PodcastDX

PodcastDX is an interview based weekly series. Guests share experience based medical insight for our global audience. We have found that many people are looking for a platform, a way to share their voice and the story that their health journey has created. Each one is unique since even with the same diagnosis, symptoms and the way each person will react to a diagnosis, is different. Sharing what they have experienced and overcome is a powerful way our guests can teach others with similar ailments. Many of our guests are engaging in self-advocacy while navigating a health condition, many are complex and without a road-map to guide them along their journey they have developed their own. Sharing stories may help others avoid delays in diagnosis or treatment or just give hope to others that are listening. Sharing is empowering and has a healing quality of its own. Our podcast provides tips, hints, and support for common healthcare conditions. Our guests and our listeners are just like you- navigating the complex medical world. We hope to ease some tension we all face when confronted with a new diagnosis. We encourage anyone wanting to share their story with our listeners to email us at [email protected]

Whooping Cough or Pertussis 05/06/2025

Whooping Cough or Pertussis Whooping cough, also known as pertussis, is a highly contagious respiratory infection caused by the bacteria Bordetella pertussis. It's characterized by severe, persistent coughing fits, often ending with a high-pitched "whoop" sound. The disease can be very serious, especially for infants, and is preventable through vaccination. Whooping cough is an illness that can spread easily. It's also called pertussis. An infection with bacteria causes it. Many people with the illness get a serious hacking cough. Breathing in after coughing often causes a high-pitched noise that sounds like a "whoop." Before the vaccine for pertussis came out, whooping cough was thought of as a childhood disease. Today, whooping cough mainly affects children too young to have gotten all their shots of the vaccine. The illness also tends to affect teenagers and adults whose protection from the vaccine has faded. Deaths linked with whooping cough are rare. Most often, they occur in infants. But pregnant people can help protect their babies by getting a booster shot of the vaccine during pregnancy. Vaccination also is recommended for other people who will have close contact with an infant. Once you become infected with whooping cough, it takes about 5 to 10 days for symptoms to start. Sometimes it takes up to three weeks. The symptoms often are mild at first. They may seem like those of a common cold. They can include: Runny or stuffy nose. Red, watery eyes. Fever. Cough. After a week or two, the symptoms become worse. Thick mucus builds up inside the airways. This causes rapid coughing that can't be controlled. The cough can last for weeks or months, and it may be worse at night. Intense coughing attacks may cause: Vomiting. A red or blue face. Extreme tiredness. A high-pitched "whoop" sound during the next breath of air. People with mild illnesses often don't make the whooping sound. Sometimes, an ongoing hacking cough is the only symptom of whooping cough in teens and adults. Many babies with the illness don't cough at all. Some babies and young children might. Gag or struggle to breathe. Have skin, lips or nails that turn blue or purple. Have life-threatening pauses in breathing called apnea. /episode/index/show/podcastdx/id/36421660

Summer Health and Safety 04/29/2025

Summer Health and Safety What’s your plan for this summer? Enjoying the water? Going camping? Firing up the grill? Whatever you prefer, we have safety steps to follow. And don’t forget your furry friends. There are steps you can take to help keep them safe too. Skin safety Children's skin is more susceptible to sunburns and UV damage from the sun than adults. Before going outside, and dress your kids in protective clothing like rash guards and hats. Choose a sunscreen with a minimum SPF of 30 with broad-spectrum protection that blocks both UVA and UVB rays. Sunscreen is only safe for children over 6 months old. For babies under 6 months, keep them shaded and avoid direct sunlight. Children should also wear sunscreen on cloudy days. Even though the sun is hidden behind clouds, UV rays can still penetrate the skin and cause harm. Stay indoors during the peak sun hours. Warm weather can dry out skin. Apply a moisturizing cream or lotion after bath time and before bed to keep skin hydrated. Water safety Babies and small children can drown in just two inches of water. Keep a close eye on children around swimming pools, lakes, rivers, kiddie pools, and bathtubs and small containers of water like toilets, buckets, ice chests, or water tables. Make sure they stay covered, have a safety latch, or are kept out of reach. Children can be quick and slip away in an instant, so keep eyes on them at all times. Children can take as early as their first birthday. Other types of swimming lessons like Infant Swimming Resource (ISR) are an option for babies under 12 months. ISR lessons teach survival and self-rescue skills. Only swim in areas with a certified lifeguard. Never go into the ocean after dark.. Nutrition safety Keep your kids hydrated throughout the day by offering plenty of water to drink. Have water bottles nearby and fill them with ice to keep the water cold. Insulated stainless steel bottles keep water cold for hours. In hot weather, offer hydrating foods like watermelon, cucumbers, berries, homemade fruit pops, and smoothies. If your child doesn't like drinking plain water, try infusing it with citrus fruits or fresh herbs for added flavor. When eating and cooking outdoors, avoid leaving raw meat or prepared foods in the sun to prevent foodborne illnesses. When BBQing, use an internal meat thermometer to ensure meats reach a safe internal temperature before eating. Always supervise open flames or BBQ grills and keep kids’ toys and activities away from these areas for safety. Weather safety Avoid outdoor play during peak sun hours to prevent dehydration and heat exhaustion and heat stroke. Symptoms of heat exhaustion include dizziness, fatigue, weakness, and nausea. If your child shows any of these signs, get them to a cool place right away, offer water, and use a cool bath or washcloth to help lower their temperature. If symptoms persist after an hour, seek medical attention immediately. Never leave children or pets alone in a car, even for a few minutes, as temperatures can become dangerous quickly. Avoid swimming or entering any body of water during thunderstorms or lightning. Insect safety Apply insect repellent on children before heading outdoors if . Use an insect repellent. Eliminate standing water around your home to reduce the number of mosquitoes and other bugs nearby. If you live in an area with a lot of insects, plan indoor activities to avoid bug bites, especially in the evening. When planning an activity in a bug-prone area, dress children in long-sleeve shirts and long pants made from lightweight, breathable fabrics. Keep doors and windows closed whenever possible. If you want to open them, consider installing screens to keep bugs out. /episode/index/show/podcastdx/id/36321535

