How do you find a disease that no one is looking for? This podcast explores the conundrum of anal cancer and pre-cancer; an HPV-related disease that is misunderstood and often misdiagnosed. The anus is a topic that we don’t talk about…perhaps because this part of our body creates an odd sense of uncleanliness, taboo, and shame. Our podcast will be frank, practical discussions with international medical experts, patients and advocates. We will break through the shame, blame, and denial, and b ...
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Out of Patients with Matthew Zachary is the most notorious, unapologetic, and influential podcast in healthcare, amplifying the patient voice like no other. With millions of listeners, a legacy of shaping cancer survivorship, and a track record of driving policy change, this is more than a podcast—it's a movement. Hosted by Matthew Zachary, the longest-standing podcaster in healthcare since 2007's award-winning Stupid Cancer Show, every episode delivers a masterclass in storytelling with una ...
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Explore pivotal recommendations from the latest evidence-based clinical practice guidance with ASCO Guidelines. Join us to discover essential insights and navigate the ever-evolving landscape of cancer research and treatment.
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Welcome to Proctology and Laparoscopic Surgery Podcast. This podcast series aims to help the patients get over the fear of surgery and find a solution for their proctological conditions and intra-abdomen diseases.
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Where there is no such thing as TMI... We're 2 women going there on so many hot and taboo topics. You can trust us to be your reliable source for wellness information and pure entertainment as we interview experts, test products and procedures. We’ll ask all the questions you want to know but may be too afraid to ask. So, what do you want to know… We’ll Go There!
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This weekly show pairs international sex expert Tracey Cox and comic Kelsey Chittick as they discuss three anonymously sourced question each week about sex and relationships. Laugh-out-loud funny, irreverent, British, international sex expert and author of 17 books Tracey answers questions posed by witty author and former stand-up comedienne Kelsey Chittick, such as: How much should I really share with my girlfriends? What do I do about my husband's work wife? How often should we really be g ...
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S13 Ep. 3: "Facials," Orgasms without Vibrators, and Asexuality
22:07
22:07
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22:07In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I’ve just started seeing a guy who is really into giving ‘facials.’ I’ve done it before, and don’t honestly mind, but what’s the psychology behind it? Why do so many guys like doing it, and is it degrading to agree? 2) I’ve only ever had an orgasm once without a vibrator…
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Why Does an Anal Fistula Keep Coming Back? Understanding Recurrence with Dr. Manas Ranjan Tripathy | Laser Fistula Treatment in HSR Layout, Bangalore
2:08
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2:08Why do anal fistulas return even after treatment? In this insightful episode, colorectal surgeon Dr. Manas Ranjan Tripathy dives deep into the reasons behind the recurrence of anal fistulas. Learn about the common causes, risk factors, and the role of proper diagnosis and follow-up. He also sheds light on advanced laser fistula treatment in HSR Lay…
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Kill Bill Meets Jane Fonda: Ilaria Montagnani
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38:08What happens when a black belt, sword-slinging fitness icon gets cancer—twice? She picks up a camera and dares the universe to test her again. Ilaria Montagnani is not your average anything. She’s been building strong bodies (and stronger minds) for over 30 years as the founder of Powerstrike. She’s part Jane Fonda, part Uma Thurman, and very much …
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Are Hemorrhoids Contagious? | Dr. Manas Ranjan Tripathy Explains the Truth | Piles Clinic HSR Layout, Bengaluru | Best Piles Treatment Bangalore
1:49
1:49
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1:49Are Hemorrhoids Contagious? Busting Myths with Dr. Manas Ranjan Tripathy Can you catch hemorrhoids from someone else? In this enlightening episode, expert colorectal surgeon Dr. Manas Ranjan Tripathy addresses one of the most common questions patients have—are hemorrhoids contagious? Tune in as he clears the confusion, explains what really causes h…
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S13 Ep. 2: Sex Pests, Sex Ed for Teens, and Why Am I Reliant on Porn to Climax?
29:42
29:42
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29:42In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I love my husband and I’m very attracted to him. But for some reason, I have to picture a scene from porn to reach orgasm with him. I’m very much in my head when having sex in general, and find myself thinking about a million things that aren’t related to sex during it. …
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Patient No More, Bullsh*t No More: Helene M Epstein
40:01
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40:01Helene M. Epstein is not here to make friends with the healthcare system. She's here to dismantle the bullshit, one catastrophic medical error at a time. An ad agency veteran turned patient safety firebrand, Helene’s journey from business development to writer to “badass queen of patient safety,” is one hell of a ride. We talk about how her son was…
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Sentinel Lymph Node Biopsy in Early-Stage Breast Cancer Guideline Update
20:51
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20:51Dr. Ko Un “Clara” Park and Dr. Mylin Torres present the latest evidence-based changes to the SLNB in early-stage breast cancer guideline. They discuss the practice-changing trials that led to the updated recommendations and topics such as when SLNB can be omitted, when ALND is indicated, radiation and systemic treatment decisions after SLNB omissio…
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S13 Ep. 1: Practical Tips to Cure Best-Friend Sex, an Unexpected Offer, and Is Faking It OK Now?
