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Greetings! Welcome to the Living At Your Finest Podcast Show.&nbsp;

My name is Dr. Dolapo Babalola, AKA, Dr. Babs. I am a triple board-certified physician in Family, Obesity, and Lifestyle Medicine, an Adjunct Clinical Professor at Morehouse School of Medicine, and the Founding CEO of Living At You...

Health & Fitness

Self-Improvement

I have a special guest, my husband, Attorney Joseph Babalola,  to share his journey of reversing Diabetes and his unbearable symptoms through the power of Nutrition on the LIVING AT YOUR FINEST PODCAST. It is befitting today, on Diabetes Alert Day, to take inventory of our lifestyle habits to avoid the risks and triggers.   The discussion items are:✨Diabetes risk factors and complications.✨How Nutrition is the Foundation to Preventing, Treating, and Reversing Diabetes. Att...

Nutrition As Medicine - A Key Factor To Wellbeing

I am thrilled to have my fabulous guest, Health and Life Coach Yaa Astar, join me on this LIVING AT YOUR FINEST PODCAST episode to discuss Self-care - What It Is and Is Not.What a perfect time to have this discussion, as March is Women's Month, so we want to celebrate the powerhouse of our communities and share how to pause for "Me Time." The discussion items are:✨How Motivation, Consistency, and Accountability tie into Self-Care.✨ What to avoid in achieving Self-care.Yaa Astar is a Wellness ...

Self-care - What It Is and Is Not

This is the final episode in the Weight Wellness Series.  Join me on this journey as we reflect on these roadblocks to achieving health and wellness and how we overcome them.This episode is about Motivation. I address;✨Definition of Routine.✨How can our routine support our health goals?Let's create a community of empowered individuals who treasure the priceless gift of good health.Please share and tag someone who needs this reminder to invest in themselves!

Weight Wellness Series: Chapter 9 - You Are Your Routine

Weight Wellness Series reflects wholesome practices to help us establish optimal wellness. It is a 9-part series, so join me on this journey as we reflect on these roadblocks to achieving health and wellness and how we overcome them.This episode is about The "If Only Trap." I address;✨The "I'll start tomorrow" syndrome. Hurting or Helping us?✨How to Avoid the Trap.Let's create a community of empowered individuals who treasure the priceless gift of good health.Please share and tag someone who ...

Weight Wellness Series: Chapter 8 - The “If Only“ Trap

Weight Wellness Series reflects wholesome practices to help us establish optimal wellness. It is a 9-part series, so join me on this journey as we reflect on these roadblocks to achieving health and wellness and how we overcome them.This episode is about Eating Your Feelings. I address;✨Identifying Your Trigger Signs.✨The Difference Between Tummy versus Emotional Hunger.Let's create a community of empowered individuals who treasure the priceless gift of good health.Please share and tag someon...

Weight Wellness Series: Chapter 7 - Stop Eating Your Feelings

Living At Your Finest

a podcast about the effects of COVID 19 and other exiting topics (narrated bye an 8th grader)

Activists we are doing during covid! Feat. Kyler soholt and Tristan Moore

--- 

This episode is sponsored by 
· Anchor: The easiest way to make a podcast.  https://anchor.fm/app

The Activities

This episode is about what kids and teens are craving during COVID 19, (hit it short) Featuring my friend jenna and her favorite foods ;)

The Goods

this episode is about how younger kids and sibling are doing with COVID 19 Feat. (Jenna, Riley,Tristan) episode 3

tiny

this episode goes out to all the teachers, you aren't going unnoticed! (Feat. Savannah, Ashlyn)

dear teachers (episode 2)

this episode is about how COVID 19 is affecting younger people and their daily lives (narrated by an 8th grader)     Feat. Ashlyn!

serious matter (pilot)

Hit It

Imagine the excitement of becoming a new parent and then within hours finding out your child has a serious developmental disorder.  

That is exactly where Sanath Kumar Ramesh found himself in the summer of 2018.  One year later, on his son’s first birthday, they found out that their son, Raghav, ha...

Science

Parenting

Life Sciences

On this episode we talk to Michelle Fruhschien a mom of two, Noah and Hailey(Jordan Syndrome).  The moment she was born, Michelle says she knew it in her bones that something was different about her daughter even though she didn’t start seeing symptoms for another two months. Over the next few months, Michelle spent a lot of her time googling, asking others for their opinions and was eventually able to see an Ophthalmologist who noticed an issue and suggested seeing Geneticist and then a neurologist after a misdiagnosis. Michelle has built a supportive community for herself through social media. In the beginning of her own journey a friend told Michelle that she would get through this and eventually would be the stranger giving hope to a newly diagnosed family. Listen along with us while we hear about how important her community has been and the grief and joy that has accompanied it. Learn More: mamabearforrare.com jordansguardianangels.org Mentioned in this episode: Invitation to Check Out The Atlas The Atlas

One Day You Will be on the Other Side

“We have a heartbeat, right?” Josh and Kristin Hoyle knew that life with their new daughter Chloe was going to be different and likely difficult long before she was born. Even in this knowledge, they believed there was a purpose for what they were about to experience. And they leaned into the challenge. Chloe has Bohring-Opitz syndrome and requires 24/7 nursing care to attend to her respirator, trach, and airway. When the visiting nurse services proved inconsistent, they made the decision to take on that round-the-clock care themselves. That meant Josh would leave his job. And throughout all this, they found purpose and strength through helping other families. Their story is one of strong faith, amazingly positive attitude, and love.  Mentioned in this episode: Invitation to Check Out The Atlas The Atlas

Finding Purpose in All of It

On this episode of Raising Rare we talk with Stacy Lloyd, a rare disease patient and board certified patient advocate. Stacy has dedicated her life, even much of her free time to healthcare in one way or another. She currently works at the American Medical Association, previously at Saavy Co-op, and is on the board of the VHL Alliance. After being diagnosed with Von Hippel-Lindau (VHL) at a young age, doctors told Stacy that she might not be able to walk as she got older and tumors continued to grow. She went on believing this for most of her early adult life and even admits that she never thought about retirement or other aspects of growing older because they just wouldn’t pertain to her. It wasn’t until 2018 that a doctor she met at a medical conference for VHL told her that she was going to be alright, she would be just fine, that she started to really consider her life. Stacy’s diagnosis of having a rare genetic condition at an early age actually led to a number of her family members being diagnosed as well. Stacy speaks with us candidly that not everyone has handled their diagnosis with as much hope and drive as she has and that a number of factors have played into that. Stacy’s hope for members of the rare community is that everyone continues to share their stories, that they continue being vulnerable with each other and their medical team because you never know who will benefit from you doing so. Mentioned in this episode: Invitation to Check Out The Atlas The Atlas

We all handle life (and our diagnoses) differently

As Raising Rare continues to grow and evolve we are going to start bring in professionals that have beneficial stories for Rare Parents. These are individuals who have dedicated their lives to helping families in one aspect or another as they care for their children. Their viewpoints, stories, and perspectives are uniquely beneficial to parents that are involved in the rare community. On this episode of Raising Rare we talk with Neil Ead, a 40 year veteran of the nursing field who has focused his career on pediatrics and more specifically chronic care. Neil discuses with our cohosts the importance of preparing in advance for the transition from pediatrics to adult care. This process includes finding replacements for most to all members of the care team and how hard this can be for the team members and the family.  Mentioned in this episode: Invitation to Check Out The Atlas The Atlas

