Critically Speaking: Recent Episodes

Therese Markow

On each episode of Critically Speaking, your host, Dr. Therese Markow, interviews foremost experts in a range of fields. We discuss, in everyday language that we all can understand, fundamental issues that impact our health, our society, and our planet. Join our weekly journey where we separate fact from fantasy for topics both current and controversial.

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Infertility is on the rise, leading otherwise healthy young couples to seek a form of assisted reproductive technology appropriate for their particular situation. This increase infertility of considerable concern. Is one sex affected more than the other? What are the long-range implications if the trend keeps going? Is it only humans that appear to be affected? And the critical question is why? In today’s episode, Therese Markow and Dr. Shanna Swan, author of the new book Count Down, answer many of these questions, including discussion of the types of chemicals and other factors that may contribute to the rising infertility.

Key Takeaways:

  • The number of “good” sperm observed in human populations (as indicated by the WHO) has dramatically decreased. Other characteristics for function, such as abnormal shape, inability to swim correctly, and chromosomal abnormalities are increasing as well.
  • Male and female infertility is about 50/50.
  • Newborn babies are being born “pre-polluted” with up to 100 environmental chemicals.
  • One solution you can undertake yourself is to determine where your food comes from, as that’s what’s going into your body.

"I'm convinced that a large proportion of the decline we're seeing is due to chemical exposures, man-made chemicals." — Dr. Shanna Swan

Connect with Dr. Shanna Swan:

Professional Bio: mountsinai.org/profiles/shanna-h-swan

Website: shannaswan.com

Book: Count Down - shannaswan.com/countdown

LinkedIn: linkedin.com/in/shanna-swan-phd-339a4258

Instagram: instagram.com/drshannaswan

Twitter: twitter.com/DrShannaSwan

Reference:

Environmental Working Group: ewg.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Dr. Richard P. Phelps is founder of the Nonpartisan Education Group, editor of Nonpartisan Education Review (http://nonpartisaneducation.org), a Fulbright Scholar, and fellow of the Psychophysics Laboratory. He has authored, or edited and co-authored Correcting Fallacies about Educational and Psychological Testing (APA); Standardized Testing Primer (Peter Lang); Defending Standardized Testing (Psychology Press); Kill the Messenger (Transaction), and several statistical compendia. Phelps has worked with several test development organizations, including ACT, AIR, ETS, the OECD, Pearson, and Westat. He holds degrees from Washington, Indiana, and Harvard Universities, and a PhD in Public Policy from the University of Pennsylvania’s Wharton School.

In this episode, Therese Markow and Dr. Richard Phelps discuss the education system in the United States, especially in comparison with Western Europe and other industrialized societies. They look at how Common Core, No Child Left Behind, and the changes to the SAT test have affected the curriculum, learning, and student preparedness both for further education as well as life after school. These trends in educational standards and standardized tests continue to impede our students compared to those of the industrialized world. Students from all levels and backgrounds are affected by these programs and the changes that need to be made are discussed.

Key Takeaways:

  • The U.S. is falling behind other countries, even those with less spending on education.
  • Common Core and No Child Left Behind have caused progress to be lost in elementary and secondary education standards.
  • The SAT has become less of an aptitude test and more of an achievement test, and can discriminate against talented students from underrepresented groups that attended lower quality high schools.

"Most information is not on the world wide web, much of what is there is wrong, and search rankings are easily manipulated by money and interests." — Dr. Richard Phelps

Connect with Dr. Richard Phelps:

Twitter: https://twitter.com/RichardPPhelps

Website: https://richardphelps.net/ &https://nonpartisaneducation.org/

Research Gate: https://www.researchgate.net/profile/Richard_Phelps

SSRN Scholarly Papers: https://papers.ssrn.com/sol3/cf_dev/AbsByAuth.cfm?per_id=1592150

Academia: https://204.academia.edu/RichardPhelps

LinkedIn: https://www.linkedin.com/in/richardpphelps/

LinkedIn Learning: https://www.slideshare.net/search/slideshow?searchfrom=header&q=Richard+P+Phelps

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticiallyspeaking.net

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In this culture where dreams and nightmares are such a part of our everyday language, the question becomes, what is dreaming? We all dream, so what does it mean, and how does it impact other areas of our lives, such as our mental health? In this episode, Therese Markow and Dr. Michael Nadorff discuss these questions, as well as diving deeper into the different cycles of sleep, the changes in our dreams and sleep as we age, different types of nightmare therapies, and the relationship between nightmares and suicide.

Key Takeaways:

  • All dreams, good and bad, occur during the REM cycles of our sleep. The amount of REM sleep increases as the night goes on and, consequently, dreams get longer too.
  • Sleep loves the cold. If you fall asleep in too warm of an environment, during REM sleep when your temperature drops, you are more likely to wake up feeling overheated.
  • Having nightmares significantly increased the likelihood of future suicide attempts in those who had previously attempted suicide.

"REM is so important to us that, if you are sleep deprived, your body actually prioritizes REM, and it makes it even that much more intensive." — Dr. Michael Nadorff

Connect with Dr. Michael Nadorff:

Professional Bio: psychology.msstate.edu/people/michael-r-nadorff/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Various forms of cold therapy, from ice on wounds to cold showers, have been successfully used for ages. And ice baths help athletes after an event. But these temperatures don't fall below freezing, or 32°F, and are usually above this. Recently, tanks providing whole body cryotherapy have been promoted for a wide range of health problems, some serious and progressive. This involves subjecting the body to anywhere from minus 160°F to 250°F, for several minutes. While this extreme exposure, even if for only a minute or so, definitely causes physical reactions, there have been no clinical trials to demonstrate their efficacy for the medical conditions supposedly helped. Furthermore, the tanks are not FDA approved.

Key Takeaways:

  • Whole body cryotherapy is being promoted for a wide range of medical conditions.
  • The WBC tanks are not FDA approved medical devices.
  • The facilities offering WBC rarely have any medical personnel present during the treatments.
  • No standard clinical trials have been conducted demonstrating their efficacy, as claimed, for the medical conditions mentioned.
  • People considering using the treatment should consult their physicians, rather than the internet, as to the benefits, prior to spending the money to expose themselves to these extremes.

"Don't get all your information from celebrity testimony or social media promotions. Things that pass for research on the internet are not what serious investigators would define as quality research." — Therese Markow, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Breast cancer is on the rise, especially in women under 40. This is pretty scary and the increase points to something environmental. In today’s episode, Therese Markow and Dr. Kris McGrath talk about one of these environmental factors and how our individual underarm hygiene may play a role in our risk for breast (and prostate) cancers earlier in life. Dr. McGrath has had a long time interest in this trend and they discuss some of his work on the relationship between underarm shaving and the use of deodorants and antiperspirants.

Key Takeaways:

  • The majority of breast cancer is environmental or lifestyle. Only 5-10% of breast cancer is due to genetic causes. So what are the factors?
  • Both breast cancer and prostate cancer are hormone-driven cancers.
  • More research needs to be done, but there already is a significant and scary relationship between underarm hygiene and beast and prostate cancers.

"In my paper, I showed that the earlier you began underarm habits, shaving your underarm and applying antiperspirant deodorant three times a week or more, the diagnosis of breast cancer began at a younger age, especially if you started using these products before the age of 16." — Dr. Kris McGrath

Connect with Dr. Kris McGrath:

Professional Bio: feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=15819

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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What's the placenta? Some people think of it as a bag filled with fluid that protects the fetus inside from accidental blows, or a structure that sends maternal nutrients to the fetus while removing its waste products. Well, it's actually much more than this. When we may think that the placenta is protective, it can also create detrimental effects to the fetus - effects that can be lifelong. In fact, the placenta is a complex organ on its own and we've only recently been discovering some of the things that the placenta really does, and also what it can't do. Every new person that has arrived on this planet developed in a placenta, so to ensure the health and wellbeing of future generations, understanding what goes on with the placenta has become more critical. Today's guest is a leader in the field of placental biology. Dr. Cheryl Rosenfeld is professor of biomedical sciences and her cutting edge research on the multiple roles of the placenta and fetal development provides critical guidance for prenatal maternal lifestyle and care.

Key Takeaways:

  • The placenta does have some ability to metabolize things, and it does offer some buffering capacity to the fetus.
  • The placenta is an endocrine organ. It also produces neurotransmitters.
  • Endocrine disrupters can be found in household items and everything around us. Understanding the green chemistry movement can help us lead a healthy life style.

"Even though we can't really, completely, eliminate our exposure to environmental chemicals. We can try to offset it by living with good healthy practices." — Dr. Cheryl Rosenfeld

Connect with Dr. Cheryl Rosenfeld:

Professional Bio: https://biomed.missouri.edu/cheryl-s-rosenfeld-phd-dvm/

The United States Developmental Origins of Health and Disease Society: https://www.usdohad.org/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Just about everybody has bumped their head at least once in their life. A number of these bumps on the head, especially those resulting from more obvious head injury, are more serious than most of us imagine. What is a concussion? When should head trauma receive more attention? Given the recent reports about long term effects of head injuries in athletes, and the risks of head traumas for sports and accidents, let's learn a little bit more. After all, each of us has a head. Today's guest neuro psychiatrist, Dr. Jon Lieff, has been treating head injuries for decades, he even founded several programs for treating patients with head injuries. And interestingly, he's also the author of a book called, The Secret Language of Cells, a fascinating and very accessible description of how the cells in our body talk to each other in health and in illness.

Key Takeaways:

  • Here is no exact definition of a concussion - we do not have the imaging devices accurate enough to see the tiny breaks in neurons and axons and it is based on the symptoms as a judgment call by the doctor.
  • Studying brain injury is still individual and still difficult.
  • Some people are more resilient to head injuries over others. For example, young women and girls are particularly vulnerable for head injuries.

"Younger kids should avoid hitting their head. They’re more sensitive to it. They’re not going to notice it as much, and there is very good information that multiple hits are far worse than one or the occasional." — Dr. Jon Lieff

Connect with Dr. Jon Lieff:

Professional Bio: https://jonlieffmd.com/about

Twitter: https://twitter.com/jonlieffmd

Website: https://jonlieffmd.com/

Book: https://jonlieffmd.com/book/the-secret-language-of-cells

LinkedIn: https://www.linkedin.com/in/jonlieffmd/

Additional Resources: https://jonlieffmd.com/resources

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Millions of women are undergoing ovarian stimulation to harvest either their own eggs or to donate, for monetary compensation, to egg banks that can help infertile couples, gay couples, and single infertile women to, through in vitro fertilization, conceive. Donors can receive considerable payments for their donations and, in fact, many young women undergo multiple cycles of ovarian stimulation treatments. These payments can help with student loans, living expenses, and other things. The treatments consist of hormone injections for over a week in order to get the ovaries to produce a lot of eggs. The short term risks, like the painful ovarian hyperstimulation syndrome, are infrequent and women are usually informed of this. But there have been mixed reports as to the long term risks of cancers associated with these hormone treatments. The studies are mixed because they have not been conducted with sufficient rigor. Women undergoing treatments, either to retrieve their own eggs or to donate, are mostly unaware of these long term risks as they can manifest some years later. Women need to be fully informed before undergoing injection with ovarian stimulation hormones.

Key Takeaways:

  • Egg donation clinics are mostly "for profit" organizations and businesses.
  • There needs to be a national registry of all egg donors in the US.
  • The registry must contain the ages, types of hormones used, number of cycles of stimulation, history of birth control pill use, ethnicity, and the clinic where they donated.
  • Only then can we conduct the long term studies to clearly assess risks and properly inform women about the potential risks of these treatments.

"We already know that long term hormone replacement therapy is a risk for breast cancer and other female cancers. It's only logical to wonder if a possibility exists that the hormones injected to harvest eggs also increase the risk of certain cancers down the road." — Therese Markow, Ph.D.

Resources:

  1. Schneider J, Lahl J, Kramer W. Long-term breast cancer risk following ovarian stimulation in young egg donors: a call for follow-up, research and informed consent. ReprodBiomed Online. 2017 May;34(5):480-485.https://pubmed.ncbi.nlm.nih.gov/28473127/
  2. https://www.statnews.com/2017/01/28/egg-donors-risks/
  3. https://www.cbc-network.org/issues/making-life/egg-donation-and-exploitation-of-women/
  4. Brinton LA, Sahasrabuddhe VV, Scoccia B. Fertility drugs and the risk of breast and gynecologic cancers. Seminars in Reproductive Medicine. 2012 Apr;30(2):131-145. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4106369/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In a world full of media, which may contain misinformation or fake news, there are conspiracy theories abounding. However, conspiracy theories, and the spreading of those theories, is not a new practice, it has been around and transmitting in any way that people communicate. In this episode, Therese Markow and Dr. Joseph Uscinski talk about the origin of conspiracy theories and how these formal theories differ (and are similar) to the fake news and misinformation that fills our media screens today. They discuss some of the earliest US conspiracy theories, as well as some of the more modern ones, and how they are different now, with our current political climate, from what they may have done in the past. They also discuss why people believe these conspiracy theories, as well as why people believe in them, even in the face of refuting evidence.

Key Takeaways:

  • The internet did not introduce the spread of conspiracy theories. They will always be spread in any way that people communicate.
  • Our worldviews impact the media that we access, which then can filter which conspiracy theories we are likely to believe.
  • The two most consistent predictors of those who believe in conspiracy theories are education and level of income.

"Most of the arguments about evidence, really aren’t about evidence - they’re just about subjective judgments about evidence, which gets us away from evidence and gets us back into how people interpret information and what the world views are they bring into interpreting that information." — Dr. Joseph Uscinski

Connect with Dr. Joseph Uscinski:

Twitter: @JoeUscinski

Website: JoeUscinski.com

Books: American Conspiracy Theories & Conspiracy Theories and the People Who Believe Them

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Among the biggest health fears adults have are getting a diagnosis of cancer or developing Alzheimer's disease. An estimated 6.2 million Americans aged 65 and older, actually are living with Alzheimer's today. That number could double by 2050. The worldwide number is estimated to be about 50 million. Alzheimer's develops later in life, and class can last anywhere from three to 10 years before the patient dies. And currently, there's no cure for the disease. Well, today's guest is uniquely suited to address these questions and tell us what's on the horizon in terms of research and treatment. Dr. Ryan Townley, of the neurology department at the University of Kansas Medical Center is a primary investigator at the university's Alzheimer's Disease Research Center. Not only does he see patients, but his role as Associate Director of the Alzheimer's Clinical Trials Consortium puts him in a unique position, he's at the cutting edge of the potential new treatments being tested. In todays’ episode, Therese Markow and Dr. Townley discuss the causes, symptoms, risk factors, and treatments (both current and in trials) of Alzheimer’s.

Key Takeaways:

  • We know that amyloid plaques are kind of a hallmark of the disease, but we don't know if they're causative of the disease or the symptom.
  • 35 to 40% of patients that develop Alzheimer's disease don't have an APOE e4 allele.
  • Some supplements, individually, have gone through clinical trials. However, none of them have been done through classic clinical trials and supplements are not regulated and may not contain what they say.
  • Sleep, and good sleep, is the most overlooked important lifestyle factor in preventing Alzheimer’s disease.

"Our early detection methods are really going to have to improve for us to make a major dent in changing the course of this disease." — Dr. Ryan Townley

Connect with Dr. RyanTownley:

Professional Bio: https://www.kumc.edu/rtownley.html

YouTube: https://www.youtube.com/channel/UCLJVcSxZ7GWxGLl6ouwVlVg

LinkedIn: https://www.linkedin.com/in/ryan-townley-51b74872/

Article: Alzheimer’s Disease, Aduhelm, and The Fear of False Hope

https://ordinary-times.com/2021/06/10/alzheimers-disease-aduhelm-and-the-fear-of-false-hope/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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When we hear the term tumor or cancer, the image that often comes to mind is a bunch of bad cells next to normal ones, and growing. Like many things, it's just not that simple. How do the normal cells turn bad? Can our immune systems detect the cancer cell and kill it? Why does some, initially successful, chemotherapy stopped working? Why does cancer spread? These are all great questions, since cancers of one kind or another, will affect so many of us either as patients, friends, or loved ones. Well, basic science is providing some critical answers. In today’s episode, Therese Markow and Dr. Ajit Nirmal discuss just these questions.

Key Takeaways:

  • If we didn't have an immune system, we'd all get cancer.
  • Drug resistance continues to be the principal limiting factor to achieving cures in patients with cancer.
  • Once a normal cell has turned cancerous, it is likely dividing much faster than a normal cell. This rapid cell division is error prone, and can lead to accumulation of mutations at a much faster rate.