Hepatitis (Re-Run) 04/22/2025

Hepatitis (Re-Run) Hepatitis means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is often caused by a virus. In the United States, the most common types of viral hepatitis are , , and . Hepatitis D, also known as “delta hepatitis,” is a liver infection caused by the hepatitis D virus (HDV). Hepatitis D only occurs in people who are also infected with the hepatitis B virus. Hepatitis D is spread when blood or other body fluids from a person infected with the virus enters the body of someone who is not infected. Hepatitis D can be an acute, short-term infection or become a long-term, chronic infection. Hepatitis D can cause severe symptoms and serious illness that can lead to life-long liver damage and even death. People can become infected with both hepatitis B and hepatitis D viruses at the same time (known as “coinfection”) or get hepatitis D after first being infected with the hepatitis B virus (known as “superinfection”). There is no vaccine to prevent hepatitis D. However, prevention of hepatitis B with hepatitis B vaccine also protects against future hepatitis D infection. Hepatitis E is a liver infection caused by the hepatitis E virus (HEV). HEV is found in the stool of an infected person. It is spread when someone unknowingly ingests the virus – even in microscopic amounts. In developing countries, people most often get hepatitis E from drinking water contaminated by feces from people who are infected with the virus. In the United States and other developed countries where hepatitis E is not common, people have gotten sick with hepatitis E after eating raw or undercooked pork, venison, wild boar meat, or shellfish. In the past, most cases in developed countries involved people who have recently traveled to countries where hepatitis E is common. Symptoms of hepatitis E can include fatigue, poor appetite, stomach pain, nausea, and jaundice. However, many people with hepatitis E, especially young children, have no symptoms. Except for the rare occurrence of chronic hepatitis E in people with compromised immune systems, most people recover fully from the disease without any complications. No vaccine for hepatitis E is currently available in the United States. /episode/index/show/podcastdx/id/36237045