26:23
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26:23In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) Kelsey recently said she faked many orgasms while married. What is the general feeling about faking it now? How do most people react when they find out their partner’s faked it? Surely men think it’s a betrayal in the relationship? 2) Help! The inevitable has happened: s…
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Jonathan and Jennifer Wall didn’t choose this path, but they’re walking it with purpose. After losing their son, Zach, they turned their grief into action, founding Zach’s Bridge, a lifeline for families navigating pediatric cancer. This episode isn’t about platitudes or silver linings—it’s about the raw, unfiltered reality of love and loss, the re…
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Laser Treatment for Anal Fistula: Is It the Best Option? | Expert Insights by Dr. Manas Ranjan Tripathy | Laser Fistula Treatment Without Surgery in HSR Layout and Koramangala, Bangalore
2:17
2:17
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2:17Is Laser Treatment the Right Choice for Anal Fistula? Let’s Break It Down with Dr. Manas Ranjan Tripathy In this episode, join expert colorectal surgeon Dr. Manas Ranjan Tripathy as he explores one of the most talked-about advancements in anorectal surgery — laser treatment for anal fistula. Is it truly the best option? What makes it different from…
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Love Is Rare. Life Is Strange: My Best Friend Sarah
50:31
50:31
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50:31Sarah Armstrong—forever Sarah Oakden to me, no matter what the legal documents say—isn't just my best friend. She's my first college friend, my musical theater soulmate, and the first person who truly saw me as an artist. She was there when I walked onto Binghamton’s campus, and she was there when I walked into cancer hell. And, because we’re nothi…
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Can Hemorrhoids Turn Into Cancer? Separating Facts from Fear | Dr. Manas Ranjan Tripathy | Best Piles Treatment Bangalore
2:02
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2:02Can hemorrhoids lead to cancer? 🤔 In this episode, Dr. Manas Ranjan Tripathy unpacks the research behind hemorrhoids and their potential link to colorectal cancer. Learn the key differences, warning signs to watch for, and when to seek medical advice. Tune in for expert insights, evidence-based facts, and tips for maintaining your anorectal health!…
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Can Stress Cause Hemorrhoids? The Gut-Brain Connection | Dr. Manas Ranjan Tripathy | Best Piles Treatment Bangalore
1:56
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1:56Can stress contribute to hemorrhoids? 🤔 In this episode, Dr. Manas Ranjan Tripathy dives into the fascinating gut-brain connection and its impact on anorectal health. Discover how chronic stress, digestion, and lifestyle factors play a role in hemorrhoid development—and what you can do to prevent and manage it. Tune in for expert insights, practica…
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Food for Thought: Cancer, Calories, and Kicking Ass
39:22
39:22
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39:22Food for Thought: Cancer, Calories, and Kicking Ass Vanessa Rissetto is back, and she’s bringing the same energy, wit, and unapologetic realness that made her a fan favorite. Last time, we talked nutrition and the rise of Culina Health. This time, life threw her a plot twist—breast cancer. Because, you know, irony. Vanessa was busy building a nutri…
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Fertility Preservation in People with Cancer Guideline Update
32:09
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32:09Dr. Irene Su and Dr. Alison Loren present the latest evidence-based recommendations on fertility preservation for people with cancer. They discuss established, emerging, and investigational methods of fertility preservation for adults and children, and the role of clinicians including discussing the risk of infertility with all patients. Dr. Su and…
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Alcohol, Caffeine & Smoking Do they Make Hemorrhoids Worse | Best Proctologist in Bangalore | Dr. Manas Tripathy
2:03
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2:03Can your lifestyle habits be making hemorrhoids worse? Join Dr. Manas Ranjan Tripathy, a specialist in Proctology and Laparoscopic Surgery, as he explores the impact of alcohol, caffeine, and smoking on hemorrhoids in our latest podcast episode. Don’t miss these essential insights for better digestive health!…
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HPV, Anal Cancer, and the Fabulous Ms. Lillian Kreppel
39:23