"I truly believe, with adequate basic understanding of the molecular underpinnings of cancer evolution, and how the tumor microenvironment helps it or promotes it, we will be able to predict the best course of action to target all cancer cells up until the very last one, and consequently to the patient." — Dr. Ajit Nirmal

Connect with Dr. Ajit Nirmal:

Professional Bio: https://scholar.harvard.edu/ajitjohnson/home

LinkedIn: https://www.linkedin.com/in/ajitjohnsonnirmal/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Evidence is emerging that fluoride, a chemical that helps prevent dental cavities or caries, also is a neurotoxin that can cross the placenta and enter the developing brain. Recent studies reveal that excess fluoride during fetal development can result in impaired intelligence and cognition in children.

Key Takeaways:

  • Fluoride helps prevent tooth decay.
  • An excess during gestation can produce dental "fluorosis" , discolored and even pitted teeth in the children
  • Fluoride is also a neurotoxin, detectable in the parts of the brain involved in learning and memory
  • Recent studies show an association between fluoride in maternal urine during pregnancy and impaired behavior in children
  • People are getting more fluoride now because it is used in beverages, personal care products, and polluted air.

"Strong associations exist between the level of maternal urinary fluoride, in other words, how much the mother was exposed to, and the test scores of their children." — Therese Markow, Ph.D.

Further Reading:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923889/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5915186/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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What happens when we remember something? Therese Markow talks with neuroscientist Dr. Ben Albensi about how memory works, involving both chemical and structural changes. They talk about the signals in the brain, the connections among different brain regions underlying memory, and the role of sleep in consolidating the memory process. Dr. Albensi also describes what happens when a person suffers amnesia.

Key Takeaways:

  • Memory begins in the brain region called the hippocampus, from which chemical signals and neural connections then extend to other regions.
  • These connections are important for memory.
  • Enriched environments result in more connections.
  • Sleep is critical to the memory process.

"We’ve learned from scientific evidence and experiments that sleep is critical to quality of memory and memory consolidation." — Dr. Ben Albensi

Connect with Dr. Ben Albensi:

Hôpital St-Boniface Hospital Profile: Dr. Benedict C. Albensi

Email: balbensi@sbrc.ca

Cell Phone: 973-668-0206

LinkedIn: Benedict C. Albensi, PhD, BCMAS, CRQM

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Infertility is on the rise, leading otherwise healthy young couples to seek a form of assisted reproductive technology appropriate for their particular situation. This increase infertility of considerable concern. Is one sex affected more than the other? What are the long-range implications if the trend keeps going? Is it only humans that appear to be affected? And the critical question is why? In today’s episode, Therese Markow and Dr. Shanna Swan, author of the new book Count Down, answer many of these questions, including discussion of the types of chemicals and other factors that may contribute to the rising infertility.

Key Takeaways:

  • The number of “good” sperm observed in human populations (as indicated by the WHO) has dramatically decreased. Other characteristics for function, such as abnormal shape, inability to swim correctly, and chromosomal abnormalities are increasing as well.
  • Male and female infertility is about 50/50.
  • Newborn babies are being born “pre-polluted” with up to 100 environmental chemicals.
  • One solution you can undertake yourself is to determine where your food comes from, as that’s what’s going into your body.

"I'm convinced that a large proportion of the decline we're seeing is due to chemical exposures, man-made chemicals." — Dr. Shanna Swan

Connect with Dr. Shanna Swan:

Professional Bio: mountsinai.org/profiles/shanna-h-swan

Website: shannaswan.com

Book: Count Down - shannaswan.com/countdown

LinkedIn: linkedin.com/in/shanna-swan-phd-339a4258

Instagram: instagram.com/drshannaswan

Twitter: twitter.com/DrShannaSwan

Reference:

Environmental Working Group: ewg.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Many people have addictions. While much of the time we think of substance addictions, such as drugs or alcohol, there is an increasing rise in behavioral addictions as well, which are often not viewed in society as addictions however real they are and however many issues they cause. Where are these addictions coming from? How do they form? How can they be treated? In this episode, Therese Markow and Dr. Amanda Giordano, author of A Clinical Guide to Treating Behavioral Addictions, discuss just these questions and go into further details regarding the topics, including cyber sex addiction, genetic predispositions to addiction, and how the itnernet has affected the rise of behavioral addictions.

Key Takeaways:

  • Our brains pay attention to what causes a release of dopamine and pay more attention to those behaviors, increasing the desire and motivation to seek out those rewards associated with that release.
  • There is a difference between high involvement in a behavior and addiction in a behavior. If it doesn’t hit the 4 C’s of addiction (compulsion, loss of control, negative consequences, cravings) it may not be an addiction.
  • There are resources available for behavioral addictions, like there are for substance addictions.
  • We're seeing that online relationships don't take the place of the offline connection and that need to belong.

"For the longest time, addiction was seen as a moral failing or the result of a character flaw. Unfortunately, that view is still very present today. But we know that it's not a morality issue - it's a biological, psychological and social issue." — Dr. Amanda Giordano

Connect with Dr. Amanda Giordano:

Professional Bio: https://people.coe.uga.edu/amanda-giordano/

Blog: https://www.psychologytoday.com/us/blog/understanding-addiction

Facebook: https://www.facebook.com/amandaleegiordano

Book: https://www.amazon.com/Clinical-Guide-Treating-Behavioral-Addictions/dp/0826163165

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Sexual assaults of women, men, and children are always in the news. We know a lot about this when it comes to little children, but for adults, especially women, what constitutes a sexual assault? Lack of consent, forced intimate relations? How does one prove an assault took place? Often the information provided by medical forensic experts is brought to bear on these cases. Today's guest, Dr. Felice Gersh, is not only a distinguished OBGYN and Integrative Medicine Specialist, but she often serves as an expert witness when medical forensics are required to clarify if or what type of sexual assault took place. This is an important, interesting, and sometimes very fuzzy topic. In today’s episode, Therese Markow and Dr. Gersh discuss this process and the challenges of sexual assault cases.

Key Takeaways:

  • When reporting acute sexual assaults, there are special nurses in the hospital called SANE nurses, sexual assault nurse examiners, that will do a detailed forensic examination on the victim. These exams are standardized nationally.
  • In the courtroom, you speak about genitalia as the body parts they are. It makes everyone feel more comfortable when you speak of things anatomically rather than treating them as hush hush.
  • As a forensic medical expert, it is important to report the facts and what can or cannot be possible, not to decide if someone is innocent or guilty.

"My job [as a medical forensic expert] is really an educator. My job is to review the evidence, then explain everything in as clear, plain, and understandable language as I can to a jury so that they will understand what the evidence really means." — Dr. Felice Gersh

Connect with Dr. Felice Gersh:

Professional Bio: https://integrativemgi.com/about-dr-felice-gersh/

Website: https://integrativemgi.com/

Twitter: https://twitter.com/DrFeliceGersh

Facebook: https://www.facebook.com/IntegrativeMGI/

LinkedIn: https://www.linkedin.com/in/felice-gersh-md-b0422b13/

Instagram: https://www.instagram.com/dr.felicegersh/

Book: PCOS SOS: A Gynecologist's Lifeline To Naturally Restore Your Rhythms, Hormones, and Happiness

https://www.amazon.com/Pcos-SOS-Gynecologists-Naturally-Happiness/dp/1911443119/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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As the world experiences the continuation of the COVID-19 virus, we see a growing number of COVID-19 survivors who continue to have symptoms for weeks and even months after the acute phase of their disease subsided. These individuals have gained the name COVID-19 Long Haulers. What's this all about? What's happening to these patients and how can they be helped? Well, there's no better person to address these issues than today's guest, Dr. Jason Maley. In this episode, Therese Markow and Dr. Jason Maley discuss just these questions and Dr. Maley’s research and clinical work focuses on recovery and the long term outcomes for these patients and their families after COVID-19.

Key Takeaways:

  • Long Haul COVID symptoms can manifest differently depending on each person. While there are common patterns, each patient is unique.
  • We know how to treat the symptoms of Long COVID-19, but we do not yet know how to treat the underlying conditions.
  • Currently, the best studies have found evidence of inflammation and injury in the brain, but not evidence of the virus itself, however, research is still ongoing.

"There are theories, and some papers have been published that are early and not yet definitive, discussing the possibility of antibodies directed against other parts of patient’s bodies, autoimmune antibodies, that could play a role in Long COVID and be explaining why, in the absence of the virus itself, people continue to have months or even years of symptoms." — Dr. Jason Maley

Connect with Dr. Jason Maley:

Professional Bio: https://connects.catalyst.harvard.edu/Profiles/display/Person/160605

Twitter: https://twitter.com/jhmaley?lang=en

LinkedIn: https://www.linkedin.com/in/jason-maley-b2486786

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Some people live more than a hundred years with no health problems and very little cognitive decline. How come? While healthy lifestyles certainly play a part in healthy aging, these “centenarians” share a number of special biological attributes. Furthermore, these attributes, along with attaining an age of 100 or greater, show a strong genetic component. Dr. Stacy Andersen of the Boston University School of Medicine has been studying these centenarians and the factors that are associated with not only their attaining an advanced age, but doing so with no history of major physical or mental health problems. In her interview, Dr. Andersen discusses what she and her colleagues have discovered about this unusual group of older people.

Key Takeaways:

  • Centenarians are people who have reached 100 years of age, while “supercentenarians” are 110 and older.
  • Recent studies of these groups of adults reveal that during their lives they have “escaped” the diseases such as cancer, cardiovascular problems, dementia, and diabetes that cause earlier mortality among adults born at the same time.
  • Dr. Anderson discusses her work on the genetic bases for being an “escaper”, as well as the lifestyle and personality characteristics they have in common.

"The older you get, the healthier you’ve been." — Dr. Stacy Andersen

Connect with Dr. Stacy Andersen:

BUMC Bio: profiles.bu.edu/Stacy.Andersen

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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The last decades have seen a continuing rise in really serious and often fatal health problems. The list is long: cancer, heart disease, diabetes, infertility, autoimmune diseases, autism, just to name a few. While vulnerability to disease often has an underlying genetic predisposition, there have to be environmental triggers to set these diseases in motion. In this episode, Therese Markow and Dr. Aly Cohen discuss just these topics and what we can look for on a daily basis, as well as the small changes that we can, individually, do to make our lives a little healthier.

Key Takeaways:

  • It's estimated there are about 95,000 chemicals available on the US market for everything we use from cleaning products, makeup, and everything we use.
  • The US has only banned 5 chemicals since 1976. European countries have banned around 1200, on average.
  • There are resources out there to help you to vet the products you are using in your life such as The Environmental Working Group and Skin Deep Database.

"The goal is less is more - use fewer products, the products that you use, if you want to use them, just vet them." — Dr. Aly Cohen

Connect with Dr. Aly Cohen:

Website: https://thesmarthuman.com/

TedTalk: https://www.youtube.com/watch?v=HSCeP0hyuTI

Show: https://thesmarthuman.com/podcast/

Twitter: https://twitter.com/TheSmartHuman

Facebook: https://www.facebook.com/TheSmartHuman

YouTube: https://www.youtube.com/channel/UCb6NhglVIu6ruM19QNhpJDw

LinkedIn: https://www.linkedin.com/in/aly-cohen-md-facr-0b570749/

Instagram: https://www.instagram.com/thesmarthuman/

Book: https://thesmarthuman.com/dr-aly-cohen-and-dr-fred-vom-saals-new-book-available-now/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Should everyone go to college? Well, for years, this was considered an important goal in life - a college education. The idea being that with a college degree, a better paying job would result. There are so many college majors from art to business to engineering to language arts, among others. How does one know, besides what they happen to be interested in, if the degree they get is actually going to yield the expected employment benefits? In this episode, Therese Markow and Dr. Richard Phelps discuss what a college degree signals to employers, inefficiencies in the current US elementary and secondary school systems, the struggle that today’s school counselors have with traditional career guidance, as well as looking at how college systems work in the United States and around the world.

Key Takeaways:

  • On average, college grads have higher lifetime earnings than non college grads, but there is overlap. Certified technicians in robotics or computer numerical controlled machining probably have higher lifetime earnings on average then college grads who majored in poetry or fabric art.
  • Shorter programs can provide a career credential to students who would otherwise drop out with nothing to show for their time served
  • The best career tech programs are found where career tech courses are offered in dedicated regional vocational schools. This can vary from state to state are more easily done in states, such as in the Northeast, where there is a denser population of students.

"Supporters of the one size fits all US system, often label the European and East Asian systems as elitist...And they'll say that our system is a more democratic Second Chance system. That contrast may have been valid 67 years ago, but I don't think it is anymore." — Dr. Richard Phelps

Connect with Dr. Richard Phelps:

Twitter: @RichardPPhelps

Website: RichardPhelps.net & NonpartisanEducation.org

Research Gate: Richard P Phelps

SSRN Scholarly Papers: Richard P. Phelps

Academia: Richard P Phelps

LinkedIn: Richard P Phelps

LinkedIn Learning: Richard P Phelps

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow answers questions from the listeners! Today, she discusses why you can sell plasma or semen, but not something like a kidney. She also talks about the current hot topic of inflammation, including chronic inflammation, and what is and is not, and reminds us all, that knowledge is power for a healthy life.

Key Takeaways:

  • It's illegal in the United States to sell a kidney. Laws against kidney selling are designed to keep you healthy, and to keep economically disadvantaged people from being exploited.
  • Data from a large number of studies suggests that over time, chronic untreated, internal inflammation can lead to many serious age related diseases, not just heart disease and cancer, but also neurodegenerative conditions such as Alzheimer's and Parkinson's diseases.
  • Knowledge is power - if you think it is inflammation, get tested and you will know rather than potentially treating yourself for the wrong thing.

"Knowledge is power. While there are many benefits to avoiding so called inflammatory foods, and to taking some supplements that may appear to reduce inflammation, it's better to find out if you have inflammation and, if you do, what's causing it." — Therese Markow, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Dr. Therese Markow talks with psychiatrist and researcher Dr. Daniel Blumberger about depression that does not respond to medications and behavioral cognitive therapy. Approximately one third of patients suffering from major depression are “Treatment Resistant”.

Fortunately, there are a range of brain stimulation techniques that help the majority of these patients. Electroconvulsive therapy or ETC, has evolved into a much more benign procedure than depicted earlier in movies and has the best outcomes in patients with major depression. New techniques, involving stimulation of the brain magnetically, such as Transcranial Magnetic Stimulation (TMS) also can be effective and are being refined for broader use. Depression is a serious and sometimes fatal disease, and there is hope for those resistant to pharmaceutical approaches.

Key Takeaways:

  • Major Depressive Disorder, or MDD, is a debilitating disorder that can be fatal
  • About a third of those suffering from MDD, do not respond to. pharmaceutical treatments.
  • The majority of these patients benefit from ECT, which now has been greatly improved.
  • A newer group of brain treatments, using magnetic stimulation, also are useful for Treatment Resistant Depression.
  • Sufferers should ask their physicians about access to these non-pharmaceutical treatments.

"It is very important to intervene early when someone isn’t responding to medication. The more treatments that someone doesn’t respond to, the less likely that they will respond to each subsequent course of treatment. The longer things linger, the harder it is to get someone better." — Dr. Daniel Blumberger

Connect with Dr. Daniel Blumberger:

CAMH Profile: Dr. Daniel Blumberger

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

Daniel Blumberger

Date of appointment May 8, 2020

Date created May 3, 2020

Critically Speaking Guest Interview

https://app.acuityscheduling.com/schedule.php?owner=16987289&action=appt&id%5B%5D=29e531037007b14b2f367229a9f7cb65

Name: Daniel Blumberger

Phone: (415) 535-8501

Email: daniel.blumberger@camh.ca

Guest Intake Form

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Provide a link to your website or online professional profile/bio: https://www.camh.ca/en/science-and-research/science-and-research-staff-directory/danielblumberger

Provide any links to social media or publications such as articles or books you would like to share with the audience.:

Please provide your professional affiliation and areas of expertise and you would like it to appear in our show notes.: Medical Head and Co-Director, Temerty Centre for Therapeutic Brain Intervention at the Centre for Addiction and Mental Health

Associate Professor in the Department of Psychiatry at the University of Toronto

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By selecting yes, you grant permission to Therese Markow to record the interview, post content on the internet obtained during the interview, and promote the content. Once published, any editing will not be possible.: yes

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With up to 1 in 5 people having dyslexia, dyslexia impacts people every single day. In this episode, Therese Markow and Lorraine Hightower discuss what distinguishes dyslexia from other learning disabilities, how to identify and diagnose dyslexia, as well as the impact that dyslexia has on not only individuals, but also society as a whole. As a dyslexia advocate, Lorraine Hightower has spearheaded movements to identify kids with dyslexia early, to advocate for them within the educational system, and help parents of dyslexic kids navigate their journey. This ultimately allows for kids to reach their full potential and avoid unfortunate outcomes as they become adults.