Narcolepsy (rerun) 04/15/2025

Migraine 04/08/2025

Strep 03/25/2025

Incontinence 03/18/2025

Winter Sports Safety 03/11/2025

Vectors in a Hotter World 03/04/2025

Vectors in a Hotter World This week we discuss vectors in a hotter world. Vector-borne diseases, which are transmitted by hematophagous arthropods such as mosquitoes, ticks, and sandflies, pose a significant burden on global public health. These diseases disproportionately affect populations in tropical and subtropical regions, where environmental conditions favor the survival and proliferation of vectors. Given that vectors are ectothermic organisms, their life cycles, reproduction, survival rates, and geographic distribution are heavily influenced by climate variables such as temperature, rainfall, and humidity. Consequently, changes in climate patterns can have profound effects on the transmission dynamics of vector-borne diseases, altering their geographic spread and intensity. Rising global temperatures have led to the expansion of vector habitats into previously unsuitable regions, including temperate zones. Warmer climates accelerate the development of many vectors and pathogens, reducing the extrinsic incubation period of viruses such as dengue, Zika, and chikungunya. Additionally, increased temperatures can extend the breeding season of mosquitoes like Aedes aegypti and Anopheles species, enhancing their capacity to transmit diseases such as malaria. Conversely, extreme heat events may reduce vector survival in some regions, leading to localized declines in transmission. Changes in precipitation patterns also play a crucial role in shaping vector distribution. Heavy rainfall events can create new breeding sites for mosquitoes by increasing the availability of stagnant water, while drought conditions may drive vectors closer to human settlements in search of water sources. In particular, shifts in rainfall patterns have been linked to outbreaks of malaria, dengue, and West Nile virus in various parts of the world. Increased humidity can further facilitate the survival of certain pathogens within vectors, enhancing their ability to transmit infections. Beyond climate variables, other anthropogenic factors contribute to the spread of vector-borne diseases. Land use changes, such as deforestation and urbanization, have disrupted natural ecosystems, bringing vectors and humans into closer contact. For example, deforestation in the Amazon has been associated with increased malaria transmission due to the creation of new breeding sites for Anopheles mosquitoes. Similarly, expanding urban populations with inadequate water management systems provide ideal conditions for the proliferation of Aedes mosquitoes, driving the rise in dengue and chikungunya cases. Globalization and human mobility further compound the issue by facilitating the movement of infected individuals and vectors across borders. Increased travel and trade have contributed to the introduction and establishment of vector-borne diseases in regions where they were previously rare. For instance, the spread of Aedes albopictus, a competent vector for dengue and chikungunya, has been linked to international trade in used tires and lucky bamboo plants, which serve as breeding grounds during transport. The multifaceted relationship between climate change and vector-borne diseases presents a challenge for public health interventions. While climate factors influence vector dynamics, their impact is often modulated by socio-economic conditions, infrastructure, and public health responses. To mitigate the growing threat of vector-borne diseases, an integrated approach is necessary—combining climate adaptation strategies, vector control measures, surveillance programs, and community engagement. Recent research underscores the importance of predictive modeling to anticipate outbreaks and inform public health policies. Advances in remote sensing, artificial intelligence, and climate modeling are enabling researchers to identify high-risk areas and implement targeted interventions. Strengthening early warning systems and investing in sustainable vector control strategies, such as genetically modified mosquitoes and Wolbachia-infected mosquito programs, offer promising avenues for reducing disease transmission. In conclusion, while climate change is reshaping the global landscape of vector-borne diseases, its effects are complex and intertwined with other environmental and societal factors. Understanding these dynamics is crucial for developing proactive strategies to mitigate the risks associated with the redistribution of vectors and the spread of diseases worldwide. By integrating climate science, epidemiology, and public health measures, we can better prepare for emerging threats and protect vulnerable populations from the growing impact of vector-borne diseases. /episode/index/show/podcastdx/id/35502780

Intro to Ehlers Danlos Syndrome 02/25/2025

Intro to Ehlers Danlos Syndrome This week we discuss the basics about a topic several of our guests have spoken about- Ehlers Danlos Syndrome or EDS. Ehlers-Danlos syndrome is a group of inherited disorders that affect your connective tissues — primarily your skin, joints and blood vessel walls. Connective tissue is a complex mixture of proteins and other substances that provide strength and elasticity to the underlying structures in your body. The Ehlers-Danlos syndromes received and this is what we now know: EDS are heritable connective tissue disorders affecting the quality of collagen in every part of the body. There are now of EDS, 12 of which are genuinely rare and have the aberrant gene identified. Hypermobile EDS (hEDS) and hypermobility spectrum disorder (HSD) is by far the most common type; these conditions are part of a spectrum and the distinction is hoped to be useful for research, but is otherwise academic. hEDS/HSD is a which can have a marked impact on health and which may help us to explain apparently mysterious multiple symptoms. Don’t let the changing terminology confuse you. (a proxy for the now obsolete diagnosis of joint hypermobility syndrome (JHS). Patients who in the past received a diagnosis of JHS (or Benign JHS), EDS-Hypermobility Type or EDS Type III would now be categorized as having hEDS or HSD. “If you can’t connect the issues, think connective tissues” Non-specific and medically unexplained symptoms are usually real and should not be dismissed It can be easy to make a big difference to the quality of life of some of your most complex patients with a few simple and inexpensive measures, but the journey starts with recognition. The median time from symptom onset to seeking a GP opinion is 2 years and the median time to diagnosis 10 years. If we make an early diagnosis and manage the conditions appropriately, which can occur from EDS. Enquire about family members; these are hereditary disorders of connective tissue so positive family histories are common. Although no gene has yet been identified, hEDS is primarily of autosomal dominant inheritance. Children can present with symptoms of hEDS/HSD, including abdominal symptoms or growing pains. They may also present with neurodevelopmental disorders such as hyperactivity, inattention, dyspraxia, autistic spectrum disorder, sleep and food issues, emotional problems, hypersensitivity and anxiety. A low Beighton score does not exclude hEDS/HSD. Patients stiffen with age so their Beighton score may decrease, although pain may worsen. The extent of multi-system symptoms is not related to the Beighton score. Consider co-existing conditions; In recent years, we have begun to understand more about associated or co-morbid conditions which are frequently found in people with hEDS, including (postural tachycardia syndrome (PoTS) and symptomatic low blood pressure), (MCAS) and . /episode/index/show/podcastdx/id/35387835

