Medicine, We're Still Practicing

Dr. Payam Abrishami joins the show to discuss all things dermatological. Dr. Abrishami is a Dermatologist in Agoura Hills, CA and has over 21 years of experience in the medical field. Today we learn: How bad is the sun for our skin? Do most OTC skin products even work? Is that new mole something we should go get checked out? How do we properly care best for our skin? All these questions and more are answered on this episode of Medicine, We’re Still Practicing. Episode Timestamps: 2:25 What happens to our skins as we age? 3:45 Reversing the affects of damage to the skin 5:05 How important is sunscreen, and what kind should we use? 6:04 What is SPF and what amount should we be using? 7:00 What is UPF clothing, and does it work? 8:00 What is collagen? 9:00 How bad are tanning beds? 10:45 Is moisturizing our skin that important? 11:25 Do you get what you pay for with OTC skin care? 12:45 Why do some young people suffer from worse acne than others? 14:00 What should a parent look out for in the Childs acne profile? 18:22 What is CO2 laser skin resurfacing? 20:00 How to tell the difference between cancerous and non-cancerous moles? 26:00 How does skin cancer develop? 27:00 How do you treat skin cancer? 28:20 How does the biopsy process work, and what is the followup process? 31:15 Recent technological breakthroughs for skin cancer detection at home ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In this episode, we revisit our conversation with Dr Suzanne Donovan and her harrowing work on the Ebola outbreak. As Dr. Donovan breaks down her first time fighting overseas against this truly terrible disease, one can't help but draw the similarities and foreshadowing between her work in a nation in desperation, and the COVID pandemic that was just around the corner. Episode Timestamps: 1:40 How is Ebola spread? Why is the outbreak so bad in West Africa? 4:20 Why were so many doctors dying from Ebola? 6:20 Evacuating doctors back to the US? 7:30 What is the treatment for Ebola in Africa? 10:00 Transmission timeline for Ebola 14:30 What was the scene like on Dr. Donovan's first day in the African hospital? 17:48 Contact tracing and testing for Ebola 19:50 Healthcare worker safety in West Africa 22:23 Dealing with dead bodies? 23:36 Dr Donovan compares how governments in third world countries handle health crisis differently than the US 25:36 The progress in HIV/AIDS treatment over the years ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the third installment for our Cedars-Sinai series, hosts Dr. Steven Taback and Bill Curtis are joined by Geriatrician Dr. Sonja Rosen, where they discuss the in’s and out’s Geriatric Medicine and at home care for the elderly. The group also discusses the organization (or lack there of) of the countries medical records in regard to polypharmacy, how to handle the difficult conversations that revolve around elderly care, and some tips for both you and your loved ones to live a long and quality life. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Cedars-Sinai. Cedars-Sinai is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 2:09 What is unique about treating geriatrics vs normal internal medicine? 3:10 Is diagnosis harder for older people? 3:47 Should you give up your normal internist for a geriatrician? Can you? 5:49 Do geriatricians usually get brought in as specialists? 7:00 What can the average person do to improve their lifespan and quality of life? 8:38 Do memory supplements work? Does Dr. Rosen recommend any specific ones? 10:00 How much and what kind of exercise do we really need? 11:04 Tips on convincing patients to exercise? 14:00 How to approach your elderly ones in moving towards finding a geriatrician? 15:40 Are electronic records well organized for the case of poly pharmacy? 20:00 Fixing the chaos of poly pharmacy? 23:00 Managing insurance companies and getting the best medications in your patients hands 24:22 How to handle the difficult situation of ‘independence’ with your elderly loved ones. 27:30 How important is teeth care? 28:25 How important is ‘hearing’ as an elderly person? 29:13 Swallowing issues as an elderly person 29:50 Does our sleep decline the older we get? Why? 31:08 High blood pressure treatment as an elderly person 31:54 What are the ‘4 Ms’ of optimally caring for older patients? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the second installment for our Cedars-Sinai series, hosts Dr. Steven Taback and Bill Curtis are joined by pulmonary and Critical Care Director Dr. Victor Tapson, where they discuss all things pulmonary embolism and hypertension related. Pulmonary hypertension is known as the silent killer because more often than not, you’re only diagnosed after it’s too late. The panel discuses some of the causes for pulmonary embolism, how COVID has played a role in the disease, as well as signs and symptoms for both patients and physicians to look out for when treating the pulmonary embolism and hypertension. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Cedars-Sinai. Cedars-Sinai is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 2:30 How has COVID played a role in blood clots? 