Key Takeaways:

  • Dyslexia is neuro-biological and is genetic in origin. It can often be identified even before kindergarten, though is more often identified in early elementary.
  • Dyslexia impacts different individuals in different ways and the severity can vary wildly.
  • When given appropriate interventions or taught reading differently, the outcomes can be very positive for students with dyslexia.

"When these children are not taught how to read in our public school systems, the consequences extend well beyond this one individual and it does become a societal problem as well." — Lorraine Hightower

Connect with Lorraine Hightower:

Professional Bio: https://www.lorrainehightower.com/lorraine

Website: https://www.lorrainehightower.com/

Facebook: https://www.facebook.com/LorraineMHightowerLLC/

LinkedIn: https://www.linkedin.com/in/lorraine-hightower

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. David Beversdorf discuss what exactly autism is, the theories of the causes of autism, and what we do know from research of autism. Numerous non-evidence based cures for autism are becoming more common and understanding the facts of autism is becoming more critical. In this discussion with Dr. Beversdorf, we will understand more about what is autism, what are the symptoms, who first discovered it, what really causes it (and what doesn’t), and what effective treatments may be out there.

Key Takeaways:

  • Vaccines do not cause autism. We do know there is a genetic component and several environmental factors that appear to be important.
  • There is a variability aspect of autism. It may be extremely important to be able to track patients to see what they respond to in treatment research to see why and how they are responding.
  • Without more research, we will not be able to create personalized treatment plans for the bio markers. There are a number of organizations around the world that working to achieve this research, which is where the answers will be coming from.

"Two, almost opposite biological aspects, could even be coming to this final common pathway of repetitive behaviors. If you blindly target the repetitive behaviors with a drug, without being aware of this biology, you will get nowhere, because one will get better and one will get worse." — Dr. David Beversdorf

Connect with Dr. David Beversdorf:

Professional Bio: Dr. David Beversdorf

Twitter: @MU_CogNeuroLab

Facebook: MU Cognitive Neuroscience Laboratory

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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The last few decades have been filled with confusing information about women's hormones and what's happening with them across a woman's lifetime. How early are male versus female hormones produced? How birth control pills modify hormones and related metabolic processes? What about hormones and postmenopausal women? In this episode, Therese Markow and Dr. Felice Gersh discuss these questions and more. As an OBGYN and a dual certified integrative gynecologist, Dr. Gersh shares information on the effects of hormones in female puberty, the rise of acne as a disease of western, modern society, and the importance of menstrual cycles as a sign of underlying health conditions.

Key Takeaways:

  • From 12 weeks gestation, the placenta produces the hormones of embryonic formation.
  • The menstrual cycle is a vital sign of reproductive age, female health - like blood pressure, vital signs, weight, or temperature. How well the menstrual cycle of a young, reproductive aged female is functioning is a vital sign of her underlying health status.
  • In postmenoposal women, if we give estrogen vaginally, we can help both the bladder and the vagina to be significantly more functional and healthier.
  • In menopause, all estrogen should be given transdermally.

"You need hormones, and you need them in the beautiful rhythms and the right amounts that nature was designed to give us in order for a proper development and functioning." — Dr. Felice Gersh

Connect with Dr. Felice Gersh:

Professional Bio: https://integrativemgi.com/about-dr-felice-gersh/

Website: https://integrativemgi.com/

Twitter: https://twitter.com/DrFeliceGersh

Facebook: https://www.facebook.com/IntegrativeMGI/

LinkedIn: https://www.linkedin.com/in/felice-gersh-md-b0422b13/

Instagram: https://www.instagram.com/dr.felicegersh/

Book: PCOS SOS: A Gynecologist's Lifeline To Naturally Restore Your Rhythms, Hormones, and Happiness

https://www.amazon.com/Pcos-SOS-Gynecologists-Naturally-Happiness/dp/1911443119/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. Cheryl Hawkes discuss the increasing scientific evidence that maternal obesity affects the developing fetal brain. While many of the effects manifest early, in infant temperament and childhood cognitive (IQ) decrements, other effects do not show up until years later, in adult psychiatric and neurodegenerative problems. The physical bases for these changes in fetal brains also are clearly evidenced in laboratory model systems, such as mice, where the maternal diets can be controlled and the offspring not only can be given behavioral tests, but their brains can be dissected to reveal the changes in the blood vessels caused by obese mothers.

Key Takeaways:

  • Children born to obese mothers have lower IQs and poorer motor, spatial, and verbal skills.
  • Mice and rodents have similar brain development to humans, which is why rodent study models are so beneficial to science.
  • Brain maturation takes many years. Your brain is fully formed at birth but continues to mature and change into your mid-twenties.

"Because of the rise in obesity globally, a lot of people have started to look, rather than looking at famine…, to now shift our attention to looking at the long-term effects of obesity because 30% of women around the world, over the age of 18, are now considered to be obese." — Dr. Cheryl Hawkes

Connect with Dr. Cheryl Hawkes:

Lancaster University Profile: Dr. Cheryl Hawkes

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow discusses where the safest seat is on an airplane (and what safety means in different contexts). She passes on the current recommendations for reducing COVID exposure as well as the safest seat in different types of plane crashes.

Key Takeaways:

  • There is a difference between safety from COVID-19 and in a crash.
  • There is some reduction in risk of infection by sitting by the window if you are sitting in economy. Wear your mask.
  • Go to the bathroom before you fly so you don’t have to get up and expose yourself to more people.
  • Exit proximity and fitness are important factors in surviving a plane crash.

"For both issues, avoiding COVID and having the highest survival after a crash, the safest seats seem to be the window seats at the exit row." — Therese Markow, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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We've all either heard about, or know, someone whose home is filled with things they have no use for, but won't, or can't, discard. When taken to the extreme, this is a part of hoarding disorder. While hoarding is a word that is thrown around in our common vernacular (such as people hoarding toilet paper early in this pandemic), there is more to hoarding than what most people know. In this episode, Therese Markow and Dr. Mary Dozier discuss what hoarding is, how it can manifest itself, and what we currently know about hoarding disorder.

Key Takeaways:

  • Unlike many psychiatric disorders, hoarding disorder actually tends to worsen as we get older.
  • People tend to hoard the same things that most people hold on to, just in greater quantities.
  • One of the primary reasons that people seek out treatment is often that people want to be able to have other people to their homes.

"Having attachments to objects, by itself, isn't necessarily problematic. The problem begins when the attachment is so great, and the number of objects is so many, that the individual is unable to go about their daily lives." — Dr. Mary Dozier

Connect with Dr. Mary Dozier:

Professional Bio: psychology.msstate.edu/people/mary-dozier

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Not all animals see colors the same way we do. Some have less ability to see color and others have better color vision. Color vision will likely fit with the fitness of a particular species. Can they recognize other members of their group? Can they avoid predation? Is their feeding specialized on particular flowers or colorful insects? We talk about these questions today.

Key Takeaways:

  • Color detection depends on the number and types of cones in the eye, while rods detect movement.
  • Dogs and bulls, having only two types of cones as opposed to three in humans, see as if they were a color blind person.
  • The bright green or red toys we buy for a dog are more for us to find the toy than the dog. The red cape is not what makes the bull charge.
  • Some birds have four cones and can see at different wavelengths and can see below the ocean surface

"Animals see colors if it is important to them for their survival and reproduction - in other words, to find food, to detect, avoid, or fool predators, as well as in courtship rituals." — Therese Markow, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Most organisms have ways to fix a wound. But what about regenerating missing tissues or limbs after that wound has healed? What about crippling spinal cord injuries? Well, today we'll hear about the process of wound healing and subsequent regeneration, and how findings in lower organisms can help us to understand and enhance regeneration in humans. In this episode, Therese Markow and Dr. Karen Echeverri discuss what happens when you get a wound, the role the immune system plays in regeneration, and the difference between vertebrate and invertebrate regeneration. They also discuss how regeneration shows up differently in axolotls, zebrafish, and even humans.

Key Takeaways:

  • The axolotl is the champion of regeneration - it can regenerate portions of internal organs, tail, and lesions in the brain and spinal cord.
  • The amount of regeneration time is in proportion to the size of the animal.
  • Understanding the different mechanisms of regeneration in various animal species is the key to developing effective treatments for these serious human injuries.

"Our highest regenerative ability is, when we're youngest, so young babies have the highest regenerative potential. There is some evidence that very young children can regenerate the partial digit tip. As the child grows older, and again, their immune system becomes more developed, they also lose that regenerative ability." — Dr. Karen Echeverri

Connect with Dr. Karen Echeverri:

Professional Bio: http://www.neuroscience.umn.edu/people/karen-echeverri-phd

LinkedIn: https://www.linkedin.com/in/karen-echeverri-4a837514

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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While many of us are familiar with detection dogs, whether working with first responders, military units, in airports, or even just in movies, canine detection is also expanding and evolving into medical detection. But what, exactly, makes a dog good in detection, and how do they do it? In this episode, Therese Markow and Dr. Paul Waggoner, of the Auburn University Canine Performance Sciences Center, discuss these questions and many more.

Key Takeaways:

  • Not all dogs make great detection dogs, although all dogs have greater olfactory detection abilities than humans.
  • Dogs are unique in their social affinity with people because they have coevolved socially with people. This makes them easier to train.
  • Detection dogs keep us safe from many dangers.
  • A well trained detection dog can be very expensive and their handler must be trained as well.
  • In using dogs for medical detection training, the challenge is to maintain a dog’s ability to distinguish between the cancer scent and the odor associated with the particular individuals.

"What tends to separate dogs that are capable of detection work and those that are not, is a history for what they've been selectively bred for hundreds of years to do." — Dr. Paul Waggoner

Connect with Dr. Paul Waggoner:

Canine Performance Sciences: https://www.vetmed.auburn.edu/research/cps/

Research Gate: https://www.researchgate.net/profile/L-Waggoner

Donate to Canine Performance Sciences: www.vetmed.auburn.edu/research/CPS or https://www.auburngiving.org/ designating the gift for CPS.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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When most of us think of climate change, we think of global warming - that everything's getting hotter. We also know that this is a simplification. Other climate features, like rainfall and humidity, change as well. While the term global is used, there's considerable variation from one geographic area to another with respect to what kinds of changes are happening. An important, but often overlooked, aspect of climate change is its influence on infectious disease. In this episode, Therese Markow and Dr. Luis Escobar discuss what these diseases are, how we can see a growth in the bacteria that are directly influenced by climate, and how different elements play a role in the rate and spread of these diseases.

Key Takeaways:

  • We know that there are many types of bacteria that are directly influenced by climate because when temperature in the water increases, the number of bacteria increases.
  • We can use chlorophyll to measure the changes in the color in the oceans, lakes, or rivers. We can use satellite data to track changes in chlorophyll which is important as climate change is occurring globally.
  • The distribution of disease vectoring insects and their pathogens changes with global warming.
  • Climate, local policy, and culture can all play different roles in how disease spreads and grows throughout the world.

"Mosquitos are the most lethal animals and kill more people than any other animal in the world. Mosquitos transmit many diseases, including malaria, dengue, West Nile, yellow fever, zika, chikungunya, and filariasis." — Dr. Luis Escobar

Connect with Dr. Luis Escobar:

Professional Bio: https://www.globalchange.vt.edu/dr-luis-escobar/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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No one likes to be lied to. And most folks would love a quick method to detect if somebody lied to them. But it's not so simple. In this episode, Therese Markow and Dr. Mark Frank, a specialist in non-verbal communication and the department chair and a professor at the University of Buffalo, discuss the many aspects of lying. They talk about lies versus deception and how the definition of the rules of deception can change by culture. They also discuss lying in interpersonal relationships and in the criminal justice system (including what makes an effective interrogator), and how managing emotions and credibility plays a role in lying.

Key Takeaways:

  • A lie is a deliberate attempt to mislead without prior notification.
  • Without understanding someone’s baseline, it is harder to notice deviations in behavior that may indicate a lie.
  • Depending on how you look, juries (and other individuals) may be more likely to believe you are guilty of an action.
  • Good interrogators tend to be good rapport builders

"There is no such thing as a pinocchio response. There is no human response that is exclusive to deception." — Dr. Mark Frank

Connect with Dr. Mark Frank:

Professional Bio: http://www.buffalo.edu/cas/communication/faculty/frank.html

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Most people use their right hand to perform various tasks like eating, writing, playing sports. But there's also a minority of people who primarily use their left hands for these things. Why are left-handed people left-handed? Is it genetic? Are their brains different? Are they smarter? Do they live longer or die earlier? Well, there's a lot of information about left handers circulating in social media, especially making all kinds of claims about left handed people. In this episode, Therese Markow and Dr. Clare Porac, one of the world’s experts in handedness, answer these questions. Dr. Porac has extensively studied a range of different aspects of handedness and lateral reality reflected by her several 100 academic publications and two books.

Key Takeaways:

  • There are worldwide variations on handedness because there are cultural variations on handedness. Worldwide, there is about a 10% rate of left handedness.
  • When it comes to fetal thumb sucking, right thumb suckers tend to be right handed. Left thumb suckers do not have a correlation to handedness.
  • If you want to switch your handedness, it takes practice, but it is possible to at least achieve a level of the other handedness.
  • Do you really think left handers are more intelligent? Live longer?

"The incidence rate of pure left-handers, people who do everything with their left hand, is really quite low, probably below 5% of the population. Most left handers do something with their right hand. That could be because, their lateral reality is more fluid, since they are not strongly right-handed. Or it could be because they're adapting to a right handed world." — Dr. Clare Porac

Connect with Dr. Clare Porac:

Professional Bio: https://behrend.psu.edu/person/clare-porac-phd

Twitter: https://twitter.com/hilefthander?lang=en

Facebook: https://www.facebook.com/4lefthanders

Book: Laterality: Exploring Left Handedness https://www.amazon.com/Laterality-Exploring-Left-Handedness-Clare-Porac/dp/0128012390

Book: Lateral Preferences and Human Behavior https://www.amazon.com/gp/product/B00FB3D6WK/ref=dbs_a_def_rwt_bibl_vppi_i2

Book: In Strange Places

https://www.amazon.com/gp/product/B091B77337/ref=dbs_a_def_rwt_bibl_vppi_i1

Blog: https://sites.psu.edu/clarep/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. James Alcock discuss what near death experiences are and the increase of them in recent years due to improvements in medical technology. While near death experiences (NDEs) have been known about for a long time, we, as a scientific community, are starting to understand more about what they mean for neurological processes. However, despite knowing the science of what is happening, NDEs and how they are experienced are subject to one’s own beliefs, context, and even religious framework. Dr. Alcock and Therese also discuss the the relationship between near death experiences, hallucinations, and even reactions to various drugs and how they create powerful subjective experiences.

Key Takeaways:

  • In surveys taken in the United States, about 3% of people have reported having near death experiences. This number can be difficult to assess as they are based on memory and the surveys are taken, sometimes, years after the incident in question.
  • It is difficult to prove the near death experiences in research studies due to the subjectiveness of what is being perceived.
  • Even with the science that we do know, those who have near death experiences (including neurologists who have studied the brain) report the reality of the feelings and perceptions that are felt in these experiences.

"Context is important. Our interpretation is important. And it's very difficult, if not impossible, for any individual to distinguish between reality and subjective fantasies in those situations." — Dr. James Alcock

Connect with Dr. James Alcock:

Wikipedia Page: James Alcock

Book: Belief: What it Means to Believe and Why Our Convictions are so Compelling

Magazine: Skeptical Inquirer

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Many people were out of work for a year or more owing to the pandemic. Now they are looking for work and are concerned about the health risks associated with various employment opportunities. In today’s episode, Therese Markow answers listener questions regarding occupational cancer risks. She discusses the types of occupations that can expose individuals to the cancer causing substances, and what we can do to try and minimize our risks.

Key Takeaways:

  • Radiation, chemicals, and viruses can all cause cancer.
  • Be aware of the potential radiation risks in your work environment and take the precautions that are needed whenever possible.
  • There are many types of volatile organic compounds or VOCs. But particular careers are associated with higher exposure to carcinogenic VOCs. If one works in one of those sectors, there are precautions to take to reduce risks.