Food Is Medicine 02/18/2025

Too Fast, Too Slow, Just Right Heart Rhythms 02/11/2025

Too Fast, Too Slow, Just Right Heart Rhythms Our guest today is Evelyn Gamble. Evelyn is a dedicated healthcare worker and passionate heart disease advocate. With a deep commitment to improving health outcomes, Evelyn uses her personal and professional experiences to raise awareness about heart health, particularly for young adults. As a strong voice for change, she aims to inspire others to take proactive steps in managing their heart health and to advocate for better care and resources for those affected by heart disease. Definition: A heart arrhythmia, also known as a cardiac arrhythmia, is an abnormal rhythm of the heart. It occurs when the electrical impulses that control the heart's contractions do not function properly. Causes: Heart arrhythmias can be caused by a wide range of factors, including: Heart disease (e.g., coronary artery disease, heart failure) Electrolyte imbalances (e.g., low potassium or magnesium) Certain medications (e.g., stimulants, caffeine) Thyroid disorders Damage to the Vagus Nerve Stress Genetics Types: There are many different types of heart arrhythmias, which can be classified based on the rate and rhythm of the heart: Tachycardia: A rapid heart rate (over 100 beats per minute) Bradycardia: A slow heart rate (under 60 beats per minute) Atrial fibrillation: A quivering or irregular rhythm of the upper chambers of the heart (atria) Ventricular fibrillation: A life-threatening rhythm where the lower chambers of the heart (ventricles) contract irregularly and chaotically Premature beats: Extra heartbeats that occur early in the rhythm Symptoms: Some people with heart arrhythmias may not experience any symptoms. Others may have symptoms such as: Palpitations (feeling like the heart is racing or fluttering), Chest pain or discomfort, Dizziness or lightheadedness, Fainting, and Shortness of breath. Diagnosis and Treatment: To diagnose a heart arrhythmia, your doctor will likely perform a physical exam, ask about your medical history, and take an electrocardiogram (ECG). Treatment options depend on the type and severity of the arrhythmia and may include: Medications (e.g., beta-blockers, antiarrhythmics) Lifestyle changes (e.g., exercise, stress management) Surgery (e.g., ablation procedure) Implantable devices (e.g., pacemakers, defibrillators) Outlook: The outlook for people with heart arrhythmias varies depending on the underlying cause and severity of the condition. /episode/index/show/podcastdx/id/35115840