3:53 Dealing with the social devastation of COVID as a physician. 5:36 Are blood clots in COVID patients different than those who get clots without COVID? 8:30 Does anti-inflammatory agents or immunotherapy have any effect on blood clots? 9:49 What got Dr. Tapson originally interested in studying Pulmonary Embolism? 10:58 Why do DBT and PE consistently get missed on diagnosis? 12:00 What are the best tests to diagnosis PE? 13:53 Young physicians and the conundrum of minimizing the amount of testing with a disease that’s diagnosis relies mostly on “suspicion.” 16:00 Minimizing CT scans because of the dye/contrast’s effects on kidneys. 17:53 How do blood thinners work? 22:07 Pulmonary hypertension vs. high blood pressure. 23:15 What are the 5 classes of pulmonary hypertension? 25:45 How do you test for PH? 26:57 What predisposes one to pulmonary hypertension? 28:18 Has PH risen with COVID “long-haulers?” 29:20 The balancing act of 'best-treatment’ for a disease and kidney/liver function. 30:47 Dr. Tapson shares the biggest breakthroughs and exceptions in his field. ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

Is Crohn's passed on from family members? Does diet have anything to do with it? In the first installment of our Cedars-Sinai series, hosts Dr. Steven Taback and Bill Curtis are joined by Gastroenterologist Dr. Stephan Targan, where they discuss the ins and outs of IBD and Crohn's disease. Dr. Targan shares some key insight on symptoms and techniques used in the fight against this widespread disease that is thought to affect almost 3 million Americans. Dr. Targan also enlightens us on the efficacy of probiotics and whether gluten plays much of a roll in IBD. In this dedicated series, we're showcasing the medical breakthroughs and innovations from one of the world's most preeminent hospitals: Cedars-Sinai. Cedars-Sinai is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 2:20 What is Crohn's Disease? 3:23 Is there a definitive cause for IBD (inflammatory bowel disease)? 4:29 What are the techniques used to test for Crohn's Disease? 5:01 How do we treat Crohn's Disease? 5:50 How important is diet’s impact on IBD? 7:06 What is the efficacy of probiotics in general and in regards to IBD? 8:35 Does eating vegetarian ease symptoms of Crohn's Disease? 10:34 Targeted Therapeutic Selection? What is it and how is it used with IBD? 14:22 What is a TNF inhibitor? 16:23 Does family history play into getting IBD? 17:11 At what age can you develop IBD? 18:14 Is each case of IBD trial and error, or are there some already established practices? 19:55 Immunotherapy and IBD? 20:36 What is fibrosis? 21:35 Has COVID had any impact of IBD? 22:59 Whats the distribution of Crohn's Disease geographically? 24:23 What is the population of those infected with IBD? 25:50 Genetic mapping and Crohn's Disease? 26:23 Does the consumption of gluten have any relation to Crohn's Disease? 27:55 Dr. Targan shares his main focus moving forward in his research 29:24 What are the symptoms the general public should be aware of when it’s time to go see a doctor because of IBD? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

On this episode, Bill and Dr. Steve are joined by three members of the Certis Oncology team: CEO Peter Ellman, Dr. Arun Singh M.D., and Surgical Oncologist Dr. Fritz Eilber M.D. Certis is an early stage biotech company with a focus on advancing translational oncology through the O-PDX technique. O-PDX standing for “patient derived xenografts” are models of cancer where the tissue or cells from a patient's tumor are implanted into an immunodeficient or humanized mouse. Certis acquires intimate knowledge about the biology, chemistry and evolution of individual cancers to empower patients, inform treatment strategies and advance the next generation of oncology therapeutics. We think you’ll be just as inspired by this episode as we are. Episode Timestamps: 3:40 Why is treating cancer still such a mystery? 4:30 What is cancer? 5:24 What is the Certis Oncology all about? 6:54 Petri Dish vs Mouse Model 7:39 The novelty of using immunosuppressive mice 9:35 How does Certis scale this model to the whole world 10:57 Can you start your oncology treatment with the mouse method via Certis? 12:08 Do insurance companies play ball with mouse model research? 13:15 What should general surgeons outside of Certis be doing with biopsy specimens? 14:32 What is the turnaround time on the mouse model research? 16:27 What is the dynamic with Certis and an individuals specific oncologist? 21:33 Peter Ellman shares how Certis got started 26:00 Does a tumor that is implanted in a mouse have the same likelihood of traveling to other organs as it would in a human? 28:22 Can patients request having work done with Certis? 30:13 Where is Certis getting it’s funding from, and what is the future dynamic with insurance companies? 33:00 Can the model work for other diseases outside cancer? