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Medicine Redefined
Author: Darsh Shah, DO & Altamash Raja, DO, CSCS
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© Darsh Shah, DO & Altamash Raja, DO, CSCS
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Dr. Darsh Shah, DO & Dr. Altamash Raja, DO, CSCS, interview practitioners who challenge the norm and promote health during a time when the healthcare system is broken. Learn how experts in the fields of sleep, nutrition, exercise, stress resilience, rehabilitation, lifestyle medicine and others are using new-age thinking to move the needle forward and redefine medicine as we know it.
168 Episodes
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Amy Morin is a psychotherapist, mental strength trainer and an international bestselling author. Her books in the 13 Things Mentally Strong People Don't Do series have sold more than 1 million copies and been translated into more than 40 languages. She's the award-winning host of the Mentally Stronger podcast and she gave one of the most popular TEDx talks of all time. The Guardian dubbed her the "self-help guru of the moment" and Forbes refers to her as "a thought leadership star.
Follow Amy:
Website
Instagram
TED Talk
Books
Mentioned in the show:
Gottman's 4 Horseman of Conflict
Indian Matchmaking - Netflix
Ravi Hariprasad, MD, MPH, is the founder and CEO of Intuitive Mental Health, a start up focused on partnering with primary care physicians to deliver comprehensive and personalized mental health support. Dr. Hariprasad obtained his medical degree of the University of Pennsylvania and completed his Masters in Public Health as well as his psychiatry residency at Harvard University. Dr. Hariprasad is well versed in both Western medicine as well as holistic and complementary perspectives such as Ayurveda. His early experience as an engineer and an entrepreneur have helped him understand system design, root cause analysis, and solution development and implementation.
Mentioned in the show:
Buddhism
Existentialism
Jean-Paul Sartre
Being and Nothingness
Logotherapy
Viktor Frankl
Man's Search for Meaning
Stocism
Gabor Mate
Bhagavad Gita
Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida. Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida. She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running. She is the current President of the American College of Sports Medicine.
In this episode, we discuss:
Buying a minimalist shoe online or in the store
Transition protocol into minimalist shoes or barefoot
core
Biomechanics of the Nike Vaporfly (4% show)
Advantages and disadvantages of a carbon foot plate
The role of athletic footwear
Why older people should consider minimalist shoes
Mentioned in the show:
Vivobareboot
Xero Shoes
Merrell Shoes
Nike Vaporfly (4%) Shoes
Carbon Fiber Plate - Bone Stress Injuries
Pickleball
LeBron James Feet
EC Synkowski is a nutritionist, CrossFit Level 4 Coach, and the owner of OptimizeMe Nutrition. EC is the creator of the #800gchallenge and #LazyMacros. Her podcast TheConsistencyProject is a medium for education where she elaborates on the nuances of nutrition and translates evidence-based scientific data into practical solutions for everyday success.
EC's academic background
BS in biochemical engineering
MS in environmental sciences
MS in Nutrition & Functional Medicine
Resources Mentioned in the show:
Chronic MSK Pain and Nutrition (PMID: 32086871)
You are what you eat (Netflix)
Blue Zones (Netflix)
Follow EC:
webstie
Instagram
In this episode, Dr. Darsh and Dr. Altamash take a deep dive into fasted cardio and training. Is it beneficial? Or do we just think we are burning more fat?
Altamash also talks about his experience with training, sleep, stress, and nutrition during the holy month of Ramadan.
For anyone who is, was, or has thought about fasting in any capacity, this is the episode for you!
Studies mentioned in the show:
Breakfast Omission Reduces Subsequent Resistance Exercise Performance (PMID: 30707135)
Viscous placebo and carbohydrate breakfasts decrease appetite and increase resistance exercise performance (PMID: 32174286)
Starving Your Performance? Reduced Preexercise Hunger Increases Resistance Exercise Performance (PMID: 34872065)
The acute effect of fasted exercise on energy intake, energy expenditure, subjective hunger and gastrointestinal hormone release compared to fed exercise in healthy individuals: a systematic review and network meta-analysis (PMID: 3473283)
Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis (PMID: 34693577)
Joe Farese is a natural-for-life pro bodybuilder who has competed for the last 36 years consecutively. He has also worked over the past 36 years as a trainer and health coach for populations ranging from young athletes to seniors.
