Medicine Redefined

Medicine Redefined

By Altamash Raja, DO and Darsh Shah, DOMedicineHealth & Fitness
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Medicine Redefined episodes

  • 144. Minimalist Shoes, Running Mechanics & Barefoot Training | Irene Davis, PhD, PT

    Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida.  Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School.  Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida.  She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running.  She is the current President of the American College of Sports Medicine. 


    In this episode, we discuss:

    • Dr. Davis’ journey into PT and how she developed a passion into minimalist footwear
    • and training.
    • Foot anatomy and the importance of spending time training and addressing the foot
    • core
    • Various foot strike patterns and force distribution
    • Foot types, and shoe types such as motion control, stability, etc.
    • The role of minimalist footwear training and how it applies to clinical medicine
    • Early and lifetime exposure to barefoot training
    • Studies mentioned in the show:

      1. Injury reduction effectiveness of assigning running shoes based on plantar shape in Marine Corps basic training
      2. Injury reduction effectiveness of selecting running shoes based on plantar shape
      3. Injury-reduction effectiveness of prescribing running shoes on the basis of foot arch height: summary of military investigations
      4. Foot strike patterns and collision forces in habitually barefoot versus shod runners
      5. Walking in Minimalist Shoes Is Effective for Strengthening Foot Muscles
      6. The foot core system: a new paradigm for understanding intrinsic foot muscle function
      7. The effect of a 12-week custom foot orthotic intervention on muscle size and muscle activity

      8. Other resources mentioned in the show:

        Born to Run by Chris McDougall


        Follow Dr. Davis:

        Twitter @IreneSDavis


        1 hr 29 min
      9. 143. Solving the Mental Health Crisis, Intuitive Mental Health & The Human Condition | Ravi Hariprasad, MD, MPH
        Ravi Hariprasad, MD, MPH, is the founder and CEO of Intuitive Mental Health, a start up focused on partnering with primary care physicians to deliver comprehensive and personalized mental health support. Dr. Hariprasad obtained his medical degree of the University of Pennsylvania and completed his Masters in Public Health as well as his psychiatry residency at Harvard University. Dr. Hariprasad is well versed in both Western medicine as well as holistic and complementary perspectives such as Ayurveda. His early experience as an engineer and an entrepreneur have helped him understand system design, root cause analysis, and solution development and implementation.

        ⁠Ravi Hariprasad LinkedIn⁠

        Mentioned in the show:
        ⁠Intuitive Mental Health⁠
        ⁠Intuitive Psychiatry⁠
        ⁠Episode 127 - Ayurvedic Principles (Jyoti Patel, MD)⁠
        ⁠Episode 86 - Ayurveda in Modern Life (Shivani Gupta, PhD)⁠
        ⁠Jean Paul Sartre⁠
        ⁠Viktor Frankl⁠
        ⁠Stoicism⁠
        ⁠Selective Serotonin Reuptake Inhibitors (SSRIs)
        1 hr 30 min
      10. 142. The Med Matrix & AI in Medical Education | Deepak Melwani

        Deepak Melwani is a serial entrepreneur and a 3rd year medical student at Midwestern University Chicago of Osteopathic Medicine, with a robust background in computer science. Before starting medical school, Deepak co-founded a retail software service, scaling it to achieve millions in revenue. His passion lies in leveraging business and technology to reach and impact lives globally. Deepak is deeply committed to integrating these interests with the transformative power of healthcare to profoundly influence individual lives. As a founding partner of Med Matrix, he is at the forefront of innovating the educational landscape for health professional students, revolutionizing their daily study routines.

        Social Media:

        Instagram
        Twitter

        Mentioned in the Show:
        The Med Matrix (code 'MEDREDEFINED' for 15$ off 1st month)
        Episode 76 - Rami Wehbi
        MatchDay Health


        1 hr 1 min
      11. 141. Progress Note #15: 2024 Health Trends, 100 Grams of Protein in One Meal & Visceral Fat Causing Joint Pain

        Drs. Darsh and Altamash sit down to discuss what they beleive will be the biggest health trends of 2024, a recent paper in the Cell Reports Medicine about maximizing protein consumption for muscle growth, and a paper discussing the role of visceral fat in joint pain.


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        Mentioned in the Show:
        Episode 4 - Shawn Arent (Nutrient Timing)
        Episode 130 - Jonathon Baktari (Digital Health)
        Episode 114 - Jo Bhakdi (AI in Medicine)
        Episode 104 - Bill Cromwell (Cardiovascular Disease)
        Episode 8 - Patrick Finan (Pain)
        The anabolic response to protein ingestion... (Cell Reports Medicine)
        Visceral adiposity is associated with pain...
        Williamsburg Bathhouse
        DexaFit
        You Are What You Eat (Netflix)


