in North Texas since first grade at Carlisle Elementary in Plano, TX. She completed high school in Plano, Texas, and went on to attend Christian University and completed a B.A. in Biology and minor in Spanish in December 2000. In 2003, she moved to San Antonio and graduated medical school from UT Health Science Center in San Antonio and went on to complete a pediatric residency at UT Health Science Center San Antonio. She served as a newborn hospice for many years prior to opening her pediatric direct primary care practice: 127 Pediatrics in July of 2018. She has been voted by her colleagues as Top Doc in the 2018 edition of Fort Worth Magazine. She, her husband, and daughter currently reside in Dallas, Fort Worth, Texas.Highlights: The continuing rise in the curve and the up-to-date information of the Coronavirus Pandemic in TexasHow her Rheumatologist played an important role in inspiring her to pursue medicineTaking off a couple of years and working in the corporate worldReigniting her burning desire for medical schoolVolunteering in Churches that involves kids; inspired her to proceed in PediatricsBeing burned out and the hurdles Dr. Wadley had to go through in the corporate medicine that motivated her to pursue Direct Primary CareWhat is the Direct Primary Care model and how it is beneficial for PhysiciansThinking outside the box; how Dr. Wadley deals her stress issuesDr. Wadley’s tips for new practitioners on handling stress and anxietyHaving a healthy outlet on dealing with depression and anxiety among medical practitionersLinks:https://127pediatrics.com/Instagram Handles:@onetwentysevenpediatrics

This interview took place on April 22, 2020. With colleges having to pivot in the middle of the semester all over the world, reaching out to Dr. Keith Carver, chancellor of the University of Tennessee at Martin, was an obvious choice for an interview. Keith and I attended Memphis State University together nearly 30 years ago. Not only were we connected through the Sigma Chi Fraternity, but I knew the gal he ended up marrying from our days singing together at Kincaid Studios in Crockett County, Tennessee. Listen to how Keith is handling the COVID-19 situation. Dr. Keith Carver began his duties as is the 11th chancellor of the University of Tennessee at Martin on January 3, 2017. He has worked with the UT System for 22 years and served as executive assistant to the UT president from January 2011-December 2016 before taking the post at UT Martin. Prior to his position with the UT System, Carver held various positions on the UT campuses in Knoxville, Martin, and Memphis, including serving as interim vice chancellor for development and alumni affairs at the UT Health Science Center in Memphis and as assistant vice chancellor for development at UT Martin. He holds a bachelor's degree in sociology from the University of Memphis, and a master's degree in college student personnel and educational leadership as well as a doctoral degree from UT Knoxville. Carver and his wife, Hollianne, are the parents of a daughter, Carson, and two sons, Jack Thomas (“J.T.”) and Britton. The Carver family lives in Martin and has West Tennessee roots in Henderson and Crockett counties. shoutyourcause.com Facebook.com/shoutyourcause Twitter.com/shoutyourcause

This interview took place on April 22, 2020. With colleges having to pivot in the middle of the semester all over the world, reaching out to Dr. Keith Carver, chancellor of the University of Tennessee at Martin, was an obvious choice for an interview. Keith and I attended Memphis State University together nearly 30 years ago. Not only were we connected through the Sigma Chi Fraternity, but I knew the gal he ended up marrying from our days singing together at Kincaid Studios in Crockett County, Tennessee. Listen to how Keith is handling the COVID-19 situation. Dr. Keith Carver began his duties as is the 11th chancellor of the University of Tennessee at Martin on January 3, 2017. He has worked with the UT System for 22 years and served as executive assistant to the UT president from January 2011-December 2016 before taking the post at UT Martin. Prior to his position with the UT System, Carver held various positions on the UT campuses in Knoxville, Martin, and Memphis, including serving as interim vice chancellor for development and alumni affairs at the UT Health Science Center in Memphis and as assistant vice chancellor for development at UT Martin. He holds a bachelor’s degree in sociology from the University of Memphis, and a master’s degree in college student personnel and educational leadership as well as a doctoral degree from UT Knoxville. Carver and his wife, Hollianne, are the parents of a daughter, Carson, and two sons, Jack Thomas (“J.T.”) and Britton. The Carver family lives in Martin and has West Tennessee roots in Henderson and Crockett counties. shoutyourcause.com Facebook.com/shoutyourcause Twitter.com/shoutyourcause

Salud Talks is a weekly production featuring discussions on health equity, public policy, culture shifts, climate change, and other subjects that significantly impact Latinos, and all Americans, today. The podcast is produced by the team at the Institute for Health Promotion Research (IHPR) at The UT Health Science Center at San Antonio, funded by the Robert Wood Johnson Foundation.

Opioid abuse is skyrocketing. Among women, it’s off the charts. This is real, and it’s tearing lives apart—maybe even yours. UT Health Science Center assistant professor and at-risk families expert Lisa Cleveland joins us for a conversation on the problem everybody knows about but nobody talks about.

In this episode, Harris Eyre, Chief Medical Officer at CNSDose, co-hosts the podcast. Our guest is Dr. Jair Soares. Dr. Soares in the chairman of psychiatry and behavioral sciences at The University of Texas Health Science Center at Houston. We talk to Dr. Soaes about his background, his work in deep brain stimulation, and current paint points mental health innovators should focus on.