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39:23EPISODE DESCRIPTION Lillian Kreppel doesn’t hold back. A seven-year anal cancer survivor and co-founder of the HPV Cancers Alliance, she has made it her mission to challenge stigma, fight misinformation, and push for better awareness of HPV-related cancers. In this episode, she sits down with Matthew Zachary to talk about her journey from high-powe…
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IMPOSSICANT! Grace Charrier’s No-Holds-Barred Cancer Rebellion
37:57
37:57
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37:57Grace Charrier—a powerhouse advocate, author, and cancer survivor—whose journey from a Stage 3 triple-negative breast cancer diagnosis to global advocacy is nothing short of extraordinary. Originally from Nigeria, Grace's life was upended when she was diagnosed following an unexpected health scare. Instead of retreating, she turned her experience i…
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Opioid Conversion in Adults with Cancer: MASCC-ASCO-AAHPM-HPNA-NICSO Guideline
20:19
20:19
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20:19Dr. Mellar Davis discusses the joint guideline from MASCC, ASCO, AAHPM, HPNA, and NICSO on opioid conversion in adults with cancer. He reviews the limited evidence, and the formal consensus process used to develop the guideline. He shares the key recommendations on pre-conversion assessment, how opioid conversion should be conducted, including opio…
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Buckle up, because Amy Gittelman is back, and this episode is one for the ages. A fellow SUNY Binghamton (yes, we still call it that) alum, Amy joins me for a hilarious and brutally honest deep dive into the absurdities of healthcare, insurance fuckery, and the general nonsense that plagues the system. From dodging medical debt landmines to battlin…
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Therapy for Stage IV NSCLC Without Driver Alterations: ASCO Living Guideline Update 2024.3 Part 1
10:48
10:48
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10:48Dr. Lyudmila Bazhenova joins us again to share the newest changes to the living guideline on therapy for stage IV NSCLC without driver alterations. She discusses new evidence reviewed by the panel and changes to second-line recommendations for patients with good performance status and HER2 overexpression, and what these updates mean in practice. We…
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Therapy for Stage IV NSCLC With Driver Alterations: ASCO Living Guideline Update 2024.3 Part 2
15:20
15:20
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15:20Dr. Jyoti Patel is back on the podcast to discuss the updates to the living guideline on therapy for stage IV NSCLC with driver alterations. She shares updated recommendations in the first- and second-line settings for patients with stage IV NSCLC and classical EGFR mutations, and the impact of these updates for clinicians and patients. We also loo…
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Welcome to another episode of Out of Patients, where we get real about the absolute circus that is the American healthcare system. If you've ever been trapped in a medical billing nightmare, gaslit by insurance reps, or just generally felt like healthcare is an elaborate game designed to screw you—this one’s for you. Joining me is the indomitable D…
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You know how some people enter your life with a knock, a bang, or maybe even a LinkedIn request? Not Rebecca Batterman, returning champion to Out of Patients, making her dramatic second appearance, Back in 2019, she karmically appeared like a plot twist in a film noir—unexpected, inevitable, and full of surprises. An AI strategist, an optimist (yes…
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S12 Ep. 10: Hotwife Fantasies, Making a 30-Year Marriage Non-Monogamous, and Sex Acts We've Never Done But Would Love To
29:26
29:26
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29:26In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) My wife and I communicate well about sex, but lately I’ve become extremely turned on by the thought of watching her have sex with a stranger. I think it’s called ‘hotwifing.’ It’s just a fantasy, and I’m not sure how I’d feel if we acted on it. Usually, anytime we have a…
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TORS in the Multidisciplinary Care of Patients with Oropharyngeal Squamous Cell Carcinoma Guideline
22:28
22:28
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22:28Dr. Chris Holsinger shares the new guideline from ASCO on transoral robotic surgery (TORS) for patients with oropharyngeal squamous cell carcinoma. He reviews the evidence-based recommendations on baseline assessment, the role of TORS in HPV-positive and HPV-negative disease and in the salvage/recurrent setting, which patients are eligible or ineli…
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The Big Talk: Where Legacy Meets Spotlight
43:59
43:59