"We've all been through so much in the last year with the pandemic. Let's be aware of where other risks linger as we go back to the workplace, wherever that may be." — Therese Markow, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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The obesity epidemic in the US and elsewhere shows no signs of abating. Overweight and obese people now make up more than half of the people in the United States. Everywhere you look, people are large, like it's the new normal. Yet the costs of health problems associated with obesity are huge, and numerous, ranging from hospitalization and medicines to absenteeism at work. Also, it doesn't help when advertisements and beauty contests targeting overweight or obese women, especially, are more and more prevalent. What kind of message does that sound? In this episode, Therese Markow and Dr. Walter Willett discuss this epidemic, the marketing behind many of the poor food choices made by the general public, and how all sectors of society need to be involved in creating a healthier population.

Key Takeaways:

  • A lot of the obesity epidemic gets it starts in early childhood, and children continue to get more and more obese as they get older. They're victims of a society that is pushing through very sophisticated kinds of marketing of unhealthy foods that shorten the lives of people who consume them.
  • Even before the pandemic, life expectancy has actually decreased in the United States and we have fallen behind many other developed countries.
  • The real costs to many of these value added foods are the health cost of the consumers, especially kids, and the habit that gets developed and continues on into adulthood.

"What we really need to do is make SNAP better for the participants, and that will be better for everybody. Our whole society does depend on having a healthy population." — Dr. Walter Willett

Connect with Dr. Walter Willett:

Professional Bio: hsph.harvard.edu/walter-willett

Book: amazon.com/Eat-Drink-Be-Healthy-Harvard/dp/0743266420

Book: amazon.com/Eat-Drink-Weigh-Less-Delicious/dp/1401308929

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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We’ve been hearing more and more in the news about murder hornets, but we haven’t been hearing too much about the details of these insects. Where did they come from? Who do they kill? Where do they live? How big are they? What are the risks of these murder hornets? In this episode, Therese Markow and Dr. Ed Vargo discuss these questions and more. Bees, wasps, and hornets are all part of the same insect order, hymenoptera, but there are thousands of different species, both social and solitary of these insects. Dr. Vargo breaks down some of the differences and talks about the risks of the murder hornets and what we can do against them.

Key Takeaways:

  • Solitary wasps tend to be non-aggressive, they want to be left alone. Social wasps, that live in colonies, can be more aggressive as they are protecting their nests. All hornets are social and live in colonies.
  • Unless you are very allergic, it takes 30-50 stings to kill a human being.
  • While it is unlikely we will be able to eradicate the murder hornets in North America, by making ourselves aware, we might be able to slow their spread.

"All wasps are predators that feed their brood, the developing larvae, prey, usually in the form of arthropods. They go out and they hunt, and they kill and eat." — Dr. Ed Vargo

Connect with Dr. Ed Vargo:

Professional Bio: Texas A&M University: Urban and Structural Entomology Program at Texas A&M University

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Obesity and its accompanying health problems clearly are associated with overeating, especially of high sugar and fatty foods, and a sedentary lifestyle. But it turns out that while we need to be careful with respect to what we eat, when during our waking hours we are eating also has a significant effect on weight gain and general health. The same amount and types of calories can have vastly different health effects depending upon when they are consumed. The light-dark cycle influences our sleep wake circadian rhythm, but the time of day we eat controls another metabolic circadian rhythm. Today we talk with a discoverer of this eating-mediated circadian rhythm, Dr. Satchin Panda of the Salk Institute in La Jolla. Dr. Panda has laid this system out for us in his book, “The Circadian Code : Lose Weight, Supercharge Your Energy, and Transform Your Health from Morning to Midnight.”

Key Takeaways:

  • The same amount of calories consumed throughout the day leads to more weight gain that does eating them meals within a 10 hour time frame.
  • This is called time restricted eating or TRE.
  • In addition, a number of health indicators are better with TRE, leading to reduced risk for diabetes, heart disease and stroke.
  • Consuming ice cream before bed, or raiding the refrigerator in the middle of the night, are among the worst practices. Better to have the ice cream earlier in the day.

"The field of nutrition science, over the last 100 years, has verified and validated that the quality and quantity of nutrition are extremely important for health. And now this new concept also tells us that the timing of food is equally, or even more, important." — Dr. Satchin Panda

Connect with Dr. Satchin Panda:

Professional Bio: salk.edu/scientist/satchidananda-panda

Website: panda.salk.edu

Book: amazon.com/Circadian-Code-Supercharge-Transform-Midnight/dp/163565243X

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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When we hear the term Post Traumatic Stress Disorder, often the image of a combat veteran comes to mind, but a relatively new field is emerging - that of pediatric PTSD. This is a field of growing importance as we recognize that traumatized youth need treatment for this. Spearheading research in this area is Dr. Ryan Herringa. In this episode, Therese Markow and Dr. Herringa discuss the history of PTSD, how it often manifests in both adults and children, as well as the types of traumas that can cause pediatric PTSD. They also discuss the long term implications and risks for pediatric PTSD, as well as the structural and functional changes to the brain due these lingering traumas.

Key Takeaways:

  • Development will have an impact on how PTSD is expressed in kids.
  • Parents, caretakers, and teachers are more likely to notice PTSD in the children in their lives.
  • There is increasing recognition and awareness of pediatric PTSD, however, there is more work to be done in being able to train people to administer therapies, to pick up on PTSD, and have systems that will be able to reach all of these kids.

"Any type of trauma that involves the potential for serious injury or threat of life, in oneself (in the child) or, potentially, to someone else (such as a loved one or family member) can cause PTSD in a child." — Dr. Ryan Herringa

Connect with Dr. Ryan Herringa:

Professional Bio: psychiatry.wisc.edu/staff/herringa-ryan

LinkedIn: linkedin.com/in/ryan-herringa-b2a31320

BRAVE Research Center: brave.psychiatry.wisc.edu

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Breast cancer is on the rise, especially in women under 40. This is pretty scary and the increase points to something environmental. In today’s episode, Therese Markow and Dr. Kris McGrath talk about one of these environmental factors and how our individual underarm hygiene may play a role in our risk for breast (and prostate) cancers earlier in life. Dr. McGrath has had a long time interest in this trend and they discuss some of his work on the relationship between underarm shaving and the use of deodorants and antiperspirants.

Key Takeaways:

  • The majority of breast cancer is environmental or lifestyle. Only 5-10% of breast cancer is due to genetic causes. So what are the factors?
  • Both breast cancer and prostate cancer are hormone-driven cancers.
  • More research needs to be done, but there already is a significant and scary relationship between underarm hygiene and beast and prostate cancers.

"In my paper, I showed that the earlier you began underarm habits, shaving your underarm and applying antiperspirant deodorant three times a week or more, the diagnosis of breast cancer began at a younger age, especially if you started using these products before the age of 16." — Dr. Kris McGrath

Connect with Dr. Kris McGrath:

Professional Bio: feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=15819

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Audience questions answered

  1. Why are some people attacked by mosquitoes, while people sitting next to them aren’t bothered? This question, from Neil in Jupiter, Florida is something people wonder about. Mosquitoes are attracted to CO2 as well as body odors. Supposed remedies, like taking B vitamins or eating garlic, lack scientific evidence to back them up. The differences between people are largely genetic. Identical twins exhibit highly similar attractiveness or unattractiveness while fraternal twins do not. Now, to find the genes underlying these differences in hopes of using them to protect people. Pregnant women and people with obesity seem to be more attractive to mosquitoes, as are people who have had a beer.

  2. How come some vertebrates, like salamanders, can regenerate an arm, while other vertebrates, like humans, can’t? From Jocelyn in Edmonton, Canada…..good question and an area of intensive investigation. Regeneration is a complex process, involving many genes and their regulation. In some cases, we do have the same genes that allow amphibians to regenerate but they have been turned off or modified such that they don’t allow regeneration. In other cases, some of the genes involved in regeneration have been lost over evolutionary time. Keep listening because in the future we will have an entire episode dedicated to regeneration.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Most of us take for granted that the seafood we eat is healthy and better for the atmosphere. But there are hidden costs in our increasing consumption of seafood that we don’t see. Why? Because these costs are accrued on the high seas and under the sea, where few journalists endeavor to cover them. Sea slavery, overfishing, pollution, and loss of revenue for people already struggling to make a living are extensive, but not well known. Pulitzer Prize-winning New York Times investigative reporter Ian Urbina has seen these horrors firsthand and talks with us today about his book “The Outlaw Ocean” and his foundation of the same name.

Key Takeaways:

  • Approximately 50 of our seafood is farmed, and the other 50 percent arrives to consumers via practices involving human abuse and serious environmental damage.
  • Much of the farmed fish eat fish-meal that is derived from massive overfishing of fish less desirable for eating (but nonetheless ecologically important) and other species, such as whales, sharks, turtles) caught up in the fishing process. Cooked, ground up, and used to feed the farmed fish.
  • We tend to think about greenhouse gases as being the driver of global change, but these practices are wreaking severe havoc on the planet, underwater.
  • Human abuse and slavery are often involved in the fleets that harvest from the sea. Invisible people, disposable people.
  • Because all of the above take place out of sight, the damage usually goes unseen for lack of journalistic coverage. It’s expensive to document but critical that it’s brought to light.

"There is a dark irony to aquaculture and raising fish on land and in pens. It was meant, and supported for many years by environmentalists, as a way to slow the rate of depletion of the wild fish. Now, because those aquaculture fish are being fed pelletized wild-caught fish, it's actually speeding up the rate of ocean depletion." — Ian Urbina

Connect with Ian Urbina:

Twitter: twitter.com/ian_urbina

Facebook: facebook.com/IanUrbinaReporter

Website: theoutlawocean.com

Book: theoutlawocean.com/book

YouTube: youtube.com/channel/UCykiIhv2wP4-BftEiKb241Q

Instagram: instagram.com/ian_urbina

Subscribe to The Outlaw Ocean Project News Letter: http://urbina.io/3th01mf

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, we welcome back Dr. James Alcock to the show, this time, he is here to discuss the paranormal and parapsychology. Throughout their discussion, Therese Markow and Dr. Alcock explain what is meant by paranormal, different types of supernatural phenomena and paranormal abilities, and the types of experiments that attempt to prove these abilities exist. There is a long history of paranormal beliefs that has evolved throughout the years, culminating in what we now call parapsychology.

Key Takeaways:

  • Despite the lack of scientific evidence that paranormal phenomena are real, it is difficult to convince those who want to believe because it is impossible to prove a negative. For example, How can you prove that Santa Claus doesn’t exist?
  • No universities in the USA or Canada have a department in parapsychology. In some schools courses in parapsychology are offered..
  • Statistics cannot give causation, they can only say when there is a significant departure from what you would expect by chance. In the case of parapsychology experiments, statistical evidence falls short.

"There's no other area of science where the phenomena are based on negative definitions." — Dr. James Alcock

Connect with Dr. James Alcock:

Wikipedia Page: James Alcock

Book: Belief: What it Means to Believe and Why Our Convictions are so Compelling

Magazine: Skeptical Inquirer

Link to relevant article: https://urldefense.com/v3/__https://skepticalinquirer.org/__;!!Mih3wA!RHu5rIp1RgLXolzIlcKGsg5PlFaPu1afl6y6NJJWumPGtrUUz1HnNCeN6a9S9Jo$

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Dr. Adam Schiavi is an assistant professor of anesthesiology and critical care medicine and neurology at the Johns Hopkins University School of Medicine. His areas of clinical expertise include anesthesiology, neurological critical care, disorders of consciousness and brain death diagnosis, clinical ethics, critical care medicine, and traumatic brain injury.

In this episode, Therese Markow and Dr. Adam Schiavi discuss how the definition of death has changed throughout history, what the current definition is, and how that is determined by the medical technology of the time. Brain death is the current definition of death, medically, but what happens to a body after brain death is determined can vary depending on the state you live in. This can be a trying time for families and for the providers involved with the now-deceased patient as the definition of death is not understood by everyone. They also discuss how brain death differs from other states of consciousness and how people often confuse the terminology of those different states, as well as the ability to hope for healing from all but brain death.

Key Takeaways:

  • The total cessation of all functions of the brain is the current definition of brain death in the United States. This definition is based on a clinical exam testing all parts of the brain, typically done by somebody certified in doing brain death determinations.
  • You have to have a reason for the neurologic exam to be declining. Without a reason, you can't call somebody brain dead.
  • You can replace every organ in the body, but you cannot replace the brain and when the brain dies, the body dies all the time 100% unless those organ systems are artificially supportive.

"Our culture changes with technology and the way we define death is a part of culture. As that culture has shifted, the way we define death has also shifted with our new technologies of how we can actually determine whether people are dead." — Dr. Adam Schiavi

Connect with Dr. Adam Schiavi:

Johns Hopkins Bio: Adam Schiavi, MD, PhD, MS

Email: aschiav1@jhmi.edu

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Garrett Broad is an Assistant Professor of Communication and Media Studies at Fordham University and the author of More Than Just Food: Food Justice and Community Change (University of California Press, 2016). His research investigates the role of storytelling and communication technology in promoting networked movements for social justice. Much of his work focuses on local and global food systems, as he explores how food can best contribute to improved neighborhood health, environmental sustainability, and the rights and welfare of animals.

In this episode, Therese Markow and Dr. Garrett Broad discuss the emerging culture around cellular meat and the changing space for this product in the marketplace. Therese and Dr. Broad discuss how the animal cells are acquired, the process of growing the “meat" in a lab, and the types of products currently, and possibly in the future, grown in laboratories. They also discuss how food activists can make beneficial impacts on food justice and food sovereignty and change "food deserts" or "food swamps” and the communities in which they are embedded.

Key Takeaways:

  • In food deserts, the problem is the nutritional quality of available foods, as well as the cultural and economic interests of the area.
  • Ground “meat” is the most likely type of food that we are going to be seeing from cell-cultured products, most likely mixed with plant-based products.
  • Cultured animal products have the potential to reduce animal suffering, but the impacts on the planet are not yet certain.
  • Still in development are the specific rules for FDA and USDA oversight of the safety and quality of the cellular products.

"I don’t think there’s any way cell-cultured meat gets to market in any serious way without getting off of FBS (fetal bovine serum)." — Dr. Garrett Broad

Connect with Dr. Garrett Broad:

Twitter: @GarrettBroad

Website: GarrettBroad.com

Book: More Than Just Food: Food Justice and Community Change

Articles: Why We Should Make room for Debate about High-Tech Meat

Plant-based and cell-based animal product alternatives: An assessment and agenda for food tech justice

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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When we hear someone call on the phone, we often recognize them by their voice. They don't even have to announce their name. So what exactly is a voice? How's it produced? Why is your voice different from other people? We take so much for granted about being able to speak and hear that we don't even stop to think about where voices come from what causes the uniqueness of a person's voice. In today’s episode, Therese Markow and Dr. Julie Barkmeier-Kraemer answer many of these questions and so much more.

Key Takeaways:

  • As kids, our voices start out gender-neutral. Kids are smaller so they have really short vocal folds. The tissues don't quite have the differentiation they acquire with use, growth, and time. Girls and boys really change, height and size, similarly up until adolescence.
  • Pitch range is linked to the variable ways in which we grow and our our ultimate sizes. The morphology, so to speak, of our body makeup can predict our pitch and our pitch ranges.
  • What gives us the impression of male or female, however, is word choice. If we are visibly observing that individual there may be body posturing and gestures are mannerisms that we accept as being more masculine or feminine, and speaking style, how we use our pitch and our prosody differently as males and females.

"We commonly think of the primary attribute of being male or female is being pitched, but, actually, there's so much more to it." — Dr. Julie Barkmeier-Kraemer

Connect with Dr. Julie Barkmeier-Kraemer:

Professional Bio: healthcare.utah.edu/fad/mddetail.php?physicianID=u0978011

LinkedIn: linkedin.com/in/dr-julie-barkmeier-kraemer-25879b17

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Over the last few years, a number of colleges and universities have dropped the requirement for all or part of the SAT or ACT exam as part of their admissions requirements. This movement appears to be increasing. It's logical to wonder about the large-scale implications of eliminating the requirement of these tests, the benefits, and the downsides. In today’s episode, Therese Markow and Dr. Richard Phelps, discuss this trend of eliminating standardized tests, the origins of this movement, and the potential consequences we may see as a result of these changing requirements.

Key Takeaways:

  • No college restricts admission decisions to admission test scores alone. They also consider grade point average, your class rank, the historical performance of students from each high school, and the quality and rigor of courses taken. Typically, these factors are given higher priority and admission decisions than test scores.
  • Making test scores optional raises a college's ranking. Once rival colleges eliminate the requirement, a college has little choice but to join them.
  • The less test scores are used in making admission decisions, the more predictive those test scores become, and the less predictive high school grades become because the variance in the ability of the entering students grows and the variance in high school grades narrows.

