Second Peak with Mitchel Schwindt, M.D.

Second Peak with Mitchel Schwindt, M.D.

By Mitchel Schwindt, M.D. | author | coaching | consultingSociety & CultureBusinessEntrepreneurshipHealth & FitnessRelationships
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Second Peak with Mitchel Schwindt, M.D. episodes

  • Bloody Swimmers

    Bloody Swimmers - Understanding Hematospermia


    Hematospermia is a medical term used to describe the presence of blood in a man's ejaculated semen. This might seem concerning at first, as the semen may appear with bright red streaks of blood, clots, or remnants of old blood, but it’s essential to understand that this condition is almost always non-threatening and benign.


    Is There A Connection with Other Conditions?


    Hematospermia doesn’t usually exist on its own and is often found alongside other conditions affecting the lower urinary tract (the system involved in urine creation and excretion). 


    Evaluation and Consideration Factors


    When a person is found to have hematospermia, healthcare professionals follow a standard set of protocols to assess the condition thoroughly. Several factors are considered during the evaluation:


    Symptoms: 

    Any accompanying symptoms that the individual might be experiencing are essential in guiding the evaluation process. 


    Age and Risk Factors: 

    The person’s age, along with other risk factors such as a history of tobacco use, are crucial considerations in understanding the potential causes of hematospermia. 


    Presence of Hematuria: 

    Hematuria, or blood in the urine, is another important aspect. Finding blood in both the semen and urine can help in diagnosing the underlying condition.


    Lower Urinary Tract Symptoms (LUTS): 

    Symptoms affecting the lower urinary tract, such as difficulties in urination, also play a significant role in the evaluation process.



    In essence, while the presence of blood in semen can be alarming, it’s usually not a serious condition. A careful and thoughtful evaluation, considering various symptoms and risk factors, aids healthcare professionals in diagnosing and providing necessary guidance and treatment. The bottom line is that an evaluation is required.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    4 min
  • Hair Loss and Cancer

    Finasteride and Its Effect on PSA Levels: A Simple Explanation


    **Finasteride and Its Effect on PSA Levels: A Simple Explanation**


    Let's dive into understanding a medicine called finasteride. It's like a superhero in the medical world, fighting against problems like an enlarged prostate (known as benign prostatic hyperplasia, BPH) and hair loss in men. What finasteride does best is blocking a hormone called dihydrotestosterone (DHT), which is responsible for making the prostate bigger.


    When doctors want to check for prostate cancer, they look at something called PSA (prostate-specific antigen) levels. But here’s the catch - finasteride can change PSA levels, making them lower. Let's break down how it does this:


    ### **Making the Prostate Smaller:**

    - **Tackling DHT:** Finasteride helps reduce DHT in the body. Less DHT means a smaller prostate, and a smaller prostate leads to lower PSA levels.

    - **Connecting with PSA:** Using finasteride means that PSA levels could drop by about half within six months to a year.


    ### **Handling PSA Readings:**

    - **Fine-tuning the Results:** Doctors, knowing what finasteride does, adjust the PSA readings a bit. They might double the value to get a clearer picture while keeping in mind the effect of finasteride.

    - **Keeping the Screening Right:** These changes make sure that the PSA levels are accurate and helpful when checking for prostate cancer.


    ### **Understanding Cancer Detection Better:**

    - **Maintaining Screening Quality:** Adjusting the PSA readings helps to keep the screening for prostate cancer effective and sensitive.

    - **Thinking About Biopsy:** The new PSA levels help doctors decide whether a biopsy (taking a small tissue sample) of the prostate is necessary to look more closely for signs of cancer.


    So, in simple words, finasteride is a helpful medication that brings changes in hormones and PSA levels. Understanding these changes and adjustments is key to getting the right picture of a person's prostate health.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    3 min
  • Staying On The Rail
    Staying on the Rails

    📍 📍 Mi perro me enseñó algunas cosas hoy, simplemente recordatorios conmovedores sobre la fragilidad de la vida y un poco de estoicismo, si se quiere.


    📍 Estaremos en la ciudad por unos meses y la llevé por detrás, NO por el camino que usualmente tomamos. Pero ella salió de todas formas, hizo sus necesidades y estábamos pasando por la puerta que separa nuestra propiedad del callejón.


    Y había, un labrador de apariencia amable sentado allí con su dueño. Esperando tranquilamente a que saliéramos para poder entrar ellos. No era gran cosa.


    📍 Mi perro normalmente no es muy amistoso, no suele acercarse a otros perros cara a cara, pero de todas formas, se sintió confiada de que este perro no era una amenaza y se acercó a este perro y se saludaron 📍 y luego el perro intentó arrancarle la cabeza, lo cual fue un recordatorio para mí y para ella, por supuesto, de que somos malos 


    📍 prediciendo. Podríamos pensar que tenemos todas las señales y el lenguaje corporal y toda la información que necesitamos para proceder con una elección inteligente, y luego estamos completamente equivocados.