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In our final installment for our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by founder of the field and Johns Hopkins Director of Neuroplastic Facial Reconstruction, Dr. Chad Gordon. In this episode, Dr. Gordon illuminates the groundbreaking developments in Smart Cranial Implants, and shares his passion for the importance of a dedicated Neuroplastic Facial Reconstructive Surgeon. Dr. Gordon shares how his team is leading the charge in building the next evolution of skull and neurological care via Customized Cranial Implants. You won’t want to miss this enlightening conversation! We want to deeply thank Johns Hopkins Medicine for helping us showcase the outstanding medical breakthroughs and innovations from their preeminent hospital. We wish your whole institution nothing but the best moving forward. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Timestamps: 2:08 What is the field of neuroplastic reconstructive surgery? 3:05 Is neuroplastic reconstructive surgery classified as cosmetic? 4:22 What is the original need for a neuroplastic reconstructive surgeon? 6:39 Whats the difference to what a neuroplastic reconstructive surgeons and a brain surgeon? 8:08 Does insurance generally cover skull reconstruction? 8:33 What is the cause for the rise in neuroplastic reconstructive cases? 10:13 What are smart cranial implants? 12:01 What should local surgeons do to preempt the necessity for neuroplastic reconstruction? 13:53 Why did Dr. Gordon decide to bypass the lucrative field of cosmetic surgery? 15:31 The evolution of neuroplastic reconstruction and how robotics plays into the field 19:42 Dr. Steve shares what a craniotomy is and why it would be used 23:07 Use cases of skull implants of the future 26:00 Modifying the brain over the next 100 years 27:17 Side effects of replacing the skull with plastic 29:01 Dr. Gordon’s take on the future of neuroplastic reconstructive care 31:00 How can local neurosurgeons reach out to Dr. Gordon for help/info? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In our seventh installment for our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Assistant Director of Special Operations at Johns Hokpins Medicine, Dr. Matthew Levy, where they discuss the harrowing yet heroic care that the nations frontline EMT’s delivered during the pandemic. You’ll discover how the complexity of top notch EMS care is coordinated, as well as ground-breaking innovations like the Israeli AED drone delivery protocol, and the inner-workings behind how the emergency medical care system is funded. You won’t want to miss this enlightening conversation! In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 2:28 What is the ‘Division of Special Operations’ at Johns Hopkins? 3:54 How do EMS systems coordinate with other departments on a regional and national level? 5:47 Fire Department EMS systems vs private EMS systems. 8:11 How has EMS care progressed through and after COVID? 11:46 EMT’s and their direct contact with COVID. 13:00 Were people avoiding hospital care during the pandemic? 16:40 What is the difference between EMS and EMT? 19:31 Are EMS and EMT fields properly funded? How can they be optimized to the patient? 21:42 The dynamic of insurance in its relation to EMS care. 24:38 How do EMT’s handle the difficult decisions they’re put into every day? 27:29 Dr. Levy elaborates on the Israeli EMS drone delivery AED system. 31:58 Dr. Levy shares about his experience of working in emergency care in the difficult city like Baltimore. ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the sixth installment of our Johns Hopkins series, host Bill Curtis relives some favorite moments. Hear from Dr. Dale Needham, Dr. Martin Brodsky, and Dr. Megan Hosey on their innovative and groundbreaking techniques in the ICU. We also touch on Dr. Christopher Earley’s revolutionary care and treatment of Restless Leg Syndrome. And finally, we learn from Dr. Ken Pienta about the in’s-and-outs of the silent killer that is prostate cancer, and how best we can treat it pre- and post-diagnosis. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 1:40 Why is sedating the wrong way to go for ICU care? 3:25 How did Dr. Dale Needham break the traditional adage of sedation in the ICU first? 6:09 Techniques on orienting patients during a time of delusion in the ICU. 8:15 Dr. Hosey shares some advice for physicians dealing with psychological care in the ICU. 10:30 How does Speech Language Pathologist Dr. Martin Brodsky communicate with ICU patients? 13:15 What is RLS - Restless Leg Syndrome? 15:47 What is the innovative technique Dr. Christopher Earley uses to treat RLS? 17:47 Why do so many men die from prostate cancer? 19:02 What are the signs men should look for in identifying prostate cancer? 20:02 The use of proton therapy in urological issues such as prostate cancer. 23:05 Dr. Hosey shares her emotional experience with how COVID has changed her life. ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the fifth installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Megan Hosey to discuss her work in providing frontline psychological care to patients in the ICU. In an extremely unique field, Dr. Megan Hosey is gifted with the powerful skillset of providing warmth and psychological support to ICU patients in very troubled times. There needs to be more Dr. Hosey’s in the world! In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 2:13 What are some of the new challenges that COVID has brought to Dr. Hosey’s work in the ICU 4:32 Techniques that can help physicians ease the mind of a delirious patient 5:50 How can physicians provide the right kind of psychological support without an ICU psychologist on staff? 9:20 How should patients handle anxiety in the ICU vs outside the ICU 11:42 Where does a lot of the anxiety stem from in the ICU? 14:22 How does Dr. Hosey manage the family in relation to COVID patients? 16:05 What can family members do to better help out their loved ones in the ICU? 19:06 How important is a positive attitude for the patient? 21:24 The psychological affect of treating COVID patients in the ICU during the strongest COVID surge last year 23:50 How has COVID changed Dr. Hosey’s life? 27:45 Who’s gonna take care of the healthcare workers dealing with PTSD after COVID-19? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

Dr. Christopher Earley, professor of Neurology at Johns Hopkins University, shares his Sleep Science research with hosts Bill Curtis and Dr. Steven Taback, discussing popular sleep issues (or lack thereof) including Restless Legs Syndrome, Sleep Apnea, Sleep Hygiene, and overall factors that affect the quality of your sleep. In this dedicated series, we're showcasing the medical breakthroughs and innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 1:50 What are the phases of sleep? 2:43 Does sleep quality decrease the older we get? 3:07 How can we hurt or help the quality of sleep we get? 5:43 How can we adjust our natural sleep timing? 6:45 What does melatonin do? 7:51 Should most people be using sleep-aids? 8:27 What is sleep hygiene? 10:03 What are the longterm health ramifications to fragmented sleep? 11:06 Can you get better quality sleep with sleeping pills? 12:30 Can the quality of sleep be psychologically effected? 13:10 What is the difference between snoring and sleep apnea? 15:05 What are the ramifications of snoring? 16:05 How destructive is sleep apnea? 17:17 Does the position you are sleeping in have an affect on your sleep quality? 19:20 What is narcolepsy? 21:05 What is Restless Leg Syndrome? 22:10 Who gets RLS and what can they do about it? 24:25 How does alcohol affect our sleep and RLS? 26:11 What are RLS treatments? 29:50 What are foot/leg cramps and how can we avoid them? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the third installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Martin Brodsky, Speech Pathologist, Associate Professor of Physical Medicine and Rehabilitation, and a Fellow of the American Speech-Language-Hearing Association. Dr. Brodsky shares his insight on Speech Pathology in the ICU, dealing with dysphagia (swallowing problems), and physical therapy for vocal cord damage. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Timestamps: 2:23 What is dysphagia? 3:00 Why did Dr. Brodsky first start his career in speech pathology? 4:00 What is different if speech pathology from the past and present? 5:16 What do speech pathologist do inside the ICU? 6:30 Communicating to patients during intubation 8:55 Why not use a tracheotomy when intubation poses risks and rehabilitation? 12:40 Is there a risk of vocal cords never returning to full function? 13:47 What can an Intensivist do to minimize the damages caused by intubation? 18:21 What happens when a patient feels they’re having swallowing problems? 21:35 What is actually creating the problem of swallowing in the ICU? 23:58 What sort of circumstances lead to swallowing issues outside the hospital? 26:00 Physical therapy for swallowing 27:40 What should you be watching out for that can indicate a family member may need to seek help with swallowing? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the second installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Ken Pienta, Professor of Urology, Oncology, Pharmacology, Molecular Sciences, and Director or Research for The James Buchanan Brady Urological Institute as he sheds light on the state of the art for treatment and outcomes of prostate cancer. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Timestamps: 1:46 What is it about Johns Hopkins that continues to produce top rankings and the gold standard for practice and research? 3:20 Does Johns Hopkins build their own robotics systems? 4:05 Why do so many of men still die from prostate cancer? 5:30 With prostate cancer numbers continually so high, why not prophylactically remove the prostate? 7:35 What are the signs men should look for the indicate prostate cancer? 8:37 What is the efficacy of the Prostate Specific Antigen (PSA) test, and what drawbacks does it have? 13:43 Is there a time to proceed with a biopsy without visible lesions from an MRI? 16:04 Proton Therapy and prostate cancer? 17:54 The use of radiation and hormone type therapy on younger men with prostate cancer 18:55 Incontinence and impotence post prostate treatment 20:30 Are there lifestyle changes one can make to prevent prostate cancer? 21:36 Immunotherapy and prostate cancer 22:54 What is the state of the art relative to testosterone and prostate cancer? 26:35 How depressed are the numbers for screening prostate cancer during the COVID pandemic, and what is the fallout to lack of testing? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