1. Neurology® Clinical Practice: Safety and efficacy of plasma exchange in pediatric transverse myelitis2. Clopidogrel and aspirin in acute ischemic stroke and high-risk TIA (POINT study)Dr. Stacey Clardy talks with Dr. Benjamin Greenberg about his paper on therapeutic plasma exchange in a cohort of pediatric transverse myelitis patients. Next, Will Rondeau interviews Dr. Clay Johnston about findings from the POINT study on clopidogrel and aspirin in acute ischemic stroke.DISCLOSURES:Dr. Clardy has received research support from Western Institute for Biomedical Research (WIBR).Dr. Greenberg has received travel funding from the Transverse Myelitis Association; has filed has filed patents on the use of antibody biology in multiple sclerosis; has consulted for Novartis, Alexion, and EMD Serono; and has received research support from Medimmune, Chugai, Medday, Genentech, NIH (RO1 NS071463), Unviersity of Texas Southwestern, Guthy Jackson Foundation, PCORI, Transverse Myelitis Association, and the National MS Society.Dr. Johnston has received travel reimbursements from the National Academies of Sciences, US News, Austin Chamber of Commerce, Johns Hopkins, UT Health Science Center, University of Utah Medical School, Medtronic, Astrazeneca, University of Rochester NY, and Duke University; has received research support from AstraZeneca, NIH/NCATS (UL1 RR024131), UCSF Clinical-Translational Science Institute, and NIH/NINDS (U01 NS062835-01A1, U01 NS062835).Mr. Rondeau reports no disclosures.

Dr. Marco Brindis is a full time faculty in the department of Prosthodontics at LSU School of Dentistry where he maintains an intramural restorative practice devoted to esthetics and implants with an interdisciplinary approach. He earned a D.D.S from the Universidad Intercontinental in Mexico City in 1998. He did a Preceptorship in Dental Implants at the Universidad Intercontinental in 1999 and a Preceptorship in Dental Implants at the Dental School at the UT Health Science Center in San Antonio in 2002. He completed a surgical Implant Fellowship at the Biotechnology Institute in Vitoria Spain in 2003. He got his Certificate in Prosthodontics at LSU School of Dentistry in the Department of Prosthodontics in 2007. He then completed all the Esthetic and Occlusion courses at the Pankey Institute in 2007. Dr. Brindis is very passionate in the field of interdisciplinary dentistry for full mouth reconstruction, esthetics and implant dentistry. Also he is involved in the development of new implant protocols to treat the edentulous patient. He has lectured in the United States, Mexico, Canada and Spain. He is member of several organizations including the American Academy of Restorative Dentistry, Academy of Osseointegration, American Dental Association, American College of Prosthodontist and the Pierre Fauchard Academy.

Austin Baraki Bio - Starting Strength Staff Coach is a resident physician in Internal Medicine at the UT Health Science Center at San Antonio, Texas. He received his doctorate in Medicine from Eastern Virginia Medical School in Norfolk, Virginia and his B.S. in Chemistry from The College of William & Mary in Williamsburg, Virginia. He became interested in strength training after completing a 15-year competitive swimming career through the Division 1 collegiate level, and is now a competitive powerlifter and strength coach for clients of all ages with Barbell Medicine. He now practices telemedicine through SteadyMD. Some the topics covered included: What got you into swimming? What got you into strength training? Are there any crossovers between your years as a swimmer and powerlifting? Why Starting Strength and not some other thought center around powerlifting like JTS, Westside, RTS, or 5/3/1? Is it the certification process that appealed to you? HRT and PL - will the USAPL ever allow athletes on HRT to compete and potentially be apart of the IPF? Do other countries have to be as strict in testing their competitors as the US (thinking of the Icarus movie)? - The link to the article Dr. Baraki mentions can be found here. Separate question - I know you had a seminar talk regarding testosterone and strength training (perhaps not posted on youtube yet) - are there significant differences in strength being at a test level of 290 vs a test level of 900 ng/dL (both considered to be normal levels of testosterone in a non-obese adult). Questions from the Facebook group: What one thing should you look for before hiring a strength coach? Who's smarter him or Jordan Feiganbaum? Where do you see the future of powerlifting being the next 10-30 years? Besides "the bridge" what intermediate programs do he thinks are useful?

Interview with Alex Gorfe, UT Health Science Center at Houston Medical School

Is stress good or bad? Do the negative impacts of a stressful life outweigh the benefits of the adaptive physiological response? Matt and Dr. David Morilak (Professor of Pharmacology, UT Health Science Center, San Antonio) talk about what defines a stress response and why we have them to begin with. We also find out if stress researchers have the secret to beating anxiety. Thanks to Audible for supporting Brain Matters efforts in science outreach and education. Get a free audiobook of your choice at audiblepodcast.com/brainmatters.

Is stress good or bad? Do the negative impacts of a stressful life outweigh the benefits of the adaptive physiological response? Matt and Dr. David Morilak (Professor of Pharmacology, UT Health Science Center, San Antonio) talk about what defines a stress response and why we have them to begin with. We also find out if stress researchers have the secret to beating anxiety. Thanks to Audible for supporting Brain Matters efforts in science outreach and education. Get a free audiobook of your choice at audiblepodcast.com/brainmatters.