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If you have back pain, you are not alone. According to Georgetown University’s Health Policy Institute, nearly 65 million Americans report a recent episode of back pain, and 16 million adults — 8 percent of all adults — experience persistent or chronic back pain and are limited in everyday activities. Dr. Marcus Mazur at Pacific Neuroscience Institute sees people living with back pain and works to find a solution, whether that’s through surgery or through some of the many other available options, including medication, physical therapy, chiropractors and, interestingly, exercises in a swimming pool. In today’s episode, Dr. Mazur discusses all the options, when surgery can help, and things you can do to prevent back pain from affecting you in the first place.
National Stroke Awareness Month is observed in May to promote public awareness about stroke symptoms and prevention. While 800,000 Americans have a stroke every year, many of these can be prevented. It’s particularly critical to recognize when a stroke is happening, because fast treatment can prevent the worst effects. In this Spotlight Replay, Dr. Sandra Narayanan, a neurointerventional surgeon at Pacific Neuroscience Institute who treats people who’ve had strokes, tells us how a healthy lifestyle can help most people avoid a stroke. And she gives an important update to the F.A.S.T. acronym for helping recognize when someone has had a stroke—it’s now BE FAST. Let’s listen in and learn what BE FAST stands for—and keep a stroke from knocking us down!
May is Brain Tumor Awareness Month, which the National Brain Tumor Society calls “a time dedicated to supporting, empowering, and amplifying the voice of the brain tumor community.” The NBTS estimates that more than 1.3 million Americans are living with a brain tumor and, while 73 percent of these are benign, an estimate 18,350 Americans will die of a brain tumor this year. In this Spotlight Replay, we revisit a conversation with Dr. Chester Griffiths, one of the founders of Pacific Neuroscience Institute and a pioneer in the minimally invasive brain surgery that has become one of PNI’s hallmarks. Dr. Griffiths tells how he helps find the path through the brain to the tumor, helps the neurosurgeon remove the disease, and then leads their tiny instruments out again. Let’s listen in!
Dr. Nouzhan Sehati, is a board-certified neurosurgeon who specializes the treatment of a wide variety of brain, spine and spinal cord disorders at Pacific Neuroscience Institute. His expertise is in surgical and nonsurgical management of degenerative, traumatic and neoplastic (tumor) diseases of the brain and spine with a focus on minimally invasive techniques. Dr. Sehati believes in clinical excellence and comprehensive care for all of his patients. His compassionate approach involves working as a partner with his patients, honoring patient individuality and dignity, understanding the patient’s needs and preferences, discussing all aspects and options of treatment available, and implementing advanced, state-of-the art techniques for optimal outcomes.
In general, aneurysms are only detected after they have burst although they may sometimes be detected during the course of other tests. Operating on the arteries of the brain may feel scary but there have been tremendous advances in the way that aneurysms are surgically treated. The interventional neuroradiologist has several options for treating the aneurysm from the inside of the blood vessel based on the patient’s status. These kinds of surgery, called endovascular neurosurgery or embolization, are performed using the minimally invasive microcatheter-based approach mentioned earlier. In this way, aneurysms can be treated by coiling, stent coiling, flow diversion, or balloon remodeling. In all these methods, the aim is to prevent blood from pooling in the aneurysm and causing blood clots. The deposited wire coils or cages help to cut off the blood’s access to the aneurysm so that it can flow normally through the blood vessel.
Parkinson’s disease is a neurologic movement disorder. It affects the brain and causes difficulty with movement, with the most common motor symptoms being tremors, stiffness or rigidity of muscles, and slowness of movement. According to the American Parkinson Disease Association, it is the fastest growing neurodegenerative disease in the world, and the second most common after Alzheimer’s disease, with an estimated 1 million people in the U.S. and more than 10 million people worldwide living with Parkinson’s. In addition to the well-known motor symptoms of tremors, rigidity and slowness, Parkinson’s disease also manifests in non-motor symptoms including sleep problems, constipation, anxiety, depression, and fatigue, among others, which can be present well before any visible motor symptoms. Dr. Melita Petrossian is a movement neurologist and medical director of Pacific Neuroscience Institute’s Movement Disorders Center. In today’s episode, Dr. Petrossian discusses these non-motor symptoms and explains the different types of testing that can lead to a diagnosis of Parkinson's disease—and what someone living with Parkinson’s may need to consider. For more information, visit:https://pacificneuro.org/
Two slender muscles carry out some of the most important—and taken-for-granted—tasks in our lives. These muscles make up what we have come to call our “voice box,” and they not only produce the sounds that we make—they also close on cue to protect our lungs as we swallow. In this Spotlight Replay, we revisit a conversation with Dr. Omid Mehdizadeh, who treats voice and swallow disorders, in which he helps us appreciate the vital role of this unsung hero, our voice box. Let’s listen in!
Survey after survey is telling us that Americans are increasingly feeling lonely. It’s a trend that’s been growing for years and, while it was exacerbated during the pandemic when we were instructed to socially isolate, it continues even as society has reopened. In this Spotlight Replay, we revisit a panel discussion in which three doctors at Pacific Neuroscience Institute tell how they help people deal with different causes of loneliness. Doctors at PNI discover loneliness in their patients, often for specific causes that can be treated. Dr. Courtney Voelker sees patients with hearing so compromised that they can’t follow conversations with loved ones. Dr. Amit Kochhar has patients who are unwilling to socialize because their facial paralysis prevents them from expressing emotions. And Dr. Shanthi Gowrinathan works with patients struggling with depression from a cancer diagnosis. Each doctor has tools to help ease the social impact of these neurological diseases. Let’s listen in!
Fellowship trained, Noa Tal, MD, is a devoted endocrinologist committed to delivering exceptional care and striving for excellence in her field. With a diverse background encompassing medicine, research, teaching, and wellness, she endeavors to make significant contributions to healthcare. At the Pituitary Disorders Center at Pacific Neuroscience Institute®, Dr. Tal cares for patients with endocrine issues as a result of pituitary tumors. Dr. Tal earned her medical degree from Tel Aviv University School of Medicine and completed her internal medicine residency at Montefiore Medical Center in Bronx, NY. Subsequently, she pursued further specialization through an endocrinology fellowship at Cedars-Sinai Medical Center in Los Angeles, CA. Her research focuses on advancing understanding in areas such as microbiome, pituitary pathology, and endocrine pathways related to aging and age-related diseases. Beyond her medical achievements, Dr. Tal is deeply passionate about promoting wellness. She has volunteered at “Plant Powered Metro New York,” sharing insights on plant-based nutrition, chronic disease management, and diabetes prevention. Dr. Tal has also undergone additional training in diet and lifestyle intervention and has served as a yoga instructor, integrating holistic approaches into her practice. She firmly believes in a comprehensive approach to patient care, encompassing research, quality improvement, and wellness promotion, with the ultimate aim of making a positive impact in medicine, academia, and wellness.
When someone is diagnosed with a brain tumor, their world can shift overnight, bringing challenges that reach far beyond the medical diagnosis. A tumor is, first and foremost and most obviously, a health challenge. Like any serious illness, however, it also taxes people mentally and psychologically. Patients and their families have to navigate a complex medical system, take in new and challenging information, and make large, potentially life-changing decisions. Because of this stressful environment, Pacific Neuroscience Institute’s Dr. Shanthi Gowrinathan, a psychiatrist who specializes in treating people with cancer, is part of a team that helps people cope with the mental aspects of their illness. In today’s episode, Dr. Gowrinathan explains how she helps patients and their families maintain their sense of self in the face of tremendous challenges.