Tuberculosis Resurgence 02/04/2025

Tuberculosis Resurgence This week's episode we will discuss the resurgence of TB/ Tuberculosis. TB is a treatable and curable disease. Active, drug-susceptible TB disease is treated with a standard 6-month course of 4 antimicrobial drugs that are provided with information and support to the patient by a health worker or trained volunteer. Without such support, treatment adherence is more difficult. Since 2000, an estimated 66 million lives were saved through TB diagnosis and treatment. A total of 1.5 million people died from TB in 2020 (including 214 000 people with HIV). Worldwide, TB is the 13th leading cause of death and the second leading infectious killer after COVID-19 (above HIV/AIDS). In 2020, an estimated 10 million people fell ill with tuberculosis (TB) worldwide. 5.6 million men, 3.3 million women and 1.1 million children. TB is present in all countries and age groups. But TB is curable and preventable. In 2020, 1.1 million children fell ill with TB globally. Child and adolescent TB is often overlooked by health providers and can be difficult to diagnose and treat. In 2020, the 30 high TB burden countries accounted for 86% of new TB cases. Eight countries account for two thirds of the total, with India leading the count, followed by China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa. Multidrug-resistant TB (MDR-TB) remains a public health crisis and a health security threat. Only about one in three people with drug resistant TB accessed treatment in 2020. Globally, TB incidence is falling at about 2% per year and between 2015 and 2020 the cumulative reduction was 11%. This was over half way to the End TB Strategy milestone of 20% reduction between 2015 and 2020. An estimated 66 million lives were saved through TB diagnosis and treatment between 2000 and 2020. Globally, close to one in two TB-affected households face costs higher than 20% of their household income, according to latest national TB patient cost survey data. The world did not reach the milestone of 0% TB patients and their households facing catastrophic costs as a result of TB disease by 2020. By 2022, US$ 13 billion is needed annually for TB prevention, diagnosis, treatment and care to achieve the global target agreed at the UN high level-meeting on TB in 2018. Funding in low- and middle-income countries (LMICs) that account for 98% of reported TB cases falls far short of what is needed. Spending in 2020 amounted to US$ 5.3 billion less than half (41%) of the global target. There was an 8.7% decline in spending between 2019 and 2020 (from US$ 5.8 billion to US$ 5.3 billion), with TB funding in 2020 back to the level of 2016. Ending the TB epidemic by 2030 is among the health targets of the United Nations Sustainable Development Goals (SDGs). Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable. TB is spread from person to person through the air. When people with lung TB cough, sneeze or spit, they propel the TB germs into the air. A person needs to inhale only a few of these germs to become infected. About one-quarter of the world's population has a TB infection, which means people have been infected by TB bacteria but are not (yet) ill with the disease and cannot transmit it. People infected with TB bacteria have a 5–10% lifetime risk of falling ill with TB. Those with compromised immune systems, such as people living with HIV, malnutrition or diabetes, or people who use tobacco, have a higher risk of falling ill. When a person develops active TB disease, the symptoms (such as cough, fever, night sweats, or weight loss) may be mild for many months. This can lead to delays in seeking care, and results in transmission of the bacteria to others. People with active TB can infect 5–15 other people through close contact over the course of a year. Without proper treatment, 45% of HIV-negative people with TB on average and nearly all HIV-positive people with TB will die. Who is most at risk? Tuberculosis mostly affects adults in their most productive years. However, all age groups are at risk. Over 95% of cases and deaths are in developing countries. People who are infected with HIV are 18 times more likely to develop active TB (see TB and HIV section below). The risk of active TB is also greater in persons suffering from other conditions that impair the immune system. People with undernutrition are 3 times more at risk. Globally in 2020, there were 1.9 million new TB cases that were attributable to undernutrition. Alcohol use disorder and tobacco smoking increase the risk of TB disease by a factor of 3.3 and 1.6, respectively. In 2020, 0.74 million new TB cases worldwide were attributable to alcohol use disorder and 0.73 million were attributable to smoking. Global impact of TB TB occurs in every part of the world. In 2020, the largest number of new TB cases occurred in the WHO South-East Asian Region, with 43% of new cases, followed by the WHO African Region, with 25% of new cases and the WHO Western Pacific with 18%. In 2020, 86% of new TB cases occurred in the 30 high TB burden countries. Eight countries accounted for two thirds of the new TB cases: India, China, Indonesia, the Philippines, Pakistan, Nigeria, Bangladesh and South Africa. Symptoms and diagnosis Common symptoms of active lung TB are cough with sputum and blood at times, chest pains, weakness, weight loss, fever and night sweats. WHO recommends the use of rapid molecular diagnostic tests as the initial diagnostic test in all persons with signs and symptoms of TB as they have high diagnostic accuracy and will lead to major improvements in the early detection of TB and drug-resistant TB. Rapid tests recommended by WHO are the Xpert MTB/RIF Ultra and Truenat assays. Diagnosing multidrug-resistant and other resistant forms of TB (see Multidrug-resistant TB section below) as well as HIV-associated TB can be complex and expensive. Tuberculosis is particularly difficult to diagnose in children. /episode/index/show/podcastdx/id/35112260

Virtual Sciatica Therapy 01/28/2025

Virtual Sciatica Therapy Our guest today is a Physical Therapist that specializes in Sciatica. Dean Volk, MPT, and owner of Sciatica Relief Now, has spent over 33 years revolutionizing sciatica treatment. After owning three successful clinics and a cash concierge practice and working with professional athletes, Volk transitioned to a virtual model in 2018, turning this side hustle into a full-time operation in 2021. Now based in Santa Monica, CA, Dean and his team of coaches provide virtual consultations and coaching to clients worldwide, helping them live their lives to the fullest. The cornerstone of Sciatica Relief Now’s success is Volk’s unique approach, which operates 180 degrees opposite to traditional physical therapy and chiropractic methods. Unlike many standard treatments that rely on generic exercises, stretching, or painful adjustments, Sciatica Relief Now focuses on finding the right motion for each individual’s body. This personalized approach addresses the root causes of their pain. Dean Volk explains, “We believe that the right motion is lotion for the body. Our approach does not involve stretching or digging into the painful side. Instead, we teach our clients to view their sciatica as a wound that needs to heal. By helping them balance out their bodies and reduce compensation, we put their bodies in an optimal position to heal.” Sciatica Relief Now’s 8-week programs, offered through both group and one-on-one coaching, have helped clients return to activities they once thought were impossible. From professional rowing and marathon running to everyday tasks like gardening and walking, clients are finding long-lasting relief and regaining their quality of life. One of the key differentiators of Sciatica Relief Now is its 100% virtual model. This allows clients to receive expert guidance and support from the comfort of their own homes, eliminating the need for time-consuming travel and waiting room visits. Dean Volk’s team offers both group coaching and personalized one-on-one sessions, complemented by their DWY (Do With You) Online course, which empowers clients to take control of their own healing process. By focusing on common-sense solutions and teaching clients how to heal their bodies naturally, Volk and his team are making a significant impact on the lives of those suffering from sciatica. Dean Volk’s dedication to his craft and his clients is evident in his continuous efforts to refine and perfect his treatment protocols. Over the last 16 years, he has diligently worked on his approach. His commitment to education and empowerment is further demonstrated through his extensive experience before he sold his clinics in 2020. With a focus on simplicity and effectiveness, Sciatica Relief Now’s methods are designed to be accessible and understandable for all clients. The virtual nature of the service also means that clients from anywhere in the world can benefit from Volk’s expertise and guidance. For those interested in exploring a new, effective approach to sciatica relief, Sciatica Relief Now offers a promising solution. By thinking differently about sciatica treatment and focusing on the right motion for each individual, Dean Volk and his team are helping people reclaim their lives and move forward without the fear of debilitating pain. For more information, visit Sciatica Relief Now, follow @SciaticaReliefNow, and check out the YouTube Channel. Contact Information: Dean Volk Email: About Sciatica Relief Now: Sciatica Relief Now helps sciatica sufferers who have failed multiple treatment approaches find relief and regain their lives without medications, injections, or surgery. Founded by Dean Volk, MPT, the company offers a unique, 100% virtual approach that teaches clients how to heal their bodies naturally. /episode/index/show/podcastdx/id/35019590