"College administrators may be reticent to admit they adopted a test-optional policy in order to raise their rankings and increase ethnic diversity, and, coincidentally, lowered their academic standards.." — Dr. Richard Phelps

Connect with Dr. Richard Phelps:

Twitter: @RichardPPhelps

Website: RichardPhelps.net & NonpartisanEducation.org

Research Gate: Richard P Phelps

SSRN Scholarly Papers: Richard P. Phelps

Academia: Richard P Phelps

LinkedIn: Richard P Phelps

LinkedIn Learning: Richard P Phelps

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Postpartum depression is a significant public health concern that affects approximately 10-15% of new mothers. For the most part, societal attitudes toward postpartum depression have changed as the conditions become more recognized. However, not only the mother suffers, but the impact on the infant can also be detrimental and long-lasting. In today’s episode, Therese Markow and Dr. Diane Putnick discuss many of the questions around postpartum depression including: Why do some women suffer postpartum depression and others don't? Will it go away on its own? How long does it last? The answers to these questions are not only surprising but critical to get proper care for the mother and those for the infant as well.

Key Takeaways:

  • There is not great data about who gets treatment for postpartum depression because it's hard to estimate how many women are suffering in silence and never actually get diagnosed.
  • It's really important for people to know that if you're experiencing these long-term symptoms, you're not alone.
  • Research hasn’t shown any evidence that postpartum depression is on the rise. If anything, it actually may be on the decline.

"I think people also confuse the baby blues with postpartum depression. The big difference between the baby blues and postpartum depression is the severity and the persistence of the problem and the symptoms." — Dr. Diane Putnick

Connect with Dr. Diane Putnick:

Professional Bio: nichd.nih.gov/about/org/diphr/officebranch/eb/putnick

Publons: publons.com/researcher/2870386/diane-l-putnick

LinkedIn: linkedin.com/in/diane-putnick-051aa262

References:

Mom’s Mental Health Matters: nichd.nih.gov/ncmhep/initiatives/moms-mental-health-matters/moms

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Infertility issues are on the rise, leading otherwise healthy young couples to seek a form of assisted reproductive technology appropriate for their particular situation. Increasing infertility has been documented for some time. And since it doesn't appear to be slowing down, it's of considerable concern. Is one sex affected more than the other? What are the long-range implications if the trend keeps going? Is it only humans that appear to be affected? And the critical question is why? In today’s episode, Therese Markow and Dr. Shanna Swan, author of the new book Count Down, answer many of these questions, including talking about the types of chemicals and other factors that may be contributing to these infertility issues.

Key Takeaways:

  • The criteria number for good sperm (as indicated by the WHO) has dramatically decreased. There are also other criteria, such as shape, ability to swim correctly, and no chromosomal abnormalities.
  • Male and female infertility is about 50/50 for who is responsible and both should be tested just as often as the other.
  • Newborn babies are being born “pre polluted” with, up to, 100 chemicals.
  • Figure out, if you can, to the extent you can, where your food has come from, and make it as simple as possible because that is what is going into your body.

"I'm convinced that a large proportion of the decline we're seeing is due to chemical exposures, manmade chemicals." — Dr. Shanna Swan

Connect with Dr. Shanna Swan:

Professional Bio: mountsinai.org/profiles/shanna-h-swan

Website: shannaswan.com

Book: Count Down - shannaswan.com/countdown

LinkedIn: linkedin.com/in/shanna-swan-phd-339a4258

Instagram: instagram.com/drshannaswan

Twitter: twitter.com/DrShannaSwan

Reference:

Environmental Working Group: ewg.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Everyone's felt lonely at some point in their lives, but severe and chronic loneliness are different. In fact, loneliness in the United States has reached epidemic proportions, having doubled in the last 50 years, and with severe loneliness comes a range of other health risks. In today’s conversation with Dr. Dilip Jeste, one of the lead researchers at the University of California - San Diego School of Medicine Therese Markow and Dr. Jeste discuss the reasons for this loneliness epidemic, how it affects other aspects of health, and how loneliness affects adults at all age ranges.

Key Takeaways:

  • The scale for loneliness does not contain the word “lonely” in any of the items.
  • Before the 1800s, the word loneliness did not exist. Oneliness was used instead and meant that you could be alone, but you did not feel distressed.
  • In 2016 and 2017, the lifespan in the United States fell for the first time since the 1950s - it was not because of some new cancer, or heart disease, or even infection. It was because of suicides, opioids, and loneliness

"Loneliness is associated with increased risk of physical, mental, and cognitive disorders...if you reduce loneliness, the prevalence of those diseases will fall." — Dr. Dilip Jeste

Connect with Dr. Dilip Jeste:

UCSD Bio: profiles.ucsd.edu/dilip.jeste

Book: amazon.com/Wiser-Scientific-Roots-Wisdom-Compassion/dp/1683644638

Website: wiserthebook.com

TedMed: tedmed.com/speakers/show?id=526374

Compassionate Community Movement: charterforcompassion.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. David Beversdorf discuss what exactly autism is, the theories of the causes of autism, and what we do know from research of autism. Numerous non-evidence based cures for autism are becoming more common and understanding the facts of autism is becoming more critical. In this discussion with Dr. Beversdorf, we will understand more about what is autism, what are the symptoms, who first discovered it, what really causes it (and what doesn’t), and what effective treatments may be out there.

Key Takeaways:

  • Vaccines do not cause autism. We do know there is a genetic component and several environmental factors that appear to be important.
  • There is a variability aspect of autism. It may be extremely important to be able to track patients to see what they respond to in treatment research to see why and how they are responding.
  • Without more research, we will not be able to create personalized treatment plans for the bio markers. There are a number of organizations around the world that working to achieve this research, which is where the answers will be coming from.

"Two, almost opposite biological aspects, could even be coming to this final common pathway of repetitive behaviors. If you blindly target the repetitive behaviors with a drug, without being aware of this biology, you will get nowhere, because one will get better and one will get worse." — Dr. David Beversdorf

Connect with Dr. David Beversdorf:

Professional Bio: Dr. David Beversdorf

Twitter: @MU_CogNeuroLab

Facebook: MU Cognitive Neuroscience Laboratory

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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We've all either heard about, or know, someone whose home is filled with things they have no use for, but won't, or can't, discard. When taken to the extreme, this is a part of hoarding disorder. While hoarding is a word that is thrown around in our common vernacular (such as people hoarding toilet paper early in this pandemic), there is more to hoarding than what most people know. In this episode, Therese Markow and Dr. Mary Dozier discuss what hoarding is, how it can manifest itself, and what we currently know about hoarding disorder.

Key Takeaways:

  • Unlike many psychiatric disorders, hoarding disorder actually tends to worsen as we get older.
  • People tend to hoard the same things that most people hold on to, just in greater quantities.
  • One of the primary reasons that people seek out treatment is often that people want to be able to have other people to their homes.

"Having attachments to objects, by itself, isn't necessarily problematic. The problem begins when the attachment is so great, and the number of objects is so many, that the individual is unable to go about their daily lives." — Dr. Mary Dozier

Connect with Dr. Mary Dozier:

Professional Bio: psychology.msstate.edu/people/mary-dozier

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this culture where dreams and nightmares are such a part of our everyday language, the question becomes, what is dreaming? We all dream, so what does it mean, and how does it impact other areas of our lives, such as our mental health? In this episode, Therese Markow and Dr. Michael Nadorff discuss these questions, as well as diving deeper into the different cycles of sleep, the changes in our dreams and sleep as we age, different types of nightmare therapies, and the relationship between nightmares and suicide.

Key Takeaways:

  • All dreams, good and bad, occur during the REM cycles of our sleep. The amount of REM sleep increases as the night goes on and, consequently, dreams get longer too.
  • Sleep loves the cold. If you fall asleep in too warm of an environment, during REM sleep when your temperature drops, you are more likely to wake up feeling overheated.
  • Having nightmares significantly increased the likelihood of future suicide attempts in those who had previously attempted suicide.

"REM is so important to us that, if you are sleep deprived, your body actually prioritizes REM, and it makes it even that much more intensive." — Dr. Michael Nadorff

Connect with Dr. Michael Nadorff:

Professional Bio: psychology.msstate.edu/people/michael-r-nadorff/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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We all believe in something, from Santa Claus, to the global shape of the earth, to babies needing to be taken care of for survival. While some of our beliefs are intuitive or have evidence, many are not. Sometimes the evidence that we believe to be true is faulty. In this episode, Therese Markow and Dr. James Alcock discuss how these beliefs are built, how we interpret situations to create beliefs, and why we, as a society, have so many common beliefs. As humans, we like to believe we are rational beings, but so many of our beliefs are happening automatically, without our conscious thought or from common teachings that we are all exposed to from those in authority. Therese and Dr. Alcock also discuss further complications regarding belief, such as conspiracy mentalities, imagination inflation, and memory contamination and the role that these elements of complication can play in trying to suss out what to believe in this world full of many shades of gray.

Key Takeaways:

  • We cannot learn everything in one lifetime so, as a society, we come to rely on authorities and shared, inherited beliefs.
  • There is no evidence that people can bury trauma. The problem with trauma is people can’t forget.
  • Due to mental desire to belief and idiosyncratic movements, humans often see things that are “magic” or “unexplainable” due to our own actions.

"The problem is, if we don’t have the capacity and we don’t have the motivation to critically examine the evidence, then we won’t distinguish between evidence that really is factual and evidence which is wrong." — Dr. James Alcock

Connect with Dr. James Alcock:

Wikipedia Page: James Alcock

Book: Belief: What it Means to Believe and Why Our Convictions are so Compelling

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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That gender inequality still exists is no secret. Women continue to be underrepresented in corporate and academic settings. The factors underlying the situation are complex, meaning that it’s not just gender. Women don’t all look alike, some are deemed more attractive than others. Being attractive can be a serious disadvantage for women, but not for men. A new study shows that attractive women are thought by some people to be untrustworthy or deceitful, which can influence job interview outcomes and even promotion and retention. Today, Therese talks with Dr. Leah Sheppard of the Washington State University Carson School of Business about the “Femme Fatale Effect.”

Key Takeaways:

  • Attractive women can be at a disadvantage in the workplace.
  • Men and women observers rated attractive women as less trustworthy and even deceitful, compared to unattractive women.
  • This disadvantage is known as the Femme Fatale Effect.
  • While men may find an attractive woman more desirable as a mate, at the same time they may feel, consciously or subconsciously, that because other men also will find her attractive, she might have more opportunities to be unfaithful.

"It's good to have an awareness of the ways you might come across, but I think everyone has to be true to who they are. You can't live your life just making modifications based on what you think other people are going to be thinking about you. The truth is, everyone has some advantages and some disadvantages in terms of how other people are going to view them." — Dr. Leah Sheppard

Connect with Dr. Leah Sheppard:

Website: DrLeahSheppard.com

LinkedIn: linkedin.com/in/leah-d-sheppard-phd-19a20336

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow responds to questions from two listeners. One listener asked why some vaccines are good for life while others have to be administered annually. Another listener asked if some people have a natural inborn immunity to COVID. In addition to addressing these questions, she also emphasizes the importance of basic scientific research and why it is imperative that scientists from around the world freely share their information with one another.

Key Takeaways:

  • The types of viruses and their mutations affect the type of vaccine that we get and how often we need to get it.
  • Because the COVID-19 virus is so new, we do not have enough information to fully understand the whys and hows of virus action.
  • In all cases a virus must enter the cell in order to replicate and cause illness.. Mutations in the viral genome can enhance or prevent the virus from entering.

"We have to do our part to minimize the risks." — Dr. Therese Markow

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In a world full of media, which may contain misinformation or fake news, there are conspiracy theories abounding. However, conspiracy theories, and the spreading of those theories, is not a new practice, it has been around and transmitting in any way that people communicate. In this episode, Therese Markow and Dr. Joseph Uscinski talk about the origin of conspiracy theories and how these formal theories differ (and are similar) to the fake news and misinformation that fills our media screens today. They discuss some of the earliest US conspiracy theories, as well as some of the more modern ones, and how they are different now, with our current political climate, from what they may have done in the past. They also discuss why people believe these conspiracy theories, as well as why people believe in them, even in the face of refuting evidence.

Key Takeaways:

  • The internet did not introduce the spread of conspiracy theories. They will always be spread in any way that people communicate.
  • Our worldviews impact the media that we access, which then can filter which conspiracy theories we are likely to believe.
  • The two most consistent predictors of those who believe in conspiracy theories are education and level of income.

"Most of the arguments about evidence, really aren’t about evidence - they’re just about subjective judgments about evidence, which gets us away from evidence and gets us back into how people interpret information and what the world views are they bring into interpreting that information." — Dr. Joseph Uscinski

Connect with Dr. Joseph Uscinski:

Twitter: @JoeUscinski

Website: JoeUscinski.com

Books: American Conspiracy Theories & Conspiracy Theories and the People Who Believe Them

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Today’s episode is devoted to answering some questions from listeners. One question has to do with the relationship between environmental factors and risk for multiple sclerosis. On top of this, because of the role of environmental factors in disease risk, we go on to discuss the relationship between environment and breast cancer. Another listener, a recovered COVID19 patient, asked about his risks for getting COVID19 again. So we discuss the growing evidence for re-infection.

Key Takeaways:

  • Two environmental factors are associated with increased odds of developing MS: environment and previous infection by Epstein-Barr virus. This association is statistical and not predictive, nor are the mechanisms by which risk is increased understood.
  • Cases of re-infection with COVID19 are beginning to surface. The implications for the long term effectiveness of antibodies and vaccines are discussed.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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We usually know wisdom when we see it. But how do we define it? What exactly is it?

Today’s guest, Dr. Dilip Jeste, University of California San Diego College of Medicine, a renowned neuropsychiatrist who studies aging, discusses the concept of wisdom and how it relates to aging and age discrimination. His research group has developed an instrument to measure wisdom and he discusses with Therese the regions of the brain where wisdom resides. They also discuss the “Grandmother Hypothesis” and the very solid evidence for the benefits for children and teenagers of having an older adult in the home.

Key Takeaways:

  • Older adults should be valued in the workplace for the stability and judgment they bring and the fact that younger workers learn a lot from participating in a transgenerational workplace.
  • Wisdom is complex and comprised of compassion, empathy, tolerance of diverse views, and the ability to be introspective.
  • Wisdom components reside primarily in the prefrontal cortex and amygdala of the brain.
  • Wisdom can be improved when people learn from their experiences and develop compassion.
  • Dr. Jeste’s new book “Wiser”, which defines wisdom and provides insights as to how we develop wisdom, can be purchased in book stores and various sites such as Amazon.

"For wisdom, one of the most important components of wisdom is empathy and compassion. It is not only useful for oneself, is not only useful for improving your own wellbeing, it is also useful for the society." — Dr. Dilip Jeste

Connect with Dr. Dilip Jeste:

UCSD Bio: profiles.ucsd.edu/dilip.jeste

Book: amazon.com/Wiser-Scientific-Roots-Wisdom-Compassion/dp/1683644638

Website: wiserthebook.com

TedMed: tedmed.com/speakers/show?id=526374

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese and Dr. Michael Metzger talk about various forms of cancer that are contagious, in other words, it can be passed from one individual to another.  More of these are being discovered across a range of animal species. Some of the cases involve vertebrate animals and others, invertebrates such as clams and mussels.  They discuss how the fates of infected individuals vary from resistance to death and the implications for resistance to human cancer therapies.

Key Takeaways:

  • Dogs pass cancer by mating, resulting in tumors in the reproductive tract.
  • Tasmanian Devils pass cancer by biting during fights.
  • In marine mollusks, the cancer is thought to be spread in the water.
  • None of these cancers have been found to pass to humans.
  • The fact that some individuals are resistant, suggests that mechanisms exist which can be exploited in treating human cancers, once resistance is understood.

“We think that, by understanding these really extreme cases of cancer transmission in the wild, we can understand things that we wouldn’t be able to learn from just studying human cancers." — Dr. Michael Metzger

Connect with Dr. Michael Metzger:

PNRI Profile: Metzger Lab

Twitter: @themetzgerm

NIH Bibliography: Michael Metzger’s Bibliography

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. Leon Barron discuss what is in our wastewater is, both before and after it goes through the treatment facilities. Wastewater treatment can vary among countries and even within a country, depending upon local population density and regulations. Profiling what enters a water treatment facility reveals a lot about the health and pharmaceutical consumption of a given population. For example, cocaine use is higher in Europe than in the USA where methamphetamine is more commonly found at high levels in pretreatment wastewater. Even with treatment, not everything is removed from the water that we generally assume to be safe. For example, Dr. Barron’s recent research reveals that cocaine and other psychotropic drugs have been found in the rivers in “pristine” environments and that these drugs show up in the invertebrates and the fish that eat them. While low levels are currently assumed to be safe for humans, longer term and more in depth studies on these levels for humans and fetal brain development are critical. International groups of collaborators, including Dr. Barron, are engaged in global monitoring of wastewater.

