Medicine Redefined

Darsh Shah, DO and Altamash Raja, DO
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Apr 15, 2024 • 1h 7min

151. Foot Health, Transition Protocol to Minimalist Shoes & Footwear in Athletes | Irene Davis, PhD, PT

Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida.  Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School.  Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida.  She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running.  She is the current President of the American College of Sports Medicine.  In this episode, we discuss: Buying a minimalist shoe online or in the store Transition protocol into minimalist shoes or barefoot core Biomechanics of the Nike Vaporfly (4% show) Advantages and disadvantages of a carbon foot plate The role of athletic footwear Why older people should consider minimalist shoes Mentioned in the show: Vivobareboot Xero Shoes Merrell Shoes Nike Vaporfly (4%) Shoes Carbon Fiber Plate - Bone Stress Injuries Pickleball LeBron James Feet
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Apr 8, 2024 • 1h 8min

150. Learning From Health Influencers and Documentaries, Nutrition in Mental Health and MSK Injuries & Revisiting Timeless Principles | EC Synkowski, MS

EC Synkowski is a nutritionist, CrossFit Level 4 Coach, and the owner of OptimizeMe Nutrition. EC is the creator of the #800gchallenge and #LazyMacros. Her podcast TheConsistencyProject is a medium for education where she elaborates on the nuances of nutrition and translates evidence-based scientific data into practical solutions for everyday success. EC's academic background BS in biochemical engineering MS in environmental sciences  MS in Nutrition & Functional Medicine Resources Mentioned in the show: Chronic MSK Pain and Nutrition (PMID: 32086871) You are what you eat (Netflix) Blue Zones (Netflix) Follow EC: webstie Instagram
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Apr 1, 2024 • 40min

149. Progress Note #17: Fasted Cardio & Training, Optimizing Nutrition, Workouts, Sleep, and Stress During Ramadan

In this episode, Dr. Darsh and Dr. Altamash take a deep dive into fasted cardio and training. Is it beneficial? Or do we just think we are burning more fat? Altamash also talks about his experience with training, sleep, stress, and nutrition during the holy month of Ramadan. For anyone who is, was, or has thought about fasting in any capacity, this is the episode for you! Studies mentioned in the show: Breakfast Omission Reduces Subsequent Resistance Exercise Performance (PMID: 30707135) Viscous placebo and carbohydrate breakfasts decrease appetite and increase resistance exercise performance (PMID: 32174286) Starving Your Performance? Reduced Preexercise Hunger Increases Resistance Exercise Performance (PMID: 34872065) The acute effect of fasted exercise on energy intake, energy expenditure, subjective hunger and gastrointestinal hormone release compared to fed exercise in healthy individuals: a systematic review and network meta-analysis (PMID: 3473283) Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis (PMID: 34693577)
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Mar 25, 2024 • 1h 23min

148. Physique Optimization: Psychology, Longevity & Lifestyle (Part 2) | Joe Farese

Joe Farese is a natural-for-life pro bodybuilder who has competed for the last 36 years consecutively. He has also worked over the past 36 years as a trainer and health coach for populations ranging from young athletes to seniors. Joe's recent bodybuilding resume includes: 2021 WNBF Pro Mr. Universe winner 2021 and 2022 Pro Masters Mr. America winner 2023 Pro Mr. America lightweight class winner and Grandmasters (50+) Mr America class winner In this episode, we discuss: Sleep and distress tolerance in relation to physique transformation The power of social connection Longevity in bodybuilding Injury prevention Drug testing and steroids in bodybuilding The psychology of bodybuilding Body dysmorphia and body image Resources mentioned in the show: Mike Israetel on sleep for muscle growth (Modern Wisdom) Joe on the three kinds of performance intelligence: mind, body, and emotion
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Mar 18, 2024 • 1h 47min

147. Physique Optimization: Muscle Building & Fat Loss (Part I) | Joe Farese

Joe Farese is a natural-for-life pro bodybuilder who has competed for the last 36 years consecutively. He has also worked the past 36 years as a trainer and health coach for populations ranging from young athletes to seniors. Joe's recent bodybuilding resume includes: 2021 WNBF Pro Mr. Universe winner 2021 and 2022 Pro Masters Mr. America winner 2023 Pro Mr. America lightweight class winner and Grandmasters (50+) Mr America class winner In this episode, we discuss: -Background in bodybuilding and coaching -Competing at a high level -Pros/Cons of “bodybuilding mentality” -Specific training philosophies -Traditional bodybuilding vs “functional” training -Bodybuilding nutrition
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Mar 11, 2024 • 1h 13min