Myasthenia Gravis with Tasha White 01/21/2025

Blood Clots 01/14/2025

Hearing Loss 01/07/2025

Food Safety at the Holidays 12/31/2024

Food Safety at the Holidays In this episode we will discuss food safety at the holidays. From prep to serving there are important tips to remember to ensure a toxin free meal for everyone! Parties, family dinners, and other gatherings where food is served are all part of the holiday cheer. But the joy can change to misery if food makes you or others ill. Typical symptoms of foodborne illness, also known as food poisoning, are vomiting, diarrhea, and flu-like symptoms, which can start anywhere from hours to days after contaminated food or drinks are consumed. The symptoms usually are not long-lasting in healthy people — a few hours or a few days — and usually go away without medical treatment. But foodborne illness can be severe and even life-threatening to anyone, especially those most at risk: older adults infants and young children pregnant people people with diabetes, HIV/AIDS, cancer, or any condition that weakens their immune system people who take medicines that suppress the immune system; for example, some medicines for lupus, psoriasis and rheumatoid arthritis The good news is that practicing four basic food safety measures can help prevent foodborne illness. 1. Clean: The first rule of safe food preparation in the home is to keep everything clean. Wash hands with warm water and soap for 20 seconds before and after handling any food. To help you remember, it takes about 20 seconds to sing "Happy Birthday" two times. Wash food-contact surfaces (cutting boards, dishes, utensils, countertops) with hot, soapy water after preparing each food item and before going on to the next item. Rinse fruits and vegetables thoroughly under cool running water and use a produce brush to remove surface dirt. Do not rinse raw meat and poultry before cooking. Washing these foods makes it more likely for bacteria to spread to areas around the sink and countertops. 2. Separate: Don't give bacteria the opportunity to spread from one food to another (cross-contamination). Keep raw eggs, meat, poultry, seafood, and their juices away from foods that won't be cooked. Take this precaution while shopping in the store, when storing in the refrigerator at home, and while preparing meals. Consider using one cutting board only for foods that will be cooked (such as raw meat, poultry, and seafood) and another one for foods that will not be cooked (such as raw fruits and vegetables). Keep fruits and vegetables that will be eaten raw separate from other foods such as raw meat, poultry or seafood — and from kitchen utensils used for those products. Do not put cooked meat or other food that is ready to eat on an unwashed plate that has held any raw eggs, meat, poultry, seafood, or their juices. 3. Cook: Food is safely cooked when it reaches a high enough internal temperature to kill harmful bacteria. Color is not a reliable indicator of doneness. Use a food thermometer to make sure meat, poultry, and fish are cooked to a . To check a turkey for safety, insert a food thermometer into the innermost part of the thigh and wing and the thickest part of the breast. The turkey is safe when the temperature reaches 165ºF. If the turkey is stuffed, the temperature of the stuffing should be 165ºF. (Please read on for more pointers on stuffing.) Bring sauces, soups, and gravies to a rolling boil when reheating. Cook eggs until the yolk and white are firm. When making your own eggnog or other recipe calling for raw eggs, use pasteurized shell eggs, liquid or frozen pasteurized egg products, or powdered egg whites. Don't eat , which may contain raw eggs and raw flour. 4. Chill: Refrigerate foods quickly because harmful bacteria grow rapidly at room temperature. Refrigerate leftovers and takeout foods — and any type of food that should be refrigerated — within two hours. That includes pumpkin pie! Set your refrigerator at or below 40ºF and the freezer at 0ºF. Check both periodically with an appliance thermometer. Never defrost food at room temperature. Food can be defrosted safely in the refrigerator, under cold running water, or in the microwave. Food thawed in cold water or in the microwave should be cooked immediately. Allow the correct amount of time to properly thaw food. For example, a 20-pound turkey needs four to five days to thaw completely when thawed in the refrigerator. Don't taste food that looks or smells questionable. A good rule to follow is, when in doubt, throw it out. Leftovers should be used within three to four days. Bonus Tip: Use Care with Stuffing! Whether it is cooked inside or outside the bird, all stuffing and dressing must be cooked to a minimum temperature of 165ºF. For optimum safety, cooking your stuffing in a casserole dish is recommended. Stuffing should be prepared and stuffed into the turkey immediately before it's placed in the oven. Mix wet and dry ingredients for the stuffing separately and combine just before using. The turkey should be stuffed loosely, about 3/4 cup stuffing per pound of turkey. Any extra stuffing should be baked in a greased casserole dish. /episode/index/show/podcastdx/id/34646350

