The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning Twitter: @CPSolvers Website: clinicalproblemsolving.com
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The Clinical Problem Solvers Podcasts
Conversations with scientists, clinicians, thought leaders, end users (business leaders, agency heads, practitioners) and people (“profiles in resilience”) on real-world integrated health solutions and their impact on recovery, resilience and the realization of human/organizational potential.
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Reinvent Healthcare provides support, insight, and cutting edge information for health and wellness practitioners passionately committed to transforming our broken, disease-focused, healthcare system. Dr. Ritamarie Loscalzo, the founder of the Institute of Nutritional Endocrinology, shares more than 30 years of clinical experience using science-based, nutritional and natural approaches for successfully correcting the imbalances that lead to chronic disease. Her vast knowledge, infectious ene ...
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Episode 421: Baby on Board – and a surprise guest! Listen to Greg and Bobby discuss how to manage the guest tagging along for the ride!!
56:37
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56:37Case Presenter: Anna Jarvis, MD Anna Jarvis is a current 3rd year OB/GYN resident at Johns Hopkins. She is originally from California, where she completed her MD at University of California, Irvine. She is currently applying to Maternal Fetal Medicine Fellowship this cycle! Case Discussant MFM Fellow – at University of Pennsylvania Greg is a curren…
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Beyond Health Coaching: What It Really Takes to Help Complex Clients
41:07
41:07
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41:07What if your patient’s “normal labs” were hiding a serious disease? What if protocols were making them worse, and you didn’t know? In this episode, Dr. Ritamarie Loscalzo sits down with functional nutrition experts and NEPT grads Steph Jackson and Jennifer Whitmire to challenge the shallow training and one-size-fits-all approaches flooding the heal…
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From the Frontline to the Backend: a Conversation with Chestnut Data Scientist Dr. Katie Clark
27:21
27:21
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27:21Dr. Katie Clark, Data Scientist at Chestnut Health Systems, discusses her unusual journey, from counseling individuals experiencing substance use, mental health, homelessness, trauma, and medical conditions, to her current work as a data scientist. With Chestnut, she leads data collection initiatives, doing everything from methodology consultation …
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Liver-Pancreas Crosstalk: The Silent Breakdown Driving Insulin Resistance
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12:06What if the first signs of insulin resistance have nothing to do with glucose? In this episode of ReInvent Healthcare, Dr. Ritamarie uncovers the hidden metabolic dialogue between the liver and pancreas. It’s a connection that begins to break down long before glucose or A1C raise red flags. Beneath the surface of “normal labs” lies a growing storm:…
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Episode 420: Antiracism in Medicine – Episode 28 – SGIM 2025: Immigrant and Refugee Health
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43:00https://clinicalproblemsolving.com/wp-content/uploads/2025/09/Episode-28-CPSolvers-Antiracism-in-Medicine-Series-FINAL-AUDIO.mp3 CPSolvers: Anti-Racism in Medicine Series Episode 25 – Immigrant and Refugee Health: Live from SGIM 2025: Best of Antiracism Research at the Society of General Internal Medicine’s Annual Meeting Show Notes by Alec J. Cala…
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Episode 419: Neurology VMR – Headache and diplopia
52:31
52:31
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52:31https://clinicalproblemsolving.com/wp-content/uploads/2025/09/Timeline-1.mp3 We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Jeffrey presents a case of headache and diplopia to Vale and Sebastian. Neurology DDx Schema Jeffrey Shen Jeffrey is an academic rheumatologist whose early love for guessing TV pl…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/09/IDLove-Episode-Colitis-1.mp3 Schema PDF To join us live on Virtual Morning Report (VMR) or to present a case to us, sign up here. Download CPSolvers App here RLRCPSOLVERSBy saklawi1
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The Hidden Hormone Imbalance Before Menopause Hits
55:03
55:03
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55:03Hot flashes, mood swings, and brain fog. Too often, these symptoms are brushed off as inevitable signs of aging. What if these are your client’s early warning system of deeper hormonal chaos already underway? In this episode of ReInvent Healthcare, Dr. Ritamarie sits down with hormone specialist and bestselling author Dr. Mariza Snyder to discuss t…
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How Fatty Liver Triggers Insulin Resistance, And What to Do About It