In the first installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Dale Needham, Medical Director, Critical Care Physical Medicine & Rehabilitation Program, and Professor of Medicine at Johns Hopkins Medicine. Dr. Needham’s breakthrough work & research in wakefulness in the ICU is paving the way for how the industry treats delirium and post intensive care syndrome to improve ICU stays and reduce recovery times. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research and clinical care. Timestamps: 1:55 Motion and cognitive activity in an ICU 5:21 Transitioning from the culture of sedation to wakefulness in the ICU 7:40 A case of long lasting cognitive impairment post ICU treatment 10:08 How much of ICU caused impairment can be reversed? 11:33 How does care differ now in the ICU? 15:05 Staffing for wakefulness in the ICU 16:40 How do nurses interact with patients to keep them alert? 20:56 Johns Hopkins Critical Care Rehabilitation Conference 22:30 Advice to critical care experts to priming their staff for a wakeful ICU on limited resources 26:46 Unique ICU care for COVID at Johns Hopkins 3 2:32 Improving sleep in the ICU 36:50 Home health agencies 38:45 Dr. Needham shares advice on what to do if you find yourself as a patient in an ICU 41:12 Virtual reality in the ICU ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick See omnystudio.com/listener for privacy information.

Board Certified Gastroenterologist Dr. Howard Fullman joins the show again to update and enlighten us on everything COVID-19 related. Topics range from vaccine distribution, ICU’s during a surge, and the UK virus mutation. Timestamps: 1:30 Dr. Steve gives an update on how his ICU is handling the surge 3:17 What medications are working the best to decrease COVID mortality? 5:00 How do you get the message across to those that remain indignant to the quarantine guidelines? 7:15 What are the symptom manifestations of “long-haulers” in regards to COVID-19? 8:40 What is going on when we say the virus is “surging”? 11:08 The UK mutation of the virus and contagiousness 13:40 The distribution of the vaccine 16:58 How does a vaccine work? 20:42 What is the success rate of the flu vaccine? 21:15 What should the Biden Administration focus on right after the inauguration? 25:45 What can the world do to make sure this pandemic never happens again? 28:37 How will medical schools change their syllabus after this pandemic? 32:08 The future of telemedicine 33:56 Are the drug companies just racing to the top of the stock market? 35:30 How does a first responder protect themselves from the virus when confined in an ambulance? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

Children seem to have much stronger immunity than adults to COVID-19, but there may be more to it than what meets the eye. Pediatric Infectious Disease Expert and Harvard Professor Dr. Kirstin Moffitt explores the effects of COVID specifically in relation to children, and the new developments around vaccines, trials, infections, and so much more. TIMESTAMPS: (1:46) How has the focus at Boston's Children’s Hospital changed during the COVID pandemic? (3:28) Why is there a disparity in fatalities among minority born children who contract COVID (6:54) With many vaccines entering their final phases, what is the process of enlisting large groups of people for trials? (8:29) How strong is the sentiment of anti-COVID-vaccine at the moment, and does it have much of a relation to the general anti-vaccine movement? (9:17) Is the crowding of housing in NYC contributing to a larger viral load in patients? (10:10) Now that restaurants are opening up for dine-in more and more, will Dr. Moffitt be dining in? (11:55) Is it still necessary to be wiping down your groceries and mail? Is surface transmission much of a concern anymore? (13:40) Tips and tricks for explaining and encouraging kids of all ages to take the virus seriously (16:10) What is the current status of the risks of vaping in relation to contracting COVID? (18:34) Does the weather have much of an impact on the virus? (19:30) Does having a more mild or more extreme version of the virus produce different antibodies post-recovery? (21:25) Why do some people suffer from a much longer version of the virus than others? (23:58) Why is it bad to give children aspirin if they might be suffering from COVID? (25:30) Are we seeing more cases of reinfection now than when the virus first broke out? (28:12) At what point should one decide to check themselves into the hospital when they feel they might be suffering from COVID-like symptoms? (29:27) Why does COVID affect your sense of taste? (31:50) Will countries be exporting their vaccines once they’ve been developed and proven? (32:38) How will Dr. Moffitt change the way she teaches her infectious disease students at Harvard after living through the destruction of COVID-19? ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Michael Kennedy Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