They won’t be children forever: the transition from pediatric to adult care

On this episode of Raising Rare we talk with Megan Nolan, a rare mama working to make a difference for other Rare Families. Megan has launched the online magazine Rareparenting.com in an effort to provide rare families with resources that may be beneficial to them.   Like so many other rare families, Megan has experienced the trials and tribulations of the healthcare system and how important it can be to move to the right location. She and her husband decided to use their skills and resources to build The Children’s Rare Disorders Fund (https://www.thecrdfund.org/) to help support R&D.; She wants the fund to help small disease organizations work together and reduce duplication of effort. Listen along as our hosts discuss the different obstacles she has faced and why certain aspects of her son’s journey with FOXG1 have taken so long. Mentioned in this episode: Invitation to Check Out The Atlas The Atlas

Creating Connections in a Fragmented Landscape

Raising Rare

This podcast is your go-to resource for discussions about all the “taboo topics” in pelvic health we normally don’t discuss out loud. Join Marina Castellanos, a licensed physical therapist in Westchester County, NY for conversations and expert interviews about painful sex, how a woman’s body changes...

In this episode of Pelvic Matters, Marina is joined by Julie Hartman for an informative conversation about lactation counseling. Listen in as Julie brings a wealth of knowledge about:
1. What is a lactation counselor and what do they specialize in.
2. Why having supportive people around you is important as you begin your breastfeeding journey.
3. Common challenges when it comes to breastfeeding.
4. Why babies lose weight after birth.
5. Why posture and breathing matter while nursing and tips for success!
6. Picking a certified lactation counselor
Julie's website: https://nestassuredwithjulie.com
Follow Marina on IG! https://www.instagram.com/marinacpelvicpt/


Marina D Castellanos PT, PLLC EXPRESSLY DISCLAIMS  ANY AND ALL LIABILITY FOR THE DIRECT, INDIRECT OR ANY OTHER DAMAGES  ARISING OUT OF THE USE OF OR THE RELIANCE ON THE INFORMATION SHARED  ON THIS PODCAST. By accessing this Podcast, I acknowledge that Marina D. Castellanos PT, PLLC, makes no warranty, guarantee, or representation as to the accuracy or  sufficiency of the information featured in this Podcast. The information, opinions, and recommendations presented in this Podcast are for general information and educational use only.  Any reliance on the information provided in this Podcast is done at your own risk. This Podcast is not an alternative for mental health assistance and/or counseling with a licensed professional.
For any specific medical questions about your condition and/or concerns, please contact your  health care provider. This Podcast should not be considered professional advice, rather for the sole purpose of information and education. Unless specifically mentioned on the Podcast, Marina D. Castellanos PT, PLLC does not endorse any product or service mentioned in the Podcast. Any third-party material or third-party website referenced in this Podcast does not necessarily reflect the opinions  or policies of this Company. Marina D. Castellanos PT, PLLC assumes no  responsibility or liability for the accuracy or completeness of the content contained in third-party  materials or on third-party websites, that may from time to time, be referenced in this Podcast. The Company cannot be held liable or responsible for any content that is shared on any third-party sites and/or any third-party guests. The opinions and content provided and/or shared by any third-party guests not affiliated with Marina D. Castellanos PT, PLLC are not the opinions or policies of the Company. Finally, the Company makes no guarantee that this Podcast, or the server used to host this Podcast by any third-party vendor, is free of viruses, worms, or other elements or codes that manifest contaminating or destructive properties.

Meet Julie Hartman, Certified Lactation Counselor and New Parent Educator

In this episode of Pelvic Matters, Marina is joined by occupational therapist Cathy Collyer OTR, LMT, CAPs to have an informative discussion about the importance of the time BEFORE potty training begins. Listen to find out: 1. What parents need to be aware of in the stages leading up to potty training. 2. Why potty training is a complex sensory motor skill (not just behavioral!). 3. The helpful habits parents can start implementing before trying to potty train. 4. Tips on setting up a child for success for potty training. And more! Check out Cathy's latest book on Amazon, The Practical Guide to Toilet Training the Autistic Child: Sensory-Motor Secrets for Success (The Practical Guides) https://www.amazon.com/Practical-Guide-Toilet-Training-Autistic/dp/B09X1JJWHW/ref=sr_1_1?crid=2TG89759LJUF0&keywords;=the+practical+guide+to+toilet+training+the+autistic+child&qid;=1651783852&sprefix;=the+practical+guide+to+toilet+%2Caps%2C69&sr;=8-1 Check out Cathy's other books at www.yourtherapysource.com Have questions? email Cathy at ccollyerotr@gmail.com


Marina D Castellanos PT, PLLC EXPRESSLY DISCLAIMS  ANY AND ALL LIABILITY FOR THE DIRECT, INDIRECT OR ANY OTHER DAMAGES  ARISING OUT OF THE USE OF OR THE RELIANCE ON THE INFORMATION SHARED  ON THIS PODCAST. By accessing this Podcast, I acknowledge that Marina D. Castellanos PT, PLLC, makes no warranty, guarantee, or representation as to the accuracy or  sufficiency of the information featured in this Podcast. The information, opinions, and recommendations presented in this Podcast are for general information and educational use only.  Any reliance on the information provided in this Podcast is done at your own risk. This Podcast is not an alternative for mental health assistance and/or counseling with a licensed professional.
For any specific medical questions about your condition and/or concerns, please contact your  health care provider. This Podcast should not be considered professional advice, rather for the sole purpose of information and education. Unless specifically mentioned on the Podcast, Marina D. Castellanos PT, PLLC does not endorse any product or service mentioned in the Podcast. Any third-party material or third-party website referenced in this Podcast does not necessarily reflect the opinions  or policies of this Company. Marina D. Castellanos PT, PLLC assumes no  responsibility or liability for the accuracy or completeness of the content contained in third-party  materials or on third-party websites, that may from time to time, be referenced in this Podcast. The Company cannot be held liable or responsible for any content that is shared on any third-party sites and/or any third-party guests. The opinions and content provided and/or shared by any third-party guests not affiliated with Marina D. Castellanos PT, PLLC are not the opinions or policies of the Company. Finally, the Company makes no guarantee that this Podcast, or the server used to host this Podcast by any third-party vendor, is free of viruses, worms, or other elements or codes that manifest contaminating or destructive properties.