Abdominal Adhesions 12/24/2024

Vaccines/ Re-Run 12/17/2024

Ablation or Meds for AFIB 12/10/2024

Ablation or Meds for AFIB This week we will discuss possible treatment methods for AFIB. Atrial fibrillation (AFib) is a common type of irregular heart rhythm (arrhythmia) that occurs when the upper chambers of the heart (atria) beat chaotically and out of sync with the lower chambers (ventricles). This can lead to a variety of symptoms, including: Palpitations (a feeling of a racing or irregular heartbeat) Fatigue Shortness of breath Dizziness or lightheadedness Chest discomfort AFib can increase the risk of blood clots, stroke, heart failure, and other heart-related complications. Treatment Options for AFib Management of AFib focuses on controlling the heart rate and rhythm, preventing blood clots, and addressing underlying conditions contributing to the arrhythmia. The choice of treatment depends on the individual's symptoms, overall health, and risk factors. 1. Medications Medications are often the first line of treatment for AFib. These include: Rate-Control Medications Aim to slow the heart rate to a normal range. Common drugs: Beta-blockers (e.g., metoprolol), calcium channel blockers (e.g., diltiazem, verapamil), and digoxin. Rhythm-Control Medications Help restore and maintain a normal heart rhythm. Common drugs: Antiarrhythmics like amiodarone, flecainide, or sotalol. Anticoagulants (Blood Thinners) Reduce the risk of stroke by preventing blood clots. Examples: Warfarin, direct oral anticoagulants (DOACs) like apixaban (Eliquis) or rivaroxaban (Xarelto). 2. Ablation Therapy Ablation is a minimally invasive procedure aimed at correcting the electrical signals causing AFib. It is typically recommended for individuals who: Do not respond to or cannot tolerate medications. Have recurrent or persistent AFib that significantly impacts quality of life. Types of ablation: Catheter Ablation Uses thin tubes (catheters) inserted into blood vessels to deliver energy (radiofrequency or cryotherapy) to destroy small areas of heart tissue causing abnormal electrical signals. Surgical Ablation (Maze Procedure) Often performed during open-heart surgery for other conditions, creating scar tissue to block abnormal signals. Both options have high success rates, but catheter ablation is more commonly performed due to its minimally invasive nature. Choosing the Right Treatment Deciding between medications or ablation depends on factors such as: The severity and frequency of symptoms. The presence of other medical conditions. Patient preference and lifestyle. Consultation with a cardiologist or electrophysiologist is crucial to tailor treatment to the individual’s needs. /episode/index/show/podcastdx/id/34345850

Vagus Nerve Injury 12/03/2024

Vagus Nerve Injury This week we are talking about the Vagus Nerve. The vagus nerve (10th cranial nerve) is a critical part of the autonomic nervous system, responsible for regulating vital functions such as heart rate, digestion, and respiration. It extends from the brainstem (medulla oblongata) through the neck and chest to the abdomen, with motor and sensory fibers allowing communication between the brain and organs. The vagus nerve has two branches—left and right—which overlap in regulating autonomic functions. Functions and Importance Cardiac and Pulmonary Regulation: The left vagus nerve primarily innervates the heart, while the right focuses on the lungs, though both contribute to overall regulation. Digestive System Support: It promotes digestion by increasing blood flow to the gastrointestinal tract and stimulating enzyme release. Mental Health and Inflammation: The vagus nerve influences mood, anxiety, and stress by connecting to brain areas that regulate emotions. It also modulates inflammation, reducing pro-inflammatory molecules. Enteric Nervous System Connection: Acting as a bridge between the brain and the "second brain" in the gut, the vagus nerve ensures coordination of digestive processes. Vulnerability to Injury Due to its extensive pathway, the vagus nerve is prone to injury from trauma, surgery, infections, tumors, or certain medical conditions. Common causes include: Trauma: Accidents, falls, or sports injuries affecting the neck or chest. Surgical Complications: Procedures in the neck, chest, or abdomen can unintentionally damage the nerve. Medical Conditions: Disorders such as gastric ulcers, reflux, or tumors may affect the nerve. Infections like Lyme disease or meningitis are also potential causes. Idiopathic Cases: Sometimes, the cause of vagus nerve injury remains unknown, requiring further investigation. Symptoms of Vagus Nerve Injury Injury symptoms depend on the severity and location of damage and may include: Cardiovascular: Rapid or irregular heartbeat, blood pressure changes. Digestive: Bloating, constipation, diarrhea, or difficulty swallowing. Voice and Throat: Hoarseness, voice changes. General: Anxiety, depression, or excessive sweating. Diagnosis and Management Diagnosing vagus nerve damage involves imaging, nerve conduction studies, and blood tests to assess functionality. Early detection is crucial for effective management and preventing complications. Prompt medical intervention can improve symptoms and enhance quality of life. Understanding the vagus nerve’s anatomy and functions underscores its significance in maintaining overall health, aiding healthcare professionals in diagnosing and addressing related dysfunctions. /episode/index/show/podcastdx/id/34274740