Joe's recent bodybuilding resume includes:
2021 WNBF Pro Mr. Universe winner
2021 and 2022 Pro Masters Mr. America winner
2023 Pro Mr. America lightweight class winner and Grandmasters (50+) Mr America class winner
In this episode, we discuss:
Sleep and distress tolerance in relation to physique transformation
The power of social connection
Longevity in bodybuilding
Injury prevention
Drug testing and steroids in bodybuilding
The psychology of bodybuilding
Body dysmorphia and body image
Resources mentioned in the show:
Mike Israetel on sleep for muscle growth (Modern Wisdom)
Joe on the three kinds of performance intelligence: mind, body, and emotion
Joe Farese is a natural-for-life pro bodybuilder who has competed for the last 36 years consecutively. He has also worked the past 36 years as a trainer and health coach for populations ranging from young athletes to seniors.
Joe's recent bodybuilding resume includes:
2021 WNBF Pro Mr. Universe winner
2021 and 2022 Pro Masters Mr. America winner
2023 Pro Mr. America lightweight class winner and Grandmasters (50+) Mr America class winner
In this episode, we discuss:
-Background in bodybuilding and coaching
-Competing at a high level
-Pros/Cons of “bodybuilding mentality”
-Specific training philosophies
-Traditional bodybuilding vs “functional” training
-Bodybuilding nutrition
Dr. Jimmy Turner is an academic anesthesiologist, entrepreneur, author, and life coach. He obtained his medical degree from Wake University and then completed an Anesthesia residency at the same institution. Subsequently, he completed a Regional Anesthesia and Acute Pain Medicine fellowship. After his training, he stayed on within the Department of
Anesthesia and now holds the title of Associate Professor.
Dr. Turner is passionate about teaching doctors how to create the time, financial
freedom, and mindset shifts they need to create a life they love, which he does
through books, podcasts, and his coaching program.
In this episode, we discuss:
Jimmy's origin story
Disability insurance
The arrival fallacy
Shift from physician burnout to entrepreneur burnout
the importance of setting boundaries
Jimmy’s hell yes policy
Revamping medical education to empower physicians, help promote autonomy, and minimize the risk of burnout
What makes a self-determined physician
Jimmy's FREE Book
Find Jimmy Turner:
Money Meets Medicine
The Physician Philosopher
Podcasts
Books
Coaching
Drs. Altamash and Darsh are both DOs - osteopathic physicians. They break down the recent biases against this branch of medicine and explain the education process as well as similarities and differences to their allopathic (MD) peers.
Mentioned in the show:
Hasan Minhaj Stand-Up
"Somebody who does something other than osteopathy"
Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida. Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida. She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running. She is the current President of the American College of Sports Medicine.
In this episode, we discuss:
Dr. Davis’ journey into PT and how she developed a passion into minimalist footwear
and training.
Foot anatomy and the importance of spending time training and addressing the foot
core
Various foot strike patterns and force distribution
Foot types, and shoe types such as motion control, stability, etc.
The role of minimalist footwear training and how it applies to clinical medicine
Early and lifetime exposure to barefoot training
Studies mentioned in the show:
Injury reduction effectiveness of assigning running shoes based on plantar shape in Marine Corps basic training
Injury reduction effectiveness of selecting running shoes based on plantar shape
Injury-reduction effectiveness of prescribing running shoes on the basis of foot arch height: summary of military investigations
Foot strike patterns and collision forces in habitually barefoot versus shod runners
Walking in Minimalist Shoes Is Effective for Strengthening Foot Muscles
The foot core system: a new paradigm for understanding intrinsic foot muscle function
The effect of a 12-week custom foot orthotic intervention on muscle size and muscle activity
Other resources mentioned in the show:
Born to Run by Chris McDougall
Follow Dr. Davis:
Twitter @IreneSDavis
Ravi Hariprasad, MD, MPH, is the founder and CEO of Intuitive Mental Health, a start up focused on partnering with primary care physicians to deliver comprehensive and personalized mental health support. Dr. Hariprasad obtained his medical degree of the University of Pennsylvania and completed his Masters in Public Health as well as his psychiatry residency at Harvard University. Dr. Hariprasad is well versed in both Western medicine as well as holistic and complementary perspectives such as Ayurveda. His early experience as an engineer and an entrepreneur have helped him understand system design, root cause analysis, and solution development and implementation.