146. The Rise of the Self-Determined Physician | Jimmy Turner, MD

Dr. Jimmy Turner is an academic anesthesiologist, entrepreneur, author, and life coach.  He obtained his medical degree from Wake University and then completed an Anesthesia residency at the same institution. Subsequently, he completed a Regional Anesthesia and Acute Pain Medicine fellowship. After his training, he stayed on within the Department of Anesthesia and now holds the title of Associate Professor. Dr. Turner is passionate about teaching doctors how to create the time, financial freedom, and mindset shifts they need to create a life they love, which he does through books, podcasts, and his coaching program. In this episode, we discuss: Jimmy's origin story Disability insurance The arrival fallacy Shift from physician burnout to entrepreneur burnout the importance of setting boundaries Jimmy’s hell yes policy Revamping medical education to empower physicians, help promote autonomy, and minimize the risk of burnout What makes a self-determined physician Jimmy's FREE Book Find Jimmy Turner: Money Meets Medicine The Physician Philosopher Podcasts Books Coaching
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Mar 4, 2024 • 35min

145. Progress Note #16: Osteopathic (DO) vs. Allopathic (MD) Medicine & The Bias Against DOs

Drs. Altamash and Darsh are both DOs - osteopathic physicians. They break down the recent biases against this branch of medicine and explain the education process as well as similarities and differences to their allopathic (MD) peers. Mentioned in the show: Hasan Minhaj Stand-Up "Somebody who does something other than osteopathy"
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Feb 26, 2024 • 1h 28min

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

Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida.  Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School.  Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida.  She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running.  She is the current President of the American College of Sports Medicine.  In this episode, we discuss: Dr. Davis’ journey into PT and how she developed a passion into minimalist footwear and training. Foot anatomy and the importance of spending time training and addressing the foot core Various foot strike patterns and force distribution Foot types, and shoe types such as motion control, stability, etc. The role of minimalist footwear training and how it applies to clinical medicine Early and lifetime exposure to barefoot training Studies mentioned in the show: Injury reduction effectiveness of assigning running shoes based on plantar shape in Marine Corps basic training Injury reduction effectiveness of selecting running shoes based on plantar shape Injury-reduction effectiveness of prescribing running shoes on the basis of foot arch height: summary of military investigations Foot strike patterns and collision forces in habitually barefoot versus shod runners Walking in Minimalist Shoes Is Effective for Strengthening Foot Muscles The foot core system: a new paradigm for understanding intrinsic foot muscle function The effect of a 12-week custom foot orthotic intervention on muscle size and muscle activity Other resources mentioned in the show: Born to Run by Chris McDougall Follow Dr. Davis: Twitter @IreneSDavis
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Feb 19, 2024 • 1h 30min

143. Solving the Mental Health Crisis, Intuitive Mental Health & The Human Condition | Ravi Hariprasad, MD, MPH

Ravi Hariprasad, MD, MPH, is the founder and CEO of Intuitive Mental Health, a start up focused on partnering with primary care physicians to deliver comprehensive and personalized mental health support. Dr. Hariprasad obtained his medical degree of the University of Pennsylvania and completed his Masters in Public Health as well as his psychiatry residency at Harvard University. Dr. Hariprasad is well versed in both Western medicine as well as holistic and complementary perspectives such as Ayurveda. His early experience as an engineer and an entrepreneur have helped him understand system design, root cause analysis, and solution development and implementation. ⁠Ravi Hariprasad LinkedIn⁠ Mentioned in the show: ⁠Intuitive Mental Health⁠ ⁠Intuitive Psychiatry⁠ ⁠Episode 127 - Ayurvedic Principles (Jyoti Patel, MD)⁠ ⁠Episode 86 - Ayurveda in Modern Life (Shivani Gupta, PhD)⁠ ⁠Jean Paul Sartre⁠ ⁠Viktor Frankl⁠ ⁠Stoicism⁠ ⁠Selective Serotonin Reuptake Inhibitors (SSRIs)
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Feb 12, 2024 • 1h 1min

142. The Med Matrix & AI in Medical Education | Deepak Melwani

Deepak Melwani is a serial entrepreneur and a 3rd year medical student at Midwestern University Chicago of Osteopathic Medicine, with a robust background in computer science. Before starting medical school, Deepak co-founded a retail software service, scaling it to achieve millions in revenue. His passion lies in leveraging business and technology to reach and impact lives globally. Deepak is deeply committed to integrating these interests with the transformative power of healthcare to profoundly influence individual lives. As a founding partner of Med Matrix, he is at the forefront of innovating the educational landscape for health professional students, revolutionizing their daily study routines. Social Media: Instagram Twitter Mentioned in the Show: The Med Matrix (code 'MEDREDEFINED' for 15$ off 1st month) Episode 76 - Rami Wehbi MatchDay Health

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