The MEDQOR Podcast Network

The MEDQOR Podcast Network

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The MEDQOR Podcast Network episodes

  • Symptoms of Idiopathic Hypersomnia

    Excessive daytime sleepiness is an essential feature of idiopathic hypersomnia, but other key symptoms and aspects of the medical history are crucial when evaluating patients who present with excessive daytime sleepiness. Patients with idiopathic hypersomnia commonly report the following symptoms in addition to excessive daytime sleepiness: severe and prolonged sleep inertia, long and unrefreshing naps, prolonged sleep time, and cognitive dysfunction.

    Knowing the key symptoms and utilizing sleep testing can increase a healthcare professional’s confidence in his/her diagnosis of idiopathic hypersomnia.
    The Idiopathic Hypersomnia Severity Scale is a 14-item questionnaire that is a clinical tool designed specifically to measure patients’ idiopathic hypersomnia symptoms and provide a touchpoint that might be useful for patient identification, follow-up visits, and idiopathic hypersomnia management.

    This episode is produced by Sleep Review. It is episode 1 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and SleepCountsHCP.com for more information.

    In episode 1, listen as Sleep Review’s Sree Roy and sleep specialist Logan Schneider, MD, discuss:

    • The symptom of idiopathic hypersomnia that people are most familiar with is excessive daytime sleepiness. Will you define and briefly explain this core symptom?
    • But excessive daytime sleepiness is not the only symptom typically reported by people with idiopathic hypersomnia. Prolonged sleep time is another common symptom. What can this mean over the course of a 24-hour day?
    • Sleep inertia, that feeling of difficulty waking up, can happen to all of us. How can sleep inertia differ in people with idiopathic hypersomnia versus in those without it?
    • Are naps generally restorative for people with idiopathic hypersomnia? Does length matter?
    • What ancillary cognitive symptoms are commonly reported with idiopathic hypersomnia?
    • In 2019, the Idiopathic Hypersomnia Severity Scale was developed to measure the severity, frequency, and functional impact of the key symptoms of excessive daytime sleepiness, prolonged nighttime sleep, and sleep inertia. What do you think is the clinical utility of this questionnaire?

    To dive even deeper:

    • https://sleepreviewmag.com/sleep-disorders/hypersomnias/idiopathic-hypersomnia
    • Trotti LM. Idiopathic hypersomnia. Sleep Med Clin. 2017;12(3):331-44.
    • Dauvilliers Y. Idiopathic hypersomnia severity scale. 2018.
    • Arnulf I, Leu-Semenescu S, Dodet P. Precision medicine for idiopathic hypersomnia. Sleep Med Clin. 2019;14(3):333-50.
    • Vernet C, Leu-Semenescu S, Buzare MA, Arnulf I. Subjective symptoms in idiopathic hypersomnia: beyond excessive sleepiness. J Sleep Res. 2010;19(4):525-34.
    • Dauvilliers Y, Evangelista E, Barateau L, et al. Measurement of symptoms in idiopathic hypersomnia: The Idiopathic Hypersomnia Severity Scale. Neurology. 2019;92(15):e1754-62.
    • Rassu AL, Evangelista E, Barateau L, et al. Idiopathic Hypersomnia Severity Scale to better quantify symptoms severity and their consequences in idiopathic hypersomnia. J Clin Sleep Med. 2022;18(2):617-29.
    16 min
  • The End of the COVID Public Health Emergency & the Orthodontic Practice
    Infection prevention expert Jackie Dorst, RDH, BS, is back on the Orthodontic Products podcast to talk to host Alison Werner about the end of the COVID-19 public health emergency and what is means for the orthodontic practice.

    The COVID-19 public health emergency, issued on January 31, 2020, by the U.S. government put in place temporary measures to increase the federal government’s ability to detect and contain the virus. On May 11, 2023, the U.S. Department of Health and Human Services allowed the public health emergency to expire. This will bring an end to a number of programs, including those that gave access to free vaccines and treatment for COVID infections. But, as Dorst explains in this episode, the sunsetting of the CDC’s COVID data tracking efforts will have the most impact on the healthcare sector. As Dorst explains, that data provided information on community infectivity which could be used to guide the sector’s infection control protocols.

    In this episode, Dorst breaks down what the end of the public health emergency means for orthodontic practices and her recommendations going forward. She points to the end of staff and patient health screenings for COVID, but reminds practices that basic health screening is still important to protect staff and other patients from other infections. Dorst also talks about the importance of having a return to work policy for staff members who are ill, whether it’s COVID or not and the role masking can still play in the practice beyond those procedures that result in splatters and splashes. And from there, Dorst reminds listeners that OSHA’s respiratory protection standard, which predates the COVID-19 pandemic, and vaccine guidelines are unaffected by the end of the public health emergency. She talks about best practices and shares resources for practices.