Before Potty Training Begins with Cathy Collyer OTR, LMT

Kristen Kaessler joins Marina on the show in this episode to have an informative discussion all about doula services! Listen to find out: -What inspired Kristen at a young age to find her path to becoming a doula -What a doula does for the expecting, birthing, and postpartum parent -How to go about finding the right Doula for you Learn more about Kristen and her doula services at  https://www.wholesouldoulaservices.com Follow her on IG: https://www.instagram.com/wholesouldoula/ Follow Marina on IG at: https://www.instagram.com/marinacpelvicpt/


Marina D Castellanos PT, PLLC EXPRESSLY DISCLAIMS  ANY AND ALL LIABILITY FOR THE DIRECT, INDIRECT OR ANY OTHER DAMAGES  ARISING OUT OF THE USE OF OR THE RELIANCE ON THE INFORMATION SHARED  ON THIS PODCAST. By accessing this Podcast, I acknowledge that Marina D. Castellanos PT, PLLC, makes no warranty, guarantee, or representation as to the accuracy or  sufficiency of the information featured in this Podcast. The information, opinions, and recommendations presented in this Podcast are for general information and educational use only.  Any reliance on the information provided in this Podcast is done at your own risk. This Podcast is not an alternative for mental health assistance and/or counseling with a licensed professional.
For any specific medical questions about your condition and/or concerns, please contact your  health care provider. This Podcast should not be considered professional advice, rather for the sole purpose of information and education. Unless specifically mentioned on the Podcast, Marina D. Castellanos PT, PLLC does not endorse any product or service mentioned in the Podcast. Any third-party material or third-party website referenced in this Podcast does not necessarily reflect the opinions  or policies of this Company. Marina D. Castellanos PT, PLLC assumes no  responsibility or liability for the accuracy or completeness of the content contained in third-party  materials or on third-party websites, that may from time to time, be referenced in this Podcast. The Company cannot be held liable or responsible for any content that is shared on any third-party sites and/or any third-party guests. The opinions and content provided and/or shared by any third-party guests not affiliated with Marina D. Castellanos PT, PLLC are not the opinions or policies of the Company. Finally, the Company makes no guarantee that this Podcast, or the server used to host this Podcast by any third-party vendor, is free of viruses, worms, or other elements or codes that manifest contaminating or destructive properties.

Finding your doula

In this micro-episode, Marina shares her experience working with a health coach. Listen to find out her motivation for hiring a coach, what the process of coaching was like, and the results. At the end of the episode, listen for Marina’s exciting new announcement! To learn more about Marina, follow her on IG @marinacpelvicpt or check out her website www.marinacpt.com or view her offerings at https://pteverywhere.com/PtE/marinacpt/bookingonline

Why I hired a Health Coach

If you’re an expecting parent or have an infant at home, you’ll love this episode! Pediatric physical therapist Melissa Broderick, DPT joins Marina on the show for an informative discussion covering: -Why Melissa became a PT -Tips for tummy time for infants and -the impact of positioning devices on motor development -does our motor development have an impact on our later pelvic health? -do children need to be entertained as infants? -where to start if you believe your child has a motor delay. Will your child grow out of it? it? For more on Melissa: http://www.powerofmovementpt.com https://instagram.com/pompedspt?utm_medium=copy_link


Marina D Castellanos PT, PLLC EXPRESSLY DISCLAIMS  ANY AND ALL LIABILITY FOR THE DIRECT, INDIRECT OR ANY OTHER DAMAGES  ARISING OUT OF THE USE OF OR THE RELIANCE ON THE INFORMATION SHARED  ON THIS PODCAST. By accessing this Podcast, I acknowledge that Marina D. Castellanos PT, PLLC, makes no warranty, guarantee, or representation as to the accuracy or  sufficiency of the information featured in this Podcast. The information, opinions, and recommendations presented in this Podcast are for general information and educational use only.  Any reliance on the information provided in this Podcast is done at your own risk. This Podcast is not an alternative for mental health assistance and/or counseling with a licensed professional.
For any specific medical questions about your condition and/or concerns, please contact your  health care provider. This Podcast should not be considered professional advice, rather for the sole purpose of information and education. Unless specifically mentioned on the Podcast, Marina D. Castellanos PT, PLLC does not endorse any product or service mentioned in the Podcast. Any third-party material or third-party website referenced in this Podcast does not necessarily reflect the opinions  or policies of this Company. Marina D. Castellanos PT, PLLC assumes no  responsibility or liability for the accuracy or completeness of the content contained in third-party  materials or on third-party websites, that may from time to time, be referenced in this Podcast. The Company cannot be held liable or responsible for any content that is shared on any third-party sites and/or any third-party guests. The opinions and content provided and/or shared by any third-party guests not affiliated with Marina D. Castellanos PT, PLLC are not the opinions or policies of the Company. Finally, the Company makes no guarantee that this Podcast, or the server used to host this Podcast by any third-party vendor, is free of viruses, worms, or other elements or codes that manifest contaminating or destructive properties.

Tummy Time & More

Pelvic Matters

Airing Pain is the online radio programme and podcast from Pain Concern (http://painconcern.org.uk/) .

Each edition we bring together people with chronic pain and top specialists to talk about resources that can help.

You can listen to Airing Pain every Tuesday via Able Radio (https://www.able.wal...

Government


Airing Pain 144: Dilemmas in Pain Research 



This episode of Airing Pain focuses on the challenges that researchers must overcome when researching pain and developing new treatment approaches. Many questions remain unanswered in the field of pain research. For example, we might know that a treatment works for some people living with pain, but we might not know how it works or why some people benefit and some do not. 


So, there is a lot of research being done to try to better understand pain. This leads to another problem: how to cope with the amount of new information emerging from research and trials? It is important that new research data is made more accessible for clinicians, healthcare workers, patients, and researchers. Data is no use unless it can be assessed and summarized so that doctors can understand how to use it to benefit their patients. 


Our contributors for this edition are leaders in this field and they discuss some of the issues they have encountered whilst conducting their research into pain and how to treat it. 


The interviews were recorded at the British Pain Society’s Annual Scientific Meeting, 2023. 





Contributors: 

Professor Robert Brownstone, Brain Research UK Chair of Neurosurgery, Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology. 



Dr Neil O'Connell, Reader in Physiotherapy, Brunel University, Chair of the International Association for the Study of Pain (IASP) Methods, Evidence Synthesis and Implementation Special Interest Group. He is an advisor to Pain Concern. 



Dr Kirsty Bannister, Neuroscientist and Associate Professor at King’s College London. 



Time Stamps: 

1:22 Paul introduces Professor Robert Brownstone, Brain Research UK Chair of Neurosurgery at University College London. 


1:32 Prof. Brownstone explains what a spinal cord stimulator is, the lack of progress made with this form of treatment, the varied results the treatment gets, and why some people experience long-term pain following back surgery. 


7:40 Paul talks about Cochrane, a global independent network of health practitioners, researchers, and patient advocates who review research findings to provide a more precise estimate of the effects of a treatment. 


7:54 Paul introduces Dr Neil O’Connell, a Reader at Brunel University who was the Co-ordinating editor of the Cochrane Pain, Palliative and Supportive Care (PaPaS) group. 


8:35 Dr O’Connell discusses how Cochrane reviews research and clinical trials, and the complexities involved in gathering and interpreting evidence when developing interventions. 


17:04 Paul introduces Dr Kirsty Bannister, a neuroscientist and Associate Professor at King’s College London who specialises in neuropharmacology and runs a research group that uses animals to examine the mechanisms of pain processing. 


17:22 Dr Bannister talks about why animal models are useful for researching the responses people may have to different pain processes and researching chronic pain by measuring neuronal responses to pain. 


21:44 Paul and Dr Bannister discuss the limitations of using animals to research chronic pain. 


23:48 Paul and Dr Bannister explore why looking at a patient's experience of pain first can better inform lab research on animal models for understanding and researching pain. 


30:03 Prof. Brownstone gives some advice for those considering a spinal cord stimulator as an intervention they want to try. 