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12:22What if the first signs of metabolic breakdown aren’t in the pancreas or the blood sugar but hidden deep in the liver? In this episode of ReInvent Healthcare, Dr. Ritamarie takes you inside the metabolic feedback loop few practitioners are trained to detect. Long before glucose rises or A1C shifts, subtle signals in the liver may already be pointin…
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RLR MAIN PODCAST Episode description RR discuss a case of AKI Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-planBy rabihgeha
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Episode 416 – Clinical Unknown Series with Dr. Vinicius de Sousa
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51:23https://clinicalproblemsolving.com/wp-content/uploads/2025/08/CUS-Aug-28-2025-final.wav In this episode of the Clinical Unknown Series, Noah and Vini will address a rash case presented by Mark and Debora. Mark will share his insights on the diagnosis by the end of the episode. Download CPSolvers App here RLRCPSOLVERS P.S.: DJ Noah will play “Xote d…
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The Integrated Care Playbook with Chestnut’s Chief Clinical Officer Matt Mollenhauer
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23:45We spoke with Matt Mollenhauer, Chief Clinical Officer at Chestnut Health Systems, where he’s been for the past 33 years. We discussed: What a CCO does, and a sense of the scope of clinical programs within your purview as CCO. Matt’s leadership philosophy - how he keeps staff engaged, motivated, and at the top of their game. Matt points to two prog…
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Your Body’s Cry for Help: What Conventional Thyroid Testing Isn’t Telling You
39:50
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39:50What if your client’s labs show everything is “normal,” but their symptoms are screaming otherwise? In this episode of ReInvent Healthcare, Dr. Ritamarie sits down with holistic nutritionist and restorative wellness practitioner Divya Gupta to uncover the hidden truths behind thyroid dysfunction. Drawing from her own journey with Hashimoto’s and ga…
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Episode 415 – Spaced Learning Series – Beyond The Coagulation Cascade
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56:37https://clinicalproblemsolving.com/wp-content/uploads/2025/08/SLS-8-2025-RTP.mp3 Episode description: does your PTT cross the upper limit of normal when you think about the coagulation cascade? Got *mixed* feelings about APLS labs? This episode might be for you! Featuring: Valeria Roldan Jasdeep Bajwa Elena Storz Mukund Raguram Schemas Coagulopathy…
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Chestnut's Dave Sharar: a Legacy of Leadership and Innovation
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29:08In this special episode of the Catalyst, we visit with Dave Sharar, the CEO of Chestnut Health Systems. After a remarkable 36-year career, Dave is stepping down from his post to begin a new chapter at the Lighthouse Institute. Dave reflects on his journey from camp counselor to CEO, sharing the pivotal moments that shaped his leadership philosophy,…
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Melatonin and Metabolic Health – The Nighttime Hormone That Shapes Your Metabolism
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10:50What if a key regulator of blood sugar, fat storage, and insulin sensitivity was hiding in plain sight, active only in the dark? In this episode of ReInvent Healthcare, Dr. Ritamarie explores one of the most overlooked hormonal players in metabolic function. It’s not a supplement, not a medication, and not a superfood, but it profoundly influences …
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Episode 414: Spaced Learning Series, dysuria
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35:01
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35:01Tune in as Austin, Oumaima, Maryana and David discuss a patient with dysuria in an outpatient setting. https://clinicalproblemsolving.com/wp-content/uploads/2025/08/SLS-MORAD-6_22_25-0.mp3 Download CPSolvers App here RLRCPSOLVERS Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus…
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Episode 413: Rafael Medina Hepatology Episode with Dr. Tapper – Driver or Bystander
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44:10https://clinicalproblemsolving.com/wp-content/uploads/2025/08/HepatologyFinal.mp3 In this hepatology episode, Dr. Hirsh Elhence presents a case to Dr. Elliot Tapper. They discuss the question: “Is the liver the driver or a bystander?” Facilitator: Dr. Madellena (Maddy) Conte Case Presenter: Dr. Hirsh Elhence, current resident at University of Color…
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The Silent Language of the Body: Rethinking Chronic Illness, Pain, and Autoimmunity with Isabelle Amigues, MD