There is so much information passing around the internet about the virus these days, that it’s such a breath of fresh air to have the renown Professor of Epidemiology and Head of the Division of Infectious Diseases at UCSF, Doctor George Rutherford, on to help illuminate some of the common questions, myths, and fears regarding the upcoming state of the vaccine as well as the roadmap for the US as it continues to battle COVID-19. TIMESTAMPS: (3:00) Why does the US have such a larger case-per-million load than the world as a whole? (4:48) Why did New York get hit so much harder than other densely populated US cities? (7:08) Did COVID-19 expose the US as far too susceptible to bio-terrorism? (8:23) To what degree do you lower your risk of contraction by wearing a mask? (9:31) How should schools go about opening safely before there is a vaccine? (10:13) Why exactly are younger children less susceptible to the virus than others? (11:38) With kids going back to school, is it still safe to have grandkids over? (13:50) Surface transmission demystified. (14:34) Should we be wearing goggles or a face shield when out in public? (15:48) The state of the Russian Vaccine. (17:20) When will we be able to go back to live events? (18:20) What is the roadmap like for vaccinating the country? (21:28) Will a large portion of the country opting to not get the vaccine be too detrimental to its effectiveness? (23:52) Safety and the vaccine. (26:45) Will Dr. Taback and Dr. Rutherford take the vaccine right when it comes out? (27:34) New York opening restaurants for dine-in at the end of the month. (30:00) Have the odds of survival increased for the most vulnerable over the last few months? (32:30) Why is Aspirin so bad to take when battling COVID-19. (33:20) What’s the current thinking on reinfection. (38:40) What would you do to fix the virus if you we’re the President of the United States? (40:25) Climate change. Learn More: Medicine, We're Still Practicing Follow Us on Twitter: @MedsPodcast ------------------------- Hosted by: Bill Curtis & Dr. Steven Taback Produced and Edited by: Aj Moseley Sound Engineering by: Michael Kennedy Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

Dr. Phillipe Friedlich, Professor of Clinical Pediatrics and Surgery at the Keck School of Medicine of USC, Co-Director of the Fetal and Neonatal Institute and Chief of the Division of Neonatology at Children’s Hospital Los Angeles shares his experiences of neonatal surgery, new developments in pediatric medicine, and more! A complete science of its own, Bill, Dr. Taback, and Dr. Philippe Friedlich dive into the world of fetal care and neonatal medicine in this exciting episode. (2:19) Dr. Friedlich explains how the Children’s Hospital of Los Angeles is handling COVID-19, and what sorts of procedures they have in place for quelling the spread of the virus as well as the fear that surrounds it. (4:41) Percentages and details surrounding premature births are discussed, as well as some of the complications that can result. (7:06) Dr. Friedlich dives into the fascinating technique of cooling a child’s brain in an MRI and why he would do such a thing. The doctors also discuss ECMO machines and how their usage varies from neonatal to adult care. (10:34) The microscopic non-invasive procedure of keyhole repairs is discussed and the miracle of repairing extremely fragile fetal organs with this new technology. (12:46) Dr. Friedlich discuses some of the significant advances that his team at CHLA has made for the whole medical world. (16:42) Communicating with parents about hard to swallow issues relating to their child, and the importance of touch and the presence of family around ailing children is discussed. (20:22) Following the break, Bill poses the question: “What sort of cases/cures can medicine not entirely explain?” (22:51) Dr. Taback and Dr. Friedlich discuss brain development in relation to the early nurturing stage for a child. (26:03) In this section, Dr. Friedlich goes into more detail about the logistical process that CHLA run’s in order to transport and operate on neonates getting transferred into the center. (27:54) Dr. Taback asks Dr. Friedlich if working in neonatology has influenced his view on a women’s right to choose vs pro-life. (31:02) Is autism a neonatal issue? What sort of things can contribute to developing child falling on the spectrum? (32:32) Dr. Friedlich finishes the podcast by discussing the achievements he is most proud of accomplishing at CHLA. Learn More: Medicine, We're Still Practicing Follow Us on Twitter: @MedsPodcast --------------------------------------- Hosted by: Dr. Steven Taback & Bill Curtis Guest: Dr. Philippe Friedlich Produced and Edited by: Aj Moseley Sound Engineering by: Michael Kennedy Theme Music by: Cellest and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.