    To close out the episode on the public health emergency, Dorst addresses the CDC’s recent announcement regarding ventilation in buildings and public spaces. And while it doesn’t pertain to healthcare spaces, she reminds listeners of the CDC guidance for healthcare spaces, including orthodontic offices. OP

    Resources mentioned in this episode:
    Immunize.org—Healthcare Personnel Vaccination Recommendations
    21 min
  • An Interview with AAO President Dr. Myron Guymon
    In this podcast, American Association of Orthodontists (AAO) President Myron Guymon, DDS, MS, joins host Alison Werner for the Orthodontic Products podcast on the Medqor Podcast Network. Guymon, who just started his 1-year term as AAO president, shares his priorities for his term and talks about the ongoing work of the AAO.

    Guymon, who is a graduate of Baylor Dental College (now known as Texas A&M School of Dentistry) and went on to open his practice in northern Utah, started in leadership at the component level with the Utah Association of Orthodontists before moving on to leadership roles within the Rocky Mountain Society of Orthodontists. As he was closing out his presidency of the Utah state association, he had his first opportunity to become involved with the AAO with its Council on Communications.

    In this episode, Guymon talks about the benefits of being involved in state, regional, and national orthodontic associations. As Guymon says, “We are so much better together as a group.” At the same time, he acknowledges that not every orthodontist wants to get involved in leadership; but there are still a myriad of opportunities to still get involved and make a difference—whether it’s serving on a committee or task force, or simply sending a text to a legislator.

    Guymon, who stepped into his term as AAO president for 2023-2024 at the close of the recent AAO Annual Session in Chicago, shares that his number one priority for his term is to be help shepherd the many initiatives that have been launched in recent years—such as TechSelect and the New Product Showcase. As Guymon puts it, the AAO seeks to support and encourage innovation in the profession.

    From there, Guymon talks about the latest campaign from the AAO Consumer Awareness Program—or CAP—and the association’s advocacy work. At the federal level, the AAO remains focused on such issues as student load relief and the RAISE Act. But it’s at the state and regulatory level, that Guymon says the AAO has been able to have a more immediate impact. He talks about the AAO’s approach and how its team has been able to monitor and react quickly to ensure the health and safety of the profession and patients.

    In this interview, Guymon also shares his thoughts on how the profession has evolved, the AAO’s diversity and inclusion work and upcoming Winter Conference in San Antonio and next Annual Session in New Orleans, and how the AAO can work with DSOs/OSOs. OP
    31 min
  • Skin Deep: Dr James Beckman & Theraderm Clinical Skin Care
    In this podcast, Plastic Surgery Practice Co-Chief Editors Alison Werner and Keri Stephens interview James Beckman, MD, founder and CEO of Therapon Skin Health. They talk about the company’s Theraderm Clinical Skin Care line, its proprietary peptides, and how Theraderm grew out of Beckman’s works to develop a product to improve the skin of burn victims with skin-grafted hands. They also talk to him about where skin care is headed.

    Beckman, who spent 20 years in private practice as a plastic and reconstructive surgeon and has a degree in biochemistry, shares his journey to creating a commercial product with active peptides for skin showing the signs of aging. The product grew out of his work with patients who had suffered burns or lost skin that resulted in skin grafts to close the wound and with patients who were just experiencing extremely dry skin as a result of their working conditions.

    Working with a local pharmacist, he created his first product: Beckman’s Dry Skin Therapy. The product caught on with fellow plastic surgeons and he soon had his first company. From there, he sought to develop a product that restored elasticity and collagen of aging skin.

    Today, the Theraderm Clinical Skin Care line has three product systems—an anti-aging, a skin renewal, and a revision clear skin system. As Beckman puts it, “Those three systems developed out of one system, and that one system developed out of one product that restored the oil depletion in dry hands.”

    When looking to the future for the skin care company and its products lines, Beckman shares his philosophy on product development overall—and it centers on helping the consumer actually solve a problem. “I think the key for skin care product manufacturers is to—with any product—go out and see what the consumers are suffering with and try to find an answer that solves that problem rather than an advertising campaign that sells more of your product.”