CRPS Complex Regional Pain Syndrome 11/26/2024

CRPS Complex Regional Pain Syndrome Our guest this week is Christine James. Christine is a mother to two daughters, 19 and 23, a nurse of 8 ½ years and now a chronic pain patient. She was happy to take the time to speak with us in order to bring awareness to a rare and largely unknown disease: CRPS or Complex Regional Pain Syndrome. As a nurse she worked in the fields of home health, acute medical, psych, long term care, dialysis; and has floated to many other units within hospitals. She has worked at the bedside and have also held supervisory positions. Passionate about her career as a nurse, she hopes to get well enough to work again. In her 20’s she was diagnosed with degenerative disc disease and osteoarthritis of the spine. Over the course of many years she went through many procedures and treatments due to lumbar disc herniations to include six back surgeries- one of which resulted in permanent damage to her L-5/S-1 nerve root resulting in permanent right foot drop, and one of which was a fusion of L-5/S-1 using four screws and two rods. After walking 10 years with foot drop and working as a nurse the instability and condition in her right ankle caused constant swelling and pain which led her to seek further treatment. It was found that her joint was arthritic and the bones were collapsing out of position. Her Achilles tendon was also found to be too tight. On March 11, 2024 she underwent a right Achilles tendon release, tendon transfer to improve foot drop. Three weeks later the symptoms of CRPS were recognized by her surgeon and she was diagnosed on April 8, 2024. Due to her foundation of knowledge as a nurse and due to her drive to get better, she joined multiple social media platforms in search of how to find the treatment she needed and through that process she also began helping others learn about this disease. When she is feeling healthy, she enjoys many creative hobbies, gardening, and is an avid concertgoer. She has two cats, & lives with her boyfriend in Michigan. They are currently struggling to make it through this difficult time with her health. Financial issues have become bad enough that she sold personal items, used food pantries, and started a She is currently active in Facebook groups and has a TikTok account that she uses to network with others that have CRPS, chronic pain, and chronic illness. She is grateful to participate in the online community in any way to bring awareness and understanding to CRPS sufferers. /episode/index/show/podcastdx/id/34148270

Integrative Neurology with Dr. Alexander Zubkov 11/19/2024

Integrative Neurology with Dr. Alexander Zubkov This week we discuss the field of Functional Neurology with Dr. Alexander Zubkov. Stroke care is complex and does not stop when a patient is discharged from the hospital. As a Functional Neurologist, Dr. Zubkov offers comprehensive follow-up for Stroke care, and focus on prevention through health and wellness. According to his online presence, these are the benefits of such tailored medical care: Benefits of Integrative Neurology and Functional Medicine Identify the root cause of your illness Decrease excessive inflammation Balance your brain Reversal of cognitive decline Improve your overall health State of the art laboratory testing Nutritionist evaluation Short and long-term health planning Physician-grade supplement Dr. Zubkov believes that we are facing an epidemic of unhealthy lifestyles and environments, but there is hope for change. You have the power to make positive changes in your life, and it doesn't have to be a sacrifice of joy and fun. With one voice and one mind, we can learn to eat real food, exercise, and rest to achieve radiant health. While crisis care is excellent in acute cases, the current model of healthcare fails in preventing and treating chronic diseases. However, since the early 90s, there has been a wealth of rock-solid studies proving that many chronic illnesses are preventable. The problem is that the abundance of information can lead to confusion, without the specific context for each individual. Core Beliefs: Dr. Zubkov knows that each person is unique, and it's not enough to simply tell them what not to eat. By understanding their personal story and history, teaching them, and backing up strategies with proper laboratory assessments, we can make meaningful changes towards a healthier life. So don't lose hope - you have the power to improve your health and wellbeing. Dr. Zubkov founded to help patients to recover from neurological diseases through holistic approach. /episode/index/show/podcastdx/id/33973507

Winter Safety 11/12/2024

Staying Healthy as a Veteran 11/05/2024

Halloween Safety 10/29/2024

Silicosis 10/22/2024

Jamie's Dream Team 10/15/2024

Bullying and Mental Health 10/08/2024

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