    Así que ese es el punto uno. El punto dos es que no todo necesita ser llevado adelante con perpetuidad y eso la asustó. A mí también me asustó un poco. Es vieja, pero no tanto. Pudo reaccionar lo suficientemente rápido y esquivar al otro perro y continuar su camino.


    Ella continuó por el callejón, y después de eso parecía estar bien. Estaba totalmente feliz, moviendo su cola, emocionada de estar al sol. Y pasamos por otro perro del que mantuvo su distancia. Pero aparte de eso, estaba feliz y no parecía cargar con el peso de esta situación, lo cual, sabes, la tendencia humana a menudo es llevar consigo eventos adversos.


    📍 A los animales, les pasan cosas, y reaccionan adecuadamente. Tienen la descarga de adrenalina, el pico de cortisol. Toman su decisión, escapan para vivir otro día, y luego cinco minutos después, están completamente felices. Están tomando el sol, comiendo hierba, o en el caso de mi perro, moviendo la cola esperando para volver al edificio y recibir su pequeña golosina después de salir.


    Así que, solo dos pequeños puntos que pensé que valía la pena recordar, para mí y para ti, y espero que tengas un día fantástico. Cuídate. Está bien

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    3 min
  • Hair Loss Treatment Expectations - Reality vs Dreams

    Are you struggling with hair loss and unsure how to address it? Is finding a solution becoming ever-more elusive?


    Have you been searching for a reliable treatment option to restore your hair?


    we'll discuss the realistic expectations you can have in seeking a hair loss treatment and provide advice on how to go about finding the best option.


    Don't let hair loss define your life.


    Yes I did say men's and these are unedited contemporaneously recorded bits of information.


    The timeline for anticipated results when taking oral finasteride and oral minoxidil for hair loss can vary significantly from person to person. It's important to note that these medications work differently and may have different timelines for noticeable effects. Additionally, individual genetics, the severity of hair loss, and adherence to treatment can all influence the timeline.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    8 min
  • The truth behind the juice

    The truth behind the juice

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    2 min
  • Gentlemen - Fix The Curve

    Treatment options for a curved penis

    Peyronie Disease - penile curve

    Education is helpful and a Urologist is the specialist best equipped to help.


    This condition is likely more common than the data given the highly personal nature. Estimates of 0.5 to 3% of men are cited but this is felt by experts to be an undestimation.


    Peyronie's disease, also known as penile fibrosis or induratio penis plastica, is a condition characterized by the development of fibrous scar tissue inside the penis. This condition can result in penile curvature, pain during erections, and difficulty with sexual intercourse.



    The exact cause of Peyronie's disease is not fully understood, but it is believed to involve the formation of plaques or scar tissue in the tunica albuginea, which is the fibrous sheath surrounding the erectile tissues of the penis. These plaques can cause the penis to bend or curve during erection, leading to discomfort and potential difficulties with sexual activity.


    Symptoms of Peyronie's disease may include:




    Penile curvature or bending: The penis may develop a curve or bend, which can vary in severity and direction. The curvature can make sexual intercourse challenging or painful.


    Pain or discomfort: Some individuals may experience pain during erections or even when the penis is flaccid.


    Erectile dysfunction: Peyronie's disease can sometimes result in difficulty achieving or maintaining an erection due to the presence of scar tissue.


    Penile deformities: In some cases, the scar tissue can lead to other penile deformities, such as narrowing or shortening of the penis.



    If you suspect you may have Peyronie's disease or are experiencing any symptoms related to it, it is important to consult with a healthcare professional, such as a urologist. They can evaluate your condition, provide a diagnosis, and discuss potential treatment options.



    Treatment for Peyronie's disease can vary depending on the severity of symptoms and individual factors


    Creative: Envato


    Here are some reference articles on Peyronie's disease and its treatment options:


    Mulhall, J. P., Creech, S. D., Boorjian, S. A., Ghaly, S., Kim, E. D., Moty, A., ... & Stahl, P. J. (2021). Subjective and Objective Outcomes of Surgical Therapy for Peyronie's Disease: A Systematic Review and Meta-Analysis. The Journal of Sexual Medicine, 18(3), 535-547.





    Hatzichristodoulou, G., Meisner, C., Gschwend, J. E., & Kübler, H. R. (2020). Surgical treatment of Peyronie's disease: current concepts and future directions. Nature Reviews Urology, 17(11), 651-667.