Additional Resources: 

Cochrane 



Pain Matters 73: Neuropathic pain issue 



Pain Matters 79: Navigating pathways to live well with pain 



Pain Matters 80: What treatment really works 



Neuropathic Pain 







If you have any feedback about Airing Pain, you can leave us a review via our Airing Pain survey  



______________________________________________________________________________________________










144: Dilemmas in Pain Research

Coming 12 June: This edition of Airing Pain focuses on the dilemmas and roadblocks that researchers encounter when researching pain and developing interventions, how they may overcome them, and why systematic reviews of research are so important.



Our contributors for this edition are leaders in this field and they discuss some of the issues they have encountered whilst conducting their research into pain and how to treat it. 



Interviews in this edition were recorded at the British Pain Society Annual Scientific Meeting.



Contributors:



Professor Robert Brownstone is a Professor and Head of Neurosurgery at University College London.



Dr Neil O’Connell is a Reader in the Physiotherapy Division of the Department of Health Sciences at Brunel University London. He is also a member of Cochrane's central editorial board. 



Dr Kirsty Bannister is an Associate Professor of Neuroscience/Neuropharmacology at King’s College London.

Trail - Airing Pain 144: Dilemmas in Pain Research

This edition of Airing Pain focuses on the treatment of pain, the importance of catering treatment to a person’s individual genetic makeup, and why addressing the psychological dimensions of pain is crucial in treating it effectively.  



The process of finding a medication or treatment that works for a person often involves a lot of trial and error, which can be a frustrating process for someone to go through. This process can be side-stepped through the use of personalised medicine, where information about a person’s genetic makeup is used to tailor and optimise their treatment so it is as effective as possible. 



Although medication is oftentimes a vital part of treating pain, incorporating psychological treatment alongside medication can be hugely beneficial when it comes to making pain management better for those living with acute or chronic pain. Changing how someone thinks about pain can enhance their response to the physical components of the treatment they receive. 



Our contributors for this edition discuss the ways in which the treatment of pain can be made more effective for people by incorporating personalised medicine or psychological treatments into a person’s care plan. Please leave us a review on this platform or give feedback via our Airing Pain survey. 



Contributors: 

Professor Tony Dickenson, Professor of Neuropharmacology at University College London. 



Dr. Beth Darnall, PhD, Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University School of Medicine. Director, Stanford Pain Relief Innovations Lab. 



Professor Irene Tracey, Vice Chancellor of the University of Oxford and a Professor of Anaesthetic Neuroscience in the Nuffield Department of Clinical Neurosciences.

 

Read transcript



Thanks: 

This edition of was made possible thanks to funding from the Guy Fawkes Charitable Trust and support from the British Pain Society. 



Time Stamps: 

1:11 Paul introduces Professor Tony Dickenson,who he spoke to at the British Pain Society Annual Scientific Meeting 2022. 



3:21 Professor Tony Dickenson discusses ‘precision medicine’, ‘personalised medicine’, and how looking at peoples' genetic makeup can help medical professionals treat pain more effectively.  



14:21 Paul introduces Dr Beth Darnall, who he spoke to at the British Pain Society Annual Scientific Meeting 2023. 



14:54 Dr Beth Darnall explains the psychological components of how people experience pain. 



20:24 Paul introduces Professor Irene Tracy, who he spoke to at the British Pain Society Annual Scientific Meeting 2023.  



20:57 Dr Irene Tracy discusses the work she's done on neuroimaging and how the human brain constructs the experience of pain.  



23:22 Paul and Dr Tracy talk about what neuroimaging tells us about the multidimensional way the human brain reacts to pain. 



26:06 Beginning of discussion about Empowered Relief, a psychology-based intervention that provides people with skills and tools to help manage their acute or chronic pain.  



26:31 Dr Beth Darnall discusses the psychological side of treating pain and how empowered relief is used to help people manage their pain. 



29:10 Dr Beth Darnall talks about the psychological tools people learn through Empowered Relief and how they help with pain management.   



Additional Resources: 

Airing Pain 100: Glasgow Pain Education Sessions

Empowered Relief  

Pain Matters 80: What treatment really works 

143: Personalised Medicine and Empowered Pain Relief

Coming 10 April: This edition of Airing Pain focuses on the treatment of pain, the importance of catering treatment to a person’s individual genetic makeup, and why addressing the psychological dimensions of pain is crucial in treating it effectively.  



Our contributors for this edition discuss the ways in which the treatment of pain can be made more effective for people by incorporating personalised medicine or psychological treatments into a person’s care plan. 



This edition will be funded by the Guy Fawkes Charitable Trust and was created with support from the British Pain Society.



Contributors: 



Professor Tony Dickenson, Professor of Neuropharmacology at University College London 


Dr. Beth Darnall, PhD, Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University School of Medicine. Director, Stanford Pain Relief Innovations Lab.


Professor Irene Tracey, Vice Chancellor of the University of Oxford and a Professor of Anaesthetic Neuroscience in the Nuffield Department of Clinical Neurosciences. 






Trail - Airing Pain 143: Personalised Medicine and Empowered Pain Relief

Pain Concern would like to remind listeners that the topic of chronic pain can be uncomfortable for those with lived experience of chronic pain. Please read the description for information about this edition's content. 



In a 2020 US study, it was found that ‘Implicit bias remains a contributor to healthcare disparities.’ This can be based on gender, ethnicity, disability or locality, and has the potential to affect somebody no matter their background.   



In Airing Pain 142, we begin with specific references to disparities in Musculoskeletal (MSK) treatment, and how we can learn from other healthcare fields to increase patient satisfaction; we then focus on how both internal and external stigma can lead to discrimination in treatment; before ending with a discussion about why ethnic minorities are being inadvertently discriminated against in the pain management setting.  



If you enjoyed this episode of Airing Pain, why not subscribe?  You can also leave us a review via our Airing Pain survey 



Read Transcript



Contributors: 

Professor Jonathan Hill is the Director of Research for the School of Allied Health Professionals, and a Professor of Physiotherapy, in the Keele School of Medicine. 



Dr Ama Kissi is a post-doctoral fellow at the University of Ghent and a Clinical Psychologist.  



Dr Whitney Scott is a clinical psychologist who lectures at Kings College London and is the research lead at the INPUT Pain Management Unit at Guy’s & St Thomas’ Hospital.  



Time Stamps: 

1:30: Professor Jonathan Hill speaks about the disparities in musculoskeletal pain treatment in primary care. 



6:04: Sharing their experiences and research, Paul and Jonathan discuss the differences between Pain Management and Diabetes care.  



9:59: Jonathan Hill highlights the importance of differentiating between people accessing pain management care frequently and infrequently.   



15:26: Jonathan Hill alludes to the ‘Restore’ trial in Australia, and the success of integrating physiotherapists into the pain management care system.  



18:44: Dr Whitney Scott talks about the stigma and discrimination of people living with pain. 



24:44: Whitney Scott discusses the way that health care professionals can work with people in pain who feel stigmatised.  



26:01: Paul and Dr Ama Kissi discuss the disparities in pain management for different ethnicities and hypothesise why this might be the case.  



31:17: Ama Kissi shares her own experiences as a black woman in the healthcare environment - this segment discussed childbirth. 

 

Thanks:  

This edition of Airing Pain was possible thanks to support from the British Pain Society 



If you’re looking for more information and support on managing pain visit painconcern.org.uk. 



Additional Resources: 

Pain Matters 84 - This magazine issue focuses on inequalities in public health.  

Stigma and Pain Management - US Department of Health and Human Services. 