Ravi Hariprasad LinkedIn
Mentioned in the show:
Intuitive Mental Health
Intuitive Psychiatry
Episode 127 - Ayurvedic Principles (Jyoti Patel, MD)
Episode 86 - Ayurveda in Modern Life (Shivani Gupta, PhD)
Jean Paul Sartre
Viktor Frankl
Stoicism
Selective Serotonin Reuptake Inhibitors (SSRIs)
Deepak Melwani is a serial entrepreneur and a 3rd year medical student at Midwestern University Chicago of Osteopathic Medicine, with a robust background in computer science. Before starting medical school, Deepak co-founded a retail software service, scaling it to achieve millions in revenue. His passion lies in leveraging business and technology to reach and impact lives globally. Deepak is deeply committed to integrating these interests with the transformative power of healthcare to profoundly influence individual lives. As a founding partner of Med Matrix, he is at the forefront of innovating the educational landscape for health professional students, revolutionizing their daily study routines.
Social Media:
Instagram
Twitter
Mentioned in the Show:
The Med Matrix (code 'MEDREDEFINED' for 15$ off 1st month)
Episode 76 - Rami Wehbi
MatchDay Health
Drs. Darsh and Altamash sit down to discuss what they beleive will be the biggest health trends of 2024, a recent paper in the Cell Reports Medicine about maximizing protein consumption for muscle growth, and a paper discussing the role of visceral fat in joint pain.
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Mentioned in the Show:
Episode 4 - Shawn Arent (Nutrient Timing)
Episode 130 - Jonathon Baktari (Digital Health)
Episode 114 - Jo Bhakdi (AI in Medicine)
Episode 104 - Bill Cromwell (Cardiovascular Disease)
Episode 8 - Patrick Finan (Pain)
The anabolic response to protein ingestion... (Cell Reports Medicine)
Visceral adiposity is associated with pain...
Williamsburg Bathhouse
DexaFit
You Are What You Eat (Netflix)
Dr. Alin Gragossian completed a residency program in Emergency Medicine at Drexel University, where she cultivated the skills required to manage critical and time-sensitive diagnoses. Following her residency, Dr. Gragossian pursued a 2-year multidisciplinary fellowship in Critical Care Medicine at Mount Sinai Hospital in New York City. Her experiences in these environments equipped her with a unique insight into the intricacies of managing critical cardiac conditions.
Remarkably, Dr. Gragossian's personal journey has been deeply intertwined with her professional pursuits. In 2019, she underwent an urgent heart transplant herself after being diagnosed with familial dilated cardiomyopathy, a life-changing experience that gave her a unique understanding of the patient's perspective.
Presently, Dr. Gragossian is an Intensivist through Equum Medical. Additionally, she holds the position of Associate Medical Director at Donor Network West, where she guides the organization's donor management initiatives. Furthermore, her contributions extend to the realm of medical technology as a consultant for various medical technology companies, where she leverages her expertise to advance medical innovation in critically ill patients.
Most recently, Dr. Gragossian's dedication to advocacy has earned her the esteemed role of Chair of the American Society of Transplantation's Transplant Community Advisory Council. Here, she helps shape the future of transplant medicine and health education for patients and caregivers.