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43:59Tricia Brouk isn’t just a storyteller—she’s a story architect, crafting narratives that connect humanity. A former ballet dancer turned award-winning director, choreographer, and transformational speaker coach, Tricia brings her unique journey to the mic in this captivating conversation. From dancing in iconic opera houses to choreographing Hollywo…
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S12 Ep. 9: Cross-Dressing, Painful Sex, and How to Speed Him Up
23:34
23:34
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23:34In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I’m a 24-year-old woman and have never enjoyed sex because it hurts. I’ve been checked out by my doctor and there doesn’t seem to be anything anatomically wrong, but sex is never pleasant for me. Can you help? 2) I’m a 36-year-old man and have been secretly wearing women…
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Mad Science: AI, Mental Health, and the Future of Sanity
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46:08
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46:08Get ready for a wild ride with Matt Lewis, the Tony Stark-meets-Jerry Seinfeld of the mental health AI world. As a multi-degreed polymath, Matt has been ahead of the curve on AI since MySpace was a thing. In this episode, we dive into everything from neuroethics and AI-powered mental health solutions to existential fears of Skynet ruining your day.…
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What happens when you give a 14-year-old the mic and let her fly solo without her twin brother? Magic, that’s what. This episode of Out of Patients features my daughter, Hannah, on her seventh (yes, seventh) appearance on the show, but this time she’s stealing the spotlight solo. From reminiscing about slushy Christmas Eves and rare baby illnesses …
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S12 Ep. 8: Anal Sex, Older Lovers, and How to Stop Being Distracted During Sex
15:15
15:15
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15:15In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I like having sex with my partner, but get so easily distracted. One minute I'm into it, the next I'm worrying about something or spend the whole session thinking, 'Don't forget to do this or that' afterwards. It interferes with my enjoyment. How do I turn off my busy br…
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The Natanya Experience: A Tsunami of Wit, Wisdom, and Whoa
36:53
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36:53Prepare for a whirlwind of brilliance with Dr. Natanya Wachtel—a self-proclaimed "failed therapist" turned media maven, behavioral strategist, and all-around badass. In this episode, we dive into her transformative journey from navigating personal loss to spearheading innovative mental health initiatives and reimagining her own identity in a world …
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Radical Feminism, Bravery and Vision: The Creation of Two Giants in the Field of Anal Dysplasia and Screening
33:55
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33:55Today, gender care is fluid, but in 2012, in the early days of ANCHOR, it took the NY Times and a brave Boston gynecologist to shift the direction of focus of anal cancer prevention. On the other coast, a self-described radical feminist was told that “the anus is just like the cervix,” and a historical career began. In this podcast, Drs. Beth Stier…
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Neoadjuvant Chemotherapy for Newly Diagnosed, Advanced Ovarian Cancer Guideline Update
19:04
19:04
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19:04Dr. Stéphanie Gaillard and Dr. Bill Tew share updates to the evidence-based guideline on neoadjuvant chemotherapy for newly diagnosed, advanced ovarian cancer. They highlight recommendations across ten clinical questions, addressing initial assessment, primary cytoreductive surgery, neoadjuvant chemotherapy (NACT), tests and/or procedures that shou…
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S12 Ep. 7: Sexual Confidence, Starter Sex Toys, and Why Did He Change with Her and Not Me?
22:10
22:10
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22:10In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I’m 38, have been single for a long time, and haven’t had sex in ages. I’ve now met someone and I’m panicking about having sex with him. I enjoyed sex when I was younger, but now feel like a sexual novice. It’s affecting my confidence and stopping me from enjoying the ex…
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Back for Round 2 and wielding her wit like a machete, Jen Singer returns to Out of Patients with Matthew Zachary. Cancer survivor, heart failure "graduate," and creator of the 'Just Diagnosed Guides,' Jen has seen it all — and she's here to help YOU see it all more clearly. From dismantling medical jargon to calling BS on "Stay Strong" toxic positi…
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S12 Ep. 6: Fantasizing to Spice Up Married Sex, Eye Gazing, and Why Can’t He See My Affair as a Positive Thing?