‘Stigma and Chronic Pain’ - A research article published in ‘Pain and Therapy’.

Further information on the Restore Trial 

142: Societal Inequalities and Disparities in Pain Management

Airing Pain

Unraveled is Dana-Farber’s science podcast that explores the mysteries of the science of cancer. Veteran broadcaster Ken Shulman digs into the cutting-edge science that is transforming cancer research, and providing hope for scientists, and for cancer patients.

Chemistry

As our universe of knowledge expands, sometimes incrementally and more often, exponentially, its new dimensions create new challenges. The more we know, the better our tools are, the more choices we have. And that's great, but it's hard to distill mountains of patient data, clinical trials, therapies, discoveries, and a boatload of externalities. Hard to distill all of these into the best possible research and care. Oh, and don't forget the human genome in its almost infinite complexity.
It can be overwhelming when you try to think about it absent, sort of having some help. But what kind of human mind could provide that help? Could it be that the help we need, the intelligence we need isn't human at all.

Season 2 Episode 6: Big Data, AI, and Cancer Research

If there is such a thing as a holy grail in cancer research, a secret spell or golden ring that can ward off any and all forms of the disease, it probably lives somewhere in the realm of immunotherapy. A new category of immunotherapy drugs, called checkpoint inhibitors, take the brakes off the immune system and let the T cells do their job: attack cancer. They've been approved for more than 25 different types of cancer. 
However, the average response rate for checkpoint inhibitors is 20 to 30%, which means that it's not working for 70% of the people who take it. So that's the project now: to extend the benefits of immunotherapy to all cancer patients, instead of to just a few. And the best way to do that, it seems, is by doubling down, by pairing immunotherapy with other therapies so patients can benefit from both.
Sound logical? Sure. Sound easy? Not on your life. It's called combination immunotherapy, and it's what this episode of Unraveled is about.

Season 2 Episode 5: With a Little Help From My Friends: Combination Immunotherapy

By the early 2000s, researchers at Dana-Farber and elsewhere knew that a certain protein appeared in many tumors taken from lung cancer patients. Based on that data, doctors started treating those patients with a drug that inhibited that protein. Unfortunately, for reasons that weren’t clear at the time, most of the patients didn’t respond — but there was a small percentage of patients, about one out of ten, who did. People called it a "Lazarus-like effect."
So how can doctors know which of their patients is Lazarus? How can they know which ones will respond to a drug and which ones won’t? In other words, how can they interpret data so it makes sense? That's the subject of this episode of Unraveled about precision medicine and the EGFR discovery. It's an episode that begins with a riddle and ends with a roadmap.

Season 2 Episode 4: Making it Personal: Targeted Cancer Therapies

Cancer is often a problem of cell division; cancer cells keep doubling and doubling, faster and faster. Eventually, they crowd out the healthy cells we need to survive. So researchers proposed a question: Why not stop that land grab? Why not find a way to jam the gears of the cell cycle to stop cancer cells from dividing? Today, we have drugs that do just that: They're called CDK-4/6 inhibitors. The story of those drugs, the momentum that brought them from bench to bedside, was written largely at Dana-Farber Cancer Institute — and keeps being written today. It's the story we're telling in episode three of Unraveled.

Season 2 Episode 3: Stop the Division: CDK-4/6 Inhibitors and the Cell Cycle

Momentum isn't always one way. And it's not always constant. Sometimes it shoves you sideways, sometimes it stops you in your tracks. And sometimes only sometimes, it drives you to write one of the most astonishing second acts in all of medicine. That's the story we're telling today about thalidomide, its second act in multiple myeloma, and the promise of protein degradation.

Season 2 Episode 2: Thalidomide and its Second Act in Multiple Myeloma

Unraveled

Mendel Erlenwein, CEO at Previva Health Group sits down for a deep dive conversation with some of our nation's most accomplished and interesting leaders in Healthcare. The conversation will focus on the journey to building successful Healthcare organizations, as well as lessons and tips that they pi...

Entrepreneurship

Mental Health

Send us a Text Message. Welcome back to another episode of the Healthcare Trailblazers podcast! Today, we sit down with the esteemed Christopher Kunney, recent recipient of the HIMSS 2024 Changemaker Award. Join us as Christopher shares his inspiring journey from technology to healthcare, his role as a transformational leader, and his passion for improving healthcare access through innovative technologies. 
Key Takeaways:Career Journey: Christopher's transition from technology roles at Hewlett Packard to becoming a healthcare CIO and consultant.Health IT Insights: Discussion on the successes and challenges in adopting health IT from the 90s to today.Underserved Communities: How technology can address healthcare disparities and improve access to care.Future of Health Tech: The role of telemedicine, AI, and other emerging technologies in shaping the future of healthcare.


Why Your Health Data Isn't as Safe as You Think!

Send us a Text Message. Join us on this fascinating episode of the Healthcare Trailblazers Podcast where we dive into the inaugural year of Health Europe with Henry. Discover how Health Europe is set to change the landscape of global healthcare events by fostering unique, effective engagements and sidestepping the pitfalls of traditional healthcare conferences.

Key Takeaways:
1. Innovative Approach to Conferences: Unlike typical healthcare events dominated by sponsored content and sales pitches, Health Europe promises content-driven discussions that provide real value to attendees, avoiding the inefficiencies and frustrations commonly experienced at other events.
2. Connect Program Explained: Learn about the Connect program, a novel initiative by Health Europe designed to facilitate targeted, meaningful exchanges between healthcare leaders and solution providers through AI-driven matchmaking.
3. Why Europe, Why Now: Henry discusses the strategic decision to launch Health Europe, aiming to bridge diverse healthcare practices and policies across continents, fostering a more integrated global health conversation.
4. Cultural Perception: Insights into how Europeans view the U.S. healthcare system, highlighting the common perceptions around cost and efficiency, and contrasting these with European healthcare values and practices.
5. A Blend of Cultures: Health Europe not only adapts the successful U.S. model but also integrates unique European perspectives, aiming to create a culturally rich, inclusive event experience.

Pay-to-Live: The Moral Crisis in Modern Medicine

Send us a Text Message. Join us in this enlightening episode of the Healthcare Trailblazers Podcast as we sit down with Paul Mango, former Deputy Chief of Staff for Policy at the White House during the Trump administration. Paul shares his unique insights from leading the ambitious Operation Warp Speed, which was pivotal in developing and distributing COVID-19 vaccines. Dive into his career transition from the military to healthcare strategy, and discover the behind-the-scenes challenges and successes of one of healthcare's most urgent initiatives.

Key Takeaways:
1. Career Transition: Hear how Paul transitioned from a field artillery officer in the U.S. Army to influencing major healthcare policies, showcasing the versatile applications of leadership and strategic planning.
2. Operation Warp Speed: Get an insider’s perspective on the challenges and strategic decisions that shaped the U.S. response to COVID-19 through Operation Warp Speed, highlighting the unprecedented collaboration between government sectors and private companies.
3. Regulatory Impact: Paul discusses the significant and sometimes surprising impacts of regulatory environments on healthcare, reflecting on his extensive experience consulting for healthcare organizations.
4. Public-Private Partnerships: Learn about the critical role of public-private partnerships in tackling national healthcare crises, with a focus on the synergy between governmental foresight and private sector efficiency.
5. Policy Fluctuation: Explore how shifts in administration affect healthcare policy and strategy, illustrating the dynamic nature of healthcare governance and its direct impact on operational efficacy.