Things we discuss in the show:
Alin's genesis story
Illness to heart transplant
Lessons learned from being at death's door
Alin's future
Follow Dr. Gragossian:
LinkedIn
Instagram
Blog
Podcast
Isaac Saul is the reporter and founder of Tangle, an independent, ad-free, non-partisan politics newsletter that summarizes the best arguments from the left and right on the news of the day. Isaac is based in Philadelphia, PA, and grew up in the politically divisive Bucks County. Before Tangle, Isaac worked joined the The Pitt News during my sophomore year of college at the University of Pittsburgh and served as the sports editor. He then worked at the Huffington Post as well as along side Ashton Kutcher to build A Plus, one of the world's largest positive news outlets. His work at Tangle has been recognized by The New York Times, Forbes, The Hustle, Substack and many others as one of the most successful politics newsletters on the internet.
Mentioned in the show:
Tangle News
Non-Partisan Perspective on the Israel-Hamas War
10 Thoughts on What is Happening in Israel
Hasan Minhaj Rebuttal to New Yorker
Succession
Rollin Wright, MD, is an Associate Professor of Medicine at Penn State Health – Hershey Medical Center. She holds a medical degree from Albany Medical College and completed her fellowship in Geriatric Medicine at Rhode Island Hospital. In addition to her clinical experience, Dr. Wright has developed curricula in areas such as dementia care, interprofessional education, and post-acute and long-term care.
Mentioned in the show:
Medicare vs. Medicaid
HMO vs. PPO
HSA vs. FSA
Atul Gawande
The Price We Pay by Marty Makary
Dr. Altamash and Dr. Darsh break down the biggest lessons they've learned in 2023, both health-wise and personal development. They also discuss their newest health tech purchase - the Morpheus Heart Rate training system. They end their conversation talking about tactics to not gain that stubborn hard to lose weight during the holiday season!
Mentioned in the show:Morpheus Heart Rate System / Max Shank - Episode 24 / Kelly Starrett - Episode 37 / You Can't Screw This Up by Adam Bornstein
Asare Christian, MD is a board-certified Physical Medicine & Rehabilitation physician
who practices musculoskeletal and pain medicine in Wayne PA. He also has an
academic appointment with the University of Pennsylvania PM&R Department. He received his medical degree from the Medical College of Wisconsin and completed residency
training at the Johns Hopkins University School of Medicine. He also received his masters in public health from the Harvard School of Public Health with a concentration in
health policy and management.
In this episode, we discuss:
Peptides and their role in general health, as well as MSK medicine
Understanding disease and health at a cellular level
Problem solving for health
Learning to learn
Resources Mentioned in the Show:
A4M
Find Asare:
Aethermedicine
Instagram
Linkedin
Alex King, DO is a neuromusculoskeletal physician and associate program director of the Osteopathic Neuromusculoskeletal Medicine Program at Rowan University. He received his DO and completed his residency in neuromusculoskeletal medicine at the Philadelphia College of Osteopathic Medicine. Dr. King is also licensed in medical acupuncture, receiving his education from the Helms Medical Institute.
Mentioned in the show:
Acupuncture / Ear Seeds / Rope Flow
Dr. Alex King's Socials: Instagram / Recoverology Del Co
Stacey Stegenga wasn’t always a real estate investor, she was a nurse. But not just any nurse, Stacey was a flight nurse, helping transport military patients across the US. When she wasn’t away for flight nursing, she picked up travel nursing, moving around the US for months at a time to provide medical care wherever needed. She finally ended up in Denver to be close to family and grow some roots, but her pay was painfully cut in half . After educating herself intensely, she took the risk and jumped into real estate investing. Stacey was able to build an 8 unit portfolio in just 18 months and became a passive investor in a syndication! She now has experience with out-of-state investing, building a team, raising private capital, and mid-term rentals, all of which have worked out generously in her favor. Stacey’s love for real estate investing stems from supplementing her salary as a full-time nurse. She is passionate about improving healthcare and advocates for legislation to change the harmful work environment that so many healthcare professionals are forced to tolerate.
Mentioned in the show:
Set For Life by Scott Trench / Bigger Pockets / Syndication / Triple Net Lease / Real Estate Tax Benefits
Stacey's Socials:
Instagram