    In this interview, Beckman takes the listener through his career journey as a plastic surgeon in rural Arkansas and shares how word-of-mouth marketing is so much more valuable than having a huge advertising budget. After all, that’s how he found success with Beckman’s Dry Skin Therapy, and that pattern continues today with Theraderm's skin care product lines. PSP
    35 min
  • How DentalMonitoring Grows the Orthodontic Practice Without an Additional Salary
    In this podcast, sponsored by DentalMonitoring, Orthodontic Products Chief Editor Alison Werner is joined by Blake Davis, DDS, an orthodontist in private practice at Kirkland Redmond Orthodontics in Washington to talk about remote monitoring, the role it plays in practice growth, and how it fits into the digital workflow of today’s orthodontic practice.

    When Davis started his private practice 6 years ago, he was limited on space; the only spaces available were under 1,200 feet. But within this space, Davis built out four chairs and relied on technology and a digital workflow to make that small space as useful and productive as possible.

    Three year’s later, Davis’ practice went a step further and went fully digital—adopting customized treatment for both aligners and brackets, and with that remote monitoring—all in an effort to grow the practice.

    As Davis describes it, the decision to go fully digital was a big one, but it was also purposeful and intentional. And a key component of that was choosing the right technologies. On the bracket front, that was LightForce’s custom 3D-printed bracket system. And for remote monitoring, it was DentalMonitoring. That platform, he says, allowed him to “exponentially grow and change” his practice’s capacity.

    In the 2+ years since implementing DentalMonitoring, Davis says his practice has seen increased production, starts, and volume, all while not growing the team—and having more time to spend with family.

    Davis, who didn’t implement DentalMonitoring until the latter half of 2020, talks about he relied on a self-created app in the early days of the pandemic to monitor patients virtually. But he and his staff could only manage 50 to 60 patients at a time. Knowing he needed a more robust system to expand, he turned to DentalMonitoring and with its AI tools now monitors close to 1,000 patients in his practice. DentalMonitoring, he says, has allowed him to increase his practice’s capacity without adding additional salaries or infrastructure costs.

    In this episode, Davis not only shares the advice he was given when implementing DentalMonitoring—to go all in and use it with both his bracket and aligner patients—but also how DentalMonitoring has been key to growing his practice while keeping his fixed costs in check. He also talks about the data he looks at to know that this platform is helping him grow and giving him the ROI he needs to know this is a worthwhile investment. What’s more, he talks about how his practice manages patients using DentalMonitoring, including the staffing and scheduling considerations. OP
    34 min
  • The Present and the Future of At-Home Testing
    In this episode of Clinical Lab Chat, Chris Wolski and his guest, medical lead at Hurdle, Alex Owens, MD, MPH, discuss the reasons for the rise of at-home testing during COVID, how at-home test improves healthcare access, and the win-win-win it brings to clinical laboratories.
    25 min
  • Unlocking the Secrets of Rhinoplasty
    Join PSP co-chief editor Keri Stephens as she sits down with Alexander Zuriarrain, MD, FACS, a board-certified plastic surgeon and owner of Miami-based Zuri Plastic Surgery, to delve into all things rhinoplasty.

    The conversation kicks off with the impact of the so-called “Zoom Boom” on the popularity of rhinoplasty. As people spend more time on video calls, they find themselves scrutinizing their own appearances, leading to a surge in interest for nasal corrections. Zuriarrain explains how the advent of remote work has contributed to this phenomenon, with individuals seeking rhinoplasty to address nasal deformities and enhance their facial features.

    Zuriarrain then discusses the evolution of rhinoplasty techniques and outcomes over the past few decades. From traditional methods involving chisels and hammers to modern innovations like ultrasonic rhinoplasty, the field has seen remarkable advancements, Zuriarrain explains. The use of sophisticated technologies, such as 3D imaging and computer-assisted surgery, has also made a significant impact. However, Zuriarrain cautions against relying solely on 3D imaging due to potential discrepancies between the generated images and the actual surgical results.

    The podcast moves on to discuss patient selection, emphasizing the importance of identifying individuals who are genuinely good candidates for rhinoplasty. Zuriarrain shares his selective approach, highlighting specific patient populations, such as those exhibiting body dysmorphia or unrealistic expectations, who may not be suitable candidates. He further emphasizes the importance of ethnic considerations, as different geographic backgrounds have unique nasal anatomies that require specialized approaches.

    Complications associated with rhinoplasty are also addressed in the podcast. Zuriarrain explains that swelling is a common concern, with patients often underestimating the recovery time needed for optimal results. He discusses potential complications, including “whistleblower” deformities, collapse of the tip, and issues with the nostril base, highlighting the need for skilled surgical techniques and patient education to minimize risks.