Paul’s journey from managing military operations to spearheading major healthcare initiatives provides profound insights into leadership, innovation, and the complexities of healthcare policy.

Government Secrets | Warp Speed: What They Didn't Tell You

Send us a Text Message. Join us in this episode of the Healthcare Trailblazers podcast, where we dive deep with Ardy, the visionary force behind Seekster. From his early days in San Diego to his ambitious journey through biotech and beyond, Ardy shares a wealth of experiences and insights that have shaped his mission to revolutionize health data accessibility.

Key Takeaways:
1. Origin Story: Ardy reflects on growing up in San Diego, surrounded by influential scientific institutions, which sparked his interest in healthcare.
2. Career Trajectory: From washing cars to leading a biotech giant, Ardy narrates his climb up the industry ladder, culminating in the successful exit of his first startup, Ambri Genetics.
3. Seekster's Mission: Learn about the creation of Seekster, designed to empower patients by centralizing and giving them control over their health data.
4. Personal Impact: Ardy shares a heartfelt story of how Seekster played a critical role in his father’s healthcare, demonstrating the platform’s ability to make a real-world impact.
5. Vision for Healthcare: Ardy discusses the potential for technology to transform patient engagement and healthcare outcomes by breaking down data silos and enhancing interoperability across the health system.

This episode is a must-listen for anyone interested in the intersections of technology, healthcare, and entrepreneurship, illustrating how personal experiences can drive innovation that changes lives.

The Truth Behind Health Apps: Wellness Tool or Data Predator?

Send us a Text Message. Description: In this episode of the Healthcare Trailblazers Podcast, Dr. Robert Pearl, former CEO of the Permanente Medical Group and author of the book "ChatGPT MD," returns for another discussion. Dr. Pearl shares his journey into writing about AI in healthcare, drawing from his extensive experience in the medical field and previous authorship. The book focuses on how AI, particularly generative AI, can transform healthcare by empowering patients and doctors alike. Key Takeaways:Inspiration and Motivation for "ChatGPT MD": Dr. Pearl was driven to write the book due to the persistent issues in healthcare he addressed in his previous works. The emergence of generative AI like ChatGPT provided a tool that could potentially overcome these challenges by offering not just information, but real expertise to both patients and healthcare professionals.Utilization of AI in Writing: Dr. Pearl employed AI to assist in the writing process, injecting a large database of his previous works into ChatGPT to maintain consistency in voice and thematic elements. He emphasizes the iterative process of collaboration with AI to refine and elevate the content.Potential of Generative AI in Healthcare: The discussion delves into the capabilities of generative AI in diagnosing diseases, managing chronic conditions, and integrating seamlessly into daily medical practice, potentially reducing the risk of medical errors and enhancing patient care.Challenges and Opportunities: While AI presents significant advancements, Dr. Pearl also notes the challenges, such as ensuring accuracy, managing 'hallucinated' data, and integrating AI into the healthcare system without compromising the doctor-patient relationship.Vision for the Future: Dr. Pearl advocates for a healthcare system that leverages AI to make healthcare more preventive, personalized, and accessible. He calls for a shift from a fee-for-service model to a value-based care model to align incentives with patient health outcomes.


ChatGPT MD: Dr. Pearl's Vision for AI Empowered Medicine

Healthcare Trailblazers

What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space?
For physicians, other healthcare professionals, and senior-serving professionals, inte...


Unconventional episode format: The hosts, Alex and the other speaker, interview each other.
"Networking is Dead": The focus is on the importance of building meaningful relationships rather than traditional networking, especially in the senior and aging space.
Challenges in the Senior Care Industry: Discusses the difficulties in breaking into the senior care market and the importance of building a Rolodex of contacts.
Community Building: Introduces the concept of a Slack group aimed at connecting professionals in the senior care industry.
Value Proposition: Emphasizes the importance of providing value to others in your network.
Security Concerns: Briefly touches on the importance of data security, especially in healthcare.
Accelerating Business Growth: The hosts express their desire to help listeners grow their businesses in the aging space, inviting feedback and participation.


Episode 24: E24: Networking is dead - Launch of AgingHere Slack group


Introduction of the guest Matt Gibson from 90 Days from Retirement, a platform educating about insurance post-retirement.
Discussion about the prevalence of insurance agents buying leads of people turning 65 and how 90 Days from Retirement differs by providing education instead.
People turning 65 often receive unsolicited mail and phone calls offering help with Medicare, which can be overwhelming.
Explanation that data about people turning 65 is publicly available, and some businesses generate leads by buying and selling this data.
Mention of the lack of enforcement of rules against unsolicited phone calls to sell certain Medicare products.
Brief explanation of the main products sold by Matt's agency, including Medicare supplement plans also known as Medigap plans.
Medicare and Medigap: Medigap plans supplement Medicare by covering deductibles and co-insurance that Medicare doesn't cover. This is one path individuals can take when they start Medicare.
Medicare Advantage (Part C): Contrary to Medigap, Medicare Advantage acts as a replacement policy for Medicare. When someone signs up for a Medicare Advantage plan, their Medicare parts A and B are essentially turned off and the responsibility for payment and administration is transferred to the insurer. In exchange, Medicare pays the insurer a monthly fee.
Medicare Advantage Plan Payment: Most Advantage plans have zero monthly premium for the individual because the insurer receives payment from Medicare, which can be a substantial sum.
Becoming a Medicare Broker: To become a broker, one must be health insurance licensed, contract with specific insurance companies, and pass carrier-specific training and certification. The process can be time-consuming and complex.
Commission Structure: Brokers must contract with insurance companies to earn commission. The commission rates are standardized and set by CMS. They do not directly negotiate these commissions but rather work under the structures set by larger field marketing operations (FMOs).
Medicare Advantage (MA) plans and Part D drug plans are highly regulated, and insurance carriers cannot incentivize brokers to sell more products through bonuses or rewards.
When a broker facilitates the signup of a client for an MA plan, their name and broker ID number are included in the application (paper or electronic), enabling the insurance carrier to attribute the commission.
Brokers must be certified and part of the network of the plan they are selling. They can't start selling a plan for which they haven't taken certification.
The availability of MA plans varies by zip code, influenced by factors such as population and medical resources. Brokers are licensed by state and may not have access to marketing materials or sell plans in states where they are not licensed.
If a broker is certified with a limited number of MA plans available in a client's region, they are expected to inform the client about the existence of other plans, even if they don't earn a commission on them.
Brokers often have to narrow down the choice of plans based on the client's needs, including preferred doctors, medications, and hospital networks.
All telephonic or online consultations have to be recorded, and brokers are required to inform clients that they might not be licensed with every product in the area, even if they are.
There were approximately 60,000 complaints to Medicare from call centers in the previous year, likely because brokers were not fully representing all available products in their market.
Brokers use tools to compare the cost of medications across carriers and to search for doctors within each carrier's network. However, some carriers choose not to participate with certain tools, requiring brokers to go directly to the carrier's website.
The discussion involves health insurance, Medicare Advantage (MA) plans, and how insurance agents/brokers operate.
The speaker mentions a preference for checking a carrier's site when looking for doctors or dentists.
Agents often receive an upfront commission when clients sign up, followed by smaller, ongoing commissions for renewals.
After signing clients, the speaker’s office offers full service, assisting with claims, billing, and more. They provide quarterly newsletters and communicate regularly, especially during annual election periods.
If a client's MA plan is changing significantly, the agent may recommend exploring other options. However, if the plan remains largely the same, clients are advised to continue with it.
Not many clients switch from one MA plan to another, or from MA to original Medicare, or vice versa. Changes typically occur due to network alterations, alteration in benefits, or advertisements.
Switching from an MA plan to a supplement plan is not always easy and may involve health questions and underwriting. Outside of specific open enrollment windows, clients cannot switch.
Churn within the MA system does occur, though it doesn't benefit the speaker's agency financially to regularly switch clients' plans. Other agents, however, may benefit from such churn.
There is no cost to the consumer to work with an agent. Agents are also not allowed to buy meals or gifts for potential clients, though smaller items such as coffee or appetizers are permitted.
There is no underwriting process for MA plans. Once you have Medicare and live within the service area, you are eligible.
For more information or assistance, the speaker invites people to visit their website, 90daysfromretirement.com.