Key Takeaways:

  • With "Wastewater Based Epidemiology", samples of the discharge into the sewage network can be screened, in effect drug testing an entire city in one go.
  • It's very, very important that we understand where these drugs, especially pharmaceuticals and illicit drugs, are used, where they end up and what effects they're having in order to take preemptive measures.
  • While the current exposure and effect on humans is currently thought to be minimal, the concentrations of these drugs in the water you consume, and their health effects, require further study.

"The wastewater can really tell us an awful lot about what city is doing." — Dr. Leon Barron

Connect with Dr. Leon Barron:

Kings College London Profile: Dr Leon Barron

Research: Dr Leon Barron

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions.

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Humans are in contact with many animals, our pets, zoo animals, and animals being farmed for fur. I’ve received several questions about the transfer of COVID between our animals and humans. So in this episode, I’ll briefly address some of these questions.

Key Takeaways:

  • In the few cases where pets have tested positive for COVID-19, it was confirmed the cats and dogs got the virus from their owners first.
  • Tigers at the Bronx Zoo and at the Knoxville Zoo tested positive for COVID after showing signs of respiratory disease.
  • On mink farms, the virus was seen to mutate and transfer within the minks themselves and to others in the community.

"While it's very exciting that several highly effective vaccines will soon be available, we can't let our guard down quite yet, and we should let science provide the guidance to best protect ourselves." — Therese Markow, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. Boris Konrad discuss the striking impact of memorization on functional changes and connectivity in the brain. Dr. Konrad is a neuroscientist as well as an international Memory Champion. He not only studies brain connectivity, but also trains other memory athletes as well as those who simply wish to improve their memories. They discuss more specific aspects of memorization and its benefits across a range of other activities and problem solving, independent of the particular memorization training utilized. Dr. Konrad summarizes his recent study, published in the journal Neuron, and the techniques used to train the brain to improve memory.

Key Takeaways:

  • Memorization and memory is not a part of the brain, it is a function of the brain. It is a capability of our brain and our neural system.
  • Without exception, memory athletes use the method of loci (colloquially called the “memory palace”) as a technique to memorize and remember information.
  • Memory training actually decreases the brain activity needed to complete a range of tasks.

"Learning and thinking in your brain are not separate. We don’t have a thinking brain and a learning brain; it’s exactly one brain which does both." — Dr. Boris Konrad

Connect with Dr. Boris Konrad:  Donders Institute: Dr B.N. Konrad (Boris) Website: BorisKonrad.com Memory Training: Superbrain! Memory Training with Boris Konrad TedTalks: How to use memory techniques to improve education The mind and methods of a Memory Champion    

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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With the incidents of autoimmune diseases on the rise, it is likely that you may know someone with one or have at least heard of them. These autoimmune diseases are becoming more talked about in society. In this episode, Therese Markow and Dr. Meghan Free discuss what these autoimmune diseases are, how they work, and how they can be treated. They also discuss the risk factors and predispositions for these diseases as well as the Hygiene Hypothesis and immune system education.

Key Takeaways:

  • There are approximately 100 types of autoimmune disease, though some are exceedingly rare. Others like Lupus, Rheumatoid Arthritis, Multiple Sclerosis, and Type I Diabetes are much more common.
  • Most patients who have lived on immunosuppressants must be cautious and take precautions
  • If you look at the rates of autoimmune diseases in developing nations versus developed countries, they're much much lower in those developing countries versus a country like the United States.

"We know that there are certain genes, especially genes related to the immune system, that can predispose a person to eventually developing an autoimmune disease. However, it's important to note here that merely having a gene that's associated with autoimmune disease does not guarantee that you will ever develop the disease." — Dr. Meghan Free

Connect with Dr. Meghan Free:

Professional Bio: med.unc.edu/medicine/directory/meghan-free/

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Dr. Anita Shelgikar discuss all things sleep - what sleep medicine is, how sleep needs change throughout our lives, what happens when we can’t sleep, and how to treat those cases of insomnia. Even in the current pandemic, we are still able to continue advancing the research in various areas of sleep medicine due to the technological advances in things such as telemedicine and consumer wearable products. It is an exciting time in sleep medicine, especially as sleep affects all aspects of our lives.

Key Takeaways:

  • The invention of the lightbulb has caused behavior change that affects how long people sleep.
  • A zeitgeber is an environmental cue that helps us to train to a 24-hour cycle - such as sunlight, alarm clocks, and even social interactions.
  • Sleep is a critical part of growth and development for our children and youth. It can impair scholastic and athletic performance, mood, and other behaviors.

"The exposure to light at night suppresses the brain's natural production of melatonin, which is a hormone that's released in response to darkness and actually helps to facilitate sleep." — Dr. Anita Shelgikar

Connect with Dr. Anita Shelgikar:

Professional Bio: medicine.umich.edu/dept/neurology/anita-v-shelgikar-md-mhpe

Find an Accredited Sleep Center: SleepEducation.org

Find a Certified Behavioral Medicine Provider: BehavioralSleep.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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With gaming reaching an all-time high, we wonder if there are any effects of video games on the users’ brains or mental health. In this episode, Therese Markow and Dr. Ofir Turel discuss that question and the answer to it which is,” it depends”. Internet Gaming Disorder, while listed in the DSM-5, is still on the list of mental disorders to potentially consider. While there are symptoms that accompany gaming disorder, the definition of clinically significant impairment still exists. They discuss the types of games, gaming consoles, and other variations that are played by people around the world, as well as the physical and neurological effects of gaming on those players. With the increased pressures to engage in ethical and responsible game design and pressures on governments to control more of what children, in particular, are playing, the effects of these games on consumers require additional investigations.

Key Takeaways:

  • Internet Gaming Disorder, IGD, is in the DSM-5, but is still on the list of mental disorders to potentially consider. This means that we do not have enough evidence, even though several years have passed since the publication of DSM-5.
  • Negative side effects typically emerge after gaming becomes excessive. Not necessarily if you play one hour a day, or even four or five hours a day, but past this point, we see more downside effects.
  • During the pandemic, people have played more games than ever before. At the same time, it doesn't mean we need to reduce it. It could be a very good way to deal with the pandemic rather than being around other people, which is not the ideal situation during a pandemic.

"The flexibility of the brain in general declines as we mature. And, not surprisingly, perhaps, children can be more vulnerable to risky excessive behaviors, because their brain systems mature on different schedules...which means that children are more vulnerable to engage in excessive behaviors that are very potent as they respond very quickly to potent cues." — Dr. Ofir Turel

Connect with Dr. Ofir Turel:

Dr. Turel’s Bio: oturel1.wixsite.com/ofirturel

References:

Playstation Nation: Protect Your Child from Video Game Addiction by Olivia & Kurt Bruner - amazon.com/Playstation-Nation-Protect-Child-Addiction/dp/1931722749

Alone Together: Why We Expect More from Technology and Less from Each Other by Sherry Turkle - amazon.com/Alone-Together-Expect-Technology-Other/dp/0465031463

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Are you online? Have you ever been online? Do you have a phone? You have a digital footprint. Many of us have heard of this phrase, but what actually is it, and what does it mean. In this episode, Therese Markow and Kade Crockford discuss just that. From the Cambridge Analytica Scandal, to the changing purpose of fusion centers and government databases, and what companies know about us from just three main sources. The government has tried to use these databases as surveillance to create predictive models, however, many reports have come out and disproven the effectiveness of these models, yet they continue to be in use based on those sources. This creates additional problems with the 1st and 4th Amendment rights.

Key Takeaways:

  • In the United States, unlike in Europe, we lack any comprehensive consumer privacy law that is sufficiently protective of our rights and our interests in an era in which digital technologies are ubiquitous.
  • The idea that the FBI should be wiretapping every single person who has anti-black or anti-Jewish, or anti-gay political views is not possible, because there are so many of those people. And it wouldn't make sense from a public safety perspective, because the vast majority of people who hold even extremist political views will never commit extremist political violence.
  • The Department of Homeland Security found that predictive modeling was not a useful tactic when it comes to anti-terrorism or counterterrorism. House Republicans put out a report, finding that fusion centers had produced little to no intelligence of value, had violated civil rights and civil liberties of both people on the left and the right, and had contributed nothing to the nation's fight against terrorism.
  • These are political problems. These are all infrastructures and architectures and political and legal systems that human beings created. So we can change them, we absolutely have the power to change them.

"It shouldn't be that we leave it up to the user, the end-user, the consumer of consumer technologies, to be a privacy expert, to be a lawyer, to be able to read and understand these complex terms of service agreements or privacy policies, particularly in a situation in which people don't have a lot of alternatives to using those products." — Kade Crockford

Connect with Kade Crockford:

ACLUM.org Bio: Kade Crockford

Twitter: @onekade

Blog: PrivacySOS.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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With the rise in direct to consumer genetic testing, such as 23andMe and Ancestry becoming more popular and more widely used, we are discovering more uses and misuses by humans with these tests. In this episode, Therese Markow and Aaron Panofsky discuss how these direct to consumer genetic tests work, the science behind race, ethnicity, and social perception of both, and the ways in which groups, such as white nationalist groups, have interpreted and discussed their genetic results. These technologies are also being used in a wide variety of political projects. They also discuss the major ways in which science and expertise are under direct assault, often resulting in correlations being attributed to causation or stating something as truth when there is no science to back it up.

Key Takeaways:

  • Regardless of what their genetic test results were showing, those on the white nationalist website often ignored the science or applied different types of lenses to the identity claims.
  • Many consider the term “race” to be biologically meaningless, not just for humans, but for all the plants and organisms that we study, but genes can correlate with socially defined racial groups and socially defined groups at other scales.
  • The distinction between race and ethnicity is being muddied and confused in people's minds, in part because of how these commercial genetic tests are deployed and used.

"There can be kind of a feedback loop in our minds and in our culture, where the tests can reinforce these racist ideas, but they can also undermine these racist ideas. It's kind of about whether we make a tendentious reading, where we just focus on the race, or a more holistic reading of these data and focus on all the different kinds of things that can correlate to human races being just one of many." — Dr. Aaron Panofsky

Connect with Dr. Aaron Panofsky:

UCLA Bio: socgen.ucla.edu/people/aaron-panofsky

Book: Misbehaving Science: Controversy and the Development of Behavior Genetics - press.uchicago.edu/ucp/books/book/chicago/M/bo16124298.html

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow discusses answers to listener’s questions about climate change! She explains the difference between weather and climate and the relationship between the two, as well as how global climate change is affecting different regions and types of weather. Climate change is affecting the world and we are seeing more ways that it is affecting us every year, but there may be ways to turn back the clock by changing the atmosphere according to recent investigations.

Key Takeaways:

  • Weather refers to short term changes in the atmosphere and can be predicted. Climate refers to larger-scale conditions of the atmosphere over longer periods of time.
  • The more CO2 and other contaminates that gather the warmer the atmosphere becomes.
  • For every degree Fahrenheit of rise in ocean temperature, this can increase a hurricanes wind speed by 5-20 miles per hour. Since storm categories are classified by wind speed, sea surface temperature rises can shift a storm to the next category of severity.

"Weather doesn’t change the climate, but changes in climate can cause the weather to change over vast regions of the globe." — Therese Markow

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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Some people live more than a hundred years with no health problems and very little cognitive decline. How come? While healthy lifestyles certainly play a part in healthy aging, these “centenarians” share a number of special biological attributes. Furthermore, these attributes, along with attaining an age of 100 or greater, show a strong genetic component. Dr. Stacy Andersen of the Boston University School of Medicine has been studying these centenarians and the factors that are associated with not only their attaining an advanced age, but doing so with no history of major physical or mental health problems. In her interview, Dr. Andersen discusses what she and her colleagues have discovered about this unusual group of older people.

Key Takeaways:

  • Centenarians are people who have reached 100 years of age, while “supercentenarians” are 110 and older.
  • Recent studies of these groups of adults reveal that during their lives they have “escaped” the diseases such as cancer, cardiovascular problems, dementia, and diabetes that cause earlier mortality among adults born at the same time.
  • Dr. Anderson discusses her work on the genetic bases for being an “escaper”, as well as the lifestyle and personality characteristics they have in common.

"The older you get, the healthier you’ve been." — Dr. Stacy Andersen

Connect with Dr. Stacy Andersen:

BUMC Bio: profiles.bu.edu/Stacy.Andersen

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this episode, Therese Markow and Catherine Lebel discuss her study of the risks of maternal prenatal stress for the developing infant brain, how maternal mental health can program the brain of a developing fetus, children’s brain structure and subsequent mental health outcomes.  

Key Takeaways:  

  • There is a correlation between maternal depression during pregnancy and the thickness of her child's cerebral cortex.
  • Manage stress during pregnancy, especially early, with a strong support system including partner, family and friends.

"We know that kids born to mothers who had higher symptoms of depression are more likely themselves to go on to develop depression later."—  Catherine Lebel 

Connect with Catherine Lebel:    

Twitter:   @catherinealabel 

Website:   www.developmentalneuroimaginglab.ca/ 

Connect with Therese:

Website:   www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Francis Shen discuss the interaction between neuroscience and the law. While we do need to be cautious about bringing biology and neurobiology into the law space, there are instances where brain function does interact with the law. There have been questions about the insanity defense, how memory plays a role in criminal justice, how jurors’ perception might influence their decisions, and more. The questions are becoming more common as well when you begin asking questions regarding the aging brain and privacy protections. Neuroscience and law do not happen in a vacuum - current issues, such as the current racial injustice issues in the US and around the world, are also important to this topic and how they are relevant to different communities and groups of people.

Key Takeaways:

  • We don’t know what a lie is - it is not currently possible to reliably distinguish between false statements and true statements with polygraphs.
  • There has been some reform around memory in the courtroom over the last decade informed by psychological and neuroscience.
  • Decision-making capacity and competency are not quite the same things. Courts determine competency. Decision-making capacity is routinely made by clinicians.

"Memory is foundational to the administration of Criminal Justice and the limitations evolve, and understandable and appropriate limitations of memory, pose real problems for the criminal justice system." — Dr. Francis Shen

Connect with Dr. Francis Shen:

Website: fxshen.com

Reference: The Punisher’s Brain by Morris B. Hoffman

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Referral: The Jordan Harbinger Show

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Connect with Therese:

Website:   www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Today’s episode revolves around the development and use of facial recognition systems. How do they work? Who uses them? Kade Crockford of the Massachusetts American Civil Liberties Union’s Technology for Liberty Program discusses a wide range of commercial and law enforcement uses of the technology and the potential for violation of First and Fourth Amendment rights. Because the technology and its uses are unregulated, and because the National Institute of Standards and Technology have found serious biases in the way they function, the public needs to be aware of these systems and how they are used.

Key Takeaways:

  • There are numerous companies creating and selling facial recognition systems to both commercial and law enforcement entities
  • All of the systems have biases and unfortunately, the misidentification is greatest for people of color.
  • There is no federal, state, or municipal regulation of these systems and their use.
  • Several cities have recently made it illegal for them to be used in law enforcement.

"The effect is to deny people, en masse, their due process rights. Not only that individual defendants don't get their fair day in court and may be wrongfully convicted, but also that the society at large can't benefit from the really important constitutional litigation that would result if defendants were notified properly of the use of this technology in their criminal cases." — Kade Crockford

Connect with Kade Crockford:

ACLUM.org Bio: Kade Crockford

Twitter: @onekade

Blog: PrivacySOS.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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The obesity epidemic has very complex and interacting drivers. But thinking about obesity at the pandemic is even more important. Obesity is a major preexisting risk for COvID19. With people cooped up inside, eating in their homes, it’s critical that consumers be extra aware of the products they buy and managing their weight. The way in which products are marketed and the way society views the concept of "normal" are important but less obvious contributors to the obesity epidemic. Dr. Brent McFerran, holder of the W.J. VanDusen Professorship of Marketing, at Simon Fraser University discusses his studies about consumer psychology and marketing as they relate to the obesity epidemic.

Key Takeaways:

  • Obesity adds extra risks for the outcomes for COVID19 victims.