        50 min
      12. 140. A Change of Heart: The Pulse on Life After Transplant | Alin Gragossian, DO
        Dr. Alin Gragossian completed a residency program in Emergency Medicine at Drexel University, where she cultivated the skills required to manage critical and time-sensitive diagnoses. Following her residency, Dr. Gragossian pursued a 2-year multidisciplinary fellowship in Critical Care Medicine at Mount Sinai Hospital in New York City. Her experiences in these environments equipped her with a unique insight into the intricacies of managing critical cardiac conditions.
        Remarkably, Dr. Gragossian's personal journey has been deeply intertwined with her professional pursuits. In 2019, she underwent an urgent heart transplant herself after being diagnosed with familial dilated cardiomyopathy, a life-changing experience that gave her a unique understanding of the patient's perspective.
        Presently, Dr. Gragossian is an Intensivist through Equum Medical. Additionally, she holds the position of Associate Medical Director at Donor Network West, where she guides the organization's donor management initiatives. Furthermore, her contributions extend to the realm of medical technology as a consultant for various medical technology companies, where she leverages her expertise to advance medical innovation in critically ill patients.
        Most recently, Dr. Gragossian's dedication to advocacy has earned her the esteemed role of Chair of the American Society of Transplantation's Transplant Community Advisory Council. Here, she helps shape the future of transplant medicine and health education for patients and caregivers.
        Things we discuss in the show:
        Alin's genesis story
        Illness to heart transplant
        Lessons learned from being at death's door
        Alin's future
        Follow Dr. Gragossian:
        LinkedIn
        Instagram
        Blog
        Podcast
        58 min
      13. 139. Behind the Scenes of News Outlets, Journalist Incentives, Biased Media, Incorporating Feedback & Tangle News | Isaac Saul

        Isaac Saul is the reporter and founder of Tangle, an independent, ad-free, non-partisan politics newsletter that summarizes the best arguments from the left and right on the news of the day. Isaac is based in Philadelphia, PA, and grew up in the politically divisive Bucks County. Before Tangle, Isaac worked joined the The Pitt News during my sophomore year of college at the University of Pittsburgh and served as the sports editor. He then worked at the Huffington Post as well as along side Ashton Kutcher to build A Plus, one of the world's largest positive news outlets. His work at Tangle has been recognized by The New York Times, Forbes, The Hustle, Substack and many others as one of the most successful politics newsletters on the internet.

        Mentioned in the show:
        Tangle News
        Non-Partisan Perspective on the Israel-Hamas War
        10 Thoughts on What is Happening in Israel
        Hasan Minhaj Rebuttal to New Yorker
        Succession


        1 hr 2 min
      14. 138. Medicare vs. Medicaid, Levels of Care & Healthcare's Financial Problem | Rollin Wright, MD

        Rollin Wright, MD, is an Associate Professor of Medicine at Penn State Health – Hershey Medical Center. She holds a medical degree from Albany Medical College and completed her fellowship in Geriatric Medicine at Rhode Island Hospital. In addition to her clinical experience, Dr. Wright has developed curricula in areas such as dementia care, interprofessional education, and post-acute and long-term care.

        Mentioned in the show:
        Medicare vs. Medicaid
        HMO vs. PPO

        HSA vs. FSA

        Atul Gawande
        The Price We Pay by Marty Makary


        1 hr 23 min
      15. Lessons Learned: David Otey, CSCS
        A summary and takeaways from our conversation with David Otey, CSCS. 
        David Otey, CSCS, Chief Content Officer for PPSC
        ✍️Men’s Health Advisory Board
        📖NSCA, Men’s Health, M&F, T-Nation 
        Website: www.oteyfitness.com
        Instagram: @davidoteyfit
        28 min
      16. 137. Progress Note #14: 2023 Reflections, Morpheus Heart Rate Training & Holiday Weight Gain

        Dr. Altamash and Dr. Darsh break down the biggest lessons they've learned in 2023, both health-wise and personal development. They also discuss their newest health tech purchase - the Morpheus Heart Rate training system. They end their conversation talking about tactics to not gain that stubborn hard to lose weight during the holiday season!

        Mentioned in the show:Morpheus Heart Rate System / Max Shank - Episode 24 / Kelly Starrett - Episode 37 / You Can't Screw This Up by Adam Bornstein


        38 min
      17. 136. Peptides, Solving Health & Learning to Learn | Asare Christian, MD, MPH

        Asare Christian, MD is a board-certified Physical Medicine & Rehabilitation physician

        who practices musculoskeletal and pain medicine in Wayne PA. He also has an
        academic appointment with the University of Pennsylvania PM&R Department. He received his medical degree from the Medical College of Wisconsin and completed residency
        training at the Johns Hopkins University School of Medicine.  He also received his masters in public health from the Harvard School of Public Health with a concentration in
        health policy and management.


        In this episode, we discuss:

        • Peptides and their role in general health, as well as MSK medicine
        • Understanding disease and health at a cellular level
        • Problem solving for health
        • Learning to learn
        •     

          Resources Mentioned in the Show:

          A4M


          Find Asare:

          Aethermedicine

          Instagram

          Linkedin

          1 hr

        About Medicine Redefined

        From the publisher's feed

        Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means. Hosts Dr. Darsh Shah and Dr. Altamash Raja spotlight clinicians, scientists, thought…

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