Episode 23: Medicare broker deep dive - interview with Matt Gibson from 90 Days From Retirement


Introduction of a new product called Aging Here newsletter
Request for subscriptions and feedback for Aging Here
Introduction of guest Dr. Marc Gruner from Limber Health
Marc's background as a physician and entrepreneur
Marc's involvement in creating new CPT codes for RTM
Introduction to Limber Health and its solution for improving therapy adherence
Explanation of how Limber's app helps monitor and track exercises at home
Importance of home exercise therapy for better outcomes
Potential for house calls in physical therapy
Challenges with traditional paper printouts for home exercises
Importance of creating a sustainable lifestyle of exercising at home
Average age of patients receiving remote therapeutic monitoring (RTM)
Problems solved by Limber: confusion, compliance, unnecessary surgeries, cost reduction
Frustration as a physician prescribing physical therapy
Barriers to successful therapy: cost, time, travel
Need for codes to support RTM model
Involvement in the development of new RTM codes
Importance of a good business model for providers
Collaboration with AMA and other stakeholders to develop new codes
Importance of filling out forms and persevering through the process
Overview of the process for physical therapists using Limber Health
Risk stratification and evaluation of patients' pain and function
Selection of exercises for patients to do at home through a portal
Care navigators reaching out to patients and monitoring their progress
Remote monitoring of exercises and tracking pain and function
Providers are the buyers and pay for the services
Difference between RTM and RPM billing: RTM can be billed by various providers including physical therapists
Potential impact on revenue for physical therapists and improved patient outcomes
Providers, including physicians, PAs, NPs, and physical therapists, can bill RTM codes
Reimbursement for RTM codes varies based on billable milestones achieved
Limber and similar companies support providers with technology and clinical services
RTM codes can be used in fee-for-service and value-based care models
Limber aims to lower total cost of care and improve patient outcomes
Maryland offers innovative value-based care models through programs like Equip
Providers can sign up for Limber's services through a contract and training process
Participating providers may receive shared savings in value-based care models
Patients are informed and consent is obtained for remote therapeutic monitoring
Patient awareness of risk-taking in value-based care models may vary and can be addressed with the state of Maryland
Limber does not have a direct-to-consumer model but works with provider groups in various states
Providers using Limber's system can be identified through partnerships and collaborations
Compliance with therapy can potentially offset or delay the cost of procedures like knee replacements.


Episode 22: Interview with Dr. Marc Gruner from Limber about Remote Therapeutic Monitoring


Introduction of a new product called Aging Here newsletter
Request for subscriptions and feedback for Aging Here
Introduction of guest Mark Gruner from Limber Health
Mark's background as a physician and entrepreneur
Mark's involvement in creating new CPT codes for RTM
Introduction to Limber Health and its solution for improving therapy adherence
Explanation of how Limber's app helps monitor and track exercises at home
Importance of home exercise therapy for better outcomes
Potential for house calls in physical therapy
Challenges with traditional paper printouts for home exercises
Importance of creating a sustainable lifestyle of exercising at home
Average age of patients receiving remote therapeutic monitoring (RTM)
Problems solved by Limber: confusion, compliance, unnecessary surgeries, cost reduction
Frustration as a physician prescribing physical therapy
Barriers to successful therapy: cost, time, travel
Need for codes to support RTM model
Involvement in the development of new RTM codes
Importance of a good business model for providers
Collaboration with AMA and other stakeholders to develop new codes
Importance of filling out forms and persevering through the process
Overview of the process for physical therapists using Limber Health
Risk stratification and evaluation of patients' pain and function
Selection of exercises for patients to do at home through a portal
Care navigators reaching out to patients and monitoring their progress
Remote monitoring of exercises and tracking pain and function
Providers are the buyers and pay for the services
Difference between RTM and RPM billing: RTM can be billed by various providers including physical therapists
Potential impact on revenue for physical therapists and improved patient outcomes
Providers, including physicians, PAs, NPs, and physical therapists, can bill RTM codes
Reimbursement for RTM codes varies based on billable milestones achieved
Limber and similar companies support providers with technology and clinical services
RTM codes can be used in fee-for-service and value-based care models
Limber aims to lower total cost of care and improve patient outcomes
Maryland offers innovative value-based care models through programs like Equip
Providers can sign up for Limber's services through a contract and training process
Participating providers may receive shared savings in value-based care models
Patients are informed and consent is obtained for remote therapeutic monitoring
Patient awareness of risk-taking in value-based care models may vary and can be addressed with the state of Maryland
Limber does not have a direct-to-consumer model but works with provider groups in various states
Providers using Limber's system can be identified through partnerships and collaborations
Compliance with therapy can potentially offset or delay the cost of procedures like knee replacements.


Episode 22: Episode 22: Interview with Dr. Marc Gruner from Limber about Remote Therapeutic Monitoring


Discussion topic: Getting paid through the Medicare system
Introduction to CPT codes and HICPICS codes
Medicare's payment process for healthcare providers
Future guests and topics related to Medicare reimbursement
Mention of the Aging Here newsletter and interview opportunities
Differentiating between CPT codes and ICD-10 codes
History and purpose of CPT codes
Explanation of RVUs (Relative Value Units) and how doctors are paid
Simplified process of submitting CPT codes to Medicare for payment
Potential fraud issues in fee-for-service Medicare
Importance of documentation and medical necessity for CPT codes
Challenges with lack of comprehensive guidelines for new codes
Providers struggle with the interpretation and utilization of CPT codes.
Some codes are rarely utilized, while others require expertise to maximize billing.
Coding rules can be complex, with restrictions on code combinations and frequency of billing.
Providers face the risk of financial penalties or legal consequences for incorrect coding.
Medicare is a significant payer and requires compliance with its rules.
Physicians, nurse practitioners, and physician assistants primarily use CPT codes.
Modifiers can be used to bill for additional services or special circumstances.
Hospice CPT codes exist separately from Part B coding.
CPT codes have RVUs (Relative Value Units) that determine payment.
RVUs are divided into work RVUs, which assess the labor involved in a procedure.
Work RVUs consider time, technical skill, physical effort, mental effort, judgment, and stress.
Work RVUs are subject to negotiation and lobbying each year.
The conversion factor translates RVUs into payment amounts.
The conversion factor is subject to annual adjustments and can significantly impact reimbursement.