  • There is an important difference between statistical “normal” and clinical “normal” as they relate to body size.

  • The way in which products are marketed influences consumer choices with respect to food.
  • Acceptance of larger bodies can influence people’s consumption as well as their motivations with respect to health behaviors.

"We find that when larger bodies are coupled with these acceptance cues, we see a decreased motivation to engage in healthy behaviors, a decreased desire to reduce one’s own calorie consumption, and an increased consumption in actual unhealthy food." — Dr. Brent McFerran

Connect with Dr. Brent McFerran:

Profile: Brent McFerran

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Raid Amin discuss what cancer clusters or cancer hot spots are and how they get their official designation. In today’s society where there are many types of cancers and hot spots appear to be associated with particular geographic areas across the UNited states. Cancer clusters can only be identified, officially, by the CDC regardless of the cancer data in an area. For the general public, the only cancer information you can easily access is that at your local county level. Dr. Amin discusses some of the research that he and his graduate students have done into cancer clusters and the relationship to Superfund sites, the economics behind some of those locations, and the ongoing research.

Key Takeaways:

  • The CDC, the Department for Environmental Protection, and the Department of Health all worth together if the situation appears serious enough with a cancer cluster or hot spot as identified by the CDC.
  • When a county has zero Superfund sites, it has a significantly lower cancer rate than the rest of the USA where they have some Superfund sites. The more Superfund sites in a county, the higher the number of cancers.
  • The research on cancer clusters, superfund sites, and their associations is still ongoing. While not well-publicized in the media, a number of scholarly investigations, such as those of Dr. Amin, are continuing.

"Most locals have no clue what's happening. Simply, we have to trust the system. It seems that's the way it is. And that's why I decided to study [superfund sites] and its association to cancers." — Dr. Raid Amin

Connect with Dr. Raid Amin:

UWF Bio: Dr. Raid Amin

Superfund Information: EPA.gov/Superfund

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Glenn Morrison is a professor in Environmental Science and Engineering with a primary interest in chemical and transport phenomena in building environments. These phenomena help us understand, but also control, human exposure to chemicals and particles that are released or transformed indoors. Dr. Morrison has directed research projects and field studies of dermal uptake of indoor pollutants, ozone surface chemistry, building forensics, sensor development, pollutant movement in buildings, aerosol transport of SVOCs, exposure implications of smog reactions with human surfaces and hair and related projects.

In this episode, Therese Markow and Dr. Glenn Morrison discuss the change in how society has viewed and handled indoor air pollutants and how that view continues to change as technologies change. They go into more detail about what we know about air pollutants, their sources, and their abilities to damage human health. In addition, Therese and Dr. Morrison continue on to talk about steps, both easy and difficult, that you can do to avoid pollutants in your home and ways to make your life safer and healthier from air pollutants.

Key Takeaways:

  • There are thousands of pollutants present in buildings, most are specific chemicals from building materials.
  • Buildings breathe – even if your house seems “closed up” there is still minor airflow from tiny cracks and window edges. You are always breathing outdoor air, even if it has been inside for several hours.
  • Keeping buildings dry is really important for good air quality.

"Never burn anything in your home. Anything that produces these fine particles from combustion is potentially a problem and you’re just adding to the amount of pollution you’re breathing in." — Dr. Glenn Morrison

Connect with Dr. Glenn Morrison:  

UNC Profile: Glenn Morrison, PhD

Video Presentation: Indoor Chemistry Applications and Solutions, Dr. G. Morrison

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Bats, bats everywhere...except in the arctic and antarctic. Bats are about ⅕ of the total species of mammals in the world, and yet, we don’t know a lot about them and we cannot pinpoint how many species of bats there are in the world. Bats have been in the media more and more in recent years in regards to diseases and virus transfer between species. This has been especially common in the news and media in regards to the novel COVID-19 Virus currently causing a worldwide pandemic. In this episode, Therese Markow and Dr. Vikram Misra discuss Dr. Misra’s research in bats and bat borne viruses. They talk about the life span (and health for that life span) of the bats, what we have observed in regards to the bat health, how they avoid getting ill, and how they shed the virus. The evolution of viruses also plays a roll in the transmission between species of these viruses and potential epidemics. In order to solve these epidemic questions, this is a problem for One Health - everyone, in all fields, must work together to solve the problems and questions of world wide health.

Key Takeaways:

  • What we know about one species of bats may not apply to others due to the number of species of bats.
  • Evolution is a pretty powerful tool. If you have thousands and thousands of viruses and one mutation, one mutant that just has this small selective advantage, and very soon you start selection for it.
  • We do not currently have a lot of data on the COVID-19 virus. Without more data, it is dangerous to speculate on this viruhout more good data to back it up.

"[Bat’s have] a lot to teach us. Longevity itself is not important. If you live to be 150 years old, and you have to spend the last 60 years in bed because you were bedridden, that isn't any good, right? It would be very nice if you were healthy for your entire lifespan. They can, hopefully, teach us how to do that. And also, if we can figure out how they deal with viral infections without getting really ill, then that might help us as well." — Dr. Vikram Misra

Connect with Dr. Vikram Misra:

Western College of Veterinary Medicine at the University of Saskatchewan: Vikram Misra

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Evidence is emerging that inflammation during pregnancy is associated with a higher risk for disorders such as autism and schizophrenia in the developing fetus, disorders that sometimes appear much later in the individual's life. Dr. Hanna Stevens, Child Psychiatrist, Division Director of Child Psychiatry and Head of the Psychiatry and Early Neurobiological Development Lab (PENDL) at the Carver College of Medicine University of Iowa, discusses the relationship between material inflammation and later psychiatric outcomes.

  • There’s evidence that preeclampsia increases the risk of autism in offspring by about 50% more than it would be otherwise.
  • Microglial cells found in the fetal brain act as immune cells, but when chemical signals of inflammation are present, the cells behave differently and may impact brain development.
  • It is essential to receive prenatal care, and if you are experiencing problems linked to maternal inflammation, such as contagious diseases or preeclampsia, seek medical attention.

"The reason for looking at this research and studying these processes is not to suggest individual women are supposed to figure out how to solve the problem. It is at a much higher level of figuring out how, as a society, we protect healthy brain development.." — Hanna Stevens

Connect with Dr. Hanna Stevens:  

Website: medicine.uiowa.edu/psychiatry/hanna-stevens

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Ed Vargo discuss all things termite - what termites are, the different types of termites, and how and why they are destroying homes. Termites are wood-eating insects and, in their natural environments, they are key aspects of the ecosystem. However, when they get into homes, they cannot determine that the beams used to build our homes are any different than the logs they eat in their ecosystems. Termites are colony insects like bees and ants, however, they are different in their social structure and organizational aspects. Because of this, there can be differences in how they are treated and eradicated. The biggest problem with this, is new species are being introduced all the time due to the infestation of these termites in imported cargo, particularly from parts of Asia. They wrap up their conversation discussing what we have learned from research done at universities and by scientists and how that has affected the way in which we now treat these termite infestations.

Key Takeaways:

  • Termites play a valuable role in their natural ecosystem, but they cannot determine the difference between the wood in a forest and the beams of your house.
  • In one year, one termite won’t do a significant amount of damage, but a colony of 100,000 can do much more damage. If you have a contract with someone to check yearly, damage can usually be caught before it is too bad.
  • New species could be introduced at any time. Due to the millions of cargo containers that come into the United States every day, there is no way to inspect every single cargo hold.

"The subterranean termites that I mentioned are the most widespread termites, all the way from Florida on the East Coast up into southern New England - Massachusetts, all across the country to the west coast, up and down the west coast from California to Washington. So just the very northern parts in the Midwest and very northern parts in the east, don't have these termites. The further you go south and the more of these termites you find and so the more likely you are to have an infestation. The dry wood termites occur along the Gulf Coast states and also coastal California." — Dr. Ed Vargo

Connect with Dr. Ed Vargo:

Texas A&M University: Urban and Structural Entomology Program at Texas A&M University

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. James Alcock discuss what near death experiences are and the increase of them in recent years due to improvements in medical technology. While near death experiences (NDEs) have been known about for a long time, we, as a scientific community, are starting to understand more about what they mean for neurological processes. However, despite knowing the science of what is happening, NDEs and how they are experienced are subject to one’s own beliefs, context, and even religious framework. Dr. Alcock and Therese also discuss the the relationship between near death experiences, hallucinations, and even reactions to various drugs and how they create powerful subjective experiences.

Key Takeaways:

  • In surveys taken in the United States, about 3% of people have reported having near death experiences. This number can be difficult to assess as they are based on memory and the surveys are taken, sometimes, years after the incident in question.
  • It is difficult to prove the near death experiences in research studies due to the subjectiveness of what is being perceived.
  • Even with the science that we do know, those who have near death experiences (including neurologists who have studied the brain) report the reality of the feelings and perceptions that are felt in these experiences.

"Context is important. Our interpretation is important. And it's very difficult, if not impossible, for any individual to distinguish between reality and subjective fantasies in those situations." — Dr. James Alcock

Connect with Dr. James Alcock:

Wikipedia Page: James Alcock

Book: Belief: What it Means to Believe and Why Our Convictions are so Compelling

Magazine: Skeptical Inquirer

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Leigh Turner discuss direct-to-consumer marketing of unproven and unlicensed cell-based interventions. Dr. Turner’s research addresses ethical, legal, and regulator issues associated with clinics engaged in direct-to-consumer marketing and shares his knowledge with us in this first of a two-part interview. Also discussed in this episode are the questions to ask when thinking about these cell-based treatments and therapies, not only about the administration of the cells, but also regarding the individuals who are advertising and performing these interventions, as well as those processing and marketing the product for use. There are many inadequacies and a lack of safe-research in many of these facilities, even when they appear to be run by a qualified and trusted provider.

Key Takeaways:

  • Even if someone is a board-certified clinician, that doesn’t mean that what they are offering is evidence based and has been approved for the US marketplace in any way.
  • Advertising claims are not always evidence based, trustworthy, credible, and reliable.
  • Registered with the FDA doesn’t mean that the FDA has gone on site, done a careful inspection, and provided approval. It just means they’ve uploaded a form on the FDA site.

"It’s important to ask challenging questions about individuals who are advertising these interventions and performing these procedures." — Dr. Leigh Turner

Connect with Dr. Leigh Turner:

University of Minnesota – Center for Bioethics: Leigh Turner, PhD

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Erica Sonnenburg discuss the diverse and active microbiome that is in the human body. This microbiome in our gut varies from person to person and is largely environmentally based – those foods we eat, and what we choose to consume plays a factor on how healthy our gut biome is. They discuss the changes of the microbiome as infants as well as in adults, and ways that we can change or reset the microbiome, as well as what we each can do every day to keep our microbiomes healthy.

Key Takeaways:

  • Typical western diets now are very low in complex carbohydrates and it is affecting the microbiome in the large intestine.
  • Your environment is a big player in your microbiome – what you eat, lifestyle, medications, etc.
  • The first year of a baby’s life, their microbiome could make an impact on their immune system.

"Unlike our human genome, which we have almost no control over, our microbiome is something that we have a lot of control over based on our environment." — Dr. Erica Sonnenburg

Connect with Dr. Erica Sonnenburg: 

Website: SonnenburgLab.Stanford.edu

Book: The Good Gut: Taking Control of Your Weight, Your Mood, and Your Long-Term Health

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, we welcome back Dr. James Alcock to the show, this time, he is here to discuss the paranormal and parapsychology. Throughout their discussion, Therese Markow and Dr. Alcock explain what is meant by paranormal, different types of supernatural phenomena and paranormal abilities, and the types of experiments that attempt to prove these abilities exist. There is a long history of paranormal beliefs that has evolved throughout the years, culminating in what we now call parapsychology.

Key Takeaways:

  • Despite the lack of scientific evidence that paranormal phenomena are real, it is difficult to convince those who want to believe because it is impossible to prove a negative. For example, How can you prove that Santa Claus doesn’t exist?
  • No universities in the USA or Canada have a department in parapsychology. In some schools courses in parapsychology are offered..
  • Statistics cannot give causation, they can only say when there is a significant departure from what you would expect by chance. In the case of parapsychology experiments, statistical evidence falls short.

"There's no other area of science where the phenomena are based on negative definitions." — Dr. James Alcock

Connect with Dr. James Alcock:

Wikipedia Page: James Alcock

Book: Belief: What it Means to Believe and Why Our Convictions are so Compelling

Magazine: Skeptical Inquirer

Link to relevant article: https://urldefense.com/v3/__https://skepticalinquirer.org/__;!!Mih3wA!RHu5rIp1RgLXolzIlcKGsg5PlFaPu1afl6y6NJJWumPGtrUUz1HnNCeN6a9S9Jo$

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Is Attention Deficit Hyperactivity Disorder (ADHD) real? Dr. Stephen V. Faraone, distinguished Professor of Psychiatry and Neuroscience at SUNY Upstate Medical University and author of over 700 scientific articles and five books, speaks critically about this controversial condition, what it is, why it needs to be recognized early and the best treatment initiated as early as possible.

In this episode, Therese Markow and Stephen Faraone discuss:

  • Separating Attention Deficit Hyperactivity Disorder (ADHD) myth from fact.
  • Patient symptoms evaluated by medical professionals for a diagnosis of ADHD.
  • Understanding the severe consequences for patients if the disorder remains untreated.

Key Takeaways:

  • ADHD is not only a childhood disorder, but it also affects adults. 2/3 of patients with ADHD as an adolescent have ADHD as an adult.
  • Medications prescribed to adolescents to effectively treat the disorder are also used with adults.
  • 5% of the population has ADHD. While the disorder affects both sexes, it is more prevalent in boys. The ratio of an ADHD diagnosis in boys to girls is 6 to 1.
  • The three main features of ADHD are 1) hyperactivity, 2) inattention and 3) impulsivity to the degree that it causes severe problems with relationships, workforce challenges, and education.

"ADHD is a disorder that can have serious consequences. It is also one of the disorders that are easiest to treat with available medications." — Stephen Faraone

Connect with Stephen Faraone:  

Twitter: @stephenfaraone

Book: Straight Talk about Your Child's Mental Health

LinkedIn: Stephen Faraone, Ph.D.

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

  • Tsuang MT, Faraone SV. The Genetics of Mood Disorders, Baltimore, MD: Johns Hopkins; 1990
  • Faraone SV, Tsuang, D, Tsuang MT.  Genetics of Mental Disorders: A Guide for Students, Clinicians, and Researchers, New York, NY: Guilford;1999.
  • Faraone, S.V.  Straight Talk About Your Child’s Mental Health: What To Do When Something Seems Wrong, New York, NY: Guilford, 2003.
  • Tsuang MT, Faraone SV & Glatt SG Schizophrenia: The Facts, Oxford University Press; 2011.

Faraone, S.V. & Antshel, K. ADHD: Non-Pharmacologic Interventions Elsevier, 2014

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In a continuing the last week’s discussion of elder abuse Therese Markow and Paul Greenwood expand their discussion on elder abuse to delve into the physical abuse and neglect that happens to our elderly friends and relatives. There are different types of physical abuses that happen to elderly people that occur in different circumstances. The ways in which families may deal with these abuses and the prosecution of such abuses are also discussed. In the media we often hear about physical abuses and neglect happening in assisted living and care facilities. Therese and Paul explore options for living situations, as well as what we, as families and loved ones, can do to make the best decision possible for our elderly relatives. We, as a society, need to find ways to take control of the situation, bring attention to the problem, and find ways to mitigate and slow the problem of elder abuse. We can all get involved now in our own communities.

Key Takeaways:

  • Take care and do your research when deciding on assisted living facilities - you can pay a lot of money for a swanky place, but that place may not guarantee happiness or good hygiene.
  • A facility that doesn’t let you in and let you see things on an open door basis, that’s not the kind of facility you want to place a loved one in.
  • The worst thing you can do is to stay silent if you suspect someone is being abused.

"Get involved in your local community in elder abuse prevention task forces." — Paul Greenwood

Connect with Paul Greenwood:

National Adult Protective Services Association: napsa-now.org

National Center on Elder Abuse: ncea.acl.gov

LinkedIn: Paul Greenwood

Email: PGreenDDA@gmail.com

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Paul Greenwood discuss a key problem that is happening more often in our rapidly aging society - elder abuse. Elder abuse can be hard to define and to prosecute as it’s definition differs not only from country to country, but also from state to state. There are many different ways in which elder abuse can occur, one of the most common ways is through financial abuse, both by people who know and are close to the elder and those who wish to take advantage via information gathered and incorporated on the “sucker list” where many scammers acquire their information. While much remains to do to further increase the protections for those at risk, Therese and Paul discuss ways in which we, as relatives and as a community, can step in to help protect elders from financial abuse of all kinds.

