In this podcast, Alexander Zuriarrain, MD, FACS, joins Plastic Surgery Practice Co-Chief Editors Keri Stephens and Alison Werner to talk about ethics in plastic surgery—a subject Zuriarrian recently wrote about for Plastic Surgery Practice. The three discuss how social media and the way plastic surgeons are using it are raising some ethical questions. Zuriarrian—a board-certified plastic surgeon and owner of Zuri Plastic Surgery in Miami—talks about how he’s seeing plastic surgeons post altered and airbrushed images on social media platforms like Instagram and TikTok and how these posts raise concerns. He talks about how photos showcasing certain procedures are more easy to manipulate and give patients unrealistic expectations. When it comes down to it, Zuriarrian contends that this is one of the reasons patients should search out board-certified plastic surgeons. He points out that the American Board of Plastic Surgery certification process is not just about how good a surgeon’s technique is, but also about ethical behavior—and that includes the ethics around their marketing practices. Zuriarrian specifically points to board guidance on website content and how images are used to illustrate procedures. The fact is social media is a whole new frontier and there are ethical issues that need to be addressed. And while the conversation has started around the responsibilities of board-certified plastic surgeons, it’s going to take time to create guidelines. In the meantime, Zuriarrian reminds listeners of the four guiding principles of medical ethics and talks about why it’s important as a plastic surgeon to look to one’s conscience and always focus on what is in the best interest of the patient. PSP

In this Rehab Management podcast episode, Chief Editor Melanie Hamilton-Basich is joined by Amanda Clark, PT, DPT, NCS, director of Good Shepherd Creates at Good Shepherd Rehabilitation Network in Allentown, Pa, to discuss how they’ll be using 3D printing to make custom creations to help their patients. In her role, Amanda works to incorporate technological innovations that can enhance patient care and outcomes – including 3D printing using the new printer that will be part of Good Shepherd’s new rehabilitation hospital in Center Valley, Pa, scheduled to open later in 2023. Amanda Clark, PT, DPT, NCS, is the director of Good Shepherd Creates at Good Shepherd Rehabilitation Network in Allentown, Pa. Amanda champions innovation at all levels of the organization by helping to create a culture of curiosity and identifying current and emerging technology trends that can enhance patient care and outcomes. She helps to ensure that Good Shepherd keeps innovation at the forefront to better serve the community. Amanda received her Bachelor of Arts from State University of New York at Geneseo and her Doctor of Physical Therapy degree from State University of New York Upstate Medical University. Amanda began her career at Good Shepherd 10 years ago as a physical therapist, predominantly on the stroke unit of Good Shepherd Rehabilitation Hospital, where she later served as the specialty stroke program co-chair. After obtaining her board certification as a neurologic certified specialist, Amanda became director of Good Shepherd’s physical therapy neurologic residency. Related:Good Shepherd Rehabilitation Wants You to Help Name Their 3D Printer

In this podcast, I will be speaking with Ben Sun, CEO and founder of Orka. He was a former hardware engineer at Apple. He left life in the big tech to design and launch a hearing aid product called Orka One. Ben will be speaking with us about the role of a chip inside a hearing aid and how technology innovates the hearing aid performance and enhances the user experience.

Join 24x7 Chief Editor Keri Stephens as she talks to Daniel dos Santos—head of security research at cybersecurity provider Forescout—about the riskiest medical devices in enterprise networks. The podcast, which follows Forescout’s Vedere Labs’ “2022 Riskiest Devices in Enterprise Networks Report,” reveals into what healthcare providers need to know about the security of the devices they house. Hint: Patient monitors are especially problematic from a cybersecurity perspective. Dos Santos also discloses how medical devices can be a key entry point for a hospital-wide cyberattack and why cybercriminals target legacy equipment, in particular. Finally, he shares why everyone—from device manufacturers to those configuring the equipment—has a role to pay in medical device cybersecurity.

During the latest installment of Clinical Lab Chat, CLP Director of Business Intelligence Chris Wolski and Prasanth Perugupalli, chief product officer for Pramana, tackle why there have been delays in pathology labs adopting digital solutions, the business case for digital pathology, how it can change laboratory workflows, and what the future holds for digital pathology.

Join Plastic Surgery Practice Co-Chief Editors Alison Werner and Keri Stephens as they talk to Alexander Zuriarrain, MD, FACS—a board-certified plastic surgeon and owner of Zuri Plastic Surgery in Miami—about the prevalence of body dysmorphic disorder (BDD) among plastic surgery patients. The podcast, which follows Zuriarrain’s PSP article about the subject, reveals what’s contributing to the surge of BDD and what red flags surgeons should look out for when encountering possible BDD patients. Hint: The mnemonic “SIMON” comes into play.

Zuriarrain also divulges the role eating disorders play in BDD and what cosmetic procedures BDD patients commonly request. Finally, he shares how plastic surgeons should respond to patients who exhibit signs of BDD.

With the October 31 CDC Health Advisory Alert to the dental community on dental waterlines, orthodontic practices where reminded of the importance of best practices when it comes to dental waterline maintenance. While the alert concerned outbreaks of non-tuberculosis mycobacteria infections related to dental waterlines in pediatric dental clinics., it rightly is a wake up call to make sure your orthodontic practice is doing the right thing to protect patients and staff.