Episode 21: CPT Codes and How You Get Paid in Medicare

Mastering Medicare

Do you want to get answers to a number of medical questions, but can't find a reliable source? You're in the RIGHT place!&nbsp;

In MedCast, Dr. Davit Tonoyan invites doctor-guests and talks about health problems and destroys common myths and stereotypes.

Դատական բժիշկ, դիահրկիզում և արտաշիրիմում | MedCast 62

MedCast-ի այօրվա հյուրը դատական բժիշկ Ալինա Հովհաննիսյանն է։ Ալինայի հետ զրուցել ենք դատաբժիշկ դառնալու որոշում կայացնելու, դատաբժշկության վերաբերյալ եղած միֆերի, քովիդի և պատերազմի ընթացքում եղած դժվարությունների, հետաքրքիր և տհաճ իրավիճակների մասին:

Դատական բժիշկ, դիահրկիզում և արտաշիրիմում | MedCast 62

Արարատ լեռը բարձրանալու, ուրոլոգիայի, վիրահատական նոր մեթոդների մասին | Ազատ Չախոյան | MedCast 60

MedCast-ի այսօրվա հյուրը ուրոլոգ Ազատ Չախոյանն է։ Ազատի հետ զրուցել ենք Հայաստանում ուրոլոգիական կրթության, վիրահատական նոր միջամտությունների և ուրոլոգիական ստուգումների, Արարատ լեռը բարձրանալու մասին։ Մանրամասներին ծանոթացեք դիտելով հաղորդումը։

Արարատ լեռը բարձրանալու, ուրոլոգիայի, վիրահատական նոր մեթոդների մասին | Ազատ Չախոյան | MedCast 60

Կյանքը բժշկական համալսարանում, երիտասարդ բժիշկներ և ուսանողներ | MedCast 61

MedCast-ի այսօրվա հյուրերն են Երևանի պետական բժշկական համալսարանի ուսանողներ Մերի Ղազարյանն ու Ալեն Նալբանդյանը։ Ուսանողների հետ զրուցել ենք ուսանողական կյանքի, կրթության որակի, Երիտասարդ բժիշկների ասոցիացիայի և նրա կազմակերպած կոնֆերանսների կարևորության մասին։ 

Կյանքը բժշկական համալսարանում, երիտասարդ բժիշկներ և ուսանողներ | MedCast 61

Ռեպ-բժշկություն, TENCA, դիմածնոտային վիրաբուժություն | TENCA Music, Մանոն Գևորգյան | MedCast 59

MedCast-ի այսօրվա հյուրերն են դիմածնոտային վիրաբույժներ Տիգրան Հարությունյանը (TENCA) և Մանոն Գևորգյանը։ Նրանց հետ խոսել ենք TENCA-ի և JANAGA-ի գործունեության սկզբնական ճանապարհի, ներարկումային բժշկության, դիմածնոտային վիրաբուժությունան, բերանի խոռոչի նորագոյացությունների, բնածին արատների և ռեպի մասին։

Ռեպ-բժշկություն, TENCA, դիմածնոտային վիրաբուժություն | TENCA Music, Մանոն Գևորգյան | MedCast 59

Երբ դիմել գաստրոէնտերոլոգի | MedCast 58

MedCast

Every critical moment in our lives starts and ends with a Difficult Conversation. As an intensive care physician, author, and frequent speaker on communication, Dr. Orsini has spent most of his career teaching key communication techniques that can help anyone navigate through the most difficult conv...

On this episode, Dr. Anthony Orsini and Liz Poret-Christ introduce guest, Laura Diaz-Freeland, whose twin daughters were born at the very limits of viability at just 23 weeks gestation. Laura’s memoir, “Not What I Had in Mind,” is discussed, highlighting the emotional journey and the deep empathy found in motherhood that she experienced following the birth of her extremely premature daughters.  Dr. Orsini was part of the team who cared for her twins and they discuss the bond that Laura f...

Not What I Had In Mind

In this episode, Dr. Orsini and Liz Poret-Christ are joined by guest, Dr. Samantha Winemaker, an associate clinical professor in the Department of Family Medicine, Division of Palliative Care at McMaster University in Ontario, and co-author of the book, Hope for the Best, Plan for the Rest: 7 keys for navigating a life changing diagnosis. Dr. Winemaker, an advocate for open communication, emphasizes the importance of patients expressing their need for honesty in their healthcare interactions,...

Hope For The Best. Plan for the Rest

Welcome to another episode of Difficult Conversations-Lessons I Learned as an ICU Physician. In this episode, get ready to explore the journey of Jon Brandt, a remarkable entrepreneur whose journey is not just about business, but about purpose and change, especially in the realm of mental health in educational settings. Liz Poret-Christ and Dr. Anthony Orsini dive into Jon’s recent sale of the Thrive Alliance Group, and his vision for integrating mental wellness into the fabric of our school ...

Entrepreneurship with a Purpose

Welcome to Difficult Conversations. You may have  heard the story of Dr. Lorna Breen, who was an accomplished physician that tragically took her own life during the spring of 2020. Today, Dr. Orsini and Liz Poret-Christ are honored to introduce guest, Corey Feist, who is the co-founder, and President of the Dr. Lorna Breen Heroes’ Foundation. Corey dives into his personal journey, driven by the tragic suicide of his sister-in-law, Dr. Lorna Breen, and his mission to transform the healthc...

Fighting for our Heroes

Difficult Conversations with Dr. Anthony Orsini- Episode 88In this episode, host Liz Poret-Christ along with Dr. Orsini, welcome guest Gina Jacobson, who discusses the Working with Cancer initiative. The initiative, born out of a heartfelt response to the need for better workplace support for employees facing cancer and chronic illnesses, aims to create a safe and positive environment for disclosing health conditions at the workplace. Gina, a survivor of stage four colon cancer, shares her pa...

Support Changes Outcomes

Difficult Conversations -Lessons I learned as an ICU Physician

With each new Journal of Cardiovascular Computed Tomography (JCCT) issue, podcast hosts Anjali Chelliah, MD and Anna Reid, MBChB, PhD deliver the highlights of key topics through interviews with the authors and subject matter experts. Tune in to stay up-to-date with the latest happenings in the fiel...

News

Join hosts Anjali Chelliah, MD, FSCCT, Anna Reid, MD, FSCCT and guest host Cristina Fuss, MD, PhD, FSCCT as they take a deep dive into featured articles in the May – June 2024 issue of the Journal of Cardiovascular Computed Tomography (JCCT). Our hosts chat with Dr. Ed Nicol; Dr. Anjali Chelliah and Dr. Dan Jones. This episode will explore:SCCT delivering high quality education globally: Reflections, thanks, and a call to arms. but of courseTrends in Cardiac CT Utilization for Patients w...

Issue insight: JCCT | May – June 2024

Join guest host Cristina Fuss, MD, PhD, FSCCT as she takes a deep dive into featured articles in the January – February 2024 issue of the Journal of Cardiovascular Computed Tomography (JCCT). Our host chats with Dr. Lavinia Gabara, Dr. Kakuya Kitagawa and Dr. Armin Zadeh.This episode will explore:Derivation and validation of a novel Functional FFRCT Score incorporating the burden of coronary stenosis severity and flow impairment to predict clinical events Myocardial late enhancement and ...

Medicine Podcasts / Page 362

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Difficult Conversations -Lessons I learned as an ICU Physician

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