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25:50What if your patient’s persistent symptoms aren’t fully explained by labs, imaging, or even your best root-cause protocols? In this episode of ReInvent Healthcare, Dr. Ritamarie sits down with rheumatologist-turned-integrative-healer Dr. Isabelle Amigues to explore the deeper messages the body is trying to send—through pain, illness, and resistance…
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The Art of Overcoming Barriers to Care: Chestnut's Chief Problem Solver, Amy Gibbar
29:12
29:12
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29:12Amy Gibbar, VP of Integrated Care at Chestnut and problem solver extraordinaire, discusses her extensive experience in overcoming barriers to care and the importance of integrated services in mental health and substance use treatment. Amy shares her techniques for improving access to care, the philosophies that guide her work, the value of "healthy…
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Episode 412: Schema Episode – Seizure, Fever, Encephalopathy
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42:06https://clinicalproblemsolving.com/wp-content/uploads/2025/08/SchemaEp_SeizuresFever_Final.mp3 Mark presents a case of seizures, fever, and meningoencephalitis to Youssef, Maddy, and Noah. Lymphocytic Pleocytosis Schema Seizures Schema To join us live on Virtual Morning Report (VMR), sign up HERE. Download CPSolvers App here RLRCPSOLVERS…
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Driving Recovery at the Speed of Trust: a Conversation with Chestnut’s Nadia Klekamp
25:44
25:44
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25:44Nadia Klekamp is the Director of Integrated Community Education at Chestnut Health Systems. For the last fifteen-plus years, she has helped promote community-level change by developing strategies that improve public health. Nadia shares her insights on Recovery Oriented Systems of Care (ROSC), a coordinated network of community-based services aimed…
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The Real Reason Women Gain Weight in Midlife
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11:07If your clients are gaining weight in their 40s or 50s despite clean eating and regular movement, it’s not simply “aging” or “hormones.” In this episode of ReInvent Healthcare, Dr. Ritamarie explores a metabolic adaptation that occurs during midlife and alters how the body responds to glucose, insulin, and stress. There’s a multi-system shift that …
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Episode 411 – RLR – Abrupt Abdominal Pain
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30:08https://clinicalproblemsolving.com/wp-content/uploads/2025/08/Case-143-RLR.mp3 Episode description RR discuss abrupt abdominal pain, nausea and vomiting Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…
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Women and Substance Use: Christine Grella Shares Insights from 30+ Years of Groundbreaking Research
39:33
39:33
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39:33Christine Grella, Senior Research Scientist with The Lighthouse Institute, joined us to discuss her decades of research on substance use disorders, with a focus on the particular challenges facing women. Key Highlights: Chris’s early work at UCLA that focused on incarcerated men, after which most of her work focused on substance use among women. Lo…
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Episode 410: Neurology VMR – right hand weakness for 3 months
54:23
54:23
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54:23We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of right hand weakness for 3 months to Vale. Neurology DDx Schema Aye Chan Moe Thant (@AyeThant94) Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurolo…
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Bioidentical Hormones Demystified: What Most Practitioners Are Still Getting Wrong with Dr Lorraine Maita
49:46
49:46
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49:46Are hot flashes just an inconvenience—or a warning sign of deeper dysfunction? In this episode of ReInvent Healthcare, Dr. Ritamarie Loscalzo sits down with triple board-certified hormone expert Dr. Lorraine Maita to challenge outdated myths around hormone replacement therapy (HRT) and menopause care. From debilitating mood swings and memory lapses…
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Episode 409 – Spaced Learning Series: Lung, Bones, and Brain
45:02
45:02
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45:02https://clinicalproblemsolving.com/wp-content/uploads/2025/07/SLS-PROJECT-1-FINAL.mp3 Tune in as Alec, Mengyu, Parisa, Ethan, and Ibrahim dissect a case of a 40 YO M presenting after a motor vehicle collision! Download CPSolvers App here RLRCPSOLVERSBy ibraheemomer
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From Isolation to Inflammation: How Low Oxytocin Drives Insulin Resistance
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14:54
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14:54What if your clients’ metabolic struggles weren’t just related to insulin, cortisol, or diet but a deeper, overlooked hormone that bridges the gap? In this episode of ReInvent Healthcare, Dr. Ritamarie pulls back the curtain on one of the most underestimated players in metabolic function: oxytocin. You’ll discover why this “feel-good” hormone is fa…