    Levine, L. A., Larsen, S. M., & Graft, C. (2020). Surgery for Peyronie's Disease: Current Management and Contemporary Options for Patients. Sexual Medicine Reviews, 8(1), 79-91.





    Taylor, F. L., & Levine, L. A. (2021). Emerging medical therapies for Peyronie's disease. Translational Andrology and Urology, 10(2), 1099-1107.





    Chung, E. (2021). Current medical treatments for Peyronie's disease: A review of the literature. Sexual Medicine Reviews, 9(1), 70-79.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    5 min
  • Why Ignorance Is Not Bliss

    ¿Alguna vez has escuchado la frase 'la ignorancia es felicidad'? A menudo se usa cuando queremos evitar verdades incómodas o conocimientos difíciles. Sin embargo, hoy vamos a desafiar esta noción. ¿Es realmente la ignorancia una felicidad? ¿O es simplemente una fachada reconfortante?

    Comencemos con el término 'ignorancia.' La ignorancia significa una falta de conocimiento o información. No se trata solo de no saber, sino también de no querer saber. Es una retirada pasiva del mundo de los hechos, la verdad y el aprendizaje.

    La idea de 'la ignorancia es felicidad' sugiere que lo que no sabemos no puede hacernos daño. Pero consideremos esto: no conocer el límite de velocidad no evitará una multa por exceso de velocidad. No saber sobre un problema de salud no hace que desaparezca. De hecho, podría empeorar la situación porque retrasa las acciones proactivas.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    3 min
  • Pruning Relationships

    Pruning relationships can be difficult.

    Together for an hour, a day, a season or a lifetime.

    Each has their place.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    2 min
  • Confirm Bias

    Confirm one's bias clouds the equation.

    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    3 min
  • Unlock the Truth: Why 10% of the World's Population Will Remain Unhappy,

    Unlock the Truth: Why 10% of the World's Population Will Remain Unhappy,


    Unlock the Truth: Why 10% of the World's Population Will Remain Unhappy, No Matter Your Efforts - Expert Insights to Free Yourself from the People-Pleasing Trap

    Are you a natural-born people-pleaser? Do you often find yourself bending over backward to make everyone around you happy, only to be met with dissatisfaction and frustration? If so, you're not alone. However, the hard truth is that no matter how hard we try, some people will never be content or satisfied. According to experts, a staggering 10% of the world's population fall into this category. In this blog post, we'll delve into the reasons behind this phenomenon and offer valuable insights on how to free yourself from the people-pleasing trap.

    First and foremost, it's essential to understand that happiness is a complex and multifaceted concept. In their study, researchers Diener and Seligman (2002) found that happiness is influenced by a combination of genetic, circumstantial, and intentional factors. Thus, it's crucial to recognize that your efforts to please others may only have a limited impact on their overall happiness.

    Another significant factor contributing to the 10% unhappy population is the phenomenon of hedonic adaptation. According to a study by Lyubomirsky (2011), people have a natural tendency to return to their baseline level of happiness, regardless of positive or negative life events. This means that even if you successfully please someone, they may revert to their initial state of dissatisfaction shortly thereafter.

    Furthermore, the concept of the "happiness set point" sheds light on why some individuals seem perpetually unhappy. Research by Lykken and Tellegen (1996) suggests that each person has a genetically determined set point for happiness, around which their mood fluctuates based on life events. This means that even if you do everything in your power to satisfy someone, their happiness may still be limited by their genetic predisposition.

    As you can see, the quest to please others can be a futile effort in many cases. So, how can you free yourself from this people-pleasing trap? Here are three expert tips to help you regain control of your life:

    1. Set Boundaries: Establishing clear boundaries is essential for maintaining your mental health and well-being. By setting limits on your availability and the amount of energy you're willing to expend on others, you'll prevent yourself from becoming overwhelmed by the needs and expectations of others.
    2. Prioritize Self-Care: Make a conscious effort to prioritize your own happiness and well-being. Engage in activities that bring you joy and fulfillment, and don't be afraid to say "no" when necessary to preserve your energy and mental health.
    3. Accept Imperfection: Understand that it's impossible to please everyone, and that's okay. Accepting that some individuals may never be happy, regardless of your efforts, can be a liberating realization. Focus on nurturing healthy relationships with those who appreciate your efforts and bring positivity into your life.


    Welcome to ReCharge, the show where ancient wisdom meets modern science. Each episode delivers practical, high-impact tools you can use immediately. This is your place to reset, reframe, and rebuild a life with more clarity, energy, and purpose.

    Hosted on Acast. See acast.com/privacy for more information.

    4 min

About Second Peak with Mitchel Schwindt, M.D.

From the publisher's feed

You built a career that worked. Now it does not fit.


Second Peak is for professionals in the middle of that gap. Physicians, executives, founders, and operators who hit the target and…