Key Takeaways:

  • Many of the elders who have a crime perpetrated against them are not reported due to embarrassment and fears of their freedoms being removed without their consent.
  • Ask questions! If something is fishy, ask questions to show that you care.
  • Having power of attorney does not give anyone the right to steal.

"Keep in touch with your elderly relatives. Don’t let them be a stranger to you because bad things can happen to them if you are not fully involved." — Paul Greenwood

Connect with Paul Greenwood:

National Adult Protective Services Association: napsa-now.org

LinkedIn: Paul Greenwood

Email: PGreenDDA@gmail.com

Documentary Reference: The Guardians

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In a world full of media, which may contain misinformation or fake news, there are conspiracy theories abounding. However, conspiracy theories, and the spreading of those theories, is not a new practice, it has been around and transmitting in any way that people communicate. In this episode, Therese Markow and Dr. Joseph Uscinski talk about the origin of conspiracy theories and how these formal theories differ (and are similar) to the fake news and misinformation that fills our media screens today. They discuss some of the earliest US conspiracy theories, as well as some of the more modern ones, and how they are different now, with our current political climate, from what they may have done in the past. They also discuss why people believe these conspiracy theories, as well as why people believe in them, even in the face of refuting evidence.

Key Takeaways:

  • The internet did not introduce the spread of conspiracy theories. They will always be spread in any way that people communicate.
  • Our worldviews impact the media that we access, which then can filter which conspiracy theories we are likely to believe.
  • The two most consistent predictors of those who believe in conspiracy theories are education and level of income.

"Most of the arguments about evidence, really aren’t about evidence - they’re just about subjective judgments about evidence, which gets us away from evidence and gets us back into how people interpret information and what the world views are they bring into interpreting that information." — Dr. Joseph Uscinski

Connect with Dr. Joseph Uscinski:

Twitter: @JoeUscinski

Website: JoeUscinski.com

Books: American Conspiracy Theories & Conspiracy Theories and the People Who Believe Them

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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We all believe in something, from Santa Claus, to the global shape of the earth, to babies needing to be taken care of for survival. While some of our beliefs are intuitive or have evidence, many are not. Sometimes the evidence that we believe to be true is faulty. In this episode, Therese Markow and Dr. James Alcock discuss how these beliefs are built, how we interpret situations to create beliefs, and why we, as a society, have so many common beliefs. As humans, we like to believe we are rational beings, but so many of our beliefs are happening automatically, without our conscious thought or from common teachings that we are all exposed to from those in authority. Therese and Dr. Alcock also discuss further complications regarding belief, such as conspiracy mentalities, imagination inflation, and memory contamination and the role that these elements of complication can play in trying to suss out what to believe in this world full of many shades of gray.

Key Takeaways:

  • We cannot learn everything in one lifetime so, as a society, we come to rely on authorities and shared, inherited beliefs.
  • There is no evidence that people can bury trauma. The problem with trauma is people can’t forget.
  • Due to mental desire to belief and idiosyncratic movements, humans often see things that are “magic” or “unexplainable” due to our own actions.

"The problem is, if we don’t have the capacity and we don’t have the motivation to critically examine the evidence, then we won’t distinguish between evidence that really is factual and evidence which is wrong." — Dr. James Alcock

Connect with Dr. James Alcock:

Wikipedia Page: James Alcock

Book: Belief: What it Means to Believe and Why Our Convictions are so Compelling

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Dr. Therese Markow talks with psychiatrist and researcher Dr. Daniel Blumberger about depression that does not respond to medications and behavioral cognitive therapy. Approximately one third of patients suffering from major depression are “Treatment Resistant”.

Fortunately, there are a range of brain stimulation techniques that help the majority of these patients. Electroconvulsive therapy or ETC, has evolved into a much more benign procedure than depicted earlier in movies and has the best outcomes in patients with major depression. New techniques, involving stimulation of the brain magnetically, such as Transcranial Magnetic Stimulation (TMS) also can be effective and are being refined for broader use. Depression is a serious and sometimes fatal disease, and there is hope for those resistant to pharmaceutical approaches.

Key Takeaways:

  • Major Depressive Disorder, or MDD, is a debilitating disorder that can be fatal
  • About a third of those suffering from MDD, do not respond to. pharmaceutical treatments.
  • The majority of these patients benefit from ECT, which now has been greatly improved.
  • A newer group of brain treatments, using magnetic stimulation, also are useful for Treatment Resistant Depression.
  • Sufferers should ask their physicians about access to these non-pharmaceutical treatments.

"It is very important to intervene early when someone isn’t responding to medication. The more treatments that someone doesn’t respond to, the less likely that they will respond to each subsequent course of treatment. The longer things linger, the harder it is to get someone better." — Dr. Daniel Blumberger

Connect with Dr. Daniel Blumberger:

CAMH Profile: Dr. Daniel Blumberger

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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With our rapidly aging society, there is a growing question around what it means to be geriatric and what will happen to each of us when we reach that stage in our lives. Dr. Michael Harper has had a long and satisfying career in the field of geriatric medicine and, in this episode, brings his expertise and knowledge to the discussion. Unlike a lot of other specialities, in many medical schools, there is no specific geriatric training, other than end of life care, It is also a field of medicine that has many fellowship training spots unfulfilled each year. Therese Markow and Dr. Harper discuss why this may be, as well as the growing needs of geratric patients.

Key Takeaways:

  • There are a lot of variations in how we age and every person is different. As we get older, those differences become more stark than when a person was younger.
  • Those in the geriatric speciality, have one of the highest career satisfaction ratings in medicine.
  • Geriatricians know how to keep people out of the hospital, how to prevent unnecessary care, and more, if we give them the chance to share.

"We need to increase our exposure of young people, before medical school, to older adults." — Dr. Michael Harper

Connect with Dr. G. Michael Harper:

UCSF Profile: Michael Harper, MD

Book: Geriatrics Review Syllabus (10th Edition)

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Dr. Christie Wilcox has had a lifelong love of animals and creatures, and not just those of the cute and cuddly variety. Her love of these creatures evolved into her academic and now professional career as an award-winning science writer, including the popular book Venomous. In this episode, Therese Markow and Dr. Christie Wilcox discuss the types of species that make venoms, how the venoms are delivered, and their modes of action on their victims. We are aware of some venomous species, such as rattlesnakes or cobras. But others are less well known, such as the platypus, and others exist, such as the mongoose, that are immune to venoms.

Key Takeaways:

  • All animal lineages, with the exception of mammals and birds, contain venomous species.
  • All venoms are a cocktail of some kind, but the ingredients in the cocktail can range from a handful to thousands of different molecules. The ones that we care about can range from 1 to dozens, or even hundreds.
  • Venomous animals are not out to get humans. A lot of times, they are trying to stay away from us.

"Not every bite or sting from a deadly species is going to be deadly. Some of that depends on the animal and what it delivers, where it delivers it, and how much it delivers." — Dr. Christie Wilcox

Connect with Dr. Christie Wilcox:

Twitter: @NerdyChristie

Facebook: Christie Wilcox, Ph.D.

Website: ChristieWilcox.com

Book: Venomous: How Earth’s Deadliest Creatures Mastered Biochemistry

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Ed Vargo discuss all things cockroach, from the number of species, their lifespan and reproduction, as well as the relationship between cockroaches and humans. Cockroaches don’t bite, but they can still transmit disease. Because they spend time in sewers, many microorganisms, some pathogenic, are on their legs and bodies and can be transferred to food in the kitchen. Dr. Vargo also discusses the ways in which cockroach traps and repellents do (or don’t) work and what we can do to minimize the risk of the allergens of cockroaches (especially harmful for those with asthma) in our daily lives.

Key Takeaways:

  • The Antarctic research station may be the only place without roaches. Where people go, we tend to bring cockroaches with us.
  • Cockroaches can infest any house. If your house is tidy, you’re more likely to notice them and be able to stop them earlier.
  • Boric acid is a non-toxic, effective insecticide. As long as it stays dry, cockroaches will walk on it, groom themselves, and ingest it where it acts as a poison.

"Studies show that if you can control the cockroaches effectively, then you can eliminate the detectable levels of allergens fairly quickly, even without cleaning." — Dr. Ed Vargo

Connect with Dr. Ed Vargo:

Texas A&M University: Urban and Structural Entomology Program at Texas A&M University

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Gabriel Danovitch discuss the history of solid organ transplantation, how the organ donation list works, and the standards for donation, from both living and deceased donors. Kidneys are the most transplanted of solid organs. In some countries, poor people are exploited to sell a kidney which is then used in a transplant tourist. With the Declaration of Istanbul in 2008, stronger standards were put into place to protect both the recipient and the donor involved in a transplant. While this has helped reduce organ trafficking, certain countries are still exploiting underprivileged groups to sell their kidneys. Because genetic matching can be overcome by modern medicine, almost any healthy person can serve as a donor. Dr. Danovitch continually reinforces the importance organ donation as a society value, and a value completely separated from any financial incentives.

Key Takeaways:

  • You do not need to be related to the recipient to be an organ donor, which simplifies this aspect of transplantation.
  • At the same time, the incidence of end-stage renal disease is increasing owing to the obesity and diabetes epidemic, and thus the need for donors also has increased.
  • Willing organ donors have better mental and physical outcomes than individuals that sold an organ.

"A donor needs to be healthy and motivated, and then we can find a way to make that transplant happen, whether they’re matched or not." — Dr. Gabriel Danovitch

Connect with Dr. Gabriel Danovitch:

David Geffen School of Medicine

University of California at Los Angeles

GDanovitch@mednet.ucla.edu

United Network for Organ Sharing: UNOS.org

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Dr. Ben Albensi discuss the different types of dementia (now officially known as neurocognitive disorders) as we currently know them. With almost 50 million cases worldwide, and a new diagnosis every 3 seconds, it is important that we know what we can do to identify, treat, and potentially even slow down dementia – all of which are discussed in this episode. It has only been in the last couple of years that the amount of funding for dementia and Alzheimer’s research has increased, though it is still lower than the research funding for cancer and heart disease related research. It is vital that we all do what we can to create a dementia-friendly community and support the research being done to help us learn more about the differences of the types of dementia, the differences between the sexes and races, and other information currently being studied that we are still learning about.

Key Takeaways:

  • Aging is the greatest risk of dementia; however, it is not always associated with aging.
  • There is no cure for dementia. There are some drugs out there, but they are not effective for all patients.
  • If you follow the advice of four or five good health choices, you can lower your risk of dementia by up to 60%. The one thing that may be the most important is lowering your blood pressure.

"Like we learned in cancer therapy, we need to treat different types of Alzheimer's disease or dementia differently. I think that we're going to have an improvement in the effectiveness of these drugs once you're able to discriminate the type of dementia people have more accurately and also earlier." — Dr. Ben Albensi

Connect with Dr. Ben Albensi:

Hôpital St-Boniface Hospital Profile: Dr. Benedict C. Albensi

Email: balbensi@sbrc.ca

Cell Phone: 973-668-0206

LinkedIn: Benedict C. Albensi, PhD, BCMAS, CRQM

Twitter: @balbensi & @albensiconsult

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow and Paul Irving, Chairman of Milken Institute Center for the Future of Aging, discuss the changing landscape of aging and retirement. How has aging changed throughout recent history and what are the challenges that we, as a society, face looking towards the future with the changing family, economic, and society dynamics? We can’t ignore the realities of aging, but we also need to acknowledge the thought patterns and attitudes and how they negatively affect the workforce and society. They continue on to discuss the need for a national conversation on health and what we, as a society, owe to one another.

Key Takeaways:

  • Most of us will, at some point in our lives, be caregivers, need care, or both, and most services are not covered by Medicare.
  • Ageing is the one characteristic we all have in common. While we live in a society today that protects against racism, sexism, or other discrimination, the same is not true for people 50 and over. False assumptions regarding the capacity and ability to engage and contribute is something that needs tackled by all of us.
  • A majority of older adults are fully able to engage, provide value, and offer wisdom, judgment, and experience that adds meaningfully to workplaces, academic institutions, communities, and families.
  • The question about the composition of workforces and how you enable, support, celebrate, and capitalize on the assets of older workers will be the differentiating factor between success and failure for the 21st century.

"Ageism is just as insidious and just as destructive and just as hurtful as racism, sexism, and other forms of bias and discrimination." — Paul Irving

Connect with Paul Irving:

Milken Institute: Paul Irving

Book Recommendation: Man’s Search for Meaning by Viktor E. Frankl

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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Dr. Adam Schiavi is an assistant professor of anesthesiology and critical care medicine and neurology at the Johns Hopkins University School of Medicine. His areas of clinical expertise include anesthesiology, neurological critical care, disorders of consciousness and brain death diagnosis, clinical ethics, critical care medicine, and traumatic brain injury.

In this episode, Therese Markow and Dr. Adam Schiavi discuss how the definition of death has changed throughout history, what the current definition is, and how that is determined by the medical technology of the time. Brain death is the current definition of death, medically, but what happens to a body after brain death is determined can vary depending on the state you live in. This can be a trying time for families and for the providers involved with the now-deceased patient as the definition of death is not understood by everyone. They also discuss how brain death differs from other states of consciousness and how people often confuse the terminology of those different states, as well as the ability to hope for healing from all but brain death.

Key Takeaways:

  • The total cessation of all functions of the brain is the current definition of brain death in the United States. This definition is based on a clinical exam testing all parts of the brain, typically done by somebody certified in doing brain death determinations.
  • You have to have a reason for the neurologic exam to be declining. Without a reason, you can't call somebody brain dead.
  • You can replace every organ in the body, but you cannot replace the brain and when the brain dies, the body dies all the time 100% unless those organ systems are artificially supportive.

"Our culture changes with technology and the way we define death is a part of culture. As that culture has shifted, the way we define death has also shifted with our new technologies of how we can actually determine whether people are dead." — Dr. Adam Schiavi

Connect with Dr. Adam Schiavi:

Johns Hopkins Bio: Adam Schiavi, MD, PhD, MS

Email: aschiav1@jhmi.edu

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

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In this episode, Therese Markow speaks with Dr. Michael Fratkin, a board certified palliative care physician in California. Throughout the episode, Dr. Fratkin discusses what palliative care is by the standard definition and what it means to him, his team, and their patients. They explore the use of technology in medicine, which is growing by leaps and bounds, including in palliative care, to enhance the care received by those in need, whether for a short-term or a long-term illness.

Key Takeaways:

  • Dr. Fratkin’s definition of palliative care is composed of 3 things: 1. People, not patients. 2. Symptom control and support for quality of life. 3. Navigation and coordination to integrate our work with everything else you might be receiving in health care.
  • Palliative care is more than just end of life care. It can be for people anytime they’re confronted with an illness.
  • Modern technology allows those in palliative care to connect with their team members without leaving their homes, to complete a high value engagement. Leaving home for medical visits expends more energy, with the risks of falls and exposure to sick people in a waiting room.

"We're all professionals focused on quality of life and the lived experience of human beings while they’re facing serious illness and we're all incredibly, impeccably trained." — Dr. Michael Fratkin

Connect with Dr. Michael Fratkin:

Twitter: @MichaelDFratkin

Facebook: ResolutionCare

Website: ResolutionCare.com

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

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In this age of smartphones and social media, people of all ages spend lots of time staring at screens, both for practical and social purposes. With this increased use in screen time, comes the question of how this use affects and influences the user’s brains. Therese and Dr. Turel discuss some of his ongoing research into how excessive social media use and social media addiction affects the brain, particularly the reward system in the brain, and what we are now beginning to understand as the interaction between social media, and technology in general, on the brain and brain development.

Key Takeaways:

  • There is a fine line between social media addiction and excessive social media use that is not an addiction.
  • Excessive media use, at least in the college students sampled, is associated with significant changes in the brain
  • The brain, especially the reward system in the brain, is very flexible – it can shrink, be pruned, and grow back based on behavior.
  • Using your phone, such as for social media, in bed before sleep affects sleep quality and reduces sleep time, which has further implications on health such as excessive eating, increased appetite, and obesity.

"We do not know if social media use has led to these brain changes, or rather, existing brain changes or differences have led to different social media use patterns. So, it's a chicken and egg type of question that is very difficult to address in research." — Dr. Ofir Turel

Connect with Dr. Ofir Turel:

Dr. Turel’s Bio: Ofir Turel, PhD

Connect with Therese:

Website: www.criticallyspeaking.net

Twitter: @CritiSpeak

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.