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Integrating Care, Improving Lives: Inside IHPA’s Behavioral Health Model
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30:23Two leaders from the Illinois Health Practice Alliance (IHPA) — David Berkey (CEO) and Gilbert Lichstein (COO) — join us to discuss IHPA’s mission as a clinically integrated behavioral health network advancing health, recovery, engagement, and choice across Illinois. Topics include: IHPA’s background and the market gaps it addresses The importance …
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Episode 408 – Clinical Unknown Series with Dr. Kirtan Patolia
1:14:43
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1:14:43https://clinicalproblemsolving.com/wp-content/uploads/2025/07/Kirtan-CUS-Post-Prod.wav In this episode, Noah presented a surprising case with an excellent outcome to Mark and Kirtan. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERSBy deboraloureiro
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Reversing Kidney Disease Naturally: A Radical New Paradigm Rooted in Renology
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55:45
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55:45Most people believe kidney decline is a one-way street to dialysis. But what if that’s simply not true? In this episode of ReInvent Healthcare, Dr. Ritamarie is joined by Dr. Robin Rose, a pioneering physician who turned her own diagnosis of kidney cancer and stage four kidney disease into a journey of recovery—and a new medical paradigm called Ren…
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Joe E. Glass is a senior research scientist who recently joined Chestnut Health Systems after a nearly five-year tenure at Kaiser Permanente Washington Health Research Institute. Dr. Glass’s work centers on expanding access to effective interventions for alcohol and drug use, with a focus on developing, testing, and implementing innovative care mod…
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Episode 407: WDx #37: Clinical Unknown with Kaylin and Sharmin
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48:24In this episode of WDx, Dr Sukriti Banthiya joins Kaylin, Sharmin, and Cheryl and presents a case of a 78-year-old man initially presenting with generalized weakness and a fall. https://clinicalproblemsolving.com/wp-content/uploads/2025/07/WDx-7.10.25-final.m4a Download CPSolvers App here RLRCPSOLVERS…
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The Diet Wars Are Real—Here’s How to Find the Right Plan for Every Body
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25:27In this episode of ReInvent Healthcare, Dr. Ritamarie dives into the raging “diet wars”—from carnivore to keto, vegan to paleo—and exposes the dangerous trap practitioners and health seekers fall into when they choose sides. What if every diet is both right and wrong? And what if the truth lies not in the diet… but in the person? This episode doesn…
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Understanding Addiction: Jessica Hulsey, Founder of the Addiction Policy Forum
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29:45
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29:45Jessica Hulsey, President and CEO of the Addiction Policy Forum, joins us to discuss her advocacy work in the addiction and recovery field. Jessica was appointed by President Bill Clinton to serve on the Drug-Free Communities Commission and also served as a legislative aide in the U.S. House of Representatives, focusing on drug policy issues. In 20…
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Episode 406 – Spaced Learning Series – Flank Pain, Hypercalcemia, and Granulomas
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33:43https://clinicalproblemsolving.com/wp-content/uploads/2025/07/SLS-Episode-6_17_FINAL.mp3 Episode description: A fascinating case that started as flank pain … ultimately seen in outpatient pulmonology! Join us for this adventure in clinical reasoning. Featuring: Priyanka Athavale Anna Fretz Kirtan Patolia Seyma Yildirim Schemas: Flank Pain Hypercalc…
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Episode 405- Rafael Medina Subspecialty Episode- Joint pain, rash and dry mouth
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1:05:36https://clinicalproblemsolving.com/wp-content/uploads/2025/07/Episode-405.mp3 In this Rheumatology Rafael Medina Subspecialty episode, Dr. Ana Valle presents a case of Joint pain and skin rash to Dr. Eli Miloslavsky. Session facilitator: Rahul Pottabathini Case Discussant: Dr. Eli Miloslavsky is a rheumatologist and Associate Professor of Medicine …
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Vision Loss Starts in the Kitchen: What Every Health Pro Must Know
38:46
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38:46Most practitioners never consider the eyes when evaluating metabolic health. But what if vision changes are an early sign of deeper dysfunction? In this episode of ReInvent Healthcare, Dr. Ritamarie Loscalzo sits down with Dr. Rani Banik—a board-certified neuro-ophthalmologist and integrative medicine expert—to explore how eye health is influenced …