    The episode concludes with a discussion on how surgeons balance patient desires for specific nose shapes with overall facial features and aesthetic goals.
    16 min
  • How ‘Ollie the Biomed’ Is Reaching HTM’s Next Generation
    In this episode of the 24x7 podcast on the MEDQOR Podcast Network, 24x7 chief editor Keri Forsythe-Stephens welcomes good friend of the podcast Chace Torres (aka: “The Bearded Biomed”) to discuss the launch of his new book, “Ollie the Biomed.” Torres shares that the book was inspired by the impending arrival of his firstborn son and his desire to create awareness and interest in the biomed field at an early age. He believes that building awareness among children is crucial and compares it to how kids learn about other professions through cartoons and books.

    Torres describes the process of writing and publishing the book, starting with multiple drafts and revisions of the script. He reveals how he collaborated with an artist via an online app to create the illustrations, ensuring they reflected his vision.

    The industry’s response to the book has been overwhelmingly positive, with biomeds and their children enjoying the story and illustrations. Torres’ goal is to extend the book’s reach beyond biomeds and into schools and libraries, and he has already donated copies to Children’s Health Hospital. He plans to explore various avenues, including school programs and awards, to further promote the book’s outreach.

    Overall, the podcast highlights Torres’ journey in writing and publishing “Ollie the Biomed” and emphasizes the importance of introducing children to the biomed field at an early age. Interested parties can buy the book here.
    13 min
  • A Boutique Practice Offering an At-Home Concierge and Retainers for Life
    In this podcast episode, host Alison Werner is joined by Deborah Solomon, DDS, an orthodontist in private practice in Beverly Hills and Los Angeles to talk about her boutique practice, which includes an at-home concierge service, and why she recently implemented a Retainers for Life program into her practice.

    To get started, Solomon talks about how she spent the first part of her career as an active-duty general dentist with the U.S. Air Force and then worked for a corporate practice after finishing her orthodontics residency. It wasn’t until the pandemic hit, when she had time on her hands, that she decided it was time to start her own practice from scratch. Solomon shares how two local dentists—one a general dentist, the other a pediatric dentist—helped her start her boutique practice, offering her space within their practices. The two doctors seeing her work were soon referring their patients to her.

    The pandemic was also the reason Solomon built out an at-home concierge service. The city of Beverly Hills had stricter rules than the city of Los Angeles around orthodontists seeing patients in-person in those early days. To keep seeing patients in her boutique practice, Solomon took advantage of the fact that she had an iTero Flex intraoral scanner from Align Technology and a portable dental unit and hit the road. In this episode, she shares what the set up looks like for her and her assistant; why this is a great way to connect with the rest of the patient’s family, and how this service can be a great way to connect with and serve immunocompromised patients and those with anxiety.

    From there, Solomon talks about how she recently implemented a Retainers for Life program into her boutique practice. Solomon’s goal is to make the program affordable for her patients and to make it something they sign up for when they sign up for orthodontic treatment. She breaks down her fees and how her treatment coordinator includes it as part of the initial consultation. As Solomon puts it, “No patient starts treatment without understanding that you need to do retainers after.”

    Finally, Solomon talks about the orthodontic technologies and products that have her attention—from uLab Systems and Brava by Brius to 3D printing; and how she has carved out a niche for herself in the very saturated Los Angeles orthodontic market with a boutique practice that stands out with its unique at-home concierge and retainers for life offerings. OP
    29 min
  • How to Treat Insomnia in Primary Care
    Join Sleep Review’s Sree Roy in conversation with sleep expert Russell P. Rosenberg, PhD, and primary care physician Paul Doghramji, MD, FAAFP about managing insomnia in primary care. They share insights from an expert consensus group and answer the questions:
    • What are the challenges that prevent insomnia from being diagnosed in the primary care setting?
    • Can you provide practical advice on how to fit in insomnia screening and diagnosis into primary care settings?
    • In what circumstances should primary care physicians refer patients to sleep specialists?
    • What are best practices for CBT-I in primary care settings?
    • Why is trazodone so frequently prescribed and is it a good choice for insomnia patients?
    • What is novel about dual orexin receptor antagonists?
    For more information on insomnia in primary care, visit:
    • A 2023 Update on Managing Insomnia in Primary Care: Insights From an Expert Consensus Group
    • https://sleepreviewmag.com/insomnia/
    • https://www.thensf.org/do-i-have-insomnia/
    18 min

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The MEDQOR Podcast Network provides insights, reporting and analysis on MedTech Innovation across all of healthcare. We’re supported by ten leading brands in healthcare, whose chief editors will join…