15:23
15:23
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15:23In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) Is it wrong to fantasize about another person when you are in bed with your partner? I’ve been married for a very long time and—as you both talk about often—we feel more like friends than lovers. To make sex more arousing, I often fantasize about a woman at work who I mi…
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Prepare to be inspired and entertained as Sean Wachter returns to Out of Patients! Sean, aka "The Cancer Fighter," is a two-time melanoma survivor, professional wrestler, coffee shop entrepreneur, and self-proclaimed 'f**ked up Forrest Gump.' With a resume that includes Madison Square Garden, WWE dreams, and a 'We Got This' People's Champion belt, …
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Germline and Somatic Genomic Testing for Metastatic Prostate Cancer Guideline
16:25
16:25
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16:25Dr. Evan Yu presents the new evidence-based guideline on genetic testing for metastatic prostate cancer. He discusses who should receive germline and somatic testing with next-generation sequencing technologies, what samples are preferred for testing, and the therapeutic & prognosistc impacts of genetic testing. Dr. Yu emphasizes the need for aware…
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Dr. Hedy Kindler joins us on the podcast to discuss the latest update to the treatment of pleural mesothelioma guideline. She discusses the latest changes to the updated recommendations across topics including surgery, immunotherapy, chemotherapy, pathology, and germline testing. Dr. Kindler describes the impact of this guideline and the need for o…
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S12 Ep. 5: Sex Dreams, Video Sex, and Wobbly Erections
17:18
17:18
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17:18In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I get on well with my boss, but don’t find him attractive in any way. The other night, I had an extremely hot explicit dream about him, and it’s made me feel uncomfortable. Does it mean I secretly want to sleep with him? I often have odd sex dreams. Can you stop yourself…
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In this lively and insightful episode of Out of Patients, host Matthew Zachary sits down with Mariana Arnaut, Founder and CEO of The After Cancer, a groundbreaking platform helping cancer survivors navigate the uncharted waters of life post-treatment. Joined by his sharp and witty Chief of Staff, Jen Ramprasad, the trio dives into the gaps in survi…
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S12 Ep. 4: I'm Not Attracted to My Overweight Wife, He Hates My 'Trick,' and Why Can't I Orgasm with Her?
22:01
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22:01In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I am a straight man and have had a few long-term relationships in my life. Although I enjoy sex, I never ejaculate during intercourse. I am now 50. I can orgasm with intense fantasy and oral sex, but never during penetration. I have read about sensate focus, but are ther…
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[BONUS] The GenX/GenZ Ultimate Therapy Throwdown
43:36
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43:36What happens when two fresh-faced Gen Zers—Matthew Zachary Worldwide Chief of Staff Jenisa Ramprasad and Marketing Intern Lauren Woodring—sit down with a cranky, nostalgia-fueled Gen Xer (ahem, Matthew Zachary)? Chaos, hilarity, and surprisingly deep insights. This is not your typical Out of Patients episode. What started as a casual, unscripted ch…
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S12 Ep. 3: Dry Spells, Sharing Fantasies, and Spanking
26:18
26:18
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26:18In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) My girlfriend and I seem to be going through a ‘dry spell.’ We haven’t had sex for about three months, and we used to have it weekly. Neither of us have talked about it and I feel like it’s becoming the elephant in the room. Life has been busy lately and I guess we just …
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It’s the annual Out of Patients tradition you didn’t know you needed—Matthew’s miracle IVF twins, Koby and Hannah, are back on the mic for their 5th appearance! These famous 14.5-year-old personalities are here to make you laugh, reflect, and maybe even sing the alphabet incorrectly (spoiler: they hate the new version). Dive into a delightful blend…
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Understanding Recurrence Rates in Hernia Surgery | Proctologist in Koramangala, Bangalore | Dr. Manas Ranjan Tripathy
1:58
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1:58Hernia surgery is one of the most common procedures in modern medicine, but what happens after the surgery? How often do hernias recur, and what factors influence these rates? Join Dr. Manas Ranjan Tripathy, a specialist in Proctology and Laparoscopic Surgery, as he delves into these critical questions in our latest podcast episode. Podcast Highlig…
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Myths and Misconceptions About Laparoscopic Surgery | Proctologist in Koramangala, Bangalore | Dr. Manas Ranjan Tripathy
1:53
1:53
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1:53Welcome to the latest episode of Proctology and Laparoscopic Surgery, where Dr. Manas Ranjan Tripathy addresses common myths and misconceptions about laparoscopic hernia surgery. Through this insightful audio podcast, Dr. Tripathy breaks down the facts about this minimally invasive procedure, discussing its safety, effectiveness, recovery times, an…
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S12 Ep. 2: Penis Sleeves, Hot Humiliation, and the Top Three Things We'd Never Do in Bed
25:34
25:34
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25:34In this episode, Tracey and Kelsey discuss these three anonymous questions: 1) I have some questions for each of you, rather than one of my own. Tracey, you’re always talking about the right things to do in bed but what about the wrong things? What are the top three things both of you would never do In bed? 2) What do penis sleeves feel like for wo…
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When life hands you a cancer diagnosis, you grab a camera. Anna and Jordan Rathkopf turned their battle with HER2-positive breast cancer into a groundbreaking photojournalistic journey. Join Matthew Zachary as he chats with the Rathkopfs about their book, HER2: The Diagnosed, The Caregiver, and Their Son, their nonprofit work, and the absurdity of …
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