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March of Folly: Harvard's Dr. John Kelly on the War on Drugs and the Way Forward
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44:44For over 50 years, America’s “war on drugs” has been a war with unintended consequences. Framed as a battle to be won, it reshaped addiction not as a public health crisis but as a moral and criminal one. This rhetoric didn’t just stigmatize millions — it fundamentally altered the course of treatment and recovery for decades. We sit down with Dr. Jo…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/06/audio1584997622-1-1.mp3 Title – Gum bleeding Episode description RR discuss a case of gum bleeding Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…
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Are Your Clients Getting Too Much… or Not Enough? Why the real answer lies in something most “experts” ignore. When it comes to protein, opinions are everywhere, and confusion is rampant. Should your clients eat more? Less? Go animal-based? Plant-powered? What about leucine, sarcopenia, and kidney stress? In this episode, Dr. Ritamarie breaks throu…
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Everything You Wanted to Know about the BBB and its Impact on Medicaid But Were Afraid to Ask
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35:55If you are among the many people confused about the One Big Beautiful Bill barreling through Congress and its implications for Medicaid, we have just the guy to walk you through it. Al Guida founded Guide Consulting Services, a 25-year-old consulting practice that helps corporate, government, and non-profit clients navigate Washington policy proces…
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Episode 403: Schema Episode – Rhabdomyolysis
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29:17https://clinicalproblemsolving.com/wp-content/uploads/2025/06/Schema-Rhabdo-Episode-leveled.wav Maddy presents a case of atraumatic rhabdomyolysis to Youssef, Andrew, and Noah. Myopathy Schema To join us live on Virtual Morning Report (VMR), sign up HERE. Download CPSolvers App here RLRCPSOLVERSBy asanchezmedicine
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https://clinicalproblemsolving.com/wp-content/uploads/2025/06/Neuro-VMR-June-Final-final-.mp3 We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Bayan presents a case of altered mental status to Aye. Neurology DDx Schema Bayan Al Zoabu Bayan is a senior medical student from Syria with a passion for neurolo…
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The Hidden Dangers of the Protein Craze: Are You Unknowingly Fueling Disease?
1:01:48
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1:01:48You’ve heard the hype—pile on the protein to build muscle, lose weight, and stay youthful. But is this high-protein push quietly accelerating aging, inflammation, and even cancer? In this episode of ReInvent Healthcare, Dr. Ritamarie Loscalzo sits down with quintuple board-certified physician and integrative pathologist, Dr. Monisha Bhanote, to exp…
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https://clinicalproblemsolving.com/wp-content/uploads/2025/06/ID-LOVE-3rd-episode-NEW-INTRO.mp3 Illness script discussed in this episode (This will reveal the final dx) To join us live on Virtual Morning Report (VMR) or to present a case to us, sign up here. Download CPSolvers App here RLRCPSOLVERSBy saklawi1
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Transforming Care: the Medicaid Innovation Initiative
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23:56
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23:56Austin Howald is the Director of Integrated Community Services at Chestnut Health Systems. His work targets the intersection of mental health, housing insecurity, and social drivers of health. The overarching theme of our conversation is "what innovation in healthcare looks like" through the lens of the Medicaid Innovation Initiative. We discussed:…
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The Hidden Insulin Trap: Why “Clean Eaters” Still Struggle with Fatigue, Cravings, and Belly Fat
12:46
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12:46Your clients are doing everything “right”—cutting carbs, eating clean, avoiding sugar—and their glucose looks perfectly fine. But they’re still dealing with brain fog, stubborn weight, fatigue, or high blood pressure. What gives? In this episode, Dr. Ritamarie uncovers a hidden force that could be quietly derailing even your healthiest clients—an i…
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Episode 400: Clinical Unknown Series with Dr. Mengyu Zhou
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40:25https://clinicalproblemsolving.com/wp-content/uploads/2025/06/CUS-Mengyu.wav Welcome to another episode of the Clinical Unknown Series! Mark presented a case with a chief complaint of constipation to Debora and Mengyu, and there was an unpredictable turnover. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS…
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