Bacteria, probiotics and COVID. Should we be exposing our children to more bacteria? Should everyone be taking a probiotic? Gastroenterologist Dr. Howard Fullman shares some thoughts on COVID-19 and its relating politics, the efficacy of probiotics, and building a pandemic-proof immune system. Board Certified Doctor of Internal Medicine and Gastroentrology Dr. Howard Fullman joins Dr. Steven Taback and Bill Curtis to chat about COVID-19 and its politics, as well as shine light on some intriguing questions related to the gut. TIMESTAMPS: (1:44) The extremely low virus rate of Japan is compared to the world leading rate of the US, and Dr. Howard as well as Dr. Steven Taback share some possible reasons why. (11:13) Should less vulnerable people be allowed to go back to work? (12:55) If the US was suddenly to get a new administration, would the disease have been as damaging as it ultimately was? (15:26) The doctors explain some thoughts on why the death rate has dramatically been reduced from 4 months ago. (19:51) Has Dr. Fullman’s specialty of Gastroenterology been specifically affected by COVID19. (21:15) Should parents be worried about overly sterilizing their children’s environment? (23:42) What can the average person be doing to help build their immune system? (24:34) The doctors discuss their feelings on the “probiotic craze” that we are seeing in the US market. (29:01) Dr. Fullman shares some interesting insight on the brain-gut connection, especially in relation to mental illness. (31:55) To wrap up the show, both Dr. Taback and Dr. Fullman share how their profession has been affected by the virus, and some of the ways the virus will change the field of medicine permanently. Learn More: Medicine, We're Still Practicing Follow Us on Twitter: @medspodcast ----------- Hosted by: Bill Curtis and Dr. Steven Taback Guest: Dr. Howard Fullman Produced By: Aj Moseley Sound Engineering by: Michael Kennedy Theme Music by: Celleste and Eric Dick A CurtCo Media production See omnystudio.com/listener for privacy information.

Host and quadruple board-certified Dr. Steven Taback runs down all the new news related to COVID-19 since our last pandemic episode. Dr. Taback also shares some personal experience on dealing with difficult end-of-life situations.(2:35) How does exercise help prevent COVID-19? (3:25) How bad is alcohol for preventing the virus? (3:54) Why does the US have so many more cases than every other country? (9:24) Why are there more cases of African Americans contracting the virus over Caucasians? (10:40) Should young people worry about permanent lung damage after coming int contact with COVID-19? (13:28) How close are we to getting a vaccine, and will it be safe? (17:53) Can you contract the virus twice? (20:34) Is it safe to send kids back to school? (25:09) The virus and various surfaces. (29:34) Can pets spread the disease? (32:15) COVID-19 and blood types. (33:44) Hospitals handling typical patients alongside COVID-19 patients. (37:26) Dealing with death as a doctor. Learn more: Medicine, We're Still Practicing Follow Us: Twitter | Facebook | Instagram Produced by: Mike Thomas and Aj Moseley Edited by: Aj Moseley Hosted by: Bill Curtis and Dr. Steven Taback Sound Engineering by: Michael Kennedy Theme Music by: Celleste & Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.