To learn more about best practices when it comes to maintenance and testing of dental waterlines, Orthodontic Products Chief Editor Alison Werner spoke to Kellie Thimmes and Mike Rust from ProEdge Dental Water Labs. Thimmes is a senior consultant and education specialist at the company, while Rust is a regional sales manager. Both have extensive experience working with dental and orthodontic practices to help them maintain safe dental waterlines.

In this episode, they talk about why orthodontic practices should pay attention to the CDC alert, the need for more awareness on the issue of dental waterline safety in general, and the risks to the patient, the practice, and the doctor’s license if dental waterlines are not maintained properly. As Thimmes and Rust point out, often, inspectors come to the practice to investigate a complaint unrelated to waterlines; but, once there, they’ll ask to see the practice’s latest water test results. And if those aren’t in order, the practice could have fines levied against it, while the doctor could face actions against their license.

They then take a deep dive on best practices for maintaining dental waterlines in the orthodontic practice and explain that while this is about protecting the health and safety of the patient and practice staff, it is also about ensuring equipment, such as handpieces, aren’t needlessly damaged. Rust and Thimmes explain what it means to have a compliant dental unit waterline, needed documentation, and the three main steps to dental unit waterline maintenance: shocking, treating, and testing. They breakdown how often you should be testing, testing options, and what to use to treat your waterlines between testings. And if your practice fails a waterline test, Rust and Thimmes say don’t panic. Address the problem and reach out to the experts if you need help. OP

The American Association of Orthodontists (AAO) announced last month that beginning in 2023 it will open its AAO-Wharton Mastering the Business of Orthodontics (MBO) program to office managers employed by AAO member practices. The online program, launched in 2021, was created to give AAO member orthodontists formal business training to help them succeed as entrepreneurs and small business owners. Recognizing that office managers are often key to a practice’s success, the AAO is now offering the same training to office managers.

As AAO President Normal J. Nagel, DDS, recently stated, office managers are often to “whom many practice owners entrust significant management and leadership duties.”

The AAO-Wharton program is taught asynchronously by faculty from the Wharton School of Business at the University of Pennsylvania who have teamed up with expert orthodontists and orthodontic practice consultants.

To learn more about the program in general and the inclusion of office managers, Orthodontic Products Chief Editor Alison Werner spoke to Anil J. Idiculla, DMD, a graduate of one of the first cohorts and now one of the AAO instructors with the program, and Renee Doyle, DDS, MS, an orthodontist in private practice in Illinois, who completed the program this fall.

Idiculla not only talks about his experience as a student but also breaks down the 8-week MBO cohort program and what attendees, both orthodontists and office managers, can expect. Meanwhile, Doyle shares where she was as a small business owner before starting the program and how the program has changed her approach. She also explains why she thinks the program is ideal for office managers.

Both AAO member doctors and their office managers can now enroll for the next program cohort, which will begin January 11, 2023. The program includes access to AAO Business Coaches who will support attendees throughout the course and will lead peer-to-peer discussions.

Those who complete the program will earn a Wharton certificate and 18 units of CE. OP

Join AXIS Imaging News Chief Editor Keri Stephens as she talks to Tracy Byers, senior vice president and general manager of enterprise imaging at Change Healthcare. The in-person interview, conducted at the 108th Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA) in Chicago, delves into all things enterprise imaging and why cloud-native solutions are especially beneficial.

Particularly, Byers shares the impetus behind Change Healthcare’s introduction of Stratus Cloud PACS and the cybersecurity implications of the launch. After all, Byers maintains, hospital chief information officers lie awake at night wondering when—not if—they’re going to get hacked.

For supporting material on this episode, visit:

The increased frequency of comorbidities among people with narcolepsy should be thoroughly reviewed while creating individualized management strategies. Comorbidities that are more prevalent in patients with narcolepsy include psychiatric and sleep conditions, as well as cardiovascular and cardiometabolic conditions. Hypocretin dysfunction in patients with narcolepsy may partially explain the increased risk of certain comorbidities in these patients. An increased prevalence of cardiovascular and cardiometabolic conditions, such as hypertension, obesity, diabetes, and hypercholesterolemia have been reported in people with narcolepsy compared with matched controls. One interview study of 320 patients with narcolepsy and 1464 age-matched individuals from the general population identified that the odds of heart disease in patients with narcolepsy (5.9%) were twice that compared to the age-matched general population (2.9%) (AOR, 2.07 [95% CI, 1.22 to 3.51]). By an average age of 38 (mean age during study), an increased incidence of cardiovascular comorbidities has been observed among patients with narcolepsy compared with matched non-narcolepsy controls.

This episode is produced by Sleep Review and is episode 3 of a 5-part series sponsored by Jazz Pharmaceuticals. Visit Jazzpharma.com and NarcolepsyLink.com for more information.

In episode 3, listen as Sleep Review’s Sree Roy and neurologist-sleep specialist W. Chris Winter, MD, discuss:

What comorbidities do you typically see in patients who are newly diagnosed with narcolepsy?
What about comorbidities that tend to develop over time in people with narcolepsy?
What health conditions do you screen for when you have a patient who is newly diagnosed with narcolepsy?
How, if at all, does the existence or emergence of comorbidities impact decision making?
Can you share any best practices for monitoring the emergence and management of narcolepsy-related comorbidities?
What other specialists and healthcare professionals do you recommend sleep physicians develop reliable referrals with to adequately manage comorbidities in their patients with narcolepsy?
Are there any particular screening tools such as specific questionnaires that you'd recommend to other sleep physicians for this demographic?